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Master Chief Petty Officer
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Vync last won the day on December 21 2018

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About Vync

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    E-9 Master Chief Petty Officer
  • Birthday October 15

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  • Military Rank
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    Ft.Living Room, AL
  • Interests
    Family, fishing, movies, video games, gardening, hot rods, computer programming, electronics, music

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  • Service Connected Disability
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  1. According to your entrance exam, your feet have been deemed "sound", per the presumption of soundness. If your entrance exam found you had flat feet when you joined, it could still be grounds to request SC due to aggravation, but you should not need to worry about that. Congenital means you had it since birth. The findings on the entrance exam pretty much directly contest this. Sounds like you have good grounds to contest this. If you can get an IMO, great. If not, the VA will probably end up sending you for another C&P to review your concerns. Caluza elements: 1. Event/injury while in service <== you got this 2. Current diagnosis <== you got this 3. Nexus <== The C&P doc failed to factor in your entrance exam and came to an incorrect conclusion. Your IMO/C&P doc should be able to come to a SC conclusion to tie it together.
  2. The first step is an intake exam, which is an initial evaluation so they can help plan your care accordingly. Sometimes it is performed by nurse practitioners, psychologists, psychiatrist residents, but I have heard of LCSW's doing it in cases where the VA has a large number of patients. After that, LCSW's or psychologists are typical. If medication is necessary, the nurse practitioner and/or psychiatrists may be part of your treatment team.
  3. If you think that the medication you take may be causing additional disabilities, be sure to file for those also. Some medications may cause ED or other disabilities. Below is a link to the VA schedule for rating disabilities: https://www.ecfr.gov/cgi-bin/text-idx?SID=ea5c9546eaccefdc92bb4c976c369ddf&mc=true&node=pt38.1.4&rgn=div5 I recommend you go through your medical records and identify any disability where you have a current or recent diagnosis and match them up with the list. That can help give you a good idea of what you might be able to claim. Because you served in the Persian Gulf, you might have some "presumptive" disabilities. Fibromyalgia is a presumptive, see below. There are a couple of additional links below the quoted material which go into greater detail about presumptives and disabilities which manifest within one year of discharge. https://www.va.gov/disability/eligibility/hazardous-materials-exposure/gulf-war-illness-southwest-asia/
  4. The VA can and does diagnose PTSD, if the DSM-V criteria are met. It sounds like you may have spoken with someone at the VA who might be new or did not give you the whole story. However, sometimes they might have to start with a different diagnosis and come to the conclusion of PTSD over time. Sharing your non-VA MH records with your regular VA MH team can help by providing a treatment history. This might reduce the time they need to make a PTSD diagnosis, if warranted. Due to regulation changes around 2012, the VA deemed themselves the final decision maker of PTSD diagnosis' via C&P exams. That means that if your VA MH doc or non-VA MH doc has diagnosed you with PTSD, only the VA C&P MH doc can determine if you are SC for it. Hopefully, they will change that at some point. I personally would trust the diagnosis of someone who knows and has treated me in the long term vs. someone who might spend a small amount of time in my file. Keep in mind that we can only get a single MH rating regardless of the number of issues diagnosed by the MH docs. If they diagnose you with something other than PTSD, you can and may still get SC for it.
  5. Congratulations on your win! If you are already setup with the VA to get disability payments via direct deposit, then you might see the retro in your bank account before you get anything in the mail.
  6. You make some good observations. The problem with psychotropic meds, like klonopin or valium, is they leave you feeling like a zombie and destroy libido. My VAMC gave me ambien, but switched to trazodone a few years ago. The problem I have with it is you have to time taking it exactly to a specific time in the evening and according to when you have your last meal. If I don't get it right, I either never really fall asleep or wake up feeling groggy with brain fog for most of the day. My VAMC's MH clinic prescribed it to me. However, I found taking a low dose benadryl before bed was more effective at making me drowsy faster without the brain fog the next day. Here is some information about what I did to get to sleep better: I did get a referral to the VAMC sleep clinic where they did a sleep study. It took months for the VA to get it setup. They found I had sleep apnea and prescribed a CPAP/BIPAP machine. It took a while for them to identify the most effective mask, but I can now sleep a lot better than before. Additionally, the VAMC audiologists diagnosed me with tinnitus, the constant ringing in the ears. It is worse when it is quiet before I go to sleep. They sent me a sound generating machine to help mask it out with soothing sounds like thunderstorms, or ocean waves. This really made a difference in how fast I fall asleep.
  7. If your neck/lumbar issues are not currently SC, the VA may wait for them to be SC before putting in the effort to process them. When I filed my last set of claims, I submitted requests for my cervical/lumbar conditions and explicitly requested bilateral upper and lower limb radiculopathy as secondary to it. I realized that if I could not get cervical/lumbar SC, then the secondary issues were moot. Keep in mind the VA is supposed to fully develop your requested disabilities plus any secondary disabilities which could arise from them. I would advise you remind them of the radiculopathy when you submit your NOD. Don't let them let it fall through the cracks.
  8. Good info from @broncovet Due to the wide ranging symptoms of every possible MH disorder, the DBQ is pretty much a catch all to cover everything.
  9. Have you tried submitting a FOIA request? I agree with you. This would be a great resource for both veterans and historians. However, I can see why it hasn't been made public. Enemies abroad would be able to learn about our sources and methods.
  10. Central SA has a neurological cause. There could be many, but people with certain MH disorders can develop SA. Obstructive SA is often seen in people with weight issues or other respiratory issues.
  11. Since you are filing for an increase in GERD, all you need is to provide medical evidence from the past 12 months showing you meet the criteria for the next higher % tier. If the cause of IBS is different than GERD, the VA may award a separate rating. I had two separate ratings, for a while, but it was determined later that they were from the same cause and they combined the ratings. For combined ratings, they award a single % of whichever is higher.
  12. If documents contain sensitive personally identifiable information, don't send it through email unless it is encrypted.
  13. Sounds like you might have a staph infection. I had the same thing happen while in the service. Symptoms of CAD are chest pain, shortness of breath, or heart attack.
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