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    • No not on their own but if they cause you pain, then you can have them removed.  Trust me I know....I have had the surgery twice to include an anal fissure and it's no fun but I am glad I did the surgeries so I don't have to live with the hemorrhoids. You should have been seen by a GS or Proctologist for the hemorrhoids.  They have to determine the severity of them based on the S/C % that is allowed.
    • Go the VBA at your local VA Medical Center and ask for a copy of the C&P exam.  The contracted examiner will not give you a copy of it.  They are contracted with the VA and that is who they will get the exam back to....
    • I was thinking she wants her EED to be correct, as stated she is 50%S.C....Awarded in 2015  but EED dates back to when she was Diagnosed BY va Dr ...in 2009. I am completely lost in this post? she was S.C.in 2015 &Awarded 50%PTSD...if this veteran was denied or was lowballed for rating and S.C. in 2015...How will filing NOD Help? 2009-2015 is close to 6 years timeline to file the NOD 1 YEAR..unless she has been in Appeals all this time? RECONSIDERATION OR REVIEW? of claim back in 2009? for Correct EED? OR for increase in rating?
    • You need to hold the VA accountable.  They have to rate you on "criteria".  The criteria for SC is always the Caluza Triange:  1.  Current diagnosis.  BY A DOCTOR, (or competent medical professional, such as a NP).  Not a rater, shoe salesman, or  GS8 rating specialist.  The rating specialist does not "add to" or alter the doctors criteria, he is not competent to make a medical opinion.   2.  In service event or aggravation. 3.  Nexus, or medical opinion's link between 1 and 2.   Whether you have purple hair, drive a pink mini bus, or Voted for Trump is irrelevant.  If you meet the criteria above, you get SC.  The rating specialist can not decide the doc did not do a good job examing you based on the doc diagnosing you when you only met part of the criteria.  This is a judgement call made by doctors, not rating specialists.  

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KennyJ

Can Sleep Apnea Be Secondary To Depression

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I have an 80% overall rating and 70 % for Depression.

I have been diagnosed with Sleep Apnea. Can this be secondary to Depression and is it hard to prove. I have put in for TDIU so should I just wait on filing for Sleep apnea.

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There's a lot of information on the internet that supports depression as a secondary effect of sleep apnea, but I can't find much the other way around. Is it possible you had the apnea before you first realized you suffered from depression?

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If it were me, and it's not, obviously.......I'd go ahead and file for the sleep apnea, so's you can establish the "effective date". Otherwise, you're scruing yerself out of some money.

And, yes, it can be a result of depression.

I suffer from Bi-polar Disorder ( and that could be, BTW, where your "depression" is coming from ) and sometimes I've got what they call "combination", where you will have some of the effects of the mania and some of the effects of the depression. Soooo, I'll be so depressed that I can't sleep, then, when I do manage to fall asleep, the mania kicks in, and, bingo, I'm awake for hours, then the depression flares up and I can't sleep for worrying about ________, and I finally get so exhausted that I fall asleep and the mania kicks in and I'm swinging from the chandelier.................and.......well, you get the picture.

Had a period in my life where I wanted to be "normal", like everybody else.

So, I did some serious "self-medicating". Me and Old Jack, my buddy from Lynchburg, TN, we go to know each other purty good..................

Then I grew up and realized that all you "normal" folks are just as screwed up as me.....sometimes more so.

:)

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There's a lot of information on the internet that supports depression as a secondary effect of sleep apnea, but I can't find much the other way around. Is it possible you had the apnea before you first realized you suffered from depression?

Follow up on this 2003 study:

"Contact: Michelle Brandt

mbrandt@stanford.edu

Stanford University Medical Center

Sleep apnea, depression linked in Stanford study

STANFORD, Calif. - People with depression are five times more likely to have a breathing-related sleep disorder than non-depressed people, according to a study at the Stanford University School of Medicine. The study is the first to show a link between depression and sleep apnea along with its related disorders."

Ralph

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Sleep Apnea can be caused by depression, but in order for the VA to award service-connection, you're going to need your doctor to write an IMO stating your sleep apnea is caused by your depression. The doctor must also give their rational as to why they have come to that conclusion. For the most part VA will not simply award service-connection just because there is medical litrature out there in general that support something.

Vike 17

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Further some of the medications prescribed for depression can cause sleep apnea. I'd get an outside opinion on this one thoigh. The VA would probably be reluctant to admit to it.

Bob Smith

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