OSA secondary to PTSD round 2

VA Disability

Has anyone here had a favorable rating from this claim? My private psychiatrist said he is seeing this approved quite a bit now. I was initially denied and they stated that a phone interview was conducted with me.. it wasn’t. I am rated at 70% for PTSD after being a combat door gunner in the USMC. I had submitted letters from my Dr stating 50% at least as likely than not that the OSA is 2nd to the PTSD. I also had the same letter from my psychologist, and he also stated case studies proving this and how the PTSD is aggravated by the OSA.. and how the OSA is aggravated by the PTSD. I had been diagnosed with OSA and prescribed a CPAP machine after a home sleep study was done and I have a letter from my Dr stating that this machine is medically necessary. I have a BDQ from my private DR stating all the same stuff too and again stating the 50% more likely than not..
After it was denied I appealed and was then sent to my 1st C&P exam for OSA. I drove 50 miles to a chiropractor’s office where I met a DR that drives around from place to place just doing these exams. He was renting an office space there for the day. After I got there he asked me like 4 or 5 questions. I have all my paperwork with me. Every letter, studies, etc. He didn’t want to see any of them. He typed and studied his laptop and is was silence for minutes with nothing… then he said we were done. I told him, you are kidding me right? I told him I drove 50 miles to get here and he is going to ask me a few questions and I am leaving? no exam? So I asked him what he thought about OSA being 2nd to PTSD. He said since he was working for the VA, he could not discuss his opinion. I told him I was scheduled through the VA for a sleep study next month at a hospital. Should I even go to the exam. It appeared he had already made up his mind. He said, yes go to the sleep study and after that info was entered into my records he could make a final decision.. Also in my initial denial letter, they stated that the CPAP machine was not medically necessary.. I asked him about that and he shook his head stating he didn’t know where that came from .He said a CPAP is the correct prescription for OSA and it was medically necessary.
So I don’t know where I stand with the C&P. I got really mixed feelings about it. I will post the results from the sleep study and what happens next. If I can get the rating I deserve, I will be glad to share the info, DBQ, letters etc.. and show the steps taken to get there.



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