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hypertension 0% On Hypertension Claim
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VA different higher normal HBP/HTN for vets 1 2
By Dustoff1970,
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Geo4K
Hi All, I feel that the 0% rating they gave me is low. The following are my thoughts as to why. Did I cover everything?
As always - thank you all for your time and thoughts - George
On my 22 June 2010 claim for Hypertension, I was rated a 0% SC due to the “low” reading of my diastolic pressure. Unfortunately, this decision was not based on all the information that was available. Since I was anticipating a C & P exam, I elected to bring a sheet of several readings with me to the exam. Despite my phone calls to the VA C & P office to ascertain an appointment date and 2 stops to the VA office on Gold St, I was never told that my exam would be passed over for just a records review. I was waiting, in good faith, for an appointment. Here are the additional facts (with supporting documentation) I wish you to consider for a full 10% award.
I was initially made aware of my high blood pressure during my first C & P exam at the VA on January 4, 2010. It was 164/114. I made an appointment immediately with my PCP at Presbyterian Healthcare Rio Rancho, you have these records. On January 5 a reading was taken by the Federal Occupational Health (FOH) RN at my worksite (new evidence/documentation attached), it was 150/110. On January 6 a reading of 160/110 was taken at Presbyterian for my first visit for my BP. On this day my PCP prescribed a daily dose of 25 mg of Hydrochlorothiazide (HCTZ). I started taking this dose the very next day on January 7th. FOH took a reading of 140/104 on January 12. I feel that my body was starting to adjust to the medication at this point. The following readings and dates were recorded by FOH: Jan 19 = 134/92, Jan 21 = 132/90, Feb 11 = 140/100, Feb 16 = 118/80, Feb 23 = 140/100. Any reading of my blood pressure after this date will be influenced by my medications. On February 23, I was prescribed 10 mg of Lisinopril in addition to the 25 mg of HCTZ and on 30 March the dose was increased to 20 mg of Lisinopril and 25 mg HCTZ.
My blood pressure is now well controlled by these medications. I feel that the evidence cited above clearly shows that without them, my diastolic pressure would be predominantly above 100, and my systolic pressure would be in the 160+ to 150 range. In order to offer more proof, I’d have to stop my medications and let my blood pressure rise back to those unhealthy levels – something neither you nor I should ever consider.
Most of the readings you cited show me already under the care of my physician and the medicine prescribed to me, therefore, a poor indicator of my true state of hypertension. Please revisit your decision, consider my first series of readings in early January, prior to the medication and the others as I was adapting and progressing towards a healthy level. I am asking you to award the appropriate rating of 10% for my hypertension claim. Thank you for your attention to this.
USAF 1984 - 2005, MSgt ret.
50 % for social coping and depression - I want to challenge to 70%
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