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About militarynurse

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    E-5 Petty Officer 2nd Class

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  1. The Veteran is SC'd for TBI. A VA sleep study indicated central sleep apnea. Assuming a nexus has been medically determined between the TBI and the central sleep apnea: Questions: 1) Is central sleep apnea (CSA) a separate ratable neurologic brain disorder apart from TBI or is it rolled into the TBI rating? and, 2) While obstructive sleep apnea (OSA) is considered and rated as a respiratory condition, why is that the same for CSA, which has it's etiology associated with an organic brain dysfunction?, Should CSA be considered a "chronic sleep impairment" to be rated analogous to a sleep impairment a mental health condition like PTSD, depression or an anxiety disorder etc. might cause? ( 6847) Sleep Apnea Syndromes (Obstructive, Central, Mixed)
  2. Check out what the neurologist said in this NY Times story about concussion injuries from boxing at West Point Military Academy at link: http://www.nytimes.com/2015/09/30/us/despite-concussions-boxing-is-still-required-for-military-cadets.html?_r=0
  3. Is it even possible to be separately rated for both obstructive sleep apnea, (OSA), and another lung condition, ( like COPD ),? I heard both were respiratory disorders and hence only the highest rating for one is what the VA allows.
  4. He believes his Insomnia and hypertension can be linked as secondary conditions or aggravated by his VA diagnosis of "adjustment disorder with mixed anxiety and depressed mood". BTW, is "adjustment disorder" the same as "chronic adjustment disorder"?
  5. Bluevet, Thank you for the reply. The article that quote came can be found at the following link: http://archive.armytimes.com/article/20100812/NEWS/8120325/ A fellow I know just had his C&P exam with the as likely as not diagnosis of "adjustment disorder with anxiety and depressed mood." Not "chronic adjustment disorder", however, it appears nowadays it doesn't make any difference. He was not assigned a GAF score. While PTSD is linked to a number of secondary conditions ( which he is aiming for ), I'm not sure that an "adjustment disorder"....chronic or otherwise...is. Anyone know?
  6. I had read in Mil.Times that: "According to the psychiatric manual used to diagnose mental health issues, the DSM-IV, adjustment disorder occurs when someone has difficulty dealing with a life event, such as a new job or a divorce, or after someone has been exposed to a traumatic event. The symptoms can be the same as for post-traumatic stress disorder: flashbacks, nightmares, sleeplessness, irritability, anger and avoidance. According to military and Veterans Affairs Department policy, if those symptoms last longer than six months, the diagnosis should be changed to PTSD." Has anyone seen where a SC'd "chronic adjustment disorder" diagnosis for longer than 6 months or more in duration was changed to a diagnosis of PTSD? Thank you.
  7. GP, Thanks for the reply. I didn't find chronic cough as a separate ratable condition in the Schedule Of Ratings for Respiratory Disorders, however, I did find another BVA case that indicated it could be one. So it remains a puzzle.
  8. Found one: http://www.va.gov/vetapp13/Files1/1303246.txt so apparently chronic cough can be rated as a separate condition.
  9. Thanks for the reply. That's what I was thinking as well...but you never know if there wasn't some sort of precedence claim for chronic cough that was granted.
  10. What might be the rating for a non-productive chronic cough secondary to an already service-connected throat condition rated at 0%? Is a chronic cough even ratable as a separate condition? Could use some help on this one please.
  11. I just read a decision yesterday of a navy veteran I know. He was treated once for a rash in the service during 1988. Only self treated it since. C&P doctor opined it was the same rash he had since 2008 called tinea versicolor over 20%-40% of his body and that it is difficult to eliminate. Dr. wrote is was as least as likely as not the same rash he was treated for in the military. He was awarded a 30% rating, about $400 per month without dependents. However, his tinnitus and hearing claims were inexplicably denied despite his service spotting planes on a carrier. His hearing test was sub normal, however non-compensable for VA purposes. didn't even get a "0" percent rating. Moral of the story: C&P exams are like a box of chocolates...you never know what your going to get.
  12. According to John Hopkins school of Medicine, "sinusitis" is also known as "rhinosinusitus": http://www.hopkinsmedicine.org/otolaryngology/specialty_areas/sinus_center/conditions/sinusitis.html
  13. Medics, nurses and other medical personnel, especially those working in critical care, trauma and ER settings...be it combat or non-combat, have an increased risk of developing PTSD and other serious mental health conditions due to repeated exposure to extreme stressors while performing their jobs. Being around all manner of damage to the human body, dying and death can understandably take its toll. There are numerous studies that support this finding.
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