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About pyrotaz

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    E-3 Seaman
  • Birthday 04/25/1968

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    E4 MM3
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  • Service Connected Disability
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  1. Thanks for the feedback. Makes sense. My first claim for my PTSD 50% was approved 8/16/2019 and I received over 10 grand back pay on 8/30/1019. The latest one closed on Friday 4/10/2020 sleep apnea secondary to PTSD should be a little over 5 grand. I guess just have to wait and see.
  2. Just wondering if anyone knows what the timeline is to receive back pay?
  3. So today I found my claim was approved today for Sleep Apnea secondary for PTSD for 50%. As promised I have attached all the documents I sent in with my claim. This claim took less than a month from when I sent it into approval. I have also included a copy of the nexus my doctor wrote. With the proper research and a good nexus you can win this. I hope my research willhelp other win their claims. High Risk.pdf How PTSD relates to obstructive sleep apnea & cpap therapy.pdf My Statement.pdf Obstructive Sleep Apnea and Posttraumatic Stress Disorder.pdf PTSD and Sleep.pdf PTSD Severity Linked to Higher Risk of Sleep Apnea in Veterans.pdf PTSD symptoms go beyond psychological.pdf Sleeo Study.pdf Sleep and PTSD.pdf Sleep apnea found in 57%.pdf Sleep Disordered Breathing in patients with Post-traumatic Stress Disorder.pdf The National Veteren Sleep Disorder Study.pdf The PTSD and Sleep-Apnea Connection.pdf The PTSD-OSA Paradox.pdf VA sleep study Publication.pdf Nexus.docx
  4. Found out today they approved my claim for Sleep apnea secondary to PTST. Very excited. Will post the links to the studies that I submitted within a few days. Took less than a month for them to decide. Puts me at 80%
  5. Attempting to figure how ratings work when it comes to back pay. Chatted with a few vets and go 2 different answers. Example: Say at the moment I am 60% SC (a 10% and 50% rounded to 60%,) I submitted a claim that has been going on about 16 months and then they approve me another 50% which when rounded brings me to 80%. One vet says I receive the 50% back for the 16 months Example using todays married rates: 50% which is $1795.80 x 15 months which is $26,712 give or take a little The other vet says I get the difference between the 2 example. Total new 80%- old 20" which would be roughly $4,500.32 Nobody can give me a real answer
  6. After a lot of research on the 18th I submitted my claim for Sleep Apnea secondary to PTSD. I waited a while due to the fact I wanted another sleep study done by the VA. Had that completed and placed on a Cpap machine. After doing many months of research I found that many Sleep Apnea secondary to PTSD claims were won by having a nexus letter written by a doctor stating that their PTSD at least likely as not aggravated there Sleep Apnea and that their Sleep Apnea as least likely at not aggravated their PTSD. This is the way my Doctor and my counselor wrote them. I also found 18 studies on PTSD and Sleep apnea . I will keep you all updated and hope to be able to post positive results and then will share with everyone all my links and documents I found as soon as I get a moment to organize them.
  7. Good evening, When submitting a claim how many of you write a personal statement and submit it with the claim?
  8. Just wondering if anyone has granted Sleep Apnea Seconday to PTSD? If so any tips? This is what I have so far. 50% PTSD/MST Had a home sleep study done and was diagnosed with moderate Sleep Apnea with recommendation for cpap. Am in the process of scheduling an on campus Sleep study thru the VA per my PCP's recommendation Have been on meds that cause weight gain xanax for anxiety and atenenol for hypertension Have a letter from my wife stating she notice my snoring and breathing issues when we first moved into gather, this is before I gained weight. Have a letter from a college roommate who live in the same dorm room with me a year after getting out of the service stating I snored badly then. Was in the reserves then so had to keep weight down. Have reoccurring nightmares that interrupt my sleep patterns, Is documented. Have eight documented studies showing that PTSD and sleep apnea are related. Both my PCP and my Therapist both are willing to right nexus letter on my behalf. What else should I get to help my claim? Should I go for hypertension secondary to PTSD first?
  9. Time Frame 1987: When I was in boot camp while running are first PT a fellow recruit tripped in front of me causing me to twist and land hard on my left hip. I remember when attempting to get up being in extreme pain and vomiting due to the pain. There was a Corpsman who was there in the building and he quickly examined me and a decision was made to send me back to the barracks and ice over night and to see how it will be in the morning. I could not walk at that moment and was driven back to the barracks. I remember getting helped undressed and placed in my bottom rack. It was a rough night any movement caused very severe pain and have a bunk mate and his moving around caused even more pain. About 2 in the morning my Company Commander who happened to be on duty moved my bunk mate to an empty rack and slipped my some Tylenol. First think the next morning I was sent in and was seen by a Doctor, his diagnoses was a severe pulled muscle was given a light duty chit and required to rest and pain meds note he was a general medical doctor and not a specialist. No X-ray was taken. After daily trips back in forth to the Hospital and not really making any improvement about 4 weeks I was sent to a specialist. I met this female orthopedic doctor, who was very concerned. After some test she concluded that severally tore my muscle, but what was more interesting was she found that my left leg is shorter than my right by over an inch. I was given decision I either could stay behind to recover and move with a new recruit company, Get medically discharged or attempt to run the last PT test. I chose to run the PT test although did very heavily medicated. This is all well documented in my records. I also have a few accounts of left ankle and hip pain during my Reserve time that is documented. Fast Forward to 2013: While working as a Paramedic was involved in accident that caused very severe left hip and groin pain. Was sent to physical therapy who noticed the hip/groin was very tight and asked if I had any past injuries, after explaining he suggested to the doctor that he thought I had a labral tear and refused to do many of the exercises assigned because of my pain level and the groin kept locking up. After being screw around by work place health and being sent back to work I was walking into a patients home in Dec 2014 and my hip gave out. Again got screwed around with workplace health and finally told them to pound sand and had my personal doctor set me up with an Orthopedic surgeon. In May 2015 The Orthopedic surgeon sent me in for an MRI with contrast and I was found to have a very severe labral tear. I was sent to another surgeon for surgery to repair the tear, which failed. In November 2015 I had a complete left hip replacement. I still have limited range of motion, and continued pain on the left side due to muscle issue. My pelvis has been tilted and I feel the fall started it all. Do you think I have a case?
  10. A little confused noticed this on ebennies. It looks like they awarded me PTSD/MST 50% and now have opened 2 new claims one for PTSD secondary to MST and the other ED secondary to MST. Can I get a disability rating PTSD secondary to MST? And if so what kinda rating could I expect? As you you can see by the second picture they opened the claims. I have received the back pay for the original claim. Very confused about this.
  11. Looked on ebennies and Noticed I was awarded 50% for my PTSD-MST Claim. So that Makes me 60% now. I want to thank everyone for there help. I know this is not the end and only the beginning of my journey to recovery but I'm ready and am seeking all the help can get.
  12. Went to Prep for Notification today. A few weird things. They added Erectile Dysfunction secondary to MST to my claim. Did mention it in my letter I wrote by never applied. Thought this was weird. Was added today. Originally they were asking for a Request 4 from the VA. Had checked with my VSO and she stated they were looking for some clarification from the Doctor who gave me the C& P exam. As of Friday of last week she hadn't responded and the Request is now no longer there. Will keep you updated and Just a note I am starting counseling next week. Took a little while to build up the confidence to go.
  13. Here are the results of my C&P exam, Just wondering what you think about it. 1. Diagnostic Summary --------------------- Does the Veteran have a diagnosis of PTSD that conforms to DSM-5 criteria based on today's evaluation? [X] Yes [ ] No ICD code: F43.1 2. Current Diagnoses -------------------- a. Mental Disorder Diagnosis #1: PTSD, Chronic ICD code: F43.1 b. Medical diagnoses relevant to the understanding or management of the mental health disorder (to include TBI): No response provided. 3. Differentiation of symptoms ------------------------------ a. Does the Veteran have more than one mental disorder diagnosed? [ ] Yes [X] No c. Does the Veteran have a diagnosed traumatic brain injury (TBI)? [ ] Yes [ ] No [X] Not shown in records reviewed 4. Occupational and social impairment ------------------------------------- a. Which of the following best summarizes the Veteran's level of occupational and social impairment with regards to all mental diagnoses? (Check only one) [X] Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks, although generally functioning satisfactorily, with normal routine behavior, self-care and conversation b. For the indicated occupational and social impairment, is it possible to differentiate which impairment is caused by each mental disorder? [ ] Yes [ ] No [X] Not Applicable (N/A) c. If a diagnosis of TBI exists, is it possible to differentiate which occupational and social impairment indicated above is caused by the TBI? [ ] Yes [ ] No [X] Not Applicable (N/A) SECTION II: ----------- Clinical Findings: ------------------ 1. Evidence Review ------------------ Evidence reviewed (check all that apply): [X] VA e-folder [X] CPRS [X] Other (please identify other evidence reviewed): Compensation & Pension (C&P) for Veterans Benefit Administration (VBA) and represents a Disability Evaluation - not a comprehensive clinical evaluation of the Veteran. Items on this DBQ are marked in highly specialized ways that conform specifically to the needs of VBA disability rating determination. Some items could be left blank because the Veteran's responses or physical findings could not be attributed to or are not associated with the current disability claim(s). Symptoms and signs may be present, but may not be clinically linked to the claim(s) C&P was requested to evaluate by VBA. =============================================== This C&P examination or/and medical opinion does not constitute a rating decision. by the C&P staff.] Rating decisions are made solely by the Regional Office (VBA) after all required data has been reviewed and verified. Any questions or concerns regarding rating procedures should be directed to the Veteran Service Organization, Regional Office or an Appeals Board. The decision to service connect or not service connect a claimed condition is the sole responsibility of VBA. The percentage of disability (if awarded) is determined by VBA - not C&P. Evidence Comments: All evidence gathered pertains to the review of Veteran's VBMS, CAPRI documents, own statements and recollections, as well as the WHODAS-2 and Mississippi Scale of Combat PTSD (administered to Veteran by this examiner today.) 4. PTSD Diagnostic Criteria --------------------------- Note: Please check criteria used for establishing the current PTSD diagnosis. Do NOT mark symptoms below that are clearly not attributable to the Criterion A stressor/PTSD. Instead, overlapping symptoms clearly attributable to other things should be noted under #7 - Other symptoms. The diagnostic criteria for PTSD, referred to as Criterion A-H, are from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). Criterion A: Exposure to actual or threatened a) death, b) serious injury, c) sexual violence, in one or more of the following ways: [X] Directly experiencing the traumatic event(s) Criterion B: Presence of (one or more) of the following intrusion symptoms associated with the traumatic event(s), beginning after the traumatic event(s) occurred: [X] Recurrent, involuntary, and intrusive distressing memories of the traumatic event(s). [X] Recurrent distressing dreams in which the content and/or affect of the dream are related to the traumatic event(s). [X] Dissociative reactions (e.g., flashbacks) in which the individual feels or acts as if the traumatic event(s) were recurring. (Such reactions may occur on a continuum, with the most extreme expression being a complete loss of awareness of present surroundings). [X] Intense or prolonged psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event(s). [X] Marked physiological reactions to internal or external cues that symbolize or resemble an aspect of the traumatic event(s). Criterion Persistent avoidance of stimuli associated with the traumatic event(s), beginning after the traumatic events(s) occurred, as evidenced by one or both of the following: [X] Avoidance of or efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s). [X] Avoidance of or efforts to avoid external reminders (people, places, conversations, activities, objects, situations) that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s). Criterion Negative alterations in cognitions and mood associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following: [X] Persistent and exaggerated negative beliefs or expectations about oneself, others, or the world (e.g., "I am bad,: "No one can be trusted,: "The world is completely dangerous,: "My whole nervous system is permanently ruined"). [X] Persistent, distorted cognitions about the cause or consequences of the traumatic event(s) that lead the individual to blame himself/herself or others. [X] Persistent negative emotional state (e.g., fear, horror, anger, guilt, or shame). Criterion E: Marked alterations in arousal and reactivity associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) the following [X] Hypervigilance. [X] Exaggerated startle response. [X] Problems with concentration. [X] Sleep disturbance (e.g., difficulty falling or staying asleep or restless sleep). Criterion F [X] Duration of the disturbance (Criteria B, C, D, and E) is more than 1 month. Criterion G [X] The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. Criterion H: [X] The disturbance is not attributable to the physiological effects of a substance (e.g., medication, alcohol) or another medical condition. Criterion I: Which stressor(s) contributed to the Veteran's PTSD diagnosis?: [X] Stressor #1 [X] Stressor #2 [X] Stressor #3 [X] Other, please indicate stressor number (i.e., Stressor #4, #5, etc.) as indicated above: 4, 5, 6, & 7 5. Symptoms ----------- For VA rating purposes, check all symptoms that actively apply to the Veteran's diagnoses: [X] Anxiety [X] Suspiciousness [X] Panic attacks that occur weekly or less often [X] Chronic sleep impairment [X] Disturbances of motivation and mood [X] Difficulty in adapting to stressful circumstances, including work or a Work like setting 6. Behavioral Observations -------------------------- Alert and oriented times three with good eye contact. Casually dressed and well groomed. Normal ambulation. Speech was slightly inaudible at times but otherwise WNL. Attention and concentration were good. Thought process was circumstantial. Thought content was slightly paranoid. Veteran denied SI/HI and AH/VH. Judgment was good and impulse control was good. Insight was fair. Intellect was average. 7. Other symptoms ----------------- Does the Veteran have any other symptoms attributable to PTSD (and other mental disorders) that are not listed above? [ ] Yes [X] No 8. Competency ------------- Is the Veteran capable of managing his or her financial affairs? [X] Yes [ ] No 9. Remarks, (including any testing results) if any -------------------------------------------------- The WHODAS-II was developed to assess disabilities related to physical and mental disorders experienced within the past 30 days and provides a profile of functioning across six activity domains-understanding and communicating, mobility, self-care, getting along with others, life activities, and participation in society-as well as an overall disability score. The WHODAS-II has been used with individuals with PTSD and other stress-related disorders and research has shown it to be useful in these populations. A notable asset of the WHODAS-II is its relationship with the International Classification of Functioning, Disability, and Health which is an internationally recognized system of classifying the consequences of physical and mental health conditions. The WHO has also developed and validated a self-report version of the WHODAS-II that can be used in instances when an interview is not feasible or efficient. The scores assigned to each of the items - "none" (0), "mild" (1) "moderate" (2), "severe" (3) and "extreme" (4) - are summed. The simple sum of the scores of the items across all domains constitutes a statistic that is sufficient to describe the degree of functional limitations. The Mississippi Scale for Combat-Related PTSD (M-PTSD) is a 35-item self-report measure that assesses combat-related PTSD in Veteran populations. Items sample DSM-III symptoms of PTSD and frequently observed associated features (substance abuse, suicidality, and depression). Respondents are asked to rate how they feel about each item using 5-point, Likert-style response categories. Ten positively framed items are reversed scored and then responses are summed to provide an index of PTSD symptom severity which can range from 35-175. Cutoff scores for a probable PTSD diagnosis have been validated for some populations, but may not generalize to other populations. Examination measures were verbally administered by the examiner to the examinee instead of administered in written format and should be interpreted with this limitation in mind. It is as likely as not (50 percent or greater probability) that the Veteran is diagnosed with PTSD, chronic at moderate severity that incurred in or was caused by military sexual trauma. Rationale: The Veteran's summary score on the WHODAS-2 was 63, indicative of moderate impairment in social and occupational functioning. His score on the M-PTSD was 123, indicative of mild to moderate PTSD symptoms. Records indicate that Veteran meets with a D.O. who prescribes Veteran with psychotropic medications on a regular basis. In 2016, that provider diagnosed Veteran with PTSD and stated the following "it is my professional opinion that it is highly likely that the Veterans PTSD is a direct result of traumatic events from his military service." Further, the following markers provide evidence that his PTSD diagnosis is related to his military stressors: Markers: 1. Erectile dysfunction (per Veteran report) 2. Difficulties engaging in physical intimacy with wife (per wife and Veteran report) 3. Avoidance of male authority figures (per wife and Veteran report) 4. Veteran waited until 28 years old to engage in sexual relations (per Veteran report) 5. Veteran slit wrists during military service in direct response to ongoing harrassment by fellow Navymen, leaving a scar. (per Veteran report)
  14. So a little concerned. I looked today and noticed the they put in the following request. Request 4 Optional - We’ve asked others to send this to us, but you may upload it if you have it. <VA Medical Facility> Anybody want to chime in what this means?
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