This eBook will teach you how to get C-Files (paper and electronic) from the VA Regional Office.
How to Get your VA C-File

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    • Sleep Apnea Claim
      Hi, I am a 30 year retired vet. I retired 13 years ago. I as recently diagnosed with "very severe" obstructive sleep apnea. The machine they gave me is preset on the highest output flow. My episode exceed 35 times an hour with some lasting more than 30 seconds.  I was diagnosed with sleep apnea a couple of years prior to retirement and the study and diagnosis is documented in my record. In fact, they wanted to operate on my uvula. There lies the rub. The operation could have ended my career so I didn't persue. Additionally, while on active duty I developed severe chronic sinusitis and allergic rhinitis and this also is documented in my service health record. I have been living with this and chalking it down to getting old. Fast forward...I recently got a machine that they say I have to wear for the remainder of my life. I just learned that Tricare Prime does not pay for it all. So, I researched online and submitted a claim the E-benefits and it has been received and was under review until today when they changed this to "gathering of evidence" Development Letter Sent. Does anyone know what this means? What do I have to look forward to concerning the process. I watch the news. It doesn't look good, right? thanks in advance.
    • My husband died in motorcycle accident
      Your Welcome Page, don't worry about missing the show  there will be more shows. btw, the 33% that attorney quoted you is a little expensive in my opinion'' but'' DIC Cases I'm not that familiar with/just with regular VA Claims its usually a 20% deal However I heard of Some Charging that much  or have  a 20% fee and a clause for   another fee for extra work they do or had to do...I can imagine  a lot is involved  so who's to say 33% is to expensive....its just right if you win...but that's a big'' if'' The attorney will have to do a lot of digging and records to look at phone calls & other personal to pay calls ect,,,ect,, DIC Cases as we learn from Ms berta are very difficult   especially a case  such as yours.  you have to do what you believe is right, I'm sure your late husband would want that for ya. You might want to ask Ms berta about your time-line limit? unless you have an Attorney Already?  Anything you can do to not let your Limit run out will help. if you can Request an extension or more time to prepare your case?  IDK? Take Care .............Buck
    • DRO hearing
      I have a hearing coming up on Thursday for Bowel Incontinence. Yesterday my POA stated that the DRO wanted me to have another C&P exam for the Bowel Incontinence. Here is the thing Dr. Bash diagnosed this back in 2012. Again in 2013 and I've had 2-3 C&P exams since 2012 for the same things.. The VA, a PA and GI Surgeon both diagnosed the same exact thing in July 2013, Bowel Incontinence secondary to my Lumbar DDD/DJD. On the original decision the RO stated it was not diagnosed. This is wrong because they had in their hands Dr. Bash's IMO which showed the diagnosis then in 2013 whenever the VA Surgeon finally diagnosed it they still are denying me but the only reason they gave so far that it was not diagnosed. Everything Dr. Bash diagnosed has been diagnosed by the VA. As a matter of fact they approved me for IU based on the same Dr. Bash IMO!!!!! So how are they allowed to pick and choose what to believe on the report when the diagnosis has been proven by the VA? This is crazy. I am going to refuse ANOTHER C&P exam on the grounds that they already did 2-3 exams, Dr. Bash did 2 exams and the VA (James A. Haley) did two of them (One from PA and One from the GI Surgeon). Am I correct to say they are just trying to low ball me severely knowing it would put me over the SMC and P&T threshold? I told my POA that I will in fact just send it to the BVA if the RO doesn't want to make a decision. They all know I have it so why are they low balling me? I am on SSDI all just for service connected issues, nothing else and I was just award my SSDI continuation. So what gives and how should I approach them at the hearing? I will try to keep my cool because the have sat on this too long. Rob
    • New Proposed VA Reg Vets Should Know About
      Pete...I hear ya.  Now, the VA has an excuse to delay the appeals for 10 years, instead of the current 5 year delay plan.  FDC = Fully Delayed Claim, and Finally Denied Claim.  
    • New Proposed VA Reg Vets Should Know About
      We all know that there is no accountability with VA. I personally had a claim denied several times by VA then when I filed an appeal BVA remanded it several times (twice) trying to get the local VA to grant my claim since the record proved that my claim warranted service connection. Then when the local VARO continued to deny my claim the BVA ALJ decided to deny my claim also. Of course all this did was add years to my waiting. Since the BVA ALJ denied my claim I had to get a lawyer and file a claim to the CAVC. The CAVC remanded my claim and then the BVA ALJ granted my claim. I am talking about a decade of playing VA game of you should be, you should not be service connected. This is with all the evidence in  my records. I admit that someone messed up but no one wanted to correct the mistake so they (VA) wanted to screw me (the veteran) over.  I wonder how many veterans they have screwed over.
    • My husband died in motorcycle accident
      I'm upset that I missed it. I was not able to get online. I will make sure to catch the show in the archives. Thank you for all the information Buck!
    • My husband died in motorcycle accident
      Sorry Ms berta,   The show was on tonight  and it was a dandy DR Bash & Att John Dorle  were on and Dr Mark Worthing  Called in & They all had a great discussion, I sure wish Page 1006 could have called in ask about her claim and about what Attorney to help with her case. Lot of good information was passed on tonight with Claims, Mark talked a bit about Sleep Apnea, and him and John and Dr Bash was just full of Information tonight..I bet they missed you calling in, Alex was not on tonight hope he is feeling well?  Jbasser and Jerrel Had a great show   the hour went real fast, there going to get Dr Mark Worthing to come back as well as Dr bash &  Attorney John Dorle Be sure and catch the show later in the archives.   ..............Buck I thoroughly enjoy the show tonight.
    • My Cue
      If I understand correctly it is one year.  Though don't take my word for it.  I am in the same boat.  Messed up on my original claim many years ago and am now trying to fix the mistakes I made.   I wish you luck, stick in there.
    • NOD - VA Form 9
    • My husband died in motorcycle accident
      I thought this show was going to be on tomorrow night...I just clicked on the podcast and it is repeat of May 18th show.  

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Answers Being Found On Cfids And Fibromyalgia- What Benefits For Ill Gulf War Veterans?

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Answers Being Found on CFIDS and Fibromyalgia- What Benefits for Ill Gulf War Veterans?

September 15, 2010 posted by Denise Nichols

I did attend the Salt Lake City conference on Chronic Fatigue Syndrome and Fibromyalgia this past Saturday my recommendation has already been made to the VA RAC GWI chairman and scientific director it is to invite DR Klimas and Dr Bateman to both share clinical insights on CFS and GWI clinical objective markers to the next RAC meeting after the Nov RAC meeting. An invite needs to be also made to Dr Patrick Wood to cover fibromyalgia and Dr Suzanne Vernon formerly with the CDC and a virologist.

My recommendation to the VA is that we need a Advisory Committee to deal with Clinical Care improvements for Gulf War Veterans that is backed up with valid research that is already published. We desperately need for clinical care at VA to be using this research and expertise on the outside re CFS Doctors and Researchers! Also anti Aging group of physicians have alot to offer also.

WE need better clinical care for our gulf war veterans now! WE can not wait longer, we have already waited 20 years for the VA to respond. We need those centers of excellence that are bench to bedside integrating research into fast track changes for the GWVets when they see doctors at VA!

Dr Klimas—Miami What a star.

Dr Bateman…..Another Star Physician in Utah but sees CFS civilians although there were at least 7-8 family members of gulf war veterans that came to afternoon session of their meeting which was patient conference portion, Dr Wood in Washington state again seeing mainly civilians.

I did ask that Dr Bateman included gulf war veterans in her work and research coming from CFS group as I know Dr Klimas is doing. She referenced Dr Nancy Klimas, I replied yes and I also mentioned Dr Baraniuk at Georgetown University but that we needed more than two physician/researcher on the East Coast! What about gulf war veterans all across the United States!

The health care providers conference was the morning session about 100 attendees but no VA Doctors that I am aware of atttended! The afternoon session was the patient conference and it blew me away when over 300 filled the opened up ballroom size room. They had rest areas for the ill civilian CFSIDS sufferers with mattresses in an adjourning room and an active display area for poster presentations on an array of topics and treatment options!

There was also a Dr(clinical) and researcher from Washington State on fibromyalgia. Dr Patrick Wood that would also be good to invite to same RAC meeting. He is with Pacific Rheumatology Associates.

Tremendous speaker and knows these other researchers personally it seems.

WE need to combine with CFS and FM and GWI as subset to find out how gulf war veterans deployed and nondeployed are alike/different.

These people need to help VA rewrite clinical guidelines for GWI/CFS/FM

They need to be involved in retraining VA Clinicans!!!!!

These people said over and over they learned from the patients!!! They listen to the patients and then go to the lab with clues given from patients and find the hard answers IN THEIR RESEARCH EFFORTS!!!!!

From Dr Woods lecture at Salt Lake City Medical Care Providers Conference September11. I learned so much from this one clinical physician that is also deeply involved in research on neuroimaging for fibromyalgia. I am using the information shared at that wonderful conference in Salt Lake City.

Objective Abnormalities:

Abnormal sleep-Related brain activity- Reduction in Stage III/IV sleep and a increased incidence of alpha- delta sleep.

Abnormal CSF Fluid

decreased concentration of dopamine, norepinephrine,serotonin and increased concentration of substance P, glutamate, nerve growth factor, and endorphins

Moldofsky, psychosomatic Med 1975;37;341

Russel AM J Med Science 1998; 315;277

Decreased CSF Bioamine Metabolities Russell Arth Pheum 1992;35;550

Neuroendocrine Dysfunction

Mildly Decreased Cortisol and decreased growth hormone levels

Autonomic Dysfunction baseline sympathetic hyperactivity, decresed parasympathetic tone, poor response to physical/mental stressors

Crofford Arthritis Rheum 1994 37, 1583,

Jones Semin Arthritis Rheum 2007;36;357

Martinez-Lavin Arth Res Ther 2007;9;216

His conclusion speaks to involvement of a single neurotransmitter in FM-Dopamine.

Wood Eur J Neurosc 2007; 25:2576

Neuroimaging Findings

Neuronal Hyperactivation in response to stimulation

Abnormal brain metabolites

Cortical atrophy

Disrupted dopamine neurotransmission

Reduced mu-opioid receptor availability

Gracely Arthritis Rheum 2002,46,1333

Wood, JPain in press

Kuchinad J Neuroscience

Wood J Pain 2007;8;51

Wood Eur J Neuroscience 2007;25;3576

Harris J NNeuroscience 2007; 27, 1000

Cortical Brain Atrophy Kuchinad- Accelerated brain gray matter in Fm, premature aging J Neuroscience 2007, 27, 4004

Reduced Dopamine Synthesis; Brainstem. Thalamus and Limbic cortex Wood Reduced presynaptic dopamine activity in FM demonstrated PET J Pain 2007

Abnormal Dopamine Response to Painful Stimulation Caudate Nucleus, Putamen, Globus Pallidus

Wood Eur J Neuroscience 2007, 25, 3576

He also discussed the presence or absence of cervical cord compression(Holman AJ, J Pain 2008;9(7);613

Watson Arthritis Rheum 2009; 60(();2839. Karlsson AK, Prog Brain Res 2006; 152;152;1-8 Staud,R Curr Rheumatol Rep 2004; 6; 258 Heffez Eur Spine J 2004:13(6); 516.appearing to have substantial bearing on relationship of symptoms to biological variables and raises question of two or more fibromyalgias.

He also discussed Adult ADHD as higher prevalence among patients with FM(30%)(Woods, American College of Rheumatology,2010) and explaining brain fog—more work needed to confirm.

And also a growing body of evidence suggest abnormal iron metabolism as a role in expression of FM symptoms(Woods and that it will be published next yr early in yr)

He reviewed Pharmacotheraphy—-Pregabalin(Arnold J Pain 2008 Sept pg 792-805) 30% reduction of pain, Duloxetine(Russel Pain 2008: 136 p 432)

, Milnacipran(Mease J Rheumatology 2009. 36 page 398)

He had many Clinical Pearls re Choice of Agent on antiepleptics and antidepressants

Then reviewed other agents with controlled studies

Anticonvulsants(Gabapentin) ***Arnold, Arthritis Rheum. 2007;56: 1336

Dual Reuptake inhibitors-Venlafaxine

Central Acting Muscles Relaxants – Cyclobenazaprine

Dopamine Agonists- Pramipexole–Holman and Myers, Arthritis Rheum 2005;52: 2495

Atypical Opiods- Tramadol

Sedative hypnotics*** -Sodium oxybate—Holman and Myers same as above and Russell. Arthritis Rheum 2009

Cholinesterase Inhibitors – Pyridostigmine- Jones. Arthritis and Rheum 2008

He mentioned needed for referrals for

Sleep testing PSMG/MMSLT

Medical imaging Cervical MRI


also for Rheumatology (inflammatory markers), Psychiatry(bipolar affective disorders, refractory mood/anxiety disorder)

Gastroenterology(refractory IBS, Red flags of hematochezia, weight loss, inflammation)

Urology(interstitial cystitis)

Dentistry(Tempromandibular disorders)

These are just some of the highlightes from his presentation!!!!

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