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

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    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

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navyguy357

Claiming sleep apnea as a secondary to restrictive lung disease

Question

I have a service connected disability with zero rating for restrictive lung disease. How can I claim my recent VA diagnosis for sleep apnea as a secondary? How can I find a doctor who will write me a nexus letter? How can I request an increase for restrictive lung disease? Any help would be greatly appreciated.

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If you want a local doc, then you can look it up in the yellow pages, or do a google search for 

"sleep specialists" or "sleep clinics" or sleep doctors in my area.  Then, call their office and ask them if they can/will do and IME for Veterans benefits.  I suggest you explain exactly what you need for VA.  What you need is a doctor to opine, "The patients OSA is at least as likely as not related to the "sleep disorder" diagnosed in military service".  The doc will have had to "reviewed your records, and so state, and he will need to give a rationale as to why he made this statment.  

If the doc you call can not/ will not do this, then you need to move on to a sleep doc who can and will.  If this doc thinks your sleep apnea is unrelated to your sleep disorder diagnosed in service, then you need to move on.  

This is not "doctor shopping" but you need a sleep doc who is familiar with what VA requires for service connection.  His statement needs to be in a language VA can understand, and that is "The Veterans sleep apnea is at least as likely as not related to his sleep diagnosis in service".  

It wont work if he says, "The Veterans sleep apnea "MAY" be related to service, and it also wont work that it "could" be related to service.  

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If you want a local doc, then you can look it up in the yellow pages, or do a google search for 

"sleep specialists" or "sleep clinics" or sleep doctors in my area.  Then, call their office and ask them if they can/will do and IME for Veterans benefits.  I suggest you explain exactly what you need for VA.  What you need is a doctor to opine, "The patients OSA is at least as likely as not related to the "sleep disorder" diagnosed in military service".  The doc will have had to "reviewed your records, and so state, and he will need to give a rationale as to why he made this statment.  

If the doc you call can not/ will not do this, then you need to move on to a sleep doc who can and will.  If this doc thinks your sleep apnea is unrelated to your sleep disorder diagnosed in service, then you need to move on.  

This is not "doctor shopping" but you need a sleep doc who is familiar with what VA requires for service connection.  His statement needs to be in a language VA can understand, and that is "The Veterans sleep apnea is at least as likely as not related to his sleep diagnosis in service".  

It wont work if he says, "The Veterans sleep apnea "MAY" be related to service, and it also wont work that it "could" be related to service.  

Do your homework and READ Berta's take on this:

 

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18 minutes ago, Gastone said:

Finding a SA Specialist shouldn't be too much of a problem. Generally speaking, all major hospitals should have a Pediatric/Adult Sleep Dept.

You should be able to get an appointment for follow-up care, preferably with a Board Certified Sleep Neurologist. I see mine once a year to review my BiPaP Download, costs about $200.00 if paying cash. Each time I leave his office I have a copy of his Clinician Treatment Notes, at no additional cost.

More important right now, what is your precise Restrictive Lung Disease DX and how long has it been Rated at SC 0%?

After a cursory review of relationship of RLD & SA (see attachment) there could be a Nexus depending on severity of RLD (SC 0% ain't severe). When was your last VA LFT, no worsening of results?

Case Report 4 Sleep Apnea and Restrictive Lung Disease - Team 3 P451 Spring 2012.html

I have been SC for restrictive lung disease   (6840) since I was discharged in 2005. On my awards letter listing my disability it states next to respiratory lung disease, "claimed as sleep apnea". I always thought i was rated for 0% for sleep apnea until recently. So now I'm trying to connect the two so I don't have to go through the process of filing a new claim that is currently not service connected. 

Edited by pshaw

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Restrictive Lung Disease is an overly broad term, what was the specific in service problem? Check out the 38 CFR 4 for Restrictive Lung Disease, which one are you?

How about printing out a copy of your E-Ben SC Award page and posting a redacted copy?

Since your Discharge in 2005, you haven't file for an Increase to the Mystery SC 0% Rating? Why not? Do you have a copy of any VMC Med Records Clinician Treatment Notes discussing the Lung Condition?

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28 minutes ago, Gastone said:

Restrictive Lung Disease is an overly broad term, what was the specific in service problem? Check out the 38 CFR 4 for Restrictive Lung Disease, which one are you?

How about printing out a copy of your E-Ben SC Award page and posting a redacted copy?

Since your Discharge in 2005, you haven't file for an Increase to the Mystery SC 0% Rating? Why not? Do you have a copy of any VMC Med Records Clinician Treatment Notes discussing the Lung Condition?

I am 6840 Diaphragm paralysis or paresis. I've always put it off and always assumed I was SC 0% SA until recently. 

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