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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

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There is a lot of research out there that shows a strong correlation btweeen sleep apnea and: depression, anxiety, ptsd and especially schizophrenia. 

Submitting a DBQ would have helped with a medical opinion.  I have seen it get service connected secondary to ptsd a plurality of times when it was accompanied with a strong rationale. 

I did not have mine diagnosed while in service. I obtained six buddy statements verifying the symptoms. A dbq and medical opinion from a sleep specialist for a direct service connection. A medical opinion from a psychologist saying that it could equality be direct service connection or secondary to ptsd and that they aggravate one another. 

No exam necessary. I was service connected for every single contention that I put in for. 

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Good luck.. I just had a joke of a C&P exam myself yesterday. I was denied a while back for OSA secondary to PTSD. I am rated at 70% for PTSD. I submitted the first time and was denied for OSA secondary to PTSD. In the paperwork they referred to a phone interview that never happened.. I appealed and was sent to a DR yesterday. This Dr only does C&P exams for the VA and is an outside Dr. I showed up 45 minutes early for my appt, and they took me right in. This appointment was in a Chiropractor's office. The Dr said he comes to town weekly and rents space here to do the C&P?? He is a regular family doctor from what I understood.  I had driven an hour to get here and when we sat down I thought I had all my ducks in a row. I had the same stuff I had originally submitted, I felt lie a lawyer coming in there.. I had my DBQ from my Dr saying 50% more likely than not, A NEXUS letter from my private Dr saying 50% more likely than not that my OSA was secondary to my PTSD. I had the same letter from my private phycologist stating he same thing and he stated case files and study info. I even had a letter from my Dr saying the CPAP was medically necessary. The C&P Dr did not want to see any of it. He said it was in my file already and he had seen them. I tried to give him the last letter stating the CPAP is medically necessary because it was not in there.. and he said to enter it in to MY VET stuff and he will see it there. REALLY? WOW

He asked me maybe 4-5 questions and after he looked into the computer for a few minutes said we were done. I said Doc, I drove an hour to get here and in 10 minutes we are done. You don't want to see any of my paperwork I brought and we are just done? I asked if he believed if OSA is linked or secondary to PTSD. He said he couldn't answer that question because he was employed by the VA. I told him the VA had scheduled me another sleep study next month in March, should I even go to it or does it even matter. He said to yes, go and he will see the results and then he can make his decision. He said check with the nurse out front to fill out the pw for the travel pay. I asked her and she said she has no paperwork and doesn't know about travel pay. I just left...

I didn't leave there feeling very warm and fuzzy if you know what I mean...

 

 

 

Edited by Stick Slinger

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49 minutes ago, Stick Slinger said:

Good luck.. I just had a joke of a C&P exam myself yesterday. I was denied a while back for OSA secondary to PTSD. I am rated at 70% for PTSD. I submitted the first time and was denied for OSA secondary to PTSD. In the paperwork they referred to a phone interview that never happened.. I appealed and was sent to a DR yesterday. This Dr only does C&P exams for the VA and is an outside Dr. I showed up 45 minutes early for my appt, and they took me right in. This appointment was in a Chiropractor's office. The Dr said he comes to town weekly and rents space here to do the C&P?? He is a regular family doctor from what I understood.  I had driven an hour to get here and when we sat down I thought I had all my ducks in a row. I had the same stuff I had originally submitted, I felt lie a lawyer coming in there.. I had my DBQ from my Dr saying 50% more likely than not, A NEXUS letter from my private Dr saying 50% more likely than not that my OSA was secondary to my PTSD. I had the same letter from my private phycologist stating he same thing and he stated case files and study info. I even had a letter from my Dr saying the CPAP was medically necessary. The C&P Dr did not want to see any of it. He said it was in my file already and he had seen them. I tried to give him the last letter stating the CPAP is medically necessary because it was not in there.. and he said to enter it in to MY VET stuff and he will see it there. REALLY? WOW

He asked me maybe 4-5 questions and after he looked into the computer for a few minutes said we were done. I said Doc, I drove an hour to get here and in 10 minutes we are done. You don't want to see any of my paperwork I brought and we are just done? I asked if he believed if OSA is linked or secondary to PTSD. He said he couldn't answer that question because he was employed by the VA. I told him the VA had scheduled me another sleep study next month in March, should I even go to it or does it even matter. He said to yes, go and he will see the results and then he can make his decision. He said check with the nurse out front to fill out the pw for the travel pay. I asked her and she said she has no paperwork and doesn't know about travel pay. I just left...

I didn't leave there feeling very warm and fuzzy if you know what I mean...

 

 

 

I know the feeling.... My C&P examiner had two questions for me:

1. Had I tried to claim OSA before

2. Do you have any questions for me.

That was it. The rest of the time she explaining to me what sleep apnea is.

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I go to the next Sleep Study on March 22nd, so after that I should know something. I do wonder why he would tell me to go to the Sleep Study so he could see the results if he was going to deny it.. but then again, it doesn't have to make sense to me I guess...

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On 2/20/2019 at 11:49 AM, JaeNobe said:

I know the feeling.... My C&P examiner had two questions for me:

1. Had I tried to claim OSA before

2. Do you have any questions for me.

That was it. The rest of the time she explaining to me what sleep apnea is.

You already know what I have to say about that examiner. F-oh-S.

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