ILP–LAST CALL FOR SILVER QUEEN

img_0079The flavours of Fall are subtle but welcome. A slight chill in the air or the new-found fog are just the hallmark of a September morning. I think the sun has rose-tinted goggles on that cast a glow on everything in the late afternoon. The urge to grab the camping gear, load up the rig and grab a .270 Mag out of the cabinet is equally strong. The end of the outdoor growing season is always cemented with the harvesting of the last of the corn, pumpkins and Butternuts. Tomatoes will fester on until it rains and then be lost but the Silver Queen is the true harbinger of the impending winter. I always feel like Squirrel Nutkin about now.

ILP UPDATE

img_0094Of equal interest is the Seattle VA VR&E’s sudden interest in “reaching closure” with me on the greenhouse-something that that has eluded them up to now. If you will recall,  on August 25th, 2016, Judge Margaret Bartley of the CAVC instructed the VR&E to push ‘print’ on the greenhouse RFN and she did not want-nor expect-to ever hear about it again or have it darken her front stoop. It was pointed out that I had not exhausted all my judicial remedies inasmuch as the July 13th, 2016 Meet and Greet at the “Area soon to be known as the greenhouse” had resulted in a stalemate. This provokes an automatic 90-day review (38 CFR § 21.98 (b)) where the VR&E counselor ostensibly goes back to the Ouija board to reconfigure the plan. 90 days runs out on October 13th, 2016. In VAspeak, that’s a year off in a warm, fuzzy unicorn-infested future. In CAVCspeak, it’s 13 more days. Boy howdy does thirteen days go by like a Don Garlitts AA/Gas dragster.

When apprised of the necessity to make haste, Mr. Holloway hasn’t made great inroads. He did call Farmtek last Monday at my suggestion and discuss “Independence in the activities of everyday living as it relates to a greenhouse metric.” He started asking Miz Karen what size she thought a “normal’ greenhouse  should be and other nonsensical questions. The whole gist of his conversation was one of “How much can we de-supersize Mr. Graham’s and still make it workable?” Since the Farmtek rep doesn’t speak M 28ese, she was slightly put off at the line of questioning. We talked this morning and she wanted to know which psychotropic family of drugs he was on. Cannabis, being legal in our Soviet Socialist-styled Evergreen State, comes to mind. Wait a minute. Evergreen State. There’s a lot of Marijuana PR built into that one. Name recognition it has. Yesssssssssssssss.

farmtekAn Independent Living coordinator like Farmtek’s Karen Meister is in the business of providing avocational solutions to medical disabilities and creating a seamless product ready for use. A Vocational Rehabilitation Specialist from VR&E is in the business of arriving with a list of all the things proscribed and a menu of Dollar Store solutions for personal hygiene or simple food preparation. If you say what about an avocational videography work studio, they will be laughing at you, not with you. Get it?

img_0095Those of you who aspire to a big ticket ILP such as a greenhouse or woodworking shop should study these techniques. Mr. Boyd and Mr. Holloway, who now belatedly admit they have no training or expertise in horticulture, have spent the last six years denying me based on their own unsupported horticultural conclusions. Once a BVA judge ruled in my favor, they spent six more months ignoring me (and him) until I went to the CAVC. Only now do they see the need for urgency. Suddenly the phone is ringing and Mr. Boyd is distraught at my unwillingness to sit down and mutually come to a consensus on a “reasonable” size request. In his own words “Mr. Holloway and I are going through a lot of stress and anxiety over this.”

The ILP teaching moments are many here. I’ll try to go over the salient ones for Veterans to put in the tool pouch.

  1. VA never built the ILP with me (the Vet) as a stakeholder. Violation. They are now begging to.  Hole card-Use it to advantage.
  2. VA has yet to provide their own Horticultural Disability Specialist with a competing ILP plan to contradict Farmtek ILP. In VAland, that is a VA Examiner with no opinion whatsoever- and most certainly not a negative one. No ammo. He’s bluffing.
  3. VA refused to look at the current total disability picture and tried to focus narrowly on the original 2011 request. No HE grenades left. Just smokies.
  4. VA is ignoring OGC Precedents 34-97 and 6-2001 and attempting to fashion a plan that won’t exceed X dollars and can be administered locally without VA Central Office oversight. VA Central office has told him he’s on his own and to fix it. Air support just got scrubbed. No performance bonus for 2016.
  5. Mr. Boyd doesn’t seem to be aware I can view his Declaration made under penalty of perjury and see exactly what his game plan is(n’t).  ComSec breakdown. We’re reading his commo in real time.
  6. If VA doesn’t have their own ILP game plan in place and signed by me on October 13th, 2016 at sundown, they are “arbitrarily refusing to act” and subject to an Extraordinary Writ of Mandamus to enforce compliance (again).  Expiration of Truce means hostilities will commence again in earnest.
  7. The 90-day reset of the clock for a new ILP under 38 CFR § 21.98 is not open-ended. Remember, this was already approved on appeal. The grant of ILP services has already been determined as a statutory entitlement and is no longer pending. We’re just arguing about the electric ass scratcher wattage and the location the Martini bar will be facing.

binford-tool-time-more-powerOnce it has been determined you need an ILP and an Individualized Independent Living Plan (IILP) is drawn up, the dog and pony show begins in earnest. You have to have a physical and a Vocational workup to see how strong/weak you are. Determination of weight-lifting capabilities, activities that involve reaching over your head, et cetera are all examined to see if you can be flunked out or restricted in some way. Boy howdy does that come into play when you’re talkin’ greenhouses. Smart money is to go get your own Voc Rehab workup from a private outfit and file for ILP with that in your hand. Nothing like showing up with a Nexus letter in one hand and a picture of that herking new Binford™ 5550 Rotomaster HD built up with oversize brushes on the hi-rise 120-Volt turned and balanced commutator in the other, right? The shit-eaten grin from ear-to-ear ought to clue them in that you know what you’re doing.

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Oddball

I read a lot of letters, emails and bottles in the Hadit.com ocean on ILP and no one even seems to realize the wealth at hand if you just say “No!”. You cite the broken rule(s) and you file the NOD even if they won’t give you a denial. Ask for an Admin Review. File it on paper early. Think of Donald Sutherland’s Oddball in Kelly’s Hero’s with his perennial outburst “What’s with those negative ways all the time?”.

This must be your ever-present command thought in your noggin. You are going to win. That much is inevitable. Just exactly when is the question. I took six years so far but what is time? In that time I’ve grown a lot of veggies and watched my kids and grand kids grow up. I have a feral kitty named Ambush I’ve watched grow from barely weaned at my 2011 NOD to a 2016 Mouser supreme. When you engage the VA, it is a slow, balanced dance like unto that between cobra and mongoose. Realize yourself as the mongoose and relax. Instant gratification is a nonstarter at the VA so erase that philosophy.  Think of it like growing corn. It just takes longer than 90 days. A win at the VA is a win for all of us. Asknod what your country can do for you.

Ambush' natural Halloween attire

Ambush’ natural Halloween attire

Each action VA takes can be used to defeat them down the road. Emails are particularly damning. Do not use IRIS towards this end. Most VR&E employees have telephone numbers that don’t end in 827-1000 so this is actually easier than it looks. Persistence is what will win. Each denial is a block you use to build your win. Remember also, that a liberal reading of 38 CFR §3.103(c)  on “hearings” could be stretched to mean a sit down meeting at your hacienda when you are first interviewed about an ILP. Why not ask them outright what evidence is necessary to win for that metal detector or woodworking shop? What the hey? That ought to roll their socks down. By law, the outcome of any decision is not that the Government shall win but that the Veteran shall be awarded any grant he is entitled to by law. Newsflash- 38 USC §3120 is law. So is VA Office of General Counsel Precedent. The M28 R Manual is an adjudications “guide” that tells them how to say no. That doesn’t make it legal. You have to do that by proving they are breaking the law and regulation. That’s all I’ve done here for the last five years. The BVA judge agreed with me. St. Meg seconded it last month.  Next Tuesday, VA will be gently reminded they have nine days left to Bingo fuel.

A VA VR&E Officer in a certain southern state just north of Florida stated the reason the VR&E had gotten all sour on ILP greenhouses and lawnmowers was because a certain RO in America had a very liberal policy on handing them out willy nilly.  Soon every 100% disabled Vet in Bugtustle County was driving theirs to lawnmower races and even to their local VFW Bars to avoid getting a DUI. Ungrateful bastards. Probably growing dope in them greenhouses, too. Well, faster than you can say Deep Water Horizon, that program dried up and the VRC found himself writing IILPs in Fort Harrison for ” selfie anal wiping aids”- after appropriate retraining at the Baltimore ASPIRE Academy, of course. Getting a win since has been like gambling at a Native American Casino- lottsa lights and action but no chingaling.

img_0125 As I said, the big day is Tuesday next-Bat time will be 1000 hrs  San Francisco  Local.  Cupcake is going to stay home from work and personally greet insult Mr. Boyd at the front door. I’m locking up her .38 just in case. My good friend and neighbor Mark Tolomei will be there to witness it again as well. For some reason, Mr. Boyd and company are looking at me to come up with my own IILP. What I know about hydroponics you could hide under a mosquito’s jock strap. David and Kris know that. They, too,  admit they are totally clueless about gardening yet ask me to propose a solution somewhere between an empty 15′ X 20′ structure and a 24′ X 48′ one full of “lights and hydrophonics”[sic]. Ah, what comes out of the mouths of babes and VRCs. And no. I did not say I was hooked on hydrophonics although the Tourette’s moment was one of the hardest I ever suppressed in memory. I will be at extreme risk of  Post Tourette’s Distress Order for quite some time. I can feel it coming on.

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The ice-bath after blanching

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If any of you keen-eyed prognosticators can tell me- to the ear -how many ears of Silver Queen you see here in this wheelbarrow, I’ll throw another $100 dollars into the Thanksgiving Turkey buy for our food bank in your name. Hell, that ain’t much of a bet. Cupcake will do that anyway. I’ll make it two yards.

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Second and third ears on 2016 Silver Queen

Happy Flavours of Fall to all of you. May your cornucopias all overflow this season. And don’t worry about that election. If you honestly think things will change for the better if your candidate wins, then you still believe in the tooth faery and the Santa Clause. And that’s all I’m gonna say about that.

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Posted in All about Veterans, Food for the soul, Independent Living Program, KP Veterans | Tagged , , , , , , , , , , , , , , , , , , | 5 Comments

VARO DENIAL–THE VERY FIRST STEP IN SOLVING THE PUZZLE

logo-that-others-may-winI am constantly amazed at finding there are many, many Veterans unaware of the vast wealth of knowledge only a fingertip away from them on the Internet. I get links every day from many of you that lead me to yet to another site with valuable information. Hadit.com and other “big name” sites with a quiet atmosphere are where Vets can delve into VAspeak and separate the wheat from the chaff. 

More Veterans come to Hadit.com (and occasionally my site)  and repeat the same story over and over. “Gee. I sure wish I’d looked into this more at the beginning. I just got my denial. I don’t get it. How can they deny me? It’s right there in my records.” The common theme is the same. Denial. 85% of you will get that Dear John letter. With the number of filings going up and the subsequent overflow of appeals at the BVA creating a 3-year bow wave into the future, one of the VA’s wishlist of repair orders is to fast track you through the BVA by limiting the admission of new and material evidence and allow a de novo adjudication -actually nothing more than a rehash of your RO denial. Come on. How many of you get the denial letter, file your NOD and then a year to sixteen months later get back a SOC saying exactly the same thing with about 40 cites to 38 CFR, that while they looked at it all, nothing there was enough to change their minds?

That first denial will always be the springboard to success because it essentially tells you why you lost. A denial is that defining poker moment when  the dealer flips over his hole card to show 20 and you held at 17. Many of you use a nationally recognized VSO and their service representatives to handle your claims. You soon begin to find out this is far more complicated that it appeared in the beginning. No one is there to tell you about Independent Medical Opinions (IMOs) and the dire need for one. No one is there to consult legally which sometimes backfires when they file for tinnitus in each ear for 20% bilaterally. I actually read one recently where Johnny Vet went all the way to the BVA with his DAV-filed claim for an inevitable denial. .

The interesting thing in all this is the Federal Courts above treat Veterans represented  by VSOs as pro se Vets-i.e. Vets with no representation whatsoever. This is both a blessing and a curse. On appeal to the CAVC, most of the judges look at precedence and instantly put on the white kid gloves. This occurs frequently in the Extraordinary Writs arena where many Veterans get a front-row seat and a rude introduction to justice.

A denial at the VARO level allows you much latitude in trying to revise it and get the correct rating. Some claims are never going to be made at that level. I speak of Jetgun claims and Presumptives for Agent Orange extended to Thai Vets. These will never be answered at the local level. The smart guys just file the NOD and ask for a traditional review. This allows time for more IMOs and proper development of the claim(s). Vets usually give me a glazed expression and say why bother. Try to pretend its a reaaaaally long Monopoly game but you own Boardwalk and Park Place. With Hotels. If you build it, they will pay… eventually.

With the 38 CFR §3.103(c) regulation requiring the DRO to “spill the beans” and tell you what you need to win, A DRO review and hearing should be all that is needed to resolve the problem. VA sometimes forgets US Supreme Court Jurisprudence when they deny. It is not expected that the Government shall always win, but that a Veteran shall be accorded due process.

Veterans should not be overwhelmed by a denial. It’s virtually inevitable the way the system is set up. You still read about some Veteran with the Navy Cross and a few OLCs on his Purple Nurple getting denied for PTSD at the Oakland RO. Those are becoming rarer as the VBMS system matures and the M 21  computer is better trained to spot the real malingering Veterans.

Disassemble your denial and categorize each ailment against denial logic. Look for key words such as ‘history’ and how it is used in a sentence. “History” as defined by a Veteran is hearsay and unsupported. “History” as a medical term showing chronicity is what you need. Too many wishfully impart far more meaning into “possible” or “could have” rather than the magic “at least as likely as not”. Why not go back to the doctor and explain how VA has it’s head up it’s collective ass and is using it’s belly for a porthole? Ask him to rewrite it in DickandJanespeak for the sub-100 IQ RVSR at the Regional Office.

After more denials than I can count since 1989 (actually seventeen), I see an eventual win for those with some meat on the claims bone. It may take a number of assaults on the mountain to scale it but every Vet I’ve helped win has always had a legitimate, underlying claim. Time becomes our enemy when we realize we suddenly have a finite amount of it to correct a wrong. Keep that in mind when you stand on the banks of the Notice of Disagreement River and debate diving in.

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Posted in KP Veterans, Nexus Information, SOCs and SSOCs, Tips and Tricks, VA Agents, vARO Decisions, VARO Misfeasance, VBMS Tricks | Tagged , , , , , , , , , , , , , , , , , | 1 Comment

HUMBLE AIR FORCE HUMOR

unnamed-6When something needs to be done in war, it usually falls to the Air Force to either get the ball rolling or the assets in place to accomplish the mission- or simply do it ourselves. You realize they did teach us to shoot in Basic so it was a well-rounded education. Sometimes we share and call up our fellow service members  in the Army and Marines and ask them if they want to play too. We don’t like to hog all the medals and there’s usually plenty of excitement for everyone. Buuuuuuut….. we were the creme of the crop back in our day. 

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Nodster

Posted in Humor, KP Veterans | Tagged , , , , , , , , , | 2 Comments

HADIT.COM RADIO SHOW 9/22/16–THE ILP WRAP?

haditlogo2007Jerrel and the Bugtustle crew invited me over to do a show at Hadit.com on Thursday. Airtime commences a 1600 Hrs Local Pacific and 1900 Hrs Eastern. Standard practice will be to check my political correctness at the door and give you the insider report on the Agency you dream on. Lots of news to report on ILP. We’re ‘pushing the envelope.’

The best is that today, on day 1,967 of my filing, one year and 14 days after the BVA grant, the VA VR&E guy who drew the short straw called to get the bid number from Farmtek. For the greenhouse. We chatted for one hour and 18 minutes. He knows a heap more about ILP now than he did this morning.

Be there or be square. the call in number is 

347-237-4819 (push #1 to talk)

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And as for you who think all us Air Force types had it easy, remember we’re the new kids on the block. We’re always testing our limits-and the Navy’s. That’s what makes us tick.

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Posted in ASKNOD BOOK, Independent Living Program, KP Veterans | Tagged , , , , , , , , , , , | Leave a comment

VAMCs… WHAT IF?

14322247_1276374675759141_4927986291961620399_nI was sent this – oh hell, these. Without taking sides, I do think they involve a profound sense of humor rarely seen anymore. This isn’t political hit photojournalism. This is high art Twenty first Century style. 

 

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I received this from another member who asked to remain nameless. I’m betting a Veteran owns that business. When we began asknod, I voted for WWVD or What Would a Veteran Do? I was outvoted for ask Notice Of Disagreement? That’s not even proper English. Nevermiind. I get it.   Asknod what your country can do for you. Right?

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Posted in Humor, KP Veterans | Tagged , , , , , , , , , , , | 2 Comments

BVA–I NEVER PROMISED YOU A ROSE GARDEN

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Veterans Law Judge Vito Clementi

Having sat, chatted and engaged in a colloquy with Veterans Law Judge Vito Clementi for an hour one day in 2015, I know how hard it must have been to bite his tongue and write the denial below. Of all the Judges I have ever met or had dealings with, he was the most forthright and pro Veteran as one could hope for. Quite possibly because he is one himself.

This case involves an enigma and no one, not even the Philly Puzzle Palace tea leaf readers, seems aware of the miracles of modern day science. To begin with, the VA examiners were blowing these bubbles:

Upon VA examination in March 2012, the VA examiner noted that the Veteran has a current diagnosis of hepatitis C. The VA examiner also indicated that the Veteran was diagnosed with infectious hepatitis during service, but it was unclear which specific type of hepatitis was diagnosed (hepatitis A, hepatitis B, or hepatitis C). Following examination, the VA examiner indicated that she was unable to provide a medical opinion without resorting to speculation because specific tests were not performed during service to differentiate between the different types of hepatitis.

In 1970, infectious hepatitis was Hepatitis A from contaminated water. It lasted about 5-7 days and the jaundice disappeared within 20 days. If he was diagnosed with Infectious Hepatitis, it would be HAV and that would be the end of the query.

Here’s the problem. Nowadays we can identify the presence of a healed Hepatitis A infection via the presence of antibodies which give you immunity to it. Next, we can identify either antibodies to Hepatitis B or an active (chronic) infection of Hepatitis B. Lastly, we can identify the presence of Hepatitis C viral infection and even count the number of viral replicas via polymerase chain reaction (PCR). Or, we can see the virus is not present via treatment with one of the new Direct Acting Antivirals (DAAs).

So, it is childsplay, and has been for about ten years, to differentiate between whether one has, or ever had, Hepatitis A, B or C, a combination of two or just one and whether one currently has any of them actively or has achieved a seroviral response (SVR).

In fact, when I was slated to begin Interferon in April 2007, the first thing was to be tested to find out if I needed a vaccine for Hep A or B. They didn’t want me coming down with either one during the treatment for C as it might kill me. It was at that time I discovered I had never had HAV.

Next, a simple liver core biopsy will reveal the degree of liver fibrosis and the current stage of the disease. Divided into 5 stages from 0 to 4, with zero meaning a perfect liver, each stage is ten years ± 2 years. Ergo, stage two means twenty + years since the inception of the disease. Most of us who got it back in the late sixties or early seventies are either healed or dead from it. Some, like me, quit drinking and smoking and hunkered down to wait for a cure. It gives a whole new meaning to keeping your powder dry. I was cured at forty three years and not a moment too soon.

A core biopsy yields a Metavir Score and this is the perfect yardstick to figure out how long you’ve had it. If you served from 66-69 and got it in Vietnam, by 2009 you were feeling a mite winded and had a touch of nausea. Your Metavir rating would probably be pushing the beginning of F4 like me. Funny (now) but I can point to the exact day and hour I got mine.

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Judge Clementi is not allowed to be a doctor. The Pennsylvania National Association of County Veterans Service Officers were driving this bus for Johnny Vet. When you accept a POA from a Veteran, that is your duty-to help him win. Well, not exactly if you’re a VSO but that’s a story for another day.  Nowhere is an IMO to be seen or inferred here. The dog didn’t eat the nexus homework so I give up. This Vet was claiming it was associated with his Agent Orange exposure towards the end of his BVA hearing. He’s not a doctor either. Ever since Mario Caluza tried to smoke the Manila RO in ’88 on some bogus nexus letters, the Court, the BVA, the VSOs-Hell- even Micky Mantle’s mom knows you need a nexus letter from a doctor to win a VA claim. Well, apparently almost everybody except the ones expected to know.

From talking about this with other Judges, I understand the frustration of having to bite your lip and pseudo-sarcastically point out in the decision ( a year later) that there is nothing there to help his case and certainly nothing from a doctor in his favor. Denying the claims after a Vet has been led into the barn for slaughter with no legal advice or help would be a bitter pill to swallow. Welcome to ex parte justice.  Read about 200,000 BVA decisions and you will see VSOs still haven’t gotten the email on the need for a nexus letter. I think it’s criminal.

Imagine a justice system where you might know the repair order to help the defendant out but you’re legally precluded from leaning over and whispering the way to do it? 38 CFR 3.103(c) (2) states, in part:

It is the responsibility of the VA employee or employees conducting the hearings to explain fully the issues and suggest the submission of evidence which the claimant may have overlooked and which would be of advantage to the claimant’s position.

Being a liberal Southerner, I’d stretch that to say Judge Clementi might have written something on the back of an envelope and slipped it under the table to the County VSO Rep. saying ” Hellooooooooooooooooooooooo? ASK ME FOR A REMAND! Get new C&P with core biopsy and PCR.  Run, Forrest! Ruuuuuun!” But then we know he can’t do that beyond the BVA hearing.

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Posted in BvA HCV decisions, Jetgun BvA Decisions, KP Veterans, Nexus Information | Tagged , , , , , , , , , , , , , , , , | 5 Comments

BVA-BLOODY JETGUNS– THE YIN/YANG OF EVIDENCE/CREDIBILITY

635646931319099161-veterans-administration-logoIn the madcap world of VA claims, character assault is a common technique employed by our adversaries in the 56 Fort Fumbles across the fruited plains and oceans. In VAland, when you say something different in 2016 than what you said on the same subject in 1968, it creates a bow wave of doubt that you can’t remember anything clearly. Once you allow VA to let this camel’s nose in under the tent, the game is up. Anything you say is presumed incredible. They don’t call you a liar. They don’t have to.

The following BVA decision I use to illustrate this is a BVA jetgun win for Johnny Vet out of our Heavenly RO located in St. Petersburg . Authored by Vet’s Law Judge “SS” Toth, most Vets  would mentally be expecting Waffen SS treatment and a strict taskmaster. Boy howdy would you guys be off the paper. Judge Toth is mindful of what real justice is, not what VAROs have corrupted it into.

downloadA warm thank you to our sister American Legion VSO reps out in Florida for whatever moral support they provided. It’s not impossible they didn’t have a sharp rep. there who knew what he was doing. But look at the fingerprints. Johnny Vet didn’t win with the Caluza Triangle, the famous Shedden requirements, the Hickson “elements”. No. He won because the VA could not find a chink in his credibility to drive in a piton of doubt.

Witness how clearly Judge Toth synthesizes this into the decision:

In adjudicating a claim, the Board is charged with the duty to assess the credibility and weight given to evidence.

See Madden v. Gober, 125 F.3d 1477, 1481 (Fed. Cir. 1997).

Click to access 13-7085.Opinion.5-7-2014.1.PDF

I’m going to add color so you can keep track of formers and latters.

Competency of evidence differs from weight and credibility.

The former is a legal concept determining whether testimony may be heard and considered by the trier of fact, while the latter is a factual determination going to the probative value of the evidence to be made after the evidence has been admitted.

See Rucker v. Brown, 10 Vet. App. 67, 74 (1997).

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The Board notes that the April 2010 and January 2016 VA examiners did not identify non-service related risk factors for the development of hepatitis C. Additionally, the Veteran has provided competent and credible testimony of receiving “jet air gun” immunizations in service that are recognized by VA as a “biologically plausible” means of transmitting hepatitis C. The 2010 examiner also noted that with regard to the most commonly identified risk factors, only one applied to the Veteran, assuming that the injector may have been bloody. Accordingly, while the examiner indicated that an opinion could not be provided without resorting to speculation, the examiner’s explanation for the opinion appears to indicate that it is at least as likely as not that hepatitis C is related to the one commonly known risk factor the Veteran experienced. The Board finds no reason to doubt the Veteran’s statements as to having been exposed to blood during the injection. Having found the Veteran’s testimony credible, including as to the “jet air gun” immunizations in service, and after reviewing the medical opinions, the Board finds that the evidence of record is in relative equipoise as to whether the Veteran’s hepatitis C was related to his active service.

Competency of evidence is what can be considered in a claim. Just like Judge Judy, hearsay is not permitted although it sometimes seems to seep in. Phil Cushman got bushwhacked on that one when some enterprising VA jokester/examiner started penciling in addendums to his C&P afterwards. VA is often caught dragging in red herrings to a Hepatitis C claim. Drugs are first and foremost the major downfall. Johnny Vet smoked pot and had an Axis 3 ETOH issue wider than the Mississippi River. Johnny Vet got Hep C. Denied. Next. We had Robert from LA. His VistA medrecs. actually show the penciled in “Yeah, and he admitted to snorting coke a lot.” I’m sorry. That’s why we have computers so you can’t go in the back door (Like VACOLS) and rearrange the furniture to better stage the crime scene. Robert won on a Cushman violation and got his 100%. Robert most assuredly did not snort coke, either. He is deeply religious and always has been.  And a warm thank you for not giving up, Phil. You left a magnificent due process argument  for eternity for all of us.

Assuming the competent evidence is entered and nothing can be found to use as a smoking gun for the denial, phase two begins at the Regional Office- It would be pure speculation as to what it could be. Fortunately for us, Mr. Benito C. Layno, much like Phil Cushman, blazed a trail ahead of us for all who followed in his footsteps.  We are now allowed to testify with credibility as to what comes to us via our five senses. Thus, Johnny Vet from sunny southern Florida is competent (read credible) to opine as to what he (and a gazillion or two others of us) saw on the end of a jetgun being used to administer shots to him. Anything that comes to you via your five senses are viable statements admissible in this game. The only test is to pass the credibility hurdle. 

In instances like this, VA breaks out the Pinkerton Detective Agency and hires extra bloodhounds. Johnny Vet’s journey post-military is examined. A $39.95 Criminal background check would turn up that two years at Texas’ Greybar Hotel for the misunderstanding at the gas station deli late one night in 76. Bingo. HCV due to incarceration. Denied.

But what is the RO to do? Our Johnny Vet from St. Pete’s is squeaky clean and has given a Layno-approved answer. VA has merely stuttered saying it would be speculation to opine. Bingo.

Resolving reasonable doubt in the Veteran’s favor, entitlement to service connection for hepatitis C is warranted. 38 U.S.C.A. §§ 1110, 5107 (West 2014); 38 C.F.R. §§ 3.102, 3.303 (2015).

download-13Credibility is a Veteran’s best friend. It’s right up there with the Presumption of Soundness. It’s the essence of 38 USC 1154 in many cases that gets you a win. Johnny would never have gotten a win out of any RO based solely on jetguns. They don’t have the authority to grant the claim. Not one jetgun claim to my knowledge has ever been won at the AOJ- including WGM’s in Texas. Face it, even if you have three IMOs categorically stating it was jetguns and they won’t grant, you can figure having another one from Jesus wouldn’t even pass muster.

One thing Vets will note is the brevity of this decision. The whole thing fits on one VA SF8.5×11(w). Amazing.

One thing I am beginning to see at the Board of Veterans Appeals that is very refreshing is the gradual disappearance of some of the Hang ‘Em High judges. In their place, I’m beginning to see a new breed of lawgiver with a far more fair and balanced approach than what I’ve been accustomed to. There still is the occasional wild hare like Mark Hindin who acts as though he’s never met an above-board Vet- and convinced he never will. I could name a few more but the good news far outweighs the bad. And besides, I might have to present a claim to one of them in the future. That’s all I’m gonna say about that.

Nodster

 

Posted in BvA HCV decisions, HCV Risks (documented), Jetgun BvA Decisions, KP Veterans, Nexus Information, Veterans Law | Tagged , , , , , , , , , , , , , , , , , , , | 3 Comments

VA Spousal Resource Protection Amount

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image: wikipedia

There have been some reforms in this area.  Please note that there may be more current information available on this topic from a VA social worker. 

Spousal impoverishment for VA extended care is covered under 38 CFR 17.111 (pdf) 1601a_06_hk_2015_11_10

VHA HANDBOOK 1601A.06 Veterans Health Administration Transmittal Sheet Washington, DC 20420 November 10, 2015

7. Spousal Resource Protection Amount. The spousal resource protection amount, as defined in 38 CFR 17.111, if the spouse .is residing in the community (not institutionalized). NOTE: This amount is not automatically applied by the VistA system and must be deducted from the value of the liquid assets as applicable during the completion of VA Form 10-10EC.

From Cornell, we read that the VA and Medicare standards are supposed to be the same now:

https://www.law.cornell.edu/cfr/text/38/17.111

(vi) Spousal resource protection amount means the value of liquid assets equal to the Maximum Community Spouse Resource Standard published by the Centers for Medicare and Medicaid Services (CMS) as of January 1 of the current calendar year if the spouse is residing in the community (not institutionalized).

This is a partial screenshot from Medicare (LINK).

 

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click to see whole page.es.

So depending on where you live (property taxes) and other factors, like utility rates, some spouses may be okay if a spouse has to enter extended care with Medicare or VA.    And co-payments could be waived or reduced.

Here is a (link) to a 2013 VA Fact Sheet IB 10-590 that acknowledges the changes.

State veterans homes may have different rules.

However the rules for pensions are brutal for vets without a spouse or child as this denial shows (LINK to ruling  by Judge Steven Reiss).  Going into a VA nursing home would certainly mean  a single vet would not be able to afford home payments while recuperating from a long illness with a reduced pension of $90.00 a month!  More homeless ill vets. This stupid policy of punishing poor single vets for getting seriously ill is unforgivable. 

Can the government try to recoup care costs?  Yes, but that’s another subject.

Posted in All about Veterans, BvA Decisions, Food for thought, Guest authors, Uncategorized, VA Health Care | Tagged , , | Leave a comment

VA CLAIMS–THE WINDSHIELD VERSUS THE REAR VIEW MIRROR

LOGO THAT OTHERS MAY WINMany of you readers email me with a specific subset of circumstances and disabilities and ask for a Tarot card reading. One thing in common is a burning desire to impress upon me the enormity or the “unique” circumstances. Others seem to focus on the perceived slights or that, in fact, the military service was indifferent, uncaring and ignored their plight- which, in turn, created the dilemma. Regardless of what happened, the universal consensus is to dwell on that narrow time of their lives and how it affected them into the present-forever.

Allow me to give you some insight. I do not want to sound uncaring so I have to phrase this delicately. I love using analogies so I will do so. When I was a youngster of eight or nine years, my dad gave me one of those briefings on life. He invited me to sit in the driver’s side of his old ’54 Ford Fairlane Station wagon to sit and listen. The gist of the conversation was simple. I paraphrase…

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Note the two mirrors painted red affixed to the cockpit windshield

Son, look up and tell me what you see. You have a windshield and a rear view mirror to aid you in driving. The reason the windshield is so large is due to the need to see where you are going. Conversely, the rear view  mirror is far smaller because you need not dwell on where you’ve been. When you get older, you’ll need to depend on the information and the facts of life ahead of you far more than what you’ve already encountered. A rear view mirror is merely good for making sure nothing sneaks up from behind you that is a threat. The main focus of driving-and life- is to concentrate on what’s coming and prepare for it. What you have already encountered should be filed away as knowledge to help you avoid repeating mistakes. That is all.

He continued…When I got to Europe in 1944, I visited a Spitfire squadron and talked with many of the British pilots there. To a man, the most successful aces had mounted rear view mirrors on their canopies to keep an eye on their tails in case their wingman failed to keep up with them. Many attributed their lives to those mirrors. I went back to my squadron and requisitioned as many rear view mirrors as I could get my hands on. Our losses went down and our awareness of our surroundings increased dramatically. In fighter aircraft, situational awareness is paramount. Likewise, in life, what is approaching you regardless of which vector, is where your awareness should be focused.

But again, the focus of this discussion is the importance of the present and the future over what has already transpired. Imitation, as opposed to plagiarism, is the finest form of flattery. Use new innovations when it can help change your life. Pretend you’re Capt. Kirk boldly going somewhere.

Very few of those “life discussions” from old Dad impressed me but this one has stood me in good stead. When applied to VA claims, it is an integral part of how I attack a claim problem. Dwelling on what caused the problem is immaterial. Much like construction, it makes no difference if the wall is crooked or out of plumb. Your mission is to prevent it or, if handed the problem, come up with the repair order to correct it. It matters little how the wall was misconstructed. It matters even less who was responsible. Your mission is to fix it and be quick about it. Get out of the blame game. You gain nothing by reliving the problem over and over like Bill Murray in the Groundhog Day movie.

In the context of VA claims, we see errors abound in VA adjudications. The why is not of great import. However, the rear view mirror is only useful to view how the problem developed, identify it and use it as the springboard to correct the error. Dwelling on the past, rehashing it in your sleep and reliving it every day is a recipe for insanity and major mental disorders. This is pretty much the fodder PTSD is constructed of. It rebounds around in your head and won’t leave. The best analogy I can convey is to find and use that little mirror lever that dims the headlights of the car behind you and distracts you from what and where you are doing/going. It won’t eliminate the headlights but they become much less annoying. This, in turn, allows you to focus ahead of you where you attention should rightfully be directed.

VA seems just as determined to dwell on the past and point to it frequently to explain why they feel their decision(s) are correct. They do this quite convincingly because that is the culture in which they exist. Much like a card shark, they try to deflect your concentration away from the reasoning for the claim denial and distract you. This technique provokes the rearview mirror syndrome and great introspection on your part. You become so focused on what you feel you cannot change that you lose sight of what you need to succeed. It’s no secret that a great majority of you who file claims are so disheartened by the process that you throw up your hands and walk away in disgust. VA goes out of their way to encourage it.

In my most recent battle at the CAVC over my greenhouse, the VA took a deposition from a VR&E Officer who swore on a stack of bibles that he/VA had obeyed all the rules and made every attempt to mollify me on my Independent Living Program. He convincingly stated under oath that he had engaged in mutual discussions in the construction of my ILP when he had not. His ploy was to embellish the past and he artfully deployed the rear view mirror technique in an attempt to make it appear VA was above reproach in their conduct.

The teaching moment here is elementary beyond all these analogies. Triage your claim to simplify it.

-What is the most pressing problem medically? Don’t create a trainload of issues.

-What is the best repair order that can be employed to produce the best results for you immediately?

-How should you proceed (i.e. pro se or via representation)?

Focus on the windshield and where you are going. Study the problem in depth to make sure you see all the possible permutations and what the potential repair order will accomplish- or more importantly- what it may not accomplish or leave undone. Going off half-cocked has caused me more problems than I can count in life. Mentally count to ten slowly before pulling the trigger. Learning the ins and outs of VA claims has taught me much about blindness. Assuming VA will see it your way or be kind and understanding are weaknesses we cannot indulge. The Presumption of Stupidity is alive and well at the VA. It is usually a product of professed blindness or being unacquainted with the regulations. No one at VA will ever ascribe stupidity to being vindictive as much as it appears so.

As many times as I have been convinced BVA judges or DRO officers could only come to one conclusion on a given set of facts, I have been shocked to learn they often refuse to budge and see reason. Short of overwhelming evidence in your favor, they will cling to their mental fig leaf of stupidity.

At the recent NOVA conference, a fellow gave a wonderful speech on how to cut the Gordian Knot of denial. Ensconced in 38 CFR §3.103(c)(2) is a wonderful repair order compelling the VA to tell you what you need to succeed:

It is the responsibility of the VA employee or employees conducting the hearings to explain fully the issues and suggest the submission of evidence which the claimant may have overlooked and which would be of advantage to the claimant’s position. To assure clarity and completeness of the hearing record, questions which are directed to the claimant and to witnesses are to be framed to explore fully the basis for claimed entitlement rather than with an intent to refute evidence or to discredit testimony. In cases in which the nature, origin, or degree of disability is in issue, the claimant may request visual examination by a physician designated by VA and the physician’s observations will be read into the record.

You have a wonderful toolbox of devices available to ensure a win in this business. The only ingredients you supply are chronic, viable diseases/injuries incurred in service. There is no need to make this harder than it has to be. Living and dwelling in the past serves no useful purpose other than to prolong the agony. Unfortunately, if you are myopically focused on that rear view mirror, you’re often effectively paralyzed from the neck up and unable to move forward. Remember always, you are not alone in this. Don’t be afraid to reach out and ask for that help.

Nodster

P.S. I apologize for the recent absence. I’ve been harvesting and playing squirrel Nutkin with my produce. Well, that and dinking around.

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2016 Silver Queen in honor of Paul Burch

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Shadow’s Poodle mullet

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Class of 2016. Half of them are still growing down in the manure pile

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Italian plums at 0630 hrs before H-day

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Posted in KP Veterans, Tips and Tricks, VA Agents, VA Attorneys | Tagged , , , , , , , , , , , , | 3 Comments

COWBOY STEAKS–WYOMING STYLE

flintstones_ribs2Remember the brontoribs that tipped over Fred Flinstone’s  19570 BC T-bird at the A&W Drive in? Well, imagine this. Cupcake takes us up to the doctor in Issaquah who is the last word in Naturopathic. Driving through town to get there we spot a butcher store that’s celebrating its 100th year. That would be like 1776 if Issaquah was Boston.  I think the town has been around since the late 1880’s so this is ooooold. The old man could probably tell you when they replaced the cobblestones with laterite. 

Cupcake- Spring Solstice 1980, 1st Place Best Women's toga.

Cupcake- Spring Solstice 1980, 1st Place –           Best  Patrician Women’s toga.

Knowing my attraction to the finer things in life we can ill-afford, my adoring Cupcake stopped on the way home. The good news is they know how to cut what’s for dinner. Our PBA (personal butcher assistant) was from Wyoming. When I pointed Cupcake to the Brontosaurus “Cowboy steaks” he asked if there was something wrong. I said no politely. I explained that the art form of cutting a decent steak had fallen prey to the economy and a Safeway mentality -in short, a lost art. Being a connoisseur of fine things, I felt obligated to try his wares.

A steak should be substantial, well-marbled and have a reasonable chance it will satisfy the  eventual steakholder. Too little and the beefeater is left unfulfilled. Too much and s/he feels it wasteful. Here’s the perfect Goldilocks size for that 5’8 -5’10”, 10 1/2 stone man. Half that for a fair maiden or your cupcake…

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3 inch Wyoming cut

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This is just one in the Betty Crocker Adventures in Cooking series on Primal Meat Urges and rated a “must eat” of 5. We highly recommend it. And yes. I’m going to eat the fat. Happy Labor Day Weekend to you all.

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Posted in Food for the soul, Humor, KP Veterans | Tagged , , , , , , , , , , , , | 1 Comment