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About chibears3531

  • Rank
    E-3 Seaman
  • Birthday 12/23/2017

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Previous Fields

  • Service Connected Disability
  • Branch of Service
  1. That's very impressive how your hard work (and Dr. Bash's) eventually lead to you winning in the end. I'm happy you and your family finally got what was due. The attached file is NOT the IMO in question but it is from the same company called "Valor4vet" and presumably the same FNP working on the medical opinion regarding my OSA. It's for another claim linking my migraines to my service connected TBI. Nexus_Letter_revised.pdf
  2. I read a very informative post of yours at the top of IMO criteria forum and I had a question about doctor credentials- does the title of the medical professional come into play often during VA claims? The reason I ask is because the IMO I have has come from a Family Nurse Practitioner. I just hope that the VA doesn't try to invalidate my IMO's credibility by using say the VA's staff neurologist, for example. By the way I just want to say thanks to everyone in this thread. You all have been extremely helpful.
  3. But what if I'm claiming a secondary condition, the IMO states a causal link between the two conditions, AND the journal articles I've dug up found a causal link between the two conditions thus supporting the theory in the IMO?
  4. If a doctor has written a medical opinion already, are journal articles even helpful to include in the claim? I was under the impression that I was supposed to include journal articles in the claim that support the independent medical opinion.
  5. Interesting. Looks like I'll probably have to see if a private doc will write me the medical necessity letter.
  6. As of April 18, 2016, a 50% rating requires the "medically necessary/required" language. When were you awarded your connection?
  7. I'm claiming OSA as secondary to TBI. Thank you for the journal article. If anyone is reading this or lurking like I was and is seeking more academic journal articles linking PTSD and OSA, the following are strong sources of evidence in my opinion: http://jcsm.aasm.org/ViewAbstract.aspx?pid=29881 https://www.atsjournals.org/doi/pdf/10.1513/AnnalsATS.201407-299FR https://www.ncbi.nlm.nih.gov/pubmed/15253098 http://jcsm.aasm.org/viewabstract.aspx?pid=30015 https://journal.chestnet.org/article/S0012-3692(15)00129-4/fulltext https://www.sciencedirect.com/science/article/pii/S0022399900001471 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5443749/ https://www.atsjournals.org/doi/full/10.1513/AnnalsATS.201407-299FR
  8. I'm awaiting an IMO by a sleep specialist stating that my service connected TBI "at least as likely as not " caused my SA that the VA prescribed an APAP for. I have an appointment in January with the VA doc that prescribed my APAP. I'm not sure how to go about asking him for a letter or statement of medical necessity. My plan is to bring him the sleep study to refresh his memory and a bunch of peer reviewed journal articles showing that breathing devices improve PTSD symptomology (which I'm rated for) to make the case that my device is "medically necessary." That's unfortunate, I thought I could kill two birds with one stone. The same doc who's writing the IMO is filling out the DBQ.
  9. Hey everybody! Long time lurker, first time poster. My question is regarding the sleep apnea language that specifies that a prescription of a breathing assistance device is "medically necessary" for a 50% rating: Assuming that a vet is already prescribed a CPAP/APAP by the VA, does the sleep apnea DBQ portion under 2B "IS CONTINUOUS MEDICATION REQUIRED FOR CONTROL OF A SLEEP DISORDER CONDITION?" fulfill that language requirement?

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