Hi, I am new and need some help

Dana1999
Registered: 10/10/09
Posts: 3
10/10/09 #1

I served in the Army from 1997 – 2003. I currently have 60% service connected disability and I am getting paid 50 %. I went for initial treatment visit to a new VA center two months ago; the Dr. order some routine labs and x-rays (included HCV test).  I went back for a f/u appointment; the Dr. at the VA center told me that everything was ok,  gave me a Rx for CHL, and told me to f/u with my civilian Dr. for my pain because they are getting 1,000 new patients every month and they don’t have the time to see everybody. I request copy of my labs and X-Ray, went to my civilian Dr. when she see my labs she ask me if I have HCV. I told her no. She said the test results say that you are HCV + and show me where the lab have informed this Dr. about my test results. She ordered new labs and the results were positive. I went back to the VA center and raised hell because the Dr. did not informed me about my lab results I also request copy of the VA protocol to treat patients with HCV; however it was not given to me. They ordered more lab test and told me that they will mail me a referral to see a specialist which I haven’t received yet. I wrote a letter to VA requesting a review of my case for HCV service connected disability. I received a letter stating that they have received my request.
At this moment I don’t know what to do. I still don’t know how I got infected with HCV.  Like the majority I received shots with air gun injectors, I was also involved in a terrible car accident while stationed in Germany.  I was stabilized in a German hospital for 3 days, than transferred to Landstuhl.  I don’t have records or any recollection of what had happened during those three days in that German hospital. Came back to the States and had a series of treatments in military and civilian hospitals, I also received treatment out of the country for pain related injuries involving acupuncture. Bottom line is that I don’t know for how long I been having HCV or how I got infected. I been marry for 12 years none of my children or husband is infected, I have two tattoos one of them was done at the same place and time my husband had his, no alcohol, or drug history. I don’t know if VA is going to treat me, all my symptoms which are also HCV symptoms and I have for long time have been always attributed to my PTSD, fibromyalgia,  IBS or  any other condition for which I am already being compensated. Please enlighten me  as how should I handle this VA treatment facility and what should I expect as far as compensation.
RobD1956
Avatar / PictureModerator
Registered: 11/22/08
Posts: 31
10/11/09 #2

Welcome Dana,That’s a lousy way to find out about this disease. It happens to many of us. I myself found out by donating blood a long time after my separation from the service, where I contracted it. The very first thing to do is file for all your service medical records or SMR’s. By filing a SF180 form available here in the FAQ section. Try to obtain any blood tests performed. You more than likely contracted it from the auto accident if blood products were used. That will be your best shot at the VA. The VA not telling you is criminal but not unheard of. All the information we have we will gladly pass on to you. DO NOT share any person items that may have any type of your blood on them with your family ie razors toothbrush nail clippers and such. On the main page there are dos and don’ts for those of us that have this disease. I know what I have told you may scare you a bit but don’t panic, we have most of the answers you seek. Compensation can range from 0 to 100% depending on the damage done to your liver. So far it sounds as though you have a real strong case. You do however need to find when they knew for certain.__________________
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Dana1999
Registered: 10/10/09
Posts: 3
10/12/09 #3

Thank you for your advise. This disease is very new to me I hear about it, but I did not know what it was all about. This is very distressing especially when you don’t have a clue how you got it. You start thinking about  dental work, pedicures, and any other procedures where supposedly medical equipment have been sterilized specially in military facilities where the standards are clearly lower then in civilian hospitals, and than thinking about VA hiding information so they don’t have to treat you or denying compensation is very disturbing.
I will request the SF 180 and I will be in contact.
RobD1956
Avatar / PictureModerator
Registered: 11/22/08
Posts: 31
10/12/09 #4

Don’t be deceived into thinking it’s just the VA with lax standards on medical equipment sterilization . It becoming more common in the medical industries as a whole as far as HCV is concerned. It is by far the most dangerous disease to the liver in the world. More prevalent than HIV and more deadly. There is another thing you can be doing while waiting for your records. That is getting the medical people you have been dealing with to specify a Genome type. Or Genotype of your infection .There are 3 main Geno types of hcv 1,2,3, and numerous sub types 1a,1 b  2a, 2b, etc this is quite important to know. Some are more curable types than others. Geno type 2 and 3 have a very good success rate while others like 1a are much harder to eliminate. When you have this knowledge we will be able to guide you further on the help you will so desperately need.. Our goal is to provide you with all the help and information that is available to beat this virus. You are not alone by any means. Each and every one of us on this site either have this disease or have someone very close that does. It it very important to us to help all we can. I know some of this information is confusing but look around the site it will become more clear as time goes on. Ask questions never think that your questions are of no importance because they are. Everyone of us here was new and confused , filled with questions.__________________
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Dana1999
Registered: 10/10/09
Posts: 3
10/12/09 #5

I found out I am genotype 2 don’t know a or b and I think viral load 107,000. I don’t really know what this means.
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 652
01/01/10 #6

Dana 1999- Genotype 2 is generally associated with duty in Japan, Okinawa and Korea. There are two main subtypes- A&B. Rob1956, one of our moderators is behind the curve a little bit. There are now 6(yeah, count them) Genotypes of HCV and scientific talk about a seventh. 1 A and B are unarguably the hardest to kill with Interferon/Ribavirin therapy. 1B seems to be marginally easier to kill but still has a rotten response rate. 3A is the easiest to kill with a 60% success rate in 26 to 40 weeks. I haven’t studied the 2 A and B rates of success so am hesitant to venture an opinion. Google it and I’m sure you’ll find info on the subject. As for your viral load, 107 K is very low. Mine has been as high as 8 million and usually grinds along at about 3 million. When your liver becomes compromised and your Liver Function Tests (LFT) go up, so does your viral count. Elevated LFT info is usually manifested by high AST/ALT readings. Some labs still refer to them as SGOT/ SGPT. When my liver is misbehaving, my ALT has gone up as high as 650 (normal is 35-50). If your AST is higher than your ALT, that usually indicates you are drinking liquor. That is a different form of the disease- Hyaline cirrhosis. It’ll kill you just as dead, but you have the choice not to drink and live longer. So too if you quit smoking. Think of it like this. If you fly back east (or west)you usually have to change planes or land at one of the hubs that airlines keep in the central part of America- SWA in Chicago, American in Dallas, etc. You have to go thru one to get there. Your liver is the Hub. Everything you eat or drink has to go through the liver to filter out the bad stuff. Treat your liver right and you’ll live longer. Many of us here feel the Interferon therapy is worse than the disease. You often come out the other end afterwards with cognitive dysfunction and other impairments. Add to that the spotty record of successes with 1A and B and you may decide a good vitamin regimen is far better. I hesitate to advocate for or against any therapy. You, as the patient, and your doctor should be the judge of that. Be very careful to have your doctor check your Anti-Nuclear Antibodies (ANA)test and make sure it isn’t elevated (i.e. >1:360 or greater). If it is, that indicates an autoimmune response is already active in your body. Interferon is like throwing Napalm on a fire in this environment. Crohn’s disease or Ulcerative Colitis are autoimmune diseases and are warning signals. If you have these or arthritis symptoms, be careful. There are very few well trained physicians out there that are knowledgeable about this disease. It ultimately falls on you to find out the skinny on it and tell your doctor-especially if you’re using VA doctors. The M.D. after their name is no guarantee that they didn’t sleep through the Hep C lectures. In the end, you are your best line of defense against this disease and all the other ones related to it (depression, DM2, PN, PCT, etc.). Good luck with your fight.
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I need some guidance

flipfarts
Registered: 05/12/09
Posts: 19
05/24/09 #1

Dear M/F Veterans
I am very grate full for the information posted here for HCV veterans. I have read quite allot. I believe I was screwed by the Ca Dept of Veterans Affairs here in Ca. Screwed in the sense they offered no help or had information regarding appeals or anything. Currently they have my power of attorney but that is going to change ASAP. I do have some questions about by appeal.
Do I need to request my 201 file? How do I correct negative information in it?
Do I need my medical records also? My attorney(Hill&Ponton-Florida) requested these last month. He said is would take at least 6-8 months to get it. Funny thing about the attorney. I have not signed a retainer from him as of this post. However he has emailed me things to sign and says he will reopen my case back to 2004. My service connection claim was denied but I got the poor veterans pension because I haven’t worked since 1995.
I cannot believe how stupid I was to trust others with my HCV appeal. Knowledge is power. I have learned so much here. I want the correct information in my file. I want to do the work to get my case approved. I am not concerned about the attorney fees or charges. He didn’t say how many veterans he represented that got approved. Still we are always on a need to know basis. I need to know everything in this appeal process. Please I need help from other vets that prevailed in their claims. Any and all comments or help is greatly appreciated..
Thank You
RMG
RobD1956
Avatar / PictureModerator
Registered: 11/22/08
Posts: 31
05/24/09 #2

First welcome to NOD. We can and will help you with these issues.On the fist issue look to the left of the nod screen where you posted this message. In the third box on the left is a how do I correct Service/Discharge records click on that and read the instructions. There is also a link for SF-180 those are for all your service records click that link as well the instructions are there as well it will take about 6-8 weeks to get them not months as they have told you.If you have any problems let us know and we will help you all the way.Rob<———– look in this column and click on the links

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flipfarts
Registered: 05/12/09
Posts: 19
05/28/09 #3

Gentelmen
I have been reading some of the case rulings. I have noticed there is an issue with DUI’s, Drug Treatments, and veteran admissions of drug and alcohol use.
Does the VA do DMV and Criminal Background checks on Vets? I live in CA. If a vet has questionable driving record, arrests for other than drug use, can this information be shielded or sealed? 
Inquiring minds need to know…..
RobD1956
Avatar / PictureModerator
Registered: 11/22/08
Posts: 31
05/28/09 #4

Did any of these incidents happen while on active duty? If not it has no issue with your case. If you were on active duty and paid the price for your sins it has no effect on your case. The only way it can harm you if it shows as misconduct while serving your country. As a civilian that is the job of the civil courts and has no effect on your military service. It can effect it if you were sentenced to prison as a possibility of acquiring a disease. Unless you can prove that you had this disease or injury before being incarcerated.__________________
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flipfarts
Registered: 05/12/09
Posts: 19
05/28/09 #5

Hi RodD1956
Thank you for the quick answer. No I did not have any DUI or arrests while on active duty. I did get a ticket for possession(pot)in Tacoma WA(bar room fight) in 1973 while I was on leave. I went to court and paid a fine. I went overseas and didn’t have any issues with my security clearance. The Army didn’t find out about it to the best of my knowledge. I will look in my 201 file when I get it.  
RobD1956
Avatar / PictureModerator
Registered: 11/22/08
Posts: 31
05/28/09 #6

I left one thing out, if you had an honorable or general discharge it will not effect your case. The small charge that you had wont effect HCV either way. Also I might suggest don’t try and hide anything show the VA that you are honest and deserve what you are claiming. Your credibility is on the line, as well as your claim the more credible you are the better chance you have of winning.__________________
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flipfarts
Registered: 05/12/09
Posts: 19
05/28/09 #7

RobD1956
I read the other posts about a vet trying to be dishonest with his claim. I had a honorable discharge 1975. How can I find out if I was tested for HCV at a VA hospital and not told of the results? Funny thing about me was the VA did tell me I had HCV. However I was there for a completely different matter than being told I had HCV. I had to return to the hospital to learn of this. They wouldn’t tell me over the phone. Does this sound suspicious??
RobD1956
Avatar / PictureModerator
Registered: 11/22/08
Posts: 31
05/28/09 #8

Ok they are required by law after 1979 to report HCV to the State you were in when the disease was contracted. But not before that. So what you need to do is file an SF180 for all your blood tests and medical records that involved any type of blood tests surgeries or medical proceedures and scour them for raised alt and ast levels this will tell when you contracted the disease. After finding this out show them to an independant Dr to backup your claim that you contracted HCV in service. There is your connection. And a piece of paper called a Nexus the most important part of your claim. If it is in your service medical record or SMR they will have one hell of a time dening you service connection. And to answer your question they are not allowed to give that type of information over the phone as they cannot prove who they are speaking with.__________________
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flipfarts
Registered: 05/12/09
Posts: 19
05/30/09 #9

Hi RobD1956
Thanks again for the straight answers. I live in CA. My zip is 92308. Does anyone know of doctors in my area that are vets or doctors that I can get that “nexus” letter? I have reached out to the American Legion here. Haven’t got an answer yet. My local county vet rep office has sent me the forms to request my files and medical records. I know it will take some time. I sent an email to the doctor who is wheel chair bound. He has not answered. It’s been a few weeks. I am trying to follow the advice I get here as best as I can. I wish I knew about this site 5 years ago. I am determined to win my appeal and pass on what I learned to other vets.
Thanks
RMG
RobD1956
Avatar / PictureModerator
Registered: 11/22/08
Posts: 31
05/30/09 #10

Do you have a Dr you see on a regular basis? If so his or her opinion will do. Just make sure that when they review you military records that they state it is “More Likely Than Not” (I can not stress enough how important that statement is) that you contracted HCV while in the service. Going by what you have told me so far the military knows you had hepatitis in the service. Therefore it will not be hard to prove. Wait for your records and then we can go over them and see if there will be a problem.__________________
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NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 652
06/01/09 #11

Dear Flipfart/RMG,Let me enlighten you a little more about the VA. They have “X” number of dollars to devote to Vets- for HCV, back claims, front claims, 8 different medical groups seeking funding to pay for their medical. VA can and will try anything in their power to discover if you have lied about anything. Failing to admit to the Pot charge is fatal to your claim.You want to assume they will do a complete CBI( they will). You want to assume they will investigate you thoroughly. They will,sir. The pot, even though you cannot contract HCV from it, will be used to prove a moral defect in your character. I didn’t write these crazy rules. Blame the VA. In the same vein, if you have a DUI, they will say you exhibit behavior akin to drug addicts. Out comes the paint brush of evil. Regardless of what the 201s say, always tell them the truth. It really makes you look good. Google the term GAF scores and look at the part associated with drug abuse. VA will utilize this frequently to assess your potential as a person who is of questionable morals. To be sure, read the Introduction and the Meat of the claim and associated Nexus info and it will open you eyes on how this process works. Good luck and best of wishes, sir.Attached Images:
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flipfarts
Registered: 05/12/09
Posts: 19
06/11/09 #12

I was talking to a vet at the VA hospital @ Loma Linda Ca. He asked me if I knew anything about the class action lawsuit of the May 3, 2006 theft of computer hard drives with vet personal information by a govt employee. He said he heard that the information was pre 1975 servicemen and woman. Another Korean vet overheard the conversation and said there was a $1500.00 settlement for every vet who submitted a claim…
Is this true? I think I would of heard about this by now. Is there any way to follow up on this lawsuit?
Thanks  
RobD1956
Avatar / PictureModerator
Registered: 11/22/08
Posts: 31
06/11/09 #13

It’s all new to me I have not heard anything of that sort. But again that is not to unusual as we vets are always the last to know.__________________
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flipfarts
Registered: 05/12/09
Posts: 19
06/11/09 #14

That Korean vet sent me http://www.va.gov scroll down to end of page and link http://www.VeteransClass.com there is a claim form but no explanation other then submitting “proof” of injury. It makes no sense to me. It also says the minimum payment is $75.00 If anyone has submitted a claim to this action please share the process.
Thanks…
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 652
01/01/10 #15

RMG- Hopefully you have your military medical records by now. If your law dog is not responsive, remember we are here to help if we can. Sometimes getting assistance from AMLEG, VFW, Mil. Order of the Purple Heart, etc. is a double edged sword. They want your Power of Attorney (POA) because the Govt. pays them to represent you. Once they get that moolah in their hands, your calls seem to go on hold or the Service Officer on your case is “out on vacation”. Be careful who you trust. Even the lawyer is going to ask for the POA. I have used DAV (I lost), AMVETS (I lost) and finally MOPH (lost again). I finally went solo and won. What none of them told me is what is needed to win. Proof of disease in service (or presumptive causes like STDs or Tattoos), a current diagnosis of Hep C and last but not least- the all important nexus letter from a genuine M.D. that states at a minimum ” It is at least as likely as not that the Veteran contracted this disease due to ________ while in the military.” The doctor has to specifically state that he reviewed your contemporary medical records from when you were in the service. He can’t use words like probably or possibly or might coulda happened that way. VA “examiners” will tear the nexus apart and spit it out if you do not do it right. Hell, chances are they will the first time around anyway. Most Vets win on appeal at the BVA level if their case has merit. Success rate is 10-12%, but remember there are a ton of chuckleheads out there putting in really bogus Hep claims. This clogs the system but every idiot has to have his day in court. I had hep in service (B) and was told it was A. Nobody could test for that in 1970 or, for that matter, C. I came down with Hep 89 days after a blood transfusion for a GSW. That was my only risk factor. Medrecs sucked back then and it (the txfusion) wasn’t in mine. They gave me SC simply because the genotype was 3A which only occurs in SEA and Australia. Mighty thin nexus, huh? I had three of them- one from my private doc and one from QTC doc. VA still went out and asked for an Independent Medical Opinion (IMO). He put the fork in it and I finally won- June 2008. I first filed March 1994. Go figure. Don’t depend on a Veterans Service Organization to do your claim. They won’t. They’ll simply file everything you hand them (most of the time). They lose more $hit than VA sends to the shredder room in my opinion. If you let a VSO drive the bus. ride herd on him all the time. Better yet, do it yourself and take the worry out of it. Truth is, VA is far more lenient towards Vets who do their own claims. They figure we’re all bozos and pushovers. Prove them wrong, hoss.
flipfarts
Registered: 05/12/09
Posts: 19
01/01/10 #16

Hello NOD
Thanks for your observations about my claims. Yes my records are in the hands of my attorney. We had a conference on our computers. He since has filed to reopen my denial for service connection from 2002. There are 4 “CUE” errors that he says should get denial revised. Here they are as listed attached to form 21-4138. 
1. The rating board denied my claim for service connection based on the statement “the use of inoculation guns is not a known risk factor associated with the contraction of HCV”. This statement by the board was a medical opinion which the board was not allowed to make under the holding of Colvin v. Derwinski, 1 App. 171 (1991)
2. The rating board denied my claim for service connection based on the statement that “the dry shaving incident cannot be verified”. I presented evidence of the dry shavings incident in my statements in the record demonstrating exposures to HCV. Under 38 C.F.R. 3.307(b), 3.303(a), 3.303(b), the rating board was required to consider my testimony concerning exposures to HCV without corroboration from other sources.
3. The rating board denied my claim for service connection based on the statement “that there was no evidence to support my claim of being treated by a dentist in Germany”. I presented evidence of the dental treatment in my statements in the record demonstrating exposures to HCV. Under 38 C.F.R. 3.307(b), 3.303(a), 3.303(b), the rating board was required to consider my testimony concerning exposures to HCV without corroboration from other sources.
4. The rating board ignored the opinion of Robert Griffin, M.D. concerning causation and improperly substituted its own medical opinion in denying my claim. This is a violation of Colvin v. Derwinski, 1 Vet. APP. 171 (1991).The errors made by the rating board in its decision of August 13, 2002 were outcome determinative in that there was no evidence of record at the time of the decision which would warrant denial of my claim for service connection except the improper evidence which was used by the board to deny service connection. Further, all of the evidence which supported my claim for service connection was present in the record when the rating board made its decision on August 13, 2002.
I am asking that the decision of August 13, 2002, be revised and that service connection for my HCV be granted with an effective date of July 26, 2001, the date of my claim……….CUE error #4 explanation was someone crossed out the “causation” reason given by my GI Doctor. It was substituted with a different lesser causation. My attorney asked me point blank if I did it. I said hell no since I never saw the report nor asked for my medical records. I told him to check records requests I have made since 1994. He never got back to me on that one.
My last talk with him was my CUE claim might get heard sometime in 2011. He seems confident he can get the denial revised, along with his 33.3% fee, BUT it will take next to forever. 
I know you cannot give an opinion here because you don’t have my records. HOWEVER it would behoove me to know your thoughts and assessment about these CUE error claims. YOUR HELP IS APPRECIATED HERE. I HATE ATTORNEYS….
I HOPE YOU HAD A MERRY CHRISTMAS AND A HAPPY NEW YEAR.
RMG
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 652
01/02/10 #17

Dear RMGCUE is one of the hardest things to prove and I hope your attorney is up to the task. I will quote from the CAVC rulings on what you can expect.CUE is determined by three criteria: (1) Either the correct facts as they were known at the time, were not before the adjudicator (i.e. there must be more than a simple disagreement as to how the facts were weighed or evaluated) or the statutory or regulatory provisions extant at the time were incorrectly applied; (2) the error must be undebatable and of the sort which, had it not been made, would have manifestly changed the outcome at the time it was made; and (3) a determination that there was CUE must be based on the record and law that existed at the time of the prior adjudication in question. Russell v. Principi, 3 Vet. App. 310 (1992).

BVA rulings cannot be cited for precedent. Neither can single judge dispositions of cases at the CAVC level. Only panel or en banc cases are used for precedent-setting decisions. I’m sure you or the law dog representing you are aware of this. BVA is the only AOJ who can hear this case. The CAVC does not decide CUE cases-only that they were fairly adjudicated. As you know, CUE implies an outcome-based decision. This process depends heavily on the facts submitted, facts available to the adjudicator at the time of the decision and correct application of the law as it was written at the time of the decision. From what you have written, it would appear that the BVA has substituted their medical opinion for that of a doctor which is a clear and unmistakable error on their part. They definitely should have sent it out for an IMO or remanded it to the VARO for VA to evaluate your condition.

One item you haven’t mentioned is Layno v. Brown (1994). This little precedent-setting gem is very germane to your argument. You are allowed to testify about your medical condition insofar as what comes to you via your 5 senses. You were there. VA is required to rebut this testimony if they wish to prevent it from being given any prejudicial weight in your favor. One of the VA’s favorite methods of denial is that you have not proved your case, that there is no medical record of such an occurrence, or that you cannot corroborate your statements.

Here is the controlling statute in 38 U.S.C. Title 38 USC 5104:

(a) In the case of a decision by the Secretary under section 511 of this title affecting the provision of benefits to a claimant, the Secretary shall, on a timely basis, provide to the claimant (and to the claimant’s representative) notice of such decision. The notice shall include an explanation of the procedure for obtaining review of the decision. (b) In any case where the Secretary denies a benefit sought, the notice required by subsection (a) shall also include (1) a statement of the reasons for the decision, and (2) a summary of the evidence considered by the Secretary.

What might work in your favor is a failure on VA’s part to list all the evidence considered. This is a CUE error more times than not. Go to the VA.gov website and click on BVA decisions and search the CUE decisions up to your case being heard originally. You cannot cite CAVC/ Fed. Cir. precedents set after your BVA ruling decision. You only get one shot at the apple unless the BVA dismisses your claim without prejudice. CUE is one of the hardest cases to prove so you have to be on your toes and at the top of your game.

This is from Colvin v. Derwinski (1991):

The BVA decision does not cite medical evidence of record in this case or recognized medical treatises to support these medical conclusions. The BVA, in finding that the new evidence
did not provide a new factual basis for a claim was, in effect, refuting the expert medical conclusions in the record with its own unsubstantiated medical conclusions. BVA panels may consider only independent medical evidence to support their findings. If the medical evidence of record is insufficient, or, in the opinion of the BVA, of doubtful weight or credibility, the BVA is always free to supplement the record by seeking an advisory opinion, ordering a medical examination or citing
recognized medical treatises in its decisions that clearly support its ultimate conclusions. See 38 U.S.C. § 4009 (1988); Murphy v. Derwinski, U.S. Vet. App. No. 90-107, slip op. at 4 (Nov. 8, 1990). This procedure ensures that all medical evidence contrary to the veteran’s claim will be made known to him and be a part of the record before this Court.

Another point of interest, although it doesn’t necessarily involve CUE, is that “new and material evidence” as described in 38 CFR 3.156(a) can be a new nexus from a doctor. This was also incorporated into the Colvin decision. This is often overlooked in VA jurisprudence when they refuse to reopen a claim on the bogus grounds that you haven’t brought anything “new or material” to the table. Make sure your law dog reads Colvin from front to back as well as Gilbert v. Derwinski. Just one Vet’s opinion, mind you. I’m not a lawyer- I just read a lot. Good luck, sir.

NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 652
01/02/10 #18

More info for your law dog…The United States Court of Appeals for Veterans Claims
(Court) has stressed consistently the rigorous nature of the
concept of clear and unmistakable error. “Clear and
unmistakable error is an administrative failure to apply the
correct statutory and regulatory provisions to the correct
and relevant facts: it is not mere misinterpretation of
facts.” Oppenheimer v. Derwinski, 1 Vet. App. 370, 372
(1991). Clear and unmistakable errors “are errors that are
undebatable, so that it can be said that reasonable minds
could only conclude that the original decision was fatally
flawed at the time it was made.” Russell v. Principi, 3
Vet. App. 310, 313-4. “It must always be remembered that
clear and unmistakable error is a very specific and rare kind
of ‘error.'” Fugo v. Brown, 6 Vet. App. 40, 43 (1993).The Court has propounded a three-prong test to determine
whether clear and unmistakable error is present in a prior
determination: (1) either the correct facts, as they were
known at the time, were not before the adjudicator (i.e.,
more than a simple disagreement as to how the facts were
weighed or evaluated) or the statutory or regulatory
provisions extant at that time were incorrectly applied; (2)
the error must be “undebatable” and of the sort “which,
had it not been made, would have manifestly changed the
outcome at the time it was made;” and (3) a determination
that there was clear and unmistakable error must be based on
the record and law that existed at the time of the prior
adjudication in question. Damrel v. Brown, 6 Vet. App. 242,
245 (1994), quoting Russell, 3 Vet. App. at 313-14.

Allegations that previous adjudications had improperly
weighed and evaluated the evidence can never rise to the
stringent definition of clear and unmistakable error. Fugo,
6 Vet. App. at 44. Additionally, VA’s failure in the duty to
assist cannot constitute clear and unmistakable error. Cook
v. Principi, 318 F.3d 1334, 1346 (Fed. Cir. 2003). The
alleged error must be of fact or of law that, when called to
the attention of later reviewers, compels the conclusion, to
which reasonable minds could not differ, that the result
would have been manifestly different but for the error.
Thus, even where the premise of error is accepted, if it is
not absolutely clear that a different result would have
ensued, the error complained of cannot be clear and
unmistakable error.

If a claimant wishes to reasonably raise a claim of clear and
unmistakable error, there must be some degree of specificity
as to what the alleged error is and, unless it is the kind of
error that, if true, would be clear and unmistakable error on
its face, persuasive reasons must be given as to why one
would be compelled to reach the conclusion, to which
reasonable minds could not differ, that the result would have
been manifestly different but for the alleged error. Fugo, 6
Vet. App. at 43-44. If the error alleged is not the type of
error that, if true, would be clear and unmistakable error on
its face; if the claimant is asserting only disagreement with
how the RO evaluated the facts before it; or if the veteran
has not expressed with specificity how the application of
cited laws and regulations would dictate a “manifestly
different” result, the claim must be denied or the appeal to
the Board terminated because of the absence of legal merit or
the lack of entitlement under the law. Luallen, 8 Vet. App.
at 95.

flipfarts
Registered: 05/12/09
Posts: 19
01/03/10 #19

Hello Mr Manager
You have shared more information with me than the lawyer in Florida. I looked him up. He is VA approved(ass***e) who is supposed to know how to stand before the board knowledgeable in VA laws and statues. Hill & Ponton ie: Brian Hill has some stuff posted as per decisions. We have had a few words already. He doesn’t return calls or reply in a timely manner. He threatened me about my comments-opinion about the CDVA(my representative) and their stupidity/mal-practice in my case. Anyway I told him that lawyers and preachers make a living off other peoples pain and suffering. You are dealing with a wounded animal and he will fight back. Disrespect me again and you will get flushed like the piece of s**t on your license. 
He will not discuss anything more about my case. His clerk does all the email or phone calls. I appreciate your help and cites for me to look up. I love research and study also. I am preparing myself for the hearing in Los Angeles. I hear all kind of different stories about the waiting list for appeals like mine. The latest is 2-3 years. The DSO at the DAV goes out of his way to talk vets out of appealing or saying it’s almost hopeless. Reasons are CA has the most cases and not enough judges. There are more vets in CA than some states combined. This state is on the verge of bankruptcy. Bad attitudes and hopeless are everywhere.
Rest assure I will research every cite-case you have given me. I will post anything new that happen in my appeal. All you good people are a blessing on this site. I have already passed on some of the help I got here to other vets. The good book tells us we are to pick up or brother when he is down. To walk with that extra mile when not asked. I hope all here have a good new year..
RMG
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 652
01/03/10 #20

Hey, Bubba- If you like to read (and it appears your IQ is in the Mensa range), you should check out the CAVC site. This is where you find true ammunition for your case. The BVA decisions are good up to a point. They cite CAVC decisions but don’t delve into them nearly as deeply as the CAVC site does. You can look at actual cases going back to the dawn of time(or 1989)when it was still the CAVA (Court of Veterans Appeals). All the panel opinions (with a few exceptions) are still viable for citing. I was rereading Douglas v. Shinseki today thinking about your claim and I think you’ll find some useful ammo in there or at least cited references to other cases that might give you more things to think about. I’ll attach both below.http://www.uscourts.cavc.gov/orders_and_opinions/Opinions.cfmhttp://www.uscourts.cavc.gov/documents/Douglas-1392.pdf

Douglas was decided this year so you cannot cite it for any precedents in a CUE case. All your CUE cites must be prior to the 2004 date I saw mentioned in one of your early posts. You cannot, by VA law, ask for an earlier effective date for your claim in a CUE case. When you go to the CAVC site:

http://www.uscourts.cavc.gov/

Look to the left,rest the pointer on opinions and click on it. This gives you access to any panel CAVC decision. Two categories below that you’ll find “Decisions and Opinions”. These are single judge rulings that are not precedent setting but give you a good feel for how the CAVC thinks and, again, cites precedent that you can use. Just for poops and grins, type in “Clear and Unmistakable Error 2009” w/o the quotes (of course). It will spew out every CUE case decided by single judge disposition this year. Knowledge is power, RMG. I didn’t even know how to turn this computer on 2 years ago. If the MOPH hadn’t told me (erroneously)that tattoos were not on the list of presumptive causes for Hep C I never would have questioned the butthead”s wisdom. I knew differently and listened to his BS for a week or so. He told me my chances of winning Hep/ AO claims were worse than an ice cube’s chances in hell. I retrieved my POA and started learning all about Chapter 38, Code of Federal Regulations. Next, I tried digesting 38 U.S.C. You really only need to master the former of the two, and Part 3 and 4 are the only ones pertinent to claims. There is a whole part devoted to CUE (19 or 20) which will interest you :

http://www.law.cornell.edu/cfr/cfr.php?title=38&type=chapter&value=1

Remember, if you lose you really have no one to blame but yourself. Trusting anyone to carry the water for you is a fool’s errand. Lawyers have access to all the things I have shown you here today. So do VSOs. They are LAZY. Witness the DAV service officer you mentioned advocating throwing in the towel rather than appeal! Or my SO telling me I was going to lose before it had even been adjudicated. This kind of legal advice I can do without. I suspect you can too. If you have a viable case I’ve noticed you can browbeat these bozos down. It’s the death of a thousand paper cuts. When your C-file starts to look like the first printing of Gutenberg’s bible and weighs as much, you start to get results. Of course that’s just one Vet’s opinion. Having a viable presumptive cause is the preliminary ticket to eventual success (see the VA risk form to the left).

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Afghan Vet needs help, PLEASE!

chaossoldier24
Registered: 02/23/10
Posts: 1
02/24/10 #1

 I am a veteran who served in Afghanistan. I have been in since I was 17 and am currently in the Reserves now. I joined in 2001. While overseas I was exposed to others blood (sprayed in the face), shared razors in the feild and was medivaced to Landstuhl when a rapid test X2 came back positive for Hep C. I am very scared, even though I have got a lot of information on it, I am only 26 and I have a wife, and a 13 month old daughter. Neither of them are infected, I have been married for 3 years. I can’t bear the thought of them watching me die slowly. I recieved a Line of Duty form from the Army for the Hep C that was approved. My viral load is below 50 so they can not determine a genotype, all the Army knows is that my antibody test came back positive. If I want to file a claim with the VA, does the Hep C have to be active? Does the fact that I have 13 tattoos mean the VA will try to deny me? I do not know if I have liver damage, but if I only contracted it a year ago, will the fact that my liver is not damaged stop them from granting my claim or drastically lower my compensation? I also have sleep issues and flashback issues (particularly with sounds and large crowds) that I was treated for in Landstuhl with some medication, but they told me it is normal and will go away. But it’s not going away! and I don’t feel normal! I am scared and pissed off and I don’t know what to do. I am requesting all my medical files with the form on this link. Will my Line of Duty paperwork help establish my claim better. Please help me, anyone!
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 652
02/24/10 #2

 Man, you must have stolen that computer from ants. What’s with the microprint? I’m sixty and need a mag. glass to read it. Here’s the skinny. Tattoos are good to go. They are not willful misconduct yet, but with the increasing popularity of them, one of these days the plug will get pulled on that. If you have the bug, do not worry. Well, shit. With that said, okay worry a little bit. Your chances of giving it to someone else are damn slim. If you file, VA will grant your claim and give you a 0% rating until you get really sick in about 30 years. I figure they’ll find a way to kill it by then without killing you or making you braindead. As for the PTSD, welcome to the club. We all came home with it if we were in combat. I ate the dirt for 11 years every time a car backfired. I pray it doesn’t take that long for you.
Posted in Tips and Tricks | Tagged , , , | 1 Comment

Advice Needed

rotorhead
Registered: 04/06/10
Posts: 10
04/06/10 #1

Background; US Army 1967-73 RVN69-71 Emergency Room Tech 72-73
I was discharged in Aug 1973. I was hospitalized in Sept. 73 with Hepatitis, treated at a VA hospital in Ft. Wayne, IN.
I just had a Agent Orange Registry exam in Feb 2010, My lab test came back positive for Hep-C. I am so freaking mad that the VA has let me sit around unaware of this monster inside of me. I have had a lot of liver panels come back abnormal, but never paid much thought about it.
I have a claim pending for Hep-C. Dr. who did AO exam said I should file claim. I guess my question is how hard is this claim to prove. And is it possible to get EED back to 1973?
Kindest Regards.
AZeeJensMom
Moderator
Registered: 01/05/09
Posts: 94
04/07/10 #2

Good Morning…First of all, thank you for your service to our country.Sorry to hear about your diagnosis.

My suggestion would be to gather all of your smr’s, private medical records, anything to do with your health if you haven’t already done so.    Make sure you always keep a copy for your own records.  Anything you submit, be certain you write your claim no. is on the top right corner and your name.
Whenever you do send anything in to the VARO, send it Certified Mail/Return Receipt Requested.

There are verifiable transmissions of Hepatitis C….look to the side-bar to the left on the HCVets web-site and browse through all of it.   As an ER Tech you undoubtabley had exposure to tainted blood along the line.   Any specific event you can trace it back to?    That could help in your defense for an EED…must be verifiable.    Masters of the HCV site will come along and chime in with solid tips and advise.   These are things we’ve learned in our 8 year claim process.

Especially the Nexus portion.   You are in for an education.    There is so much information here….if only we’d known when we filed in 2003 what we now know about my husband’s claim, we’d have done it different from the get-go.   By that, I mean following the advice here on HCVets, submitting all of his medical records pertaining to the HepC, etc.

We went the hard way through the muck of mud and my husband’s claim in pending a decision at the BVA level now.

There are alot of great people on this web-site that will chime in soon.   As for the EED back to ’73….not sure on that one, it’s usually from the date you file, AO claims will retro back 1 year prior to the date you filed.    Would be a sweet victory to get sc with an EED of ’73 though.

Best advice….get as much education as you can about this.   Take care of yourself first and see a gastro doctor for follow-up on the HepC.    You are going to need to know where your condition is presently, more for yourself and what treatment options may be available but also for your claim.

Keep us posted…..

rotorhead
Registered: 04/06/10
Posts: 10
04/09/10 #3

Thanks for the quick reply. I still haven’t been able to except the fact that I have this. unfortunately I am one of those guys that just sort of moved around a lot after getting out of the Army in 73. Only went to doctor when absolutely necessary. Records almost nonexistent until 5 years ago after having a heart attack and triple bypass.This was my labs in Aug 2009;
Hep-C–Positive
HCVGEN Type 1b
HCVPCR;    3,129,677
mALB-R    51  mg/l
PROTEIN   8.8 g/dL
GPT/ALT   64
GOT/AST  52I still am trying to find out why my PCP never said anything about it and I only found out it after requesting copies of C&P exam notes. Am I worrying about nothing?

Kindest Regards, Dave

AZeeJensMom
Moderator
Registered: 01/05/09
Posts: 94
04/10/10 #4

Worry is spinning your wheels.   I do it all the time and have two rather large holes where my feet usually stand on the ground but my worry keeps my wheels spinning.   Ask anyone here, they’ll tell ya.Normal to be concerned.   Who wouldn’t be.   The main thing is are you having any problems, feeling tired, achy, nauseated?    Keeping a logbook or jotting how you feel into a journal will help you later with your claim and when you see your GI Specialist.   It also helps to let go of the anger feeling – although you have more than every right to be, the Bees should have told you.The 1st defense is to accept your the illness…the 2nd, learn everything you can about it, what to eat, what not to eat…wear a mask when spreading chemicals on your lawn, better yet, stay away from them altogether.    Everything you eat, drink, breathe is filtered through your liver (as you know).

When my husband was diagnosed in 1995 it was such a taboo subject, I remember hearing people (we were in the medical field also) talking about it like it was the most disgusting thing anyone could possibly contract….we kept it a secret except from close family members for a few years and then as we became educated about the illness and my husband began his 1st course of Interferon therapy, we started to let more people into our circle of trust (Remember “Meet the Parents”) – and we became more educated….the more we educated ourselves, the more we could educate those around us and how they could avoid and reduce their exposure to HepC virus…anywhere.    Some people were ignorant and nasty, others were open armed and offered positive feedback.

My main message is you need to get to a point at sometime very soon that you have this and accept it.    Reach out to family and friends, now you know why you are always so tired, etc.    You always have everyone here on HCVets too….we may all come from different walks of life and different backgrounds, but we are all connected by 1 thing and we are like a family.

You have your military medical records, right?    So there is a gap from your discharge date and 5 years ago with medical records.   That’s ok, because typically people who contract HCV won’t have symptoms for many years, often 20+ and some never do at all….my husband never did.   he found out through a random blood test his diabetes doctor ordered.   Liver enzymes were elevated, he was going in for the 5 year colonoscopy, took the lab results in, within a week he had an appt and about a month later we got the results (testing was much slower then)…..he has been on treatment 3 times, and even though the treatment didn’t rid his body of the virus, it did allow his liver to regenerate, to heal without constant attack from the virus and yes, it was very hard to go through.   Some folks get through it without too much trouble, others….it’s hell on earth.

Your viral load at over 3million should not alarm you.    It’s basically a test used to gauge how treatment is attacking the virus….it doesn’t mean that the higher your number the sicker you are.   My husband’s all time high was 23 million +  and he got as low as 600 at the end of his 1st 48 week round of treatment only to have it jump back up within 6 months.   His doctor has told us when he doesn’t feel well, it’s probably when the virus is replicating itself.

You said you were AO exposed?   Have you filed a claim for your heart disease?   A new presumptive disease just added to the list is Ishemic Heart Disease.    I’d get those medical records from your heart doctor if I were you.

When you submit documents to the VA such as medical records, be certain they pertain to the claimed disease/illness only.   In other words, you wouldn’t submit medical records about your broken leg as it doesn’t relate to your heart or liver.     Submit what is relative to the claim and always be sure to write your name, SS and/or claim number on every scrap of paper you send in to the VARO, sending them the copies and keeping originals for yourself.   Send everything and anything in either FedEx with a signature required or US Mail with Return Receipt and Certified…it’s a few extra bucks, but insurance that someone on the receiving end must sign for the package…and you know what’s in it.    Send a cover letter with the list of documents you have enclosed, even using the date of the “doctors letter”   ie:   Nexus letter from Dr. IM Hurt dated XX-XX-XXXX.    Chart notes from Dr. UN Pain dated from – to …..etc.

Focus on yourself first.    You should ask the PCP why or how these results were missed?    I would want to know.   If your PCP is a GP, they may or may not have seen something looking odd on your medical records….but, if like you said you didn’t see a doctor for all those years and then 5 years ago you have a heart attack and now find out you are HepC positive.

Main message…..get any and all medical records you can, for sure request yoru service medical records…you can find info on the how to’s in the column to the left of this board, and forms also.    It might take a few months to get them but you should have them before you go any further.   You may already have them and having been in the field of medicine with a more probable exposure possibility, then you might just slide on through to a sc.    Your going to need those smr’s from when you were in the Army and were dx with Hep though to even think about going back to ’73.   HepC was Non-A/Non-B prior to 1988 or 1989…..the medical field didn’t even know the virus existed so they slapped this label on the finding of this “new” strain of virus.

Stay positive as you can.   Reach out to those around you.   Educate yourself, ask questions, keep a daily log, get those medical records…..all of them.

And, stay connected here.    We are all in this together.   Whatever any of us can do to help you, we will do so.    You are welcomed here always.

AZeeJensMom

rotorhead
Registered: 04/06/10
Posts: 10
04/10/10 #5

AZeeJensMom, thank you very much for your kind reply. So much has happened the last five years health wise I do fill like I’m just spinning in one spot.
I requested my medical records from St. Louis, and they said the are not there. I did find them in the VA system. I have applied a FOIA form to get them. My health care background in the service was I OJT’ed into a program that was suppose to help transition you back into civilian life. I was trained to be a ER Tech. This was at a medical dispensary in the largest U S military housing complex in Germany. In the early 70’s there was a tremendous problem with IV drug use in the military. It was not usual to have 3or 4 OD’s and a few drunks with lacerations and auto accidents on a payday weekend. Sterile procedures were not always practiced as they should be, but I digress, long story short, up to your elbows in blood and mucous and needle sticks and blood and vomit while doing CPR. I left the service on 23 of August, 1973 and was hospitalized in Sept of 73 at a VA hospital in FT Wayne, IN with unknown type of Hepatitis. I guess we all know now what type it was. I have no record of drug use in or out of the service. And you are right I never knew why some days I was so tired I didn’t want to get out of bed, and sick to my stomach for no reason. I have an appointment this month with PCP and I will bring this up.
Than you for letting me vent here, I am trying so hard to let go of the anger, but maybe that’s some thing for another day. Again thanks for all the good info on this web site. It must have been divine intervention that I stumbled across it. If there is anything I can do for anyone this site please don’t hesitate to ask.Kindest Regards, Dave
AZeeJensMom
Moderator
Registered: 01/05/09
Posts: 94
04/10/10 #6

You are welcome Dave…..always.Sounds like you have more than enough exposure possibilities for HCV…..the hospital records from Ft. Wayne, you are going to want to make sure they are included in your smr’s…..things often have a way of not “making into the FOIA” request.     We learned the hard way on that one so passing that info on to you.Spend some time looking through all areas of this web-site…it’s outstanding.
I stumbled across it myself about 2 years ago and that was a good day indeed.    I know how you feel.

Any other questions, don’t hesitate to post them….

Stay well.

NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 652
04/12/10 #7

Dave– I certainly don’t want to rain on your parade but VA Law mimics American Law for the most part. If you do not file a claim for an injury- be it HCV w/ VA or a malpractice suit with a doctor who isn’t qualified to be a Veterinarian, you are limited to the date you file the claim. In addition, you have to judiciously pursue the claim through the Appeals process or risk watching it become recycled paper. There are many Vets out there who choose to pursue their own claims. Some have legal backgrounds and some don’t. After using 3 different Veterans Service Organizations with no luck, I opted to learn everything I could to win my claim. This isn’t easy. If it was, we’d all be rated 100% for Hep and enjoying the fruit of our fight. Ask NOD is primarily a self help workshop with lots of supporting advice and ideas to help you. However, if you find the legal and mental challenges to be over your head, feel free to seek help from a VSO or ask more questions here. Good Luck, sir, in whatever you choose.
rotorhead
Registered: 04/06/10
Posts: 10
04/13/10 #8

NOD, thank you for your insightful reply. I have used a VSO in the past but on this one I think I am going to study as much as I can and do this claim myself. I am mad as hell that they just let me hang with this monster.I  will use all the advice and help that this forum can provide. I will channel this anger in a constructive way and not fight just for the sake of fighting. Again thanks for the info.Kindest Regards, Dave
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 652
04/14/10 #9

Dave– At the end of the day you will discover that you were the one that carried your own water- no one else. The apathy shown by many VSOs is not so much the organization’s fault, but the individual SO’s fault. They are woefully undertrained and often ignorant of the very law they purport to know and brief you on. Classical examples of this are the numerous stories of SO’s telling us tattoos were considered willful misconduct and therefore not subject to service connection for presumptive connection to HCV. Start your quest for knowledge by reading Board of Appeals rulings (see left) and get a feel for how the judges use case law and Chapter 38, Code of Federal Regulations (38 CFR) to formulate their rulings. I cannot enunciate how important it is to become familiar with this. Watch Judge Judy one time and you’ll understand it even better( “I don’t want to hear about hearsay! Where’s your witness? Can you document this?”). With the VA, there is virtually no difference. Subjectively stating something you cannot corroborate does not turn it into fact. All the evidence you submit must be pertinent, have a basis in fact and must relate to you or your case. You will see Vet after Vet say: ” The doctor told me thus and so.” VA will ask you: What doctor? where? What’s his name, rank, airspeed and tail number? Did he write it down? No? sorry, sir. That’s hearsay. Submitting useless info you can’t prove makes you look like a boob and hurts your presentation. When you defend yourself you will find a Veterans Law Judge will often be more lenient. However, he/she will not abrogate the rules and regs to issue a judgement in your favor.
rotorhead
Registered: 04/06/10
Posts: 10
04/29/10 #10

Just got home from Veterans doctor appt. My primary care doctor said he would do all he can to help me with my claim for Hep-c. I think he was genuinely sincere. Apologised for letting me slip through the cracks and delaying treatment for 8-9 months. Set me an appt in two weeks for a hepotoligist to determine treatment protocol.  Good news I hope.
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 652
05/01/10 #11

Good deal. Most (but not all) Personal Care docs will be glad to help you, but to win, you’re gonna have to play by their rules. You need to have the nexus letter from your doc. In it, he has to set forth a clear and convincing argument that your HCV is service connected. He has to state that he has reviewed all your contemporaneous medrecs from 72-73 to present concerning hep of any flavor. Remember, nobody knew about C until 1990ish. You need a good gastrodoc with lots of letters after the M.D. but mostly, you need him to link the 73 hep with the 2010 hep. Do you know what kind of genotype it is yet? If it’s 3A or 3B you have it in the bag. Get any tattoos while you were in? STDs? Same applies. VA is going to try to make you look like a junkie or worse. Watch what you say or write down for accuracy. Don’t ever keep speaking to fill in silent spots. Attorneys try to get you to do that.2 tours in SEA?(RVN 69-71). We were both in and over there at the same time (me-70-72). I DEROSed 5/72 and got out 2/73.Thank you for your service.
Posted in Tips and Tricks | Tagged , , , , | Leave a comment

Medical Records with claim

drcorp55
Registered: 06/22/10
Posts: 5
07/12/10 #1

My husband is in the process of submitting claim for Hep C, Vietnam veteran served 1968 – 1969.  Discovered in 2005 after blood test for life insurance – he was denied any life insurance.  For years his blood tests always showed the liver enzymes as high, but doctor never recommended any further testing.  He has no other risk factors, had the jet gun injections and was injured in the field…injury was infected and he required addtl treatment for infection at the time.  He is now dealing with the after affects of HepC treatment (glaucoma, fatigue, memory loss, etc).In the process of filing the claim you are asked to attach any medical records…we have his military records, and doctor records from the past 10 years.  Is it necessary to send all the records or do we need to sort through them and only send those that are relevant?  His primary care physician will provide a letter to help his claim.  The whole process is very daunting.  Any advice is much appreciated.
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 652
07/12/10 #2

Prepare for a long journey, ma’m. You will need to obtain your husband’s medical records from his time in service. In the column on your left is a heading titled “SF180-Med Rec” under Print VA forms. Submitting just your civilian medrecs and military records is not enough. You will need to have these records to prove that your husband was injured in the field. I assume that was in Vietnam. If he sought medical help it will be listed in the medrecs.

     You will also need a nexus letter from your doctor-preferably the one you see for his hepatitis issues. The letter must conform to certain standards and the doctor must state succinctly why he believes the HCV occurred during your husband’s time in service as opposed to earlier or later. He also must state he has reviewed all the military and medical records from service, and finally must  state in percentage terminology the likelihood of the disease being incurred in service. Obviously it occurred 40 years ago so this is going to be a presumptive diagnosis. The proper format that the VA accepts is very concise. It must be phrased just so or it will be rejected. The correct phrases are “more likely than less likely”, ” most likely” or “at least as likely as not”. “Probably”, “might have” or “possibly” all are too ambiguous and will be summarily rejected as too vague.
     Go to the Forum entitled VA-Tips and tricks and start on Page 2 with the Introduction and work you way through to Holes in the fabric. This will give you much more information that you’ll need to file and will also elaborate on what we’ve already mentioned above. What you must do is present an air tight case to the VA initially to avoid years of denials and appeals. A little preparation now will stand you in good stead further down the road.
     VA is worse than an insurance company to deal with by a magnitude of 10. They will go to great extremes to find some dirt on your husband. If he even mentioned one time to a doctor that he smoked left handed tobacco, they will turn it into an indictment of his moral character and a possible reason for denial. Their logic runs along the lines of “If he smoked dope then he probably snorted and shot up, too.” I’ve seen cases where a Vet voluntarily sought help for alcoholism with the VA (which they encourage you to do) and they used that as a valid reason for denial based on the theory that if he had a drinking problem then it follows that he had a drug problem as well.
     VA often invites Vets to attend group counseling for drug and/or PTSD issues. Guess what? Everything you reveal there will make it into your VA medrecs! Think twice before answering any incriminating questions. I’m not suggesting you should lie about it but you’re not legally required to answer. You can always answer that question with another: “I’ve already discussed that and answered it in the HCV Risk Factors Questionnaire. How many times do we have to discuss this subject? You’re beginning to become redundant here, sir, and I don’t appreciate your tone.”  That usually puts a fork in it.

     If, after perusing the site here, you still have questions, feel free to ask more. Take a moment to thank your husband for his service to our Country from all of us here. I am so sorry he contracted this insidious disease. I only hope they find a cure soon before we all die from it. Good luck.
drcorp55
Registered: 06/22/10
Posts: 5
07/15/10 #3

Good information and thank you!  I’ve been working through gathering all the pertinent information (military medrecs and the last 8 years of private medrecs) and my husbands physician, who has been treating him since he was diagnosed with HCV is on board with writing the Nexus in support of his claim.   So if I understand correctly, I need to attach all of this information to the claim.  I will continue to read through on this site – I have the claim prepared online and only need a few more items before I submit.Thank you again.
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 652
07/15/10 #4

Looks good. I assume you are representing yourself in this claim. Smart move. Even if you had a VSO representing you, you would discover that you ended up doing all the paper/leg work yourself. Make sure you get the doctor to write the nexus correctly. This will be the single most important facet of your whole claim. I can’t stress how important this is. Might we suggest you privately email the completed nexus from your doctor to us so we can check it to make sure it will fly with the VA and give you the best chance of winning the first time out? Its purely optional on your part but may save you a lot of time if you have to go to an appeal. Also I might add that if your husband’s genotype is 3a you have a very strong case. Genotype 3a is unique to Southeast Asia (Thailand, Laos. Cambodia and Vietnam) and Australia. That is how I ended up winning my case as I couldn’t find any of my medrecs showing my transfusion. Good Luck.
drcorp55
Registered: 06/22/10
Posts: 5
07/21/10 #5

That’s interesting about the Genotype.  His is 1b.  If the cause of the HCV is from the air gun injection would the genotype matter?  He was also injured and treated in Vietnam, and ended up with an infection, but the medical people that treated him were americans.  It’s all very confusing to me.  All I know is that I have the application nearly complete and only need to get the doctor to finalize the letter.  I will have you view the letter prior to final submission to the VA.  I filed a claim for my mother last year for aid & attendance…my dad was a WWII vet.  I found that I did all of the work and only had the VSO put another set of eyes to it, but I did all the follow up and leg work.  Seems like a ton of lawyers out there trying to sell the service of helping file VA claims…sounds expensive and duplication of your own work if you ask me.  Thank you!
NOD
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Registered: 11/22/08
Posts: 652
07/21/10 #6

I guess I don’t need to tell you that the genotype makes no difference. 3A is an instant winner  like a scratch off lotto ticket if you were in SEA. Notwithstanding that, any genotype is unfortunately a winner. Remember. There are 3 essential elements needed to complete the claim. Proof of an illnesss or disease; an event or injury or diagnosis of the same disease in service (via medrecs) and a clear concise nexus from an M.D. that attributes the disease or illness to the Vet’s time in service. One excellent way to prove the age of the disease is to present proof  via the Stage and Grade of the disease as measured on the Metavir scale as well as the percentage of fibrosis. I assume by now your husband has had a liver biopsy.

     The nexus has to be very concise and rule out any other causes after he left the service. Any hint of immoral behavior or any history of incarceration will be serious grounds for denial. The doctor has to mention that he has reviewed all the milrecs and medrecs in addition to any private doctor’s records. As the nexus diagnosis of HCV is actually speculation, the doctor has to go to great lengths to sound as though it is not speculation, but based on a logical extrapolation of medical evidence. If all the Ts are crossed and all the Is are dotted, then VA will rarely mount a serious offense. However, if you arrive with a lot of Internet articles describing studies done to HCV positive peasants in India and pictures of guys in their skivvies lined up waiting for a jet gun inoculation your claim will fail. If you are basing your whole claim on the idea that this was caused solely by a jetgun then your chances of winning are poor. The injury and infection your husband suffered in Vietnam would be my guess as to a risk factor. Any tattoos while in service or sharing toothbrushes or razors are also vectors for infection which are frequently cited and used to win. I don’t want to rain on the parade ,but after the first jet gun win the VA closed ranks and now routinely denies claims based solely on that defense. There is the occasional judge who doesn’t get the email and rules in favor of the Vet. However, that is becoming increasingly rare. To prove beyond a shadow of a doubt that it was the jetgun you would have to find the Vet who was directly in front of you in basic training and got the shot right before you all those times. It was done alphabetically so its not an impossibility to ascertain. But it does involve a lot of legwork to find the Vet and convince him to share his medical information with you. If he had HCV and if it was the same genotype as you that would be pretty damning evidence in your favor. Two very big ifs.
     Should you use a lawyer, be aware that the VA limits them to 20% of all you recover when you initially win. If you take your claim all the way to the Court of Veterans Appeals (CAVC) or the Federal Circuit, they will pay the lawyer directly via the Equal Access to Justice Act (EAJA). That is assuming you are indigent, meet other criteria and have a sound legal argument.

 

drcorp55
Registered: 06/22/10
Posts: 5
08/12/10 #7

I have the doctors letter and would like someone to review.  How do I send privately for review?  Should I attach here?Thank you for all the great advice and direction.I thought of another question as I was reviewing the claim form.  It asks you what disability you are filing the claim for.  Do we put the HCV as the sole reason or list all the other problems caused by the HCV and treatment.  Example being Glaucoma, memory loss, tinnitis (this is not from HCV treatment but over the years has been getting worse and we feel started in the military), etc.  Want to get this as right as possible on the first try.

Thanks.

NOD
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Registered: 11/22/08
Posts: 652
08/12/10 #8

I will contact you privately.
AZeeJensMom
Moderator
Registered: 01/05/09
Posts: 94
08/13/10 #9

You are in good hands here…..getting it right from the get-go will make a world of difference in your case.     We started with a VSO and ended up on our own….if only I knew then what I know now….ultimately, 7+ years later and my husband is finally sc for HepC….a grant from the Board of Veterans Appeals.

If you need any support or another pair of ears to listen, I’ve been through this same procedure with my own husband.    It’s tough to be the support person – you are not alone.

If there is anything I can do to help you, please let me know.
drcorp55
Registered: 06/22/10
Posts: 5
08/13/10 #10

Thank you…I wish we knew about this 5 years ago when he was first diagnosed.  It takes so long to gather everything and then wonder if you are submitting everything just so.  I do know these guys deserve it.  Thanks for the offer of support…as I hit the final submit button I may check back with you.
NOD
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Registered: 11/22/08
Posts: 652
08/15/10 #11

By all means, please contact us before you push “Print” or Send. We sent you a synopsis on your doctor’s preliminary nexus letter several days ago. We hope you received it.
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Misdiagnosed for RA?

squid_with_dragon
Avatar / PictureRegistered: 08/15/10
Posts: 131
08/19/10 #1

I was diagnosed with RA when I got out in 1986. I have been getting 40% SC for that.Last fall I was diagnosed with Hep C and the VA doctors told me that I don’t have RA.None of the doctors have indicated that it could have been Hep C that was mis-diagnosed as RA.

I found this from a doctor on the internet:

“Rheumatoid factor is not specific to RA and can be positive in normal individuals and patients with hepatitis C”

Has anyone run into this before? Is there enough medical evidence out there to pursue this?

Thanks…

NOD
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Registered: 11/22/08
Posts: 652
08/19/10 #2

Interesting point. I have an elevated RA factor and the M.D.s concluded it was fibromyalgia. It would explain all the aches and pains I and a lot of other C positive Vets suffer.

     How do you want to “pursue” it? RA secondary to HCV? If you are already rated for it and have recently been dxed as in remission, its only a matter of time before VA reduces or revokes  your rating for it. And revoke it they will, Mr. Squid. VA takes great pleasure in reducing ratings- often doing it improperly without due notice and sans legal standing to do so.
squid_with_dragon
Avatar / PictureRegistered: 08/15/10
Posts: 131
08/19/10 #3

There is no cure for RA. Once you have it, you have it for life. Even when it is in remission, a person should still check positive for RA (from what little I know from just being a patient). When it comes out of remission joints can be damaged. RA can also damage different organs in the body since the immune system goes out of wack when the body attacks normal joints.But I am learning that Hep C affects the joints as well. Also Hep C tosses the immune system for a loop. I am not too impressed with the VAMC lab results. They lost one test already and I had to wait a month before a redo.I could either try to show that I likely had Hep C but it was mis-diagnosed as RA. Or, I could show multiple treatments for RA when it came out of remission during the last 25 years. I had many different blood tests over the years but I don’t know if liver enzymes were ever part of those tests.

It sounds like it may be better to show a 25 year treatment history for RA to keep that rating for SC. Then try to show “most likely” for Hep C because of Munjis and the EMG tests I had in Japan?

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C&P for Hep. C Wednesday

rotorhead
Registered: 04/06/10
Posts: 10
08/20/10 #1

I had my C&P exam this past Wednesday and it went well I hope.The examiner was well educated on this disease. After the 
exam he stated to me “It is more likely than not that you contracted this disease while serving as a medic while serving in the US Army”Next step is hoping that the rater agrees as well. My claim was well documented with medical records, ect. Thanks for the advice I received here on NOD.
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 652
 Remember the line the Chief (Dan George) kept asking Little Big Man ( Dustin Hoffman)? “Does she show great pleasure when you mount her, my son?” We can only hope the VA shows “great pleasure” when they realize they have another Hepper on the SC roles. The wins are too few and far between. If a Vet has a stomach for the fight and many years available to him, he will prevail. We are seeing claims filed in 2003 that were denied finally appearing before the BVA and being granted. We often quote Vet’s odds at 10-12% predicated on the fact that many lose their stomach for this and fall by the wayside. Unappealed claims are the biggest percentage. VA is counting on this as a natural winnowing experience to separate the poker players from the ribbon clerks. Were every Veteran to stay in this for the long run, the odds would probably climb as high as 25-30%. Keep in mind, Rotormeister, not all Vets  had viable, documented risk factors like you. Some Vets have no known causes or risks other than Jetguns. We here believe that is a big risk, but VA holds all the cards in this game. Best of luck on a successful ending, sir. We look forward to hearing back from you.
AZeeJensMom
Moderator
Registered: 01/05/09
Posts: 94
08/20/10 #3

Good Luck to you rotorhead….I presume you have a rock solid Nexus ?

NOD is spot on with the sticking it out.    It took over 7 years, but we finally got the dots all connected and BVA returned a favorable decision last month.   Looking back, if the same dots were in the right order to begin with, it may not have taken as long to get the service connection.
Hopefully our past experiences will help Vets today with their claims.
Keep us posted.
AZeeJensMom
Moderator
Registered: 01/05/09
Posts: 94
08/20/10 #4

P.S.

I remember your name and went back to re-read your posts.
Keep us posted on your results.
rotorhead
Registered: 04/06/10
Posts: 10
08/20/10 #5

Thanks all for the replys, yep I realize that the battle has just been joined. I have had this monster since 1973, and would never have had a claim unless I happen on a lab result that the VA NEVER imformed me about.
I just wish I could take these people back in time and let them see for themselves what the condidtions were like back in the late 60’s and early 70’s.
I hope and pray that those who have this dosen’t give up the fight.
If there is anything I can do to help anyone please let me know by PM.Kindest Regards, Dave
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Should I include PTSD in my claim for HCV?

squid_with_dragon
Avatar / PictureRegistered: 08/15/10
Posts: 131
08/16/10 #1

I put in a claim last week for PTSD and Hep C with a DAV NSO.From what I have been reading in the last couple of days here, it sounds like asking for PTSD at the same time would not help my Hep C claim?I have not had any problems self-medicating so no history of alcohol or drug abuse. No problems with the law either.

I already have a 40% rating for RA. I have had hep c for along time (28+ years) like most of us vets. My symptoms are that I am sick most every day now and I have been quite sick since last year. I think I am past the panic stage now but I have a hard time concentrating and putting forth the energy to work my claim as I am exhausted most of the time.

The NSO (DAV) seems like he knows the game and is familiar with the issues vets have with Hep C.

In my case should I keep the NSO?

My only Doctors are at the VAMC because I cannot afford private health insurance since I have not had a job in about 18 months.

Thank you for being here! I just want to get this claim off to a good start with as few bumps in the road as possible.

squid_with_dragon
Avatar / PictureRegistered: 08/15/10
Posts: 131
08/17/10 #2

I took out PTSD as part of my initial claim today…I just started the claim last Thursday.From what I have read here, it would be dumb to claim PTSD at the same time. But I do feel dumb most of the time now….wish I could say numb but have quite a bit of pain most every day.Anyway just being able to read about the others here in the last couple of days is helping me cope with this. I have felt “shutoff” and “dirty” for the last six months since I was diagnosed because even the doctors won’t tell me jack about this disease.

Thank God for this forum! 🙂

NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 652
08/17/10 #3

You bring up a good point about filing for 2 separate claims that are hard to win on any given day. Hep C will be the most difficult unless you have a hep infection in your medrecs. Failing that, a combat environment, medic or tattoos/STDs are the winners. Jet guns are okay as long as they are a risk factor to be considered in addition to the above mentioned risks. As for the PTSD, inevitably they (VA) will separate the two claims by denying one or the other. You have to be very specific when you appeal by specifying you are appealing both and spell them out to avoid confusion. CAVC case law has decided that if you do not specifically appeal multiple issues. any that you fail to mention are deemed abandoned. PTSD will take a while to develop claimwise  as your stressor will have to be confirmed. Depending on the type of stressor, your claim may go all the way to appeal if it depends solely on buddy statements. We don’t have one of those fancy crystal balls here to prognosticate with. Personally, Dealing with one claim at a time is advisable unless they are related to one another, inextricably intertwined or secondary to the primary disease you are claiming SC for.

    Never let yourself feel disconnected or dirty about HCV. It’s a disease just like any other virus. Imagine how straight guys feel about coming down with HIV. They probably feel pretty dirty, too. If you don’t know how you got it, you can assume it isn’t your fault. The only ones I can conceive of who might feel ashamed or dirty would be junkies. Even we have compassion for them in spite of their life choices. None of us are saints so having the disease is not the mark of Satan. I got mine from a transfusion, but I certainly got the”look”from the doctor in ’95 when the test came back positive so I know how you feel. Concentrate on winning and don’t look back.
     As for using an NSO vs. doing it yourself? Good question. If you feel your SO is competent to do this then go for it. Most Vets discover they end up carrying the water on these things in spite of the SO. The SO often just ends up being the mailman after you give him the info. He/she can be valuable for advice, though. Be aware the Post Office can accomplish the same thing and you can do a certified mail, return receipt requested. VA cannot subsequently deny they received it if they have to sign for it. I had an SO that lost several critical documents or failed to submit them that held up my claim for some time. Ultimately you are responsible for your own claim. Don’t blame anyone else if you fail to file on time. There are no do overs.
squid_with_dragon
Avatar / PictureRegistered: 08/15/10
Posts: 131
08/17/10 #4

Thanks again!Being diagnosed with HCV is such a huge physcologic blow, yet the VA or the Health Dept. doesn’t work with the patient to really inform them about the disease. I live in a nowhere podunk small town on the plains and there are no support groups or people around me that even know about the disease. I seldom see relatives unless I travel a long distance to see the kids and grandkids.I needed to know what to do around my young grandchildren so I won’t infect them. They only tell you about having protection with multiple partners. They don’t tell you how to go about your normal daily life with your significant other. They used to show us a film on how to duck and cover in grade school, why can’t they show us a short film about living with the disease within the family? Even a 30 minute presentation with Q+A time would help.

All of the information they give out which is very little, is so antiseptic. This is a very personal disease that causes individual and real emotional issues. I think they could easily help us with that when we are diagnosed. Rather than letting us go through a panic stage of “what am I going to do now?”

Thanks for being here for us! 🙂

AZeeJensMom
Moderator
Registered: 01/05/09
Posts: 94
08/18/10 #5

Squid…

Good Morning to you.
My husband was dx’d with HCV in 2001 by his diabetes doc who discovered high liver enzymes and told him “Take this report to your gastro doc when you go in for your next colonoscopy, he needs to follow-up on this..”
I will never forget the day he came home and told me what the diabetes doc told him…
We made the appt, and walked out of his office scratching our heads “What is this stuff he’s talking about ? “
We didn’t tell anyone for several months, fear, scared of what people might say…..
it felt like a 2 ton brick was dropped onto our heads.   It was very hard to tell anyone at first, but as we became more educated about the virus our walls of fear started to break down.     After he started treatment, it was evident we had to start letting people know (family knew) as we really needed (especially me) a strong support system around us to help get through the next 48 weeks….
The main thing is no blood to blood contact, do not share shavers, toothbrushes or anything with anyone that could have bodily fluids or blood on them.    You should not be fearful of going swimming with your grandchildren, playing with them or holding their hands in the park.
I was tested when during one of my husbands three times on treatment (yup, 3 times) and I was giving him an insulin injection and when I put the cap back on the needle it poked through and stuck me.    Tests came back that I had been exposed BUT….years prior, I was a regular blood donor and rec’d a letter back from our local health dept that I was exposed to Non-A Non-B Hepatitis and should refrain from donating blood…..I didn’t recall receiving that letter, it was sometime in 1990.
We think I was probably exposed when I used a stipstik to stop a bleed after shaving – one my husband used and this was way before he was ever diagnosed.   Never gave that letter a thought until the needle stick and I saw my doctor who still had a copy in my medical file…
Bottom line is educate yourself….ask for information from forums like this, talk to your family and share with your friends.   People were very ignorant when my husband was diagnosed and there were a few comments made, but overall the support came from those who really cared about us and the others, well….I just made it my mission to educate them and now I share our story with anyone who brings something up – helping others has helped me and my husband.    Through the years since his diagnosis, we’ve started hearing more and more about new diagnoses from folks with HepC.     People are more willing to talk about it and are more open to conversation now.  In 2001 many labeled this a “drug users” disease….just like HIV was labeled.
You live your life, enjoy those grandchildren, your family and friends….ask lots of questions, educate yourself so you can share that education with others and know that you are not alone in this.   You are right, it’s an emotionally charged feeling to know you have hepatitis C and you are entitled to those feelings..we still get them.
I will close in saying that what has helped us the most is educating ourselves and educating our family, friends and anyone who will listen.   Share those feelings, the thoughts, the questions…we are here to listen and assist in anyway we can.
squid_with_dragon
Avatar / PictureRegistered: 08/15/10
Posts: 131
08/18/10 #6

Thank you! :)That is a very nice reply and I really appreciate your thoughts.
rotorhead
Registered: 04/06/10
Posts: 10
08/20/10 #7

Squid, very good advice from NOD and Amom, I did the same thing, filed 5 or 6 claims at the same time. It held up my decesions big time. Your C-file is a paper folder that has to be sent to some one every time you have a C&P exam. My understanding is that it is done by snail mail. It is a good move to only do one at a time.If there is anything I help you with let me know. I had my Hep-C C&P last Wednesday. Alot of questions as to where you may have come into contact with the virus. The examiner did’nt seem hostile but keep in mind that they listen to every you say and do.Dave
squid_with_dragon
Avatar / PictureRegistered: 08/15/10
Posts: 131
08/21/10 #8

Thanks Dave! :)That is good to know. If I would have found HCVETS before I signed over to DAV NSO then I would have started it myself and let you people guide me with it. I am in the beginning of the process. I am waiting for my medical records to show up. You folks have really helped me to formulate a nexus.The three things I have to work with right now:

1) I was Shore Patrol and Master-at-Arms for two years. I did drug busts (one was a heroin bust coming out of France). The dogs would hit on a foot locker or I would find paraphenalia on normal random inspections for drugs. But I don’t know if it is in my service record since it was temporary duty. I will need to look at my service record to see if it is in there.

2) I was injured in a typhoon with a severe neck injury
I was at Yokusuka Naval Hospital in Japan in 1982. They did multiple EMG tests with reuseable needles. I also had one test done at the civilian hospital in Tokyo. Back in the 80s they did not even have disposable needles for EMG electrodes. I had 100s of those reused needles poked into me.

3) MUNJIS
I was in for about 10 years and I went to most of the utter armpits of the earth so I was always getting shots for something.

4) Dental surgery

As NOD was quick to point out: Since my genotype is 2b, number 2 is the most likely culprit of my infection. From what I am finding out, 2b is not likely contracted from IV drug use so number one is probably not very likely. In fact, when you look at the datasets for HCV infection, the most favorable calculation puts IV drug users at something on the order of 2% of the total population of HCV infections. HCV as a STD is like in the hundreds of one percentile. Yet, the CDC lists IV drug use as the primary risk factor and STD is right up there as well. Who is trying to snow who here? 🙂

Anyway, statistical analysis is my fortay. If you folks have some datasets that you would like to crunch please contact me. The bigger the “population” of data the better. Obviously, the government doesn’t want to spend the money on HCV. They throw some of the data out there which is more sparse than it should be, however only a small number of people are able to crunch the data to come up with the correct conclusions. That goes for VA comp as well as SSD.

Thanks a bunch! 🙂

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Medical Records

wekan1
Registered: 08/08/10
Posts: 4
08/24/10 #1

several weeks ago I sent a request for my med recs, yesterday I recieved an envelope from the records division that contained records of several sick calls, some dental recorde and a form from my seperation. What was not there was my enlistment physicals and shot records. Did I miss something in my request(I requested my complete medrecs) or what. Is there something more that I must do?
NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 652
08/25/10 #2

Dear Sir,
     Welcome to the VA. Did you ask for these from the VA or the NPRC in St. Louis, Missouri? If you filed the SF180, I would ask them to search again and be specific as to what you don’t have (and need). You may have become another statistic in the machine. Which service were you in? I have seen Navy Vets’ records often left on board ship and thus filed in the ship’s file if she’s decommissioned. I’ve seen Army guy’s medrecs turn up at the last hospital duty station prior to discharge.  Then again, some Vet’s records just disappear into that circular file in the sky never to be seen again. Or, if the VA gets control of them, they may end up on the shredder room floor. You can also check with the R.O. and ask them for a complete copy of your C-File. Be advised that your claim, if you’ve already started one, will come to a screeching halt while they make a copy for you.
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Decision

Janicea6856
Registered: 03/12/09
Posts: 8
08/01/09 #1

Hi all,
Just wanted to let you know my husband heard from the VA yesterday…  They said he’s 30% and will receive $421/month with back payments from Oct 08 through now….  I applied in Sept 08, and was afraid it would take alot longer than this…  If I can help anyone in any way, please write to me.  I’m glad I found this site and want to thank all of you for your invaluable info and help.  Hang in there, don’t give up….Janice
victim88
Registered: 07/27/09
Posts: 14
09/13/10 #2

good for you and your husband, 30% back pay what about current employment, or did your husband also receive 100% unemployment? or is he still working.
NODManager
Registered: 11/22/08
Posts: 652
09/13/10 #3

Dear Janicea6856,

$421/mo is the amount for Veteran and Spouse only. If you have one child (under 18), its $453/mo.plus $22/mo. more per extra child under 18. The rates for children over 18 and still in school are significantly higher($72).Make sure you are being paid what they owe you. Is the 30% for cirrhosis? Thank your husband for his service to Amerca from us.
jaguar
Registered: 09/14/10
Posts: 3
09/14/10 #4

Is it absolutely a must that a veteran has to be represented by a VSO during the filings of SOC’s to the RO ?  My VSO has turned out to be a putz by not filing what I asked of him and therefore, I am filing myself now.  Should I remove his POA and look elsewhere or continue to go it alone and leaving his name on file.
NODManager
Registered: 11/22/08
Posts: 652
09/14/10 #5

Dear Sir,In answer to your question, there is no rule that a Veteran cannot defend himself (pro se) before either the Board of Appeals, the Court of Veterans Appeals or, if you carry it higher, the Federal Circuit. If you choose to do this then you must notify your VSO and the VARO of termination of the POA asap.  In fact, we have helped many Vets accomplish this without representation. After all, when all is said and done, do you notice who has done most of the legwork? Having a VSO is like having a third nut. All they do is push “PRINT” after you type up the pertinent information. I personally got rid of the chowderhead doing my claim (VSO Name removed for low ratings) and went it alone back on 07. I won everything I was asking for on the Hep and PCT and more. Always remember that you have more rights in VA law than regular law. You get the benefit of the doubt, the tie goes to the Vet, and if you represent yourself pro se, the BVA and the CAVC bend over backwards in your favor. Just be careful and keep your wallet in your front pocket. Trust no one but yourself to get things done though. Use certified mail, return receipt requested and keep the green cards they mail back to you. That way when they say they never got it, you can quote them the U.S.P.S. article number, the date it arrived, the name of who signed for it in the mailroom and the airspeed and tail number of the UPS jet that carried it to D.C. And if you don’t think they keep track of that kind of info at the VARO, you are WRONG. I write right on the green card what it’s for- i.e. SOC for PCT, NOD Hep, etc. so I won’t forget.One gentleman we helped just left the VSO on there. His service officer would call him up occasionally to remind him of what a wonderful job they were doing and bring him up to speed on all matter of subjects that he had filed. They were so disorganized, they had no idea that they hadn’t filed anything for him in years. This can backfire on you when you get the monster earlier effective date(EED) going back 20 years. The VSO arrives on your front doorstep with CBS and Katie Curic to interview you and see how you feel about that $273,000.00 back pay check. Hell, they’ll even want all the glory for helping you. Avoid this if possible. File the POA rescission, give the VSO his walking papers and talk to Katie directly.

Keep in mind that this is Just One Vet’s Opinion (JOVO). There are some out there that need alarm clocks to remind them of when to go potty. Representing oneself is not for the weak of heart. As for asking here for help on every single facet and virtually having us do the claim, we are not specifically here to accomplish that. We are DIY helpers and will go out of our way to help you though. Best of luck and ask about anything you are unsure of.

jaguar
Registered: 09/14/10
Posts: 3
09/15/10 #6

My sincerest appreciation for the speedy reply to my questions.  Since I have been consistently denied by VA since 1983, and now facing terminal medical conditions and still not prepared to give up the fight until I draw my last breath, I do have a few more questions to ask of  NOD. Since I would have to expose these medical conditions to an “open” audience in order to get your expert opinion, I have to wonder if this is appropiate for this forum.  And while I don’t personally have a problem with this, one has to wonder if NOD does. After more than 26 years, I was finally rated at 60% a few months ago and remain at 60% currently.  Since my questions would require my post to be a bit wordy, I nonetheless would appreciate your thoughts on my situation. On behalf of all of us that benefit from your unselfish desire to help your fellow Veterans,  Thank You !
NODManager
Registered: 11/22/08
Posts: 652
09/15/10 #7

     AHHHHHHHHH! My kingdom for a law degree. Unfortunately, my shelf life sticker indicates that is not an option. Nevertheless, we’ll make hay while the sun shines here. My undying hope is that VA will someday recognize HCV as presumptive for SC given that such a large population of Vets are infected with respect to the rest of our population.  Thank you for your compliment but the accolades go to the progenitor of this website, Patricia Lupole. I and my fellow moderators are just long winded blowhards with a new soapbox to preach from. Allow me to rephrase that. I am the blowhard. I cannot speak for the others.
jaguar
Registered: 09/14/10
Posts: 3
09/16/10 #8

Questions needing answers.   Recently filed for S/C for:  Chronic Gastroesophagitis, Moderate Chronic Gastritis, Duodenitis and Intestinal Metaplasia.  These were submitted on the same SOC.  Will VA seperate these conditions ?  Is Intestinal Metaplasia linked to AO ?  Waiting for a response from VA.    Is this violating 38CFR 4.14  ?  Back up and regroup or surge ahead ?   Is there a short version of Extra Schedular that even this jarhead can understand ?  Filed for Left Shoulder A/C Seperation with Osteoarthritis, VA sent letter stating that they are considering that and Peripheal Neuropathy Left Upper Extremity and then asked for further evidence to substantiate. I did not request S/C for PN.  Is this a trick question or do they know something that I don’t ?  Thanks for your help. When the predominate disability picture is severe,  what would be the pathway from this point ?   Bi-lateral Hearing Loss( Static ), service connected, rated at 0%, currently appealed, suggested direction from here ?   Applied for HepC S/C in 2002, (stage 3),denied. Submitted new evidence stating jet-air innoculators in boot camp and Okinawa prior to deployment to Da Nang.  Waiting for initial VA response.  Suggestions ?
NODManager
Registered: 11/22/08
Posts: 652
09/16/10 #9

 You task me, sir. Here is what I do know. Some of your diseases are unfamiliar to me so I will have to pass on them. My forte is the AO group and the Hep secondarys.<<<< Recently filed for S/C for:  Chronic Gastroesophagitis, Moderate Chronic Gastritis, Duodenitis and Intestinal Metaplasia.  These were submitted on the same SOC.>>>>>As I mentioned, I am unfamiliar with this but here’s the important part that will help you. Regarding claims, do not announce a desire to file a new claim on an SOC or before the BVA in the midst of another claim stream. . Your C file can be accessed by only one examiner at a time. Keep in mind that they have a paper filing system. It will conflusticate the RO beyond belief if you don’t follow the program. VA’s screwed up enough as it is.

<<<<<< Will VA seperate these conditions ? >>>>>

It all depends on how you claimed them. Are they listed as secondary to Hep or another claim you have before the VA or are they stand alone claims?

<<<<<< Is Intestinal Metaplasia linked to AO ?>>>>>>

No. Look up 38CFR 3.307 and 3.309. I don’t see it in there.

<<<<< Is this violating 38CFR 4.14 ? >>>>>>>>>>>

38 CFR  part 4.14 is what is known as the pyramiding clause, not to be confused with the Santa clause. Let me give you an example of pyramiding. You cannot claim entitlement to the same symptoms of, say, HCV and cirrhosis. You cannot claim entitlement to PTSD and another personality disorder when the symptoms overlap. You can only be rated on the predominant symptoms of the disease under the proper diagnostic code (D.C.)

Many Vets overwhelm the RO with numerous claims simultaneously. What I have noticed from experience is that the examiner becomes very frustrated and the “I don’t give a $hit syndrome” kicks in. You will often find all the claims in the circular file. My philosophy is one at a time. This is especially true with claims secondary to the big one you seek SC for, like HCV. PN, PCT, DM2, Rheumatoid arthritis and numerous other ailments are related to the HCV but cannot be service connected until the HCV is. Filing them all at one time damages your ability to present them after you’re rated as new and material evidence.  <<< Back up and regroup or surge ahead ?  Dealer’s choice on that one. >>>>>I’ve said my piece on that.

<<<<<  Is there a short version of Extra Schedular that even this jarhead can understand ? >>>

Extra Schedular rating is accomplished by petitioning the VA Director of Compensation and Pension Service. It is not accomplished at the RO level, is not an adjudicative action, per se, and an adverse decision cannot be appealed. ES ratings are reserved for disability scenarios that were never envisioned in a given rating percentage. They require extraordinary circumstances and are very rarely granted. Try the Powerball Lotto. Your odds are much higher there.

<<<<< Filed for Left Shoulder A/C Seperation with Osteoarthritis, VA sent letter stating that they are considering that and Peripheal Neuropathy Left Upper Extremity and then asked for further evidence to substantiate. I did not request S/C for PN.  Is this a trick question or do they know something that I don’t ?  >>>>

Sometimes you file a claim for something and the Doctors discover it’s something else. By law, they are now required to analyze all facets of a claim regardless of whether you specifically ask for it or not. Thus if you claimed HBV SC and they discover its HCV, they’ll just convert your claim over to the latter. Their theory? No harm, no foul. What did you say or imply that would send them down the PN path? Maybe the HCV? My magic 8 ball says “try again later”.

<<<<  When the predominate disability picture is severe,  what would be the pathway from this point ?>>>>>

Follow Ground Control’s advice to Major Tom— Take your protein pill and put your helmet on, pilgrim. No, seriously. If your prognosis sucks and the expiration date on your license plate is coming up, you need to take this up a notch. Contact your congressman and lean on his VA liaison gopher hard. The VA process is very slow as if you hadn’t noticed. Don’t gum up your claim with minutiae of smaller claims that don’t produce anything (like hearing or hemorrhoids.) You can also apply for 38 CFR 20.900(c) requesting advancement on the calender for a decision based on either medical or financial hardship. You will have to submit proof to substantiate this, though.

<<<<<<  Bi-lateral Hearing Loss( Static ), service connected, rated at 0%, currently appealed, suggested direction from here ?>>>>>>

Here’s the ugly truth about hearing ratings your VSO never tells you. VA is fond of handing out 0% hearing ratings like necklaces at Mardi Gras. Reasoning? They do not start issuing compensable ratings for hearing problems until you are totally deaf in one ear and your hearing starts to impact your enjoyment of a KISS concert. When you have about 80 % speech recognition left in one ear, then you may be eligible for 10-20%. You’re barking up the wrong tree here, sir. There’s no money in it. Withdraw your appeal now and wait until you’re ratable (if ever).

<<<<<< Applied for HepC S/C in 2002, (stage 3),denied. Submitted new evidence stating jet-air innoculators in boot camp and Okinawa prior to deployment to Da Nang.  Waiting for initial VA response.  Suggestions ?    >>>>>>>>>

Are you sure you appealed the 2002 filing? If you submitted new and material evidence rebutting the denial of the 2002 filing within one year and they haven’t responded to it yet, it may be time to file a Writ of Mandamus with the CAVC demanding a decision on your claim. That was eight years ago if you haven’t been counting. VA is notoriously slow, but they are not that slow. If your evidence consists of pictures of you and your buddies in white boxers and t-shirts waiting in line for your jet gun date or internet articles saying its plausible (VA FAST Letter), I have some horrible news for you.  Do not hold your breath. The only possible way you can pull the rabbit out of the hat on this is to show a viable risk factor. And by risk factor, I do not mean a history of IV drug abuse in service. If you were in the Marines and you were at Da Nang, smart money says you were out playing Pin the Tail on the Donkey with Charlie around Monkey Mountain or thereabouts. If so, then you were in combat and have what’s known as the 38 USC 1154(b) combat enhancement. If you had contact with other people’s blood or were wounded, your chances of getting SC go way up. If your HCV genotype is 3A, then your claim is already in the bag and you should get that info before the ratings examiner pronto. 3A is indigenous to SEA almost exclusively (Thailand, Laos, Cambodia and RVN or rather the People’s and Jane Fonda’s Democratic Republic of Vietnam). Any tattoos in the Nam? Again, bag ‘em an’ tag ‘em, Gomer. The only viable way to go after a jetgun claim that I can see is to find the guys directly in front of you in all the immunization lines in boot camp orOkinawa. It was done alphabetically so this is not Mission Impossible. Now, if they have the same kind of hep as you (like, say, 1A), then you’ll win without a big fight. Otherwise, I’d have to say that claim, as a stand alone risk based on the jetgun, is DOA. I’m trying not to piss on your parade, sir, but that is the unadulterated truth from what I can ascertain. Unless I have misconstrued some facet of what I have read, I wouldn’t bet on that defense. If you do, then you are going to have to find a doctor and convince him to say that it is “at least as likely as not” that that the jetgun is the culprit. He’ll also have to review all your SMRs, your milrecs, and all your civilian medrecs and rule out any other possibilities and state as much. Pretty tall order.

We hope this clears up any grey areas for you and doesn’t create even more.

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