Been a long time...but I am still active in helping people God sends into my path...so hear goes...I am helping a fellow vet with a VA claim a few years ago he filed for hypertension..in which the VA declined...after reviewing his Service medical records I did note that his bp was high over the years and that on two occassions they had a 5 day blood pressure check due to the high readings...I also noted that there was no record of a 5 day check in either the notes or labs...the veteran I am helping is retired after 21 years of service...he is serviced connected for cluster headache/migrains/...as I poured over his medical records (inservice) I noted that he had an episode of heart fliberation (sp) back in 90 that required the base to have in taken by air medic to a reginal hospital (civilian) and he was put into the caradiac ICU unit. There were no notes or records from the civialian hospital so I had him send away for those records, which he received last week (how lucky they still had them!) in the records from the hospital it states that he has a high S4 gallop and that the hospital cardic doctor wanted to preform a cardiac catherlization to rule out early cardiomyopathy. As documented in his medial records he agreed to the procedure, that evening he was NPO and the following morning prep. began, for unknown reasons the base hospital decided that the procedure would not be preformend and that he was to do a follow-up with the clinic on base he was discharged that afternoon. In his medical records (service) it has a brief sentance that states" atrial fibrillation-resolved" and states if any further problem occurs to come back.
now fast forward! though out the years this vet has had similar problems like he did back in 94 but he thought that it was nothing and just sat out the dizziness and sweats..until his wife was present durning one of his episodes and brought him to the ER..they put on a 48hr. monitor and it was determined that he needed a pacemaker which he now has.
now the question...since S4 gallop indicated hypertension in which he already filed for and was denied...can he reopen his case with the records from the civilian hospital he just received...and can he also put in for a claim for the pacemaker due to there was never a diagonis back during his service time regarding the 5 days he spent in the ICU...I recommended that he contact his cardiogist and see if he can link the two together...just need some insight on how to guide him.
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mountain tyme
Been a long time...but I am still active in helping people God sends into my path...so hear goes...I am helping a fellow vet with a VA claim a few years ago he filed for hypertension..in which the VA declined...after reviewing his Service medical records I did note that his bp was high over the years and that on two occassions they had a 5 day blood pressure check due to the high readings...I also noted that there was no record of a 5 day check in either the notes or labs...the veteran I am helping is retired after 21 years of service...he is serviced connected for cluster headache/migrains/...as I poured over his medical records (inservice) I noted that he had an episode of heart fliberation (sp) back in 90 that required the base to have in taken by air medic to a reginal hospital (civilian) and he was put into the caradiac ICU unit. There were no notes or records from the civialian hospital so I had him send away for those records, which he received last week (how lucky they still had them!) in the records from the hospital it states that he has a high S4 gallop and that the hospital cardic doctor wanted to preform a cardiac catherlization to rule out early cardiomyopathy. As documented in his medial records he agreed to the procedure, that evening he was NPO and the following morning prep. began, for unknown reasons the base hospital decided that the procedure would not be preformend and that he was to do a follow-up with the clinic on base he was discharged that afternoon. In his medical records (service) it has a brief sentance that states" atrial fibrillation-resolved" and states if any further problem occurs to come back.
now fast forward! though out the years this vet has had similar problems like he did back in 94 but he thought that it was nothing and just sat out the dizziness and sweats..until his wife was present durning one of his episodes and brought him to the ER..they put on a 48hr. monitor and it was determined that he needed a pacemaker which he now has.
now the question...since S4 gallop indicated hypertension in which he already filed for and was denied...can he reopen his case with the records from the civilian hospital he just received...and can he also put in for a claim for the pacemaker due to there was never a diagonis back during his service time regarding the 5 days he spent in the ICU...I recommended that he contact his cardiogist and see if he can link the two together...just need some insight on how to guide him.
thanks
mt
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