Rakkasan

I am still under their care. I am under constant medication and still go to my social worker appointments every 3 months like clockwork. I am not too worried I was just curious. If I attach my favorable DBQ that I just recently had done how much weight does it carry? Thanks all!

This seems fairly fast since my final decision 1 1/2 years ago. Is this normal? Figured I would have to do another one 3-5 years. Just a bit curious. Also another side note: Of course, I would still be attending my C&P but if I attach my favorable DBQ that I just recently had done how much weight does it carry? Thanks all!

Well, what makes me mad is that Human Resources submitted my leave paperwork on how much leave I had used because of it. In the C&P the examiner even states that I miss several days of work a month because of migraines but then states that it doesn’t impact my work.

No, I do not.

I am also attaching the DBQ and nexus my neurologist filled out before I had my C&P. The addendum was added at the bottom of the over the phone C&P. Here it is altogether: *** MEDICAL C&P EXAM MA Has ADDENDA *** Headaches (including Migraine Headaches) Disability Benefits Questionnaire Name of patient/Veteran: Rxxx Sxxxxx Txxxxx Is this DBQ being completed in conjunction with a VA 21-2507, C&P Examination Request? [X] Yes [ ] No ACE and Evidence Review ----------------------- Indicate method used to obtain medical information to complete this document: [X] Review of available records in conjunction with a telephone interview with the Veteran (without in-person or telehealth examination) using the ACE process because the existing medical evidence supplemented with a Txxxxxxx, Rxxx Sxxxxxxxxx CONFIDENTIAL Page 24 of 48 telephone interview provided sufficient information on which to prepare the DBQ and such an examination would likely provide no additional relevant evidence. Evidence Review --------------- Evidence reviewed (check all that apply): [X] VA e-folder (VBMS or Virtual VA) [X] CPRS 1. Diagnosis ------------ Does the Veteran now have or has he/she ever been diagnosed with a headache condition? [X] Yes [ ] No [X] Migraine including migraine variants ICD code: R51 Date of diagnosis: 2010 [X] Tension ICD code: G44.209 Date of diagnosis: 2010 2. Medical History ------------------ a. Describe the history (including onset and course) of the Veteran's headache conditions (brief summary): The veteran served in the Army from 25 May 2004 to 25 May 2012. Hserved in Iraq 2 tours 2005 to 2006 and 2007 to 2008, total of 28 months. Hx from the veteran by phone on 7 May 2018: Stated his headache started about 7 or 8 years ago. He was seen at Marion VA Hospital on 31 Oct 2017 for headache, CT head and CT sinuses was done both were negative for disease. He is not on any medication for headache. Hx from C&P exam of 17 Nov 2017: Veteran is claiming disability pattern for headaches, migraines. Medical opinion is requested. Veteran reports that he had headaches start while in service in approximately 2010 after his second deployment to Iraq. Reports that he did not seek medical care for his headaches while in the service. Reports that he has sporadic headaches with migraines about 2 times a month. Reports that he treats his migraines with Excedrin Migraine as needed. Reports that his typical Txxxxxx, Rxxx Sxxxxx CONFIDENTIAL Page 25 of 48 migraine will last about 3 hours- reports that he will have to go into a dark room and lay down with a washcloth on his head. Reports that he is not able to complete his normal day to day activities during migraine- reports that he has missed work or had to leave work early- reports that he is sensitive to light and has blurry vision and unable to concentrate due to the headache pain. Reports that over the past year he has had to leave work about 2-3 times a month related to his migraine headaches. b. Does the Veteran's treatment plan include taking medication for the diagnosed condition? [X] Yes [ ] No If yes, describe treatment (list only those medications used for the diagnosed condition): Over counter medication. 3. Symptoms ----------- a. Does the Veteran experience headache pain? [X] Yes [ ] No [X] Pain on both sides of the head b. Does the Veteran experience non-headache symptoms associated with headaches? (including symptoms associated with an aura prior to headache pain) [X] Yes [ ] No [X] Nausea [X] Sensitivity to light [X] Sensitivity to sound c. Indicate duration of typical head pain [X] Less than 1 day d. Indicate location of typical head pain [X] Both sides of head 4. Prostrating attacks of headache pain --------------------------------------- a. Migraine / Non-Migraine- Does the Veteran have characteristic prostrating attacks of migraine / non-migraine headache pain? [ ] Yes [X] No 5. Other pertinent physical findings, complications, conditions, signs, symptoms and scars ----------------------------------------------------------------------- a. Does the Veteran have any other pertinent physical findings, complications, conditions, signs or symptoms related to any conditions Txxxxxx, Rxxx Sxxxxx CONFIDENTIAL Page 26 of 48 listed in the Diagnosis Section above? [ ] Yes [X] No b. Does the Veteran have any scars (surgical or otherwise) related to any conditions or to the treatment of any conditions listed in the Diagnosis Section above? [ ] Yes [X] No c. Comments, if any: No response provided. 6. Diagnostic testing --------------------- Are there any other significant diagnostic test findings and/or results? [X] Yes [ ] No If yes, provide type of test or procedure, date and results (brief summary): CT head and CT sinuses on 6 Nov 2017: Reported negative except Deviated nasal septum with spurring as noted. 7. Functional impact -------------------- Does the Veteran's headache condition impact his or her ability to work? [ ] Yes [X] No 8. Remarks, if any: ------------------- VBMS is reviewed. Opinion is requested: The veteran's tension headache is less likely as not (<50/50 probability) proximately due to or the result of PTSD. Rational; PTSD does not cause tension headache or migraine headache. Suppor is medical litrature. /es/ Hxxxxxx Oxxxxx, MD MD Signed: 05/07/2018 16:08 Headaches+DBQ.pdf Nexus+Letter+for+Migraines.pdf

Here is the copy of the addendum that was sent in to the VA in Evansville. ELECTRONIC CLAIMS FOLDER AVAILABLE. CLAIMS FILE BEING SENT FOR REVIEW BY THE EXAMINER. RXXX TXXXXXX xxx-xx-xx72 Date of claim: 03/14/2018 Days pending: 58 Attention C&P clinical staff - This exam request was scheduled at your location because this is an addendum request for an exam completed at your facility. These remarks were generated using version 4.0 of the Exam Request Builder (ERB_v_4.0). The Veteran does NOT need to report for the following exam(s): DBQ NEURO Headaches (including migraine headaches) ____________________________________________________________________________ Active duty service dates: Branch: Army EOD: 05/25/2004 RAD: 05/25/2012 ***Addendum only*** ***Veteran need not report*** DBQ NEURO Headaches (including migraine headaches): Please ha ve examiner Hxxxxx Oxxxxxx, MD provide an addendum to the examination he conducted on the Veteran on 05/07/2018. Please review the Veteran's electronic folder in VBMS and state that it was reviewed in your report. Please provide the following clarification: Examiner, the Veteran was diagnosed with both tension and migraine/migraine TXXXXXXXX RXXXX SXXXXX CONFIDENTIAL Page 9 of 9 variants headaches. The DBQs both private and VAMC provided only opine on tension headaches. Please review all evidence and opine with supporting rationale. Please direct any questions regarding this request to: 477 Michigan Ave Detroit, MI 48226 Email: XXXXXXX@va.gov ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Examiner, the Veteran was diagnosed with both tension and migraine/migraine variants headaches. The DBQs both private and VAMC provided only opine on tension headaches. Please review all evidence and opine with supporting rationale. The diagnosis of "TANSION HEADACHE" is recorded in Problem list of CPRS, but the veteran is on SUMATRIPTAN SUCCINATE 100MG TAB TAKE ONE TABLET BY ACTIVE MOUTH AS INSTRUCTED FOR MIGRAINE. TAKE AT ONSET OF HEADACHE. MAY REPEAT AFTER 2 HOURS (CHOICE RX) NOT TO EXCEED 2 TABLETS IN 24 HOURS OR 4 TABLETS PER WEEK which is being prescribes for Migrain headache on 16 Feb 2018 by neurologist located at /carbondale, IL. His diagnosis: Migraine with aura. /es/ , MD MD Signed: 05/17/2018 15:50 Receipt Acknowledged By: * AWAITING SIGNATURE * * AWAITING SIGNATURE *

An addendum has been ordered last week. This seems like good news that they noticed ththat discrepancies. Will keep updating this thread.

Actually my neurologist saw me and wrote my Nexus BEFORE my C&P exam. This is what is so frustrating that he should have r as my file but he clearly has not.

I am 70% PTSD and 60% GERD. The thing with your research that you provided is that my neurologist put sources in his Nexus that link migraines and PTSD. My claim was sitting at Preparation for Decision until the a couple days after this report and is now back to gathering of evidence. I am hoping that someone noticed how terrible that report looked and has decided on ordering another one or at least get clarification on these issues.

Yes I am already s/c for anxiety.

Thank you all for your suggestions but the the thing is I submitted an IMO from my neurologist saying that my anxiety is connected to my migraines. The VA has even prescribed me Sumatriptan. It just seems like the C&P examiner did not read anything in my records. He also said my migraines did not impact my job but HR at my job submitted my leave statements of me leaving work because of migraines. The C&P examiner wrote in my notes that I missed work several days and still said it did not impact my job!

So I received the notes today from my migraine C&P. Under the remarks at the end he says that my migraines are less likely as not due to or the result of PTSD. His rational is: PTSD does not cause tension headache or migraine headache. Also states that "He is not on any medication for headache." I am prescribed Sumatriptan by the VA! I know several people who have migraines secondary to PTSD but the real kicker is that I am not claiming migraines to PTSD. I am claiming secondary to anxiety. I even had a nexus written by my neurologist stating that my migraines are connected to my anxiety. I am not for sure the C&P examiner had access to my nexus that I submitted. Am I screwed?

No I just had a DBQ and and endoscopy report from when I was in the military. Got S/C with a 60% rating for GERD

That's excellent news! I was hoping they would backdate it but was unsure. Thanks!

I submitted a claim in Oct 2017 for GERD and was S/C for 10%. I submitted a reconsideration with my DBQ as new evidence and I just found out that it was bumped up to 60%. That's incredible and I am happy. However on eBenefits it says that my effective date is 2/8/2018 (the day I submitted the reconsideration.) I know I should wait for the BBE but I was just curious if the effective date is actually this or should it have been back in October because it was not a reopen claim but in fact a reconsideration of the current claim? Thanks.