Can a individual who is TDIU T&P go to 100% schedular T&P with new claim rated at 60%. If so, is it automatic and do they have to file for it. I have been told that once 100% TDIU no matter how many new issues arise rhat I am frozen at 100%TDIU. Reason for question is that I recently received two new non connected service conditions rated at 60% each, (Ischemic heart and renal failure state 3). I thought this should qualify me for SMC but DAV Representative said no. My other question concerns a post earlier on this bulletin board that when vet turns 65 VA automatically awards housebound. Any knowledge there. I have less than two months to ten year mark but after talks with Cardiologist, (1 artery open 80% closed, no option for stents due to earlier quad bypass artery failure, plus renal failure enters picture for denial of surgery options). I have become extremely weak and unsure of how long I can go. Ancillary heart veins grown after bypass are all blocked also. I understand from doctor that not the blockage will kill me but a piece of plaque can come loose any time. Blood pressure meds not working as they should. Constant spikes of 180-200/, 90/110. Side note while in hospital Cardiologist had a fit when he found out that the VA had me on 50 units Lantus and minimum of 17 units Novolog before eating. Hospital gave me almost identical meals as I eat at home and gave me 3 units Novolog and 22.5 units of Lantus at bedtime. My blood sugars were the best I have had since heart surgery. Following this dosage at home has continued blood sugar control. VA Clinic didn't want to hear about it and even went so far as to tell my wife when she tried to give them the hospital report, come back later. My doctor would be out for awhile and they didn't even know if a doctor would be able to prescribe pain meds due every month. Wife refused to take her answer and went to release of information and got assistance in getting the med records admitted to file. If they will be actually posted, I don't know. I have been complaining to VA Cardiologist about chest pain for the last three years. No stress test was ever ordered by the VA. At my last office visit, he told me bypasses, stents and medications did not do anything to extend our lives. There was nothing he could do other than leave him alone. I need not try to schedule any more visits. My wife walked out understandibily shocked even more so by the fact that while in the civilian practice he had treated her mother for the same problem and saw her every three to four months. She was on Medicare. What a difference between philosophies now that he worked for the VA. Oh yes, he informed us he was only working for the VA as he needed approximately four more years federal employment time so he could receive a retirement from the federal government! For all of those who go to VA C&P.s a final word of caution. VA gave me a echocardiogram for Ischemic heart disease. They rated it as estimated at 55%. A litttle over two months later when I went to the civilian hospital with chest pains, they did echocardiogram and heart cath. They both came back at 40% left ventricle ejection rate. A lot of difference in such a short time raises all kinds of flags to me! If you have the money, verify any tests given by the VA outside by a source who have nothing to gain by rating your disability. I won't go into detail about the VA adjudicator who was rating my renal failure who called me while I was in bed two hours prior to going to the hospital for chest pains. Basically he pressured me to drop other claims pending so he could rate my renal failure. There was more than 100 pages of documentation which was too much for him to read. Based on our conversation I got the impression that he was going to rate my renal failure on a VA neurologist report. Somewhere in that 100 pages was a Nephrologist report that was just too much for him to look for. He couldn't even find my statement in support of claim and was going to rate me. What he eventually did, I don't know as the chest pains were getting harder and breathing with difficulty.. I got off phone, wife checked blood pressure and it was 220/170. This is when she insisted on my going to hospital. Please forgive rant but the local VA clinic coupled with the attitude of the St Pete office is doing nothing to help my medical condition. Yes, the adjudicator even warned me that those additional well grounded claims (in my opinion), could cause a review of my whole file with a loss of 100% T%P. I know all are not like this but I seem lately to be running into increasing numbers of them within the system. I fault the supervisors who condone this attitude and possibly encourage it! Thanks for advice and please pardon my rant, I just worry about wife having to go through such grief dealing with the VA when I go!