So far, my skin therapy is working out. My reaction to the creams is quite minimal. I do have some redness and the occasional tingle or itch, but it isn't bothersome. I have to keep reminding myself not to scratch or rub the itch.
I received the VA's final decision letter on my claims evaluation, and I am pleased with it. Not that I am pleased with the diagnoses, but that my issues are now recognized (after 35 years) as service-connected and that the compensation is fair.
I had to research their Compensation Table because, Government Math.
My individual ratings are 50% + 40% + 30% + 10%, which equals an overall disability rating of 80%.
The theory is that each disability is considered separately. The rating is a determination of how disabling that condition currently is. Since no one can be more than 100% able-bodied, the separate ratings are combined using a formula to determine the overall disability rating.
The logic behind the formula is that (in my case), the 40% rating is not added to the 50% rating because the 40% rating is being applied to a veteran that is already 50% disabled. So, those two numbers are combined in a formula to reach a number, then the next rating is combined with that number, and so on. The final result is then rounded to the nearest 10%.
Now that that is settled, I have one more loose end before I move out of state this summer. I am still waiting for my birth certificate from Pensylvania. The website states that processing time takes 20 weeks (5 months), and I submitted the change application back in January. My concern is that the state may give in to the federal guidelines that would prevent the application from being processed. Birth certificates and other vital statistics (death, marriage, etc.) are handled at the state level, not the federal. So the state may just process the application as usual, or if they buckle under federal guidelines, they could reject the application for gender change.
My bank account shows that they cashed my check, so I am hopeful that all is well and I will receive my birth certificate by the end of May. Hopefully, sooner.