OSA Secondary to Sinusitis in VA Disability | All You Need To Know

[@bmoreboy7321]

I was just granted OSA secondary to asthma. I am now 💯 p&t. Leah I would like to thank one of your team members Paul Dennis who wrote my Nexus. He wrote my Nexus connecting my OSA to my allergic rhinitis and my asthma. The VA chose to connect my OSA to my asthma.

[@prestigeveteranmedical]

That is awesome sir! Thank you so much for trusting us to assist! If you get time send Paul and email I am sure he would be happy to hear about this

[@Sal_Joy]

Read your comment and I am currently awaiting decision for OSA secondary to asthma, rhinitis, sinusitis, hypertension, and GERD. Paul Dennis PA-C wrote my Nexus as well, my question to you is did the VA combined the OSA and asthma rating as one? How long did your decision take? Thank you in advance.

[@SnipesRuntheNavy]

I got denied lmfao a few months back for osa secondary to Chronic sinusitis at which I got at 30% and Allergic rhinitis at 10%

[@prestigeveteranmedical]

@@SnipesRuntheNavy I am very sorry to hear this sir

[@bmoreboy7321]

​@@Sal_Joy Paul wrote my nexus in February 2023 and I was service connected December 1st 2023

[@cliffanderson7127]

Thanks I am going through a recent denial of sleep apnea myself

[@prestigeveteranmedical]

I am sorry to hear this and thank you for watching

[@grenadespoon]

I’m working through a denial myself

[@siddkid3169]

You're the BEST...BLESSINGS to your family 😊

[@prestigeveteranmedical]

You are the best my friend! Blessings to you and yours as well my guy!

[@georgebanks8804]

Thank You I Always Pass On Your Information To Veterans In My DAV Chapter. 🤙

[@prestigeveteranmedical]

Great! Thank you for watching

[@LTZ_Z71]

Thank you for this video. I had a sleep study as directed by the VA and OSA was confirmed and the attending physician suggested a CPAP; however, the VA denied my claim for direct service connection. I will be resubmitting as a secondary IF my appeal is denied. This is so frustrating!

[@prestigeveteranmedical]

Thank you for watching and I am sorry to hear this

[@socomao3]

Was denied service connection with your alls private DBQ & Nexus for OSA secondary to my SC rhinitis 😢

[@prestigeveteranmedical]

I am sorry to hear that sir. Have you followed up with a legal professional on this?

[@socomao3]

@@prestigeveteranmedicalI received 100% P&T already. So I’m not going to pursue it

[@prestigeveteranmedical]

@@socomao3 That makes sense but if there is back pay involved might be worth looking at with an attorney since they dont get paid unless you do!!

[@donwhigham2244]

Awesome video great information well done

[@prestigeveteranmedical]

Thank you for watching!!

[@umojaselassie6649]

As always good information! thank you beloved.

[@prestigeveteranmedical]

Thank you for watching!

[@BrentGilbreath]

I would like to have the Italian article forwarded. Thank you in advance

[@prestigeveteranmedical]

Unfortunately I am not able to forward articles but you should be able to do a basic internet search based upon the title and publication

[@orlandocalhoun9752]

Very informative. Thank you for sharing this with us.

[@prestigeveteranmedical]

Glad it was helpful! Thank you for watching

[@Every0ne.luv.lana0]

Great information thanks

[@prestigeveteranmedical]

Thank you for the feedback and thank you for watching

[@wkwmobile]

Thanks for all you do Leah, greatly appreciate it by all of us. Was denied sleep apnea direct. Now that the VA has provided a CPAP device should I go back and try sleep apnea as a secondary to either my migraines or tinnitus rating?

[@prestigeveteranmedical]

Hey sir thank you for the kind feedback. I am sorry to hear about your denial. You would need to show how your tinnitus of migraines caused the sleep apnea and that may be difficult. Best of luck to you and keep us posted

[@thp510]

I had a great letter written by Leah's office. However, I think OSA is just plain impossible unless you have an asthma service connected disability, as that seems to be the only one that gets secondary these days. I was denied OSA secondary to PTSD, secondary to Sinusitis, secondary to Chronic Rhinitis, and secondary to Lumbar pains. So disheartening. The denials all spoke about how nothing preventing me from dieting (reducing choleric intake) and that all the literature that the C&P examiner was referencing did not associate OSA with either of the other secondary conditions. They literally wrote, "...The VA examiner states current medical literature has not established a direct correlation between obesity and the service connected condition". That's it. No counter literature reference needed as proof. It seems like that little sentence right there from the examiner is all they need to say to disapprove any secondary claim. Crazy. Good luck to everyone out there and keep up the fight. Unfortunately it's an uphill battle.

[@prestigeveteranmedical]

That is terrible sir. Please send me an email to [e-mail] if you would like to discuss further

[@tommyo1000]

I had a similar experience ... ALL of the medical evidence for OSA secondary to CRS "Chronic Rhinosinusitis" (including sleep study with diagnosis, ENT doctor diagnosis, a supporting letter from my ENT doc with a professional specialist opinion that CRS is a definite risk factor and likely cause of my diagnosed OSA, and medical literature confirming a link/connection between OSA and CRS), however because the VA medical examiner who reviewed the case opined that CRS does not cause OSA and/or there is no link between the two, my case was denied ... so yes, it is a difficult process ... sometimes I feel that you need to get lucky and catch the VA examiner on a good day 🤷🏼‍♂️

[@JackBaiamonte]

I'm at 30 for CS and AR and putting in for sleep apnea

[@prestigeveteranmedical]

Best of luck to you sir

[@JackBaiamonte]

And have a VA appointment for sleep apnea clinic

[@prestigeveteranmedical]

Thank you for watching!

[@shootintheshtpodcast]

Ok so I recently got my rating in my left and right foot for plantar fasciitis. They gave me 10% for both feet, but didn’t do bilateral. Why not? I can’t walk most days, and insoles do not help.

[@prestigeveteranmedical]

I am sorry to hear that sir. I am not really sure that is a question best suited for a legal professional

[@zee55887]

What about toxic expsoure???

[@prestigeveteranmedical]

Toxic exposures have been known to cause rhinitis and sinusitis

[@nickmcroberts8484]

I’m trying to file OSA secondary to sinusitis. Would I be able to get links to all those articles especially the Italian one?

[@prestigeveteranmedical]

Hey sir my blog has a few of the links: prestigeveteranmctx.com/obstructive-sleep-apnea-and-allergic-rhinitis-in-veterans-disability/

[@davidbrandstatter4643]

Leah, I would appreciate your thoughts on this...would it be better to file a claim for OSA secondary to Allergic Rhinitis or secondary to Sinusitis? Or secondary to both Allergic Rhinitis and Sinusitis? Thanks in advance for your comments. Keep up the good work you're doing for vets. David

[@prestigeveteranmedical]

Hi sir it really just depends on what is causing or worsening it. If it is both things I would include all of it in an opinion of course. Thank you for watching and for your support. Best of luck to you

[@davidbrandstatter4643]

Thank you for your very timely reply :) When I have completed gathering my evidence, docs, etc., is this something you could assist me in preparation of a medical opinion and/or nexus letter?

[@prestigeveteranmedical]

@@davidbrandstatter4643 Possibly! Please reach out to us at [e-mail] whenever you are ready

[@user-tr8rg1xg9e]

Do you have links for the medical journals or research you discussed in the video?

[@prestigeveteranmedical]

I do not. I just look them up whenever I need to use them

[@user-tr8rg1xg9e]

Nice! I'll search for them. 👍 ​@@prestigeveteranmedical

[@alanbrown2135]

Can a rhinitis breathing test cause a sinusitis flare up

[@prestigeveteranmedical]

I am not to sure about that sir. Thank you for watching as always =-)

[@michaelmcdonald790]

I was just denied OSA secondary to service connected Chronic Sinusitis . I also have service connected Asthma and Rhinitis. They gave me a C and P exam that I didn’t have to go to and never talked to the examiner ever . Not sure how they come up with a denial but here I am. Not sure what to do next. Any help would be appreciated .

[@prestigeveteranmedical]

I am very sorry to hear this sir. If you need help with your appeal you will want to reach out to an accredited VA legal professional. If you are looking for a nexus letter please reach out to us at [e-mail] and we can get you some info

[@xassiel]

Did you have a nexus letter ?

[@jollygreen4662]

Ya I am OSA, rhinitis, & Sinusitis, all 3 max% and hypertension 0%

[@prestigeveteranmedical]

Great to hear sir. Thank you for watching

[@user-tr8rg1xg9e]

Where did you get your Dr. Evil leather chair?

[@prestigeveteranmedical]

Restoration Hardware... second hand on craigslist =-)

[@georgemaxwell3467]

Can Dermatitis be secondary to Sinusitis and Rhinitis? Heard that it could thru the Pact Act...

[@prestigeveteranmedical]

I am not sure about that sir. Best of luck to you and thank you for watching

[@georgemaxwell3467]

@@prestigeveteranmedical thanks 😊

[@moddedmedia415]

I was rated for both sinusitis, rhinitis and recently diagnosed with moderate sleep apnea. Now just don’t know how I’m going to link my sleep apnea as a secondary cause. My VA doctor doesn’t want to connect the two.

[@prestigeveteranmedical]

I’m sorry to hear that. Thank you for watching.

[@tommyo1000]

Apparently, she doesn't want to comment....but I am currently going through the same thing, only my Otolaryngologist or ENT (Ear, Nose, and Throat) doctor was more than willing to write me a letter linking the two ... unfortunately for me, it was the opinion of the VA examiner that there is NOT a link between chronic rhinosinusitis and OSA, so my claim was denied ... I plan to formally disagree with the decision and re-submit with massive amounts of medical literature/articles (like the ones she mentioned) that show there IS a connection between the two ... Question: Did you do a formal sleep study? You just said that you were diagnosed with mild sleep apnea, but didn't mention an actual sleep study...if not, you won't get anywhere without one. From what I've read, you can do an "at home" study but those do not carry as much weight as an official, formal test...My advice to you is this: do your research and get as much medical literature as possible and show it to your doctor...go to a specialist if you have to, but you NEED that letter of support from a doctor. And if you run out of options, you can always pay a service to help you. Yes, it's expensive, but think of it as a long-term investment...hope that helps in some way

[@moddedmedia415]

@@tommyo1000 yes I had a sleep study done by the VA. That’s how i was diagnosed. But now need a nexus so i can claim it as a secondary condition to either ptsd or sinusitis or rhinitis.

[@shaguito87]

I had a claim for asthma and was awarded 0% for it under small airway disease and had OSA as the secondary but was denied. I also had chronic sinusitis awarded at 0% under the PACT Act. Am I able to try OSA as secondary to chronic sinusitis even though it's at 0%?

[@prestigeveteranmedical]

If you believe it is related you can certainly try. Best of luck to you

[@terrybrown9640]

question for you. I just had GERD, Sleep Apnea, and Migraines denied, I have diagnosis for each, had nexus for secondary to severe sinusitis currently 50%. They originally didnt send me to a C&P, then after it was in for decision decided to have me do a Phone call C&P for TERA, then denied stating no primary service connection yet I asked for secondary. I got my nexus from you for each. Why would they deny me primary when I'm secondary

[@prestigeveteranmedical]

I am not sure sir it sounds like they did an exam request for primary/TERA. Are you working with a legal professional?

[@terrybrown9640]

@@prestigeveteranmedical not yet, my other stuff got me too 100% p&t but seemed odd that they did tera and denied as primary when I submitted a nexus from you secondary to sinusitis

[@prestigeveteranmedical]

Hard to say but if they did an exam request and only ordered a primary opinion that could be why @@terrybrown9640