Jump to content
  • veteranscrisisline-badge-chat-1.gif

  • Advertisemnt

  • 14 Questions about VA Disability Compensation Benefits Claims

    questions-001@3x.png

    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
    Continue Reading
     
  • Ads

  • Most Common VA Disabilities Claimed for Compensation:   

    tinnitus-005.pngptsd-005.pnglumbosacral-005.pngscars-005.pnglimitation-flexion-knee-005.pngdiabetes-005.pnglimitation-motion-ankle-005.pngparalysis-005.pngdegenerative-arthitis-spine-005.pngtbi-traumatic-brain-injury-005.png

  • Advertisemnt

  • VA Watchdog

  • Advertisemnt

  • Ads

  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

  • 0
Sign in to follow this  
Alex Googe

Comp & Pen Sleep Apnea & Hypersomnia

Question

I was wondering if anyone can let me know what my most recent comp & pen results mean.

 

 

=========================================================================

Date/Time:               12 Jan 2017 @ 1430

Note Title:              C&P EXAM

Location:                VA CONNECTICUT HEALTH CARE SYS

 

Date/Time Signed:        13 Jan 2017 @ 1308

-------------------------------------------------------------------------

 

 LOCAL TITLE: C&P EXAM                                          

STANDARD TITLE: C & P EXAMINATION NOTE                         

DATE OF NOTE: JAN 12, 2017@14:30     ENTRY DATE: JAN 13, 2017@13:08:24     

                              

     URGENCY:                            STATUS: COMPLETED                     

 

 

                                   Sleep Apnea

                        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] Review of available records (without in-person or video telehealth

        examination) using the Acceptable Clinical Evidence (ACE) process

because

        the existing medical evidence provided sufficient information on which

to

        prepare the DBQ and such an examination will likely provide no

additional

        relevant evidence.

 

    Evidence Review

    ---------------

    Evidence reviewed (check all that apply):

   

    [X] VA e-folder (VBMS or Virtual VA)

    [X] CPRS

 

 

    1. Diagnosis

    ------------

    Does the Veteran have or has he/she ever had sleep apnea?

    [X] Yes   [ ] No

   

       [X] Obstructive

              ICD code:  g47.33              Date of diagnosis: 2012

 

    2. Medical history

    ------------------

    a. Describe the history (including onset and course) of the Veteran's sleep

       disorder condition (brief summary):

         Veteran served 7/82-5/86.

 

 

         VBMS does not document the diagnosis of sleep apnea during service, and

         the diagnosis of OSA occurred years post-discharge. Given that there is

         no objective documentation for the diagnosis of, or treatment for, OSA

         in service or within 1 year of discharge, this examiner does not find

         evidence of OSA directly due to service.

 

         Obstructive sleep apnea (OSA) is the result of obstruction of the upper

         airway,with symptoms including unexplained daytime fatigue, loud

         snoring, and periods of apneas ("pauses" in breathing). Risk factors

         include male sex, increasing age,obesity, and large neck circumference.

         OSA is associated with anatomical upper airways changes, including

         decreased muscle tone, increased soft tissue around the airway, and

         structural features that give rise to a narrowed airway.

 

         Depression is not an established risk factor for the development of

OSA.

         As such his current OSA is less likely as not (50 percent or greater

         probability) proximately due to or the result of major depression

        

    b. Is continuous medication required for control of a sleep disorder

       condition?

       [ ] Yes   [X] No

      

    c. Does the Veteran require the use of a breathing assistance device?

       [ ] Yes   [X] No

      

    d. Does the Veteran require the use of a continuous positive airway pressure

       (CPAP) machine?

       [X] Yes   [ ] No

      

    3. Findings, signs and symptoms

    -------------------------------

    Does the Veteran currently have any findings, signs or symptoms attributable

    to sleep apnea?

    [ ] Yes   [X] No

   

 

    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 any conditions

       listed in the Diagnosis Section above?

       [ ] Yes   [X] No

      

    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. Diagnostic testing

    ---------------------

    a. Has a sleep study been performed?

       [X] Yes   [ ] No

      

           If yes, does the Veteran have documented sleep disorder breathing?

           [X] Yes   [ ] No

          

           Date of sleep study:  12/2012

          

           Facility where sleep study performed, if known:  Gaylord

          

           Results:

             severe OSA with AHI 122

            

    b. Are there any other significant diagnostic test findings and/or results?

       [ ] Yes   [X] No

      

        

    6. Functional impact

    --------------------

    Does the Veteran's sleep apnea impact his or her ability to work?

    [ ] Yes   [X] No

   

          .

 

    7. Remarks, if any:

    -------------------

       No remarks provided.

 

LOCAL TITLE: C&P MENTAL DISORDERS                              

STANDARD TITLE: MENTAL HEALTH C & P EXAMINATION CONSULT        

DATE OF NOTE: JAN 19, 2017@11:07:56  ENTRY DATE: JAN 19, 2017@11:07:56     

      AUTHOR:                  EXP COSIGNER:                           

     URGENCY:                            STATUS: COMPLETED                    

 

COMPENSATION AND PENSION EXAMINATION REPORT (FREE TEXT)

=======================================================

 

 

MEDICAL OPINION REQUEST

 

TYPE OF MEDICAL OPINION REQUESTED: Secondary Service connection.

 

OPINION REQUESTED: Secondary Service Connection.

 

The Veteran is claiming service-connection for hypersomnia as secondary to his service-connected major depression associated with left ankle, residuals of left medial malleolus fracture. The Veteran's current treatment records now show he has hypersomnia.

 

There is a recent mental exam conducted on 10-27-16 in file, however, if another examination is warranted, please pursue exam for diagnosis and to

assess current severity.

 

Is the Veteran's hypersomnia at least as likely as not (50 percent or greater probability) proximately due to or the result of his service-connected major depression associated with left ankle, residuals of left medial malleolus fracture?

 

Rationale must be provided in the appropriate section.

 

POTENTIALLY RELEVANT EVIDENCE:

 

TAB A: DBQ Mental Disorders exam dated 10-27-16

 

Tab B: VAMC treatment records showing Veteran has hypersomnia

 

RESPONSE:

Veteran's hypersomnia is at least as likely as not (50 percent or greater probability) proximately due to or the result of his service-connected major depression associated with left ankle, residuals of left medial malleolus fracture. It appears that as his depressive symptoms increased,in part related to the incident at work described in his most recent C&P exam.There is evidence based on the timing of the change in sleep and ADLs, as well As the known symptoms of major depression, that provide evidence for this secondary

service connection.

 

Edited by Alex Googe
Adding another section

Share this post


Link to post
Share on other sites

Recommended Posts

  • 0

I am not sure they will rate you but they may S.C. You to S.A.

The examiner checked NO in all the boxes that would help you get a Rating

usually a 50% rating for required use of c-pap machine  with this box check yes  that may be what gets you the S.C.

or they may deny your claim altogether?

but I could be wrong   others will chime in

Edited by Buck52

Share this post


Link to post
Share on other sites
  • 0

"less likely than not" usually sews it up.  You will need a nexus preferably from a sleep specialist  connecting your depression  as the cause of your OSA.   Also, you need to connect your depression to your military service.

Share this post


Link to post
Share on other sites
  • 0

No SA SC Rating for you, sorry to say.  Your Service Med records don't document any Sleep problems and it was DX'd many years after discharge, not within the 1st year after separation.

I've done a significant amount of OSA, CSA & MSA research since 2010. Really can't say I ever came across any Medical Sleep Journals or articles linking SA to Depression. PTSD yes but it is still difficult.

When you have the time, research BVA Decisions for 14,15 & 16. Use "Sleep Apnea Secondary to Depression," as you key search term. I doubt you'll see any Direct Nexus Awards to Depression, but you never know.

Semper Fi

Share this post


Link to post
Share on other sites
  • 0

Thanks every one I'm service connected for depression but jus got awarded 100% for PTSD, I'm also service connected for left ankle @ 30%, service connected for scars @ 30% and service connected for left foot @ 10%

Edited by Alex Googe
add service connection for depression @ 50%

Share this post


Link to post
Share on other sites
  • 0

Thanks again everyone for your feed back I'm service connected for depression @ 50% but I just awarded service connection for PTSD @ 100% so this will wipe out the service connection for Depression, service connected for left ankle @ 30%, service connected for scars @ 30% and service connected for left foot @ 10%

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Answer this question...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Sign in to follow this  

  • Our picks

    • Occasionally it becomes necessary for HadIt.com to come to the community to help raise funds. This is one of those occasions.

      A couple of things to keep in mind

      Financial contributions are never required, but always appreciated.


      NOT tax deductible, HadIt.com is NOT a non profit and any contribution you make is just a gift and cannot be deducted on your taxes.


      If you prefer to give through a subscription, you may subscribe here the rates are $5 per month or $50 per year and gives you an ad free experience on the forums.



      Thank you for your support!
      • 2 replies
    • It's now May 3 3019. Still pending for notification and past estimated completion date April 29th. If it were negative would o would have heard something right. I'm assuming I have a good chance because I have evidence, however the wait is killing me like everyone else. 
    • Mere Speculation  Comp and Pen
      Hello Fellow Veteran 20 year retired disabled Navy veteran, quick ?? I am going for unemployability through the VA just had my comp and Pen, I do check off all the DBQ according to the therapist , but at the end of it she said in her opinion it would be mere speculation on rather I should get unemployability or not. What’s that mean thanks 
      • 9 replies
    • Man using HadIt name to collect funds -  Go FundMe shuts down campaign following Raleigh man's arrest for fraud
      I was interviewed for  this story. This gentlemen was using the HadIt name to collect funds for some non existent charity. "HadIt.com" is NOT a non-profit. "HadIt.com" will never have anyone collecting outside of Walmarts. If "HadIt.com" does not list a fundraiser on our site it is not affiliated with us. Please read the story and pass on that this person is NOT affiliated with "HadIt.com"

      Note: The text at the top of the video lists me as a nonprofit founder. HadIt.com is a for profit, it is not a non profit and this man is not associated with our site and none of the money he collected had anything to do with our site.

       


      Go FundMe shuts down campaign following Raleigh man's arrest for fraud 
      https://www.cbs17.com/news/local-news/wake-county-news/gofundme-shuts-down-campaign-following-raleigh-man-s-arrest-for-fraud/1866907862?fbclid=IwAR3Z6cTDSvv2yr9f1hKanLjOBeHjLyeJPtOnVQX0vTGmpF0d_eXiGsPaJug
      • 5 replies
    • Additional 100% Disabled Veteran Benefits
      https://www.hadit.com/100-percent-total-and-permanent-service-connected-disability-additional-benefits/

      If you reach 100% P and T there are more benefits available to you. This is by no means an extensive list and we recommend calling the Veterans Affairs at 1-800-827-1000 with any questions about the following benefits.

      Check your state benefits here


      Dental treatment for 100% disabled veteran benefits.


      Educational Assistance for Dependents: (under chapter 35) Must be rated a 100% disabled veteran by the VA.


      Civilian health and medical program for dependents/survivors (CHAMPVA). Must be rated a 100% disabled veteran by the VA.


      Specially Adapted Homes


      Veterans Mortgage Life Insurance: Decreasing term mortgage insurance up to $90,000 for veterans who have received a Specially Adaptive Housing grant and have an existing mortgage.


      Waiver of cost of Service Disabled life Insurance: and additional $20,000 of life insurance at cost to veteran. Veteran must have applied for insurance within two years of initial disability rating or within two years of a new disability rating. An increase in a disability rating does not qualify as a new disability.


      Commissary and Exchange privileges for veteran and dependents: The veteran must request a letter from the VA specifying veteran is in receipt of 100% disability, and then applies for a military ID card at the nearest ID card issuing facility.


      Emergency treatment in non-VA facilities: if VA facilities are not available.


      Annual Eye exams and prescribed eye wear



      Continue Reading
      • 6 replies
  • Ads

  • Popular Contributors

  • Ad

  • Latest News
×
×
  • Create New...

Important Information

{terms] and Guidelines