Filing a first claim for disability compensation can be a stressful experience. The stress can originate from one or more of the following factors:

  • Physical or mental discomfort
  • Financial need
  • That transitional feeling when you are no longer in the military but not really a civilian
  • Concern about the outcome
  • Lack of knowledge of the process
  • Unrealistic expectations
  • Erroneous assumptions
  • Things you have heard from other Veterans and the media and, just
  • Dealing with a bureaucracy

During this discussion I’d like to use my experience as both a Veteran and a senior VA official to demystify the process and empower you with information you need and what you can expect.


Dealing with large organizations can be frustrating. Some things that appear clear and certain to you may not be to others. Additionally, legal requirements can sometimes be confusing and time consuming. To have the best experience possible I recommend the following:

1. If you are still on active duty and thinking about getting out and filing a claim, go through the Benefit Delivery At Discharge or BDD program at your installation. To qualify you must have between 60 and 180 days left on active duty. We will take your claim and get you examined before you go home. Normally, decisions are available about two months after you separate or retire.

2. If you are still on active duty but have less than 60 days to go, you can still file a “Quick Start” claim. Quick Start claims are processed at dedicated facilities so decisions are quicker for most Veterans.

3. If you are out of service for less than a year, think you might have a claim, but are unsure if you want to “go through the hassle” apply. The evidence is fresher and cleaner, there are unlikely to be what we refer to as “inter-current injuries” (i.e. you back hurts a little but when you get out you get a job as a long hall truck driver or a construction working and don’t file a claim for years. In such cases even if there is some documentation of “something in service” without evidence of treatment for the condition within the first year, service connection is less certain).

4. If you’re concerned that it might not be appropriate to take money for a condition because “I’m fine, was just doing my duty and I have a job”–there are a lot of people who feel that way–consider this. I think you should file your claim. If granted you can always decline to receive the money. If, at a later date, your condition worsens or you age and it interferes with our work, or you decide you want compensation after all you can always contact us. That way we will examine you and determine your current level of disability. We won’t be trying to determine whether you warrant service connection in the first place.

5. If you have been out of the service longer but still think you have a condition related to your service apply! There is no filing time limit. It just might be a little more complex and take a little longer because of the need to develop more records.

6. Our goal is to complete all claims within 125 days or four months by 2015 with 95 percent accuracy. Right now more than 30 percent of our claims have been pending longer than that. Some claims, such as those involving participation in nuclear tests, covert operations, military sexual trauma or other similar circumstances where records may be difficult to locate can and frequently do take longer, sometimes much longer.

7. To meet the challenge of a rapidly growing claims volume, VA has been provided with significant numbers of new staff in the last couple of years. Their jobs are complex and it takes a while to become fully qualified so if you think we made a mistake, ask you may be right. As I said earlier, one of our goals is to get our quality level to 95 percent by 2015. Currently our quality level is 84 percent. While a significant portion our quality problems reflect process errors rather than errors in the final decision with respect to the granting or denying of benefits, rates paid and effective dates of payment, we do make mistakes.

How You Can Help Yourself and VA

The claims process doesn’t need to be a hassle. Here is what you can do to help yourself and VA:

1. Communicate, communicate, communicate

2. Appoint a representative. While there are attorneys who will represent you for a fee, it is rarely necessary to pay to have your claim processed efficiently and successfully. National Service Organizations such as the Disabled American Veterans, Veterans of Foreign Wars, American Legion, Vietnam Veterans of America, Paralyzed Veterans of America, as well as State Departments of Veterans Affairs or Veterans Commissions and County Veteran Service Officers can give excellent assistance and its free. Call your local regional office to see what organizations are available at that office.

3. Consider what you want to claim. Many Servicemembers and veterans have been told they should go through their service medical records and claim everything they have ever had or been treated for. While you can do that, it is likely to significantly increase your frustration level, result in unnecessary examinations, and slow the process without getting added benefits. You should not claim acute disabilities or illnesses you had in service unless they left a residual. For example, if you got the flu in service and got over it, the claim will be denied. On the other hand if you broke your leg and recovered from it you should claim that because the fracture, if found on x-ray, can be service connected. While it might only warrant a zero percent evaluation now, if you develop arthritis at the site later, you are covered. Don’t claim things like personality disorders, baldness, the fact that you wear glasses, or similar kinds of things because they are considered “constitutional or developmental abnormalities” that you would have gotten whether or not you were in service. The law doesn’t permit payment for these. Don’t claim lab results like hematuria (blood in the urine) or high cholesterol. We don’t pay for those either. On the other hand, you should claim pseudofolliculitis barbae (a skin condition that affects some black people).

4. If private providers have treated you, get the records and send them to us. While the application you fill out does offer the opportunity to sign a release and we will request the records for you, we cannot compel providers to send us records nor can we pay for them. It is my experience that many times–maybe even most–when VA sends a release a private provider, the provider ignores the request. If the provider does respond, many times they will ask that we pay them in advance for the records. In either case, we will have to write to you and tell you that if you want the records considered you will have to get them and send them. In the worse case this can add two to three months to the process.

5. Show up for your examinations.

6. The first thing you will get from VA once you file your claim is a lengthy letter commonly referred to as a “VCAA letter.” This is a letter required by the law that tells you what we will do, what you will be expected to do, and in very general terms tell you how we will decide. The letter may also include specific requests from your local regional office for information. Read it carefully for specific requests for information from us. Finally, the letter offers the option of completing an attachment telling us you have no more information. If that is the case, complete the form and return it immediately. If you don’t and you have no more information, we will wait for 30 days before proceeding for no good reason. Even if, during the course of working the claim you do get additional information you can always submit it when you get it.

7. When you get your decision, read it carefully. It will have attached to it the text of the actual rating decision explaining why we decided what we did. If you think our decision didn’t consider something, didn’t cover a topic, or is wrong, call your representative right away. If we have made a mistake, we would rather just fix it now than get involved in a lengthy appeal that isn’t terribly satisfying for you or VA.

Final Note: VA exists to serve those who served and their survivors. I have worked for VA for over 36 years and the overwhelming majority of people who work for VA are committed to the mission. If we are not clear or you think we have made a mistake, let us know so we can both fix it, and provide a learning opportunity for our staff to serve other Veterans better.

After serving in Vietnam as an Infantry Platoon Leader with the 101st Airborne Division, Thomas Pamperin began his career with VA in 1974. Having risen through the ranks, he is currently VA’s Deputy Under Secretary for Disability Assistance and is responsible for oversight of Compensation Service, Pension Service, Benefits Assistance Service, Fiduciary Service, and Insurance Service in the Veterans Benefits Administration.

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  1. Gerald May 11, 2012 at 5:34 am

    I was disabiled in 1983 and been collecting 60% sc for all that time, Now I am filing for my neck that was not claim although I knew my neck was hurt ,I also thought that I filed for drop foot and Thats why I figuire I got 60%. I went and used DAV a little over a year ago for IU one claim ,increase for lower back,Neck injury, and atheritis in lower back secondary to back injury. I got to the Pending Decision Approval phase and a few days ago it went back to review of evedence stage and added loss of use in one foot, and something about fixing car and adapting cars not those words but I think you know what I mean. When I filed 30yrs ago I went with PVA and by doing that I thought It was because of my drop foot cause I had not much feeling up leg and could not pick right foot up and down without really thinking very hard to make that happen. I was confused so I call PVA in Houston were I file the claim in 1983, The officer there said I need to sign the power of attorney over to them, As they would be able to figure out if that was filed or If not there may be a chance that they could have me paid from when the neck and the drop foot should have been claimed in 1983,,, Can someone please help me will that hang up my claim should I go back to the people who should have access to more info. Officer for PVA said it would not hold up my case any long I have been wait sence 1/28/2011 PLEASE HELP .?? I am in severe chronic pain for 30 yrs are so TELL ME WHAT TO DO !!!!!

    Thank you Jerry

  2. Willie J Scott April 25, 2012 at 10:18 am

    I have been placed in the “agent orange class/group” approximately 5/2011. I have submitted all records and as near as I can tell all my Dr’s have responded to the VA.
    I recieved a letter dated 1/11/2012 apologizing for the delay in processing my application.
    It is now 4/25/2012 and I have not heard from the VA since the 1/2012 communication. Is
    there a way to find out where in the claims process I am at present.? Any information would be helpfull. I was not given the annual visit to a VA doctor last year. Was this because of the claim? I did finally get to see a Dr as my prescription had run out and I made several request fro a doctor visit. Thanks for any help or information.

  3. C. Hedrick April 24, 2012 at 11:43 pm

    Well, at least I don’t feel alone. I have a claim that just went to the review phase at the Roanoke VA Office at somewhere around 440 days since I filed. I sure hope that they rate me for PTSD…it cost me a great Federal Job and my TS/SCI/CI polygraph security clearance. On top of which in the low paying job I have now the boss understands when I hand him the phone or say I have to get away for a few. I’m constantly stressed, snap at people, and fear I might lose this job too. I’m currently rated 30% and have filed for increases due to pain increasing. I didn’t realize the VA gave disability for hearing damage and tinnitus so that’s in this claim too. Maybe with my trying to push away the bad memories I finally got the evidence they need to support the PTSD claim. You all know what nightmares, anxienty, and stress are about…some days it’s all I can do to get out of bed much less go to work. I do because of my family….plus waiting on the VA seems like they just sit there going if we don’t do anything for a long time they will think we really tried to get them the rating they wanted even though we denied it. The constant stress has all but destroyed my marriage and relationship with my kids. Unfortunately they caught the brunt of it all. I’m getting thoroughly frustrated and hope something gives my favor. MSgt USAF retired

  4. Phillip Snead April 5, 2012 at 10:35 pm


    I was reading your blod and found one part of it very interesting, concerning the comment that you made about the BDD program, “Normally, decisions are available about two months after you separate or retire.”

    The reason that I found it interesting is that I filed my BDD claim in March 2011, retired from the US Navy after 20 years on 31 Aug 2011. As of the date that I am commenting to your blog 5 Apr 2012, I have still not received a decison back from the VA om my claim. I have spoke with the VA on numberous ociasions. During these phone calls, I recevied the standard speach that I believe they have taped to their monitor’s, “we are back logged and working to get your claim completed ASAP. I have also been lucky enought to get number to my regional office where my claim is at (Winston Salem, NC) and they were more concerned with how I got their number then the fact that my claim has been in processing for over 7 months old with no decision. It is currently sitting in preparation for decison and has been that way since 19 Jan 2012.

    The most that I have gotten out of the regional office was that I needed to just be patient and wait it out. Well I think that maybe we should switch roles and allow them to miss out on jobs due to not having VA disability paperwork. Over $30,000 a year I am lossing by not having my rating letter and that is just from one job that I could have tomorrow if my letter was in the mail, but I should just be patient and wait it out. Thanks for listening to my concerns. I do believe that maybe you should update the blog to include the new waiting times for BDD claims, since the Reional office did tell me on the phone more than once that the VA reps need to stop putting out the wrong time frames for processing the BDD claims.

    Thanks again for the time.

    Phillip Snead

  5. Herbert W. Loesch March 16, 2012 at 3:42 am

    I have just been notified that my disability compensation claim has been granted on some (2) of the claimed conditions, is continuing on 2 , deferred for VA exam on one, and denied on one. My Service Connected rating is raised from 20% to 40%.

    I have several questions:

    What action do I take on those continued claims. Do i need to submit a NOD at this time, or wait. (my claim was submitted 17 1/2 months ago)

    I see on the compensation rate table there is a supplemental amount for “A/A spouse”.
    My wife is disabled due to Tramautic Brain Injury (’89), and rheumatoid arthritis & mixed connective tissue disease since 94. She uses wheelchair for any distance past 100 feet, and has many limitations. I found the term “seriously disabled spouse requiring AA” but cannot find any other information.

    What should I do to apply if the conditions are met by her condition?

    Bill Loesch

  6. The Marine February 25, 2012 at 5:37 pm

    Thanks to Mr. Pamperin and all the other great members who offered their tips and advice.

    Without going into great detail, I’m having a host of medical issues and have had multiple stays in the hospital over the last few years for clots, heart issues, kidneys.

    I was stationed at Camp Lejeune and was exposed to the contaminated water problem there for several years. I see some people filing for VA Disability and others filing some kind of tort or lump sum lawsuit. What is the best option to pursue compensation in this matter? Thanks.

    I am a veteran of the USMC after serving 14+ years.


  7. Aaron K. February 25, 2012 at 4:26 am

    I am now at the end of the first year for my claim… In Boise i am one of the top 5 longest waiting claims…guess that’s actually quick from what I have heard and read. My claim just went back to the discovery phase a 2nd time ( i have been told its for Dr to clarify something). The first time they sent me back was because my rater couldnt find my Military records showing injury relationship from in service. My doctor found my military records in seconds and then had to put orange tabs on each one for the reviewer to be able to find them (like he is in 3rd grade or something?) This has been a stressful and long process and something as simple as not being able to find my military records in a file your supposed to read thru just seems incompetent to me… I feel for everyone out there who has been suffering longer than me… I am well past all the numbers they throw at you for turn around time on everything… I think I will Crap bricks if they ever get to there estimated goal… right now they just continue to screw over veterans who gave everything up to protect a country that now doesn’t want to protect them. I don’t remember being able to have a turn around time for war…you couldn’t just say sorry our workloads to heavy ATM we cant go to Iraq….

  8. Craig B. February 24, 2012 at 3:22 am

    What happens when the Doctors at the V.A., over the last several years have neglected to tell me that my kidney function has gone straight into the toilet, as i am now just about one good kidney punch away from having to go on dialysis? Don’t they have a moral, legal or ethical requirement to inform a patient that they have a life threatening problem developing? I just spent two weeks in the V.A. hospital for other reasons, and out of the blue a Doctor mentions that my kidneys are just about shot, and the discharge paperwork mentions renal failure now, as well as why i was there in the first place, so what should happen now, do i contact a lawyer to possibly pursue legal action, or as they seemed to act, chalk it up to a matter of oops, sorry and better luck next time!

  9. Adrielle February 19, 2012 at 3:36 pm

    Mr. Pamperin,

    My BDD claim was received 12July2011. It was in the decision phase by August of 2011. I have not received a decision. My claim is at the Winston Salem Office and I was told the average turn around time for a claim once it makes it to the decision phase is approximately 90 days.

    Now I have received a letter from the VA stating that the length has changed to up to 13 months.

    Why has the time frame increased so much? What do you recommend I do? I just want to be proactive with my claim.


  10. David Cavagna February 9, 2012 at 9:54 pm

    Mr. Pamperin, I am currently on chemo therapy for a type of leukimia that I aquired while at Fort Leonard Wood Missouri in 1976 and after researching my old medical records the VA awarded me 40% approximately 2 years ago, over the last 8 months my hemotologist has had to increase my treatment so I had my County VA rep request an increase in my rating as I was forced to close down my business, but for some reason the claims dept. in Oakland, CA stopped working on my claim in November, in the mean time I am dealing with the financial problems like so many other veterans are, could you please check on my claim, this waiting is very hard mentally especially combined with the effects of chemo therapy. Sincerely, David Cavagna

  11. David Cavagna February 9, 2012 at 7:07 pm

    Thanks for the advice Mr Pamperin, could you please check on the status of my claim. My name is David Cavagna and my VA rep told me today its been sitting idle since November. If you have any additional advice it would be appreciated.

  12. Kelly McConnal February 3, 2012 at 5:47 pm

    Mr. Tom Pamperin,

    I am a servicemember diagnosed with PTSD/MST/MDD. I filed a disability claim with the VA last year and (like so many others vets here), keep getting the “run around”. I have been very proactive in this claim process; kept all appointments; called for status updates; written my congressman for a “Congressional Inquiry” and am currently participating in the PTSD at the Women’s Trauma Center here in Atlanta. I am currently trying different psychotrphic drugs ( per my VA psychitrist) to see which one will, successfully, keep me from jumping off the nearest building.

    Every 60 days, I get a letter telling me, ” We are still processing your claim for COMPENSATION sorry for the delay.”This has been going on for, at least, 6 months. During the time of my diagnosis, I’ve been homeless, in the psych ward, raped and put on Short Term Disability from my job. In 2 weeks, those job benefits will be gone and I see myself in the same situation as I stated above. Beds at shelters are given first to women with children, drug addicts or other substance abuse vets. Since I am a woman with no kids or substance addiction, help is not readily available to me.

    What can I possibly do to get my claim processed? Why are veterans, who freely and willingly, give their lives to protect this country treated so badly by the one organization we thought we could trust? How many men and women have to die (suicide) before some serious changes are made in the way our claims are being handled? It may not sound serious to some, especially some of the workers at the VA, but the earlier posts show that there is a problem that needs immediate attention. Please help me (us). What must we (vets) do?????

    Kelly McConnal

    P.S. Please forgive any misspelled words.

  13. B. Fagans January 26, 2012 at 10:01 pm

    i got injured in a ied explosion in afghanistan in 2010 and got a purple heart for it. ive also been diagnosed with chronic ptsd and severe depression since that. i dont know if i can make a claim or not, what are your thoughts?

  14. Theresa W January 24, 2012 at 5:05 pm

    So tired of Due to heavy call volume!!! When i call the VA. My claim was denied because the coding on it was incorrect so 02/2010 I refiled the claim “correctly” and they still have yet to make a decision. And actually when i talked to the VA a few weeks ago no one had touched my case for over 60 days!! Should I call my congressman?! Would it even matter? Please help…

  15. Cheryl Flanagan January 19, 2012 at 6:27 am

    Mr. Pamprin,

    Thank you for all that you are doing for our Veterans. You are a blessing to us all.
    My husband was discharged from the Army in 2001 after being hospitalized twice. They diagnosed him with “Cronic Reacuring Readjustment Disorder” that diagnosis has been changed to Bipolar Disorder by several civilian doctors. He was approved by Social Security for Disability 7 years ago. 4 years ago he filed with the VA for disability and was denied. Due to frustration it took me untill Feb. of 2011 to convince him to refile. It took less that 6 months to be Denied 4 years ago. His claim this time went into decision faze on September 7th 2011. Today is Jan. 19th 2012 that is 135 days so far just in desision faze. His Rep. At our local VA office wont even return our calls any more. Two months ago she informed us that she has no way of getting any information for us accept what we can get from the 800 number.
    Most of my frustration lies in the fact that we are told by everyone we talk to that there is nothing they can do. How is it that NO ONE can find out an estimated desision date? Is there anything that you can do to help us? My husbands name is Eric Flanagan and his file is in Whiteriver Junction Vermont.
    I thank you do much for you time.

  16. Kevin H. January 19, 2012 at 4:53 am

    Dear Tom,

    Thank you for all of your service and assistance to veterans! I would like your advice on a question that I have regarding my circumstances, and any guidance you or your colleagues may be able to offer.

    I retired a year ago from the Navy and was eventually rated at 80% service connected disability. During my initial visit with the VA Primary Care Manager assigned to me once rated, he noted several instances in my medical record where I had been seen for significant chronic sleep disturbances while on active duty, including one visit with a medical provider while aboard ship that strongly recommended I be tested for sleep apnea upon return from deployment. (the provider transferred immediately upon return from deployment and I never ended up with a consult to be tested).

    Since one had never been ordered for me while on A/D, the VA PCM immediately ordered a consult to Pulmonology for a sleep apnea test during our first visit. I just completed all of that testing at the VA, and was found to have sleep apnea and given a CPAP machine.

    Do you think,Tom, even with the multiple notes of documented medical history and the VA’s diagnosis of sleep apnea, that it would be a waste of my time to submit a claim for this? It seems that many similar related posts at different sites seem to imply that if I were diagnosed with sleep apnea while on active duty it would virtually be automatically deemed service connected, and if diagnosed afterwards it would almost always be determined not to be connected.

    Since the process can be extremely lengthy and cumersome, any thoughts, opinions or direction you can provide would greatly be appreciated. Blessings,


  17. Craig January 8, 2012 at 3:02 pm

    Hello, I’m trying to get some information for my father-in-law and mother-in-law. He served in the Air Force from June of 1963 June of 1967. They were told by a VA rep that he didn’t meet the criteria for disability because he didn’t serve in a combat zone. I am a retired Army Officer and knew better than that. He has been sick for a long time with numerous cancers (prostate cancer about 5 years ago and lung cancer now). What can I do to ensure that he gets the benefits/entitlements that he has earned without getting a lawyer involved to understand the “fine print”?
    Any help or info would be greatly appreciated.

  18. L York December 29, 2011 at 5:19 pm

    Just asking for any information about the BDD Claims. Any information would be nice. Thanks in advance for any information.

    BDD submit to VA Rep. at Fort Lee, Feb 16, 2011
    Retired Jun 31, 2011
    Decision Phase Sep 14, 2011

  19. Terresa December 5, 2011 at 1:17 pm

    Although I complained of allergic type symptoms, I did not receive a Pulmonary Function Test (PFT). I did receive a service connection for Allergic Rhinitis (at zero percent). I received a PFT (showed a moderate obstructive lung defect) within the VA system about 10 months after I retired from the military. As a result I was diagnosed with Asthma. When I filed for it, the VA denied the claim (for Asthma). The asthma diagnosis was not in my file while Active Duty. My question is this — Is there a way to get service connected for it since I was diagnosed within a year following my retirement?


  20. Sarah November 28, 2011 at 5:52 pm

    Hi. I have a question… I am currently rated at 50% for severe depression disorder. I screened positive for PTSD at the VA hospital due to a very traumatic incident that occurred during my service which I have written documentation of. Can I file for PTSD, is that separate from my claim for depression?

  21. romeo mutuc November 27, 2011 at 9:23 pm

    my father in-law is a filipino vietnam veteran,who pass away in 2006,his wife is still living,could u help us if she could have anything to claim, in behalf of her husbund…thanks

  22. Big Sarge November 26, 2011 at 11:51 pm

    I have Served for the past 29 years & 6 mos, 4 of those being active duty 1979 – 1983. Now 1988 to present. The Va will only give me credit for being in the Military for 4 years. The 25 years as far as they are concerned don’t count for any thing. In fact because of the active duty time frame I am considered to be a non-Veteran. I filed a claim in 1998 then an appeal in 2008 and have never heard from them again.

    While on active duty we did everything in combat boots, which damaged my feet. The Va will not except that claim, even though I have had to have surgery twice in 1994 – 1995 and now have a permanent disability. After having the second surgery my Reserve Commander ordered me to training while on Dr’s care even though the Dr said not to be on my feet. I spent the whole time on my feet.

    A Va Rep said that it may have been stupid of The CO to have me put on orders during those times but the Va would not cover me. Mainly because I did not have the surgery while on active duty by Military doctors. The CO represented the Army as commander and I should be covered because of his decision.

    Va did not take in consideration My LOD’s that were given to me to cover the injury even though I got them years later and approved by the ARMY. The Rep said she would have them thrown out. Or statements submitted by other Soldiers on my behave, or any of my Military Physicals taken over the past 20 + years that shows my condition getting worst each time with the first one ever taken showing me in perfect health. Are these things even looked at?

    I do not know what else to do, are there any Lawyers who work Va cases? I went through Veterans Commissions with no luck.

    I am now non-deploy-able with the Military but I have a contract until 2021. If they put me out on a Medical and they are working on it, I will be Medically discharged with no compensation. I really need help with this if there is any, or should I just give up?

    I spent all my Adult life as an Army Soldier so I though, and now am be told that I am a non-Veteran. I have been stripped of my Military Pride.

    Please help if you can.

  23. Everette Harris November 25, 2011 at 10:28 pm

    If a va claim has been filed with multiple issues, but no decision, can the issues be rated separately to improve processing time?

  24. Tina November 21, 2011 at 12:02 am

    I never copied my medical record before I was discharged an was required to hand it in upon signing my dd214. I was never told I could qualify for Va benefits until my husband who went through taps class told me that due to my injuries I was able to qualify. What do I do and will I need my medical record or will the va already have access to that HELP

  25. Mike M November 15, 2011 at 6:45 pm

    My father in-law is 94 and needs a hearing aid, (he served in infantry under Patton in WW2). Is that considered a VA disability benefit or just a VA medical benefit? My wife asked me to figure out if he can get one through the VA. I have no idea where to start looking and just happened to stumble on this page.

  26. Sam Wallace November 10, 2011 at 9:47 am

    I have a good question regarding The Spine.  According to the 38 CFR Part 4, General Rating Formula for Diseases & Injuries of the Spine (For diagnostic codes {DC}5235-5243 unless 5243 is evaluated under the Formula for Rating Intervertebral Disc Syndrome Based on Incapacitating Episodes):
    – With or without symptoms such as pain (whther or not it radiates), stiffness, or aching in the area of the spine affected by residuals of injury or disease, 
    – Note (6):  Separately evaluate disability of the thoracolumbar and cervical spine segments, except when there is unfavorable ankylosis of both segments, which will be rated as a single disability.
      5235  Vertebral fracture or dislocation   
      5236  Sacroiliac injury & weakness   
      5237  Lumbosacral or cervical strain   
      5238  Spinal stenosis   
      5239  Spondylolisthesis or segmental instability   
      5240  Ankylosing spondylitis   
      5241  Spinal fusion   
      5242  Degenerative arthritis of the spine (see also DC 5003)   
      5243  Intervertebral disc syndrome
    – Evaluate intervertebral disc syndrome (preoperatively or postoperatively) either under the General Rating Formula for Diseases & Injuries of the Spine or under the Formula for Rating Intervertebral Disc Syndrome Based on Incapacitating Episodes, whichever method results in the higher evaluation when all disabilities are combined under §4.25.   
    – Note(2): If intervertebral disc syndrome is present in more than one spinal segment, provided that the effects in each spinal segment are clearly distinct, evaluate each segment on the basis of incapacitating episodes or under the General Rating Formula for Diseases and Injuries of the Spine, whichever method results in a higher evaluation for that segment.
    –Does this mean that they are suppose to give a rating for each DC 5235-5242?  So, I could have a rating of 30% for 5 DC’s(5X30 on rating table) of my Lumbar spine would give a rating of 87%?  Also, rating of 20% for 3 DC’s(2X20 on rating table) of my Cervical spine would give a rating of 59%? And give me a total of 90%+60%=either at 94 or 95%. Have I done the calculations correctly?

  27. Canaat November 4, 2011 at 10:52 am

    This site is just like all the other VA sites. No one really monitors them or gives a darn. What a joke.

    • Jamie November 6, 2011 at 12:48 am

      you are sooooooooooooooooooo right.

  28. Jamie October 27, 2011 at 5:47 pm


    Can I claim my hysterectomy? it was only partial but I am receiving rehabilitation therapy because really the surgery only solved the ” dysmenorrhea” but the pelvic pains persist so I get shots directly in the pelvic area once a week.


    • Hicks November 4, 2011 at 7:29 pm

      At my final out brief where the VA gave us what we can and can’t claim Hyserectomy was a clear CLAIM. Definitely claim it!! Good luck!!

  29. jun Narvasa October 25, 2011 at 6:55 am

    My father is a Filipino World War II veteran, age 83, and recipient of the Filipino Veterans Equity Compensation in the amount of $9,000.00 .He also served in Vietnam and Korean War under 20th BCT Philippine Army. As a recipient of the said benefit the Department of Veterans Affairs Regional office in the Philippines sent him VA Form 21-526 as he might be eligible to some other benefits. The form was accomplished and sent to the VA office in Pasay City, Philippines applying for Non-Service Connected Pension as an 83 year old veteran. The letter was received by the embassy on September 29, 2011 under file number 358/21 C 30 386 405. The application was denied on the basis that the service with the Commonwealth Army, New Philippine Scout in particular, does not meet the military requirements for eligibility to the benefit.The VA sent him again another forms VA Form 4107 and VA Form 21- 526b with instruction to appeal the denied claim. MAY I ASK IF THE NEW PHILIPPINE SCOUT SERVICE DOESNT MEET THE LEGAL REQUIREMENTS FOR THE SAID NON- SERVICE CONNECTED PENSION BENEFIT? What other benefits he may be eligible?

  30. Isaac R October 24, 2011 at 3:53 pm

    So today i called ol Peggy. She seemed very pissed off. So i like usuall say my yes mams and no mams, And she tells me that my claim is finalized with decision of DENIED ! Due to my discharge (GUH). The whole reason i got the boot was cause my ptsd of an event well documented that happened in Baghdad in 07. From what i hear from my representation is that Peggy is wrong for even speaking about a decision. Well looks like another one for the bad guys.

    • Dawn October 27, 2011 at 6:09 pm

      You are correct VA personell can not give out rating information on the phone even to the vet. If you have a General Under Honerable you are still eligable for disability claims. If you have a diagnosis of PTSD from a doctor and a stressor and your claim was denied I would suggest you put in a NOD or Notice of Disagreement. Also if you dont have a Service Officer Rep you might want to think about getting one as they will be able to help you figure out the VA speak and get things done for you.


      • Chuck James October 31, 2011 at 11:08 am

        How do I talk to someone at the Indianapolis Regional regarding my claim? I keep getting recordings. It has been a year since I filed and I haven’t gotten any response.

        • Judy November 2, 2011 at 11:02 am

          Contact a Veterans Service Organization, on the VA website in the search box enter VA Form 21-22 and a list of organization will be attached on the last page of the form.

  31. VA doesn't give a Sh1t October 23, 2011 at 6:25 pm

    blah blah blah!!!

  32. Michael October 13, 2011 at 4:13 pm

    I received a PTSD stress disability from my police dept after shooting a person on duty and getting shot myself.

    The employer requires me to undergo yearly assessments with their Dr. to evaluate me even after my Dr. certifies of my continued disability yearly.

    However, employees with non-mental disabilities do not have to be reevaluated at all. Doesn’t this seem to be a violation of the ADA?

    The re-eval does nothing but extremely aggravate the PTSD. It is a 3 hour in depth psych eval about the situation.

  33. JV October 12, 2011 at 1:08 pm

    I was medically retired from the Army in 2004…
    It is now 2011…
    I am still fighting the VA for my back injury (9 herniated discs, degenerative disc disease, osteoarthritis)
    I am only asking for 20% more than what I have because that is what their guidelines say warrants my condition…
    7+ years I have been arguing my case, it is now at the US Court of Veteran Appeals.
    Good luck everyone because with the amount of claims they have before them, it could take a long while.

    • Marty October 24, 2011 at 3:17 am

      If you accept a medical retirement, you cannot then go the VA to claim disability for the same medical reasons you were discahrged

      • Dawn October 27, 2011 at 6:11 pm

        Actually yes you can. Medical Retirement and VA Disabilty are two separate issues. The one thing it effects is how you are paid. You can not get both full medical retirement and full VA benefits but you can be service connected for a Medical Discharge Issue.

  34. keith October 7, 2011 at 9:40 pm

    I recieved VCAA letter and they want me to provide treatment forms . I wouldnt even remember what day of the week it is if it was not for my computer. I worked like 5 jobs in the last thirty years and the last one was over ten years ago . Like i remember. I would rather have them just send me a letter bomb when i open it up case closed .

  35. Pman5k October 7, 2011 at 11:04 am

    I served in ‘covert’ operations that are ongoing and currently classified, and have had hell with my claim. My expedited claim has been going on over 2 years now (filed 29Sep2009). I have had some partial decisions, many of which were totally screwed up and totally erroneous, such as my TBI/Migraine rating of 10%, which the narrative even contradicts itself and states my condition word for word matching the 38CFR criteria for a 50% rating. My PTSD C&P includes all the key words for a 70% rating (at least) as well as stating I cannot be around other people. They have denied conditions that are obviously SC, like when I nearly broke my neck, and some others. My medical records that I have copies of are pretty vague about the incidents themselves, due to the nature of the ops, however they clearly show certain ailments which I was claiming. They also tried to deny one citing I am ‘overweight’ yet I am not by any standards overweight (granted I am in the higher end of the scales of healthy weight) but this is also a big known side effect to the medications they have put me on. I am furious at the utter incompetency that it seems exists with the VA ratings process. I mean my C-file that I FOIA requested was incomplete (missing documents I submitted, and I have a ‘receipt’ from the VA showing I submitted said documents… yet VAOIG won’t do crap about it) and also contained documents from other peoples’ files… and this was just this past July (2011) from the St Louis VARO!!!

    • Pman5k October 7, 2011 at 11:10 am

      What also makes it all worse, is that when they utterly and clearly screw up royally, the only real course of action to correct such horrendous errors, is the appeals process, which is even worse in terms of backlog and time it takes to get corrected. The only other option is to try to get it brought out in the media, and embarrass the hell out of the VA by calling them out on such utter incompetency.

      Congressional reps and senators are about useless really. I have had resistance from several VSOs, had seen some bias against OIF/OEF veterans from older VSOs in some areas, especially when the caregiver benefits was a big hot button topic. My state’s veteran’s commission has even ‘stopped’ acting as my POA (have a complaint filed against the official who did this as it is a violation of state law for them to do so, and under state law he will be terminated without benefits) because I dared to submit paperwork to the VA myself (some medical records and my FOIA request) and contacted the state ombudsman because I could never reach the local office by phone.

    • richard lansing October 13, 2011 at 7:14 pm

      I also was involved in covert operations for several years in combat. I filed a claim for ptsd 5 months ago and was given an examination at the VA by a psychiatrist whom then diagnosed me as having ptsd and then submitted his report to the VA about 2 weeks ago. He told me that what I had was a mental illness. My private physician also diagnosed me with ptsd. And the counselor whom I see at the vet center tells me I am the poster child for ptsd. Given all this info, especially the VA examination 2 weeks ago, does it sound like I may still have a long wait for a final determination or could I be close to the end of this process? After reading many of the comments here, does any of this bode well for a determination in my favor? I would so appreciate a response from anyone to my email if possible. ( Thankyou so much in advance.

  36. Trina October 5, 2011 at 3:41 pm

    To whom responding to these concerns
    I file my claim June 2010, my claim is with the balitmore office. Dec 2010 my claim was in the decision phase, then May 2011 I was push back to development phase, to have C & P exam. As Sept 2011 B-More had all information need. The persons who answer the 1-800 number saying the claim process for B-more is 403 days…as today my claim is at 467. My question is since I was pushed back in delvelopment phase, do that mean I’m at the bottom of the pile again? there are 15K claims over 125 days back log in b-more….base on their report. ….but their report been saying the same amount all year long (to me that number should went down if they doing their work)

  37. Len October 3, 2011 at 2:39 pm

    Mike, you’re so typical of those people in this country who claim to be so “patriotic”. You probably wrap yourself in the flag for all to see, so typical of “Sunshine Chicken Hawk Patriotic”. Enjoy your freedom to insult and slander because you wouldn’t be doing in Iran or Communist China ! Kiss my As* !

  38. Stephen September 29, 2011 at 10:41 pm

    To whom it may concern,

    I to was duped into the promise of the BDD program that my claim would be processed within 60 days of my ETS. I was medically retired in Feb 2011 from Robins AFB. I went to all of my appointments, got all of my records copied and personally delivered them to the processing office at Ft Benning before my reitrement date. I received a letter from my regional office, which is Winston-Salem, that stated that my claim/application was received and processed on 18 Feb 2011. I went and set up my account for ebenefits and started to track my progress. My claim sat in the development phase for roughly 54 days. It was finally moved to the decision phase where it is still sitting 150 days later. According to the ebenefits website the decision phase, on most cases, is between 16 and 28 days. This number is based on statistics from May 2010. I was told that my claim was not that complicated as everything was pretty cut and dry and I had provided all of the info the VA needed. I have called the 1-800 number several times a week and most of the time I receive the “this number is unable to process your call, please call back at a later time” message. When I do get thru I usually get the person on the phone that has answered one too many VA phone calls that day and cops attitude when I ask questions concerning my claim. I then receive the pre-programmed Blah, blah, blah we are sorry for your issues, blah, blah, blah please have a nice day. As of my last phone call I have not gotten a solid answer as to what is going on with my claim. I now have a DAV rep, and am writing my congressman a letter weekly. Bottomline: BDD does not work as advertised! I have talked to several personnel I knew that have retired after me and the VA reps are still telling retirees, in TAP, that they will get thier rating within 60 days of thier ETS. If the VA knows that is not true why are they still briefing it? Also the timeline on ebenefits website needs to be taken out of the phase narrative so that people do not get thier hopes up. I am hoping that this post does not fall on deaf ears and that someone from this office can help me with my situation since Mr Pamperin appears to have retired.

    Sidenote: Personnel, at all levels, who work at the VA need to remember that we are human not just a file number and that without us vets they would not have a job.


    • Mary October 30, 2011 at 5:15 pm

      I retired on 31 Oct 10. I also submitted a pre-discharge claim, which was initiated on 17 May 10. On 01 Nov 10, my claim was sent to the rating board, where it sat until 24 Oct 11. I received my packet with my decision on Friday, almost a full year after my retirement. I agree the website must be updated. It is very frustrating to be told during TAPS that a decision should be made within 45 days of separation, when in fact that is untrue. Good luck with your claim. I know how frustrated you are and how inefficient the system is!

  39. david gilbert September 28, 2011 at 7:34 pm

    I was denied ans i have not heard anything from Va, no Letters saying still working on it or nothing.Asked for Decision Review Officer No reply form them still it benn since June 2010 and no nothing ! it’s prettty simple Case and they have all the info, cause they haven’t ask for any so I reall wish that it would end soon, last month i filed for SSDI and I am Afraid that they will give me a answer before VA does.

  40. Susan September 26, 2011 at 12:59 pm

    Sir, My husband served in Viet Nam on a Destroyer. He did 2 tours in the Boiler Room Now he has been diagnosed with Asbestosis and possibly cancer which all the doctors say was caused from asbestos in the boiler room. He also has heart disease and vascular disease which could have been caused from Agent Orange. I am confused because we listed all illnesses on the original forms we filled out, but so far they have only sat up a test for Agent Orange. No other requests have been made for other examinations, is this normal? We filed the claim in June 2011.

  41. keith cook September 23, 2011 at 8:41 pm

    My rating for my meb was a proposed rating of 90% but a month after my seperation they are telling me it would take up to 200 days to get to the notification process. I have already been through the MEB process and the PEB process while in the military. Also they said that even though my meb/peb rating they got from baltimore regional office that was signed by a rater specialist, for some reason they don’t have a rating on me even though i have paperwork from their hospital with the rating on it. they are refusing to hurry up and they are saying that i have to wait….. I guess i’m just really confused i have been medically retired and have my retiree card to the base, but like I have said they won’t pay me yet cause they don’t supposedly know what my rating is. any answers welcome.
    the va hospital handling my va claim doesn’t know what is going on and yes they have my DD214. is this normal in the process for medical retirement? Oh yeah my VA rep that helped me through this whole thing wont answer his phone, and he told me that after my date of retirement i should receive my dd214 after a week or 2 and to send it to the baltimore regional office which i did 3 times, and then after that i should start getting paid after a month after its processed (which i have not gotten yet)

  42. Lyle D September 23, 2011 at 3:59 pm

    I have one very simple question,,,,how does one get a service connected rating of 0% never understood how this works…if you have a service connectied disability why is it a 0%rating?

    • Wildturkey1 October 27, 2011 at 1:19 am

      0% simply means that the VA is acknowlidging your disability but that it is less than 10%. The rating can be anywhere from 0% to 9% and you would not be compensated. VA compensates only for 10% and above. Hope this helps.

  43. Eric Elder September 22, 2011 at 9:49 pm

    this is Va pabulum. many claims take years to resolve. My claim is in the foruth year. Many have taken 10 years. My calim is well-documented, but the Va has made many unmistaklble errors with it. the Board of Veterna affairs just retuned my clam for the third time.

    In many cases the VA is a balck hole that used circular staffing to make work.Ttime and management people should study some of the VAROs for streamlining.
    the VA calims process.

    The Social security adminstration has a far more efficient system for processing claims.

    The C&P clinicians were hired to provide medical evaluations for vets that didn’t have private physicians. but vets who have competent medical diagnoses from private physicians must also been seen by these C&P clinicians, most of whom are not doctors.

    the Va has disability questionaires for many conditions called DBQs a vet should use if one is appropriate for his or her claim. Private practice doctors can certify the claim online..

    The Obama administration has improved the VA system which was about 900,000 claims in arrears when Obama took office. President Bush also had the VA review all existing disability awards which probably caused this backlog.

    Be prepared to wait several years to get your claim resolved.

  44. Bruce September 22, 2011 at 11:20 am


    I was informed that my claim was sent back to the Development Stage because they want a medical opinion. What does this mean? Any input would be greatly appreciated.

  45. Danette Woodson September 20, 2011 at 7:43 pm

    could you please explain to me why I just go a reply from Waco regional office telling me to provide more information about my service connected disability claim that was submitted last year for issue now arising from my service to this country.
    Let me explain a few things. I was a 63W Hotel 8. This means heavy wheeled vehicle mechanic (Diesel mechanic) and recovery specialist(tow truck operator). these jobs required me to lift, squat, pull, bend tug, crawl and rotate my wrist and arms in position on a constant basis in order to do my job. I hurt my back will lifting equipment on my HEMMITT.
    Mind you I am and was 5’2 and about 135 lbs at the time. I went thru so called therapy for a few days not weeks and sent back to work. Nothing else was done to help me to resolve the issue of my back. But now I am starting to feel arthritis in my knees and shoulders.
    I did a claim for these issues before in 2003 and received a decision saying these issues( bilateral shoulder and knees) have been deferred. Please explain deferral and denial because the claim review did not read that correctly on my file which I sent a copy with my claim form.
    I received a letter now saying that they have been denied based on that decision. A deferral is something that has to have more proof it exists, correct? It may not have been evident while in service but it is showing its ugly head now as I have aged. MRI (showed arthritis and a bone mass) does lie and my other radiologists either. I am going to have surgery on my right shoulder to remove bone that has grown and causing pain that I have been complaining about for years. The other shoulder later.
    So what can I do to make sure that I am heard when telling doctors what has been going on with me from the time I got out til now? How can we make them listen to our cries for help when they brush us off as complaining VETS? How can you get your records from your old command that shows you reported sexual harassment and sought psychiatric help while on duty but was told it was your fault? This is so hard to prove and why should we have to scrounge up records that we have no access to or the commanders who were in charge at the time. There has to be an solution.

  46. ramos hector September 18, 2011 at 9:28 am

    steal waiting for help and the abuse is continue in VASJPR

  47. T.E. Jones September 17, 2011 at 12:11 am

    I filed my disability claim back in August of 2010 just a week after my retirement from 28 years of service. The VFW represented me in filing my claim. Initially the VA was prompt in giving me status on my claim. It has now been over a year and I can’t get any information on when my claim will be finished. The when I contact the VA they tell me that my claim has been “ready to rate” since April and that they do not require any additional information. When the VFW quieries the system, they tell me that my claim “award date” keeps getting moved. First July, then August, now November. I understand that there is a backlog but after speaking with someone else who filed within the same month as me, I found that they’re claim was completed in 6 months. Is there anything that I can do to help things along?

  48. Latina Starling September 16, 2011 at 1:32 pm

    To Mr. Pamperin or Mr. Horton,
    What is processing time for claims out of San Diego, CA as Sept. 16, 2011?

    Latina Starling

  49. Michelle Grimes Mietzner September 14, 2011 at 2:00 am

    I wrote a long comment, but the site didn’t capture my code, and I am too tired to rewrite it (va meds). Basically, I finally filed for Fibromyalgia, CFS, IBS, headaches, etc after 20 yrs of fighting with herbs, rest, exercise, sheer will, etc, My C&Ps were 3 monthg ago, the va docs were great, sympathetic and told me I was “textbook” GWi and depression reactive to GWI. The VA received all the documentation in July, but it is still sitting in the Discovery Phase.
    The eBenefits site shows a long list of stuff they said the requested from me and then they all have a “CLOSED” date, which, according to the site, means the legal time limit has expired and they HADN’T received the required info, which is not true. I gave them everything they asked for, and I know CRF38 and the presumptive rules, and I meet all of them. What can I do to speed it up since I am trying desperately to hold on to my 3 day a week job and am on final notice for absences and emotional.psych outbursts. I am deteriorating, especially since the VA gave me meds to make me a zombie most days I take them. I now know why vets are homeless and am scared that it might happen to me. I have been fighting 20 yrs on my own and need the VA to help me now. I am 43 and some days I can barely walk. It has been stalled in Discovery for months now and I don’t know what else to do.

  50. Danny Boatman September 11, 2011 at 1:59 am

    In order to confirm “boots on the ground” I had to get a letter from another sailor who sent me ashore in Da Nang on Navy business. Will his letter be enough to establish service connection for an agent orange claim?

  51. John September 7, 2011 at 5:38 pm

    During my military service, I made sure that everything that I figured would give me grief later in life was documented in my medical records. When I retired in 2005, I brought my complete medical records to the Boulder County, Colorado VSO who promptly assisted me with my application, made copies of my medical records, and submitted my application. Within a few days, she had a physical scheduled for me at the VA in Denver. Periodically, after the exam, she followed up with me to let me know where the application was in the process, or just made contact with me to let me know that my packet wasn’t lost in the works. I had to go back to the VA for additional tests (which gave me pause for concern), and then within ten months of retiring, I had my disability rating. On this forum, I see a lot of situations where people have difficulties (understatement). I just wanted to put it out there that there are cases in which people have a positive experience with the process as well.

  52. KAYLA September 6, 2011 at 5:55 pm

    if anyone can help my husband find out about his claim please e-mail back. it is a first time claim after 28 yrs in army . not a retiree had to get out due to being a diabetic this month sept2011 has been a year. at rating board for 5 months what is the deal? what a system! thanks k/

  53. Doug Craft September 1, 2011 at 10:33 pm

    Good Day Mr. Pamperin,

    I’d like to echo the previous notes of frustration and anger towards the VA in regards to disability claims processing. Who is in charge, and why are they not held accountable for the delays? I am a recently retired Vet, and cannot for the life of me figure out why my claim is taking months to process. Here is my situation: I was diagnosed by a VA Doctor as having obstructive sleep apnea and requiring a CPAP machine.. This diagnosis was made after a sleep study was done at a VA Medical Center. This diagnosis was made prior to my retirement, while still on active duty. The VA Medical Center then had me undergo another sleep study where I was fitted for a CPAP machine, all done at the VA Medical Center. Please explain to me what could possibly hold up this claim. It is service connected (diagnosed while on active duty). The VA Medical system made the diagnosis, and is providing the equipment. It meets the requirements under CFR 38, Section 4.97:
    6847 Sleep Apnea Syndromes (Obstructive, Central, Mixed):
    Chronic respiratory failure with carbon dioxide retention or cor pulmonale, or; requires tracheostomy 100
    Requires use of breathing assistance device such as continuous airway pressure (CPAP) machine 50
    Persistent day-time hypersomnolence 30
    Asymptomatic but with documented sleep disorder breathing 0

    Is there something I am missing here? A 3rd grader could read the requirements, evaluate the evidence and award my claim for disability! What is the hold up with the VA? How much time is actually required to process this claim? Has that process ever actually been studied?

    Does the VA not realize that by delaying this claim, they are causing undue hardship? Retroactive disability pay will be nice, but it doesn’t pay the bills now! Also, I am denied the opportunity to claim ten point veteran’s preference for many government jobs, and there is no “retroactive” fix for that!

    Thank you for your time, and thank you for your service!

  54. Paul September 1, 2011 at 1:42 am

    Hi to all fellow Vets,
    Has anyone had any experience with VA compensation claims related to the Camp Lejeune water contamination studies from the 1970s and 1980s?

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  56. Will M. August 25, 2011 at 11:50 pm

    Mr. Pamperin:

    Let me begin by thanking you for your service, guidance and obvious dedication to our nation’s veterans. After reading your post I am compelled to detail my rather disturbing and frustrating experience in hopes of soliciting some guidance.

    I am a 40% service connected Gulf War Veteran. I served in theater (Saudi Arabia, Iraq and Kuwait) in direct combat operations with the 1st Armored Division from December 24, 1990 until May 26, 1991. Then returned to Germany. I also served with Company B of 1-184th Infantry Regiment(Air Assault),29th Brigade Combat Team of the Hawaii Army National Guard from 1998-2002.

    In early 2010 I filed a claim for service connection at the St. Petersburg Regional Office related to my Gulf War service for several illnesses consistent with the clusters and symptoms of illnesses outlined in the statutes. Along with my claim I submitted extensive medical documentation and underwent a compensation and pension examination at the request of the regional office. Furthermore, I explained to the examiner I had undergone a Gulf War Registry examination in or about 1994 at the Palo Alto VAMC.

    Disturbingly, in or about early 2011, over a year after filing my claim for service connection and several months after completing my compensation and pension exam, I received an envelope at my address that was signed by the St. Petersburg regional center manager requesting that a,”negative response is requested” by the Palo Alto VAMC on a VA-form 10-7131 in requesting the results of my Gulf War Registry exam.

    Notably, although my address was on the envelope, the Palo Alto VAMC address was also listed above the address line. Undoubtedly, the form was meant to go to Palo Alto VAMC but was delivered to my address instead. Accordingly, I responded to the form and requested an explanation.

    However, instead of an explanation, after several more months of unnecessary delays given the “presumptive” language recently added to the existing statutes for the purposes of facilitating more expeditious adjudicative decisions for the granting of service connection to veterans of the Gulf War, my claim was transferred without my prior knowledge or consent to the Reno Nevada Regional Office where it sat in the development phase for a few more months.

    Recently I received a letter from the Reno regional office stating that the results of my Gulf War registry exam are not,”available” and the custodian of records has indicated,”the records cannot be found”. In addition, the letter requests I should submit any additional information within 10-days from the date indicated on the letter.

    I submitted a timely response by certified mail in support of my claims and in response to the regional office’s request for additional information. Today I checked the status of my claims on ebenefits and saw that my claims have now once again been returned for the third time to the “development phase” and for some unexplained reason the claim has been transferred to the Cleveland Ohio Regional Office. Distressingly, once again my claim has been transferred without my knowledge or consent.

    Mr. Pamperin, why would an obviously favorably adjudicative decision be transferred to three different regional offices and returned to the development phase when by the VA’s own admission all available evidence has been obtained? Moreover, why would a regional center manger request a negative response from a VAMC unless the manager anticipates a favorable response would be adverse for the agency and beneficial to the veteran.

    Any help or assistance with my case would be greatly appreciated Sir. My sincerest gratitude and thanks.


    Will M.

  57. Chase August 23, 2011 at 2:30 pm

    Mr. Pamperin,

    I separated from active duty August 16, 2010. I had filed my quick start claim before separating, and had to wait until December to even be seen by a doctor. It has been 372 days since my date of claim, and I am still awaiting a decision. Thus far, the decision phase has taken 148 days. That is no typo, that is just shy of 5 months in decision phase. This is ridiculous. There is obviously a break in the system. I had put my body through absolute hell as a Marine for 8 years (2002-2010). I don’t want to mooch off of the government; however, one of the things promised to us when we sign up is that we will be taken care of on the back end for what we put into the service on the front end. I willingly beat the heck out of my body for this great nation, believing that I would be taken care of after. This has not happened. This system is broken. I don’t want a handout, and I’m not looking for sympathy. I just want this system to be fixed. Please do what you can to see that this happens. Thank you.

    • Lois September 2, 2011 at 6:41 am


      Have you or do you know anyone that is receiving replies in response to this sight?

      Who from Mr. Pamperin’s Office or VA is actually monitoring this board?

      Good luck!


      • Stephen September 29, 2011 at 9:20 pm

        Appearantly Mr Pamperin has retired, as of May of this year. Anyone know who is taking his place on this forum?

  58. shekhar August 19, 2011 at 3:22 am

    It is very wonderfull center

  59. charles p. lamont August 1, 2011 at 6:29 pm

    Dear Alex, Iam sorry about my feelings however I see that know one at the veterans administration is willing to help me. I have numerous messages on different web sights and never received any answers form anyone. I really thought that you were the right person to hel;p me and it seems I was wrong.
    Well in closing I want the Veterans administration for no help to including you. This will be the last time I will bother you. In closing God Bless all my brother and sister veterans and you, until we meet again.

    • Alex Horton August 2, 2011 at 2:45 pm

      Charles, from what I remember from our discussions, you’re waiting to hear back about your medical appointments for your claim right? I’m not sure what I can do to help with that. There’s no button to push or phone call to make. If you think your case is being mishandled, email me at newmedia @ va dot gov with the name of your regional office and medical center and I’ll see if there’s anything I can do.

      • charles p. lamont August 5, 2011 at 10:41 am

        Good morning Alex, I hope that I am not being a pain in the neck I just wanted to see if you received my email message that I sent to

  60. thomas r conn July 30, 2011 at 6:02 pm

    Dear sir,
    Thank you for your service to the VA and welcome home! I wish I knew the proper course of action in the beginning, I only found out by accident that I had to apply for a pension prior to asking for A & A. It’s been 105 days so I hope a decision comes soon.
    Again thank you,


  61. brandon Navy July 27, 2011 at 8:50 am

    I first Fractured my ankle during pt. then was ordered by doctor to stay off
    the ship for 30 days for rehabilitation. But my captain Went against those
    orders and brought me back to the ship. Then 2 days later I fell down a letter
    well because I was on crutches and was not supposed to be on a ship. I landed on the fractured ankle And hyper extended my knee And twisted my back extremely bad. Sense then there has been 2 surgeries on my ankle And has not been able to fix it and i need a cane to walk. I have not had time to have surgery on my knee yet. And I m and rehab for my back and it also hurts all the time and has made it hard to even get out of bed. Because of the constant pain I am unable to sleep at night. do you think i will get anything out of this

  62. CHARLES P. LAMONT July 26, 2011 at 6:22 pm

    Mr. Alex Horton, I know you wont remember me but my name is Charles P. Lamont.
    It seems that the only one who will answer my messages is you. I have sent numerous messages asking for help and you are the only one who answered me I am truly greatful. As discussed in my previous messages I had my C&P examination on 31 March 2011 the Va received on 14 April 2011 which is 11 working days. It is now 84 working days and I have not heard anything the the Veterans Administration. Alex, can anyone give me a straight answer on how long it will take be I hear something. My claim has been going on since 25 July 2008 this is the second appeal. I have had many people say that I should use a VSO, well the one that VA gave me was the American Leigon and I have never received any help from them. I have also tried to get help from other service organization and they keep telling me that I need to join their organization before they can help. Alex I will wait for your reply before I try anything else. Any help you can give me will be greatly appricated. Welcome Home and God Bless.

    • Sharon Allen November 3, 2011 at 4:01 am

      My husband filed his claim March 17, 2011, and separated from the Marines after 20 yrs on March 31. It has now been greater than 210 days. His VA rep in OKC, OK does not keep in contact and when he calls her, it is the same response “It’s in the development phase.” We found out through the DAV that his claim is sitting on the desk of someone in the Salt Lake City, Utah office. Go figure!!! It’s no wonder their are so many homeless vets. I’m working 60-70 hours a week just to make ends meet. I am just thankful I have a job so I can give back something to my husband whose body, mind, and soul is permanently broken.

  63. CHARLES P. LAMONT July 26, 2011 at 5:06 pm

    I would really like to know if any one is still out there answering the messages above. It seems like since Tom P has retired the rest of the people really do not care. I wish some one would answer my cry and all the other veterans for help. I any one really cares or does not care at least send a message tell me to go jump off a bridge. In closing God Bless all my brother and sister veterans and the United States.

  64. robert July 22, 2011 at 2:03 pm

    i am receiving disability for my left knee now and over the years i have put more weight and pressure on my right knee and now my right knee is giving me a lot of problems , can i file for disability fot my right knee nowbecause my left knee has caused this problems and have aritisi on both knees

  65. Dan Nightenglae July 7, 2011 at 11:59 am

    I just retired on 01 DEC 10. I completed my VA appointments for BDD in NOV 10. My offical claim date is 1 DEC 10. I received delay letters in April and June. I check eBenefits regularly and it indicates my claim is in the decision phase. It has been in that phase since 1 DEC 10.

    I would like to ask what is the current percentage of veterans under the BDD program that have actually received their rating within 30-60 days after their discharge.

    This is pitiful!!

    Thank you for your time.

    Dan Nightengale
    Fort Knox, Kentucky

  66. w nelson July 6, 2011 at 5:07 pm

    what percentage of disiability will you get for pseudofolliculitis barba

  67. dana k June 26, 2011 at 2:32 pm

    I filed my claim back in February 2011 for an increase in my disability level. My original claim was approved back in 1993 for patellofemoral syndrome in both right and left leg. I am now suffering from increased issues that now include my entire spine. (I fell off a rooftop during a training exercise in basic training that initially hurt my legs. It is well within reason to see that a fall of any kind, would cause shock and damage to the spine that was not present at the time of the initial injuries and treatment phases. ie…arthritis forming in the knees years later would relate to the initial claim) As of 06/25/11 my file shows in discovery phase 1, they say they have done an MES (what is that?) and also that I should fill out va form 21-8940 veteran application for increased compensation for unemployability and also to have my employer fill out va form 21-4192 request for employment information. this is on the Benefits website under my pending claim. Are they sending me these forms via mail or must I print them myself? Do I send the employment for to my last employer or are they mailing that form? It is hard because the website doesn’t make for easy communication, nor do they send letters out to advise of where the claim stands….Do I need representation for this whole claim? I have filed all the information I had on file from my doctors showing the many surgeries I have had, altogether 4.75 lbs of paperwork were mailed in to the VA. What more do I need to provide them? My surgeon has sent paperwork to them and is willing to provide whatever else is needed. Do they go back and contact the other doctors involved and request information? At what point do they status me on what they have or haven’t received? I thank you so much for your help and expertise. I also appreciate your service to the country and to the veterans who have defended the country. If not for folks like you, we’d be lost in a sea of paperwork and websites…

    • dana k June 27, 2011 at 12:13 pm

      received a call today from Veteran’s Evaluation Services about veriying my address. I asked the caller what this concerned, she told me they would be mailing an appt slip for me to see a doctor about my claim that my knee condition prevents me from working. I do have issues with my legs below the knee, but I filed to have my claim reviewed about spinal issues that arose after my service and which I believe are related to my initial claim which overed my knees (patellofemoral syndrome.)
      What is going on with my claim?

    • dana k June 27, 2011 at 3:12 pm

      my claim is being handled by the Waco VA. Are you going to refer my ?’s to someone there?

  68. arley ash 1014 June 26, 2011 at 10:39 am

    i first filed a claim in 1970s. never heard squat from them then re applied in 1997 approved in 6 mos 100% ptsd. filed for back pay i think ive got four evidence . then my last decision say they have all the evidence to adjucate my cliam. (undisputable evidence) BUT their dening it because of the law????? you know the 1 year law to appeal. and i say when a person hase ptsd the courts should shoe mercy. instead of making up laws to cheat the defender of this great country out of the compansation we were promised when drafted into the service. OH the va lost my records from la jolla vamc. i read about the va destroying records from the 70s something to do with the privacy act?? arims 35-200-2 ??

  69. Tony June 24, 2011 at 11:23 pm

    I filed my original claim in 1989 for my hearing loss. I have total hearing loss in my right ear and bi-lateral hearing loss in the left ear. I went to the VA hospital last year to get an exam becuase my hearing is getting worse since I have only one ear to hear with and that seems to happen over time. In the letter that I recieved from the Phoenix Regional office was that in my file there was no documentation that I went to the doctor while on active duty for hearing loss. Luckily for me I listened to my sargent that told me to make sure to make copies of ALL of my medical records becuase when I would make my claim that first thing they will say (VA) that there is no medical records to collabarate my hearing loss. And sure as HELL that has happened. So I sent them the copies three times becuase each time I sent them to the VA regional office they would send me a letter that they have not recieved them. Not until I threatened to get an attorney they finally acknowledged recieving them. I originally refiled for the claim in May of 2010 and it has been waiting to be rated for over six months now. I filled out a document for non-employability and they stated that they needed to send a letter to my previous employer and that was done back in March of 2010. I then notified them that the employer went bankrupt and that is probably why they did not respond. I have had my congressman and senator call to ask what the hold is and they stated they do not have the time to rate it since they have priority for Agent Orange vets and that everybody else will have to wait. That there is no time when they will get to it but it will take awhile. There is exceptions and if you qualify for it then you can be placed in front and it would be rated. I qualified and they went to rated it when again the issue of notifing my ex-employer came up again that they need to notify them again even though I told them they filed for BK. They have waited for months and they did not send out another letter for a second request and they are supposed to do and now that I have pressed they give this to me as why they can not rated. So now they have to send a second request (which by the way they still have not sent it). I asked myself what the HELL do you guys think that we just are waiting around until you guys feel or want to finish the claim. YOU MUST REMEMBER YOU WORK FOR US AND NOT THE OTHER WAY AROUND, IT IS OUR TAX DOLLARS THAT PAYS FOR YOUR SALARY AND MAYBE WE SHOULD MAKE IT THAT IF YOU DO NOT DO YOUR JOB THEN YOU SHOULD NOT GET PAID. THAT SHOULD START FROM THE TOP ON DOWN THEN MAYBE YOU WOULD BE RUSHING THE RATORS TO GET BUSY. I now have Senator McCain and Congressman Grijalva’s office looking into this and I will not stop until YOUR INCOMPETENCE EMPLOYEES DO THEIR JOB. It has been over a year since I started this and there is no excuse for it to take this long NONE.

  70. Tony June 24, 2011 at 11:19 pm

    I filed my original claim in 1989 for my hearing loss. I have total hearing loss in my right ear and bi-lateral hearing loss in the left ear. I went to the VA hospital last year to get an exam becuase my hearing is getting worse since I have only one ear to hear with and that seems to happen over time. In the letter that I recieved from the Phoenix Regional office was that in my file there was no documentation that I went to the doctor while on active duty for hearing loss. Luckily for me I listened to my sargent that told me to make sure to make copies of ALL of my medical records becuase when I would make my claim that first thing they will say (VA) that there is no medical records to collabarate my hearing loss. And sure as HELL that has happened. So I sent them the copies three times becuase each time I sent them to the VA regional office they would send me a letter that they have not recieved them. Not until I threatened to get an attorney they finally acknowledged recieving them. I originally refiled for the claim in May of 2010 and it has been waiting to be rated for over six months now. I filled out a document for non-employability and they stated that they needed to send a letter to my previous employer and that was done back in March of 2010. I then notified them that the employer went bankrupt and that is probably why they did not respond. I have had my congressman and senator call to ask what the hold is and they stated they do not have the time to rate it since they have priority for Agent Orange vets and that everybody else will have to wait. That there is no time when they will get to it but it will take awhile. There is exceptions and if you qualify for it then you can be placed in front and it would be rated. I qualified and they went to rated it when again the issue of notifing my ex-employer came up again that they need to notify them again even though I told them they filed for BK. They have waited for months and they did not send out another letter for a second request and they are supposed to do and now that I have pressed they give this to me as why they can not rated. So now they have to send a second request (which by the way they still have not sent it). I asked myself what the HELL do you guys think that we just are waiting around until you guys feel or want to finish the claim. YOU MUST REMEMBER YOU WORK FOR US AND NOT THE OTHER WAY AROUND, IT IS OUR TAX DOLLARS THAT PAYS FOR YOUR SALARY AND MAYBE WE SHOULD MAKE IT THAT IF YOU DO NOT DO YOUR JOB THEN YOU SHOULD NOT GET PAID. THAT SHOULD START FROM THE TOP ON DOWN THEN MAYBE YOU WOULD BE RUSHING THE RATORS TO GET BUSY. I now have Senator McCain and Congressman Grijalva’s office looking into this and I will not stop until YOUR INCOMPETENCE EMPLOYEES DO THEIR JOB. It has been over a year since I started this and there is no excuse for it to take this long NONE. I work for DoD and I wish I could say that to our customers that they will have to wait until I”m good and ready to HELP THEM.

  71. Bryon June 23, 2011 at 12:06 pm

    Ok my question is simple in my opinion. I went to the VA hospital to see if i could get help for some attention problems i was having they diagnosed me with ADD and started me on medication. Well a year and a half later with no reaction to any of the medications they prescribed my psychiatrist asked me about my sleeping habits. After a through discussion she suggested i be tested for sleep apnea. Much later after my sleep study i was told that i did indeed have sleep apnea. They also told me it was most likely the reason none of my medications were effective, or possibly causing my ADD symptoms. Now i never remember having any of the problems i have now, like waking up in the middle of the night, always feeling tired etc. before my time in the service. I never had a sleep study when i was active and i did not get a physical leaving the army. I did however see a mental health specialist for attention and anxiety near the end of my enlistment. Now I was told by a VA employee that i should file for compensation but I don’t want to waist the VA’s time if it’s a pointless endeavor. So I just wanted to know what someone else at the VA thought about my situation and if I should file and, if it’s likely that I would receive compensation?

  72. Lawrence June 22, 2011 at 11:04 pm

    HOw far back does one get for a service discharge disability that he should of been comp for when he was discharge and didnt know it. I still suffer from PFP the shaving condition tha affect black men.

  73. Dan Yoshida June 20, 2011 at 3:14 am

    I am 100% diabled and receive compensation for it. I heard about addtional compenstion example: PTSD 100% with sleep aphnea apparatus which is secondary condition to my PTSD. I was informed that if I file a claim for the this condition with the VA and with a doctor’s note I would be given addtional compenation which will be catagorized as 100% K. Also heard from VA psychiatrist that there is a 100% R. Does anyone know about the K & R or have information regarding this addtional compensation? i.e. Catagories such as 100% A, B, C, D….etc??????

    • James a October 18, 2011 at 2:12 am

      usmc infantry squad leader 5 yrs i just got out may 27th it is now october 17th multiple deployments i claimed for sleep apnea with a machine got it when i was still in the corp tinitus, ringing in my ears, knee surgery, back injury that was a result of deployment and also severe ptsd i went to all my appointments gave them everything from my whole medical record to phychaitrist i was seeing while in like i said it has been almost 6 months how long did it take you for ur claim to go thru and since you rate 100% and what do you think i can expect ? thanks

  74. Nailah Baderinwa June 14, 2011 at 5:35 pm

    In reply to the individual who says we Veterans are whiners… I am a Female Vietnam Era Veteran (yes, and females volunteer) who has been fighting with the VA for 37 years trying to get my just compensation, all the while dealing with records that weren’t kept ( in the 70’s females really didn’t count in the military) trying to get compensation for military sexual trauma, polycystic ovarian syndrome, and diabetes (of which there was NO TREATMENT FOR IN THE 70’s), getting medical opinions from VA DOCTORS who opined more likely than not the incidents happened (in the 70’s females being sexually assaulted didn’t matter) and STILL being denied because of “constituionally developmental” and pre-existing before military service, even though “anything that manifests itself within one year of discharge is considered serivce connected” and no treatment was done while on active duty (which lead to diabetes diagnosis in 2009). WELL, TODAY I HAVE DECIDED TO BE A REOCCURRING NIGHTMARE TO THE VA.

  75. Sal Med June 12, 2011 at 6:29 pm

    Dear, Thomas Pamperin
    My name is Sal Med (abbreviation of Name) Last four 0725 and am asking for your help. Can you please take a look at my case that is in the Houston, Texas Regional office?
    Thanks in Advance,

  76. jeremy June 9, 2011 at 10:39 am

    I have been out for 4 years. I have a permanent profile for (meralgia paresthetica) and it was denied as not service connected disability. How should I pesewa this further?

  77. Ken prichard 377th SPS K9 June 5, 2011 at 11:02 pm

    I have been on 100% disability since Jun1/01. It was easy to get because I did my homework prior to going for it. I also got SSD, in one try. I am not bragging, I would gladly give it all back if I weren’t sick.
    I have helped many vets get what is coming to them. I find that they need help and hand holding during the process. Attitude is a big thing, you must have a positive attitude, you must know how to tie your problem to the service, and you must have tenacity. If all else fails contact your Congressman’s vet will be surprised how well that works. The other thing is to appreciate and expect the help you will get and do not give up or accept waiting a long time…call your congressman. What do you have to lose.

  78. Richard a Felty June 2, 2011 at 8:16 pm

    I have read the same stories coming from the veterans from the Nam era. “Wait til they die ” is the logo of those who get paid and sit on their butts and could care less. What does it take ? For us to get Senator Patty Murray on their ass. For all of us to go to the Directors of each VA office and twist his arm unil he signs them Or better still realistically, ALL THE VIET NAM VETERANS stage a Protest against the V A on the steps of the WHITEHOUSE and capitols of each state and not leave until we get media coverage local news CBS ABC NBC and let our voices be heard, and see what we look like now after we gave this country our innocence, our adolesence, our youth ? Each one of us wrote a blank check to the government of the United States willing to give our life for this country and now they, the government renigs on us. Are they also going to renig on the veterans of TODAY AND TOMORROW WITH LIES,DECEPTION, COVER UPS, RED TAPE AND BOGGING DOWN PAPERWORK ? THE V. A. ACTS LIKE THEY ANSWER TO NO ONE…..WE VETERANS NEED TO SHOW THEM OTHERWISE !!!! I ENCOURAGE YOU TO BAND TOGETHER AS A BAND OF BROTHERS AND SISTERS AND FIGHT THE VERY INFLUENCE THAT KEEPS PUTTING US DOWN !!

  79. Richard a Felty June 2, 2011 at 7:55 pm

    Tom…I am a Viet Nam Veteran that served from ’64-’87. I was from Phu Quoc Island, Da Nang, Can Ranh Bay, Mekong River Delta, I was on various ships and river patrol craft. Was part of a Battle Group that waited off the coast of Haiphong Harbor to air raid and bombard Hanoi and Haiphong when Se. McCain was in Ho Lo prison there . If the rescue was a success we were to deploy and bombard. Due to bad intel they had moved Mc Cain and the others.
    That was in North Viet Nam. I was also in North Viet Nam when we were shot at with 47 rocket rounds and one hit the ship and that was in the area of Dong Hoi / Dong Ha North Viet Nam.

    I filed a claim in 1988 for my hearing loss from Naval Gunfire Support. Not until last year after the investigation of the V.A. did the Nam veterans find out that our claims were s*** canned because the woman at the top thought she had Carte Blanch and was giving employees bonus’s NOT to file veterans claims. So, now she is gone, we and I have refiled for PTSD and hearing loss both supported by the VA medical clinic, and the VA’s own clinics. This was in last July of 2010. My claim has been sitting in a basket waiting for rating approval at the final stage since December. I keep reading ” we will have it completed in 6 months” I am working on month number 11. I’M TIRED OF BEING AT THE BOTTOM OF THE LIST BECAUSE OF DESERT STORM, IRAQ, AFGHANISTAN, and who knows…now maybe Libya. I FEEL I “SHOULD” BE PAID BACK TO 988 OF THE ORIGINAL CLAIM. Just exactly what does it take to get Seattle VA off their butts and get it done ???

    Tom can you dig into this and shake some answers ?

    Thank you

  80. Eric Robinson June 1, 2011 at 11:38 pm

    First, thank you to all the veterans out there who volunteered to serve in the military. Secondly, I’d like to say thank you for this informative and eye opening blog. I knew the VA had issues adjudicating claims, but wasn’t aware it was so widespread with so many others experiencing the same issues as I have encountered.

    When I left the service I never fathomed I would file a claim for anything with the VA. I felt there were others who were more deserving than me and that I could deal with my problems myself. Well…turns out I wasnt the superman I imagined myself to be and eventually I filed a claim.

    Currently I am rated at 40 percent for knee and shoulder problems. Took almost 2 years to get that rating. Seemed like every time I submitted the evidence they requested, a month later I’d get another letter requesting something different. What really irked me was why couldn’t they ask me for all the information at one time instead of milking the process along? I had each and every piece of information they requested. Sometimes they’d ask me for the same info again a second or third time! Well, in the end that claim was approved and they paid me retroactively from the initial claim. But why did it take almost 2 years to process? It was a simple cut and dry claim.

    Now since then I have filed another claim that I feel is well substantiated too. All my exams, treatments and evaluations have been done at the VA hospital or clinic. I keep giving the regional office all the requested information and I just had another C&P exam in February for this claim as it too has been going on for over 2 years. I thought they’d be close to making a determination by now, but nope. I got another letter requesting more information that they could have asked for a year ago. I’m starting to believe that all this is done to keep delaying claims.

    I don’t want to believe that, but it they were not the VA Regional Offices would make sure they ask for all pertinent information to adjudicate the claim right away. Not asking for something new after each time you send them what they asked for in the previous letter. For example in one letter they ask.. “Please send us information on the medals you have received in service” Ok…off it goes. Then another letter comes… “Please send us copies of your orders in regards to mission X” Ok…off that goes. THen another letter comes asking for something else. I mean…come on.

    Another thing that really irkes me is how they keep asking for medical information and each time I keep refering them to get my medical information from the Denver VA Hospital and the Pueblo VA outpatient clinic. I am at either one of those two places once a week for treatment or exams. Are you telling me the regional offices cannot see that?

    Now, I am happy that I am able to receive treatment and I am thankful that there is somewhat of a system in place to assist the veterans. But I am disappointed in how it does not work well. I am hoping I am at the last stage in this current open claim I have. I actually went to the Denver regional office today to verify myself for access to the ebenefits and to follow up with my claim. Right now it’s awaiting further documentation….which I gave them there on the spot. So, fingers crossed I don’t get another letter next month asking for something else. :P

    All I can say to all my brothers and sisters out there is don’t give up.


  81. chad joseph June 1, 2011 at 7:20 pm

    “Thirty percent of claims have taken longer than 125 days….” I’d say so. I’m already compensated at the rate of 30%, but the VA has employed every tactic, down to disappearing notes from a former VA doctor, Joseph Magliozzi, who diagnosed me with PTSD on December 1991/January 1992. The record of my visits to him still remain, but not his notes. He even wanted to hospitalize me for a study he was conducting on how PTSD affects men and woman differently. Professional Medical Associations have been even worse in not helping to find him. Probably wrongly assuming that I want to sue him or something. Other records have mysteriously vanished as well. The very records which were used to arrive at my present 30% disability rating. Specifically records attesting to the two (2) incidents of closed head injury at the same time that my present disability injuries/wounds were suffered. My MRI shows “hemosiderin and calcification of my bilateral globus pallidus” (NOTE: PRIMA FACIE EVIDENCE of closed head/traumatic brain injury) VA Doctors attest to my
    history of closed head injuries- at age 19 and at 20 within 14 months of each other- but the VA has dragged this one for EIGHT (8)YEARS- count ’em- EIGHT YEARS. I think they are wanting me to DIE so they won’t have to increase my service-connected disability awards. This at a time when VA executives received FREAKING BONUSES for saving the VA money- read for DENYING BENEFITS TO VETERANS. Is it any wonder so many people go berserk and do strange stuff out of sheer frustration?! Who would ever think our OWN COUNTRY would be one of our biggest obstacles!

  82. chad joseph June 1, 2011 at 7:19 pm

    “Thirty percent of claims have taken longer than 125 days….” I’d say so.
    I’m already compensated at the rate of 30%, but the VA has employed every tactic, down to disappearing notes from a former VA doctor, Joseph Magliozzi, who diagnosed me with PTSD on December 1991/January 1992. The record of my visits to him still remain, but not his notes. He even wanted to hospitalize me for a study he was conducting on how PTSD affects men and woman differently. Professional Medical Associations have been even worse in not helping to find him. Probably wrongly assuming that I want to sue him or something. Other records have mysteriously vanished as well. The very records which were used to arrive at my present 30% disability rating. Specifically records attesting to the two (2) incidents of closed head injury at the same time that my present disability injuries/wounds were suffered. My MRI shows “hemosiderin and calcification of my bilateral globus pallidus” (NOTE: PRIMA FACIE EVIDENCE of closed head/traumatic brain injury) VA Doctors attest to my
    history of closed head injuries- at age 19 and at 20 within 14 months of each other- but the VA has dragged this one for EIGHT (8)YEARS- count ’em- EIGHT YEARS. I think they are wanting me to DIE so they won’t have to increase my service-connected disability awards. This at a time when VA executives received FREAKING BONUSES for saving the VA money- read for DENYING BENEFITS TO VETERANS. Is it any wonder so many people go berserk and do strange stuff out of sheer frustration?! Who would ever think our OWN COUNTRY would be one of our biggest obstacles!

  83. Melissa June 1, 2011 at 3:48 pm

    I have to say that after reading all these posts i am truly afraidof what lies ahead for me. I got out of the Army a while ago and have done my best not to apply for disabily as long as i could. But looking at these posts it looks like i should have applied as soon as i got out and i might be close to a decision by now. I feel for each and every veteran out there that has served their country in any capacity and now how to struggle to make ends meet. I often wonder what the governmnt expects people who are disable to do until “a decision” can be made. Last time i checked he grocery store or the electric company did not allow you to utilize their services until “a decision” is made. I wish each of you all the best of luck.

    • Angel June 3, 2011 at 2:10 pm

      I started my claim while on active duty and had everything finished before I started my PTAD and terminal leave. It took about 5 months to get anything back from the VA. I am now waiting for a claim for individual unemployable due to my disabilities. It has taken some time for that, but it was to be expected. I was told my initial claim would be complete in 6-8 weeks. I called the VA every 2 weeks after that 8 week period and explained the financial hardship my family was facing and my claim was approved shortly thereafter. I also contacted the DAV because I couldn’t get in touch with a rep at the regional VA office and the DAV contacted the VA for me and pushed the issue. Bottom line, there are thousands of veterans trying to get their claims taken care of and thousands of spouses/dependents trying to get their stuff taken care of, so be patient. If you are absolutely out of options and you need your claim done ASAP, contact a veteran’s group and ask for help. Or even call the VA and ask for help….the VA rep is the one that told me to do a letter for the financial hardship based on our conversation. They are really doing the best they can and I give them all a big KUDOS for the work they do and the attitudes they put up with daily. Thank-you!

  84. Christopher Debbas May 30, 2011 at 4:54 pm

    I was once denied in a very painful way, but it’s always been in a painful way even though my side of the story was never fully explained. They told me that they didn’t care that I was schizo-affective. I was schizo-affective before I joined, while I joined, and will always be for the rest of my life. The pain I endured while I was in the navy will never be fully explained even though I will always go through some of it.
    They didn’t even mention the severity of my personality disorder which they definitely knew about; and diagnosed while I was in the military,(a form of anti-social and narcissism). among a lot of other problems. Plus now I’m finding out that obtained PTSD while in the service.
    I never got a chance to fight my Captain’s mast ten years ago, because of my grave and severe illness. Since I served I’m somehow surviving with even more mental illnesses than I obtained while I was in the military.
    I don’t know what to write for help with a discharge upgrade, and I desperately need the help and support of the VA just to be able to get through life and they can’t because of my discharge… other than honorable.
    I’m asking that someone please help. -Chris

    • chad joseph June 1, 2011 at 7:27 pm

      Chris- Hey, thank you for serving. I would start with your Congressional Representative. If they care and are worth a darn, they will help you with that upgrade. Good luck to you, buddy. Hang in there, swabby!

  85. Miss DustyJo May 27, 2011 at 3:44 pm

    Thank you for your service, both in the past and today. Keep up the good work!
    This past Wednesday I visited my primary care physician at Fort Harrison, in Helena, Montana, and all I can say is that everyone, greeters, nurses, pharm staff, travel pay people, benefits advisors, physical therapists, and especially my doc, were exceptionally, professionally great. They treated me with respect, used all the resources at their disposal to try to help me, included me in the decision process of treatment for my medical issues, and through it all, their caring showed in everything they did.
    The VA has helped me and I really feel for my fellow vets who are having a hard time, truly and deeply…. yet, please know that there are good things being done too. For my fellow soldiers, I’ll be praying you find your way to a more positive experience so you can get the help you need.
    God Bless all of us.
    Don’t try to keep trying!!!

  86. Gary May 26, 2011 at 9:24 pm

    Tom Thank you for your service in Viet Nam. I recently recieved a 30% for IHD from the Columbia SC RO and had a claim for back injury returned to development for the 2nd time, Also I applied of disability for exposure to agent orange ( C123 crewmember and slid around in agent orange on the airplanes) in Mar 92 and was denied. Any Idea why the claim did not go back to 1992 vs 2009 ?
    Thanks 2910

  87. Brian May 26, 2011 at 2:23 pm

    Dear Mr. Pamperin

    I have a simple question I couldn’t get answered the other day after receving a call for another C&P at the Anchorage RO. I was repeatedly exposed to Sodium Dicroamte at Qarmat Ali and have had several Diganosios for lung problems by Va and private Dr’s that the VA sent me to. My question why another exam they know I was there and have a lung problem from my exposure.

    Thanks in advance. Last four (0132)

  88. Brooks Outland May 26, 2011 at 1:06 pm

    I agree with Win Reither, Tom. Great advice! Wish I had received this advice when I retired back in 1973. I stumbled around on my own until I found a way to make contact with the VA. Long story shortened, I went to a VA doctor and requested a physical exam for the purpose of establishing a VA disability rating. The 3% rating offerred by the doctor who performed the discharge exam (which I flatly refused) was a joke. The VA doctor pronounced my service-connected disability as 60%. I dealt with the agony of post-operative surgery on my spine for several years, but gave into it and had to resign my position as a Civil Service Manpower Analyst (GS-11). After four years of mountains of paperwork, more physical exams and an officiel Appeal, the VA pronounced me to be “individually unemployable” and my rating was changed from 60% to 100% IU.

    My experience in dealing with the government caused me to take up the difficult task of a “grass roots” supporter of legislation affecting disabled veterans. My indivudual efforts on behalf of my fellow veterans brought me to an association with three other permanently disabled veterans who were fighting the same fight. That wee group of determined veterans worked voluntarily out of the website, which later evolved into a political action committee (VETSPAC) at

    There’s an old expression, “C-4 comes in small packages, but packs a helluva wallop!” That small group of four was very instrumental in getting our Federal Congress to pass a law which permitted veterans categorized 50% or higher (VA) to receive their earned retirement pay and their awarded VA disability compensation, concurrently.

    We have added these valuable “tips” in a link from the VETSPAC website. VETSPAC continues to assist our disabled veterans. I relocated to Hawaii about 4 years ago and I have found several issues that affect veterans way out here in the middle of the Pacific. I am presently working closely with state Senator Maile Shimabukuro on a bill which would provide an exemption of the annual vehicle weight tax for permanently disabled veterans(Senate Bill SB-103/House Bill HB-1501). Hopefully this bill will pass in the next session of the Legislature.

    Im also attempting to make it possible for our veterans who are patients at the Matsunago Clinic to receive their Beneficiary Travel Reimbursement on the day of their appointment. The system in use today requires a wait-time of four months or longer to receive payment of travel claims.

    I had the opportunity to meet face-to-face with General Shinseki at a fund-raising dinner here in Hawaii. When he learned that I am a Korea and Vietnam War veteran, he started up a meaningful conversation. As you no doubt know, the General lost a foot in Vietnam. Before we broke away, he asked my wife Cathy if she would like a photo taken with him. Jaws were dropping all around us; no one anticipated his offer! The General handed me one of his Challange Coins and I gave him one of mine. We did not discuss VA problems, but I personally believe that he is making a great deal of headway in his effort to provide care to all veterans who seek VA assitance. He recently stated that with about 99K claims being filed each month, the task is formidable.

    Welcome home to all my fellow veterans. Patience is a worn our word, but that’s just what it takes when it comes to our earned benefits. Hang in there.

  89. Win Reither May 26, 2011 at 10:39 am

    Great advice, Tom. Hopefully, after today you can contribute to the Vetspac efforts to align veterans with credible assistance.

  90. arley ash 1014 May 25, 2011 at 5:35 pm

    tom pamperin sir i need help. the va cant find my records from early 1970s at la jolla vamc. please help bud

  91. arley ash 1014 May 25, 2011 at 5:30 pm

    thomas pamperin where can i find the files of an alchol and drug program @la jolla vamc in the early 1970s out-patient. the va cant seem to find them altho they paid me milage to go to the program.. i recieved 100% in 97 but my first claim was @la jolla in 70s. please help bud

  92. MIKE BEADLES May 25, 2011 at 12:00 pm

    I have to constantly reminding myself to not to base my life by what I see.
    I so far I see my waiting period is getting really long.
    I’m now in the decision phase and my waiting time is now double the average.
    I’ve been out of work due to my disability 9 months now. I need the VA’s help more than soon.
    There are others Im sure with more troubles than mine. But I remember that it is God that will
    provide for me. I/we have to stand on this fact or we will live in disappointments.

    Now I’m speaking to the mountain… In Jesus name help is just around the bend.
    May God Bless all those that help us. God blesses us so that we may be a blessing to others.
    Faith is the currency of God.
    Love Mike DAV

  93. charles p. lamont May 22, 2011 at 6:12 pm

    Mr John J. Jamason, welcome home,I am also a Vietnam Veteran I served 2 years in Vietnam. Reference your statement that you are also a Vietnam Veteran who also took part in the Vietnam War Games, weel I would Like to correct you on this. The war in vietnam was not a game is was real and if you think it was a game you can tell that to the family and friends of the over 58283 mem and women who die there. Now to Mr Tom Pamperin and Mr Alex Horton. I realize that you probably will not answer this email however I figued I would try anyway. I have written numerous messages on this sight and others, In my messages of 5, 17, 20 May 2011 I just asked for help an trying to get an answer on how long does will it take to complete my case. I have been working on this for almost three years and because some one in the VA can not
    read, my claim was denied 2 times which I file an appeal on both cases. As stated in one of my messages I stated that I haD MY C&P examination on 31 March 2011 and it is now 22 maym 2011 and I have not heard anything. If you do work for the Veterans administrion try and help the Vietnam Vetefrans befor they die.

  94. charles p. lamont May 20, 2011 at 5:39 pm

    To all you good people who say they will help you thanks for nothing. I am getting tired of hearing the same this over and over you have to be patient. I am a very proud veteran who gove almost 27 years in protecting my country on to be screwed by the veterans administration. I really wish that some one would answer my messages even to tell me to stick it in my butt. I love all my brothers and sisters who have put their lives on the line for their country, however I wonder how come all the other veteran get better treatment than the Vietnam Verteran. As you may already know that there is over 2500 Vietnam Veterans who die every day and never get their claims approved. I just wonder when my number will come up I know VA hopes I will give up or die befor they do anything besides disapprove my claim. I know that no body will answer this message so good by and bless all my brother and sister veterans.

    • Mark Chamberlain June 13, 2011 at 3:37 pm

      I know that Vietnam Veterans have had a tough time of it in the VA system, and thanks to the ones that stayed after the VA. It is because of there Law Suites that the VA had to start to step up to the plate. But if you look at it the real shame is that it is and was Vietnam Veterans that where in charge of different offices of the VA like Mr. Pamperin that you are fighting for your benefits from. The best thing to do is try to keep up with the changes in law, keep your paper work up to date, and keep filing when there is a change.

      • charles p. lamont July 18, 2011 at 7:19 pm

        To anyone out their that really has any respect for the veterans please help. There are so many Vietnam Veterans who really need help and the only thing we get is be paient VA is working on you case BS. The only thing that the VA cares about is collecting their pay checks and nothing else. When I go into the WEB sights and read some of the lies that my brother and sisters are given it really makes me sick. Thousands and thousands of my brothers and siter veterans write messages on this web sight and also other web sights and their questions are never answered. Only thing I ask of you is to do your jobs and quit complaing that you are working so hard and quit lieing to the Veterans. As you can see I am not affraid to put my name on my messages, whaT ELSE CAN THE VA DO TO ME. In closing God Bless all my Brother and Sister veterans.

  95. charles p. lamont May 17, 2011 at 5:06 pm

    Why is it that everybody makes so many promises and then when it comes the time to give you an answer you get the same thing “YOU HAVE TO BE PATIENT”.
    Well to be honest I have ran out of patients I have come to the conclusion that the united states and the Veteran administration does not give a s**t about the veteran. I know that this message will not be answered however I have to voice my feelings. I would rather someone say that they cannot help me so I can go someplace else. Even writing the President, vise President, secretary of Veterans Affairs, California Veteran Administration, congress, and senators does not help, it only increases the frustration and anger which fires up my PTSD. If you people are not working for the Veterans administration please give me some names so I can complain to them. Myself and many other Vietnam Veterans are tired of being treated like second class citizens at the bottom of the disability pole.

  96. George May 16, 2011 at 2:16 pm

    I filed for PTSD based on combat in Vietnam. I received no individual awards. The C&P psych as much as said I was lying even though I had all the dots connected to a specific ground action in which we killed 100+ NVA sappers and were on the brink of being over run. I received an SC for PTSD 1 year after filing. I am filing a NOD as I believe it should be higher, but I am very satisfied with what the V.A. has done, is doing and I’m sure will continue to do. I’d like to give a BZ for the hard workers at the VA. People suck, you only hear complaints and not “atta boys”. I did what I had to do and they are treating me fair. Well, except for that C&P assshole…..

  97. gary May 11, 2011 at 9:08 pm

    I am SC 30 % ( 10% for pelvis FX and 20% cervical injury ) I have had headaches/migraines since my cervical injury. this happened while on active duty in South Korea. I have a long history with the VA treating my headaches under mt SC cervical injury. I was recently told to apply for Migraines. I have received my medical records from the Va. what should I do to help myself give them the info they would need? and what are my chances?

  98. Lucas Berard May 10, 2011 at 10:07 am

    WOW…a lot of info here!! It is nice to see some personal attention being paid to vet concerns!

    Quick question. This may have been covered earlier, but I simply don’t have the time to go through each individual post on here. I apologize if this has been asked previously.

    I have received my VCAA letter. in the letter, they show that they have a copy of my VA records, which is great, due to the majority of my care regarding my claim has been through them. However, they do not say that they have any of my military treatment records. I have a copy of these records, so should I send that information with my response to the VCAA letter? If so, should I send only the pages that show evidence of the condition, or the entire record?

    Once again, thanks for taking the time to answer the concerns posted on here.

  99. charles p. lamont May 5, 2011 at 5:26 pm

    My name is Charles P. Lamont and I am a retired MSG. I served 26 1/2 years in the Army 2 of which were in Vietnam. On 25 July 2008 I filed a claim with the Los Angeles Ca Veterans administration for PTSD. My claim was denied 2 times, and I filed an appeal on both of them. The question is when is the Veterans Administration going to quit lieing to the Veterans. I had a C&P examination on 31 March and evertime I call the 1-800 number I get the same answer it is with the RO. Can some one in the Veterans Administration give me a straight answer on how long it will take to complete my case. I kn ow that I am not the only one but it seems that the Vietnam Veterans are at the bottom of the pole.



    • CHARLES P. LAMONT July 21, 2011 at 6:53 pm

      Hello Mr. Pamperin, My name is Charles Lamont and I have read many of your messages to Veterans and how they respond with thank you. To start off welcome home and God Bless you. I usally start off by complaing but this time I am going to try a different route. Well I am not going to bore you with a long story. I am a retired Vietnam Veteran, I served this great country on active duty for 26 1/2 years 2 of which was in Vietnam, I am presently still serving my country work at a military baise in california. I have work for the Army for almost 46 years, the problem is I do not know how much longer I will be able to work with my PTSD problem. Now I can get to the reason I am writing you. I have tried to write many other people and the only thing I get if they answer is you have to be paitient, well to be honest I have run out of patients. I would really like to get a straight answer from some body. My story is in November 2007 I was diagnosed with positive PTSD, I waited until 25 July 2008 to file my claim since I have filed my claims it has been denied 2 time which I filed and appeal both times I was able to prove the california veterans administration wrong. I finally received and appointment for a C&P examination on 31 March 2011. The examination was received at the Los Angeles Veterans administration on 14 April 2011. Since they have received it I have not heard anything from the VA. My last appeal was filed on 26 April 2010, it took almost 1 year before I received this appointment. I guess my big question is before I die will I receive my compensation. In closing I want to thank you from the bottom of my heart for just listening. If you can help great, if not thank you for trying.

      • CHARLES P. LAMONT July 22, 2011 at 3:08 pm

        • Dear Mr. Pamperin, this is a follow up message from the one I sent you yesterday. I felt that I should give you my story. I do have documentation that can support my inquire.
        In November 2007 I was diagnosed with PTSD and a follow up appointment was made for me at the Loma Linda Hospital. When I went to my appointment the doctor that I was seen by said that I should submit a claim. Well in July 2008, I filed a request for disability for PTSD which was caused by an incident along with other things that happened back in Vietnam the 2 years that I was serving my country. I filed this claim because I was diagnosed by the Loma Linda VA Hospital as testing positive for PTSD. In June or July 2009, I received a letter from VA stating that my request was denied because my records did not show that I was stationed in Vietnam at the time of SPC Charles R. Leonard’s death. In reviewing the letter it showed that my entry date into the military was 1 December 1966 and not 12 January 1966. In the same letter they said that someone checked my retired military medical records and it showed that I was first seen in the 25th medical hospital in September 1966 which was located at Chu Chi Vietnam along with the 25th Infantry Division. Upon reviewing this letter I gathered documents showing that I was in Vietnam at the time of SPC Leonard’s death I resubmitted the documentation. I especially re-submitted copies of my DD 214′s along with copies of my orders indicating that I was stationed in Vietnam at the times stated. In August 2009 I received a call from the LA office that my case was being forwarded to the state of Washington to a review board for a relook. I was informed by the individual that I spoke with that this could take about 2 months and that I could call back around 15 October to find out what the status was on my request. On 20 October I called the LA office and I was informed that my packet was returned on 30 September 2009 and that it was at the review board. Since my records were returned on 30 September 2009, I have called the number provided requesting information on the status of my request and each time I was told that the request was up for review. On 8 February 2010 I received a letter from the VA office requesting that I submit a form outlining what my stressor was. On 9 February 2010 I sent another copy of the same document along with copies of my orders and DD 214s, this was the third time I have submitted these documents. As noted above, this request was originally submitted in July 2008, and the resubmission was in July 2009. It seems like every time I call I am always told the same thing that my request is at the review board for approval board and once it is completed at the review board, it will be sent to the classification board for approval. It is now over a month and I am still getting the same message that my request is at the review board and when completed it will be forwarded to the rating board. Once again I have received a letter from the LA VA office dated 13 April 2010 stating that my request was denied due to the fact that I could not prove that my friend SPC Charles R. Leonard and I were stationed together in the same unit at the time of his death. In the letter from the VA office it stated that SPC Charles R. Leonard was not in the 86th Signal Battalion but was with the 86th Engineer Battalion stationed at Phu Loi Vietnam. I have attempted to obtain orders or any other documents showing that SPC Charles R. Leonard in fact was with the 86th Signal Battalion and not the 86th Engineer Battalion. The only proof that I could find was on the web site Virtual Wall, which showed SPC Leonard as being with the 86th Signal Battalion at the time of his death. I have contacted the Virtual Wall Organization to find out where they get the information on the soldiers whose names are entered on the wall and I was told that the information is obtained from official military records. Again I requested an appeal for the above action on 20 April 2010. Again or about 25 April I received another letter from the VA office requesting more information. I resubmitted the document the following day. It has now been over one month and I still have not received any information from the LA VA office. One other thing, in the letter dated 13 April 2010, the LA VA office stated that I did not show for a appointment on 7 April 2010 with the Loma Linda VA hospital, I must admit that this is correct, however on or about 1 April I called the number provided and requested that the appointment date be changed to 19 April 2010 due to the fact that I would be on leave from 2 April 2010 to 18 April 2010 in Philadelphia. The individual I spoke with said that this would not be enough time for him to complete my case and that they would cancel this appointment and that I would have to call the LA VA office to make a new appointment. On 2 April 2010 I called the number provided and the individual who I spoke with said they would send a message forward to request a new appointment. It seems that every time I submit documentation the LA VA office comes back with other items that I need. If needed I can provide all the documentation to substantiate this complaint. One last note, it has been almost 23 months since I submitted my disability request. In December 2010 I received a letter from the Los Angeles VA stating that they are responding to a letter from the president and that my case is with the RO. It is now 7 February 2011 and I have not heard anything else about my case. During the time that I filed my original request for PTSD compensation and the 2 appeals that I have filed it is now 36 months. On 31 March 2011 I finally had a C&P examination with the QTC Medical services. The Los Angeles Veterans office received the C&P examination results on 14 April 2011. I have been diagnosed 5 different times by the VA with chronic PTSD, and also one time by a civilian doctor. I have tried numerous times calling the 1-800-827-1000 number and also checked the e-benefits system and I get the same answer my case is with the RO since 26 April 2010. Mr. Pamperin, the reason I am seeking your help is I do not know what else to do, and also I have read so many comments about you that I feel you are my only hope. Any help you can give me will be greatly appreciated. In October I will be 65 years old and I do not know how much longer I will be able to work with my PTSD problem. In closing once again welcome home and God Bless you and all my brothers and sister veterans.

        Charles P. Lamont

        • CHARLES P. LAMONT July 25, 2011 at 3:33 pm

          Dear Mr. Walcoff, I did not realize that Tom has retired. Tom has helped many Veterans when they had problems with disability claims. The above messages is mine crying out for help. If you can help I would greatly appreciate it. In closing God bless.

  100. Danny May 3, 2011 at 7:05 pm

    Is there a process that you can cancel your va benifits?

  101. VICTOR S. ORTIZ May 2, 2011 at 9:13 pm

    I went to CMP on November 2010 for 2 conditions then went in April for another condition. Can anybody tell me how can I GET THE STATUS OF THESE CMP’s.

    • Mark Chamberlain May 19, 2011 at 3:27 pm

      Sign up for ebenefits on VA web site. You will have to find the sight closest to you to get verified with an ID then after that you can check it at home.

      • charles p. lamont July 18, 2011 at 7:25 pm

        Dear Mr. Mark Chamberlain, I just wanted to let you know that the ebenefits system sucks. I have been in the ebenifits program for more than six months and evertime I checkl the status of my appeal the only thing I see is still at the local RO, since 26 April 2010. The way I feel is that this is just another lie from the veterans administraion.

  102. steve May 1, 2011 at 12:29 pm

    So, where did Mr. Pamperin go????????????????? His absence and lack of response is so obivious

  103. Kandi wilson April 25, 2011 at 12:22 am

    I just ets from the army a week ago. I requested all my medical records n before I ever got them they were shipped to st Louis. I have several injuries including a broken deadening in my right foot that I was told they could not fix due to having to cut tendons. My question now is how do I get started with my claim when the only paperwork I have is a form my pa signed as a “separation physical”?

  104. Colleen Martin April 23, 2011 at 2:44 pm

    Mr. Pamperin,

    My Name is Colleen Martin. Currently I am an 80% Disabled Veteran for both my knees and PTSD. I would like to voice both my frustration and gratitude to the VA. Although it was a fight and took me ten years to receive my initial disability rating it did finally happen in approx. 2005. Since then I have had over 17 knee surgeries and have had difficulty holding a job. I am currently in VOC REHAB and have filed a re-eval since my knees were initially rated at 10%. I find it hard to believe with so many surgeries and so many impairments they were rated so low. I filed the re-eval with the Denver RO on 12/03/2010. The DAV at the Denver RO was given a power of attorney in 2004 for the initial claim. I spoke to them last week and am still waiting for a call “right back” I have received several “we are working in your claim letters” and I have been told that they are currently just processing June 2010 claims. My family is having a hard time financially since I am unemployed and would like to know what can be done to expedite the claim. Any advice assistance you could provide would be much appreciated.

    • steve May 1, 2011 at 12:39 pm


      As you should know by now, there is nothing you can do to “expedite” anything with the VA

  105. Norman Rose April 21, 2011 at 10:19 am

    Sorry if I changed the subject or messed things up. My head isn’t working right.


  106. Norman Rose April 21, 2011 at 10:16 am

    Mr.Thomas Pamperin:

    I have filed a claim on Jan. 27, 2010 and now it contains a 1151 claim attached to it (by the VA) which has been made a part of the original claim. I was told via telephone by the VAMC here in Shreveport to file this 1151 claim as a result of some bad doctoring and a “Peer Review” investigation.

    In February 2011 I was told they had all the info they needed for a decision and it would take from 14 to 27 days to make a decision. After about 20 days I got a letter that stated that they needed 2 more documents. I promptly sent them and them and they acknowledged receipt and told me it would be another 4 months to make a decision. On April 13 I was sent an email that stated “It appears all information needed to support your claim has been received as of April 4, 2011, as your claim is currently awaiting a decision.” Also it said “The Decision Phase is completed on most claims between 16 and 27 business days.”

    I ask another question via IRIS and received the following on April 15, in part it reads: “We are aware of the 1151 and it is part of your claim. Your Regional Office must develop for all pertinent evidence in order to make a determination as to whether or not benefits for the claimed disability or death are warranted.

    The Regional Office will send you a letter advising you of all evidence that is required to substantiate the claim. This letter will also inform you of the specific actions the Regional Office is taking in order to make a proper decision.

    The Regional Office will contact the VA Medical Center or Clinic for all pertinent records related to the treatment/examination/event and the claimed additional disability.

    The Regional Office will attempt to obtain any other medical evidence (such as private treatment records) that the veteran/claimant identifies as being relevant to the claim. Please note for private treatment records, we require a completed VA Form 21-4142, Authorization and Consent to Release Information to the Department of Veterans Affairs (VA), in order to request the records on behalf of the veteran/claimant.

    When all pertinent evidence concerning the VA treatment and disability are received, ROJ may request a medical opinion to determine whether or not the veteran’s additional disability or death was proximately caused by carelessness, negligence, lack of proper skill, error in judgment, or similar finding of fault on the part of the VA, or was proximately caused by an event not reasonably foreseeable.”

    Because of this type of service and communication I do not plan to appeal anything within the framework of the VA. I am advised to talk to you before I take any further action, however I do not have any idea who to talk to or how to reach them.

    You apparently have info from the VAMC about the “PEER Review” that resulted in the VAMC telling me to file this 1151. At least you say you have everything you need to make a decision. I do not have any info about what was submitted to you by the VAMC.

    As a result of the mentioned “Bad Medicine” the quality of my life is now at the very bottom and my life expectancy has been severely impacted. I am now 100% disabled and any other decision on your part would be ludicrous.

    My 15 year experience with the VA has been really nice except for this current life ending experience.

    Norman Rose 2344
    Claim number: 20 342 758

  107. Scott B April 19, 2011 at 9:10 am

    I am a retiree living in Germany as civil service. I recently found out the VA will cover service connected disabilities (already identified) through the Foreign Medical program. Since there is no VA facility overseas I will be using a foreign provider.

    This leads to my question. My rated disabilities have worsened considerably since retiring last year. How do I apply for an increase in my rating from an overseas location? The Landstuhl Regional Medical center VA office only handles separating servicemembers and not retirees. I believe my “regional office” which I keep getting referred to is in Pittsburgh.

    One of my rated (although at 0%) disabilities was profound hearing loss. I understand I can receive free hearing aids for life from the VA. However, being overseas I am not sure where these would come from.

  108. Boyd Holbrook April 14, 2011 at 5:31 pm

    Maybe someone can help me. I have a 80% rating, my left knee was messed up 45 years ago and last year I had to have a hip replacement due to arthritis. I was told this was caused by me favoring my knee. Do I have an avenue to try to get an increase in my rating? I cannot hold a job due to the pain and limited physical abilities. I am 65 years old.

  109. Gloria S. Smith April 13, 2011 at 9:07 am

    My question is: I was in the service from 1980 to 1986. While in the service I developed problems with my feet. I visited the military dr. Over the years my feet have start to bother me. I never made a claim for my feet. Can I make a claim even after these many years?

    Please let me know.

  110. Mike April 6, 2011 at 9:13 am

    1. Communicate, communicate, communicate”

    Why do veterans get run around concerning questions and conflicting information about their claim when contacting the 18008271000 or when iris response is done? How come the people actually working the claim are not more involved with the claimant? This is customer service talking and resolving problems and concerns the veterans have. I would think this could help both the veteran and VARO’s with claims.

    “If we are not clear or you think we have made a mistake, let us know so we can both fix it, and provide a learning opportunity for our staff to serve other Veterans better.”

    Ok then today I will try contacting the RO and see if this is actually how the VBA really works.
    I just got off phone with public contact at the Winston,Salem VARO and they are going to look into all this. I could tell by speaking they were not happy I was contacting them directly. They assured me they would look into my question and concerns. I know that the VA backlog is overwhelming.

    However, when you are the veteran waiting for claim adjudication and have first hand knowledge of the impact of the service connected disabilities on your life. You feel customer service should number one on the list.

  111. Nicole March 31, 2011 at 6:14 pm

    I filed a BDD claim on April 22, 2010. I hand delivered a complete Form 21-526 along with my entire medical record to the VA representative at DES-Fort Meade. After waiting about eight months (I try to keep my expectations realistic), I had not received any correspondence. In need of medical attention for one of the conditions I claimed, I called and discovered that my name and my social security number weren’t even in the system. “They must dropped the first digit of your social while inputting your data”, I was told. I couldn’t even enroll for the Health Benefits program until that problem was resolved.

    After two weeks, a mysterious agent called and told me that I had the basic information had been put on an initial record. He also told me that he would refer my case to the BDD office in Winston-Salem. Our call was disconnected, and I wasn’t able to get his ID number, or write down his name.

    I was eventually able to enroll in the Health Benefits Program. I called back and made another inquiry. As of now, it’s close to a year since I filed, my condition is worsening and the VA cannot verify the existence of my claim paperwork. I was told by an agent that I might be better off going in person to the Regional VA Office. That’s a five hour drive that I’m going to take soon, if I can arrange childcare. I hope that if I just bring all of my paperwork, maybe I can get this resolved.

  112. Patrick F March 29, 2011 at 4:34 pm


    I need to thank you. Back in January I wrote you about my claim after waiting a year. The very next week I receive a letter from Baltimore to schedule me a C&P Exam. After nearly a year waiting, you managed to light a fire and get those in Baltimore working. Thank you, Thank you, Thank you. Unfortunately, I haven’t heard from them since. eBenefits says my claim is in the decision phase. But it also said that for many months before. Might you check on my claim again. But please try not to upset the rater. I am forever grateful.

    Patrick [F1332]

  113. Randy Mosele March 27, 2011 at 5:49 pm

    I just received my claim letter from the VA for PTSD and a back injury. I am rated at 20% which was about what I expected but I was utterly shocked to read on that the VA is going to recoup my separation payment of $47,000 from the “Peace Dividend” drawdown of 1994 before I will receive anything. At my comp rate that won’t be until 2027. No one in this process mentioned that they would take back money I received to help the army meet it’s active duty officer drawdown targets almost 20 years ago. I can’t find any information on this web site that even discussed this policy. Does this sound right?

  114. steve March 27, 2011 at 4:56 pm

    Dear Mr. Pamperin:
    I know you are very busy and believe you are trying to help veterans and the backlog of claims…Thank you for that…
    I filed in august 2010 for PTSD and had a c&p on Jan 7, 2011.. As of this date, I have not heard on the status of my claim. Is there really any attempt for ALL regional offices to decide claims quickly, or is it only those regional offices who are located in LARGE CITIES???
    My claim is being handled by the Columbia, SC regional office and I have heard “horror” stories from other Vets who has claims pending there and it is the general concenses from other veterans in this area that their “orders” are to delay, delay, delay..
    I hope this is not true and if it is, they should be fired!!!!!!!!
    I expect that if you youtact them about my claim, it will suddely get “lost”

  115. Henry Bohne March 23, 2011 at 5:28 pm

    Tom Pamperin – I am a County VSO. Some veterans want to claim anything and everything that is wrong with them now. Making the nexus sometimes is impossible. But what really interested me in your article was the “constitutional or developmental abnormalities” description.
    I some times feel that waht the vet wants to claim as a SC disaability just doesn’t fit. For instance, kidney stones that were passed while in service. I questioned, are there damage results because of the stones? No, but I might have more some time.
    Where could I go to learn more about the “c and d abnormalities you mentioned.
    I liked you article and we are using some of your points on reducing stress, especially with PTSD type claims.

  116. Mark Chamberlain March 21, 2011 at 2:51 pm

    Well here is something new. Had an appeal in for a year and had no answer then a couple weeks ago I received a new form for appeals and a statement of whether I still wanted to appeal and if I did send in the new Form 9 again. While reading the statement of case they where once again missing VA medical records and claims from 1992, 1993, and 1994 with Mr. Pamprin’s signature on them. So I sent these back and then received a letter that they where scheduling a C & P exam just because I had in an appeal and they needed it to send to the BVA. So this will be my first C & P since I filed claims in 1992. If my VSO back then would of told me that you have to get the law involved (BVA) then I could of had my claims done by now. Being that a C & P was schedule in 1993 and I had to cancel because of weather and when I asked to reschedule they did not because Mr. Pamprin and crew decided the claim with out it. Just some more CYA by the VA to cover incompetence and an excuse to avoid back pay. I also wonder if this starts the 2 year wait to have my case heard by the BVA. I might get mine done in time for the 2015 that they are stating as the we are all caught up year.

  117. Sean Bruce March 20, 2011 at 6:46 pm

    Mr. Pamperin,

    This was a great article, with great insight into the process. As I read the timelines you outlined for each program, I am surprised my claim is taking so long! During TAP at Tinker Air Force Base I was encouraged to file my claim while still on active duty. I filed my claim in May 2010, began terminal leave in Jun 2010, and retired effective 1 Oct 2010. VA initiated communication with me has been nill until just about two months ago. Now, I constantly get conflicting reports from the VA stating my case is being handled as a Quick Start and other communication stating it is no longer being handled as Quick Start since I am no longer on active duty. I get conflicting information regarding who will handle my evaluation apptms (QTC versus the VA) and each organization points the finger at the other! I was out-of-town for two weeks in early Feb. As I reviewed my mail when I returned I realized I was notified and missed a QTC appt within the two-week period I was gone. I contacted QTC to inquire, and they informed me the appt should have never been made with them, but all is being handled directly by the VA anyway. A few weeks ago I actually had one appt at the VA medical Center in Oklahoma City.

    I’ve called the VA several times to attempt to obtain some clarification and help move the process along, and each time an “inquiry” is submitted, but in each case so far I’ve not received follow-up. Additionally, in early Jan I mailed the San Diego office (whom I understand is handling my claim) additional medical evidence of one of my claims. Unfortunately, to this day no one is able to verify receipt.

    I guess I am sharing my situation with you because it seems from these previous posts that you follow-up with people. I appreciate how you have followed-up with others in this thread as it gives me hope. I am closing on a house at the end of Jun and was hoping to have the VA funding fee waived due to my anticipated service-connected disability. It’s been 10 months since filing my BDD or “Quick Start”. I have been patient, but this far exceeds the timeline goals of the article. I feel like I have been faithful and diligent to what I’ve been asked to do, when will the VA?

    Also, why is it the VA only corresponds via mail? They always verify my phone, but I only ever receive mail correspondence. I would certainly welcome a phone call or email to help expedite the process?

    I appreciate any insight you may offer.


  118. george h. March 13, 2011 at 1:08 pm

    contrary to popular belief i do really think that the va is geared towards helping vets.i have filed for benefits with an awesome vso officer GEORGE BOSOLET and all i really did was show up and follow instructions and though it took about a year for the va to make a decision the process was seamless and favorable so i don`t want to beat up on the va too much but like everything else there is a whole lot to be done to improve the service e.g the turn around time could be sooner it is currently too long and that in itself can add to an already stressful process.To all vets however i must insist that you retain the help of a vso officer or someone qualified to assist you don`t do it alone these folks are familiar with the process and the language and really want to help vets they will take on the va for you too should you have a denial.vets must understand too that there are criteria and if you don`t meet them you simply can`t get an award speak with your doctors and your reps get it right on the first try.lots of great info here though really enjoy reading all the comments.

  119. John Minnigh March 11, 2011 at 8:07 am

    Army, Vietnam, two Purple Hearts. Stepped on a landmine with left foot. shrapnel went into uppper left leg. Day after being released filed VA claim in 8-69 for bootm of left foot. Had no shrapnel or open wound but bottom of foot hurt. Did not know what was causing it, however, I do now. It was torn ligaments from the blast under my foot, Plantar Faciitis. Rated by VA 1970 at -0- percent. Back in 1970 X-ray would not show torn ligaments and MRI was not invented. Filed claim again 6-2010. VA has been deceiving me. They examined my foot, told them of the pain and what happened and they gave me an X-ray rather than MRI. X-ray shows nothing so I am rated at -0- persent again. I am appealing. Come to find out the reason why VA does not want me to be rated with a percentage is back in 1969 their Rating Decision was for my RIGHT foot rater than my left. My claim from 1969 has never been adjusicated, or closed out. Meaning if I am found qualified I would be due back pay for 42 years. Does anybody have any input on this?

  120. Rick March 8, 2011 at 12:27 am

    As of March 30 it will be a year since I filed my claim. When I call they are telling me that it is still in the discovery phase. I am having an issue with this as all my paperwork has been turned in. My daughters live in germany and I only get to see them once every two years but if the va doesnt hurry up and make a decision I will not get to see them as I cant afford to pay to fly them home if I dont have income coming in.

  121. Chris March 6, 2011 at 9:27 am

    Sir, I’m a Vietnam Vet who retired in 1990 with 10% disability. Since then I’ve developed Sleep Apnea, a back problem and just in the past 2 months Tinnitus and a 35% hearing loss in one ear and 25% in the other. I’ve received an additional 10% for my back. When I requested re-evaluation last year I listed Sleep Apnea however it was denied because there was nothing in my medical records although back in 1990 when I retired it wasn’t even mentioned. Is there any way I can re-file another claim for this and get consideration and what about my Tinnitus and hearing loss? Should I file a claim for this or would it be a lost cause?

    Thank you for your time

  122. Stephen Fidnick March 6, 2011 at 8:38 am

    I honestly think that VA would serve the Vets better if all of the Vets had a contact person.

  123. Dylan Finsand March 6, 2011 at 6:11 am

    Wow this place is so swell. I feel better already knowing every one in the big VA are cared for. Group Hug There are some very serious delimas and big mistakes made that effect lives in real time. I perplexing to think so many raters either just dont care or are very incompitent. Really it is a scary thought because we have to put our lives and futures in these peoples hands. I have dementia how about a rater bring me thier car to fix. I use to be a good mechanic. If they loose every thing cause I cant fix the car and they cant get to work so on so on.. I dont have any ideaa how raters are paid but would actually like to know. Why would a rater/s make a desicion with out SMRs in thier hand? It happens… Why would c&p happen with out smr? It happen… and to much to be consider mistakes in my oppinion. But to be fair there are lots of good stories to, and VA has come a long ways in many areas.

  124. Roy Klein March 1, 2011 at 10:22 am

    I am a Vietnam-era Air Force veteran. My disability claim was fled on 29 Sep 2009. And, since that time the VA lost a set or two of my medical records despite having receipted for them earlier. Each month the lost records would miraculously be found, but a different set would be lost. Finally, after some intervention by my U.S. Congressman, the VA stopped losing my records.

    But, the VA then started the game of bouncing my claim between “development” and “decision”. The VA did this at least two documented times, each time the decision team found a different excuse to bounce it back to development. Following is the summary of the last two times my claim was sent to “decision” and bounced back to “development”.

    On 1 December 2010, I was told that my claim was “Ready for Decision and is with the rating specialist”. But, the very next day, on 2 December 2010, the VA informed me that my “claim was returned to the development phase while [the VA] makes a line of duty determination regarding a vehicle accident that occurred while traveling to reserve training.” The line of duty determination is the exact same issue for which I was told was resolved in August 2010. Apparently, the VA either did not read, or conveniently lost, the definitive proof provided to them in August 2010. Therefore, I resubmitted another clarification letter in December 2010.

    On 10 February 2011, I requested the status of my claim. On 11 February 2011, I was informed that my claim was sent to “decision” on 25 January 2011. But, on 22 February 2011, my claim was again bounced back to “development” because they interpreted my “clarification letter” as showing that I claimed additional disabilities. However, my support statement did not mention any additional disabilities. Although, page 2 of my statement mentioned a Functional Capacity Evaluation (FCE) conducted by Social Security Administration in March 2010 and submitted to VA in September 2010.

    Therefore, it is readily apparent that the December 2010 “decision” team ignored the FCE (submitted in September 2010). This is not the first time VA either ignored, or conveniently lost, my submitted records.

    Now I know why there is such a large backlog of claims. The VA has found a loophole to prevent from being sued. Apparently, as long as they don’t make a decision, veterans cannot APPEAL or SUE the VA. To me, this sounds like Fraud, Waste, and Abuse. But, it seems that the VA is exempt from this as well.

  125. Charles Cauthen February 27, 2011 at 6:25 am

    Mr. Pamperin,
    I watched Sec Shensiki plead his case to Congress about Viet Nam Vets and AGENT ORANGE. Saw their reaction to this, the President made a statement on TV. The VA got their 110 billion dollars, partly on the Sec.’s concern about Viet Nam vets.Thursday and Friday, I was told by two reliable,inside sources that all regional claims offices were ordered to STOP Viet Nam/ AGENT ORANGE claims, stack em up and put em in storage.Why would they do such a thing? Does President Obama and Congress know this? Do the American people need to know this?

    Charles T. Cauthen
    173rd Viet Nam Combat Vet

    • Michael L. Garee February 27, 2011 at 11:22 am


      As a Vietnam veteran (U.S. Marine Corps, Vietnam 1966 and 1967) awaiting resolution of my disability claim for prostate cancer, I sure hope you’re wrong about this, or at least that your “insiders” are wrong about it! If, however, the information you received is correct . . . WOW!

      If you will read through the posts to this blog you will notice that the last date Mr. Pamperin was online responding to posts was February 1st. Don’t know if discussion is “closed” on this blog or not, or if Mr. Pamperin simply got “side-tracked” for awhile. If he returns to the site, I sure will be interested in seeing his response to your post, though.

      Also, I noticed that you responded to my response to “retired Marine” above and indicated that I should expect not to hear anything on my claim for 18 to 24 months (my claim is in the Atlanta, GA, VARO), and that when I do hear, to expect the “worst.” What did you base that on, your own experience, information from your representative, the VARO, what? (Not trying to be argumentative, just want additional information.)

      By the way, I currently am not working with a representative. To be honest about it, it seemed to me to be relatively simple and straightforward to complete all necessary paperwork for my claim myself. Also, I really didn’t want any “middle man” between me and the VA. I may, however, live to regret this choice because, certainly, I can’t get any information from the VARO except that which is available through the 800#. It’s just a matter of wait . . . wait . . . wait . . . never knowing if my claim is lost, misplaced, etc.

      So sad.

      • Charles Walters March 18, 2011 at 6:15 pm

        You probably won’t see this, but in case you do:

        The VA rates easy claims (those that can be quickly denied or there is no doubt about the vets situation) in about 8 weeks. Anything more complicated will extend to 18 months or more (personal experience). Beware of the DRO offer to “expedite” your claim in lieu of an appeal. I went that route and waited about 10 months for them to tell me that my claim was still denied. The cost was that my package could have been in the VA Court of Claims for Veterans’ Appeals instead of the inbox of a VA Regional Office supervisor. My appeal is now in the 3 to 5 year appeals queue.

        The VA continues to fail at their job. The timelines that we hear about are those given to the Congress and the Senate. This is the only group who gets a response from the VA to letters and queries. The VA does not respond to vets. I have no sympathy for the people doing the “work” since they should be trained sufficiently to get the work done. Think about it, if we did our jobs at the same level of professionalism and dedication as the VA employees, we would never win any war and we would all be under the USSR since it would not have collapsed! At least when we were in combat we knew our enemy, his capabilities, and was able to defeat him based on that info. We cannot defeat the VA, only roll with their timeline. Mr. Pamperin probably was told to cease and desist since he actually provided some limited help. That is probably why he no longer participates in this blog (which I am guessing is dead at this point).

        Best wishes to all and Semper Fi (Retired Marine Officer)

  126. Marcus February 26, 2011 at 3:20 pm

    Mr.Tom Pamperin
    I was in a car accident in June of 2002 while in Airborne school that I was hospitalized and had emergency surgery for. I have no memory of the accident or ever evn being in the hospital. not long after the accident I noticed that I was having short term memory problems, severe migraines, lower back and shoulder pain pain in my right knee and ankle. I filed a claim for all but only received 20% disability. I still have all the pains and memory loss to this day and decided to go to a local chiropractor recently and she explained to me that my right hip was twisted, causing my right foot to stick out at a 45 degree angle and that this could be why I was having the back, knee and ankle pain. Should I resubmit a claim for my knee, ankle and memory loss?

  127. Pamela February 25, 2011 at 7:42 pm

    Your article was excellent.
    My claim was submitted in May 2010 (when the VA got it and opened it according to the Regional VA phone person). It had an addendum added in Jan 2011, as I underwent 2 brain surgeries in Sep and Oct 2010.
    The Board at the Navy Yard has done their part, and it has gone to the VA (I believe about a week ago). There is no update at the Regional VA office. Where is my claim?How long until it shows up in the Regional Office? When can I reasonably expect it to be completed?
    You say in your article, “Communicate, communicate, communicate.” With who? I’ve yet to find anyone that wants or cares if I communicate. Calling the VA Regional Office and finding out it’s not even there yet, is terribly frustrating. The NNMC and VA put together my claim after extensive appts at the VA in DC. No one said not to claim for anything.


  128. DANIEL BRACKER February 20, 2011 at 11:05 am

    Thanks for this article. It really taught me alot, about the flaws in the system. I know that you are trying to make the system work better, and you probably learned a few things too. I feel sorry for you, that some of the blogs attacked you. I’m sure, that you didn’t deserve to be written to,or attacked in that manner. Thanks for the time and effort you put into this, which is truely above and beyond. It has truely been the best blog on the site.

  129. Juan Alvarez February 16, 2011 at 8:20 pm

    Mr Pamperin,

    The VA BDD factsheet states that the goal for BDD claims is to have “benefits delivered within 60 days” of release from active duty.
    Has that goal been changed? Every fellow vet (two bases in FL) I know that has retired in 2010 has yet to receive a rating. The BDD was designed to expedite claims, so far in 2010 that promise appears to have been broken.

    I submitted my BDD claim in May 2010 through my base. My C&Ps were promptly scheduled in June and my last C&P (a follow up) was on 19 August 2010.
    I retired 30 Sep 2010
    According to VA reps I have spoken to when calling the 800#, my claim went to decision/rating on 28 Sep 2010 to Winston-Salem instead of St Pete… I retired in Florida.
    It is 16 Feb 2011 and still no answer. When I call the toll free number I have also been told that some “unknown action” was taken on 14 Dec but the agents could not explain what it was. Lastly eBenefits shows an additional claim in closed status dated Nov 22 2010 with no explanation of what it was, and none of the reps can explain why it is there either.
    My questions:
    Has the goal been changed or at least is the VA communicating to the bases that it is no longer able to comply with the stated goal of 60 days? The VA rep I spoke to on 14 Feb told me that it was unofficial but he heard that BDD claims where going to take 6 to 9 months AFTER retirement to settle.

    My claim date on eBenifits shows 1 Oct 2010 – even though I submitted my claim in May. When the VA does finally close my claim out will it count back to May 2010 when my claim was submitted and stamped or will the VA use the 1 Oct date to count the number of days it took to process? This is data the VSOs should be tracking also b/c it could lead to the release of false performance data.

    Last question: Will my file stay with the Winston-Salem office because of it being a BDD, or will it be transferred to St Pete upon completion… nearest to where I live (Tampa)? I have read on a vet blog that files that were associated with BDD claims will not be transferred.

    Thank You


    • Sean Bruce March 20, 2011 at 7:07 pm


      Amazingly, your claim submission date (may 2010) and retirement date (30 Sep 2010) are exactly the same as mine. Unfortunately, I have had only one appt in March this year. I am very discouraged by this process to this point. I’m curious, have you had any updates to you situation since you made this post?


      • Juan Alvarez March 26, 2011 at 9:57 pm


        I have heard nothing. I have called several times. I also submitted an IRIS on 14 Feb… and a follow-up.. No response at all from the RO.

        Thanks for your service… best of luck to you


  130. dana k February 16, 2011 at 1:32 pm

    I filed for disability in 1992-1993 and received a 10% rating. Now I have more health related problems that were not included in my original claim. How do I apply for reconsideration of the initial determination and include my new problems?
    I fell off a rooftop during my service time and injured my knee, I got out of the service for problems from that injury. Now I am suffering from a disabling spinal issue, have had numerous surgeries and my civilian (NON VA) surgeon has rated me 100% disabled and unable to work, drive, etc….They cannot rule out that my condition was worsened or even caused by my time in the service.
    How do I get the VA to reconsider my initial claim and include new doctor information in the hopes my disability rating with VA will be increased?

    • Mike P February 16, 2011 at 2:42 pm


      Not sure if you have received a reply to this message. If so, here is a little more information that I have gathered reading the VA web site

      In your case, I recommend that you go to the forms menu on the VA web site and find VA form 21-4138 (fillable). Type In the block that that begins with “The following statement is made in support of my claim”, the following statement “example: Request that I be reevaluated for an increased rating for my current service connected disability (state what the condition is). Also, state that “I would like to open a new claim for a spinal condition (state what the doctor diagnosed the spinal condition as”. Sign and date the form and send it in registered return receipt to your supporting Department of Veterans Affairs Regional Office. That will get things started.

      While waiting for a VA response (VCAA, etc), look for a good Veteran Service organization and request that they assist you with identifying medical evidence that will support your request for increase and evidence that will somehow support your spinal condition as it relates to your military service.

      The VSO representative will tell you what is needed in order to substantiate your new claim.

      Good luck!

      Mike P

      • dana k June 26, 2011 at 2:17 pm

        Mike, I looked at the VA Website today and my claim is still in phase 1, they have a section that says WHAT HAVE WE DONE; And in the first block are the letters MES. What does that mean?
        Also, the site says: You may be entitled to compensation at the 100 percent rate if you are unable to secure and follow a… substantially gainful occupation because of your service-connected disabilities. If you believe you qualify, complete, sign, and return the enclosed VA Form 21-8940, Veterans Application for Increased Compensation Based on Unemployability.
        6/25/2011 7/27/2011 and then another section says: Ask your last employer to complete and return the enclosed VA Form 21-4192, Request for Employment I…nformation.
        Are they sending me these forms? Are they sending the employment form to my last employer or is that my responsibility?
        I am just not sure what to do from here as nobody ever sends me info nor do i receive any calls to update me.

  131. Gregg F February 16, 2011 at 11:39 am

    Tom, Still waiting for your reply about my appeal status at the RO Pittsburgh Pa. Waiting patiently Gregg F

  132. Retired Marine February 15, 2011 at 3:51 pm

    Mr. Pamperin,
    Thanks for your website, information, and advocacy for veterans.
    Just wanted to share my timeline, it may help others to gauge their own.
    – 18 June 2010 – submitted my claim to Wash DC office, with complete and legible copies of my med/den records. Benefits During Discharge Program.
    – Jul/Aug 2010 – attended 5 different exams/physicals at the Wash DC VA Hospital. Made all the appts, never cancelled or rescheduled.
    – 01 Oct 2010 – my retirement date from the USMC. I ensured the VA had a copy of my DD-214, so as not to delay claim.
    – 27 Oct 2010 – my claim goes to the rating official.
    – 15 Feb 2011 – my claim is still with the rating official/Winston Salem regional office.

    So, my timeline is:
    – To date, 240 days since claim was submitted to VA.
    – To date, 110 days with the rating official.
    – Still no decision.

    I’ve recently written letters to the Vet Benefit Administration, and the Winston Salem Regional Office, inquiring on the status and requesting to be contacted. I also monitor EBenefits and occasionally call the 827-1000 number.

    Good luck to all.
    Semper Fidelis.

    • Michael L. Garee February 21, 2011 at 5:23 pm

      Dear Retired Marine:

      Thanks for sharing your claim “timeline.” It was very informative and, at least for me personally, helpful because I now know I am not alone in experiencing inordinate delays at the various claim phases, particularly the so-called “rating” phase.

      I submitted my claim for prostate cancer residuals (Agent Orange-related from my combat service with the U.S. Marine Corps in Vietnam, 1966-1967) and secondary chronic fatigue syndrome to the Atlanta, GA, VARO on May 29, 2010.

      As this is being written, my claim has been pending for 269 days and has been “in rating” since December 6, 2010, 79 days.

      The “national averages” touted by VA for each phase of the claim are as follows:

      DEVELOPMENT: 102 – 139 days

      RATING: 16 – 27 days

      NOTIFICATION: 10 – 40 days

      According to these averages, then, the MAXIMUM number of days it should take to process a claim would be 206; the overall AVERAGE number of days would be 166.6, which is close to the 161 days the VA currently claims it takes to process the “average” claim. Obviously, in my case and yours (as well as many, many others), today these averages are apparently largely meaningless, if in fact they ever have had any genuine meaning.

      When I originally began calling the 800 number to track my claim, I was told that I should expect to wait about five to six months. Then it became seven to nine months. The latest thing I was told (about a month ago) was to expect it to take at least a year to process my claim.

      What is the truth, insofar as current processing time is concerned? Who knows.

      I am fully aware that the VA is absolutely overwhelmed with claims today, but it would seem to me that they would be far better served to issue NO time estimates whatsoever as regards claim handling or any phase of it. By issuing estimated timeframes the VA only builds up certain expectations among veterans, and these expectations rarely seem to be being met today by the VA.

      My biggest concern today—and it may well be yours as well—is whether or not the VA somehow lost or misplaced by claim, since it has been in “rating” nearly THREE times the estimated maximum number of days they say it takes to clear that phase. To me, being in “rating”—and an indication that the claim is “ready for a decision”—for so long is tantamount to having a car completely built and ready to come off the assembly line, but no one seems able to start it up and drive it off the assembly line! That would certainly “back up” the assembly line, wouldn’t it? Hey, wait a minute! That’s apparently what is happening at the VA, too—the assembly line is backed up because no one seems capable (or willing) of making a final decision on the claim once they have all the evidence they need to make a decision.

      Why in the world would anyone want to come in to their office each day, know that there were claims that could be finalized and moved off their desks (and therefore out of their “hair”), and not do that?

      Michael L. Garee

      • Retired Marine February 22, 2011 at 11:08 am

        If the VA would publish realistic timelines, it might make the pill a little easier to swallow and probably reduce the workload and complaints to the 1-800-827-1000 number. But when the VA advertises and tells me the timeline is approx 161 days to process a claim, and I’m on day 250, I’m going to start losing confidence in the VA, or think they lost my claim.
        Good luck to you, thanks for your service.

        • Charles Cauthen February 25, 2011 at 6:29 pm

          Mike, You’re looking at 18-24 months. I don’t know why VA has to misinform and give Vets bad information. My advice is not to call the VA. Talk to your VSO, a good one will tell you the truth. Eventually they will get to your file, it has to be looked at by 100 different people, when you call, they will put in the back of the line. Most importantly DON’T piss them off! Don’t believe all the BS you hear. Forget about it, it’ll drive you crazy, and it really is OUT OF YOUR HANDS.One day you’ll get an answer, expect the worse.

          Good luck to you guys.
          CTC. 173rd Airborne

    • Retired Marine April 1, 2011 at 1:09 pm

      You can add 45 days to my above timeline. My BDD claim is still at Winston Salem in the decision phase since 27 Oct 10. On 25Feb11, I requested congressional assistance in determining the status of my claim, and still don’t have an answer. I guess the VA treats the Congressman just like the veterans – ignore them.

  133. Ricardo Cavazos February 14, 2011 at 11:31 pm

    I have been waiting almost a year on my claim and they are still in the stage of gathering information although I have sent them everything they have asked for the problem is they ask for 1 thing at a time instead of continuing to review and find out everything needed. A year is way too long to wait on a claim and I cant get a straight answer from any one I call 2 times a week and am told something different every time. I need someone to tell me what is going on.

  134. wendy turner February 14, 2011 at 2:18 pm

    Dear Tom,

    I wanted to first say thank you for all your service to our country and your comrades. I am new to this and I have finally decided to file for VA benefits due to 2 horrible circumstances that began while in the military and continue to make my life almost unbearable at times, but at 41 and these wounds not coming from enemy fire, the sting is almost worse.
    I served in the Air Force from 1992-2001, as a pharmacy technician. It was a fun job. However we were constantly told that when we dispensed meds form our dispensers, many of the products had residual effects that could cause Cancer among a slew of other things but hopefully would never happen, but could. We also handled Chemo drugs with our bare hands which we all knew could cause cancer when touched.
    Let me start back in 1995, my right foot began to tingle and was having trouble, out of the clear blue, my right foot always felt uncomfortable along with I personally noticed that my gait began to shift, but thought maybe I was being over reactive.. I also taught aerobics at the fitness center along with participating in classes in the evening. What I used to be able to do during step aerobics was now becoming harder and I even tripped over the lowest step a few times. I also noticed that when I got off an exercise machine, I could not walk right away; I had to wait for my foot to relax. We left Germany in 98, I was pregnant, and while staying in TLF, I fell getting into the shower face down and had a deep, dark bruise from my neck to my ankles, luckily the baby was fine. My fatigue continued but blamed it on the pregnancy but once Lindsey was born, the fatigue got worse even with naps and extra sleep at night. I also noticed that my right foot would sometimes walk very heavy when I was fatigued/tired. My husband was also in the military and we both decided to get out in early 2001. As each month passed, my right side got a teeny bit worse. I worked in the pharmaceutical sales industry and when ever I would talk to my neuro friends, they would say it could be MS, MD, or ALS, I was too afraid to find out but at the same time my quality of life was slowly diminishing. In 2004, I realized that when I walked in sandals my right big toe would not move and was soon diagnosed with foot drop. Also in the middle of 2004, my daughter was waiting for me at the bottom of the stairs and I ran up stairs and because of that toe, broke the bones around my left eye and got two dark black eyes. I needed to get into the Doctor at Ft Belvoir, but the only doc who could see me was a Richard Dombrowski, DO in the ortho clinic. He watched me walk in the clinic all the way down the hall and said this was an easy diagnosis, I HAD MULTIPLE SCLEROSIS. I was devastated. He knew this so quickly because he was one of the people in charge of the MS clinic for the ARMY so he had been doing this a very long time. He is now at Ft Sam Houston, I immediately had a spinal tap; my IgG was high but nonspecific. When we finally had the MRI, the plaques showed up. Unfortunately those plaques were seen in the C-Spine which is such a small area but was the area that effected by ability to move. In Jan 2005, NNMC officially diagnosed me with MS and although I still do not have a massive amount of plaques they are continuing to show up and also affect my cognitive skills. My life now consists of with a cane sometimes a provided wheelchair, My Neurologist who officially diagnosed me documented that my MS started with those first symptoms 10 years earlier while active duty in the military. Besides the fact that I had to go out on disability, long term know, I can never and have never been able to be a room parent or go on a field trip or take a long walk, heck even a short walk, and I no longer can ride a bike. My husband and daughter always include me, but I am now the official holder and watcher. I fall almost every day; I have for the past ten years and often do it in public places. I have lost a great deal of my bladder function and my ability to hold in #2. When it is ready it is ready. I take Detrol for this. I also take provigil but I am still exhausted. We live in Northern Virginia where all the houses are 2 stories. We bought a house on the smaller side but it takes me a good 10 minutes to get up the stairs. When I get really tired, which does not take long, I fall. 2 months ago, I fell backwards down the stairs and had a concussion and for a short time was asking my daughter who she was and that made me feel horrible because she was terrified. My gait is completely off; I have a terrible time walking. My cognitive skills are starting to go downhill, making rational decisions, my memory sometimes looses itself, I have terrible spasticity in my right leg almost regularly that makes me often need the help of someone else to help bend my leg and with that spasticity comes a weakness on my entire right side including loosing the ability to hold anything in my hand, to include utensil or writing instrument. I was just told last month by my neurologist that my right leg has atrophied and that I need to get tested for what she believes I have, optic neuritis.
    Now comes the good stuff, remember when I first told you how working in the pharmacy caused a great deal of contact with Carcinogenics, well that was all I needed to allow all of those carcinogens to run rampid in my body and in the same year as the MS, 2005, I was diagnosed with Stage 3 breast cancer. I was only 35 at the time and already had so much on plate. I did not have the gene but I needed to be treated aggressively, hard core chemo first and then surgery. I had over 7 rounds of death like chemo with horrific vomiting and 2 weeks through all of this in the hospital for neutropenia that could have killed me. The chemo made my bones hurt and I am still treating my MS. After the 7th treatment, my body went into septic shock and was placed in the ICU for 2 says, they told my husband it was a good thing he brought me in because my organ were very close to shutting down with my 105 and climbing fever.. Once I was better and removed from the ICU, I was then diagnosed with a heart condition that there is no treatment for, either sudden death or tachycardia. This condition was one that I was probably born with and only be detected through tachycardia or a stress test, which I had many throughout my military years and they saw nothing. Interesting. Once my Chemo was complete, I was ready for my radical mastectomy. I had my Centinal node removed with other lymphnodes. This arm where the lymphnodes were taken out, this arm can never be used for taking blood, blood pressure and other circumstances that could possibly cause permanent arm edema. After my mastectomy was done and an expander was placed in the area where my breast once lay. The morning after my surgery, my plastic surgeon came in to check my dressing and I was purple from the neck to the bottom of my rib cage. She took me back in for immediate surgery. I had large, thick, blood clots, the size, and consistency of baseballs and they could not find the source of the bleed even after they scraped out most of the tissue. They placed the expander back in and after the first time of adding nacl to the expander, the expander began to thin out my skin to the point where my skin was beginning to tear, and the expander was ready to come through. So back I went in for surgery, to take out the expander. I waited an additional year to have anything else done since I was not ready for anything but a positive result. At this time, OIF was only doing plastics at NNMC so I was as outsourced to Georgetown where I was very blessed to get a doctor who could make my breast look similar. I had a DIEP flap that involved cutting my stomach from hip to hip to remove an artery on each side and connect those arteries to my new breast . I had to stay in the ICU for 3 days before step down therapy. I know have a large scar across my stomach, from hip to hip that was done due to the breast cancer, a scar around my entire new breast that is definitively not symmetrical and huge holes on the side of the new breast from the drain. I will never have back the body I had, however thankful I am alive. Since my breast cancer was HER2, estrogen based, I had to take tamoxifen, another poison daily for five years. I recently hit my five year mark and since I am no where near menopause, the original cancer has to be prevented from coming back, I have to surgically have my ovaries out to push my body over the edge into menopause, a natural occurrence but not natural for my age. I heard that this process of pushing my body will be horrible and intense.
    In Pharmacies today there are many protective measures in place to ensure that employees are not exposed to carcinogenic or other dirty drugs. If these measures could have been taken when I was in the pharmacy, I can just imagine how life would/could/should now is, unfortunately, I have to live the horrible consequences.
    I do believe that these two disease’s, one alone could push someone over the edge, has caused me to experience PTSD, The NIH characterizes PTSD as “Post-traumatic stress disorder is a type of anxiety disorder It can occur after you’ve seen or experienced a traumatic event that involved the threat of injury or death”. Unfortunately I deal with this everyday. A perfect example was I left the mall yesterday late afternoon and because I lose my balance and fell, I tied 3 times to get back up, unsuccessfully of course, and I was in the middle of the parking lot crying, I also cry a lot and have one person pity parties for one, but mainly because this is what my life has become. Finally a nice couple came by and helped me up. When the wife first came over, I asked her if her husband could please come over too because “those without MS don’t understand that when I fall, I become dead weight and it you are not strong enough to pick up deadweight, then it will be impossible to get me up. This couple came by to help me after 2 other people had walked by because they probably assumed that I was drunk because that is what I look like, but you can’t change others.
    Before my daughter was born in 1998, I was told by the military and it was documented that my pelvic bone was too small for natural birth. Unfortunately the civilian hospital did not pay attention to them or I and nurses made me push hard for over 5 hours, leaving bruises all over my ribs. Once the doctors came in they still did not care and were determined to get her out and she was efface, the doctor was pompous and tried both the vacuum pump and the forceps to pull her out. The finally gave up, acting angry at me and did a C-Section. That was inappropriate and unnecessary behavior
    I am now on long term disability and have applied for SS. However, because we live where we do, not by choice, we cannot even afford the extra money for a chair that could take me up the stairs. I am sorry for the long winded message and I thank you so much for your service, but my life is forever negatively changed to include ongoing depression, self inadequacy and a dependency on others that I would never wish upon anyone. Please let me know wHat you thinK

    Wendy Turner

  135. Ivan February 13, 2011 at 1:56 pm


    Good article on navigating the VA bureaucracy. Thanks for taking the time to communicate to the Vets who are just trying to make sense ofthis process. I know your job title comes with a target bolted to your back and thank you is a suspect word but after serving for 24 years in the AF I undrerstand all too well how organizations function or don’t funtion.

    I left active duty 1 Dec 09, I filed my claim 23 Dec 09. I completed my C & P Exam Jan 10. As of 13 Feb 2011, I still don’t have a decision. However, I received 3 letters from the VA explaining their growing work load (Working 2008 claims in 2009, 2009 claims worked in 2010, ect)and they are working my claim and “there is no need to call”. However, I discovered after calling VA in December 2010, that my claim was at the Development team but due to the work load the Baltimore office, “brokered it out to the Cleveland office. “ After nearly 15 months of protracted activity I am considering my options for moving my claim forward. I certainly welcome any advice.


  136. Gregg F February 11, 2011 at 10:10 am

    Tom, Let me first say I’m sorry for my harsh and rash replys to you and your diligent work that you supply to us veterans of all wars. It’s so frustrating not knowing or getting questions answered from my local RO (Pitt. Pa.).I’m again requesting your services to look into the status of my appeal and anything you con do to speed things along. File#27267681.Last four 7548.Again I’m sorry for my actions.Respectfully Gregg F

  137. Juan C. Lopez-Heredia February 11, 2011 at 8:28 am

    I input a claim in Puerto Rico but just moved to Kissimmee Florida, I did the chance of Address but have not heard from the VA. Would like to know how my claim is doing?

  138. David W. Broussard February 10, 2011 at 2:42 am


    I wanted to thank you for taking the time out of your busy schedule to reply and help my fellow Veterans! I understand the claims frustration as i am having problems myself. It has been a breath of fresh air to have a man of your status clarify some needed answers.VA seems to be headed in a positive direction!

  139. Will Lehman February 7, 2011 at 3:42 pm

    Although I just read through the comments quickly, something which I did not read, was the fact that in years past many of us were run off by the VA and we are now trying to get justice in the VA “fog of time”. In the pre-Court of Appeals of Veteran Claims era, once you were screwed by the BVA, it was pretty much over. Most VSO’s would not help you and the VA rarely told you there were options to reopen a claim. Now, there are aging veterans who are faced with reopening their original claims and un-fucking the mess created 30 years ago incompetent RO working in concert with incompetent VSO’S.I was one of those veterans. I fought my claim for 10 years and lost thousands of dollars in retro-active pay because of an incompetent VSO and outright VA lies. Today, rated at 100%, I work pro-bono, on a part time basis, doing records reviews and analysis of military and VA c-files , for an attorney who handles claims, which have been previously denied by the VA. I am often infuriated by what I find, both in the military records and the c-files. I was a corpsmen, and I wish that back then, I had a better understanding of the VA, my records would have been much more important to me than they were.Part of my penance for that is that I constantly talk to active duty members and tell them get everything you can documented, I don’t care if its an ingrown toenail. I also speak to veterans groups about the process and assist them in finding competent attorneys to handle their claims after the notice of decision denies them benefits, which as everyone here knows, is much to frequent.Our service organizations argue that we do not need attorneys, but then when they fuck up a claim at the BVA level, they kick you to the curb, unless they feel the case is extremely important to their cause.My advice to everyone here, is go to and find a good attorney to assist in your claim.

  140. JIM MORELAND PA-C, MHS February 5, 2011 at 10:01 pm




    • Mike P February 6, 2011 at 1:27 pm


      The individual that you really need to discuss this with is Mr. Thomas (Tom) Pampering.

      His Address is;
      Director, Compensation & Pension Service (21)
      Department of Veterans Affairs
      810 Vermont Avenue N.W.
      Washington, D.C. 20420

      Please send him a letter registered return receipt as soon as possible!

      Ensure that you include your service number on the letter and the department of Vetarns Affairs that you has your case.

      Also, Did you get in touch with a Veteran Service Organization as I recommended. They can somehow get information directly from the VA office that is handling your claim.

      With all of the claims that are pending and the overwhelming Agent Oranges cases that are being processed, one year is not a long time for a decision to be rendered.

      In your case, you may also try writing a hardship letter to the office that is handling your claim. It sounds like you stand a good chance of getting your claim moved up on the decision list based on the condition that you say your are in (that is if it is read and processed with immediately feed back.

      In any case, it should have them try and resolve your case a little faster.

      Start writing today. Send one letter to Mr. Pamperin and one to your VA office.


      Mike P

      • JIM April 9, 2011 at 3:44 pm


  141. Alonza Wallace February 5, 2011 at 7:38 pm

    Mr. Pamperin

    Thank you sir for having a site that Vets can get a better understanding of the true process of what’s going on as far as their claim process.
    I just found you site Yesterday Feb 4 2011 I have two issues, for now anyway.

    1. In this response concerning Sleep Apnea, you stated, “ If you are not service connected for sleep
    apnea and it was diagnosed after service it is very unlikely that it will be service connected now.
    While I state from the beginning that I am not a doctor, it is my understanding that there are generally 3 main reasons for sleep apnea. A small percent, approximately 10% of sleep apnea sufferers have the condition because their tongue is too big for their mouth. If that were the cause you would not get service connected because a tongue that is too big pre-existed your service and your service didn’t change that fact. The other 2 common factors are being overwieght and having a few drinks before going to bed.

    While still in the Navy on Aug 6 1993, I had my first sleep study by Baptist medical center sleep lab, results Epworth sleepiness scale score was elevated at 17.overnight latency was 4 minutes. MSLT mean sleep latency was 3 minutes and had 3 unequivocal sleep onset rems. Has minimal history of snoring. Does not drink alcoholic beverages, report Interpretation narcolepsy is likely, because of three sleep-onset REM periods, the navy rated it as idiopathic daytime hypersomnolence.
    After several complaints of increased sleep episodes, (at discharge records report up to 4 attacks daily) with both PCM and the VA Claim process. PCM referred me to a sleep Dr. who is a diplomate of the American board of sleep medicine, (at that time the episodes were at 8 to 9 a day) he ordered another sleep study, the outcome mild sleep apnea, in which narcolepsy was still not ruled out. CPAP was ordered VA Lake issued the machine. I had problems with the nasal mask, VA tried three diffident types, but none work. I mention it to my GA VA Rep, who saw my record and told me that my service connected Nasal Fracture with Septum Deflection, could be the problem. My sleep Dr referred me to an ENT, his report stated that patient has trouble breathing through his nose and cpap mask. After the physical exam, I was noted to have turbinate hypertrophy, deviated septum 90% obstructed. ENT is writing me a nexus letter stating, that the Nasal Fracture with Septum Deflection is as likely as not the cause of my sleep apnea. Is this a valid statement from an ENT or will VA do a re-examination, and deny this to?

    2. Second issue, I read in your letter Some tips for filing a VA disability claim. The letter stated, that, “If you think our decision didn’t consider something, didn’t cover a topic, or is wrong, call your representative right away. If we have made a mistake, we would rather just fix it now than
    get involved in a lengthy appeal that isn’t terribly satisfying for you or VA.
    Final Note: ——-If we are not clear or you think we have made a mistake, let us know so we can both fix it, and provide a learning opportunity for our staff to serve other Veterans better.

    If my case can be settled without going thought a CUE could I cancel the it and still get the back pay that was due because of the mistake that was made or the evidence that was over looked.
    I have been trying since 1995. I hope you can expedite, or get me on the right fast track for my issue.

    Your help in this matter will be greatly appreciated.

    I really hope you can help

  142. Alonza Wallace February 5, 2011 at 12:00 am

    After 20yrs 9 mos and 6 days. History, Jun 22 1993, Form SF 600, Dr. Mighell of Kings Bay, to Dr. R. Boehme, Neurology NAS Jaxs. Somnolence now occurring 3-4 x 1 week up to 4 x 1 day, usually sleeps well at night for six hrs, sometimes wakes up thirsty. (Note: This visit was the first recorded number of sleep episodes). Aug 6, 1993. Sleep Disorders Center MLST, Narcolepsy Likely; because of the presence of three sleep-onset REM periods. L. A. Smolley, M.D. Certified, American Board of Sleep Medicine.
    Aug 30, 1994, patient on several occasions has fallen asleep. On several occasions, he has fallen asleep while sitting at stoplights. It seems to have manifested itself over last several years and has become progressively worse.
    Mar 31 1995, I was s/c for idiopathic daytime hypersomnolence and medically discharge with 20% disabilty based on the navys evaluation for at least 2 minor seizures in the last 6 months form the navy. Placed on TDRL On Mar 31 1995 with a Disability rating of 20% under V. A. Code 8199-8108 for the Diagnosis of Idiopathic Daytime Hypersomnolence. Oct 18 1995, VA OPC Jax’s FL, established diagnosis of narcolepsy, MSLT conducted Aug 5-6 1993 results mean sleep latency 3 min, 3 sleep-onset REM periods, MSLT likely representing NarcolepsyI filed a claim for when i retired and recieved a decision on Mar 18 1996 20% granted for idiopathic daytime hypersomnolence from the VA. TDRL Evaluation on Feb 20, 1997 at NAS Jacksonville Naval Hospital. Physical Evaluation Board Panel reviewed case on Apr 22, 1997, found unfit for duty because of physical disability Ratable at 20% under V. A. code 8199-8108, that was considered permanent. TDRL report indicated the member’s systems have gotten worse since placement on TDRL with two to Three sleep attacks per day despite treatment of Cylert. If such a rate of sleep attacks can be documented, then a rating higher than 20% would be warranted under V. A. code 8199-8108-8911. Such worsening indicates that the disability has not stabilized. Sep 06 1997, VA, Dr. A Herbert, C&P exam results, episodes of narcolepsy were occurring 3-4 times per day, currently 2-3 times per day, symptoms not improved on either Ritalin or pemoline. Patient episodes of narcolepsy as well as hypersomnolence is affecting ability to perform his job and affecting his quality of life to a moderate-to-severe degree.
    Applied again, recieved another decision on Sept 8 2000, VA exam notes complaint of fatigue occurring 6 to 7 times per day with blurred vision. Exam opined hypersomnolence was most likely related to his medication, may contribute to poor sleep at night. When continuous meds is necessary for control of seizures a min of 10 percent assigned. The evidence shows a history of episode occurring 6 to 7 times a day 20% eval is confirmed and continued. Feb 5 2010, 20% eval continued, evidence of record failed to sho that it meets the criteria for a higher evaluation. Evals for seizures are based on frequency of seizures (sleep episodes). Diagnosis of idiopathic daytime hypersomnolence occurring 7 times per day. Sep 15 2010 decision, Sleep Dr states that you require both ritalin as well as provigil in order to maintain an adequate level of daytime alertness. Records from VA Medical center gainesville reports, there is no objective evidence within these records to show that a higher eval is warranted.
    As you well might know that the rating for narcolepsy is shown below.

    The Epilepsies/Narcolepsy Rating

    8910 Epilepsy, grand mal. Rate under the general rating formula for major seizures.

    8911 Epilepsy, petit mal. Rate under the general rating formula for minor seizures.

    Note (1): A major seizure is characterized by the generalized tonic-clonic convulsion with unconsciousness.

    Note (2): A minor seizure consists of a brief interruption in consciousness or Conscious control associated with staring or Rhythmic blinking of the eyes or Nodding of the head (“pure” petit mal), or Sudden jerking movements of the arms, trunk, or Head (myoclonic type) or Sudden loss of postural control (akinetic type).

    General Rating Formula for Major and Minor Epileptic Seizures:

    Averaging at least 1 major seizure per month over the last year 100

    Averaging at least 1 major seizure in 3 months over the last year;
    or more than 10 minor seizures weekly 80

    Averaging at least 1 major seizure in 4 months over the last year;
    or 9-10 minor seizures weekly 60

    At least 1 major seizure in the last 6 months or 2 in the last year;
    or averaging at least 5 to 8 minor seizures weekly 40

    At least 1 major seizure in the last 2 years;
    or at least 2 minor seizures in the last 6 months 20

    A confirmed diagnosis of epilepsy with a history of seizures 10

    My question is what am i missing, am i not reading the requirements correctly or what, even my VA rep ask what are they looking for. Could you please help me out. I have filed a claim for Clear and Unmistakable Error CUE, because of the mistakes that have been made, concerning systoms and episodes of sleepiness i have. I awaitg you answer.

  143. Kama Mountz February 4, 2011 at 7:03 pm

    Mr. Pamprin,

    I apologize if this is out of your lane and you are not the right individual to be asking…

    I am an OIF vet, Army reservist, recently relocated from AZ to Charlottesville, VA and am just trying to get in to see a doctor, I havent even started the disability process for my injuries received during active duty. I currently am paying for my MRI’s, nerve blockers, and rehab out of pocket because I cannot get a response.

    I saw the VA in AZ before I relocated and they were pretty helpful. I simply just need someone to respond to my phone calls here to get my file tranfered from AZ to VA so I can see a doctor. Over the course of the last couple of months I have left about half dozen phone messages, with all of the pertinent information to get my records transfered. A Ms. Robinson, Richmond, Va office at 800-784-8381 x5824 has declined to call me back at all and I still havent been able to see a VA doc.

    I appreciate any guidance, and of course am thankful for everyone on here that has given so much for their country.

    Thanks again.

  144. Richard L. Duley February 3, 2011 at 1:37 pm

    John J. Jamason Reply:
    January 10th, 2011 at 2:18 am

    It is very hard for me to add to John’s post. He has covered it all for me. I am aslo dealing with the St. Pete, Florida bunch and hope to live long enough to receive my fair claim for military service.

  145. John Birch February 2, 2011 at 10:10 pm

    As I have said in the past, the Department of Veterans Affairs DO NOT care about Vietnam Veterans, they are just waiting for all of us to die off. I was diagnosed with PTSS (fore runner to PTSD) at the Marion Indiana VA Hospital in 1973. After spending 2 months as an in-patient, I was told that I was cured and kicked to the curb. When I try to get records from them and from the Indianapolis RO, no response. I would even think that they would be in my master VA file, but no. Guess back then it wasn’t any more important then it is now. In the last 4 years, I have been treated for PTSD by VA doctors all who have stated it was caused by duty in Vietnam. I filed, had my appealed, my records were sent back to the St Petersburg RO and I guess they are on the wrong pile to be considered. Figure the more money the VA RO’s saved the bigger their bonus.

  146. Maurice Wyman Scott February 2, 2011 at 9:25 pm

    Mr. Parperin, why is it that I have to go to the extremes to get justice, there is no justice in Columbia Regional Office, just one level of untruths throughout the chain of command, all the way to the top. Does it take seeing the Columbia Regional Office on CNN, or MSNBC to eventually get your office to see the file yourself, and say, oh damn, he was telling the truth. I recently requested the congressional liason send a inquiry, asking specific questions, where they had the evidence already just to see if the Regional Office director would tell the same lie, he did, a lie based upon that congressinal liason had in his hand evidence contrary to what was written.

    I’ve asked for my file transferred to another Regional office, denied, I’ve complied with text evidence, and nexus, now the position is that even with new and material evidence, they won’t consider my claimed items, because in doing so, someone has to blamed for ignoring the evidence at first hand. It is indictable that the staff at the Dorn VA even thinks that you are unfairly ajudicating me, i.e. saying i wasnt diagnosed with issues, and the VHA clearly says that is false, so your regional office is indictable by the on campus hospital.

    So if its going to take what I originally promised I wouldn’t making this regional office subjective to judgment by the national public, then that is what it will be, but I am hoping that it won’t take that much, at least if you police your own, it won’t damage the opinion of the whole VA in Columbia, just those who don’t deserve to work there.

    Your facebook representative contacted me, and promised that someone would call by last friday to see if we could get some resolve, but resolve hasn’t happen, and no phone call as well. I have dedicated my energy to seeing Mr. Hawkins unemployed for providing a written document to a Congressman knowing or should have known that it was false. I am seeking to remove any and known named previous rating person and supervisor, because they purposefully and intentionally decided to exclude evidence to support my claim even excluding the VHA records, knowingly that they existed.

    Does it take going this far, or are you willing to police your own, either way it will provide justice no matter who does it. I await your contact, and reply, its to everyones benefit that you do, In my opinion.

    • Jim February 3, 2011 at 7:26 am

      Mr Pamperin,

      Columbia SC is my regional office too. I would easily say they “do what they need to do” to deny claims. With nexus statements stating “at least as likely as not” “more likely than not” “is due to” etc., along with “have reviewed service medical records” and secondary claims that are easily related to service connected disabilities (just Google it sometimes), we seem to still receive letters of denial. In an earlier post, i asked about the CFR 38 clause of reasonable doubt going to the service member. With said statements from medical doctors and relation to service connected disabilties, how difficult can it be in this particular RO to grant the claim(s) based on reasonable doubt? At some point, common sense needs to apply? I’m beginning to wonder if these “raters” have even read the CFR. Do they understand the quotes above and how they are consistent with reasonable doubt? Are medical doctor opinions worthless? Are they only allowed a quota of approvals and once met, “find” reason to deny and hope we go away? I understand Mr. Scott’s frustration and would also ask for someone of authority to visit, investigate, hire/fire accordingly, and get this particular office to function in a professional manner. Sorry for the 100 percent negative comment, but these are facts. Thanks for the ear:).

  147. Gregg F February 2, 2011 at 11:28 am

    TOM, still awaiting your reply to my Jan.25 letter. You were to check on the status of my appeal at RO Pittsburgh Pa. Thanks again Gregory P Friedline.

    • Gregg F February 4, 2011 at 1:35 pm

      TOM, I guess I’m getting the same treatment from you as I get from the RO in Pittsburgh Pa. If you’re not going to check on the status of my appeal then don’t tell me you are. I guess I should of known you were to good to be true. Thanks anyway.Gregg F.

  148. Zach G February 1, 2011 at 9:59 pm

    Hello, I have been out for a year and finally decided to file a claim with the help from the VFW. I am wondering how the VA decides what kind of disabilty you deserve. I am going to file for compensation becuse I broke my foot during training and It has always botherd me. The problem was that non of my NCOs belived me and by the time i was allowed to see a doctor, my bone was begaining to heal out of place. Now the pain in my foot is getting worse, and the muscle in it cramp up all the time. In addition, My knee is bothers me and it builds up with fluid, I think this might be becuse my broken foot is all messed up. I wanted to go to school to be a cop but I have to change majors becuse it is getting harder for me to run, and I am nervous as to how much damage is getting done. thanks for your time.

  149. Maurice Wyman Scott February 1, 2011 at 8:00 pm

    Tom Pamperin@ Today is the day when become the voice of no reason, today is the day I have a mission of correction by termination, today is the day when while intellect will become my weapon, instead of might, today is the day when termination of employment by any means necessary becomes necessary in the Columbia Regional Office.
    Let it be said, that I tried to be a good soldier, let it be said that I gave all who came to me a chance to be as honest as they could be, let it be said that when armed with the very things that would cause for investigations because the Department of Veteran Affairs became a part of the national conversation, i gave a chance again. No more.

    Carl W. Hawkins, Jr. Director of the Columbia Regional Office lied to a United States Congressman, and unfortunately the Congressman was waiting on him to do it. The claim file in 01/09 has been fraudulently processed, evidence hidden, and denied having, failure to obtain which constitutes a failure to assist, now reopened, and the same process exist. Same hidding, same failures, but now assuming the ability to deny consideration of claims where because of their failures in September 2010, my entire claim is new and material evidence, but they still deny having it. But i guess that wasn’t in Carl W. Hawkins interest, still covering up for the incompetent behavior of others, by assuming a position that he isn’t able to assume, that of denying a veteran the opportunity to submit a claim.

    The worst of it, is that I have a claim stated on date, November 24, 2010, bearing issues I have never claimed, they have blocked, per ebenefits customer service supervisor my access to information on the ebenefits site, so they can attempt to get away with this. Sadly in this Mr. Carl W. Hawkins Jr. has lied in writing to Congressman Joe Wilson, by stating that I had not in November submitted new and material evidence on my previous claim, and that that was the basis of my claim starting over, its fraudulent, and its a conspiracy to defraud a veteran, and this can’t go unchecked.

    So while we struggle in the good Regional office, we have to subit ourselves to the lying, fraudulently, and overly discriminatory practices of people like Mr. Hawkins, because he has no regards to the lies he portraits in order to cover for his incompetent staff, they have the belief that they are above the law, well I am going to break that glass house through the news, paper, television, and any and all media that is available, because they not only have overstepped their authority, but they have created a claim that doesn’t have my signature on it, they have created conditions that I am not diagnosed with, so they can take 24 months and deny again, its a fraud.

    So Mr. Pamperin, the only justice I can achieve is making this regional office and their performance apart of the national conversation, maybe then and only then they will terminate MR. Hawkins, and the others names who will be mentioned in whatever news medium I seek, no turning back now, he lied to my Congressman, and that is unexcusable.

  150. Laura Hendryx, LCDR USN (Ret) February 1, 2011 at 11:08 am

    I would like that e-mail as well. I do not think that Mr. Pamperin knows what really happens in the bowels of his beast.

    I am a retired US Navy LCDR as well as a 70% disabled veteran who is trying to be rated ‘unemployable’ by the VA due to service connected disabilities, one of which is Fibromyalgia, which has a capped rating of 40%(? Who pulled this number out of their anal orifice? Not someone who has the affliction!). I am also a Gulf War Veteran. I served in London, England but received various vaccinations and was under the same stressors, and exposures. I would not only like to refer you to the excerpt below at the bottom of this message, but to your governing regulations as well (the ones that I am able to access) 38CFR 3.102 with regards to “Reasonable Doubt”, 38CFR 4.15 and 4.16 with regards to “Total Disability Ratings for Compensation Based on Unemployability of the Individual”.

    It was not nor is it my wish to have a new “designer” disorder but I have one, a neurological disorder “thought” to be caused by and worsened by stress, or maybe a vaccine, pesticide exposure or other exposure but I am not the only veteran you have with this issue. I was first suspected of having Fibromyalgia in 1990, tested for 8 years and diagnosed in 1998, prior to my retirement. (Maybe it was exposure to MREs!) YOUR VA Psychiatrist stated that I was severely depressed as a “direct result of and in addition to my service connected Fibromyalgia”, thought to be caused by severe stress such as I experienced in the Navy workplace as a woman during the 80s and 90s (re Tailhook, ever heard of it?). I am rated as 100% disabled by Social Security SSA due to the depression caused by the Fibromyalgia, the fatigue and the pain of it all. This is Social Security, the one I paid in to all those years, not to be confused with SSI (welfare), which I do not qualify for due to my retirement income.

    Due to inability of VA employees to comprehend their own guidance and instructions and lack of knowledge about Fibromyalgia, a neurological disorder that is not curable or really, even treatable as yet, my case is on hold indefinitely. I am not even allowed to know the super secret timeline of alleged suspense dates that they have no intention of meeting anyway, according to your Congressional Representative. Perhaps you have not yet hired enough of his relatives. Another excuse they have invented is that it is due to Fibromyalgia being capped at 40% and some non Fibromyalgia experts deciding that my severe depression is PART of my Fibromyalgia, which is capped at 40% not “IN ADDITION TO AND CAUSED BY” as stated by the VA Psychiatrist. I and my attorney will need to see (demand to see, as a taxpayer and a citizen and a veteran) chapter and verse, the exact reference(s) and wording upon which they are basing this ‘opinion’ as well as the qualifications of the person reaching this opinion (medial or otherwise)…BUT, none of this has anything to do with the fact that I am designate-able as 100% disabled via the 70% rating, with one at 40%. They are lost in their own red tape and cannot see past it, nor do they know anything about Fibromyalgia. They are also wrapped around the axle about my SSA being based on my depression caused by the incurable Fibromyalgia and by some bureaucrats mistaken idea that VA disability pay cannot be paid along with Social Security (if this be the case, there are millions of veterans out there as well as retired civil servants who have been over paid). They cannot even read their own internal instructions which say that if they are in doubt, they should find in favor of the veteran (38 CFR 3.102) and that “marginal employment (as a door stop, for example, which I still cannot do, but I am an experienced Systems Engineer/Analyst with 20 years management experience as well as an MBA) IS NOT acceptable”, only “substantial full time employment” (38 CFR 4.15, 4.16)

    I am also told that I do not count as much as my male counterparts because I was blocked from going to war or serving in combat related positions and in fact, I must line up behind both they and their spouses. I am the daughter of a Vietnam combat veteran as well as a retired United States Navy Lieutenant Commander myself. Our new Congressman’s new aid has been overwhelmed with bureaucrat double speak and her head is spinning with all the reasons they cannot act on my case, the number of various committees and levels it must go through and the secret internal timelines that the VA sets but does not feel it should reveal to myself, the customer and the taxpayer. All I can say is that had I ever provided such poor work service, I would have been fired.

    Could some knowledgeable individual reach down into Little Rock, Arkansas and help this confused bureaucrat out? Also, this individual should never be allowed to deal with Congressional Representatives. I am in danger of becoming one of your homeless vets along with my daughter due to financial difficulty. We are recovering from Katrina and I owe taxes from all those years when I was homeless and had no idea what my income was or if I even was to have one. We did not eat. There are tax liens on our home and I owe more for last year. FEMA is prevented by law from helping those of us who were insured and the insurance companies would not pay. I have been in major depression and unemployed since 29 August 2005 when I and my then 12 year old daughter were rendered homeless and possessionless in Ocean Springs, MS by Katrina and the stress of it caused my Fibromyaliga/depression to get even worse. The back pay will help me with the back taxes and mortgage so that I can get caught up. Seriously, how hard can it be for those folks to do their jobs? Have they really been doing them so long that they just do not care any more? It has definitely become form-over-function for them and they have long ago lost sight of the goal.

    EXCERPT from 105th Congress

    “ The United States deployed nearly 700,000 military personnel to the Kuwaiti Theater of Operations (KTO) during Operations Desert Shield and Desert Storm (August 2, 1990, through July 31, 1991). Within months of their return, some Gulf War Veterans reported various symptoms and illnesses they believed were related to their service. Veterans, their families, and VA subsequently became concerned about the possible adverse health effects from various environmental exposures during Operations Desert Shield and Desert Storm. In response, in 1994, VA asked Congress for special authority, granted under the “Persian Gulf War Veterans’ Act,” Public Law 103-446, to provide compensation benefits to Gulf War Veterans who are chronically disabled by undiagnosed illnesses. That authority was later expanded to include certain illnesses of unknown cause. In 1995, VA implemented the “Persian Gulf War Veterans’ Act” by adding 38 C.F.R. § 3.317, which defines qualifying Gulf War service, establishes the presumptive period for service connection, and denotes certain signs and symptoms that may be manifestations of such illnesses. These signs and symptoms include: fatigue, skin signs or symptoms including hair loss, headache, muscle pain, joint pain; as well as neurological, respiratory and cardiac signs or symptoms, abnormal weight loss and menstrual disorders. In addition, three medically unexplained multisystem illnesses’ namely, Chronic Fatigue Syndrome, Fibromyalgia and Irritable Bowel Syndrome, are currently recognized by both statute and regulation as “qualifying chronic disabilities” and thereby presumptively service connected based on Gulf War service.

    Further, through the “Persian Gulf War Veterans Act of 1998,” Public Law 105-277, Congress authorized VA to compensate Gulf War Veterans for diagnosed or undiagnosed illnesses that are determined by VA to warrant a presumption of service connection based upon a positive association with exposure, as a result of Gulf War service, to a toxic agent, an environmental or wartime hazard, or a preventive medication or vaccine known or presumed to be associated with Gulf War service.


    • Tom Pamperin February 1, 2011 at 12:02 pm

      LCDR Hendryx,

      First, thank you for your service. Second, I realize that you may be frustrated but frankly your manner of talking doesn’t help you or anyone else. Are you service connected for depression secondary to fibromyalgia?

      If you are what is your evaluation for depression?

      We can check it out.

      • Brenda Hayes February 1, 2011 at 2:20 pm

        Mr. Pamperin,

        I think you overstepped your bounds when you made that disparaging comment to the Veteran.

        It would behove you to focus on your responsibilities of your job and what is not happening under your leadership at the Regional Offices.

        I’ve seen countless numbers of posts from Male Veterans and you have never made such remarks to them.

        I think you owe the female Veteran, LCDR(ret) Hendrx an apology. I think you might want to take your own frustration and anger out on your employees who aren’t doing their jobs; not our Veterans.

        I think she stated facts that apparently so many of your Regional office DROs and raters are not well versed.

        You might want to think about and relay to the Veteran Community that you are putting in more training for your raters and DRO as well as placing more consequences with accountability in their annual reviews.

        You’ve seen over and over the posts here that the 38 CFR regs are quite frequently being ignored; and thus, claims are being rated erroneously; only to be appealed and only adding more to the backlog of claims.

        Facts, especially the 38 CFR regs speak for themselves.

        Until you walk the shoes of those less fortunate Veterans than you; I would refrain from more remarks such as the one you made to LCDR (ret) Hendrx.

        But again, you did answer her post and did not completely ignore it as you have done with others on this blogsite.

        Very disappointed in you, Mr. Pamperin, VN Vet or not.

        Brenda Hayes
        Vetwife Advocate

        • Tom Pamperin February 1, 2011 at 8:21 pm

          I’m not angry

        • Mark Chamberlain February 26, 2011 at 12:33 am

          Mr. Pamperin was part of the problem in 1992 when I filed my claim why would he change now. I started my claim the month after I got out. In November of the same year received a codesheet for the claims and a letter from Mr. Pamperin stating a C&P exam was scheduled. I had to cancel the appointment due to bad weather. In 1992 they did not reschedule your appointments my VSO informed me I had to write to them and have them reschedule. This became a problem because they had made a decision, so they changed the exam to a gulf war exam. The problems I had been having showed up during the exam but they said I could not file a claim because I had been out a year. A good way to CYA yourself as the new exam would have been schedule two weeks after the date of the decision 11/04/1993. Also mention in here is your reference to 38 CFR, you didn’t follow it then why would the people you trained follow it. After all reg. 38 CFR 3.380 has been around since 1961 and you ignored it in 1992 and the people in Wichita Kansas gave the same answer in 2008 without all the medical records, good thing I kept mine. Looks like you taught them well follow it to refuse and don’t follow it if you can deny the claim.

  151. JIM MORELAND PA-C, MHS January 31, 2011 at 8:00 pm




    • Mike January 31, 2011 at 11:08 pm


      Mr. Pamperin, VA Deputy Under Secretary for Disability Assistance and Vietnam Veteran is who you are trying to reach.

      I hope he or someone from his staff gets back with you.

      Since reading posts on this site, you may be asked if you have a VSO. I recommend that you get one assigned to your claim if you do not already.

      Since I am writing, I recommend that you send a friendly letter to the lexington and Louisville Agencies and ask them to confirm your record location and the status of your claim.

      Good luck and wish me luck as well.

      Take care!


    • Tom Pamperin February 1, 2011 at 11:54 am


      Let me check

  152. Robert January 31, 2011 at 3:15 pm

    Dear Mr. Pamperin

    While hospitalized four over four months for my service conectied condition, the BVA mailed myIndiviual Unemployability decision to my home address. Due to me being placed unexpected in the hospital, I was not able to notify the postal service to hold my mail and based on a telephone conversation with a BVA reprepresentaive, the decision letter was returned undiliverable. The BVA informed me that they had sent the decision letter to the Pittsburgh Regional Office where my case is being handled and that I should request a copy from that offioce.

    I tried to request this BVA IU decisosin telephoniocally form Pittsburgh Regional Office and was told that the request had to be in writing.

    I mailed a letter dated October 11, 2010 explaining my situation and requesting the BVAIU decision from the Pittsburgh Office.

    Yesterday, January 29. 2011 I received an envelope dated January 25, 2011 from the Pittsburgh Rergional Office with a letter dated January 21, 2011 stating that the Appeal decision that I requested was enclosed. Mr. Pamperin, the BVA decision was note enclosed. The documents that were mailed in the envelope were of a previous Pittsburgh level decision, NOT THE BVA IU DECISION AS REQUESTED. Today I am going to write Pittsburgh again to inform them of this mistake as well as to inquire about my temporary 100% disability and my 21-4138 requsting an increase to my current disability bases on my recent social security award. The 21-4138 increase was also sent to VA in October 2010 as a result of my long term hospital stay and worsening condition. I have not received any corresponce from VA regarding my Oct 2011 increase request or 100% temporary unemployability being that I had to be hospitalized for over five months for my service connected condition.

    Any assistance you can provide in getting my appea decision back on track and my 100% temporary disability request and increase request acknowledged by the Pittsburgh VA Office would be greatly appreciated.

    Thank you very much!

    Robert Winchester

    • Tom Pamperin February 1, 2011 at 11:53 am


      Let me check.

  153. C. Cauthen January 31, 2011 at 11:01 am

    Mr. Pamperin, Without a doubt the whole VA system is broken.Beyond broken. I have just 2 questions for you and would appreciate an honest answer. Where do you get your employees and how do you get them all to go along with your business of denial? And why does the VA deny, even when caught redhanded, lie to veterans? WE ARE YOUR COST FOR FREEDOM! A thank you, doesn’t do much good for the pain we are suffering from. It really just makes it hurt more. Please don’t refer me to St. Pete office, an answer to those 2 questions will do.
    Charles Cauthen

    • Tom Pamperin February 1, 2011 at 11:52 am


      We get our employees by posting on USA Jobs and through a number of alternative employment strategies. A large number of our employees are veterans themselves. As I have indicated before, while some may feel that way, I don’t believe there is a culture of denial in VBA. As I indicated it that were true it would be hard to explain how we have added over 1 million veterans to the rolls in the last 10 years and that the average disability evaluation has gone up by almost 25%. Having said that I also indicated that we have many many relatively new employees both to VA and if not to VA to their current positions. So we make mistakes.

      Regarding “lying to veterans” such behavior would warrant disciplinary action. There is a difference between “lying” and making a mistake just like there is a difference between the fact that I believe that virtually all veterans who file claims honestly believe that they are entitled but that when we look at the records the correct answer is to say no.


      • Charles Cauthen February 4, 2011 at 9:07 am

        Tom, thanks for information,my problem is with VA health care and S/S. I have reported and will let you know the outcome. There are many good people in the VA. Sometimes I feel we veterans are unfairly mistreaded. The system needs overhaul, wish there was something I or we could do to make it what we believed it should be.
        C. Cauthen

        • Charles Cauthen February 9, 2011 at 5:49 am

          Mr. Pamperin,
          Problem with VA Health Care solved. With certain individuals you have to envoke your rights in a civil manner, assumptions can be dangerous, like being point man, watch where you put your foot!
          Can you set me straight on the meaning of “end product 110”. Also Thanks to you, my anger at the VA is gone. Thanks to you, you have my respect and best regards.

          Charles Cauthen, F.O. Recon, 173rd Airborne,VN 69-70

  154. Mike Paschall January 30, 2011 at 10:18 pm

    Dear Mr. Pamperin

    A friend of mine wrote you on January 28, 2011 at 8.05 pm regarding a couple of claims that I have filed with the Pittsburgh Regional Office.

    Please note that while I have two claimed conditions that have VA mistakes that my service represntatives and I have pointed out. I would in fact like to make you aware of the one of the claims that I think is the most obvious erred and reserve discussion of the second one until the reply decision to my Notice of disagreement is received.

    Issue; In August 2008, I applied for a Persistant Tinea Cruris (severe skin condition of the groan). I never received a VCAA notice for the Tinea Cruris condition until 21 November 2009. I replied back to inform them that the August 2008 claim was already open for tinea cruris and was incorrectly noted in their March rating decision. A servere condition that I was diagnosed with treated while in service. In service treatment records were sent in along with the August 2008 claim. I never received a VCAA notice for the Tinea Cruris condition. In March 2009 I received a VA decision from the St. Louis Regional Office, Zip Code 63103, dated 26 February 2009 along with a Pittsburgh Regional Officecover letter dated 5 March 2009 which denied me for a “Fungal condition of the Feet” instead of my claimed Tinea Cruris condition. I noitified my VSO and the Pittsburgh Regional office of the incorrect claim condition and the overwhelming evidence of systemic therapy treatment. Dispite showing the service treatment records in the evidence section of the decision, the St. Louis March 2009 decision also indicated in the REASONS FOR DECICISION section that “you submitted no evidence showing that you currently suffer from a chronic bilateral knee condition” Mr. Pamperin- I did not apply for this condition and it like the fungal condition of the feet should not have been in the decision at all. In my 16 July 2009 Notice of disagreement, I again notified the Piitsburgh Regional Office that I did not apply for the fungal condition of the feet and requested that my tinea cruris claim be reconsidered. 23 October 2009 I received a response from my notice of disagreement stating that “the notice we accepted on appeal is/are service connection of the feet (claimed as tinea cruris). 30 October 2009, I again wrote VA in response to there 23 October 2009 letter clarifying my claimed conditioned again in more detal. All letter were submitted through my veteran service representatives to the Pitsburgh Regional Office. In the mean time, I was sending numerous systemic therapy medication prescriptions through my VSO to VA to help substantiate my claim. As a response to the VCAA notice from Pittburgh dated 12 November 2009 that stated in the WHAT HAVE WE RECEIVED section stated “Your claim for benefits, which we recieved on October 27, 2009”. As mentioned above, I responded accordingly again with the facts. In July 2010, I recived a Statement of the case from the Pittsburgh Regional Office Dated 3 June 2010. In the ISSUE section: it states “Entitlement to service connection for tinea cruris, a fungus condition. In the EVIDENCE section: VCAA letter dated 8-18-08 (I did not and the records will not show that I recieved a VCAA notice for Tinea Cruris. In the ADJUDICATIVE ACTION section in noted that 08-11-08 as the date the claim was recived. In the DECISION section: It states Entitlement to service connection for tinea cruris, a fungus condition, remains denied. In the REASON AND BASIS: It States Rating decicion of 2-26-09 denied service connection for a fungus of the feet: Your treatment records do show treatment for tinea cruris of the groin. Following a de novo review of your case, entitlement to service connection for tinea cruris, a fungug condition remains denied, as there is no medical evidence showing that it presently exsist. Mr. Pamperin, with all due respect, a letter from my pysician in 2009 gave notice to the Pittsburgh VA of the severity of not only my groin skin condition, but also in and around other areas of my body that was just as severe and made an overall diagnosis of Tinea Pedis. The doctor expounded on the groin because the flare up systoms were the same that was diagnosed in my service teratment records that he reviewed during my examination and interview. I ahve since had to complete a VA form 9 which was submitted through my VSO on 16 June 2010 along with all of the important medical evidence that was mistakenly missed by the Rater and the Decision Review Officer. The VA form 9 was certified for the BVA on 8-11-10. I spoke with my VSO repreprsentative on 18 January 2010 to get an update and he stated that a footnote indicated that the Pittsburgh Regional office found mailed evidence and that my claim was again waiting review by a Decision Review Officer. He also stated that VA is just waiting for the Decison Review Officer to send me the supplemental statement of the case, which I interpret as a continous of the denial. Sir, Dispite this long write-up, at this point I am somewhat at a loss for words. I totally understand that maybe I and the VA made a couple of minor mistalke in the processing of this particular claimed condition. I only ask that someone review my case in accordance with VA regulations, schedulars, and the applicable laws. I honestly believe that if viewed in accordance with these standards, as I have read them, I should have received no less than a 60% rating under the skin condition schedualar. In Claim Tips your number one point was Communicate x 3. I have been communicating and believes that do to the abundant amounts of claims that are being processed, errors that I truly belive made on mine were accidental and not intential. Last Question: Is there a way to fix my issues at the VARO level instead of having me wait the 1.5 to 2 years at the Board of Veterans Appeals. If someone just kept me informed with corect information, I would be happy, no matter how long the process took.

    Sorry that this post is so long.


    Mike P

    • Tom Pamperin February 1, 2011 at 11:45 am


      Can you give me your last name or, if you are being seen in VA the last 4 of your social security number and i will check. If we’ve made a mistake we want to take care of it too rather than have it go to the BVA.


    • Mike February 1, 2011 at 12:02 pm

      Mr. Pamperin

      My last name is Paschall. My Claim is being processed at the Foreign benefits unit at the Pittsburgh Regional Office.

      Any assistance you can give will be greatly appreciated.


      Mike P.

      • Mike Paschall February 1, 2011 at 3:24 pm

        Mr. Pamperin

        One correction to my January 31 post. Tinea Corporis was the overall diagnosis by my doctor in the letter on file at VA. I accidently wrote Tinea Pedis.

        Than you!

        Mike Paschall

  155. Freeman Gordon January 30, 2011 at 9:18 pm

    I had surgery on my knee in 1970, it heeled up fine. Went into the marine corps in 73. Went to okinawa, japan, had a very bad fall. This put a hole in my knee cap 1/4in deep. My I fractured my face(chin), teeth wired shut. I was never told I could apply for disability when I left in 75. Botto line over 30 years went pass, I got approved for my face, but not for me knee, this was a aggravation claim for the knee. Would I be covered. Thank you

    • Tom Pamperin February 1, 2011 at 11:42 am


      Your’s is a problematic case because you have a pre-existing condition and a lengthy time between separation and claim. Is there something wrong with you knee now? If not, then no service connection would not be warranted.

      If there is something wrong with your knee now, I’d assume arthritis?, did you have any treatment prior to filing your claim? If you didn’t have treatment for say 20 years after you got out I’d say – without looking at your records – getting service connected is going to be pretty hard to do.

      To be successful you will really need to have some evidence of treatment in a reasonable period of time after you were discharged (i.e. 1-2 years). Were you hospitalized for your knee in the service? If you were you should let us know what hospital it was and the approximate dates of hospitalization to see if those records would show something that could be service connected as a chronic condition. Again though if there really isn’t anything wrong with your knee now that won’t work because we don’t pay for events, we pay for chronic residuals. Hope this helps.

      • tired February 1, 2011 at 3:48 pm

        This is the problem with the VA. Tom, you state, “To be successful you will really need to have some evidence of treatment in a reasonable period of time after you were discharged (i.e. 1-2 years).” I was told this by a DAV rep and almost gave up on my claim. This is not true, You do not have to show treatment you have to show “continuity of symptomatology”. You, Tom should know this!!!!!

        For continuity of
        symptomatology, the Board cannot determine that lay evidence
        lacks credibility solely because it is unaccompanied by
        contemporaneous medical evidence. Buchanan v. Nicholson, 451
        F.3d 1331, 1336-37 (Fed. Cir. 2006).

        • Brenda Hayes February 3, 2011 at 11:48 am


          Thanks for posting that great piece of information.

          You are right; too much false information given out by all concerned for Vet claims.

          Please post more often with your hard earned knowledge.

          Vets need to network.

          I encourage you to post it at; http://www.veteransbenefits@ezboard; and

          From what I understand; the BVA/COVA cases cannot be used for precedent; this also needs to change as it continues to set up reviewing the same thing over and over–again, just a piece of the puzzle for “fixing” the claims system.


          Can you get someone from the BVA to do a guest commentary with any possible changes, mission, etc.?

          Vetwife Advocate

  156. Michael L. Garee January 30, 2011 at 12:41 pm

    Dear Mr. Pamperin:

    I earlier posted to this blog (January 11, 2011) and I have a follow-up question.

    I have been told by VA personnel answering questions on the 800 number (1-800-827-1000) that the “national average” time in the rating phase is 16 to 27 days. My claim (file number ****) for prostate cancer residuals and secondary chronic fatigue syndrome has been in rating at the Atlanta, GA, VARO since December 6, 2010, and, to the very best of my knowledge, remains there as this is being written (January 30, 2011). Should I be concerned that my claim has been in rating double the “normal” time? In other words, I would hate to be waiting to hear from the VA only to learn later that, somehow, my file has either been lost or misplaced in rating. Certainly, if I don’t raise some type of “red flag,” there would be no way for VA to know that my file may have been lost or misplaced while in the rating phase, correct?

    Based upon my understanding of the rating process, it would seem to me that rating a claim would be relatively straightforward, provided the veteran clearly and specifically spells out the nature and type(s) of disabilities being claimed (which I did). That is, in my case, the rating specialist would determine, specifically, what residual symptoms I am claiming (in my case, very high urinary frequency—on average less than an one hour during the daytime and five to six times during the night—as well as specific symptoms relating to chronic fatigue syndrome, e.g., frequent, severe headaches, tiring easily, etc.), determine if my claims matched up with the medical evidence presented to the VA, then go to the rating manual and assign the appropriate percentage(s) of disability allowed. (I’m quite aware that there are a number of steps involved in the entire process, but as I understand it, in the simplest terms this is the way the rating process essentially works, correct?)

    If the present delay of my case in rating is due merely to a tremendous backlog in rating, then I will just have to be content to wait my turn. On the other hand, if there has been some sort of snafu with my file . . .

    What would be your advice to me at this point?

    Thank you!

    Michael L. Garee

    P.S. The total time my claim has been in process as of this date is 246 days.

    Editor’s note: Removed a Social Security number. Please do not leave any secure information on the blog.

    • Tom Pamperin February 1, 2011 at 11:35 am


      Generally speaking what the person at the 800 number told you is the average tilme in what we call the “ready to rate” phase. If you call them again ask them specifically if they are looking at “MAP-D” and is the case identified as “ready to rate.”

      But when I get back in the office on friday I will follow up

      • Michael L. Garee February 1, 2011 at 2:11 pm

        Dear Mr. Pamperin:

        Thank you so much for your quick response. I will call the 800# and ask the questions you suggested, and I would certainly appreciate it if you would indeed follow up with the Atlanta, GA, VARO when you return to your office. Mike Garee

      • Michael L. Garee February 2, 2011 at 8:32 am

        Dear Mr. Pamperin:

        As you recommended, I have been trying to contact a CSR on the 800 number, in order to get answers to the questions you suggested I ask, before you contact the Atlanta, GA, VARO on Friday, when you return to your office. However, “due to unusually heavy call volume,” I have thus far been unable to make contact.

        Nonetheless, I will continue trying to get the questions answered either today (Wednesday) or Thursday, so you will have that information before contacting Atlanta.

        Thanks again for your kind offer to follow up on this matter for me. I sincerely appreciate it!

        Michael Garee

      • Michael L. Garee February 2, 2011 at 4:02 pm

        Dear Mr. Pamperin:

        Bingo! I finally got to talk to a CSR on the 800 number today (Wednesday). Here is what she told me: She was indeed looking at MAP-D and said the notation was that the claim is “ready for a decision.”

        Hope this helps and I will await hearing back from you once you contact the Atlanta, GA, VARO on Friday.

        Thanks again for all your help!

        Michael Garee

      • Michael L. Garee February 10, 2011 at 3:41 pm

        Mr. Pamperin:

        I know responding to the comments on your blog is hardly the only thing on your plate, but I did want to follow up and see if you have yet been able to learn anything about the status of my claim, which has been in “rating” for 67 days as of this date. As I earlier indicated, I fear my claim may have fallen “through the cracks”!

        Thanks again for any assistance/information you can provide me on this matter.

        Michael L. Garee

        P.S. I notice that your last responses are dated February 1st, and that you were out of your office for several days, so if that explains your absence from this site, please excuse my impatience.

      • Michael L. Garee February 16, 2011 at 7:06 pm

        Mr. Pamperin:

        It seems that a number of us have noticed that you seemed to have “dropped off the face of the earth” since February 1, the last date you responded to any postings. Hope everything is OK!

        Michael Garee

  157. steve January 29, 2011 at 3:39 pm

    Mr. Pamperin: I am also a Viet Nam vet and I thank you 4 your service and this post which I have ben reading all day…I am scared to death of the stories I have read about, especially about the Columbia SC region office.
    I filed a claim for PTSD in august 2010—had C&P on Jan 7, 2011…of course no answer yet and i expect it will be some months or a year before I hear from them.
    I have spoken with others from my vet center group and they all tell the same horror stories I have read in this forum….
    It is great that people at the top set requirements/expectations of faster claim decisions, but it is something else to get the regional offices to do that—I am convinced the rules are to deny, delay and they will die—yes, Viet nam veterans will all die soon…the 84% decision is a dis-grace and the 95% will not be met—deniels will keep the backlog growing.
    I probably should not have written in this post, because I am confident that it will again put my claim at the bottom of a stack—the va dosent even know what stack anyone is in….
    PLEASE do not put the VIETNAM VETERANS at the bottom of any stack—we dont have long on this earth and we did what our country needed us to do—now our country needs to do for us—approve our claims in 30 days or less.

    • Tom Pamperin February 1, 2011 at 11:32 am

      First Steve,

      I would not cause your claim to go to the “bottom of the stack.” I would hope that you wouldn’t think that of me. Regarding the quality level, I agree with you. Our quality level is really nothing to be proud of but we are fixing it. Again, most of the errors that are included in that quality level do not ultimately affect the outcome of the decision. But vets deserve a lot better than that. That is why we are moving to rules based systems.

      I sincerely hope we, just because we are Vietnam Vets, have a lot longer to live than you seem to imply. I for one am counting on it! :)

      If you had your exam in January, my guess is a few more weeks to hear.


      • steve March 27, 2011 at 5:52 pm

        steveJanuary 29th, 2011Mr. Pamperin: I am also a Viet Nam vet and I thank you 4 your service and this post which I have ben reading all day…I am scared to death of the stories I have read about, especially about the Columbia SC region office.
        I filed a claim for PTSD in august 2010—had C&P on Jan 7, 2011…of course no answer yet and i expect it will be some months or a year before I hear from them.
        I have spoken with others from my vet center group and they all tell the same horror stories I have read in this forum….
        It is great that people at the top set requirements/expectations of faster claim decisions, but it is something else to get the regional offices to do that—I am convinced the rules are to deny, delay and they will die—yes, Viet nam veterans will all die soon…the 84% decision is a dis-grace and the 95% will not be met—deniels will keep the backlog growing.

        Thank you for your reply—I guess that the Columbia, SC regional office does not share your “few weeks” scenerio—It will probablly be in a few “years”. but i dont believe i will be alive to recieve compensatio—It is a constant battle not to just use my pistol, but i am still trying not to do that—only time will tell.
        I probably should not have written in this post, because I am confident that it will again put my claim at the bottom of a stack—the va dosent even know what stack anyone is in….
        PLEASE do not put the VIETNAM VETERANS at the bottom of any stack—we dont have long on this earth and we did what our country needed us to do—now our country needs to do for us—approve our claims in 30 days or less.

        • steve March 27, 2011 at 5:53 pm

          Thank you for your reply—I guess that the Columbia, SC regional office does not share your “few weeks” scenerio—It will probablly be in a few “years”. but i dont believe i will be alive to recieve compensatio—It is a constant battle not to just use my pistol, but i am still trying not to do that—only time will tell.

  158. Barbara January 29, 2011 at 10:41 am

    In Nov of 2009 I filed not only an appeal but a claim for a back injury that I sustained while in Voc. Rehab. Get this… I received a letter from the DAV stating that the VA denied my claim and that I would be hearing from them. I NEVER received a denial letter from the VA!!! So this month Jan of 2011, I sent a letter to the DAV stating that I would like them to appeal the decision. It was a good thing that I did because the VA sent me a letter stating that the original rejection of the claim was dated March of 2010. If I had not followed thru with the DAV I would have missed the 1 year deadline to file the appeal. Another example of how the VA is working for us the “Black Sheep of the Family”. NICE!

    • Tom Pamperin February 1, 2011 at 11:27 am


      Is your claim/appeal on track now? If not what regional office is servicing your claim. What did you file an appeal on?

  159. Larry Evans January 26, 2011 at 4:15 pm

    One commenter stated of being told Viet Nam vets were being placed on the bottom does concern me about my claim ! I could write a book but this is not what this site is for in brief I went to Nam 1965 made 3 gun fire support tours then my rate specialty was needed badly in country I answered that call and went for one year in country all in all I had 5 tours of Nam as per DD-214
    My claim has been an uphill battle I have made every appointment and answered every Question to the best my memory served me , I was moving through the process just as it was designed with reminders we are working on your case or we have this appointment scheduled for you , when I made the last one they were needing from me I contacted QTC and ask if all the Doctors had submitted their Paper work to them and was told yes and we have Sent all of the Doctors reports in a package to your RO it had 4-5 separate reports sent to Winston Salem NC , I believe it is in stage 2-3 not sure but have not heard from them in four months My VSO said this was a good thing and I intend to agree with him My claim has been developing since 2007 to present thats 4 years now and if It gets put on the bottom of the pile how long before i get a thumbs up or down vote ? When I called and checked up on it 3 years ago I was told then there was like 47,000 ahead of me then , It seems to me if you want to clear a forest you dont run over to one tree and take a couple of chops and then run all through the forest giving each tree a couple chops you never get the trees on the ground And yes I support our troops fighting right now last night they received a standing ovation and were i there i would have stood also but Viet Nam vets have been spit on protested called all sorts of names and never been given their due recognition for their service mine was 5 tours in Nam and 20 years as a Veteran All I want is to be treated like all other Veterans no matter if they served 2 years or 30 years and quit being treated as a Military retiree I am a Veteran And demand to be treated as one ,I am proud to have served my Country now it’s time for my country to step up to the plate it’s not fair to go from 47,000 to 247,000 on the list just saying. So Tom I am asking you to see if They will rate me because if I disagree and have to Appeal it could be one of those 6-8 year claims tom could you contact me via my e-mail address and let me know what if anything is being done and what stage of DEV Thank you Tom for your service help and support hope you have a great day and GOD BLESS OUR TROOPS !! Larry

    • Tom Pamperin January 26, 2011 at 6:27 pm

      Thanks and you too.

  160. DANIEL BRACKER January 26, 2011 at 1:45 pm

    Tom, Thanks for your service in both the Military and VA. I have a claim in for my back/arm injury which is in the decision phase, and in the process VA added a dependancy claim (I wasn’t getting what I should have). Anyway the dependency claim is in the developement stage. Will the dependency slow down the back/arm. It appears to have been in the developement phase since august.

    • Tom Pamperin January 26, 2011 at 2:51 pm


      They are independent claims and one shouldn’t impinge on the other. What regional office is handling your claim. Dependency issues are handled by veterans services representatives and your back/arm condition is being handled by a rating veterans services representative. Two different people to different skill sets.

      Again if you would tell me what regional office is working your claim I would appreciate it.


      • DANIEL BRACKER January 27, 2011 at 7:09 am

        Chicago is working on my claim. Thanks for the information, dan

        • DANIEL BRACKER January 27, 2011 at 8:15 am

          Tom, By the way I don’t want to get anyone in truble. I guess my claim is proceding as normal, per the times. I just had a question, if one could slow up the other. Thank you very much for the answer dan

        • DANIEL BRACKER February 18, 2011 at 8:04 am

          I called the 800 number, and they said I needed to fill out a dependancy statement. Ebenefits on the web showed me that no further input was required from me. I filled out the dependancy form online (386C — I think), so we’ll see where it goes from here. It was strange, that no one contacted me (either by mail or phone), to inform me of the requirement. Thanks again for your help.

  161. Charles Cauthen January 25, 2011 at 9:22 pm

    Great post John, I too am a VN Combat vet 173rd Airborne dealing with St.Pete VA Claims office. They have repeatedly misinformed me. My DSO told me today my claim was placed on the bottom of a large stack and put in a storage room. I filed 9 months ago for AO exposure, CAD and PCT. The WPBVA hosp diagnosed me and are treating me. My primary phy. is a nurse praticioner who sends me letters saying my conditions are normal/ satisfactory.I have chronic Hep C. Hope