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RickyDee

Headaches (including Migraine Headaches)

Question

Can some one provide there opinion because I am confused about the nurse medical statement:  "The condition claimed was at least as likely as not (50% or greater

probability) incurred in or caused by the claimed in-service injury, event or illness" 

I think she's referring to the GWI issues of this C&P when she said ? "at least as likely as not (50% or greater probability) incurred in or caused by the claimed in-service injury, event or illness" 

 This has to do with a C&P I recently had for GWI. The C&P nurse said I didn't have any proof to claim CFS, IBS, or Fibro Instead when I showed her what I did have she pulled out from my medical records the headaches I've been having since 1982 which I never claimed and nor mentioned until she pulled it out. These headaches steam back to 82 and they are noted in every Troop Med Clinic (TMC) I visited. I also have OSA which was diagnosed in 05 by a VA provider not a specialist. The VA provider referred me to a VA specialist NUERO. The NEURO confirmed the OSA but started treating me for daytime hypersomnolence and nighttime insomnia. I have a CPAP I wear it 68% of the time. I understand OSA is because of my breathing but insomnia and hyper, where the heck did that come from. I can't connect OSA, Insomnia, nor Hyper with my   SC illnesses because it's no where in my medical records. So what can I do to tie them into each other? Oh yea I forgot VA just diagnosed me with ANA and asthma. Keep in mind none of these symptoms manifested until now and I was in the GW 89-90. I came in the Army (79) with Sinus Allergies but never got tested to see what I was allergic too. BIG question HOW CAN I tag OSA, HYPER, Insomnia, Asthma, ANA, and Headaches together to make since before I submit a NOD to the GWI exam.   

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Question: Did you just check the C&P write up or actually receive an award letter or SSOC?

If you received the award letter or SSOC, then they should have responded regarding each specific claimed condition, listed the evidence, and explained why you won/lost and included the rating criteria. They sometimes may be able to address some conditions while deferring/waiting on other conditions.

Read the rest of the C&P write up. It should explain medical rationale specific to the condition that was evaluated. Also, double-check it against the rating criteria and what is in your medical records. Getting the "as likely as not" 50% statement is a good thing, but don't trust them to assign the correct rating %. Depending on the situation, they might give a single rating or staged ratings over time.

if you filed for multiple conditions, this nurse might have just been asked to evaluate one condition. Unless it is a general medical exam, they tend to focus only on the specific condition requested by the VARO. If you were just looking at the the C&P write up, additional exams might be scheduled in the future.

I would recommend checking ebenefits to see what claims the VA believes you filed. Sometimes they lump things together, but there could be other reasons as I explain further below. If you have a VSO, they should be able to check too. If you do have a VSO, they might have filed a headache on your behalf, but for some reason you might not have received notification. If you filed on your own, call 1-800-827-1000, but keep in mind what they tell you could vary depending on who answers the call.

I know this doesn't answer your question regarding the other conditions, but knowing more about this might help clarify things.

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