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  • Trouble Remembering? This helped me.

    I have memory problems and as some of you may know I highly recommend Evernote and have for years. Though I've found that writing helps me remember more. I ran across Tom's videos on youtube, I'm a bit geeky and I also use an IPad so if you take notes on your IPad or you are thinking of going paperless check it out. I'm really happy with it, I use it with a program called Noteshelf 2.

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  • 14 Questions about VA Disability Compensation Benefits Claims

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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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  • Most Common VA Disabilities Claimed for Compensation:   

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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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    • Howdy all,

      The VA DRO denied my claim for an earlier effective date for my sleep apnea. They originally denied it in 2008 but granted it in Nov 2019 secondary to my GERD. I was rated for GERD in 2001. So I had it in 2008. I have attached the 2008 denial, 2018 approval, and the NOD SOC. All of my medical files and the medical articles and VA Citations referenced were in existence in or before Jan 2008. The only new items were the NEXUS letter from Dr Bash and a few extra buddy letters. The original denial states that my medical records show no diagnosis or treatment and only isolated complaints of symptoms. The denial does not even list my wife's or my lay statements as evidence reviewed. I have symptoms listed numerous times in my SMRs:

      a. Medical visit dated 24 Feb 76 for problem sleeping and depression.
      b. Physical exam dated 24 Jan 79 listed frequent/severe headaches" dizziness, and
      nervousness.
      c. Physical exam dated 07 Nov 83 listed frequent/severe headaches.
      d. Physical exam dated 16 Jan 85 listed frequent/severe headaches.
      e. Admitted to hospital 05 Aug 86 for chest pains and anxiety.
      f. Medical visit dated 14 Jul 87 for problem sleeping and morning confusion.
      g. Physical exam dated 25 Feb 88 listed dizziness.
      h. Physical exam dated 07 Oct 91 listed frequent/severe headaches
      i. Physical exam dated 25 Aug 93 listed headache.
      j. Hernia repair surgery dated 22 Ang 94 surgeon had to insert devices of some
      kind in each of my nostrils that went down into my throat to keep rny airway
      open and stop my disruptive snoring.
      k. Physical exam dated 29 Sep 99 listed frequent/severe headaches.

      So could you all take a look and let me know what you think.

      Redacted VA NOD SOC 04-09-2020.pdf
      VA 2008 Denial of OSA Redacted.pdf
      VA Claim Decision Ltr 08 Nov 2018 Redacted.PDF
      • 3 replies
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Frank89

High Cholesterol and Peripheral Vascular Disease

Question

I have been dealing with Peripheral Vascular Disease for 5 years.  When I was active duty in Naples, Italy, in 1993 during my physical exam coming back to the States, my doctor said that I had High Cholesterol.  I was discharged from active duty in Oct 1995 and during my physical when leaving the military I was still diagnosed with High Cholesterol.  I know that high cholesterol is not considered a disease but a lab finding.  My question to everyone who might have an answer, here it goes.  Can I claim my current PVD to my High Cholesterol as either a service-connection or as secondary to my High cholesterol?  I really would appreciate everyone's help! Thanks in advance.

 

Chacho Cvazos

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I see nothing wrong with giving a doctor a cover letter to prepare an IMO with and I did that myself for my AO DMII death claim. I referred to specifics in the medical records, blood chem reports, and autopsy ,etc etc and highlighted all of those records in the stack.

The IMO doc did not need my husband's SMRs as he was an incountry Vietnam veteran.

However, I did not write the IMO for him- and because of his excellent IMOs ( he did 2 for me) I was able to prepare the IMO/IME advice in our IMO forum, based on his 2 IMOs for me and the fact that he had been a former VA doctor.

It would be difficult for most veterans to write an IMO for a doctor to sign, and maybe most doctors would disregard it and want to see all of the pertinent records themselves.

It took me a few weeks to prepare a cover letter that was perfect and based on all of the evidence I found in the medical records.I also had studied endocrinology, enough to get up  and above  the VA Endo's level-who prepared two IMOs that denied the claim. I sent those  C & P results along with the records and also I sent Dr. Bash my rebuttal to the VA Endo's crap- one part was her using a Merck definition of an acronym that she characterized as being an acronym for something else. The C & P exam was posthumous, so the best witness was dead. I held to the Merck acronym's definition.It was a small point but I left nothing unchallenged in her opinion's and I  rebutted with documented medical evidence.

But I had studied enough Endo and Cardio that I knew how to interpret the medical records. One entry was crossed out but I managed to decifer it and the doctor who wrote it also prepared a brief IMO for me, at no charge.He was the only VA doctor at that point who knew what he was doing, and it took me many long months to find him, in private practice. He remembered my husband.He only asked for a few medical records from me.The BVA gave his short opinion as much weight as Dr Bash's, because it coorborated Dr. Bash's findings.

I also learned that she-the endo doc - had limited experience in her field, but Dr Bash, as he stated in his IMO, as a neuro-radiologist -he had read X rays and MRIs of thousands of diabetics and could support my claim with a full medical rationale,  and his medical Curriculum Vitae was outstanding.

Here is our IMO criteria:

https://community.hadit.com/topic/53826-read-first-if-getting-an-imo/page/3/

In the part about the excerpts from well known medical texts, I had a list  and copies of them that helped me prepare the cover letter and I knew my case was solid. Dr Bash used I think excerpts from different medical texts-

maybe one or two of mine, as well. Current medical knowledge in studies or abstracts from well known good medical sites can be worth a lot to support any medical rationale a doctor will give. My daughter paid 300 bucks for a Cardio textbook-for a Christmas gift to me -(Braunwald- Harrisons Principles) the same one the VA developed their IHD regs from,   -when the AO IHD regs came out-thinking I would need it  here for those IHD claims..in 2010 ..but I never really needed it.

The internet is full of good medical treatises and abstracts etc, that can bolster a claim.They are free.

The claim was for AO DMII contributing to death. My husband -a VA PT since 1983 had never been diagnosed or treated for diabetes in his lifetime. You can imagine how much research and time that took,on my part, before contacting my IMO doctor ,andI certainly did not  want to pay thousands for any IM0 that could not support the claim. 

 I won.

NOTHING is IMPOSSIBLE. It just takes a Lot of work.

 

 

Edited by Berta
added more

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Frank89, 

I missed this post sorry to hear what your going through.  I would search for BVA decisions and CAVC decision.  Where is your occlusion?  PVD usually doesn’t happen over night.  Yes, your increased cholesterol is probably the cause, there are many other factors such as diabetes, overweight, smoking etc but they all go hand in hand.   I’m going to talk to a surgeon in a couple of weeks to decide if I’m going through surgery.  

How or why I developed PVD could be the result of different things but I know the pain your going through is beyond imaginable to others.  I was told by the NP that during surgery for cancer the anesthesiologists  let me get too dry and I threw a clot to my descending aorta which 100% occluded it took 2years for me to be Dx with bilateral claudication instead of a drug seeker, it also took that long to be able to walk.   I am Lucky I did grow more arteries to compensate.  But any set back of not walking I’m back to not being able to walk to my mailbox, can’t bend for several reason  (bad back) or walk up a 1% incline.  

I was recently put on Cilostazol it dilates your arteries and you have increased blood flow. First time in 3 yrs I don’t have leg pain at rest.   While I don’t know if this is an option for you it’s a miracle drug for me.  I was able to grocery shop with a cart i haven’t been able to do that in 3 years.  It has horrible potential side effects that’s one reason I’m thinking of surgery. 

If you have the financial ability to see a private vascular surgeon for other options then amputation I would highly recommend that option.

I can’t offer any help with your claim other then research case law.  I have an auto immune disease I was denied Sc for years finally got an IMO (he did it free- felt the va was screwing me). I had 3 VA physicians specialist write nexuses and it was denied at the raters level because a rent a DO said less likely then not. I was approved at the DRO level  with 💯 %.  

I would ask others but I think they can’t decrease until your appeal is final.  Pay attention to deadlines.

Thank care

Ruby

 

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    • Exams that were being sent strictly to contractors before, due to VAMCs not being open, are starting to be routed back to VAMCs. This is going forward from last Friday- not sure if prior scheduled exams will be re-created for VAMC vs vendor.
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    • Mere speculation in your VA C and P exam

      M21-1, Part III, Subpart iv, Chapter 3, Section D – Examination Reports III.iv.3.D.2.r. Examiner Statements that an Opinion Would be Speculative Pay careful attention to any conclusion by the examiner that an opinion could not be provided without resorting to mere speculation (or any similar language to that effect). VA may only accept a medical examiner’s … Continue reading
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      Give a financial gift to help with the upkeep of HadIt.com. HadIt.com is NOT a non profit. Gifts are not tax deductible, they are just gifts. 
      • 11 replies
    • Howdy all,

      The VA DRO denied my claim for an earlier effective date for my sleep apnea. They originally denied it in 2008 but granted it in Nov 2019 secondary to my GERD. I was rated for GERD in 2001. So I had it in 2008. I have attached the 2008 denial, 2018 approval, and the NOD SOC. All of my medical files and the medical articles and VA Citations referenced were in existence in or before Jan 2008. The only new items were the NEXUS letter from Dr Bash and a few extra buddy letters. The original denial states that my medical records show no diagnosis or treatment and only isolated complaints of symptoms. The denial does not even list my wife's or my lay statements as evidence reviewed. I have symptoms listed numerous times in my SMRs:

      a. Medical visit dated 24 Feb 76 for problem sleeping and depression.
      b. Physical exam dated 24 Jan 79 listed frequent/severe headaches" dizziness, and
      nervousness.
      c. Physical exam dated 07 Nov 83 listed frequent/severe headaches.
      d. Physical exam dated 16 Jan 85 listed frequent/severe headaches.
      e. Admitted to hospital 05 Aug 86 for chest pains and anxiety.
      f. Medical visit dated 14 Jul 87 for problem sleeping and morning confusion.
      g. Physical exam dated 25 Feb 88 listed dizziness.
      h. Physical exam dated 07 Oct 91 listed frequent/severe headaches
      i. Physical exam dated 25 Aug 93 listed headache.
      j. Hernia repair surgery dated 22 Ang 94 surgeon had to insert devices of some
      kind in each of my nostrils that went down into my throat to keep rny airway
      open and stop my disruptive snoring.
      k. Physical exam dated 29 Sep 99 listed frequent/severe headaches.

      So could you all take a look and let me know what you think.

      Redacted VA NOD SOC 04-09-2020.pdf
      VA 2008 Denial of OSA Redacted.pdf
      VA Claim Decision Ltr 08 Nov 2018 Redacted.PDF
      • 3 replies
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