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Infantry1985
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Posts posted by Infantry1985
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What's your guys thoughts on NOD.? Sould I get am imo filling out the DBQ, then send it in for dro review? Help would be approached ! Thanks again
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Thanks Navy! Looking at my symptoms on the ratings scale, I think I'm going to shoot for at least 10%. Just not sure my next moves as of yet.. Thanks again for everyone's help
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Was updated this morning with 0% service connected for GERD on it's own and 0% "not service connected" for hypertension. I'll wait till the packet comes in to read it over, but I know I should have been at least 10% for GERD based on rating scale. What would be my next step now? NOD stating C&P exam did not ask about symptoms? Or is their another form to fill out for an increase in rating? Positive side of things is that the RO service connected my GERD, so that's at least part of the fight done... Thanks again for everyone's help!
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Thanks, Gaston! Unfortunately that was not 3 different days. That was readings from my last visit from my records and they took it roughly 7 times to get a lower reading. I've submitted a slew of other evidence all through the VA records showing my BP through the roof. This just happened to be a low day at resting, lucky me! I haven't been to an outside doc for a long while, so the RO should have all my files from the multiple state VA's I've been to over the years.
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Even though I haven't received a rating, should I go ahead and write a statement up with my symptoms (That was never asked from the NP at the C&P)? My medical records show symptoms through the years, but I'm doubting the RO will do that much digging. Either that, or just wait to see what the RO states and file an NOD? What's your guy's thoughts. Thanks!
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Based on this I would say, no go on Hypertension, and possibly a go with GERD... We shall see what the raters think..
TITLE: C&P
STANDARD TITLE: C & P EXAMINATION NOTE
DATE OF NOTE: JAN 06, 2016@12:30 ENTRY DATE: JAN 06, 2016@12:34:05
AUTHOR: REMES,VALERIE NP EXP COSIGNER:
URGENCY: STATUS: COMPLETED
Hypertension
Disability Benefits Questionnaire
Name of patient/Veteran: xxxx
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] In-person examination
Evidence Review
---------------
CONFIDENTIAL Page 27 of 53
Evidence reviewed (check all that apply):
[X] CPRS
1. Diagnosis
------------
Does the Veteran now have or has he/she ever been diagnosed with
hypertension
or isolated systolic hypertension based on the following criteria:
[X] Yes [ ] No
[X] Hypertension
Date of diagnosis: 2013
2. Medical history
------------------
a. Describe the history (including onset and course) of the Veteran's
hypertension condition (brief summary):
VET DX WITH HTN IN 2013
b. Does the Veteran's treatment plan include taking continuous
medication for
hypertension or isolated systolic hypertension?
[X] Yes [ ] No
If yes, list only those medications used for the diagnosed conditions:
LISINOPRIL
c. Was the Veteran's initial diagnosis of hypertension or isolated
systolic
hypertension confirmed by blood pressure (BP) readings taken 2 or more
times on at least 3 different days?
[ ] Yes [ ] No [X] Unknown
d. Does the Veteran have a history of a diastolic BP elevation to
predominantly 100 or more?
[X] Yes [ ] No
If yes, describe frequency and severity of diastolic BP elevation:
LISINOPRIL
3. Current blood pressure readings
----------------------------------
Systolic Diastolic
Blood pressure reading 1: 132 / 80 Date: 12-2015
Blood pressure reading 2: 138 / 80 Date: 12-2015
Blood pressure reading 3: 138 / 80 Date: 12-2015
Average Blood Pressure Reading: 136 / 80
CONFIDENTIAL Page 28 of 53
4. 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 the conditions
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
5. Functional impact
--------------------
Does the Veteran's hypertension or isolated systolic hypertension impact
his
or her ability to work?
[ ] Yes [X] No
6. Remarks, if any
------------------
HTN NOT FROM OR AGGREVATED BY HIS PTSD NO MEDICAL EVIDENCE TO SUPPORT
THIS
CLAIM
****************************************************************************
Esophageal Conditions
(Including gastroesophageal reflux disease (GERD), hiatal hernia
and other esophageal disorders)
Disability Benefits Questionnaire
Name of patient/Veteran: ASBURY TEJAY LEE
Indicate method used to obtain medical information to complete this
document:
In-person examination
Evidence review
---------------
Was the Veteran's VA claims file reviewed: Yes
List any records that were reviewed but were not included in the
Veteran's
VA claims file: CPRS
CONFIDENTIAL Page 29 of 53
Diagnosis
---------
Does the Veteran now have or has he/she ever been diagnosed with an
esophageal condition? Yes
Gastroesophageal reflux disease (GERD)
ICD code: Date of diagnosis: 2013
Medical history
---------------
Description of the history (including onset and course) of the
Veteran's
esophageal conditions: VET CLAIMING GERD STARTED IN 2004 WAS TREATED WITH
MOTRIN FOR HIS BACK AND STARTED GETTING GI REFLUX S/S SO WAS GIVEN TUMS
WHEN HE RETURNED FORM THE STARTED STARTED ON A PPI
Does the Veteran's treatment plan include taking continuous medication
for
the diagnosed condition: Yes
Medications used for the diagnosed condition: PPI
Signs and symptoms
------------------
Does the Veteran have any of the following signs or symptoms due to any
esophageal conditions (including GERD)? No
Esophageal stricture, spasm and diverticula
-------------------------------------------
Does the Veteran have an esophageal stricture, spasm of esophagus
(cardiospasm or achalasia), or an acquired diverticulum of the esophagus? No
Other pertinent physical findings, complications, conditions, signs and/or
symptoms
-----------------------------------------------------------------------------
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? No
Does the Veteran have any other pertinent physical findings, complications,
conditions, signs and/or symptoms related to any conditions listed in the
Diagnosis section above? No
Diagnostic Testing
------------------
Have diagnostic imaging studies or other diagnostic procedures been
performed? Yes
Diagnostic Testing Preformed:
Upper endoscopy Date: 2013 Results: ESOPHAGEAL
REFLUX
CONFIDENTIAL Page 30 of 53
Has laboratory testing been performed? No
Functional impact
-----------------
Do any of the Veteran's esophageal conditions impact on his or her
ability to
work? No
Remarks, if any:
----------------
GERD DX IN THE SERVICE
NOTE: VA may request additional medical information, including additional
examinations if necessary to complete VA's review of the
Veteran's
application.
/es/ VALERIE REMES NP
NURSE PRACTITIONER
Signed: 01/06/2016 12:34
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Just got back from my C&P exam for Secondary GERD and Secondary Hypertension that lasted all of about 15 min with a NP at Hines. She seemed to be a little ruff around the edges at first, then we somehow go on the conversation of the oxygen generating plants in her office which seemed to perk her up. She only asked a few questions: For both - Was I diagnosed in service?, was I diagnosed at the VA?, do I still have symptoms?, only treated at VA?. For GERD only - Did I have a upper GI? That was it..... Never deep dived into symptoms, but did shake her head at the end and tell me that my pulse was consistently extremely high and that the doctors should have been prescribing me a beta blocker..... After that, and about 15 minutes she said your done and good luck with your service connection. I've had plenty of exams with Docs, but never a NP for C&P; so I'm kind of just still in shock... I guess we shall see!
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Thank you both for your fantastic Ideals...
John- On the meds, would I put that in my current increase or would I make a new claim? Also, if I put that on their will they take me off of them? I know I would be screwed without them and not be able to get out of bed most days due to the pain.
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Also, I do have an IMO coming from my chiropractor showing horrible ROM, decrease more than half of normal ROM.
Thanks John! I've been on pain meds (Vicoden and Muscle relaxants) for about 4 years, also, about 2 years ago I was prescribed adderall due to decreased focus due to the pain and pain medicaion. I have since moved around for the last year and not gotten the adderall re filled by a phyc doctor. Do you think I have another claim, John? Whats your thoughts on how to start this?
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Thanks John! I've been on pain meds (Vicoden and Muscle relaxants) for about 4 years, also, about 2 years ago I was prescribed adderall due to decreased focus due to the pain and pain medicaion. I have since moved around for the last year and not gotten the adderall re filled by a phyc doctor. Do you think I have another claim, John? Whats your thoughts on how to start this?
You need "medical evidence" to support new claims and for an increase. I had my brother and wife write statements for me long ago. It did seem to help in my psychological claim. However, the medical is most important especially for physical impairment. Your shoulder will be almost all ROM. If you have full ROM or anything close you won't get an increase most likely. What kind of pain meds do you take? This can be basis of increased disablility if the meds affect your ability to think. You want to hook up psychological and physical issues. Vets don't do this enough, but you need medical opinions for this.
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Also, is there anyway that she can reword anything to mean more or look better for my case?
Thank you for your quick response, i'm also have an IMO from my chiopractor that I see about every 2 weeks with all the range measurements in it. After reading the site, it seemed like this would only help. I plan on making a claim for a secoundary for depression due to pain in the near future.
Thanks again..
T
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Thank you for your quick response, i'm also have an IMO from my chiopractor that I see about every 2 weeks with all the range measurements in it. After reading the site, it seemed like this would only help. I plan on making a claim for a secoundary for depression due to pain in the near future.
Thanks again..
T
Infantry,
You can certainly submit what you want but I do not see this lay evidence will
be of any help in getting your right shoulder a higher evaluation than what is currently
granted.
As for pain - that is already considered in the percentage you receive.
To get this increased you will need medical evidence that addresses range of motion.
In reading your wife's statement - it looks like you also want to claim some additional conditions
such as a mental health disability secondary to your current SC'd disabilities.
If you want to claim it - then you need to claim it as your wife's statement
does not meet the requirements of submitting a claim for a specific benefit.
As for the issue of weight gain mentioned in this statement - I do not feel this will be / is compensable.
VA will simply say if you can't exercise due to your disability then you need to adjust
your caloric intake accordingly and they will gladly provide a consult with a VAMC dietician.
JMHO
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Could you guys look at this support statement from my wife and tell me if its good or bad? I'm going for an increase in my right should connection because I have pain all the time and my mobility is pretty much shot. I'm currently 40% total for my lower back, nerve damage in legs, and right shoulder(10%).
Thanks in advance,
T
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Has anyone had any experience with the self employment track? Any knowledge or help would be great..
What if I fail at my business? Will i have to pay the money back?
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I was approved for the Vocational Rehabalitation Self employment track to become a Self Employed CPA (Public Accountant), WIth the Self employement track I've chosen, I have to first study and take my CPA exam; Does this count as Home study for schooling, so I would get the home study stipend?
Also, I have to go in and sign paper tomorrow, do I have to sign a contract? WHat happens if I fail at my business?
Another Issue I have is when I was waiting on my 40% rating I did not know about the Vocational Rehab program. While not knowing about the program, I went to get my MBA due to needing it for my CPA. I did this knowing that I would have to become self employed due to my disabilities? Can the Vocational rehab retro pay me for my mba or pay some of the loans off?
Thanks for all your help!
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Just wanted to see if anyone had any advice on the NOD letter in the last reply. THank again
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I am going Friday and see If I can get a Nexis letter from my Pain doctor. Also, once I get everything like all my IMO's and ready to Write the NOD. How do I go about writing it to change the Code from lumbar stain ? Thank you guys for all your help. I don't have time to meet with the DAV reps do to work and you guys have been great so far.
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Thanks for the advice.. I was in a hurry witting the last post what I meant by the weight was that I was an AG and a 240 gunner so a lot of rucking 75 lbs of gear up and down mountains. Thanks again for all your guys help so far
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I was in the National Guard.
Scheuermann's disease is not really something that the medical community knows much about. They said it could be caused by continued excessive weight..
I have been told by a couple people to just forget about the first file and file under Faciat arthritis disc disease and do the nerve damage in my back a secondary and also insomnia as a secondary.
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I am OEF .Here are the actual claim denial papers. I did complain 3 times while overseas about back pains ect. The problem Is that the way we did thing is that our platoon medic gave pretty much verbal profiles to our squad leaders and then gave me a bunch of 800 mg grunt candy. Well I still stay in contact with my old medic and he wrote me a letter stating that I was on profile ect and complained ubout chronic back pains. Well on the denial they dont state that I was on a profile while overseas.. so Im going to have him write up another letter stating that the profiles were verbal. All the doctors pretty much say all the rucking caused the back problems. The Physical therapist did do a write up about the cause being military.
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The reason for denial was the point that on active duty they told me that my complaints of back pain were not chronic and just multiple lumbar strains. Also, on my first claim with my back, it was classed as lumbar strain and I didn't get it in on the one year because I thought if I was still going through testing I would be ok.. Well stupid me. Thanks for all your help so far
Either just had the worst or best C&P exam.. Still not sure!
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