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Migraine secondary Major Depression


Dot09

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It’s been a while since I have posted. I am currently rated at 80 percent TDIU( 30 Right shoulder/ 20 Left shoulder/ 50 major depression/ 10 right wrist/ 10 left wrist/ 10 tinnitus). 
What I applied for is Migraines secondary major depression. The online application did not allow me to selected the correct nexus claim because there was no option. What I was trying to apply for was Aggravation of a non service connected condition by a service connected condition. Meaning that my service connected condition of major depression aggravates my migraines.
I just received my exam and noticed that she did not fill out section 6 of Aggravation of a non service connected condition by a service connected condition but only filled out medical opinion for secondary service connection. In which she states” the claimed condition is less likely than not ( less than 50 percent probability) proximately due to or the result of the veterans service connected condition. The conditions of migraine headaches and major depression disorder are not medically related. The migraine headache is a separate entity entirely from major depression disorder and unrelated to it. Major depression disorder and migraine headaches are associated to the literature but major depression does not cause migraine headaches. A nexus has not been established. This is a definite denial if section 6 is not filled out.

I have contacted the DAV which is never available and am waiting on them to contact me back for a appointment. I also contacted the examiner and said section 6 was not complete and asked if it could be updated. 
 

should I cancel the entire claim and resubmit getting a new exam?

Or is this something the dav can sort out since I do not have a decision?

I need them to either give an update or a new exam?

what are your thoughts

 

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Migraines is a hard one to get serviced connected.  All of the replies are true and are good advice but doesn't always satisfy the VA raters. I have also filed migraines as a secondary from PTSD, and my other serviced connected disabilities. I have gotten that nice big fat denial letter. Of course I went through my decision letter with a fine tooth comb.

I did have an event or injury while in service. I do have a diagnosis from  Neurologist.

I was provided a second exam with LHI. A nurse practitioner. That did not go well either.

I did not have a good VSR. So Iawered up. Great law firm. They do not get paid until you do. They will not take the case unless it's a strong case which mine was. My Rep filed a HLR.  For some reason, I got another decision letter stating that basically they have found an error and returning to the AOJ for corrections and a new decision. 

I can go on about this but it's about you not me. 

Just keep fighting and even though you can do it on your own but consultations are free. Don't give up. 

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1 hour ago, Dot09 said:

what are your thoughts

 

Simple answer, get an IMO (INDEPENDENT MEDICAL OPINION) from whom ever is currently treating your headaches or your depression. Either one will work but they need a good medical opinion with a good medical rationale.

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Pacman

i know that an imo would be ideal. However, money is tight. The va doctors nowadays are reluctant to fill out dbq’s. I know my best option would be to see a private dr or neurologist for the dbq and opinion. I made a appointment with a migraine specialist on feb 10th and planned on bringing those forms. 

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2 minutes ago, Dot09 said:

i know that an imo would be ideal. However, money is tight. The va doctors nowadays are reluctant to fill out dbq’s. I know my best option would be to see a private dr or neurologist for the dbq and opinion. I made a appointment with a migraine specialist on feb 10th and planned on bringing those forms. 

 I have never paid for an outside IMO; I did have a Community Care Doctor fill out one of my DBQs but most of my IMOs have come from my treating VAMC doctors either writing a note in my progress reports or just writing a simple letter about my disability and secondary issues. Lucky me, I started being treated by my VAMC within one year of my discharge, so my doctors got to know me, and I don't have to deal with the revolving door of student doctors that come in and say let's try this or have your tried that. I got that stopped when one almost killed me.

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when i was trying to get NEXUS for OSA, my sleep clinic said they had been forbidden to opine on SC. I am fortunate i found service records to help with NEXUS...but i did pay an outside doc to do the same, and she also refused- $300 bucks down the drain!

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On 1/26/2022 at 4:26 PM, Dot09 said:

What I applied for is Migraines secondary major depression. The online application did not allow me to selected the correct nexus claim because there was no option. What I was trying to apply for was Aggravation of a non service connected condition by a service connected condition. Meaning that my service connected condition of major depression aggravates my migraines.

My pain management doctors have always associated my depression and anxiety with increased pain and muscles spasms. I see a Cognitive Behavioral Therapist for the increased pain that comes from depression and anxiety.

Tension headaches are common with depression:

https://www.msn.com/en-us/health/condition/tension+headache?ocid=entnewsntp

Maybe pain management can help you strengthen your medical record to make the headaches secondary to depression.

 

I get headaches when pain increases in my shoulder.  This link shows where my headaches are, related to shoulder pain.

https://www.alignpt.com/headache-migraine-shoulder-problem/

Maybe that's a stronger secondary claim for you, off the shoulder.

Chiropractors routinely acknowledge headaches as part of the symptoms they treat.  Maybe you could ask your doctor for a referral to a chiropractor to get the ball rolling on your headaches.

I am rated for Temporomandibular Joint Dysfunction (TMJ) and that causes headaches on the side of my head and side of my face.

I'm saying this a lot lately, but if you're in the VA healthcare system you should communicate your headaches and other problems in MyHealth eVet messaging to your doctors. It helps them help you. It also helps the VBA to see what's going on with regard to your headaches.

And the following is just my opinion, because I don't have a lot of experience with claims, but it seems to me that your headaches have not been fully diagnosed or the pathology is not clear enough yet.  So maybe you don't have enough evidence for a secondary to hand over to a VSO.

In the past, I would research what I thought might be causes and then ask my primary care doctor (through MyHealth eVet messaging) for referrals to specialists or therapists or for imaging.  

Edited by Rivet62
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