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A O Symptoms


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#1 BUZZ

 
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Posted 01 June 2012 - 08:46 PM

Just went in the hospital and they found out that I have coronary artery disease also known as bradycardia ( slow heart rate) Should I file a claim for AO ?

#2 BUZZ

 
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Posted 01 June 2012 - 09:11 PM

sorry I meant heart disease,not artery disease.

#3 JT24usn

 
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Posted 01 June 2012 - 09:26 PM

3.309(e). Presumptive ao for heart:

Ischemic heart disease (including, but not limited to, acute, subacute, and old myocardial infarction; atherosclerotic cardiovascular disease including coronary artery disease (including coronary spasm) and coronary bypass surgery; and stable, unstable and Prinzmetalís angina)


#4 BUZZ

 
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Posted 02 June 2012 - 09:32 AM

Is Ischemic heart disease the same as Bradycardia

#5 JT24usn

 
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Posted 02 June 2012 - 10:07 AM

ischemic
http://www.ncbi.nlm....lth/PMH0001213/

Bradycardia
http://www.ncbi.nlm....lth/PMH0002091/

#6 Chuck75

 
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Posted 02 June 2012 - 04:15 PM

CAD (coronary artery disease), IHD, and bradycardia can be related. CAD can cause IHD. High blood pressure can be related to both IHD and CAD.
Actually, cause and effect of these are intertwined. Bradycardia can be the result of a silent heart attack, or when it is very mild, normal under certain conditions. Since my at rest pulse rate is about 57, I technically have Bradycardia. It's really a minor issue, in comparison to other's, such as CAD.
CAD can be the direct cause of IHD. The big question is what is your left ventricle efficiency, since you do have evidence of damage to your heart.
An LVEF of less than 30% can result in a 100% schedular rating. I assume you fall under the A/O exposure rules.

#7 Capt.Contaminate

 
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Posted 03 June 2012 - 06:04 PM

Hello Buzz,

First ,,, remember that for ANY terminology of CAD, IHD, or Atherosclerosis....They are one and the same. I have been diagnosed with each one but the VA and medical terminology will all come up the same. So if you have one .....sorry you got them all.

However you will try to use the IHD as it is presumptive to all AO veterans who have boots on the ground Vietnam. This does not apply to me because of my station and I am under Direct exposure of AO where it was widely used. Just as James Cripps one of our members in Fort Gordon Georgia won his AO award under direct exposure. And Kurt Priessman another one of our members who won his AO in Thailand , it is an example of how widespread the AO problem is . Please check our AO archives and read my post on Agent Orange Bases and see just how many there are and those not even listed by DOD list.



As Chuck pointed out ...your LVEF or infarction rate will need to be addressed to point you to the correct rating schedular percentage by VA. It will help if your Cardiologist or even your PCP Doctor can list you as IHD but you already have one diagnosis so see what that doctor will say. IMOs ,,,,will trigger your Benefit of a Doubt rule and the way to have IMOs written is on our site also. Above all , if you are just starting, be prepared for a long wait and battle ....but the main issue will and still is ............NEVER GIVE UP. ....God Bless, C.C.

Edited by Capt.Contaminate, 03 June 2012 - 06:06 PM.


#8 NJBB62

 
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Posted 04 June 2012 - 07:43 AM

Just a little info to help you out, also check your Mets level!

(The regulation says 3 METs or less is 100%, more than 3 METs up to 5 METs is 60%, more than 5 METs up to 7 METs is 30%, etc.)

METS are (metabolic equivalent).

NJ

#9 Chuck75

 
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Posted 04 June 2012 - 11:11 AM

Just a little info to help you out, also check your Mets level!

(The regulation says 3 METs or less is 100%, more than 3 METs up to 5 METs is 60%, more than 5 METs up to 7 METs is 30%, etc.)

METS are (metabolic equivalent).

NJ


METS level assignments can be very subjective, and may not agree with medical evidence. (especially when made at a VA C&P exam)
Private physicians are often uncomfortable with METS and another method used by many states in assigning handicap levels.
Actual medical test results are usually better. An example might be measurements of blood pressures, volumes etc. taken via a heart cath sensor.
Heart damage(IHD,etc) can change high blood pressure to a more normal pressure. One indicator of this possibility is a "slow" heartbeat.
The measured "pressure waves" inside the heart are a diagnostic tool that can be used to fairly accurately estimate total heart damage.

#10 Computer Tech

 
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Posted 04 June 2012 - 12:04 PM

Captain;

I'm under the impression that once you're granted exposure to AO if you have any of the diseases on the AO list you can be granted service connection for them. Nehmer only applies to the Vietnam vet with boots on the ground but the Dec 2011 C&P bulletin on the THailand Vets states that if a Thailand vet has been denied and he reopens his claim because he worked on or near the perimeter his eed will be the date of his original claim. The example given was that if the vet filled for DMII in 2006 and was denied if he reopens his claim in 2001 his effective date will be the date the VA received his denied claim in 2006. A vet in Michigan was recently granted service connection for DMII and he worked in the Autodin building on Camp Friendship, the Autodin building was about a hundred feet from the perimeter fence.

Rick

#11 NJBB62

 
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Posted 04 June 2012 - 12:12 PM

METS level assignments can be very subjective, and may not agree with medical evidence. (especially when made at a VA C&P exam)
Private physicians are often uncomfortable with METS and another method used by many states in assigning handicap levels.
Actual medical test results are usually better. An example might be measurements of blood pressures, volumes etc. taken via a heart cath sensor.
Heart damage(IHD,etc) can change high blood pressure to a more normal pressure. One indicator of this possibility is a "slow" heartbeat.
The measured "pressure waves" inside the heart are a diagnostic tool that can be used to fairly accurately estimate total heart damage.


Chuck75,

I added that info based on my C&P exam the doc wrote 1-3 Mets with Chronic Angina and they awarded me 100% P&T with no further exams and yes it was service connected (CAD), I was rated 60% when first awarded and my Mets were 3-5, Just going by my Experience.

NJ

#12 john999

 
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Posted 04 June 2012 - 01:21 PM

If you can get the VA to do a CT scan of your legs or even a leg and it shows calcification that can lead to a heart disease DX. If you are a RVN vet that can lead to a SC rating. I know because I did it.

#13 Capt.Contaminate

 
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Posted 04 June 2012 - 04:26 PM

Hello All,

John that is a very good point to bring up. Did you have any of the diseases also listed such as CAD, Athero, or IHD? It sounds like you did a backdoor approach to it and it worked for the rating and grant.

Computer Tech, Yes your right but unfortunately proving up an AO exposure is difficult outside of Vietnam . Yes Thailand and now Georgia, and Korea are seeing more grants thanks to James Cripps and Kurt Priessmans work , you will have to prove it up first and still must file a DIRECT exposure claim. If you try to use presumptive outside of Vietnam, it will get axed everytime. There is only one case that I can find of AO exposure from Alaska and it is the Haynes Pipeline corridor claim from Fort Greely. The DOD list is not complete and only about half of the bases in the U.S. and the World, ended up on the list to even try a presumptive fight or a direct exposure fight. Once again go look at the Agent Orange Category here at Hadit and see the bases all over the United States that sent personnel to the Mandatory Training Seminars in 1973 at Colorado Springs , Colo. I also broke the list down to show just how wide spread AO was even in North America. This is why our archives are so Valueable to each Veteran. It is also important to know that you do not ,,,I repeat do not have to have Perhiperal Neuropathy as secondary to DM11 like the VA states in its Presumptive list and 38 CFRs, before it will grant PN due to AO. I also have posted here in the Archives of 2 separate claims which won PN , Agent Orange exposures without any DM11 links. I am a Veteran with severe PN and no DM11 and am fighting the VA on AO with PN, IHD , Dry eyes appeals which will win eventually at BVA or CAVA. If I can prove exposure ....IF. Proving exposure needs much medical expertise, opinions and solid evidence that AO was used where the Veteran was stationed. As well as how the Veteran was exposed. Even though the discontinuence of AO was in 1975, the research clearly shows that AO may be active and threaten human life for decades. See James Cripps Work also from Dr. Arnold Schectters research as well as the Agent Orange section to see the BVA cases that I posted also in the AO archives.

I would also point out that DIRECT exposure will take much more time , evidence , medical opinions and a very strong chain linking all to it. However it will be, in the end ,the only way some of us can prove up our claims outside of Vietnam or a couple of the other areas listed. Once an area gets a Claims Awarded under Direct exposure then it opens the door for other Veterans. It will NEVER happen at the RO level and will take BVA at the least and probably the CAVA to win it properly. This is why my claim is so important for the other AO Alaska Veterans. My claim must set precedence. There is no denial of AO in Alaska period and DOD and VA know this , however their clock is ticking against them and they know that also. There is no other site which has more evidence on Agent Orange in Alaska that here at Hadit and I am posting new evidence when I get it just as I have for the last 5 years. I also urge other veterans to help post any evidence from anywhere concerning AO so that all Veterans may shut the door on the AO lie that has killed over 240000 vets and 300 per day. This lie must be brought to the eyes of not just America but to the World.

The Acute and Subacute points on the VA regulations concerning presumptive DM11 and PN awards are not to be followed in the DIRECT exposure issue. Though the VA rubber stamps this denial every time because a Veteran does not end up within 1 year of showing signs of DM11 or PN or 2 years for the subacute, it can be beaten in court and has with the 2 cases I have listed from the BVA.

Chuck brings up a very important point that METS levels are so broad and are not as good to use as the Infarction Rate numbers. Whenever possible I would always try and use the medical records which show most of the time a true infarction rate.

Ok ,,,, I hope this helps....

I hope that most importantly every Veteran remembers to ..........NEVER GIVE UP. God Bless, C.C.

Edited by Capt.Contaminate, 05 June 2012 - 02:06 PM.


#14 john999

 
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Posted 05 June 2012 - 02:24 PM

Capt.

Yes, I say if you can't go in the front door try the window or backdoor to get SC. That is how I got HB and other stuff. Your doctor (PCP) can be your friend and if you know something about your regs and disease secondary problems such as all those to do with DMII I think you can go a long way. When the VA makes a condition presumptive they open the door for all secondary conditions and there are a ton of them for DMII.

John

#15 Chuck75

 
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Posted 05 June 2012 - 03:35 PM

Capt.

Yes, I say if you can't go in the front door try the window or backdoor to get SC. That is how I got HB and other stuff. Your doctor (PCP) can be your friend and if you know something about your regs and disease secondary problems such as all those to do with DMII I think you can go a long way. When the VA makes a condition presumptive they open the door for all secondary conditions and there are a ton of them for DMII.

John


Sort of on and off topic at the same time!
I received an envelope the other day from the NVLSP. It contained a copy of the Nehmer review decision. The decision was correct in the overall EDD date, and award for IHD, but obviously erred in some secondary decisions.
One was a later EDD assigned than the overall EDD, even though evidence showed treatment well before the overall EDD (set by claim date). Another decision used current law instead of the law that was in place on and well after the overall EDD. This resulted in 0% rating instead of 10% for the secondary.

When queried, the NVLSP stated that they did not have the time or manpower to deal with secondaries, and were just concentrating on IHD awards.
So, if you have secondary conditions related to IHD, don't depend on the NVLSP to help when/if the VA does not properly deal with them..

#16 Capt.Contaminate

 
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Posted 06 June 2012 - 04:10 PM

Hello John and Chuck,

John your thoughts on this and what you did are very similiar to mine. I also had several Doctors including VA who did not know the regulations but understood the diseases. It did help the Doctors to know and they were more than helpful after I showed them the regulations and the proper way to address my issues. Secondary issues are always going to be an issue for any service connected Veteran. Most Veterans do not understand this and never press the issue. Thanks for your thoughts on this.

Chuck ,,, I could understand the NVLSP and their lack of manpower on the secondaries. It looks like the folks here at Hadit are going to have to fill in the gap .................................. like they usually do. Thank you Chuck .

NEVER GIVE UP. God Bless, C.C.

#17 BUZZ

 
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Posted 06 June 2012 - 06:52 PM

diagnose with Coronary atherosclerosis of native coronary vessel

#18 john999

 
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Posted 07 June 2012 - 10:35 AM

Buzz

That condition of yours is presumptive on its own if you were "boots on the ground" RVN vet. How did you find out about it?

#19 BUZZ

 
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Posted 07 June 2012 - 01:06 PM

John I WAS IN VIET NAM 68-69,HAD TEST IN THE HOSPITAL TO FIND OUT MY CONDITION