Gulf War Exam

Gulf War Exam

Billy
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Joined: 10 Oct 2017, 08:25

28 Oct 2017, 17:39 #1

I have been trying to figure out how to service connect my injury/ stuff as a Reservist. Looks tough, but I have 6,500 days/points of service 1991-current. Fly a lot of missions still on a medical waiver. Flight Doc told me anymore changes or issues he will have to MEB me.

How Can I service connect hypertension,Hypothyroid, Hypogonadism and Gout? I have a LOD for back injury x 2 over the years. All diagnoses came 2 years after last deployment, but I deployed again with a waiver/DLC code. What is going to disqualify me is the Hypogonadism. The treatment is causing polycythemia so now I have to get phlebotomies (give blood) or take yet another pill. On 4 Meds for the issues above. I have alway been treated by my civilian Doc for most issues. Multiple combats deployments.

I signed up for a Gulf War physical which probably won’t help much, any advice on what to bring to that or ask VA? Will the Doc tell me if any are service related? Or comment on it or should I ask VA not to comment?
Will file after this physical just to see if there is anything I learn
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Retired TopKick
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Joined: 20 Aug 2012, 04:13

28 Oct 2017, 19:18 #2

Welcome to VBN. Thank you for your service. This should have been posted in the Gulf War Forum. Since you are new I will take care of moving it for you.

Moved to Gulf War Illness Forum for more exposure
Retired TopKick
100% P&T + SMC-K
States Army (1974-2002)

"Never Make Anyone A Priority Within Your Life Whom Makes You An Option In Theirs!"
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Cavmedic
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Joined: 13 Aug 2009, 06:19

28 Oct 2017, 19:26 #3

You said it yourself. The stuff happened 2 years after deployment.
The LOD for your back will help but the other stuff....

You, as a reservist, do not have the presumption of 24/7/365 duty. So unless these things happen on or as a result of active duty they should not be service connected. Simple as that.
Trying not to sound harsh but you have a life outside the military. A life that uses the majority of the time. Think about it, one weekend a month, what happened the other 28 days as a civilian? See what I am getting at? So unless you can prove that hypertension was caused by that one weekend...
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Billy
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Joined: 10 Oct 2017, 08:25

29 Oct 2017, 05:36 #4

I don’t think I was very clear. I have 13 years active duty. My main support for my family comes from Guard/Reserve flying cargo around the world. I am not active duty anymore but serve at an average of 10 days a month. Flight currencies for Guard/Reserve are no different than active duty. You can’t stay current or safe flying 2 days a month.

I have 6500 points in Reserve/Guard time. About 2 years from a full retirement. 26 good years. Last 26 years my math is 75% of the time I was active duty or on training days. 500 combat flight hours, 8 deployments

Sorry, off my soap box. I have over 9 years straight active duty but I don’t think that rule will apply to me. Also, I was deployed again after my diseases diagnosed, I got a medical waiver, but now things are worse. I am scheduled to deploy in May 2018, already have my warning order, but I have not told my unit my latest issue yet (polycythemia). Next drill

Not your typical Reservist as most aviators are not, too many currency requirements. We get 96 days of training days per year. Typically pull another 30 days in cargo missions. Deployments are every 18 months for 90-120 days.

Cavmedic wrote: You said it yourself. The stuff happened 2 years after deployment.
The LOD for your back will help but the other stuff....

You, as a reservist, do not have the presumption of 24/7/365 duty. So unless these things happen on or as a result of active duty they should not be service connected.  Simple as that.
Trying not to sound harsh but you have a life outside the military. A life that uses the majority of the time.  Think about it, one weekend a month, what happened the other 28 days as a civilian? See what I am getting at? So unless you can prove that hypertension was caused by that one weekend...
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Billy
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Joined: 10 Oct 2017, 08:25

29 Oct 2017, 05:46 #5

When I say 10 days per month, that is what I am doing currently. 2015-forward. I have been working on a self employed business since my medical issues came up in 2014. I was grounded over a year and was not allowed to work, so I started a business. In 2015 they needed someone to fill the deployment for 4 months and I somehow got a medical waiver. It’s good to be needed sometimes

Billy wrote: I don’t think I was very clear.  I have 13 years active duty.  My main support for my family comes from Guard/Reserve flying cargo around the world.  I am not active duty anymore but serve at an average of 10 days a month.  Flight currencies for Guard/Reserve are no different than active duty.  You can’t stay current or safe flying 2 days a month.  

I have 6500 points in Reserve/Guard time.  About 2 years from a full retirement.  26 good years.  Last 26 years my math is 75% of the time I was active duty or on training days.  500 combat flight hours, 8 deployments

Sorry,  off my soap box.  I have over 9 years straight active duty but I don’t think that rule will apply to me.  Also, I was deployed again after my diseases diagnosed, I got a medical waiver, but now things are worse. I am scheduled to deploy in May 2018, already have my warning order, but I have not told my unit my latest issue yet (polycythemia).  Next drill

Not your typical Reservist as most aviators are not, too many currency requirements. We get 96 days of training days per year.  Typically pull another 30 days in cargo missions.  Deployments are every 18 months for 90-120 days.

Cavmedic wrote: You said it yourself. The stuff happened 2 years after deployment.
The LOD for your back will help but the other stuff....

You, as a reservist, do not have the presumption of 24/7/365 duty. So unless these things happen on or as a result of active duty they should not be service connected.  Simple as that.
Trying not to sound harsh but you have a life outside the military. A life that uses the majority of the time.  Think about it, one weekend a month, what happened the other 28 days as a civilian? See what I am getting at? So unless you can prove that hypertension was caused by that one weekend...
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Billy
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Joined: 10 Oct 2017, 08:25

29 Oct 2017, 06:27 #6

My worst fear has been realized. I figure the VA or medical board will see the word Reservist/Guard and automatically disapprove. I have been reading all the regs the past 2 years, and what I am looking for is a medical retirement at age 50. I already qualify for a reserve retirement at age 60. My original plan was to get 7200 points (like active duty retirement) but my body is not holding up its side of the bargain.

I don’t really want VA benefits, but the IDES for a medical retirement uses some of the same regulations. I have a LOD for hypertension, and two other LODs for my back. Plane Crash and ground injury from plane. I still cannot figure out how to connect the polycythemia(disqualifying issue) to service. Diagnosed in between deployments, but I may be able to do a service aggravated connection since I deployed after Hypogonadism. Hypothyroid, and Gout diagnosed. I guess it got worse, but VA scares me, they will just say it was natural progression.

Again, I don’t want VA benefits, I just need a service connection. Thought I would take my chance with the “Gulf War” physical since I have all these weird diagnoses. I doubt it, but “burn pits” were bad, and my LOD for hypertension is for having a hypertension emergency during the physical training test we did in Afghanistan. Smoke pit was bad that day and I had an allergic reaction to something in air. BP 180/120. Doc first thought I had an allergic reaction and gave me Claritn. Second day it was still high at 170/130 so they started on BP Meds and took me off the flight schedule(big deal being grounded during combat deployment). Third day BP still bad so Doc added another medicine and said if this doesn’t lower your BP I am going to have to get medivaced to Germany. BP came down finally and we redeployed home and everything went back to normal beside being stuck on hypertension Meds and applying for a waiver to keep flying on those Meds.

After this incident (2011) I flew a bunch of missions to South America for a couple of years until I got diagnosed with Hypogonadism, High Uric acid, and hypothyroid (Now polycythemia).

My whole point to this long I intro is:

1. Do I even try and ask for service connection due to the “burn pit”? Or go for service aggravated?

All my other issues that caused my hypertension emergency is related to same Endocrinology (pituitary) that got diagnosed two years later, but I did have recognizable systems within one year.

2. I service connect for the next deployment aggravating the issues? My hypogonadism lab work was worse on returning physical, but it was assumed to be to stress and should go away. Lab work was bad, medicine had to be adjusted, but it also could be argued it was a natural progression. So how tough is the VA?? I have read the one year guideline is just a guideline.
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Bkydtravel
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Joined: 22 Feb 2017, 16:06

01 Nov 2017, 14:47 #7

if I am reading this right you were AD when you were diagnosed with Hypertension is that correct?  you were placed on meds for hypertension then also.  to me it sounds like that is a SC issue burn pits really had no cause with it unless it was a allergic reaction to something.  I would file or at least put in a intent to file to save a date and gather all your records related to the problem and submit them worst that could happen is they say no  but if it is what you say then you were DX while on AD.  Again I am not a DR nor a RO or have I played one on TV and I did not stay at a Holliday Inn last night,  Just another Vet throwing MHO out there.
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Billy
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Joined: 10 Oct 2017, 08:25

18 Nov 2017, 05:51 #8

I received my health record on a DVD and have started reviewing the 1,005 pages. What is interesting is my BP is pegged at 120/75 in every appt and dental exam up to the “allergic reaction” in 2011 in Afghanistan after the PT test. I remember and my buddies remember also blowing black snot out of our nose.

I have a duty related claim for hypertension since I was active of 8 years. I really do believe the hypertension was caused by the burn pits, as also the stomach issues. VA doesn’t seem to care since I’m already covered but what about everyone else who was exposed. I really think there is an issue with burn pits but not according to the VA. I just wanted them to collect my medical data for research, they were not interested. Makes me wonder what type of research they did on burn pits to assume they were no factor.

I have been to Bagram,Afg many times since 2002. In 2011 with the Obama “plus up” there were over 50,000 people on base. The haze and smoke was constant.

I’m covered but they don’t care about collecting my data to show my historic BP reading etc....




Bkydtravel wrote: if I am reading this right you were AD when you were diagnosed with Hypertension is that correct?  you were placed on meds for hypertension then also.  to me it sounds like that is a SC issue burn pits really had no cause with it unless it was a allergic reaction to something.  I would file or at least put in a intent to file to save a date and gather all your records related to the problem and submit them worst that could happen is they say no  but if it is what you say then you were DX while on AD.  Again I am not a DR nor a RO or have I played one on TV and I did not stay at a Holliday Inn last night,  Just another Vet throwing MHO out there.
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pgwvet
h3
h3
Joined: 08 Jun 2008, 00:42

20 Nov 2017, 16:38 #9

Billy wrote: I received my health record on a DVD and have started reviewing the 1,005 pages.  What is interesting is my BP is pegged at 120/75 in every appt and dental exam up to the “allergic reaction” in 2011 in Afghanistan after the PT test.  I remember and my buddies remember also blowing black snot out of our nose.

I have a duty related claim for hypertension since I was active of 8 years.  I really do believe the hypertension was caused by the burn pits, as also the stomach issues.  VA doesn’t seem to care since I’m already covered but what about everyone else who was exposed.  I really think there is an issue with burn pits but not according to the VA.  I just wanted them to collect my medical data for research, they were not interested.  Makes me wonder what type of research they did on burn pits to assume they were no factor.

I have been to Bagram,Afg many times since 2002.  In 2011 with the Obama “plus up” there were over 50,000 people on base.  The haze and smoke was constant.

I’m covered but they don’t care about collecting my data to show my historic BP reading etc....




Bkydtravel wrote: if I am reading this right you were AD when you were diagnosed with Hypertension is that correct?  you were placed on meds for hypertension then also.  to me it sounds like that is a SC issue burn pits really had no cause with it unless it was a allergic reaction to something.  I would file or at least put in a intent to file to save a date and gather all your records related to the problem and submit them worst that could happen is they say no  but if it is what you say then you were DX while on AD.  Again I am not a DR nor a RO or have I played one on TV and I did not stay at a Holliday Inn last night,  Just another Vet throwing MHO out there.
A claim for hypertension is done on a direct bases from active duty and for Reservist/Guard members I believe you need to be on Active duty for over 90 days and cannot have it before being called up. You posted your reading and that is not what the VBA would even grant a claim for hypertension. VA law does not let a layperson diagnose their illness to include the cause of their illness. Only a doctor in the field of study can do that.

As I tell other Veterans an exposure does not make a claim. You need a diagnosis, then you need a link with research to the exposures you had in the service.
Much like having a back problem and taking a lot of medication for it, than getting GERD due to the medication for the back.
James A. Bunker
Executive Director
National Gulf War Resource Center
1725 SW Gage Blvd.
2nd Floor #200
Topeka, KS 66604
Gulf War Illness Guide
http://kansasvets.org
Like us on Facebook
http://www.facebook.com/ngwrc
HTTP://WWW.NGWRC.ORG
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Billy
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Joined: 10 Oct 2017, 08:25

20 Nov 2017, 21:36 #10

I’m confusing the issue. I was diagnosed with Hypertension on active duty after 8 years of service. The diagnosis and medication started while I was in Afghanistan after I had an allergic reaction or suffering from Allergies. Allergy to what I can’t prove, just says allergic reaction in my medical record after PT test, and 3 days later still hypertensive. 7 years later still on same medication. After that deployment I left active duty for the Guard.

All records before diagnoses showed years of good BP readings at about 120/70. I have documentation of the physical training test done in Bagram on the same day I reported to Doctor for bad Allergies. The base was often in a constant haze of smoke in 2011. Stupid, looking back to go for a run in the smoke, but that was the time we scheduled for the PT test. If it was dangerous someone would have told us, right? Maybe it’s a coincidence my hypertension started that day for the rest of my life, but I sure think the “Smoke Pit” researches would be interested in the medical records.






pgwvet wrote:
Billy wrote: I received my health record on a DVD and have started reviewing the 1,005 pages.  What is interesting is my BP is pegged at 120/75 in every appt and dental exam up to the “allergic reaction” in 2011 in Afghanistan after the PT test.  I remember and my buddies remember also blowing black snot out of our nose.

I have a duty related claim for hypertension since I was active of 8 years.  I really do believe the hypertension was caused by the burn pits, as also the stomach issues.  VA doesn’t seem to care since I’m already covered but what about everyone else who was exposed.  I really think there is an issue with burn pits but not according to the VA.  I just wanted them to collect my medical data for research, they were not interested.  Makes me wonder what type of research they did on burn pits to assume they were no factor.

I have been to Bagram,Afg many times since 2002.  In 2011 with the Obama “plus up” there were over 50,000 people on base.  The haze and smoke was constant.

I’m covered but they don’t care about collecting my data to show my historic BP reading etc....




Bkydtravel wrote: if I am reading this right you were AD when you were diagnosed with Hypertension is that correct?  you were placed on meds for hypertension then also.  to me it sounds like that is a SC issue burn pits really had no cause with it unless it was a allergic reaction to something.  I would file or at least put in a intent to file to save a date and gather all your records related to the problem and submit them worst that could happen is they say no  but if it is what you say then you were DX while on AD.  Again I am not a DR nor a RO or have I played one on TV and I did not stay at a Holliday Inn last night,  Just another Vet throwing MHO out there.
A claim for hypertension is done on a direct bases from active duty and for Reservist/Guard members I believe you need to be on Active duty for over 90 days and cannot have it before being called up. You posted your reading and that is not what the VBA would even grant a claim for hypertension. VA law does not let a layperson diagnose their illness to include the cause of their illness. Only a doctor in the field of study can do that.

As I tell other Veterans an exposure does not make a claim. You need a diagnosis, then you need a link with research to the exposures you had in the service.
Much like having a back problem and taking a lot of medication for it, than getting GERD due to the medication for the back.
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Bkydtravel
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Joined: 22 Feb 2017, 16:06

Yesterday, 15:17 #11

File a claim for Hypertension with your records showing that you were AD at the time and list the meds they prescribed you.  This should be a cut and dry claim. "should" being a keyword here. I am going for a C&P for hypertension in a week what is funny is they want 3 days of BP readings 3 times a day.  What good is that going to do if I am on BP meds to keep it in check?  Will keep an update on this.

Bkydtravel
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pgwvet
h3
h3
Joined: 08 Jun 2008, 00:42

Yesterday, 15:54 #12

You need to show the date it was diagnosed and that you are on the medication. The VBA looks for the three reading as per the regulations; but they forget about the other part of the regulation of where you are on medication. You need to point that out in your statements and send in the records too. Most rater and examiners do not look at what your prescribed and for what. 
Yes get on the burn pit registry and go into the VHA for the last part of it. That is the exam. You will need to take the military records showing what happened in the service as the VHA does not have those records.  VHA doctors have never had DOD medical files, only the VBA and the examiners.
So if you go to these registry and have proof like this, do take it.
James A. Bunker
Executive Director
National Gulf War Resource Center
1725 SW Gage Blvd.
2nd Floor #200
Topeka, KS 66604
Gulf War Illness Guide
http://kansasvets.org
Like us on Facebook
http://www.facebook.com/ngwrc
HTTP://WWW.NGWRC.ORG
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