• Reply to: More questions about TDIU   3 days 13 hours ago

    From Jim: That isn't true. Veterans can't pick and choose the ratings that are most convenient for them. If you return to work (VA calls it "gainful
    employment") your 100% TDIU rating would be lost. You would then be returned to the 90% rating that you had prior to the TDIU determination. The P & T designation on 100% ratings actually has very little meaning. Nothing at VA is ever "permanent". Ratings can and often are changed by VA for cause. You should be very cautious about a return to work unless you're sure you can manage it.

  • Reply to: I have 100% disability and Medicare. Which supplemental coverages would you recommend?   3 days 13 hours ago

    From Jim: If you are having a transplant at a VA facility for a related service connected condition, VA will take care of everything. Your message makes me think that you're having the surgery done at a civilian hospital and that you're using your Medicare and CIGNA plans to cover that expense. If you are using a civilian facility, I have doubts that VA will be interested in providing all the medications you'll be needing. You will want to check with your VA PCP prior to surgery to see if he is able to prescribe such medicines for you. I don't have much experience with Medicare paying for such things but I see that you don't mention having Medicare Part D. Parts A & B don't provide prescription coverage, only Part D does that. You should speak with the civilian providers and the CIGNA representative you're using prior to such an operation.

  • Reply to: I have 100% disability and Medicare. Which supplemental coverages would you recommend?   4 days 14 hours ago

    I am 68 years old and have medicare A&B and have a supplemental prescription plan with CIGNA. I am also 100% total & permanently disabled by VA. I am going to receive a kidney transplant from my wife next month. Will the VA cover my anti rejection drugs or does medicare cover them if so what happens in the donut hole?

  • Reply to: More questions about TDIU   5 days 5 hours ago

    Jim I have a question,

    I'm 90% disabled, my file say's that I'm 100% due to (IU), but it also say's that my disability is T&P, that I fall under CH 35 as well. So if I was to try and drop my (IU), would I be able to work? Would I still be paid at the 100% rate? I work with a lady from the wounded warrior project who said that since I'm T&P that I can drop my (IU) and my pay would not be affected. Trying to see how true that is or not.



  • Reply to: Is the VA doing random drug tests?   3 weeks 5 days ago

    Trichloroethylene (TCE) was and is a common solvent. It's use as an anesthetic agent was widespread until the 1960s when it was replaced by other agents. TCE was and is still used to clean steam autoclaves.
    I've kept an eye on TCE as I've monitored my own health over the years because I began using TCE in the military in 1967. TCE was used to clean cosmoline from stored or shipped weapons.

    I also worked in surgery as a certified first assistant from 1967 through the 1990s and I cleaned my share of autoclaves over the years.
    We used TCE to clean many things while I was in the military.

    Perhaps the most frequent use of TCE has been in the dry cleaning industry as a pre-cleaning or spotting agent. TCE is the principle ingredient in Fast PR, 2-1 Formula, Picrin, Puro, SemiWet Spotter, Spra-Dri and Volatile Dry spotter.

    I can't verify that Cape Canaveral, FL or Patrick Air Force Base, FL have ever been Superfund sites. Those locations are in Brevard County, FL and there is only a single Superfund site listed in Brevard County; the Harris Corp. (Palm Bay Plant) contamination site that was addressed in the 1980s. The most well known site today is likely the Camp Lejeune site where dry cleaning chemicals that included TCE contaminated groundwater over many years.


    Exposure to TCE and a subsequent diagnosis of Parkinson's disease is not a presumptive cause and effect event in the VA disability benefits process. However, if the veteran claimant can prove exposure to TCE as well as present a nexus letter that verifies a likely causal relationship, the VA may award a service connection for a disability rating. To see how this may be accomplished, the claimant can search the Board of Veterans Appeals (BVA) decisions to learn the steps required.

    This is the decisions database

    This is an example of a service connection award for TCE exposure.

    Veterans who were exposed to the many different potent chemical agents used in the military and who have diagnosed illnesses can and should file claims if the veteran believes there is some cause and effect.
    The key to winning such a claim is to submit an IMO or IME statement along with the claim.


    /S/ Jim