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  1. Hello, Just had my C&P for hypertension and got the exam results. Can someone look at the results and tell me what my rating might be. Thank you. Hypertension Disability Benefits Questionnaire 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 --------------- Evidence reviewed (check all that apply): [X] VA e-folder (VBMS or Virtual VA) [X] CPRS Evidence Comments: Evidence of elevated BPs dating back to 8/1996 - 123/92; 2000 - 145/82, 152/82, 132/85 2004 - 136/90 2005 - 136/102, 130/90 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 ICD code: XXX Date of diagnosis: 2005??? 2. Medical history ------------------ a. Describe the history (including onset and course) of the Veteran's hypertension condition (brief summary): Veteran reports he has had high blood pressure for a number of years - does not recall specific date 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 20 mg daily 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? [ ] Yes [X] No 3. Current blood pressure readings ---------------------------------- Systolic Diastolic Blood pressure reading 1: 144 / 88 Date: 2/3/2017 Blood pressure reading 2: 157 / 94 Date: 2/3/2017 Blood pressure reading 3: 148 / 91 Date: 2/3/2017 Average Blood Pressure Reading: 149 / 91 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? [X] Yes [ ] No If yes, describe (brief summary): Veteran reports he will experience headaches when his blood pressure is up; states he grets readings that are higher at home on his machine 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 Side Effects on BP medication 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 ------------------ Opinion: The Veteran's diagnosis of hypertension is at least as likely as not realted to elevated BPs in active duty service. Rationale: There is evidence of elevated BPs in active military STRs. Veteran reports that he has taken his BP medication today.
  2. Afternoon all. I have been doing some research into Tinnitus and claiming secondary for Insomnia and Hypertension. I have a 10% for Tinnitus and 0% for hearing loss (submarine sonar tech), but honestly the lack of sleep is beating me down. I have not gotten a full night in several years. I usually get 5-6 hrs a night, with multiple interruptions due to what I feel is my ears ringing. I did a search on the forum here for tinnitus and Insomnia but the last post was from 2012, hence the new thread. I was able to find 3 cases where the VA ruled in favor of the member for secondary insomnia and secondary hypertension, Case numbers: 1207104, 1522463, and 1600946. The last case was for insomnia only. I also have a study that is an Examination of the relationship between Insomnia and Tinnitus, DOI: 10.1177/1179557318781078 My question is how do I get this all linked together? I plan on going to my primary care and taking this evidence to him (He's a retired commander) and see what his thoughts are, but I was also referred to you guys as the knowledgeable peeps. Thanks Matt
  3. I checked e-benefits today and I went from the Gathering Dust phase to PREPARATION FOR DECISION. I was some comfortable complaining about the Gathering Dust phase that the movement to PREP is feeling almost scary. Interesting that the VA just figured out that they forgot to include hypertension in my C&P last year and sent me a letter last week to report for another C&P this week to take my BP. Driving 2.5 hours to take a BP measurement is really absurd when I have a clinic 10 minutes from my house. On Wednesday I checked e-benefits to see if anything had changed. At that point still gathering military dust. Just needed to spout off and perhaps some emotional support. Been at this claim for about 20 months now. It was finally farmed out from Cleveland to Fargo and has moved rather quickly since Fargo has been on it. They called to ask some questions about the unemployability. Figured out what was missing and holding up the claim.
  4. Yesterday, I received the Judgment from the Administrative Law Judge that handled my appeal. I am using a VA-trained/approved attorney and the judge found in our favor. After 40 years of fighting with the VA. I filed my original claim the second day after my discharge. It was denied over and over again for all these years. I think what made a difference this time was the attorney pointing out that my VA psychologist that I'd been seeing for years, had diagnosed me and then the VA sent me to a specific non-VA psychologist for my C&P and she diagnosed me the exact same way and advised that I should receive a 100% rating for my PTSD. They denied the claim (again) and when I got the decision letter explaining all the evidence they used to make their decision, they didn't include the report from my shrink or the C&P shrink. So, now that service-connection is founded and they've already determined my rating (from the C&P already done), do I too have to go back to sleep for months and months? Sadly, my attorney is on vacation (of all the times to go on vacation...) and his paralegal doesn't feel comfortable telling me what to expect next...
  5. Can anyone tell me if Obstructive Sleep Apnea and Hypertension be secondary to CAD. Also the C&P examiner copied and pasted into my Heart Condition DBQ the following statements from my last cardiology exam. . CC: 1st visit today. Pt w/ h/o chronic, stable angina - reported CP in service in 9/1990 - had NL MPI. Has undergone heart CATHs (1993, 2008), which were NL except as noted below - advised he likely his microvascular disease, or microspasm, or (cardiac) syndrome X (decreased blood flow in LAD). Info in scanned records. Pt has noted intermittent CP >25 years - avg 3x per month - occurs at rest or during sleep or w/ activity - pausing/resting typically relieves - uses one SL Nitro tab on avg of 1x per month to relieve CP. The C&P examiner used the above cardiology exam as a Interview-based METs test because the limitation in METs level is due to multiple medical conditions including the heart condition, it is not possible to accurately estimate the percent of METs limitation attributable to each medical condition. Based on the above statements from the Cardiologist could my SC heart condition be increased from 10% to 100%. i. was also hospitalized in Dec 2016 for my heart condition in which a ECHO and Nuclear Stress Test was performed. My stress test showed I have a EF of 60%. But my ECHO revealed that I have the following: Left Ventricular Basal Septal Hypertrophy, Left Ventricular Diastolic function abnormality with Mild (grade 1) showing impaired relaxation and Trace Mitral and Valve Regurgitation. I also have a history of a past Myocardial Infarction when I was on active duty.
  6. Good Morning. I hope the collective minds at HadIt.Com can offer some solutions to my problem. I need to prove “boots on ground” to receive disability benefits for Diabetes Mellitus II, Kidney Failure, Hypertension, Left Leg Above Knee Amputation and individual unemployability. VA has denied both disability claims because of no official documentation. In 1972 I was an 18-year-old kid, fresh out of High School, Boot Camp and MMA School and sent to fleet. I had orders to USS Haleakala on station off the coast of Vietnam. There are 34 unaccounted days after reporting off leave at Naval Station Pearl Harbor on April 27, 1972 and reporting for duty aboard USS Haleakala (AE-25) on May 29, 1972. An 18-year-old US Navy sailor can’t disappear in Southeast Asia and magically appear 34 days later on the pier in Subic Bay, Philippines. I have completed the missing information with my personal recollections. Listed below are facts about the 34 missing days: 1. I was never arrested for AWOL, Missing Ships Movement or Desertion during the unaccounted 34 days. 2. I didn’t own a passport and was traveling under official US Navy orders. The United States was at war with Vietnam. It was common practice for Navy personnel reporting to a ship on station to transit through Da Nang. I arrived Da Nang, Vietnam aboard a MAC flight and transferred to a US Navy ship. Stepping off the MAC flight onto the tarmac substantiates “boots on ground”. 3. On April 18, 1972 I departed Machinist Mate A School at Naval Station Great Lakes, Illinois on ten days leave in Honolulu, Hawaii. 4. On April 27, 1972 I reported off leave at Naval Station Pearl Harbor, Hawaii; and departed Honolulu, Hawaii aboard an 8-hour MAC flight enroute to Yokota, Japan. On April 28, 1972 I departed Yokota, Japan aboard a 5-hour MAC flight enroute to Da Nang, Vietnam. On arrival in Da Nang, Vietnam, I disembarked plane, walked across the tarmac to US Customs inside the terminal. After customs, I boarded a bus outside the terminal to the pier and reported TDY aboard the USS Samuel Gompers (AD-37). 5. On April 30, 1972 the USS Samuel Gompers (AD-37) departed Da Nang, Vietnam for Naval Station Subic Bay, Philippines. 6. US Navy paid me aboard USS Gompers on April 30 and May 15, 1972. 7. On May 29, 1972 I reported for permanent duty aboard USS Haleakala (AE-25) at Subic Bay Naval Base, Philippines. Here is the problem: No documentation exists proving the above information. No official orders exist in my service file. No US Customs documentation exists for Yokota or Da Nang. No MAC flights manifests exist. No documentation of TDY service aboard USS Gompers exists. No financial pay records exist. I would appreciate any advice you can offer.
  7. The BVA remanded my claim back to VARO, two years ago. The remand order was for VARO to develop and adjudicate my claim, well about a year ago they did adjudicate my hypertension, and about six months ago I had C & P Exams done for my kidney and sleep apnea, so I contact the VARO in June 2016, and reminded them that my remand was about 2 years old, and when were you all going to finish adjudicating it, so they told me, we're trying to get everything together here very shortly. So a month after that, I received a letter in the mail from VARO, stating that we have certified your appeal to the BVA, your records are being transferred to Washington DC. My question is, if the VARO did not adjudicate my kidney disease and sleep apnea, as the BVA remand order clearly stated, aren't the BVA just going to return the claim for those two claim items they fail to adjudicate at the RO. I contact the ro and asked them why didn't they adjudicate the kidney and sleep apnea before returning it to BVA, one of the supervisors over there inform me that we cannot talk about the claim because we no longer have it, I would need to contact BVA if I had any questions.
  8. Has anyone had any luck with claiming Sleep Apnea as secondary to Hypertension and/or Arteriosclerotic Heart Disease ? My husband has service connection for both hypertension and heart disease and now a current diagnosis and medical equipment for sleep apnea. I've read where VA has approved hypertension secondary to sleep apnea and heart disease secondary to sleep apnea, but not the other way around. If anyone has an archived VA citation in this regard, or personal experience, would greatly appreciate hearing about it. Thanks all.
  9. Received a letter from BVA today stating all 3 of my claims have been granted. I filed for bilateral peripheral vascular disease, carotid artery disease & hypertension secondary to PTSD in Spring 2010 - 5 1/2 yrs ago. Can anybody tell me how the bilateral carotid artery disease will be rated? I've found all of the information I need regarding PVD & hypertension. Also, when I filed all of my appointments to monitor my PVD were dropped so I'm assuming they will order testing before rating...Am I correct on this? Thank you for any words of wisdom you can give me. CHR49
  10. All, Just was looking at my disabilities on eBenefits. In 2016 I did a new claim for heart disease as I was service connected for hypertension in 2008 and after a lot of reading and looking at my old med records it appeared to me that I probably had heart disease back in 08 and should have claimed it then but I was just a Soldier back then and not a doctor like I pretend to be know. LOL. Here is what is posted regards my heart in eBenefits currently; hypertension..................................................................................................................................0% Service Connedted 08/19/2008 >tricuspid regurgitation (also claimed as heart disease).................................................................Not Service Connected >hypertensive heart disease (also claimed as concentric left ventricular hypertrophy).................30% Service Connected 05/10/2016 Now in my med records I have/had evidence of LVH (enlarged left ventricle) and subsequenlty was granted the 30% secondary to HBP accordingly. Now also in my med records was tricuspid regurgitation on at least 3 ECG's from active service. Now my question is not that I think I should get more comp for the tricuspid regurgitation, as probably the heart disease trumps that, but why not Service Connected at 0%. I don't understand the "Not Service Connected". Seems the same evidence proves both? My hypertension is SC'd at 0% because it is controlled by meds which is correct. FWIW. Anyway, just wondering, Hamslice
  11. Hi everyone. I have a question regarding tinnitus. I filed last year and was denied without a C&P exam. I spent most of my career on the admin side due to what civilians call medical malpractice at an Air Force hospital. So, other than a short tour in Bosnia, no combat experience that could have caused it. I would like to know if tinnitus could be secondary to one of my other disabilities. Please don't get me wrong, I don't want anything I'm not entitled to, but I've had ringing in my ears for as long as I can remember so if it is service connected, I'd like the VA to rate it. I am currently rated for: MDD-70% Sleep Apnea-50% Sciatica, Right-40% BPH-40% Tracheotomy Scar-30% (this, and everything related to it, is where they really screwed me up) Sciatica, Left-20% right medial epicondylitis-10% GERD-10% Allergic Rhinitis-10% Sinusitis-10% (secondary to rhinitis) Deviated Septum-10% Hypertension-0% Left thumb scar-0% Meds currently include Divalproex, Bupropion, Lisinopril/HCTZ, Nexuim, Atorvastatin, Hydroxyzine Pamoate, and Tamulosin. I apologize for the length of this. Like I said, if tinnitus isn't tied to any of this, fine. But if it is, I'd like that service connection documented. Thanks everyone.
  12. I just had two C&P exams this morning and am trying to keep a positive mindset, but the glass looks half empty to me. Maybe someone else can offer some insight on my situation. Since April, I have been rated at 60%; 50% for PTSD and 10% for tinnitus. The claims process for those went pretty smoothly, really, and I was awarded my disability ratings in very short time. I have since then filed three additional claims. My intent to file was back in April, but I submitted the claims on July 25. These three claims are for hypertension secondary to PTSD, sleep apnea secondary to PTSD and for hearing loss. Today I had my C&P exams for the hearing loss and hypertension. I have heard nothing about scheduling a C&P for the sleep apnea. My first exam this morning was for hypertension. I was diagnosed with hypertension, by a private doctor, about 4 years ago and have been on medication since then and am currently being treated by the VA for my hypertension. My hypertension isn't very severe, but it is outside of normal parameters and has been this way consistently for quite a few years. Even though I wasn't officially diagnosed until 2013, I have (and submitted) evidence of prior medical records that show high blood pressure readings well before my actual diagnosis. I don't think I meet the criteria for anything more than a 0% rating, but that's all I really want, or need. I believe I have bradycardia (abnormally low pulse), as a result of my high blood pressure. My blood pressure has always fluctuated and spiked in relation to my PTSD symptoms, so I certainly think the PTSD aggravates my blood pressure, but I don't feel good about my C&P exam from this morning. The doctor was one of the weirdest people I've come across at the VA, so it was hard to get a good read on him. All he did was take my blood pressure 3, or maybe 4, times, all from my right arm, while I was seated. He wanted to know when I was first diagnosed and how many times they had taken my blood pressure during the visit in which I was diagnosed. I told him it was in 2013 and, although I didn't recall how many times they took a blood pressure reading, I did remember how high it was when I was diagnosed. I tried to discuss the evidence I had submitted to support my having actually had high blood pressure before my 2013 diagnosis, but he shut me down. He said anything that I sent in with my claim wasn't his concern. All he was doing was "checking the boxes" on my blood pressure exam and someone else would look at everything that was submitted. This doesn't make sense to me. Isn't the purpose of the C&P exam to look at the evidence, as well render an opinion? I have already been diagnosed with hypertension and am receiving treatment. I'm guessing my blood pressure readings from the C&P exam are within normal parameters...that's what the medication is for. I don't understand the point of putting me through this dog and pony show, but I certainly didn't walk out of there feeling good about it. Next, I had my audiology exam for my hearing loss claim. I just had a audiology exam a little less than 2 months ago from a VA contractor and was subsequently issued hearing aids from the VA about a month ago. As I mentioned earlier, I already receive compensation for tinnitus, so part of me feels like the VA has already conceded that I had sufficient noise exposure in-service to cause damage, but I have also heard of people winning on tinnitus and losing on hearing loss. Since I had just recently had an audiology exam, I was only given an abbreviated C&P exam for my hearing. The audiologist stated that the contractor had not "submitted a full report", or something to that effect, so she only needed to do a partial test today. She asked me a little about my in-service noise exposure, as well as about my civilian occupations. It was over pretty quickly. I didn't feel quite as bad, or confused about that one as the hypertension C&P, but both of them seemed rushed and indifferent. When I got home, I logged in to eBenefits to check on something unrelated and decided to look at my claim status. It had gone from Gathering Evidence to Preparation for Decision, since the last time I had checked on it. How could it be in Preparation for Decision? Mind you, I just had two C&P exams a couple of hours before. There is no way those reports had been sent in and considered already, so it had to have moved to Preparation for Decision a day, or more ago. Since I have not been scheduled for a C&P exam for my SA secondary to PTSD, I suspect now that they don't plan to give me an exam for the sleep apnea. The fact that they'd already moved my claim to Preparation for Decision before my exams leaves me with the impression that my claims are doomed to denial. Realistically, both the hypertension and hearing loss should each be rated at 0%, so that won't get me an increase in disability pay anyway, but a positive decision on the SA would. I also need the 0% ones, though, because of their relationship to other problems I have. I'm a little confused by all of this and am certainly not feeling hopeful about my prospects at this point. Am I jumping to conclusion prematurely, or am I making a reasonable conclusion that things aren't going my way? It's been less than 30 days since my claims were filed and it's already been moved to Preparation for Decision before my C&P exams. I don't know what that means, but it doesn't seem good.
  13. I am still awaiting the notification letter with full details but, according to eBenefits, they have denied my claim for hypertension secondary to PTSD. The basis of my claim was not so much that the PTSD caused the hypertension (although I suspect it may have), but that my PTSD aggravates the hypertension. It looks like the decision was based on the C&P examiners opinion that my hypertension is caused by my weight, rather than my PTSD. His notes do not address the issue of the one aggravating the other. I guess I'll appeal the decision, although I'm not sure how that process works, or really what I'll be able to say, or do, differently to help my case. Below is a redacted copy of the C&P exam notes, if anyone would be so kind as to offer an opinion and/or advice. It bears noting that in his remarks, he states that in 2009 I weighed 160 pounds and my blood pressure was normal. However, I thought 140/90 was the upper threshold of normal. The evidence he is citing reflects a reading of 142/86. Does the VA use a different criteria, because 142 is not normal by generally accepted hypertension parameters. Also, he states that the BP readings used to diagnose are not present, but I did the medical records from when I was diagnosed and they show a reading of 150/110 at that time. So, I would have to say that his statement is factually untrue, based on that the evidence that I submitted. --------------------------- Hypertension Disability Benefits Questionnaire Name of patient/Veteran: Shake-N-Bank 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 --------------- Evidence reviewed (check all that apply): [X] VA e-folder (VBMS or Virtual VA) [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 ICD code: 00 Date of diagnosis: 2013 2. Medical history ------------------ a. Describe the history (including onset and course) of the Veteran's hypertension condition (brief summary): noted to have high blood pressure and begun on medication on 2013. Had normal pressure in 2009 and weight of 160 pounds. 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? [ ] Yes [X] No 3. Current blood pressure readings ---------------------------------- Systolic Diastolic Blood pressure reading 1: 138 / 82 Date: 8/23/2017 Blood pressure reading 2: 122 / 78 Date: 8/23/2017 Blood pressure reading 3: 126 / 80 Date: 8/2017 Average Blood Pressure Reading: 128 / 80 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? [X] Yes [ ] No If yes, describe (brief summary): 8/11/2017 209 lb 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 ------------------ No remarks provided. **************************************************************************** Medical Opinion Disability Benefits Questionnaire Name of patient/Veteran: Shake-N-Bake ACE and Evidence Review ----------------------- Indicate method used to obtain medical information to complete this document: [X] In-person examination Evidence Review --------------- Evidence reviewed (check all that apply): [X] VA e-folder (VBMS or Virtual VA) [X] CPRS MEDICAL OPINION SUMMARY ----------------------- RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: relation of hypertension to PTSD b. Indicate type of exam for which opinion has been requested: hypertension TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR SECONDARY SERVICE CONNECTION ] b. The condition claimed is less likely than not (less than 50% probability) proximately due to or the result of the Veteran's service connected condition. c. Rationale: The pressures used to diagnose hypertension are not available but apparently were there in 2013 when he was started on medication. He has gained nearly 40 pounds of weight since 23009. This is the most likely caused of his hypertension and the PTSD is less likely than not. ************************************************************************* /es/ FRANCIS M REMBERT MD
  14. All, Went to my Cardiologist today, after I got my lab results back from my recent VA clinic visit. The doc from the VA and my Cardiologist have agreed to put me on Lipitor because of my high LDL. My LDL number is 125 which was not terrible, but now they have lowered that number for people like me with heart disease. Now they are looking at 70. Never been there since they started testing me in the early 80's. A little background; I was diagnosed for hypertension and hyperlipidemia back in 2004 while on active duty. I was service connected for hypertension at 0% controlled by medicine in 2008. I was service connected for heart disease at 30% secondary to the above hypertension because of LVH in 2016. My question to all of you is, Because I am now taking medication for my high LDL and that it can be attributed to hyperlipidemia; -is high LDL claimable? -is high LD rated seperate from either HBP and or heart disease? -anyone service connected for high LDL or hyperlipidemia?, and or with other heart related issues. Thanks for all the help, Hamslice
  15. Can Type II Diabetes be service connected to Hypertension or pain and nerve meds for other service connected injuries? I have gained a lot of weight in the past couple of years due service connected back and sciatic nerve problems that have pretty much made me bed ridden. Can this be considered a secondary condition to any of these issues.
  16. Hello All, I just seen my c&p exam results. I filed for a loss of organ claim secondary to TCE exposure, from working with TCE for 15 years. Had a nexus from wrii exposure VA doctor saying it was at least as likely as not being exposed to TCE for a prolonged period caused it. My two questions. Dr. David Anaise will do an IMO after I send him all that I have on it. Do you think two against one opinion would turn it in my favor and what form or how do you file for reconsideration instead of two year NOD wait? The examiner basically referred to this website below for his diagnosis for least likely statement. I did smoke pack a day and I am 6' 2" 230 pounds. Thank you please refer to scholarly article, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3012455/ for details. main risk factors for kidney cancer are cigarette smoking, obesity and hypertension. veteran has history of smoking cigarette, and also has obesity. currently there is no evidence that exposures to chemicals including trichlorethylene and other solvents cause or aggravate kidney cancer. the author concluded tghat " casual conclusions are not yet supported " and that " Genetic susceptibility and its interaction with environmental exposures are believed to influence renal cell cancer risk, but limited studies based on candidate gene approaches have not produced conclusive results." therefore, to answer question asked, veteran's kidney cancer is LESS likely related to military service; as there is no definitive evidence that exposures during service caused or aggravated the kidney cancer.
  17. Hello,I am filing for presumptive SC for hypertension; working with VSO and my readings and diagnosis fit within the criteria for disabling (at least 10%) within 1 year of discharge from active duty, but the medical opinion from my c&p states there is no "direct service connection". Has anyone experienced this before? Will the VSR ask for another medical opinion based on presumptive SC or is this how the medical opinions are always worded regardless? Here is verbiage directly from the physician's medical opinion strictly for hypertension: SC:MEDICAL OPINION SUMMARY-----------------------RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: Veteran claims hypertension due to illness or event on active duty b. Indicate type of exam for which opinion has been requested: hypertensionTYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICECONNECTION ] b. The condition claimed was less likely than not (less than 50%probability) incurred in or caused by the claimed in-service injury, event or illness. c. Rationale: Review of the STR shows no evidence of the diagnosis ortreatment for hypertension while on a period of active duty. The veteranwasdiagnosed in December 2004 with CHF due to valvular heart disease along with hypertension. MEDICAL OPINION SUMMARY-----------------------RESTATEMENT OF REQUESTED OPINION:a. Opinion from general remarks: Veteran claims hypertension due to illness or event on active dutyb. Indicate type of exam for which opinion has been requested: hypertension TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE CONNECTION ]b. The condition claimed was less likely than not (less than 50% probability) incurred in or caused by the claimed in-service injury, event or illness.c. Rationale: Review of the STR shows no evidence of the diagnosis or treatment for hypertension while on a period of active duty. The veteran was diagnosed in December 2004 with CHF due to valvular heart disease along withhypertension.*******************************************************************
  18. I was awarded 10% for hypertension back in 1997 and was taking vasotec 15 mg. However, after incurring a severe heart condition, and I now take verapamil 240 mg er 1/ day and propafenone hydrochloride 325 mg er 2 / day. I have a pacemaker for bradycardia, supraventricular tachychardia, and sss. I gave up filing for the pacemaker. My va rep said he didn't want to deal with it and my doctors won't give me any type of statements to help me out. So, now I will file alone for my meds. The question is..Do I upload my prescriptions on ebenefits.gov under a new claim or should I find a mental hospital and sign in? Don't think i can take much more of this.
  19. Hello All! I was notified that some day I will be receiving a letter to go to Washington for a hearing for my appeal. I filed for hypertension secondary to chronic pain. Here is a synopsis... Leading up to my first surgery in 1994 done by the Army. I was told to come into the aide station to have my blood pressure recorded. Being a dumb 21 year old Airborne Infantryman I didn't think nothing of it. I went, my pressure was high and it was logged in my medical records. I had my spinal fusion to correct a parachuting accident. Mar 1994, I was discharged because the fusion didn't work. Right before, back to the aide station for blood pressure check-ups. I didn't file for it at discharge cause they don't tell you those things then. 1998 I am put on blood pressure medication and an aspirin at the VA hospital in Pittsburgh. 2003 (roughly) I was 31 and I had a mini-stroke. I went to the VA in Pittsburgh, they couldn't find anything. I move to Texas with my Ex and our kids. Shortly there after, I get a call from the Nuerology Department at the VA. You need to see a Neurologist, we found something. I go see one. The is when I found out about the TIA. I the mean time, I did file for Service Connected for Hypertension and was denied. I figured, screw it. I got the rating I was happy with for me back and knees. The EX leaves and I am taking care of my three kids on my own. My blood pressure is not controlled and neither is my pain. I go to the ER on several occasion, without telling the Triage nurse what is wrong she sees my BP is high and says, "you are in pain." At this point, I am put on double the dose of medication. Due to my blood pressure being high from the chronic back and knee pain. Has anyone out there tried to do this and succeeded? I am concerned with the hearing coming up, who knows when, but this has been on my mind to ask. Thank-you all for any and all input! Jim
  20. I filed a claim for hypertention in april 2015. My claim was denied in Oct.16 stating that it was not sc and no evidence in my medical records. I went through my smr and found over 7 times that my pressure was taking and it read higher than 120 and numerours times in the 140. What should I do now? Any advice is appreciated. Thanks
  21. Is Parkinsonism presumptive as it is in Parkinson's for Viet Nam vets if exposed to herbicides? I recently had a MRI of the head checking for clots. Surprisingly the report came back stating : "MRI head: There is a punctate chronic lacunar infarct of the left caudate head. There is no evidence of hemorrhage, edema, masses, mass effect, midline shift or infarction. The ventricles and sulci are normal in caliber and configuration. Scattered areas of nonspecific periventricular, subcortical and deep white matter T2/FLAIR hyper intensity are in a configuration most suggestive of chronic small vessel ischemic disease. There is no abnormal enhancement after contrast administration. There is no abnormal focus of slowed diffusion. The principal intracranial vascular flow voids are preserved. The dural venous sinuses are patent on MP-RAGE images. " I apparently have some kind of asymptomatic stroke and was not aware of it (lacunar infarct). Also there is the subject of 'white matter' and 'chronic small vessel ischemic disease' Has anyone filed these conditions as secondary? I am SC for IHD, DMII, PTSD. From what I have read the Lacunar Infarct is mostly caused by hypertension.
  22. HI EVERYONE THIS IS MY FIRST POST I DO IN HERE, I AM OIFAND OEF VETERAN, I GOT OUT THE SERVICE IN 2005, I WENT TO THE VA FOR THE FIRST TIME IN 2006, MY PRIMARY DOCTOR DIAGNOSED ME WITH PTSD BACK IN 2006. VA HAS ME AT 80% RATING. I HAD TWO SEPRATE C&P EXAM ONE IN SEPTEMBER 2016 AND ONE ON NOVEMBER 22, 2016, THE ONE FOR SEPTEMBER THE PYSCHIATRIST TOLD ME THAT I HAD PTSD, AND VA SAYS I DONT HAVE PTSD, BUT I WAS FIRST DIAGNOSED IN 2006, SO MY LAST C&P EXAM THE PYSCHIATRIST WROTE ON MY NOTES THAT I HAVE PTSD, MY QUESTION IS WILL I GET A RETRO FROM 2006 OR 2016... bilateral hearing loss 40% unspecified trauma and stressor related disorder with major depressive disorder (previously addressed as major depression) 50% bilateral hearing loss 40% hypertension 10% tinnitus 10%
  23. HELLO EVERYONE MY NAME IS EDGAR I SERVED IN THE ARMY FROM 2002-2005. I AM CURRENTLY AT 80% RATE, RECENTLY IN JULY I GOT AWARED 80% FOR unspecified trauma and stressor related disorder with major depressive disorder (previously addressed as major depression) 50% bilateral hearing loss 40% hypertension 10% tinnitus 10% I have been unemployed since 2015 and when i was awared the 80% in July 2016 the DAV sent me a letter that i could apply for TDIU so i called the DAV and told them that i have not been working since Febuary 2015, i went ahead and submitted a claim for TDIU VA received my claim in July 29, 2016. I had two C&P exams done one in September 2016 and one in November 2016, the first C&P exam was a psychairatrist was at a doctors office that was set up by QTC, that doctor did my evaluation and stated that i have symptom of PTSD, and he recommened me to follow up on this, so then in November my other C&P exam was with the VA doctor there the VA doctor did the evaluation and this is what he put. Please comment on the effect of the Veteran's service connected disabilities on his or her ability to function in an occupational environment and describe any identified functional limitations. Please refrain from opining on if the veteran is unemployable or employable; instead focus and reflect on the functional impairments and how these impairments impact occupational and employment activities. Comment: The veteran is able to function independently and engage in activities of daily living. He is able to drive an automobile and research jobs or prepare for job interviews. However, symptoms of depression and trauma-and stressor-related disorder would negatively impact his motivation. Problems sleeping and tiredness may negatively impact performance and productivity. Irritability may cause interpersonal problems on the job. NOTE: VA may request additional medical information, including additional examinations if necessary to complete VA's review of the Veteran's application. \
  24. This is extract from my recent C & P exam for ED. I filed claim in 2012 for ED as secondary to HTN. Denied in 2013 as not service connected, even though started have ED problems before i retired in 2005. 4. Erectile dysfunction ----------------------- Does the Veteran have erectile dysfunction? [X] Yes [ ] No If yes, complete the following section: a. Etiology of erectile dysfunction: htn b. If the Veteran has erectile dysfunction, is it as likely as not (at least a 50% probability) attributable to one of the diagnoses in Section 1, including residuals of treatment for this diagnosis? [X] Yes [ ] No If yes, specify the diagnosis to which the erectile dysfunction is as likely as not attributable: htn c. If the Veteran has erectile dysfunction, is he able to achieve an erection sufficient for penetration and ejaculation without medication? [ ] Yes [X] No If no, has the Veteran used medications for treatment of his erectile dysfunction? [X] Yes [ ] No If yes, is the Veteran able to achieve an erection sufficient for penetration and ejaculation with medication? [ ] Yes [X] No 5. Retrograde ejaculation ------------------------- Does the Veteran have retrograde ejaculation? [ ] Yes [X] No 6. Male reproductive organ infections ------------------------------------- Does the Veteran have a history DBQ GU Male reproductive system: MEDICAL OPINION REQUEST TYPE OF MEDICAL OPINION REQUESTED: Aggravation of a nonservice connected disability by a service connected disability. OPINION REQUESTED: Aggravation of a nonservice connected disability by A service connected disability. Was the Veteran's erectile dysfunction at least as likely as not Aggravated beyond its natural progression by his/her service connected hypertension with pulmonary hypertension? Discussion of above question: The above question requires that the erectile dysfunction exists prior to military service and be aggravated by his hypertension. His erectile dysfunction did not occur until 2005, occurring after his military service, and therefore this does not seem to be the appropriate question. If we stay with the above question the opinion is that his erectile dysfunction was not aggravated by his hypertension and pulmonary heypertension. The more appropriate question is whether the erectile dysfunction is secondary to the hypertension with pulmonary hypertension. Opinion: It is at least as likely as not that the erectile dysfunction Is secondary to his hypertension and pulmonary hypertension. Rationale: The veteran's erectile dysfunction occurred after many Years of hypertension with pulmonary hypertension. Hypertension injures the blood vessels in the penis contributing to erectile dysfunction. The veteran's testosterone was normal in 2011 ruling out hypogonadism as one major alternative cause of erectile dysfunction. Advancing age can also be a major cause but the veteran was diagnosed with erectile dysfunction or possibly 10 years ago when he was somewhat younger. Since the other causes are somewhat less likely it increases the likelihood of hypertension being the most likely cause. Supportive evidence in the veteran's case also is that the urologist's opinion is that it is secondary to his hypertension. This opinion is like several others, in that doctor goes beyond what the VARO is asking to reach a favorable opinion. I am not sure if this is good or bad. Has anyone else had similar experience?
  25. Found this in an appeals search, thought it might be helpful to some: http://www.va.gov/vetapp16/Files4/1627677.txt "The Veteran has current sleep apnea that is the result of obesity that had its onset in service." In fact this person only "approached obesity" "There is no dispute that the Veteran has currently diagnosed hypertension and sleep apnea. The VA examiner attributed these disorders to obesity. The service treatment records document excessive weight in service that at least approached the level of obesity. Obesity was documented only a few months after the Veteran left service and his weight was not reported at the time he left service. This evidence makes it at least as likely as not that the Veteran became obese in service and that the obesity caused the current hypertension and sleep apnea. Resolving reasonable doubt in the Veteran's favor, the criteria for service connection are met. 38 U.S.C.A. § 5107(b) (West 2014)." This literally says, "the Veteran became obese in service"
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