Roger H

San Diego, CA

#768 Oct 13, 2010
Wow, this is all pretty new to me, haven't yet filed though there is no question that I have some level of CAD.

I was diagonsed with PAD more than fifteen years ago which eventually led to stress testing and catherization that showed 100% blockage in both the right coronary artery and an obtuse marginal - both are signifigantly collateraized. That was six years ago, and there have been no further invasive procedures. I'm medicated, hypertensive and often can walk no more that 50 rapid yards without substantial pain. I'm also prone to dizziness if I do anything suddenly. VA wants a new stress test, and otherwise ... I have no idea where I fit.
gary

Somerset, KY

#769 Oct 13, 2010
hi laura, i had problems a work in january of 2008, chest pains, almost passed out when trying to walk. i had to sit down and rest. i drove myself to the v.a. hospital in louisville, ky. i could not make it walking to the emergency room, they came got me in a wheel chair. they said i may need a stint. the next morning they rushed me to a public hospital for triple by-pass emergency surgery. i am 60 years old and on s.s.d. due to my by-pass surgery. what do you think my rating should be? i draw 10% for ptsd, 10% for hearing and 10% for tinnitive. i filed a claim in march of 2010
THANK YOU LAURA you are an angel
Joseph

Ashburn, VA

#770 Oct 13, 2010
My first claim was for back disease and lumbar got out 1973 served in nam <May 68 to August 1969 no papers no pay no disability they are giving me PDSD afer 42 years Camp Radcliff front gate An-Khe have picture of emmo dump where I worked at nite security stay awake 14 months Aloha
Cheryl Moore

Warsaw, IN

#771 Oct 13, 2010
My Husband served in Chu Lia Vietnum in 69, he has corinary artery disease, The VA hospital in Chicago has put tubes through 50 percent of his body so blood will flow better, replaceing viens, he has a defibulatery now an can never work again, we get med's through VA, but the take almost 175 dollars off his ss check every mth, we pay 850 rent, so out of 1120 dollars a mth doesnt leave much, in trying to get him qualifyed for some sort of pension , I found out about the new agent orange qualifacation that if you have heart diease you qualify under ischemic heart diease, What bothers me is my husband went through hell trying to get help after being turned down so many times by the Va, when we finally went streight to the emergency room at the local va, it took that to get help an now they take what little money we get from us to pay them back, when agent orange was probley the cause of his problems from the beging, he is the only one with heart diseae in his family,Ive never meet anyone with tubes replaceing viens, this is my husband, an this dosent seem right at all
Laura

United States

#772 Oct 14, 2010
viking1948 wrote:
I just had a follow up with my doctor after having a stent put in (July 27th) After the exam the doctor wanted to throw me back into the hospital. That was last thursday because of personnal reason that was not a option at that time. Anyways I do go in tomorrow for another stent or a replacement. I do believe that I am locked in at 100% but the doctor kind of throw something out there that gives me a scare. We Discussed LVEF and it had changed to 35-40% When I asked her about my mets score that is what threw me. I will probably get this wrong..but she told me that it was 1.7. Now the scary part..she said because I did not have a actural stress test because of prior surgerys they took this and that from my medical records and gave me the 1.7. for mets. Does anyone think that will knock me out of the 100% bracket. Will appreciate all responses. Is it Nov 1st yet ??? Have not been on lately so would like to thank all the newcomber on this site. And if you have not noticed yet we have a great educator in Laura. She has really been a true trooper to all us Vets. We all owe her many many thanks. 188th ord 66-68 2nd of the 41st Infantry 68-69
Hi, Viking!

The 1.7 METs is well within the limits for 100%, and it's not at all unusual for them to estimate your METs. In fact, that's pretty much what VA does whenever your LVEF is less than 50%.

Your LVEF of 35-40 falls within the 60% range - but, they are required to use the reading that is most beneficial to the veteran, so your METs reading would take precedence.

So... you are still good for 100%. Put all this stuff out of your mind, and go get your procedure so you are feeling great in a few weeks just in case, you know, you come into some extra money or something.:)

Seriously - we're pulling for you Viking. Please let us know that everything went smoothly, OK?
Laura

United States

#773 Oct 14, 2010
Roger H wrote:
Wow, this is all pretty new to me, haven't yet filed though there is no question that I have some level of CAD.
I was diagonsed with PAD more than fifteen years ago which eventually led to stress testing and catherization that showed 100% blockage in both the right coronary artery and an obtuse marginal - both are signifigantly collateraized. That was six years ago, and there have been no further invasive procedures. I'm medicated, hypertensive and often can walk no more that 50 rapid yards without substantial pain. I'm also prone to dizziness if I do anything suddenly. VA wants a new stress test, and otherwise ... I have no idea where I fit.
Welcome, Roger!

FILE YOUR CLAIM. You have to do that - NOW. The reason you need to do that now is that VA will not pay you for anything prior to the date they receive your claim. So... FILE YOUR CLAIM.

Once you take that step, VA will schedule exams and tell you what documents they want from you - but nothing will happen until the claim is filed.

If you truly don't know how to get started with this, there are 3 ways you may approach it:

Good: You can send VA a letter - with your name, soc sec #, and service #, and make it clear you served in-country in Vietnam. Tell them you want to make a claim for disability compensation for Ischemic Heart Disease, as well as for any other conditions for which you may be entitled to compensation.

Better: You can go to www.va.gov and file the claim on-line. It's a long application, but the questions aren't hard - just tedious.

Best: Contact your local vets' organizations or your county and get a referral to meet with a VSO (veteran's service officer). Don't be afraid to ask around a bit - some VSOs are terrific, while others are slugs.

Good Luck - and if I didn't stress it enough, FILE YOUR CLAIM!
Laura

United States

#774 Oct 14, 2010
gary wrote:
hi laura, i had problems a work in january of 2008, chest pains, almost passed out when trying to walk. i had to sit down and rest. i drove myself to the v.a. hospital in louisville, ky. i could not make it walking to the emergency room, they came got me in a wheel chair. they said i may need a stint. the next morning they rushed me to a public hospital for triple by-pass emergency surgery. i am 60 years old and on s.s.d. due to my by-pass surgery. what do you think my rating should be? i draw 10% for ptsd, 10% for hearing and 10% for tinnitive. i filed a claim in march of 2010
THANK YOU LAURA you are an angel
Hi, Gary!
Thank you for your kind words. From the info you provided, there is no way to predict what your rating would be. It depends upon your Left Ventricle Ejection Fraction (LVEF) reading, and your METs reading. Both are obtained through testing.

The LVEF is usually obtained by echocardiogram or cardiac catheterization. The METs reading is established through a stress test, or it can be estimated. If your LVEF is less than 50%, VA will not give you a stress test - they would estimate your METs.

Have you had a VA exam (also known as C&P exam) yet?
Laura

United States

#775 Oct 14, 2010
Joseph wrote:
My first claim was for back disease and lumbar got out 1973 served in nam <May 68 to August 1969 no papers no pay no disability they are giving me PDSD afer 42 years Camp Radcliff front gate An-Khe have picture of emmo dump where I worked at nite security stay awake 14 months Aloha
Hi, Joseph!
Thank you for checking in, and thank you for your service to our great country! You guys gave so much, and we all owe you a debt of gratitude. Best Wishes!
Laura

United States

#776 Oct 14, 2010
Cheryl Moore wrote:
My Husband served in Chu Lia Vietnum in 69, he has corinary artery disease, The VA hospital in Chicago has put tubes through 50 percent of his body so blood will flow better, replaceing viens, he has a defibulatery now an can never work again, we get med's through VA, but the take almost 175 dollars off his ss check every mth, we pay 850 rent, so out of 1120 dollars a mth doesnt leave much, in trying to get him qualifyed for some sort of pension , I found out about the new agent orange qualifacation that if you have heart diease you qualify under ischemic heart diease, What bothers me is my husband went through hell trying to get help after being turned down so many times by the Va, when we finally went streight to the emergency room at the local va, it took that to get help an now they take what little money we get from us to pay them back, when agent orange was probley the cause of his problems from the beging, he is the only one with heart diseae in his family,Ive never meet anyone with tubes replaceing viens, this is my husband, an this dosent seem right at all
Cheryl,

You need to contact a Veterans Service Officer TODAY.

Lots of guys are bitter (and rightfully so) about the way they were treated in the past by the VA. But - you are right - Ischemic Heart Disease is now a presumptive disease, so if he served in Vietnam and he has IHD, he will be paid.

You need an advocate to help address the IHD claim - but also to help you get things squared away financially with the VA. You may be entitled to other types of relief from them.

To find a VSO (veterans service officer), contact your local veterans organizations (VFW, American Legion, Disabled American Veterans, etc) or your county (most have a Veterans Service Office) for a referral. You do NOT have to be a member of a veterans organization for them to assist you in this regard.

I cannot stress enough how important it is for you to do this NOW.
Roger H

San Diego, CA

#777 Oct 14, 2010
Laura, thanks ... I will file ASAP.
I've been reading through some of this forum, and someone should give you an award. Thanks again.
jjm2611

Bremerton, WA

#778 Oct 14, 2010
If you think your claim falls under the Nehmer ruling for retroactive back pay and you haven't received any letter from the VA you should write the National Veterans Legal Services Program and get added to the their data base. The e-mail address is nvlsp.org .I received a letter from nvlsp informing me that my original claim for heart disease filed in 2006 falls under the Nehmer ruling. Currently there is a mandatory 60 day Congressional review period for all agent orange claims. According to NVLSP the VA will begin to go over claims after the 60 day review (NOV 1) and possibly award benefits. So I am not sure they are processing claims right now. This will begin after Nov 1. So maybe awards will be payed in December. This will be a nice Christmas present. Thanks Laura for helping veterans.

John
Roger H

San Diego, CA

#779 Oct 14, 2010
Can anyone tell me why so much emphasis is placed on LVEF while RVEF is seemingly ignored? I would think defecient ejection on either side would be a cause for concern.

As an aside, I wish to express a complaint for all who are impacted by CAD. While I appreciate that there is a reason to base the amount of disability on someone's current condition, something smells in that equation. What smells is that each of us who suffer from this disease will live shorter lives as result of it. Whatever age you might normally have achieved will become something less. If you lose one,five or whatever years, and are one simply surprised with a massive coronary unpredicted by EF ... there will be those of you who surrendered those added years for a lousy $123/month.
jjm2611

Bremerton, WA

#780 Oct 14, 2010
Roger H

Yes I agree. A person could have massive CAD and get 0 compensation from the VA. It does not matter how many Stents or bypasses you have had. The VA only looks at the current condition of your heart as measured by LVEF and METs. Cad causes IHD. But with modern medicine and technology a person can have lots of stents and bypasses and still have normal LVEF and Mets if you did not have a heart attack which damaged your heart. Which is a good thing. Health is more important than any amount of money. But it still seems unfair the way they compensate IHD.

John
jjm2611

Bremerton, WA

#781 Oct 14, 2010
Roger H
I forgot to answer your question. More emphasis is usually placed on the LVEF because the left side of the heart evaluates the large coronary arteries supplying the heart muscle with blood. LVEF is the percentage of blood in the left ventricle that is pumped out with each heart beat. As LVEF falls so does exertional capacity. Therefore a lower LVEF means you are able to do less work.
John
Roger H

San Diego, CA

#782 Oct 14, 2010
JOHN.. Thanks for the reply, and I have since read the dif between left and right; the former supplies the body, the latter only the lungs. I would think right side obstruction, though less of a heart attack threat, would expose you to a grater potential for shortness of breath.

I thought CAD is IHD, but not all IHD is CAD. Kind of like all horses are animals but the inverse is not true. If I understand correctly, ischemic means reduced blood flow - in turn meaning that the presence of CAD also means one has IHD - though not automatically to a degree justifying a disablility. It is further my understanding that the necessity of medication (in itself) warrants the minimal 10% disability.

In any case, you are correct, better healthy than qualifying for a stipend.
Teresa

Winnsboro, SC

#783 Oct 14, 2010
How do you register with nvlsp.org for their data base concerning agent orange and IHD? I have gone to their web page but I can't find anywhere to register.
Laura

United States

#784 Oct 15, 2010
Teresa wrote:
How do you register with nvlsp.org for their data base concerning agent orange and IHD? I have gone to their web page but I can't find anywhere to register.
Teresa,

Go to www.nvlsp.org and look for the article about the addition of the new presumptives.(I think it is the 5th article from the top on the right side of the page.)

In that article, there is an email address and a list of info they need from you to add you to their database. There is no cost to be added, and they are a great resource!
tvh

Swanton, MD

#785 Oct 15, 2010
I filed my claim for IHD(due to A/O exposure) in May of 2010.(DD-214 shows boots on ground RVN 68-69)
I had an echo cardiogram 9/14/10 which showed LVEF = 15%(forwarded echo cardiogram to RO and hand carried to C&P exam.
I had my C&P exam on 10/7/2010 (received the report on 10/8)and it supports Coronary Artery Disease, previous MI's and bypass surgery; stopped working in 2001 with second heart attack and that there is moderate to severe effect on chores, shopping, exercise and recreation.
My private medical records are complete and were provided to the RO.
I feel that my claim is complete and will result in a 100% rating and perhaps P&T (my plan was to wait for the rating and If P&T was not included to pursue it at that time)

On 10/12/10 I had a cardiac catherization and after finding no blockages it was recommended that I receive an AICD. I received the AICD on 10/13/10.
My question is: Is there any reason I should add the information regarding the AICD to my claim at this time?
Any input would be appreciated, Thanks
Myron

Mankato, MN

#786 Oct 15, 2010
Laura wrote:
<quoted text>
Sharon,
He probably will - but it won't be based on the LVEF of 61. You said he had a stress test - do you know what the METs result was?
Are your sure about that LVEF? The reason I'm asking is that you said before you thought his ejection fraction was 39 (unless I'm remembering that wrong...)
If all else fails, if he is on continuous meds, he would get the minimum rating of 10%.
Laura
I just had my C & P on Oct 12th. Previous to my C & P, my VA doctor had indicated I should file a claim, which I did at the end of August. In previous months,I've had the nuclear stress test and the echocardiography showing scar tissue from a heart attack I never knew I had. My LVEF is 55%. Since there is no "documented evidence" that I had this heart attack, at the C&P, it did not sound too optimistic that there would be compensation, even tho it has been identified verbally as IHD. I am on blood pressure medication and two cholesteral meds ( one for low and one for high).
Above, you indicated that "if he is on continuous meds, he would get the minimum rating of 10%"
Do you think I will get the 10% rating?
alexy

Sacramento, CA

#787 Oct 15, 2010
recieved letter from VA stateing that my claim was a possible nehmer class claim, My RO is Oakland, but my nehmer claim was sent to San Diego RO. Don't know why, also good advice to e-mail nvlsp,I did, they informed me that they would make sure that my claim was included on nehmer list. Thanks for all info.

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