It is interesting because many times a Veteran might say that a psych condition like PTSD impacted their eating behaviors and activity levels and caused their obesity, but a C&P examiner will completely ignore this and use a copy-and-pasted statement that says something like "their sleep apnea is because of their obesity." It hopefully gets worked out in the end though.
The C&P examiner (a NP) did not even consider the nexus letter I got from you. I just did not understand how the recommendation of a Nurse Practitioner can out weight the opinion of a Doctor in Psychology. When I read the letter the nexus WAS NOT part of the considered evidence list, so I initiated a HLR. I hope my situation comes to a tight and therefore favor me.
Sorry that happened. In instances like this it is hard to imagine a "thorough review" of the evidence was conducted when neither the examiner or the rating decision mentions the nexus opinion. I think in secondary claims when C&P examiners often already have a standard copy-and-pasted opinion they repeatedly re-use made up they may not even be looking through the Veteran's file except to find very specific data points using a PDF search function unfortunately. That of course isn't what they're supposed to do (and also is just me speculating admittedly).
The VA allowed me to get two sleep studies from outside provider. I have severe apnea. The second one was done to find the best settings for the machine. After using the machine I had to stop due to severe dry mouth. Medications are making it impossible to use. My VA Psychiatrist won't do a DBQ because she thinks it is a conflict of interest even though the head of the VA said they should be. I have PTSD depression, anxiety etc. Does not being able to use the machine but still having SA even allow me to be rated?
I recently got a rating for 30% for asthma and 50 for flat feet so I rate VA health care and I never knew what sleep apnea was but it makes sense it’s connected to my asthma now. If I just got a rating for the asthma do you think it’s alright I go ahead and submit a claim for sleep apnea as secondary to asthma even though I don’t have I guess any medical paperwork or sleep study for the sleep apnea? Thanks
I got denied sleep apnea secondary to ptsd because no formal diagnosis thru sleep study but doctor stated I had all symptoms of osa. I even had a c&p exam which the examiner agreed that my osa is secondary to ptsd. Now that I have a sleep study and prescribed a auto sleep apnea device, would I need a Nexus IMO?
@@sweetd4872 someone will need to offer an opinion that they are connected. If the C&P examiner does you are doing great, if not or if you want some extra insurance you can get a nexus.
Dr.Finnerty’s detailed Nexus letter put me over the top. Thank you for helping veterans go up against the V.A. Juggernaut.
After 4 years the BVA finally granted my OSA secondary to ptsd last week. 🎉🎉🎉🎉🎉
Denied sleep apnea this morning for the 2nd time! I sent an email to you. Cheers
If we are using ptsd for sleep apnea how will they use obesity against someone
It is interesting because many times a Veteran might say that a psych condition like PTSD impacted their eating behaviors and activity levels and caused their obesity, but a C&P examiner will completely ignore this and use a copy-and-pasted statement that says something like "their sleep apnea is because of their obesity." It hopefully gets worked out in the end though.
Thank you!
The C&P examiner (a NP) did not even consider the nexus letter I got from you. I just did not understand how the recommendation of a Nurse Practitioner can out weight the opinion of a Doctor in Psychology. When I read the letter the nexus WAS NOT part of the considered evidence list, so I initiated a HLR. I hope my situation comes to a tight and therefore favor me.
Sorry that happened. In instances like this it is hard to imagine a "thorough review" of the evidence was conducted when neither the examiner or the rating decision mentions the nexus opinion. I think in secondary claims when C&P examiners often already have a standard copy-and-pasted opinion they repeatedly re-use made up they may not even be looking through the Veteran's file except to find very specific data points using a PDF search function unfortunately. That of course isn't what they're supposed to do (and also is just me speculating admittedly).
The VA allowed me to get two sleep studies from outside provider. I have severe apnea. The second one was done to find the best settings for the machine. After using the machine I had to stop due to severe dry mouth. Medications are making it impossible to use. My VA Psychiatrist won't do a DBQ because she thinks it is a conflict of interest even though the head of the VA said they should be. I have PTSD depression, anxiety etc. Does not being able to use the machine but still having SA even allow me to be rated?
@@lightning9279 sure, it is still medically necessary despite your trouble
I recently got a rating for 30% for asthma and 50 for flat feet so I rate VA health care and I never knew what sleep apnea was but it makes sense it’s connected to my asthma now. If I just got a rating for the asthma do you think it’s alright I go ahead and submit a claim for sleep apnea as secondary to asthma even though I don’t have I guess any medical paperwork or sleep study for the sleep apnea? Thanks
I am not an accredited rep/attorney but from my experience it makes sense to get the diagnosis first (ex: by getting a sleep study).
I got denied sleep apnea secondary to ptsd because no formal diagnosis thru sleep study but doctor stated I had all symptoms of osa. I even had a c&p exam which the examiner agreed that my osa is secondary to ptsd. Now that I have a sleep study and prescribed a auto sleep apnea device, would I need a Nexus IMO?
@@sweetd4872 someone will need to offer an opinion that they are connected. If the C&P examiner does you are doing great, if not or if you want some extra insurance you can get a nexus.
@@nexusletters thank you