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ADAMS
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Posts posted by ADAMS
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1 hour ago, ADAMS said:
I have been denied for sleep apnea, I Have statements form x-spouse and spouse and Buddy's I served with that they witnessed my issues, I was on recruiting duty and had no MTF within 70 miles to get treated, as we all know how stubborn us veterans can be going to the doctor, however I did go to my private physician and complained of not sleeping well and it was documented that i was waking up frequently and gasping for air, he recommended me having a sleep study conducted which I did not until 3 years later and i was diagnosed with severe obstructive sleep apnea and was issued a cpap, I use it faithfully and have for years, I went to the VA in 2019 to have a sleep test done because My cpap was breaking down and it was discovered still I have severe sleep apnea once again and was issued a new machine. When i went to my C&P exam the doctor favored me as at least likely caused by military service then the VA turned around and sent it to another doctor for a opinion because first doctor didn't provide a rationale, the second doctor turned it now because i wasn't diagnosed until 2013, I now have a BVA appeal awaiting on a hearing. Has anyone experienced this? It is so hard to get a private physician and even my private sleep doctor to write an opinion for my sleep apnea, they all seem to be scared of lawsuits. Any recommendations?? Thanks
Has anyone used Valor for Vet for medical opinions / Nexus
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51 minutes ago, broncovet said:
I will go back to basics.
You need a current diagnosis (I will assume they didnt give you a cpap with no diagnosis of OSA)
In service event or aggravation.
Nexus , or link between "in service event" and your current diagnosis. These are Caluza elements, and you did not mention your "in service event".
Were you punched in the face? Broken Nose? PTSD? These are some things that may cause OSA. You need to be able to point to that event (unless you argue aggravation).
Now, its true that there is a presumptive "but only" for the first year out of service.
In other words, you had a physical and "did not" have sleep apnea prior to service, then you have it on exit from service, that is the presumptive.
However, its possible you got punched in the face "after" service, and that caused OSA.
I am currently rated for Hypertension/PTSD and Tinnitus,
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I have been denied for sleep apnea, I Have statements form x-spouse and spouse and Buddy's I served with that they witnessed my issues, I was on recruiting duty and had no MTF within 70 miles to get treated, as we all know how stubborn us veterans can be going to the doctor, however I did go to my private physician and complained of not sleeping well and it was documented that i was waking up frequently and gasping for air, he recommended me having a sleep study conducted which I did not until 3 years later and i was diagnosed with severe obstructive sleep apnea and was issued a cpap, I use it faithfully and have for years, I went to the VA in 2019 to have a sleep test done because My cpap was breaking down and it was discovered still I have severe sleep apnea once again and was issued a new machine. When i went to my C&P exam the doctor favored me as at least likely caused by military service then the VA turned around and sent it to another doctor for a opinion because first doctor didn't provide a rationale, the second doctor turned it now because i wasn't diagnosed until 2013, I now have a BVA appeal awaiting on a hearing. Has anyone experienced this? It is so hard to get a private physician and even my private sleep doctor to write an opinion for my sleep apnea, they all seem to be scared of lawsuits. Any recommendations?? Thanks
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Yes I do have treatment after service the only problem is i let it go for a couple of years after i retired until I went to my orthopedic surgeon. I do have medical documentation from my orthopedic surgeon stating I had severe to moderate osteoarthritis in both knees, I do have documentation of my personal doctor when i begin having problems 2 years before I retired and there is x-rays results showing ostephytes/bone spurs.My personal doctor treated me with medication for a while until I couldn't take the pain anymore.
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I have a C&P exam coming up for my knees, While I was in service I served aboard 2 different ships, I hear that Ship board ladders are bad on your knees, I didn't start having a problem with my knees until we had our PRT test, during this time I was on recruiting duty, while I was running i slipped into a hole and fell, It was documented and I went to my private physician, he documented that there was swelling and the xray results showed Ostephytes on my left knee, it was sore for weeks, from there I feel like i over compensated for my right knee, I had knee replacement on my right knee last year, 9 years after I retired. I was diagnosed 6 years later after retiring that I had moderate to severe osteoarthritis in both knees. Any one experienced claims for this disease. just wondering and am nervous about my C&P exam that the examiner wont see it my way. Thanks
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19 minutes ago, Berta said:
"IHD is rated under Diagnostic Code 7005. The rating criteria are as follows. A 10 percent rating is warranted for a workload of greater than 7 metabolic equivalents (METs) but not greater than 10 METs resulting in dyspnea, fatigue, angina, dizziness, or syncope; or continuous medication required. A 30 percent rating is warranted if a workload between 5 and 7 METs results in dyspnea, fatigue, angina, dizziness, or syncope; or if there is evidence of cardiac hypertrophy or dilatation. A 60 percent rating is warranted if there had been more than one episode of acute congestive heart failure (CHF) in the past year; or if a workload between 3 and 5 METs results in dyspnea, fatigue, angina, dizziness, or syncope; or if there is left ventricular dysfunction with an ejection fraction of 30-50 percent. A 100 percent rating is warranted if there is chronic CHF; or if a workload of 3 METs or less results in dyspnea, fatigue, angina, dizziness, or syncope; or if there is left ventricular dysfunction with an ejection fraction of less than 30 percent. 38 C.F.R. § 4.104, Diagnostic Code 7005 (2017)."
https://www.va.gov/vetapp19/files6/19144427.txt
You claimed the IHD as secondary to your HBP_ do you have a SC rating now for the HBP?
The ECHO states Risk Factors as Hyperlipidemia- are you a diabetic?
Are you an incountry Vietnam veteran or did you serve anywhere else, (even in USA) where you might have been exposed to AO?
I am SC for Hypertension, I dont have diabetes I have high cholesterol. Gulf war VET.
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Any one heard of this , I filed a claim for this secondary to hypertension, I had a echo cardiogram, that stated the diagnosis was this heart disease. my question is what is the rating for this. attached is the Echo.
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Has anyone heard of this? Claim was for PTSD but PTSD was not recognized, Other specified trauma and stress related disorder, is this a service connectable mental disorder, if so does anyone know approximate percentage.
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So I recently was denied for Macular degeneration of the left eye, I was diagnosed with this condition within one year of discharge . I attended a C&P exam February of 2019, the examiner had noted the date of onset was 2010, and in another box she had date of diagnosis of 2012, this date would have put me over the 1 year period of discharge, seems like to me 2012 is a mistake and should have been 2011 according to my doctors letter. Any Thoughts????? I have attached the C&P and Doctors letters. Thanks
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On 9/11/2019 at 10:22 AM, johnsctt78 said:
Hello
how can i obtain a copy of my C and P from last year,the c and P was favorable to my case and im looking to have outside treatment done.I had the C and P done at LHI near my hometown,I called the regional office of the va in NYC and they pointed me to st louis mo etc,Is it possible to find a local VSO who could in turn look it up for me at there office?Or does LHI have the ability to give me a copy if i request it from them?,im trying to get a copy in the shortest time possible without waiting 4-5 months as stated by my local RO
The easiest way I have found is to submit a FOIA request is you can do so on a form 21-4138 and make sure your information is filled out correctly, write in the statement area exactly what you are wanting. fax the form to 844-531-7818 or mail to Department of veterans affairs claim intake center. PO BOX 5235 Janesville,WI 53547-5235 should only take a couple of weeks.
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On 9/9/2019 at 9:57 PM, Hamslice said:
This is what I know,
When a claim is referred for more development, it goes back on the pile (que) and then the next available RO looks at it. NOT the same RO that looked at it originally. It absolutely makes no sense, but that is the way it is.
I had a claim, that was referred by a RO in one state. Then I had another C&P to address the referral. Then it was referred again by a RO in another state. Then I had an addition C&P to address that referral. Then it was picked up by a RO in an entirely different state from the first two.
So, it took one examiner, three exams and three RO's to deny me, after the examiner opined least as likely 50% greater. I went a different direction and got it rated. Sometimes you have to work the system, cause the system ain't working for you.
Just sayin,
Hamslice
May I ask what direction you went??
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It will not allow Vso’s to make copies only review in which I think is stupid!!!
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I agree!!!
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On 9/9/2019 at 3:37 PM, GeekySquid said:
m
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I took snap shots of the new C&p hopefully they send me the hard copy!!!
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44 minutes ago, GeekySquid said:
assuming what you just posted is accurate that is a Bozo No-No,
The question is do you have documentary proof of what you just wrote?
I mean official, in the record documents?
3 weeks is a short time to get those docs which is why i ask.
I just Requested copies of all C&P exams through the FOIA, hopefully they send me what I saw, I was able to see this through a VSO who has access to VA VBMS which shows cleary the VA's error on sending my documentation to another Doctor..
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So I had recently received a C&P For Sleep apnea, Doctor favored me in other words, was at least likely as not 50% greater probability that the disability was incurred during service,. now 3 weeks later it was sent back out for a correction on something the doctor didn't fill out correctly, but magically it wasn't sent to the doctor that initially completed my exam it was sent to someone 5 states away whom never met me or knows nothing about me, anyways she changed the exam to a negative meaning she said was less likely than not, i find this as being a integrity issue with the VA, when it should have gone back to the same examiner. Any Comments???? Claim denied 3 days later. SHADY
How I won Sleep Apnea!
in VA Disability Claims Research
Posted
This is Awesome News, I have been fighting the VA for years on my sleep apnea, Currently rated at 30% PTSD, I have had severe sleep apnea well before I got out, did not get diagnosed until 3 years later, have really good buddy statements from one I served with, my x-wife whos was with me 6 years while serving and current wife, still screwing me around , contracted Physician assistant (QTC) stated I wasn't diagnosed until years later and went against my claim, I have an appeal in to the board that is hopefully coming up soon. Thanks For the Info. Hopefully I can win, tired of fighting with these people.