Jump to content
  • momo-001.jpg

     

  • 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  
JaeNobe

Primary Physician for Sleep Apnea C&P

Question

Hello All, 

I recently submitted a claim for Sleep Apnea secondary to depressive disorder on Friday (1/25). Along with submitting the claim I submitted and IMO from a non-VA doctor.  Today Tuesday 1/29 got a call to schedule my C&P. (World Record to me) Was wondering if anyone else thought this was weird and they also said that my C&P exam was going to be conducted with a Primary Physician not a Sleep Specialist.  I also just thought about it. I didn't submit a DBQ with my initial claim. Could this be the reason? Just seemed off I'm not going to a specialist.

Edited by JaeNobe

Share this post


Link to post
Share on other sites

Recommended Posts

  • 1
14 minutes ago, JaeNobe said:

no that is the doctor that did my sleep study at the VA and then the same name shows up on the Article you posted. 

My IMO was done by Dr. David Anaise

Wow! What are the odds?

Now you have more added weight to your claim.

  • Like 2

Share this post


Link to post
Share on other sites
  • 0

You just discovered another VA "gotcha".  They did the same to me.  I applied for OSA secondary to depression.  They sent me to a c and p doc "with no experince in sleep medicine".  

That is like hiring an expert witness who is not an expert..he is not even "in that field"!!!

You will need to overcome this.  My recommendation is simply wait until you get the c and p exam report.  Check to see if you have all Caluza elements:  Since this is secondary, there are only 2:

1.  diagnosis of sleep apnea, and for 50 percent comp, you need a prescription for a cpap and a doc statement that your cpap is "medically necessary". 

2.  You will also need a nexus, that is, a statement from a doc that your sleep apnea is "at least as likely as not" due to your sc depression.  The doc then should give a medical rationale as to why your sleep apnea is related to depression.  

     You dont need an "in service event" since that was already established with your depression service connection and it need not be repeated. 

Follow these 2 things carefully..if your c and p exam is unfavorable, this may be the time to dispute the qualifications of the examiner, if the doc has no expertise is sleep medicine.  You dont need to bring that up, tho, unless the exam is unfavorable.   

Share this post


Link to post
Share on other sites
  • 0
20 hours ago, broncovet said:

You just discovered another VA "gotcha".  They did the same to me.  I applied for OSA secondary to depression.  They sent me to a c and p doc "with no experince in sleep medicine".  

That is like hiring an expert witness who is not an expert..he is not even "in that field"!!!

You will need to overcome this.  My recommendation is simply wait until you get the c and p exam report.  Check to see if you have all Caluza elements:  Since this is secondary, there are only 2:

1.  diagnosis of sleep apnea, and for 50 percent comp, you need a prescription for a cpap and a doc statement that your cpap is "medically necessary". 

2.  You will also need a nexus, that is, a statement from a doc that your sleep apnea is "at least as likely as not" due to your sc depression.  The doc then should give a medical rationale as to why your sleep apnea is related to depression.  

     You dont need an "in service event" since that was already established with your depression service connection and it need not be repeated. 

Follow these 2 things carefully..if your c and p exam is unfavorable, this may be the time to dispute the qualifications of the examiner, if the doc has no expertise is sleep medicine.  You dont need to bring that up, tho, unless the exam is unfavorable.   

Thank you broncovet for you info. 

 

I have an IMO from Dr. David Anaise.  He does use the term "more likely than not (more than 50 percent) level" several times.  Also, my sleep study shows that its necessary.  Im hoping that the RO is just needing an actual Dr. to fill out the Sleep Apnea DBQ. 

Share this post


Link to post
Share on other sites
  • 0

Now, sleep apnea secondary to depression is a new one on me. What does secondary mean? I have 30 for asthma and 70 for bipolar and have a sleep apnea C&P exam for next week that I'm pretty sure is secondary to asthma. 

How exactly would sleep apnea be related to a mood disorder? Should I look into that route, too? 

Share this post


Link to post
Share on other sites
  • 0
2 hours ago, Wanderer said:

Now, sleep apnea secondary to depression is a new one on me. What does secondary mean? I have 30 for asthma and 70 for bipolar and have a sleep apnea C&P exam for next week that I'm pretty sure is secondary to asthma. 

How exactly would sleep apnea be related to a mood disorder? Should I look into that route, too? 

So the reason OSA is secondary to a condition is because 

1.  you have OSA and were not diagnosed while in service 

2.  OSA is agrivated by the condition ie (ptsd, asthma).  Could be many others

You need documentation showing where doctors show the condition being agrivated by the service connected condition. Also a nexus would not hurt.

  • Thanks 1

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

    • 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
      • 1 reply
    • Type 1 Diabetes recent onset!
      I was diagnosed with Type 1 diabetes in September 2017 OUT OF NOWHERE.

      i am a Navy Reservist and deployed in later 2009 to mid 2010 and again later 2014 to mid 2015; had a 2 year recall between those deployments.  

      Only healthcare received since commissioning in 2008 was from the Navy and no issues EVER.

      insulin dependent and have dietary restrictions and in a non deployable status.

      VA denied initial claim due to Type 1 not showing on active duty and now appealing.

      Anyone with successful experience getting a rating with my circumstances?  I live in Upstate New York.
      • 9 replies
    • Agent Orange Kadena Afb Okinawa
      I am looking for anyone who was on Kadena AFB, Okinawa or .Chanute AFB, IL. My dad was there from Oct. 68-April 70. He has ichemic heart disease, diabetes which has resulted in the amputation of his right leg below the knee and peripheral neuropathy. We were denied in 2002 AMVETS filed a claim on his behalf for heart condition, diabetes and back problems. I refiled in December 2011 and have just received the claim statements and medical release forms. I am familiar with filling out this paper work because my husband is a combat veteran of Iraqi Freedom. I have been reading articles from the Japan times and I am a member of the Agent Orange Okinawa facebook page. Another thing that helps make my dad's case is that he was on Chanute AFB, IL and it is on the EPA Superfund list and has PCBs/Pesticides and Dioxins/Furans listed as ground and water contaminants. I welcome any advice, tips or articles that I may have missed in my own research.
      • 15 replies
  • Ads

  • Popular Contributors

  • Ad

  • Latest News
×
×
  • Create New...

Important Information

{terms] and Guidelines