PSP Questions

 

Question #89    

 

I've been denied since 2009 for leukemia which I'm still being treated today after 2nd bone marrow transplant in 2014. Clinic every Monday for now for blood products. I served in Vietnam 68-69 presently receiving 60% for IHD and hearing loss, now 68 it’s gotten worse and getting close to death every day. Why am I being denied compensation for Leukemia and Hypertension when I have records to prove I'm being treated related to agent orange? The fight with the VA is slowly zapping the life out of me!


A1:  The VA has a strict list of conditions that it recognizes as presumptive conditions for exposure to Agent Orange. The issue may be that you have the wrong type of leukemia. The only leukemia that is linked to Agent Orange is --Chronic B-cell leukemias: A type of cancer that affects white blood cells. If this is what you have, then you should not be denied. I would determine exactly what kind of leukemia is your condition as there are four basic types of leukemia.  (AP)  6/24/2016
 
A2:  There several types of Leukemia. The only ones in the Agent Orange Presumptive list are B-cell type Leukemias. Check with you Oncologist to get clarification of your type of Leujemia. Hang in there!  (PW)  6/25/2016
 
A3:  Sounds to me like you need to find a lawyer. That usually gets someones attention. The veterans advocate can point you in the direction of one who takes on the VA regularly.  (TT)  6/28/2016
 
A4:  Non-Hodgkin's lymphomas was the original type and then the last service connection was the fuzzy cell B luekemias.  The original findings for CLL was in the Agent Orange Newsletter and here are those findings:  CLL and Other Leukemia.  The IOM report described above concluded that farming, especially where there is exposure to the herbicides found in Agent Orange, is associated with significant risk of CLL. Many more studies support the idea that herbicide exposure can contribute to the risk of developing NHL. IOM concluded that there is sufficient evidence of an association between exposure to herbicides used in Vietnam and CLL.  ALL is a disease of the young and of people over 70 years old. Neither group contains many Vietnam veterans. The incidence of ALL is slightly higher in Caucasians than African-Americans and in males compared with females. Exposure to high doses of ionizing radiation is a known risk factor for ALL. The evidence on other risk factors is mixed. IOM has not found ALL to be associated with herbicides used in Vietnam.  Acute Lymphocytic Leukemia (ALL), Acute Myeloid Leukemia (AML), AML is the most common acute leukemia among adults. It becomes more common in people over 40 years old. AML is slightly more common in males than in females. Factors associated with an increased risk of AML include high doses of ionizing radiation, occupational exposure to benzene, and some medications used in chemotherapy. Fanconis anemia and Downs syndrome are associated with an increased risk of AML, and tobacco smoking may also be a risk factor.  In its Veterans and Agent Orange: Update 2000, IOM concluded that there is limited/suggestive evidence of an association between Vietnam veterans exposure to herbicides in Vietnam and AML in their children. As described previously, this conclusion was later reversed when a serious flaw was found in an Australian study upon which the finding was largely based. IOM has not found AML to be associated with herbicides used in Vietnam.  The rate of CML increases steadily with age in people over 30 years old. It is associated with a genetic abnormality known as the Philadelphia chromosome. Exposure to high doses of ionizing radiation is a risk factor. IOM has not found CML to be associated with herbicides used in Vietnam.  Chronic Myeloid Leukemia (CML).  Request for Agent Orange Examination.  (CKP)  7/29/2016
 

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Question #90

 

My husband was rated 100% disabled upon re-examination when he was 56 years old. Subsequently, he was sent to another VA examination where the doctor opined he was employable and the VA as a result proposed/moved to reduce him by 50%. My husband objected and requested (as was offered by the RO) a hearing. Subsequently, the VA without providing the required hearing reduced my husband by 50% as previously proposed. Approximately 15 months later, the VA reinstated my husband to 100% (retroactively) to when he was reduced and immediately directed him to report to the RO for the hearing that was skipped two years prior when the proposal to reduce action was originally initiated. At the hearing in April 2016, my husband provided a private doctors examination on the VA form, for which, the doctor supported a 100% disability. The RO, since directing the hearing in February also raised the issue of a prior claim and subsequently scheduled a physical examination and rated the arthritis found by the VA doctor "0%" in less than 2 months. While not resolving the proposed reduction hearing or addressing the new medical evidence presented at the hearing that is now outstanding more than 2 months from the hearing and over a year from the initial proposed reduction. Someone told my husband if he was rated 100% after his 55th birthday VA rules or law prohibits re-examination, but it appears the RO ordered a new examination 4 1/2 years after my husband was first rated 100% and then used that examination to justify reducing him without a hearing. If the reduction action was voided as a "clear and unmistakable error" then how can the old proposal to reduce be honored and "legal or ethical?" Considering that my husband has been retroactively reinstated to 100% and his 100% rating being constructively in place for 6 years and 3 months (erasing the reduction time) then how can the prior proposed reduction action be considered, and if so, how does the VA ignore the new medical evidence my husband submitted and the "due process" rules of reducing a 100% rating after 6 years with their rating being interrupted/reduced by "CUE?" and now have a hearing on a proposal where many of the factors have changed. Should the VA be advantaged by violating the rules? Especially, such a well settled rule as a basic right for the Veteran to have a hearing and requested that hearing in writing sent certified mail. My husband is always upset and depressed dealing with the VA. This just isn't fair to husband and my family. The VA won't even talk to him. Seems like the VA kicks the can down the road and makes unilateral decisions that we just have to live without any say so.

 


A1:  I would recommend you seek legal help. I know it will cost but I think it will be worth it. There are legal folks who work on VA cases just like your husbands.  (LC)  6/28/2016

 

A2:  I agree you need legal assistance.  Please feel free to contact me at the email provided.  I am accredited.  You can also get a listing of accredited help at http://www.va.gov/ogc/apps/accreditation/  (TH)  7/7/2016

A3:  A1 advice is good and just for if a BVA hearing you would get the same thing for the decision is made by a VA representative and we all know how that will go.  Filing a lawsuit may not be what you would like but suing for over 3 million in damages for what the VA is doing illegally knowing them.  Once you win your disability from the VA and all medical rights they will deny you of all of that.  I face a similiar situation for I am now over 65 so the VA by the time I reach 70 or before they will take my 10% unemployability away because I will now be unemployable due to my age.  Just figures that is the way the VA works once your down they kick and stomp on you hoping you will call it quits then they win either way.  I have evidence that they knew in 2005 about my degenerative bone and joint disease and hid it from me and accepted both my knees but not my neck and spine which is secondary to type II diabetes so this is another way the VA works looking at percentages to lower the percentage.  Best of Luck and do get legal counsel but make sure you have proof of who the evidence comes from and if other ex military buddies get proof from them of when and where they served to show was with him to prove it.  (JRM)  7/7/2016

A4:  The first thing you do is file a NOD on the reduction which will then kick in an appeal process.  But, you have a short period of time for that.  Next get your ducks in a row.  6 and 1/2 years does not establish the rating as Permanent.  It takes 10 years to become permanent for treatment (still subject to reduction) and 20 years to set it so there can be no reduction in ratings.  TH is correct about getting advice.  (CKP)  7/29/2016

 

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