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Steve40th
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Posts posted by Steve40th
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24 minutes ago, Corwin said:
my point was that the proposed change turns the rating system around. In the past you received 50% only because a physician prescribed the wearing of a CPAP. Nobody measured and rated its effectiveness as a treatment of an issue/ or issues. Now the proposed criteria will read as follows:
Specifically, VA proposes to assign a 0 percent evaluation when sleep apnea syndrome is asymptomatic, with or without treatment. VA would assign a 10 percent evaluation when treatment yields “incomplete relief.” VA would assign ratings above 10 percent ( e.g., 50 and 100 percent) only when treatment is either ineffective or the veteran is unable to use the prescribed treatment due to comorbid conditions.
In other words, if they want, the VA, in theory, could retest you and claim a 10% rating because in their view (subjective view BTW) there is partial relief-i.e. with a CPAP device your respiratory disturbance index (RDI) has been reduced to 15.2 an hour from 41.9-my numbers with a CPAP by the way. No metrics for measuring "ineffective" like using a METS assessment or a hearing test for example. I may be over reacting but...
VA cant retest you, but they can have you re-evluated via a sleep test. But, if you are over 5, 10 years for example, what are the chances they do? And if a Doctor Rx you a cpap, thats it, you are on it..
Still, none of these proposals will have over night.. At least 6 months to a year.
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6 hours ago, deedub75 said:
I was just reading through this and under these new rules, I would probably not be at 100% P&T.
The OSA rule change is really big. Veteran's compensation would be based on the outcome of the treatment of OSA rather than being prescribed a CPAP. I have a CPAP and I'm rating at 50% but under this new rule I'd probably be at 10% because I get incomplete relief with the CPAP.
Specifically, VA proposes to assign a 0 percent evaluation when sleep apnea syndrome is asymptomatic, with or without treatment. VA would assign a 10 percent evaluation when treatment yields “incomplete relief.” VA would assign ratings above 10 percent ( e.g., 50 and 100 percent) only when treatment is either ineffective or the veteran is unable to use the prescribed treatment due to comorbid conditions. VA would assign a 100 percent evaluation only if there is also end-organ damage. VA proposes to include an informational note that defines and gives examples of qualifying comorbid conditions, i.e., conditions that, in the opinion of a qualified medical provider, directly impede or prevent the use of, or implementation of, a recognized form of treatment intervention normally shown to be effective.
Doesnt the sleep study you take show whether or not the cpap works for you? Or do they have some other way to see if a person is not getting proper treatment?
I use a cpap, and have for many years. I even mail in my data for them to review etc.. I definitely know when I dont use it, as I feel like I have had no sleep.
And what is an end organ damage?
I am sure it will take some time for them to evaluate and adjust things. Nobody should be affected if already rated, correct?
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No VIOXX.
Sugar level is good, not even pre diabetic according to doctors.
Cardiologist said I was in good shape as I had collaterals already bypassing clot. Plus, I had a third artery feeding me.. One extra..
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Naproxen, Motrin, Robaxin for sure..
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I am not a Vietnam Vet. Just Gulf one and Iraq/afghan US Navy Submarine, but I am OEF/OIF and OEF-P (Philippines)
I sent my VSO a email to let him know of my surgery etc from 2020..
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I amnot sure it will change anything per say. But, I cant see how they are connected, at least hypertension due to cholesterol etc.
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My service connected hypertension is 0%, and tension headaches is 0%, as far as items related to blood pressure etc.
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Hello, A couple years ago , 3/2020, I had heart surgery. Had a 99% block in LDA. Thank God I have three artery's vice two, at least my cardiologist was saying it was a good thing.
Anyways, I retired in 2012, Oct. I was service connected for blood pressure and of course have been on meds for years, years before even getting out. Cholesterol was high, and they put me on statin, then another med for calcium control.
Is the Heart surgery something I should notify my VSO about. Blood pressure hasnt changed any, cholesterol is down due to diet and meds..
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Thnx, I looked at VA.gov.. They generate the short letters.
I need the same one that was mailed to me. Its here somewhere just cant seem to find it in all these rooms and boxes.
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I can guarantee I dont move around as well as when I was younger.
With my granddaughter, I cant hold her very long due to back. I just deal with it..
I guess the real issue is, I am so busy, I dont have time for much when it comes to medical etc.
I will ask my VA rep for the ratings I have with codes to see what It states.
The only thing I have dealt with at the VA lately is daughter finishing school/college and getting her off the dependent list.
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Never thought to file for depression. I dont feel depressed. I work and work to keep my mind off things and to raise my family.. I travel allot to due to my work..
My ten year point and age 55 are within a month and half, and with my ailments I have, I am just starting to worry after reading about the 5/10/20 rules etc.
The VA has seen me for knees, back, headaches, several times over the years. All my injuries connected to the service arent getting better, in my reality.. Meds for pain, Over the counter, heating pads. I just deal with it like most people do in the same position.
Sleep apnea, if I miss a night with that machine, I feel it..
Not trying to inflate my ailments, but just starting to think about what to prepare for if here and they need to see me again.. Plenty of MRIs and such on me already.
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Hey, Had a big move and my VA paperwork is lost, approval letters etc. Where can I get copies of the same letter mailed to me?
I am approaching 55 and want to see what my service connected ratings are, and if they fall into the category of , probably not going to get better, which is written on the AB8 letters.
Unless someone knows whether or not the service connected issues are not going to get better and possibly be reviewed before 55 (8 months from now), which about a month and half before my 10 year mark..
Obstructive Sleep Apnea
cervical spine spondylosis
osteoarthritis, lumbar spine with degenerative disc disease
radiculopathy right lower extremity
tinnitus
right upper extremity radiculopathy
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I filed a claim in July of last year. Va called October to schedule C&P. Unable to due to Out of state. SO, after going back and forth and VA resubmitting for C&P exam, I was able to do exam in Feb 2017. Denied in April. Put in for reconsideration, and with new C&P exam I from June, was upped 10% disability compensation. Ebenefits shows effective date July 1, 2017.
Is there retro pay involved in this claim, or is it straight up July 2017 based off of ebenefits showing effective date July.
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Welcome! Be sure to get copies of ALL of your medical records! (The VA has a way of losing some things....)
Made Four copies. VA has one. According to Ebennies they have everything. But, I am ready in case..
Thanks
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I have a paperless claimas well and since your C&P exams are done you should have no worries.
it is at the C&P process where there can be issues one being they ask for your papr claim and since you have no paper it can cause a delay.
but you are done and now waiting on your decision or additional info either way sounds like your on your way! :)
I do have a copy of the C&P exam and results. I may ask my DAV rep if they have any paperwork still with them for their records. All I have to do is give them my DD214 next month, then the wait begins. Funny thing is she told me it would be a month, till she saw I was paperless. Then she chuckled and stated, well, only two places do this and the funding for manpower to do these hasnt been adjusted to accomadate. So , it will be a long time...
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I was told my my DAV rep that I am a paperless claim, which is new and Salt Lake will handle it. Anyone have any more data on this type of claim?
I will be leaving Oahu and probably going to the east coast. Since all of my C&Ps are done, when should I change my address with the DAV.?
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New to the board, ebenefits showed 03/24/2013 to 08/15/2013 for me. I am still active duty, till Nov1.
Somebody is putting the data in. But, what is it based on is a mystery in itself.
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I am going to be retiring from the USN after 24 years of service. I currently live in Oahu, HI, but will retire in Goose Creek, S Carolina (Charleston area). I have applied for a few disabilities with the DAV, been through my C&Ps already and my paperless claim is in Salt Lake City already. Effective retirement date is Nov1.
Proposed changes to 3 disabilities
in VA Disability Claims Research
Posted
You ratings wont go down. I think they stated that and , its says it wont affect us already rated.
Now, if you go and try to get more due to one of these changing for the positive, than you run the chance of bringing rating down, unless you are in 5/10/20 or 55 window, too. Correct me if I am wrong, thnx.