Jump to content


  • Content Count

  • Donations

  • Joined

  • Last visited

Community Reputation

2 Neutral

About pyrotaz

  • Rank
    E-3 Seaman

Profile Information

  • Location
  • Interests

Previous Fields

  • Service Connected Disability
  • Branch of Service
  • Hobby

Recent Profile Visitors

209 profile views
  1. 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?
  2. 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?
  3. 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.
  4. 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.
  5. 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.
  6. 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)
  7. 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?
  8. Toddt it was the VA Why yes Master Chief I do!! Typo!!!!
  9. I had a DBQ done on June 11th and was just wondering if anyone could give me a rough timeline when it should show as submitted in MyVA. Its still listed as requested.
  10. So I survived the DBQ. I will admit it was the toughest thing I ever had to do. I had a female Doctor who allowed me time to explain my feeling and I didn't feel threatened or rushed. The questions that were asked opened up a lot of flood gates and to be honest I shed a lot of tears. She seemed very understanding and allowed me to take breaks as needed. The whole DBQ took about 2 hours. Before I left she took me aside and stated She definitely feels I suffer from PTSD and should look into counselling, which I am doing. She was going to finish up her report and submit it by the end of the day. What is roughly the timeline for a rating decision from here? I know it can go back and forth jut wonder the rough estimate.
  11. Received the call from my local VA to set up the date for my C & P exam. Next Thursday the 13th at 8:00 in the morning. I thought I was ready for this and while on the phone with the receptionist I started shacking and my pulse went up to 156 beats per minute. I took the day off from work and my wife will be with me for support. She will stay on the grounds and I will call her when done. I am a nervous wreck but know I can and half to do this.
  12. Sorry, I've taken so long to respond have a lot going on. Doc25 I was looking at the DBQ form for hypertension and attempting to figure out how they rate it. If my Doctor writes a nexus letter and fills out the DBQ without having me stop my medications to do the 3-5 day multi readings they would like: and covers the following #1. Current service connected disability. (You have that.) #2. Current diagnosis of condition claimed. (You have that.) #3. Obtain a nexus of opinion that states the minimum threshold as follows: The veteran's claimed condition is "at least as likely as not" (equal to or greater than 50% probability) due to or the result of the veteran's service-connected PTSD. And also states he feels that my diastolic pressure would average above 130 if take off my meds. We have documented proof that on at least five separate occasions when on a very high dose of hypertension meds my diastolic reading has been 110 which we will put in the Nexus letter. What sort of rating could I expect? Thanks for everyone's help
  13. My personal Doctor feels I should file a hypertension claim secondary to my PTSD/MST claim. Looking through my Military medical records it shows that my BP started elevating after the events started both systolic and diastolic numbers. About 3 months after my discharge one of my doctors placed me on bp medications and I have continued taking them. Even while on them my diastolic is always around 82-85. My question is that I am aware that the VA wants a 2-5 day consecutive reading to diagnose hypertension. I have been on hypertension medication now for over 25 years. My personal doctor does not feel comfortable taking me off these medications to get these readings. Unless it is in a very controlled environment where I could be monitored. Strokes run in the family and he does not feel safe taking me off these meds. Will a nexus letter from him explaining the visitation be significant to cover this. He feels that without the medication my diastolic BP would be above 130.
  14. Noticed today my claim finally should up on MYVA for initial review. To be honest to see it online knowing that the journey to tell my story and get the help I need was very overwhelming. it was a very emotional day. I know that my journey has just begun and one of the hardest part of it the C & P exam will be coming soon. I think of all the things I dread its C & P exam the most. Tp come out about what happened to my Wife and my doctors was by far the most hardest thing I ever had to do. Now I have to relive it again to a complete stranger and I am scared to death. Although everyone's story here is different I find comfort in reading them all and realizing I am not alone which for a long time I thought I was. Thank you for all the post and support.
  • Create New...

Important Information

{terms] and Guidelines