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Just a brief suggestion about submitting a claim
Hello. First, I am sorry for your ills and misfortunes.
Here is my personal suggestion of developing your claim. I did this myself, submitted more than 20 letters, and my desire was to make the raters job easier. In truth, I should have started with the comprehensive medical group as described below. In the latter case, less letters can likely be submitted for efficiency, but I had to write letters for a sense of control during a VERY stressful period. The writing released stress, it helped me cognitively[4;5] as a schizoaffective disorder (bipolar type), and I explained that to the Veterans Affairs as politely as possible with references as I have done in this note. In truth, I should have ordered my letters according to groups like Medical, Association or Causation, and Complaints as well, but lesson learned. The latter groups can easily be applied to the footer of the word document so that it is automatically repeated as new pages are added. I believe the latter will help raters to organize more effectively, focus, and possibly increase your chance of receiving much needed disability. Also, I wrote the letters logically, used references to back up my symptoms and experiences, and I expected that the Board of Veterans Appeals could see my claim. I was not afraid to assume that any VA employee needed educated on my symptoms. My
rater called me and told me my letters significantly
impacted his decision to rate me 100% total and permanent for schizoaffective disorder (bipolar type). Good resources for preparing your letters are the VA regulations at Government Printing Office[2], Purple Heart presentation[1] on presumptions of Gulf War Illnesses, etc. The following can, in reality, be applied to any situation. Before you start, read about the symptoms of Chronic Fatigue Syndrome, Fibromyalgia, Irritable Bowel Syndrome, and the ailments listed under undiagnosed illness at the Veterans Affairs website[3]. When you build your detailed personal experiences(discussed below), list your symptoms at the beginning, and discuss how they match, as example, the Chronic Fatigue Syndrome. You will find that many symptoms overlap. I would suggest you work several paths simultaneously: Medical health, mental health, personal letter development, and buddy letter development, which can come from military peers and family. Military peers can describe your experiences in the military, and family can describe how the war changed you. To develop your personal letter, you should search the 38 CFR Schedule of ratings for your illness or symptom, find out the requirements for percentages,
copy that information to a Notepad to eliminate any
web formatting and then into a Word document, and then build your letter. To build your letter, search your medical records for symptoms that match the schedule of ratings, highlight the comment to be copied, and mark the page with a paper clip or other method; copy that information to a table in your letter; include: comment about symptom, medical professional that documented the symptom, and date of the comment so that it can be searched easily by the VA Regional Office VBA rater. If medical evidence of any condition to be described is available, it should be added to the above mentioned table. After you have a table built under your schedule of rating info, begin a section that describes how the symptoms have affected you from the 1991 Gulf War until present. Be very personal in this section and honest. If you were homicidal or suicidal, admit it and be detailed--use medical evidence if available and include in table. If you have shit on yourself because of Irritable Bowel Syndrome, be detailed. If you have sexual functioning problems because of illness symptoms or medication, be detailed. Also, try to put a quantitative value on the symptom. In other words, how many times does it happen in a given time period. After you complete the 38 CFR Schedule of Ratings, medical record excerpts, and personal detailed explanation, for, as an example, Chronic Fatigue Syndrome, repeat it all for your other ailments.
Sometime during the process, verify the accuracy of
all your data transferred from the 38 CFR, medical records, etc. I suggest you verify it right after transferring too. We are humans, and humans make errors. This is very important because inaccuracy could cause a VA employee, rater included, from using all your hard work. How would you feel if it was inaccurate. Like the rest of the process, this step requires much preparation and, in truth, work. Important: Add your name and Social Security number to every page (the header is the best place to do this as it automatically repeats), including on, at least, the front page of any attachments. Also, you, your family, your friends, and your military friends should add the following to the end of every letter: "I, [Your Name], hereby certify that all statements and attachments submitted for my claim are true to the best of my knowledge and belief." References: [1] PurpleHeart. (2012). Update: Gulf War Claims. Retrieved (2015, Mar. 23). Purpleheart[online]. Available from: http://www.purpleheart.org/ServiceProgram/Training20 12/7-M%20-%20Gulf%20War%20Presumptions.pdf [2] US Government Printing Office. (2015, Mar. 20). Electronic Code of Federal Regulations: Title 38
Pensions, Bonuses, and Veterans' Relief. Retrieved
(2015, Mar. 23). Ecfr[online]. Available from: http://www.ecfr.gov/cgi-bin/text-idx? tpl=/ecfrbrowse/Title38/38tab_02.tpl [3] US Department of Veterans Affairs. Public Health: Gulf War Veterans' Medically Unexplained Illnesses. Retrieved (2015, Mar. 23). Publichealth.va[online]. Available from: http://www.publichealth.va.gov/exposures/gulfwar/me dically-unexplained-illness.asp [4] Mendella PD; Burton CZ; Tasca GA; Roy P; St Louis L; Twamley EW. (2015, Mar.) Compensatory cognitive training for people with first-episode schizophrenia: Results from a pilot randomized controlled trial. Retrieved (2015, Mar. 25). Schizophr Res[online]. vol. 162(1-3). pp. 108-11. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25631454 ; doi: 10.1016/j.schres.2015.01.016 [5] CogSMART. CogSMART FAQs. Retrieved (2015, Mar. 25). Available from: http://www.cogsmart.com/faq