ptsd 20 Pgs Of C&p Exam Received Today

[halos2]

Got the 20 pg report today...

Mucho documentation regarding linkage and studies relating to the nexus's, and validating as causative relationship.

Will just type parts:

...Standard Examiners Medical Opinion:

The condition/disability Fibromyalgia was most likely permanently aggravated by S/C PTSD.

Rationale for opinion...Veteran is S/C PTSD, based on the literature searches, there is no single cause & effect regarding what causes Fibro, however literature notes that Firbo can be due to PTSD and is noted that PTSD is a major contribution to Fibro. Therefore it is likely that a relationship exists between current Fibro and S/C PTSD.

See literature below...

Standard Examiners Medical Opinion:

The condition/disability HTN is as least as likely as not(50/50)probability caused by or results of S/C PTSD.

Rationale for opinion: Diagnosis of HTN made by private medical records and continue with VA Medical care.

There is also a diagnosis of S/C PTSD. Based upon literature searches, it is noted there is not a single causation of HTN.

Therefore it is most likely that a relationship exists between current HTN, and S/C PTSD.

See literature below...

Diagnostic studies

Medical Journal articles

Mayo Clinic References

Case studies

Medscape

edu/patient/articles/what-causes-fibro

psychiatric PTSD relationships/HTN

Myfibro

Edu.com

Fibro related to PTSD

The Free Library

etc...

Remember 20 pgs of linkage and did related to brain function studies and hormone levels, and so much more.

I find it a trifle perplexing how the wording of Most likely that and as least as likely(50/50) in the same medical opinion could occur. Along with the use of medical verification there does appear to show definite linkages.

Both exams were done this day after the original examiner was told not to opinion on as no records at all were at VAMC for examiner to view/relate to. There are much more + statements in the body of the relationship with the S/C and the secondary conditions, like 20 pgs worth, but wanted to post the most important statements for opinions for all of my fellow vets.

Edited May 18, 2010 by halos2

[halos2]

BUMP

[chr49]

Got the 20 pg report today...

Mucho documentation regarding linkage and studies relating to the nexus's, and validating as causative relationship.

Will just type parts:

...Standard Examiners Medical Opinion:

The condition/disability Fibromyalgia was most likely permanently aggravated by S/C PTSD.

Rationale for opinion...Veteran is S/C PTSD, based on the literature searches, there is no single cause & effect regarding what causes Fibro, however literature notes that Firbo can be due to PTSD and is noted that PTSD is a major contribution to Fibro. Therefore it is likely that a relationship exists between current Fibro and S/C PTSD.

See literature below...

Standard Examiners Medical Opinion:

The condition/disability HTN is as least as likely as not(50/50)probability caused by or results of S/C PTSD.

Rationale for opinion: Diagnosis of HTN made by private medical records and continue with VA Medical care.

There is also a diagnosis of S/C PTSD. Based upon literature searches, it is noted there is not a single causation of HTN.

Therefore it is most likely that a relationship exists between current HTN, and S/C PTSD.

See literature below...

Diagnostic studies

Medical Journal articles

Mayo Clinic References

Case studies

Medscape

edu/patient/articles/what-causes-fibro

psychiatric PTSD relationships/HTN

Myfibro

Edu.com

Fibro related to PTSD

The Free Library

etc...

Remember 20 pgs of linkage and did related to brain function studies and hormone levels, and so much more.

I find it a trifle perplexing how the wording of Most likely that and as least as likely(50/50) in the same medical opinion could occur. Along with the use of medical verification there does appear to show definite linkages.

Both exams were done this day after the original examiner was told not to opinion on as no records at all were at VAMC for examiner to view/relate to. There are much more + statements in the body of the relationship with the S/C and the secondary conditions, like 20 pgs worth, but wanted to post the most important statements for opinions for all of my fellow vets.

I agree that the wording is a bit unusual but IMO this medical examiner appears to have done a fine job with his/her assessment, research and conclusions. Looks good to me.

[carlie]

halos,

I see it as at least additional medical evidence to support your claim issues.

At a minimum it might be just what is needed, along with other medical evidence,

to put your medical evidence in relative equipoise.

Even if it's not exactly enough to get the claim issues granted, it should

certainly be enough to help sway the decision maker and open up consideration

for the Benefit of the Doubt.

I hope I have understood your situation correctly.

carlie

[Pete53]

Bump

[Testvet]

Halos my Htn and cardiac problems are now SC as secondary to my PTSD but the VARO would NOT do it no matter what evidence I supplied them I had 3 IMOs and 1 IME 3 from cardiac specialists and one opinion by a retired Army Colonel psychiatrist MD professor and staff doctor after retirement at UCLA and the rater at the RO would not touch the issues they made it go to BVA to decide even with all the literature at the NCPTSD from VA's own doctors about the relationship on cardiac and hypertension they made comments about "studies" are general in nature and they needed a doctor to make the nexus statements that is why they had 3 IMOs and 1 IME I gave them detailed road maps and they still denied the BVA judge did award the claim when it got there by that time I had a lawyer involved so don't be shocked if the deny it by the way this is the first time I have heard about fibro being secondary to PTSD and I have been on the boards about 10 years now and this is a NEW one rofl hope you win it please let us know how that one turns out

Edited May 13, 2010 by Testvet

[halos2]

Pete53, carlie, and chr49, thank you for responses/actions involved with this post. Seems all of the studies referrenced were used extensively to show the definitive relationship of fibro and htn secondary to ptsd. I brought in 22 pages of studies/internet medical literature which was also referenced as well as the examiner's searches, and positive linkages, and own statements.

Reading it as far as the correlation information tends to lean me to the positive side, however one does not know what will or can occur with a rater when they read it.

These steps constantly mess with one's psyche and mental status, and make your disabilities pronounced over any of your abilities.

Maybe I will get a break for once and get an approval second time around????

HOPE is just a word, DETERMINATION is my action! :)

testvet thanks too, was typing my response when I submitted it found you beat me to the punch with your post too.

Edited May 13, 2010 by halos2