Question:
Jim,
Thanks for your web site and your very informative articles. In December 2006, I filed for disability involving meniere’s disease and anxiety disorder. In January 2007, March 2007 and June 2007, I received a denial letter in each of the months, for a total of three denial letters in 2007. However, I still have not received a SOC. I currently have disability for hearing loss 0%, and tinnitus (also claimed as otaglia and vertigo) 10%. In addition, I filed a NOD and I requested a hearing before a DRO in March 2007, still no word on the DRO hearing.
My question is in two parts, first, should I have received a SOC already, due to the denials in January 2007, March 2007 and June 2007? Second, should not my meniere’s disease, which involves hearing loss, fullness in the ear, tinnitus and vertigo, already have a nexus via my current VA granted disabilities of hearing loss 0% and tinnitus (also claimed as otaglia and vertigo) 10%? The VARO worded my grant as “Tinnitus (also claimed as otaglia and vertigo) 10%. I do not understand the VARO, it would appear to me that the vertigo was previously included as a grant along with tinnitus, or, am I totally wrong?
(signed) Vietnam era vet
Answer:
Hmm, not much of the VBA response makes any sense to me. How sure are you that your request for DRO hearing/de novo review was received? If you requested a Statement of the Case (SOC), yes, you should have had it by now. Are you sure your request for an SOC was clear? Do you still have your registered mail receipts to prove delivery?
Hearing loss & tinnitus are separate conditions, rated separately. I'd suspect Meniere's disease/syndrome should be too. I had a bout of Meniere's and had no hearing or tinnitus disorder. I believe you have 3 conditions. There may or may not be a clinical nexus.
You understand that with your 07 denial in June 2007 (if after the 20th) you can hand your appeal over to a lawyer on a contingency fee basis?
I can offer you 2 expert paths to choose from...
I have a friend who is a CVSO, an expert in hearing issues. With your permission I'll pass your query on to him to assure that you get a smarter answer than what I may give. Or...I can refer you to an expert lawyer I like.
As it stands today, if you're positive that the VARO received your properly worded NOD and request for DRO de novo review, not much more can be done except wait unless you choose to try to modify your filing after communicating with my CVSO expert (not a bad idea) or turn it over to a lawyer for review and possible action (also not a bad idea).
The bottom line here is that in recent months I'm seeing some very odd adjudications coming out of VBA across the country. The error rate is huge. That a VSR or a rater won't understand the difference between hearing loss, tinnitus and vertigo doesn't surprise me at all. Their workload is atrocious, training is spotty, supervision is inadequate and their computerized decisioning systems wouldn't support a grade school classroom.
I recently fought with a VARO over an Agent Orange lung and brain cancer that VA ceded as service connected but originally rated at 0% because he was "improved". They finally rated him at 100% but scheduled future exams (a temporary rating) to check for continued improvement. The veteran died in hospice care 9 days after he was assigned a permanent rating.
After you've observed a VARO rate a brain cancer with dementia as a temporary condition, you become pretty jaded to anything else they may do.