Consequential claims to PTSD

That is my concern. My new family doctor just moved to Canada last year, so she is still learning how to manoeuvre around the province's and Canada's broken health care system, so I can't imagine that learning how to deal with VAC, will be a quick process. It took her over a week, just to send a referral to VON, for wound care,

I think the Doctor has a the general lack of awareness with VA procedures and red tape. The doctor assumes since you have PTSD it is obvious that it is linked. I know my doctor gets frustrated (at the VA not me) when I ask him to write info out in full and link prescriptions and comments to my condition. I explain patiently and fully each time the reasons behind the requests. Sometimes I give him written examples so he knows what is required.

Even when you do finally get a claim approved it is no guarantee it covers what you think it does.

For example: Once I received approval for my Bruxism claim I had a problem with a tooth. I had an emergency root canal that failed three days later (tooth cracked) and the tooth was pulled. I was not covered even though it broke due to clenching.

That is when I found out that a bruxism claim only covers a mouth guard. (forgot to mention that in my last post)
To cover ALL oral problems from PTSD or Chronic pain there are THREE claims that have to be filed:
1. Bruxism to cover a mouth guard, every 2 years
2. Teeth Condition to cover damage to teeth, and
3. TMJ to cover muscle and joint damage to my jaw.

I went through a lot of red tape to find out what bruxism covers. Hardly anyone knew. It was like pulling teeth.
Fibro is the same way. You may be covered by an approved Fibre claim but you need all those little "IBS", etc claims to actually get coverage.

Doctor vs Psychiatrist: I took the claim to my Psychiatrist, she wrote a letter based on the questions. I brought the letter to my Dr with the original claim.
Then I sent his completed claim with the attached letter to VA. You can do the opposite also.

Dove96 wrote:If you clench or grind your teeth - a common trait for those with PTSD or Chronic Pain - start a consequential claim for bruxism.
I would suggest a Dental visit to catalogue the health of you teeth and gums.

They will not do anything for past damage but if any cracks or recession happen in the future it will be consequential to PTSD. I ended up cracking a tooth and needing an implant, it saved me a lot of money.
Dove96

That’s the problem many veterans are running into, they may have, bruxism,IBS, Erectile Dysfunction, fibromyalgia and a host of other issues that their family Dr. Diagnosis , however on the VAC forms the dr. details the symptoms but forgets or refuses to link them to the veterans PTSD. Or although many veterans have a family Dr. As well as a psychiatrist, they may tell their psychiatrist about their physical pains, but I find not every veteran discloses to their physician their mental issues. So suddenly when these issues arise the Dr. Is unaware what they should be writing on this forms or they are taken by storm with a whole other side of their patient to which they were unaware.

If you clench or grind your teeth - a common trait for those with PTSD or Chronic Pain - start a consequential claim for bruxism.
I would suggest a Dental visit to catalogue the health of you teeth and gums.

They will not do anything for past damage but if any cracks or recession happen in the future it will be consequential to PTSD. I ended up cracking a tooth and needing an implant, it saved me a lot of money.
Dove96

excellent answers thanks

Unknown Soldier wrote:

sports1977 wrote:

Unknown Soldier wrote:What about IBS consequencial to PTSD, l heard that’s the only way VAC will even recognize the disease

IBS is kinda like Crohn's , Due to PTSD i get alot of Flare ups causing pain.

yes, that’s what I’m saying, I have heard of vets applying for stomach issues on their own and being denied, but if you link it to PTSD, it’s granted, but not everyone who has stomach issues has PTSD , and vice versa

The only reason i got this overturned is because i had a great Crohn's Specialist help me with a Letter to VAC on this one. But it was denied at first i had to get the appeal board involved to get approved.

sports1977 wrote:

Unknown Soldier wrote:What about IBS consequencial to PTSD, l heard that’s the only way VAC will even recognize the disease

IBS is kinda like Crohn's , Due to PTSD i get alot of Flare ups causing pain.

yes, that’s what I’m saying, I have heard of vets applying for stomach issues on their own and being denied, but if you link it to PTSD, it’s granted, but not everyone who has stomach issues has PTSD , and vice versa

Unknown Soldier wrote:What about IBS consequencial to PTSD, l heard that’s the only way VAC will even recognize the disease

IBS is kinda like Crohn's , Due to PTSD i get alot of Flare ups causing pain.

What about IBS consequencial to PTSD, l heard that’s the only way VAC will even recognize the disease

I did a Crohn's Claim Consequential to PTSD, and a Sleep Apnea.

The only way you can get the Sleep Apnea would be if you were on Anti Depressant for a while.
But you might get better luck then i did.

I was denied for my Crohn's Claim, but was over turned by the appeal board.
All you can do is try, doesn't go against you if you tire, the worst that can happen is you appeal there decision.

Home.
It can feel discouraging but make the application and see what happens. You have all to gain and even if you do not receive a satisfactory decision then you can appeal with the BPA. The BPA is a great help in putting together the information you need to make a claim. I will PM you some medical studies.

Newf

Thank you Newf ....this seems like a nightmare. So much info provided and still ruled against most appeals. Years to get to this appeal level.
I may just forget it.

Home,
I suggest making the application. I recommend having a look at similar disability applications cases for these conditions that have been adjudicated with the VRAB. These cases will give you an understanding and an idea of the type of information used by the board. Pay attention to the attached exhibits at the end of each case because this will give you an idea of the type of supporting documentation you may need. I have attached a link below to the VRAB:

https://www.canlii.org/en/ca/cavrab/#search/type=decision&ccId=vrab&text=hypertension&origType=decision&origCcId=vrab

good luck
Newf

Consequential claims to PTSD. I am considering making a consequential claim for Hypertension, Gerds and Sleep Apnea.
Has anyone tried this and do you have any suggestions? Were you successful? What percentage if any can I expect?
Thanks