I am currently smc s (100%pt, 30,30,20,10,10,10,10). I was also service connected for sleep apnea, but rating not changed due to copd rating. My claim for mental disorders (memory, sleep, anxiety, ect) was not service connected. After reading decision letter, the VA examiner opined mental issues are related to my diagnosed MCi. However, the origin was not clear, so service connection not granted. It appears they did not consider letter from my neurologist (I submitted about 2 weeks after I said I had no other info to submit- my fault. My neurologist wrote the following note in my chart. I believe this will allow service connected and rating will be 100%. I am also waiting for decision on aid and att form I submitted. So, if mental approved at 100%, what would my new rating be based on my ratings above?
I have been asked to comment on patients cognitive decline and possible etiologies. In review of his prior cognitive evaluation by the neuropsychiatric department, it was noted that he has a history of obstructive sleep apnea, also with history of asthma/COPD, currently on multiple inhalers.
In our review of the literature, it is likely that his ongoing lung disease
(COPD/Asthma) as well as Obstructive sleep apnea (OSA) can contribute to
cognitve impairment (MCI), and in fact the longer duration of a patient having
COPD puts them at increased risk for MCI (per 2014 Mayo Clinic study
Chest. 2012 Dec;142(6):1516-1523. doi: 10.1378/chest.11-3035. Research Support, Non-U.S. Gov’t; Validation Studies
We will therfore attest to his MCI likely being caused by his underlying dx of COPD/Asthma.
Doctor name excluded