Wednesday, October 9, 2013

The Joy Of Shingles (There Is None.)

My face three months after benign bump removed from my jaw.
The long recovery hit my immune system hard.


Shingles Are A Living Hell

  It’s been a bad year for me, or I should say the left side of my face and head. In April, I had the operation to remove a benign bump on the left side of my face, but they had to peel my face back to do it so the nerves wouldn’t be damaged. Then, my face swelled up for three months.

  In August, I began to feel better and my face had pretty much returned to normal. On August 30, I had a headache that wouldn’t go away on the left side of my head and felt like I had a sty forming on my left eye or like I had something under the lid. (I never get headaches and I’ve never had a sty come out .)

  Two days later, my left eyeball was bright red, my left forehead and scalp burned like a real bad sunburn when I touched it, and I had clusters of blisters on my left forehead and all through the left side of my scalp. I got some Murine, but that didn’t help my eye and burned like hell.

  I could have gone to the VA emergency in Cincinnati, but I was afraid they wouldn’t be serious in helping me or they would try to refer me to a clinic days later. I didn’t think my eye could wait that long. My wife called our family doctor and I went the next morning.

  People had only two reactions when they saw my eye: Holy Crap or I’ll pray for you.

  The doctor gave me a steroid shot and antibiotics for seven days three times a day at 8.00 a pill. I also got some eye drops, Tobramycin, in a bottle the size of my thumb for 102.00. Our doctor walked me downstairs to the eye doctor on the first floor and told them I should be seen right away.

  A few hours later, the eye doctor told me I had ulcers on the cornea, but he thought I had gotten there soon enough and the drops and antibiotics would heal them without eye damage. (The eye is the worst place to get shingles because it can lead to severe vision loss and blurring if not treated right away.)

  By the next morning, the blisters had moved down the left side of my nose. I gave thanks that I didn’t have them between my legs, but I was real miserable and afraid I would lose vision in my left eye.

  The drops and shot and anti-biotics started to work miracles in a few days. The bright red eye returned to normal in a few days, but my eye swelled and turned purple and my vision is still not 100% because I still have a die-hard lesion on the tip of my eyelid.

  Within a week, scabs formed, most of which were in my scalp and on my forehead. The burning was slowly replaced by a stinging itch and the feel of things like spiders crawling in my scalp and down my forehead. Shingles also sucks all the energy out of you. I didn’t feel like doing anything and didn’t have much interest in anything.

  Me and my wife sing big band music. We had a gig about seven days into my Shingle attack while they were full blown. I took Hydrocodone for pain. She did a great makeup job on my face, and I wore sunglasses to conceal my left eye, which now looked like I had been punched. I wore my Frank Sinatra hat. I made it through the gig without a problem.

  The non-stop dull headache went away after a few weeks. By week four, all the lesions were gone except for the one on the tip of my eyelid. I still had the tormenting crawling sensation on my forehead and scalp. I went back to the eye doctor. He told me the eye was healed without damage but my vision would be slightly off as long as the eyelid was still involved. He also said that Shingles on the head and scalp was some of the most difficult to get rid of and could linger for a long time no matter what medicine a person takes. I didn’t like hearing that.

  As I write this, I’m into week five. The constant crawling itch is still with me, and my left eyelid still has an active redness, slight swelling, and is sore. I wouldn’t wish this stuff on my worst enemy. The scalp wasn’t all that bad unless I touched it or washed my hair. Once it started healing and the itching began, then it got bad. The burning is pretty much gone except for one segment of my forehead.

  Shingles is caused by the same virus that causes chickenpox. If you had chickenpox, you have the virus in you, looking for a chance to come back out. It is not contagious, but people often think it is, like they do poison oak or ivy since the blisters all look about the same.

  They say by age 80 about 90% of the population will get Shingles. The vaccine can slow it down, but is no guarantee you won’t get it eventually. It is fairly rare on the face, which is why I got it there because I can’t never get things in a normal way.

  I believe the operation in April and the long recovery led to my immune system becoming weak enough so that the Shingles came out. I have asked several doctors if I could get it again. Some say yes, others say no one knows for sure and that it’s different on everyone. I haven’t heard anyone say that I couldn’t get it again. I don’t want it again.

  If you have had Shingles, you know what I’m talking about. If you haven’t, and you start breaking out without obvious reason in a pattern on one side of you body...see a doctor right away. Shots and meds can shorten the duration, but it will still have to run its course. In some people that can be months or even up to a year. If you get it in your eye, see a doctor right away because you can permanently damage your vision if Shingles goes untreated in the eye. I believe the long recovery caused the Shingle outbreak because of my weakened immune system.

  Shingles is some cruel stuff.

 

 

 

Wednesday, September 4, 2013

PTSD Review

I am often asked why some veterans receive a “Total and Permanent” rating on their first application for PTSD compensation. I’ve also recently heard from a vet who got 100% P&T on his first claim attempt. There is no real answer to that question because receiving 100% the first time around is a rare event. But there could be several reasons in such cases when they do occur.
A veteran may have a history of never being able to hold a job or even function in society. This would warrant 100% T&P. A veteran may have been treated in the system for years without ever filing a claim, but has an obvious sporadic employment record and a diagnosis of severe PTSD. This could also possibly warrant %100 P&T.

In rare cases, a veteran could have had such a horrible wound to the head or face that no one would hire him. Although, the wound wouldn’t rate total disability, the psychological damage of having to face the war each day from the disfiguring wound and not being able to secure employment because of the wound would rate 100% T&P for PTSD. If you have had a long term history of employment and are currently employed, getting 100% on an initial claim is not going to happen.

Some veterans worry that their PTSD percentage will be cut during yearly Comp Exams. This is not likely because PTSD does not go away. It may improve on a temporary basis, but it will never go away. Once you have a PTSD percentage, it will likely go up, and never go down.
Another veteran wanted to know if it is necessary to attend therapy to receive a service connection for PTSD.

After you are service-connected, it is up to you whether you want to continue therapy. If you intend to go for an increase, therapy is important because it shows you are seeking help. If you are satisfied with your percentage, you do not have to attend therapy. Therapy is something that should be done on an individual basis according to need. If you feel further therapy won’t help you, then go only when you feel the need to talk to someone. Once again, your percentage isn’t likely to be cut because you don’t want to see a therapist constantly.

Another veteran wanted to know if Unemployable veterans can get same day treatment at a VA Medical Center for a bad tooth, ingrown toenail, or a painful boil. You can receive treatment for all these conditions, but it is different at each VA Medical Center as far as immediate treatment. It would be best to call ahead and make sure you can get in on an emergency basis, and make sure you let them know you are 100%, especially for dental work.

Also, if you are in a Voc Rehab program, you receive treatment the same as 100% while you are in the program. If this is your case, I would request documentation from the Regional Office to allow emergency treatment, because if you just go in and say you are in Voc Rehab, the Medical Center won’t treat you without an okay from the Regional Office. Since this could take a month or longer, a bad tooth won’t wait that long.

Also, if you have a dental emergency while in Voc Rehab, call your service organization officer and they should be able to help you get in right away or you may also try your Voc Rehab case worker.

Finally, for veterans filing an initial claim, it would be best before you file to go to a VA Medical Center Out-Patient Clinic and request to talk to someone about PTSD. This gets it on record that you are seeking treatment and puts you in the system. You may also be able to get an immediate diagnosis of PTSD.

(The picture above was taken at the wall by another Marine Nam vet and childhood friend, Bill Maag. Thomas W. Mills was our childhood friend killed by a sniper around May of 1968. We called him Bo. During visitor day in boot camp, the DI screamed at me that my brother was here to see me. I didn't have a brother but I kept my mouth shut and went to the visitor center. It was Tom, down from Pendelton and pretending to be my brother. He bought me smokes and I had about three chocolate malts before the visit was over. That visit allowed me to make through the last few weeks of boot camp. I still think of him each day.)

Thursday, August 22, 2013

Non-Taxable Military and Government Disability Pensions


Many pensions are non-taxable, and you often have to point it out to the IRS.

  Military and Government Disability Pensions


(from the IRS Code)


  Certain military and government disability pensions are not taxable.

  Service-connected disability. You may be able to exclude from income amounts you receive as a pension, annuity, or similar allowance for personal injury or sickness resulting from active service in one of the following government services.

The armed forces of any country.

The National Oceanic and Atmospheric Administration.

The Public Health Service.

The Foreign Service.

 

Conditions for exclusion. Do not include the disability payments in your income if any of the following conditions apply.

  You were entitled to receive a disability payment before September 25, 1975.

  You were a member of a listed government service or its reserve component, or were under a binding written commitment to become a member, on September 24, 1975.

  You receive the disability payments for a combat-related injury. This is a personal injury or sickness that:

  Results directly from armed conflict,  Takes place while you are engaged in extra-hazardous service,

  Takes place under conditions simulating war, including training exercises such as maneuvers, or

Is caused by an instrumentality of war.

  You would be entitled to receive disability compensation from the Department of Veterans Affairs (VA) if you filed an application for it. Your exclusion under this condition is equal to the amount you would be entitled to receive from the VA.
 
(If you receive one of the above pensions, especially, pensions at an outside company or other government job, which is not a VA service-connection pension, but based on a VA service-connected disability...then, you may have to point that out to the IRS. There are thousands of pages of IRS rules, and most of the employees don't know what all of them are. If you are currently paying taxes on a pensions that meets the above criteria, petition the IRS for tax relief under the code.)