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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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Non-service connected Fibro secondary to either PTSD or IBS


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I am beyond frustrated right now!!!!  My claim is now preparation for decision and my fear is that it will be denied and I will have to appeal.  I filed for my non-service connected Fibro as caused or aggravated by the service connected IBS and/or service connected PTSD on an as likely as not basis.  See my screen shot attached of my original claim in July 2018.  I had my first C&P exam in September 2018 and it was negative based on the examiner stated there was no causation of my s/c PTSD to my Fibro.  See the screen shot below. I will note that he did a separate C&P exam for Fibro and agreed I had Fibro. Never looked at aggravation and never looked at the possibility of IBS.  I sent a statement in support of claim pointing this out to the rater.  I get another C&P exam in December 2018 BUT by now I have THREE positive medical opinions from BOTH my RA and MH doctor.  Both state my Fibro is aggravated by my PTSD and my MH doctor also states my Fibro is aggravated by my IBS.  SEE ATTACHED 2 of the 3 letters. 

When I went to the second C&P exam, it was with the same doctor and he refused to look at the medical opinions.  He also once again did not look at aggravation.  Again a negative C&P exam. 

Then the rater asked for clarification/review of conflicting medical opinions.  Here is what the rater asked, Per III.iv.3.D.3.a. and III.iv.3.D.3.d. We need clarification/review and reconciliation of conflicting evidence for claim for fibromyalgia secondary to SC PTSD. Negative MO received on 09/28/2018 (TAB A) stated that fibromyalgia was not secondary to PTSD. Received positive MO on 12/05/2018 (TAB B) relating fibromyalgia as secondary to SC PTSD and IBS. Negative MO received on 12/05/2018 (TAB D) stated that fibromyalgia was not secondary to IBS. Examination dated 12/05/2018 (TAB C) shows a diagnosis for fibromyalgia. Per reference please request clarification of conflicting MO for fibromyalgia as secondary to PTSD and IBS with rationale. 

This medical opinion was done last week w/o me present and once again the medical opinion was negative and doesn't address anything the rater asked.  In fact, his statement is laughable.  While he states he reviewed conflicting medical evidence, he sites PT notes and doesn't refute the positive medical opinions.

Here is what it says: I HAVE REVIEWED THE CONFLICTING MEDICAL EVIDENCE AND AM PROVIDING THE FOLLOWING OPINION:
All medical records were reviewed. Physical therapy note on 8/15/2018 by XXXXX documents diagnosis of fibromyalgia and PTSD. The exact cause of fibromyalgia is
unknown but has associations with IBS, temporomandibular joint disorder, interstitial cystitis, vulvodynia, and tension headaches. Literature review reveals fibromyalgia along with
its associated pain syndromes are clearly different and separable from depression and anxiety. The claimant's fibromyalgia is not secondary to the claimant's claimed PTSD
condition.

The VA continues to miss the fact that I asked in my original claim either causation or aggravation.  So on Monday, when I went to PFD, I sent the attached statement and uploaded in Ebenefits pointing out once again they are not looking at aggravation.

My rep said if it comes back denied, which I am sure it will, we will file an NOD pointing out the fact that they are missing aggravation.

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MH positive opinion.pdf

RA positive medical opinion.pdf

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You have two positive medical opinions that's the good news. The  not so good news is that the nexus of opinions are absent of a rationale (A medical study, article, etc). Therefore, the rater "might"

Nope it was secondary  

I am a PTSD/MST survivor and I too have FIBROMYALGIA interesting I never thought of it being connected to PTSD. I guess because FIBROMYALGIA is a nerve condition after doing research on it perhaps it

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20 minutes ago, Unique11128 said:

Unfortunate it appears to be a development to deny.

I think it will too but if they do not address a denial taking into factor Aggravation there is a CUE here. I’m sure it will be denied based on no causation. So frustrating. 

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Fibromyalgia, medically speaking, because I have read over several thousands of medical publications and papers since joining this site and continue to read them everyday, does not come from IBS or PTSD. This is why its denied.

And because they denied it, does not mean it has the merits of being a "CUE" in this particular case.

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9 minutes ago, Oceanbound said:

Fibromyalgia, medically speaking, because I have read over several thousands of medical publications and papers since joining this site and continue to read them everyday, does not come from IBS or PTSD. This is why its denied.

And because they denied it, does not mean it has the merits of being a "CUE" in this particular case.

Never said Fibro "comes" from either IBS or PTSD.  There is known facts of aggravation which is why both my RA and MH doctors wrote their medical opinions on my behalf.  And yes, if they fail to not look at aggravation and in the denial make no mention of denying due to aggravation, that is a CUE because my claim asked for them to consider either causation or aggravation.

There is a lot of medical literature and other veteran claims at the BVA that have in fact service connected a non-service connected Fibro to PTSD, as well as other contentions.  

 

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