Sleep Apnea

Sleep Apnea

USMCallofDuty
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Joined: 25 Oct 2010, 19:17

27 Feb 2012, 15:27 #1

Is Sleep Apnea a presumed gulf war condition?
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Truckmaster
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Joined: 26 Nov 2008, 16:18

27 Feb 2012, 19:00 #2

No. My new CPAP machine shows that most of my apneas, are central, which are generally from a neurological condition. Seeing there is a big push to get the powers to be, to change CFS to a neurological disorder, I'm wondering if there may be a connection. But as of now, there is none.
Last edited by Truckmaster on 27 Feb 2012, 19:04, edited 1 time in total.
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razorpig
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Joined: 09 Sep 2009, 03:05

27 Feb 2012, 22:02 #3

Yes, actually sleep apnea is covered, but it is covered by the term "sleep disturbances" under the heading of "Undiagnosed Illnesses" on the VA's website:  http://www.publichealth.v...-unexplained-illness.asp  I was awarded 50% for sleep apnea.  My award says "Sleep Apnea."  The only claims I have in are for Gulf War Illness, so it's not for anything else.  When I made my claim, I listed apnea, chronic fatigue, fibro, cluster/migraine headaches and all the awards came back with the listing for each (maxed all).  I'm sure I'm not special (sleep apnea for me, no one else), just like everyone else, I had to fight them, I had a boatload of private doctors that had already been treating me for years lined up, and two Walter Reed sleep studies which they ignored.  But they do give awards for sleep apnea for Gulf War Vets, and it is a presumptive illness.......good luck.
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Truckmaster
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Joined: 26 Nov 2008, 16:18

27 Feb 2012, 22:37 #4

You may be one of the lucky ones, they denied me stating that Sleep apnea is a diagnosed illness, and is not covered under the undiagnosed sleep disturbances.
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shelley7
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Joined: 27 Sep 2008, 01:58

28 Feb 2012, 05:18 #5

sleep apnea is NOT a presumptive illness for Gulf War.
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razorpig
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Joined: 09 Sep 2009, 03:05

01 Mar 2012, 04:14 #6

Now I'm confused.  Couldn't believe that Truckmaster thought I was lucky after I had fought for years, then Shelley just states it's not presumptive even though i got it, so I did some checking.  Guess I might be the only vet that received presumptive disability for sleep apnea from the Gulf War, so I might be one of the lucky ones.  My award definitely says sleep apnea......But it doesn't make any sense. After my first denial, the VA said it was waiting for more information for my chronic fatigue and sleep apnea rating (it approved everything else).  I'm not sure what they checked, but about 9 months later they approved both the apnea and chronic fatigue.  So USMC, you might get lucky, but Truckmaster is right, I've look it up for the last couple hours, and it's a major issue.  Good luck, and hope that Truckmaster gets a little more lucky.
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spade
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Joined: 18 Feb 2012, 21:44

07 Mar 2012, 21:55 #7

Hey guys, just a little confused here, CFR38 book c is pretty cut and dry, it dose'nt stipulate were u got it or under what condition it says " Apnea w/use of cpap machine 50%, I have obstructive:-)
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beez
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Joined: 01 Aug 2011, 10:28

11 Mar 2012, 16:55 #8

I have read what I can find and I have a C&P for SA on the 19th to me it looks like I just have to show that I was in country to cover my SA. that is how I read this info:Gulf War Veterans who meet the criteria below do not need to prove a connection between their military service and illnesses in order to receive VA disability compensation.

VA presumes certain chronic, unexplained symptoms existing for 6 months or more are related to Gulf War service without regard to cause. These "presumptive" illnesses must have appeared during active duty in the Southwest Asia theater of military operations or by December 31, 2016, and be at least 10 percent disabling. These illnesses include:

■Chronic fatigue syndrome, a condition of long-term and severe fatigue that is not relieved by rest and is not directly caused by other conditions.
■Fibromyalgia, a condition characterized by widespread muscle pain. Other symptoms may include insomnia, morning stiffness, headache, and memory problems. Find out more about fibromyalgia, treatment, and the latest medical research at Medline Plus.
■Functional gastrointestinal disorders, a group of conditions marked by chronic or recurrent symptoms related to any part of the gastrointestinal tract. Functional condition refers to an abnormal function of an organ, without a structural alteration in the tissues. Examples include irritable bowel syndrome (IBS), functional dyspepsia, and functional abdominal pain syndrome.
■Undiagnosed illnesses with symptoms that may include but are not limited to: abnormal weight loss, fatigue, cardiovascular disease, muscle and joint pain, headache, menstrual disorders, neurological and psychological problems, skin conditions, respiratory disorders, and sleep disturbances.
VA’s final rule specifying that functional gastrointestinal disorders are covered as presumptive illnesses took effect on August 15, 2011.
 
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Truckmaster
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Joined: 26 Nov 2008, 16:18

11 Mar 2012, 17:44 #9

beez wrote:I have read what I can find and I have a C&P for SA on the 19th to me it looks like I just have to show that I was in country to cover my SA. that is how I read this info:Gulf War Veterans who meet the criteria below do not need to prove a connection between their military service and illnesses in order to receive VA disability compensation.

VA presumes certain chronic, unexplained symptoms existing for 6 months or more are related to Gulf War service without regard to cause. These "presumptive" illnesses must have appeared during active duty in the Southwest Asia theater of military operations or by December 31, 2016, and be at least 10 percent disabling. These illnesses include:

■Chronic fatigue syndrome, a condition of long-term and severe fatigue that is not relieved by rest and is not directly caused by other conditions.
■Fibromyalgia, a condition characterized by widespread muscle pain. Other symptoms may include insomnia, morning stiffness, headache, and memory problems. Find out more about fibromyalgia, treatment, and the latest medical research at Medline Plus.
■Functional gastrointestinal disorders, a group of conditions marked by chronic or recurrent symptoms related to any part of the gastrointestinal tract. Functional condition refers to an abnormal function of an organ, without a structural alteration in the tissues. Examples include irritable bowel syndrome (IBS), functional dyspepsia, and functional abdominal pain syndrome.
■Undiagnosed illnesses with symptoms that may include but are not limited to: abnormal weight loss, fatigue, cardiovascular disease, muscle and joint pain, headache, menstrual disorders, neurological and psychological problems, skin conditions, respiratory disorders, and sleep disturbances.
VA’s final rule specifying that functional gastrointestinal disorders are covered as presumptive illnesses took effect on August 15, 2011.
Image  Where do you see Sleep Apnea listed?
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beez
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Joined: 01 Aug 2011, 10:28

11 Mar 2012, 18:04 #10

respiratory disorders, and sleep disturbances. as I read it I think it is all in the way your doc see these two items
  
 
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Truckmaster
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Joined: 26 Nov 2008, 16:18

11 Mar 2012, 18:59 #11

You are missing the "Undiagnosed illness". Sleep Apnea is a diagnosed illness.

I'm convinced that the doc diagnosed me with Mild Sleep Apnea, just to keep me from using the undiagnosed sleep disturbances reg. When you look up the criteria for mild sleep apnea, my numbers are exactly the bottom number for diagnosing SA, and the raw data from the overnight sleep study were not scanned in. The AHI numbers on the CPAP have always been less then 1, usually less then .5 . My problem is just not sleeping more then 3 hours, and the CPAP has not changed that. The VA in Pa, said I'm cured, it will just take awhile for me to acclimate to the CPAP. Here in CO, they do not do sleep studies, unless the mental health sleep specialist recommends one, and he has a ton of drugs I have to try first.

Interesting side note, the new CPAP the VA gave me a few months ago, shows the vast majority of my Apneas are Central Apneas, which are generally caused by neurological conditions, And the AMA is recommending that Chronic Fatigue be reclassified as a neurological condition.

I wish you luck.
Fight for every little bit of your life back. Don't let them win.
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beez
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Joined: 01 Aug 2011, 10:28

11 Mar 2012, 19:16 #12

"Undiagnosed illness" I do get this and I am trying as are others to find a way around it that dose suck about your SA.USMCallofDuty sorry about the hijack here
Beez
 
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pgwvet
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Joined: 08 Jun 2008, 00:42

13 Mar 2012, 21:30 #13

razorpig wrote:Now I'm confused.  Couldn't believe that Truckmaster thought I was lucky after I had fought for years, then Shelley just states it's not presumptive even though i got it, so I did some checking.  Guess I might be the only vet that received presumptive disability for sleep apnea from the Gulf War, so I might be one of the lucky ones.  My award definitely says sleep apnea......But it doesn't make any sense. After my first denial, the VA said it was waiting for more information for my chronic fatigue and sleep apnea rating (it approved everything else).  I'm not sure what they checked, but about 9 months later they approved both the apnea and chronic fatigue.  So USMC, you might get lucky, but Truckmaster is right, I've look it up for the last couple hours, and it's a major issue.  Good luck, and hope that Truckmaster gets a little more lucky.
When you show the symptom  of the illness ever since the service and is diagnosed at a later date like you are, you can get a came for direct service connection for that illness. If your claim was for undiagnosed fatigue  under section 3.317 and you had the symptom from the time you left the service, even if it was in 1992, but the VA never did a sleep study until 2011 to find the SA you can then get it SC. While the SA will be cause to stop the claim under section 3.317,  the M21-1MR tells the rater he must now rater the claim as if it was filed for the SA on a direct bases. That is how you won your claim.
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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dna0425
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Joined: 21 Oct 2011, 03:09

14 Mar 2012, 01:22 #14

So if I was not evaluated for sleep apnea at all while I was in the service and did not get a sleep study until years after I got out, and it showed that I had sleep apnea, and I now use a CPAP machine then it would mean that it was a undiagnosed illness is that right. Or am I reading this all wrong. It looks like there are some mixed opinions on this one.
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USMCallofDuty
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Joined: 25 Oct 2010, 19:17

20 Mar 2012, 16:29 #15

what if i have confirmed sleep apnea, but still have sleep disturbances?   What would sleep disturbances be anyways?  Sweats, nightmares, ????
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Truckmaster
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Joined: 26 Nov 2008, 16:18

20 Mar 2012, 17:05 #16

USMCallofDuty wrote:what if i have confirmed sleep apnea, but still have sleep disturbances?   What would sleep disturbances be anyways?  Sweats, nightmares, ????
Not sleeping, fragmented sleep, night sweats, ect.  Many of us seem to have the same thing, sleep for 3 hours, then lie awake the rest of the night.
Fight for every little bit of your life back. Don't let them win.
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pgwvet
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Joined: 08 Jun 2008, 00:42

20 Mar 2012, 18:58 #17

Truckmaster wrote:
USMCallofDuty wrote:what if i have confirmed sleep apnea, but still have sleep disturbances?   What would sleep disturbances be anyways?  Sweats, nightmares, ????
Not sleeping, fragmented sleep, night sweats, ect.  Many of us seem to have the same thing, sleep for 3 hours, then lie awake the rest of the night.
10-4 and SA is a part of SD. SD is also a part of PTSD with with come there.
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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RodneyStreet
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Joined: 08 Aug 2011, 11:34

23 Mar 2012, 17:06 #18

Razor any way to can post that part of your rating letter so we can see? I put in for sleep apnea myself and have 3 C&P exams shceduled next week.

Thanks for the info
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byrddog
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Joined: 28 Apr 2011, 00:50

25 Mar 2012, 12:18 #19

Sleep Apnea is not a presumptive..............Yet


Not sleeping, fragmented sleep, night sweats, ect. Are usually linked to PTSD. Why becasue it easy (that is what was done in my case).


Disclaimer These are my opinions they have been gleaned from my experience with my claim and my dealings with the VA.
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talonsx2
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Joined: 20 Dec 2011, 03:43

04 Apr 2012, 20:11 #20

byrddog wrote:Sleep Apnea is not a presumptive..............Yet


Not sleeping, fragmented sleep, night sweats, ect. Are usually linked to PTSD. Why becasue it easy (that is what was done in my case).


Disclaimer These are my opinions they have been gleaned from my experience with my claim and my dealings with the VA.
@byrddog- Do you by chance see any information that would indicate that SA will be presumptive???  If so where can we find it?

Thanks in advance.
Last edited by talonsx2 on 05 Apr 2012, 21:39, edited 1 time in total.
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talonsx2
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Joined: 20 Dec 2011, 03:43

07 Apr 2012, 02:12 #21

Gotta Bump it...
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byrddog
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Joined: 28 Apr 2011, 00:50

07 Apr 2012, 14:08 #22

I think there will in the end be many conditions that will become presumptive. It is my opinion that the Gulf War veteran was poisioned. Just as the Agent Orange vets were before us. There are different types of sleep apnea, OAS being the most prevelant caused by being overweight. I expect neurological presumptives to really gain speepd in the near future due to statistics I have seen. Parkinsons, ALS brought this to the front of the line. The timeline of deny, deny is being broken but its replaced by WHY WHY. Why is the most difficult thing. If ALS is 3 times more likley in a Gulf Vet than the general population there has to be a WHY question. Truth is the medical community just does not know why. Like so many other thing we suffer from. Another thing that is getting a close look is cancers. While there is a a risk due to it being inherited it has become more previlant in younger age groups of Gulf Vets. There is a faction that will PooPoo any or all of what I have said. Look at the number of deaths of Gulf Vets and the age at death. Look at the DMII and cancer rates of Vietnam Vets exposed to AO. And while Psychology was my area of study in school, I did have extensive experience in statistics and the numbers do look pretty impressive to prove toxic exposure and disease relating to it.
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Truckmaster
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Joined: 26 Nov 2008, 16:18

07 Apr 2012, 15:00 #23

Byrddog, I think you are right on. But I think any recognition of  our problems will only be gained by putting more pressure on the VA, and our lawmakers.

As to the OSA, I think the statistics are scauwed, because of the way the VA does the at home studies, it just records Apnea events, it does not distinguish between obstructive apneas, and central apneas. After using a CPAP for several years, I got a new machine about 6 months ago, this new machine uses a standard SD card, and I was able to find the software on line to view the results. I was somewhat suprised to find that the vast majority of my apnea events are central apneas. It actually fits right along with what I have been thinking for many years, that the majority of my problems are neurological related. The Va sent me to a neurologist several years ago, Almost every test had some strange results, but her end diagnosis, was that she could not find anything wrong neurologically, at that time. And it also goes along with the major CFS groups recommending that CFS be reclassified as a neurological disorder. When you really sit down, and try to marry up our symptoms, I think that CFS, fibromyligia, and our other problems are just labeled that, because they are the closest known diagnosis that they can use to label us. I would not be surprised if in the future, they come out with a new syndrome, that fits us better. The big problem we have going against us right now, is the VA is doing everything they can to hide/ not record any real data on our problems.
Fight for every little bit of your life back. Don't let them win.
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byrddog
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Joined: 28 Apr 2011, 00:50

07 Apr 2012, 15:40 #24

I agree with you with one exception I am not of the opinion that VA hides anything. There biggest problem is ignorance. Not meaning that in a milicious way either. They can't get VHA and VBA linked by computer. They can't even crosstrain dept to dept how to administer medical protocol for Gulf vets or any vet consistantly. This causes independant opinions of medical providers how to treat the veteran. The follow thru on training is just pitiful. Case in point in Frb in a comment to the senate comittee on veteran affairs the USECVA tolf the panel that a new program for the 800 number(Peggy) that there have been 9 computer screens in the past that veterans info was on and that 1 Mar they would all be combines and available for Peggy to give more detailed info to the veteran and from just 1 computer page that was consolidated. Well for some reason I had to call peggy a couple weeks ago and brought up the topic. Peggy told me that she had not been trained on the procedure but was aware of it and that only a few people had been trained and that training was scheduled to be complete by 1 OCT. Ignorance abounds in that sequence. And they got me on it too. I took the words from that hearing to be true. I know better than that but I did it.

Your correct also that numbers can and are skewed to support any given view. But an increased instance in one condition 3 times more likely than the general population is difficult to argue against.
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USMCallofDuty
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Joined: 25 Oct 2010, 19:17

09 Apr 2012, 04:36 #25

What if the sleep apnea is caused by heavy pain meds, to treat Fibro?
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Truckmaster
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Joined: 26 Nov 2008, 16:18

09 Apr 2012, 15:00 #26

USMCallofDuty wrote:What if the sleep apnea is caused by heavy pain meds, to treat Fibro?
You need to get your doctor to put that in writing.  In that case, it would be central sleep apneas, rather the obstructive.
Fight for every little bit of your life back. Don't let them win.
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USMCallofDuty
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Joined: 25 Oct 2010, 19:17

09 Apr 2012, 15:15 #27

Truckmaster...


So if you are a heavy snorer, does that mean obstructive apnea?  I have sleep apnea but i dont know which one i have, I also have confirmed FIBRO and CFS, both presumptive to gulf war, but i also have PTSD.  
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pgwvet
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Joined: 08 Jun 2008, 00:42

09 Apr 2012, 16:21 #28

USMCallofDuty wrote:What if the sleep apnea is caused by heavy pain meds, to treat Fibro?
I read something on HadIt.com where a vet posted his case where he won SA due to the meds and PTSD. It does take the doctors and the research papers for you have to do " at less likely as not" 50/50.
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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talonsx2
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Joined: 20 Dec 2011, 03:43

09 Apr 2012, 22:43 #29

Thank you all for the insight and comments.  Im glad i bumped..  I have only just started the process for my claim and can see through all of the information on this and other sights and the fact that I have as of today received my second letter from the VA stating they have received my packet.  Each letter states the same thing but the first letter came from washington, DC and the second came from Denver.  Good luck to all.

Mike
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razorpig
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Joined: 09 Sep 2009, 03:05

10 Apr 2012, 15:45 #30

No problem Rodney, like I said, the only claim I've ever put in was for my Gulf War service, all presumptive which included SA.  I'll get it posted in the next day.  Hope it helps.
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Truckmaster
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Joined: 26 Nov 2008, 16:18

10 Apr 2012, 17:27 #31

USMCallofDuty wrote:Truckmaster...


So if you are a heavy snorer, does that mean obstructive apnea?  I have sleep apnea but i dont know which one i have, I also have confirmed FIBRO and CFS, both presumptive to gulf war, but i also have PTSD.  


Snoring itself, is from an obstruction in the upper airway, if it causes you to stop breathing, then it is an obstructive apnea event. I suppose if you used a medicine that relaxed the airway muscles even more, then it could be a medicine caused obstructive apnea, but in general medicine induced apneas, are central. Central apneas are where you stop breathing, due to the lung muscles not getting the signal to breathe, they could be because of medicines blocking the signal, neurological issues, such as MS, or any other neurological reason. I can't say I was too suprised when I got this new machine 6 months ago, and saw that the majority of my apneas are centrals, I was surprised 4 years ago, when the VA said I have OSA, as I do not fit the normal profile, (do not snore, not over  weight, ect), problem was that I just did not sleep more then 3 hours. The VA's at home study had no way of telling if I was sleeping or not, and I think it may have heard the sound of my sleeping noise maker that makes a babbling brook sound, as they said I slept for 8 hours, and snored for over 7 of that. With all my other problems, I am not suprised that the CFS groups are pushing to have CFS reclassified as a neurological problem. to me everything is fitting in place now, give it time, and I think GWI will be recognized as a separate neurological condition.
Fight for every little bit of your life back. Don't let them win.
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spade
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Joined: 18 Feb 2012, 21:44

11 Apr 2012, 17:47 #32

Ok guys, I'm really confused, I am a Gul War vet, I also have sleep apnea, w/cpap machine it was diagnosed whil in service, I filed claim for GWI, PTSD! and a host of other things, so my question for u guys is this, will it be s/c and will it be considered under the presumptives of GWI
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USMCallofDuty
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Joined: 25 Oct 2010, 19:17

15 Apr 2012, 18:44 #33

I pretty sure that sleep apnea is not covered under Gulf War Illness.
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Truckmaster
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Joined: 26 Nov 2008, 16:18

16 Apr 2012, 00:29 #34

spade wrote:Ok guys, I'm really confused, I am a Gul War vet, I also have sleep apnea, w/cpap machine it was diagnosed whil in service, I filed claim for GWI, PTSD! and a host of other things, so my question for u guys is this, will it be s/c and will it be considered under the presumptives of GWI
If you were diagnosed in service, you should not have a problem with getting SA service connected as a direct connection (Ie, it is in your medical records that you acquired the sleep apnea while in service). It will not be done as a presumptive, because  SA is not a multisymptom illness, or an undiagnoised sleep disturbance.
Fight for every little bit of your life back. Don't let them win.
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USMCallofDuty
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Joined: 25 Oct 2010, 19:17

16 Apr 2012, 19:16 #35

But I think you can have sleep apnea and still have sleep disturbances.  (nightmares, sweats, not able to sleep) Correct?
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Truckmaster
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Joined: 26 Nov 2008, 16:18

16 Apr 2012, 19:53 #36

Yes, you can have multiple sleep issues. If you have SA, and file a claim for another sleep issue, you should start out with a doctor stating that your other sleep issue is in addition to, and not caused by the SA. To do that, you basically have to be treated for the SA (Have a CPAP), and still have the sleep problems.

The problem is that there is no rating for sleep issues, except for SA. To be awarded under the UDX presumptive, you have to be at least 10%. Kinda a vicious circle, if there is no rating, how can you be 10%.  Thats where my old VSO, told me not to bother, as its a fight I cannot win. I have not looked into it any further, As I'm sure they will say its part of the CFS in my case.
Fight for every little bit of your life back. Don't let them win.
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pgwvet
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Joined: 08 Jun 2008, 00:42

18 Apr 2012, 19:51 #37

Truckmaster wrote:Yes, you can have multiple sleep issues. If you have SA, and file a claim for another sleep issue, you should start out with a doctor stating that your other sleep issue is in addition to, and not caused by the SA. To do that, you basically have to be treated for the SA (Have a CPAP), and still have the sleep problems.

The problem is that there is no rating for sleep issues, except for SA. To be awarded under the UDX presumptive, you have to be at least 10%. Kinda a vicious circle, if there is no rating, how can you be 10%.  Thats where my old VSO, told me not to bother, as its a fight I cannot win. I have not looked into it any further, As I'm sure they will say its part of the CFS in my case.
true, and many of the other sleep problems other than SA will fall under depressionImage and be treated as a secondary to the veterans problem with is pain from this other SC issues
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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razorpig
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Joined: 09 Sep 2009, 03:05

28 Apr 2012, 14:46 #38

Hi Rodney, here's what my award letter says for my SA: "sleep apnea also claimed as upper airway resistance"
I was granted 50 per cent for SA, never saw anyone on active duty about it, didn't have it until a few years after active duty. Also was granted at the same time CF and mild depression due to GWI, and although I made all these claims at the same time, these claims came in a few months later than my original award. My original award was for fibro and migraine. BTW, the VA also wanted me to show service connection for everything, which I refused to do,and they backed off.
You do get awarded SA.
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talonsx2
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Joined: 20 Dec 2011, 03:43

22 Jun 2012, 21:10 #39

So here is a question for the masses. If at some point in the future SA is considered to be presumptive (FOR GWI), and you have SA but were denied SC, what is the process to be SC after SA becomes presumptive and what date will it be awarded?

Thanks to all for your service and keep up the good fight.

Talonsx2
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branman
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Joined: 26 Jul 2010, 07:05

23 Jun 2012, 07:00 #40

talonsx2 wrote:So here is a question for the masses. If at some point in the future SA is considered to be presumptive (FOR GWI), and you have SA but were denied SC, what is the process to be SC after SA becomes presumptive and what date will it be awarded?

Thanks to all for your service and keep up the good fight.

Talonsx2
Same as they are doing now with the Vietnam Vets for Agent Orange (AO) they reopened a lot of if not all of the Nehmer claims for IHD (Ischimic Heart Disease) and compensating those vets accordingly.  The effective date I am unsure of is something like that would happen.  Someone with more knowledge will come along and help you answer that question.
SSDI awarded,
70% PTSD  , 40% Fibromyalgia, 30%IBS= Total Awarded 90% Granted 100% P&T
 
One Does Not Have To Be Evil To Do Evil Because Good Men Only Have To Say Nothing Or Do Nothing...

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Peace and always much unadulterated Love
Thanks For Your Service
Branman
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