Exhausted every resource pcm is worthless

SeanC

PEB Forum Regular Member
Registered Member
Ill try and make this as clear as possible. I've been experiencing pain in joints and tissue for about 3 years and sleepiness with fatigue for about 8. Just recently the sleep has gotten bad. I was diagnosed with Severe Fibro and secondary hypersomnolence as well as severe sleep apnea. Pulmonary instructed me 6 months ago Id have to get out based on the need for a stimulant with the APAP. They wrote in my medical record that I have secondary hypersomnolence and had been councled that I need to be separated for the hypersomnolence as well. Long story short a P3 hit for my fibro and my narsum has been started as well as QTC appointments. Pulmonary refuses to do a p3 because its a secondary symptom but everyone keeps telling me I need the p3 and its for the restrictions which severely hinder my life, family, and ability to get a job in the future. The Ides Doc also said its wrong that my migraines and ibs got rolled up under fibro. I'm told by the VA I shouldn't worry but when I met the Ides Doc he never asked me about my mos, limitations or anything he just talked about himself. My PCM refuses to update any old p2's (had one for wearing a wrist brace in uniform) or do any p3s despite what my medical records reflect. I've tried COC, Patient Advocate, and Ohmbudsme. Problem is everyone says use the umbudsman and that my situation is nuts but the Ohmbudsman have all been out on leave for 2 plus months due to illness. Ive been told I shouldn't worry because the fibro will get me over 40% and va will take care of me. My biggest worry is that the hypersomnolence requires that I have a regimented sleep schedule and medication and I'm going to need that when I'm out. I really don't feel like going the congressional route though. Anyone know who else can add a p3 besides pcm based of medical records?

To add to it Neuro Psych found that I have cognitive imparement but no one wants to add that to a p3 because no one wants to attach it to anything. I can't think of a mechanic that should work on aircraft with a memory issue, can't muti task, etc.. lol Anyone have experience with severe sleep apnea? I have some central but mostly hypopnea, high co2 in my blood, and anon gap, and still some how have 300 plus unexplained arousals at night that pulmonary ignored. I'm kinda feeling like that's the cause of the hypersomnolence but I'm no doc.
 
Ill try and make this as clear as possible. I've been experiencing pain in joints and tissue for about 3 years and sleepiness with fatigue for about 8. Just recently the sleep has gotten bad. I was diagnosed with Severe Fibro and secondary hypersomnolence as well as severe sleep apnea. Pulmonary instructed me 6 months ago Id have to get out based on the need for a stimulant with the APAP. They wrote in my medical record that I have secondary hypersomnolence and had been councled that I need to be separated for the hypersomnolence as well. Long story short a P3 hit for my fibro and my narsum has been started as well as QTC appointments. Pulmonary refuses to do a p3 because its a secondary symptom but everyone keeps telling me I need the p3 and its for the restrictions which severely hinder my life, family, and ability to get a job in the future. The Ides Doc also said its wrong that my migraines and ibs got rolled up under fibro. I'm told by the VA I shouldn't worry but when I met the Ides Doc he never asked me about my mos, limitations or anything he just talked about himself. My PCM refuses to update any old p2's (had one for wearing a wrist brace in uniform) or do any p3s despite what my medical records reflect. I've tried COC, Patient Advocate, and Ohmbudsme. Problem is everyone says use the umbudsman and that my situation is nuts but the Ohmbudsman have all been out on leave for 2 plus months due to illness. Ive been told I shouldn't worry because the fibro will get me over 40% and va will take care of me. My biggest worry is that the hypersomnolence requires that I have a regimented sleep schedule and medication and I'm going to need that when I'm out. I really don't feel like going the congressional route though. Anyone know who else can add a p3 besides pcm based of medical records?

To add to it Neuro Psych found that I have cognitive imparement but no one wants to add that to a p3 because no one wants to attach it to anything. I can't think of a mechanic that should work on aircraft with a memory issue, can't muti task, etc.. lol Anyone have experience with severe sleep apnea? I have some central but mostly hypopnea, high co2 in my blood, and anon gap, and still some how have 300 plus unexplained arousals at night that pulmonary ignored. I'm kinda feeling like that's the cause of the hypersomnolence but I'm no doc.

What is a P2? P3?

40% is THE highest rating you'll receive from VA for fibromyalgia--that's the cap by law.

If you apply for fibromyalgia, make sure you're seen by a rheumatologist. I think you also have to have a mental work-up. Get the fibro DBQ and read it.

Traditionally, PEBs don't find sleep apnea unfitting. "Sleep apnea is a treatable condition and therefore is not considered unfitting per se." Good luck with that.

If you're being boarded for hypersomnolence, get the Chronic Fatigue Syndrome DBQ and read it.

IMHO, don't waste your time writing your Congressman. The PEBs have lawyers whose job it is to tell Congressmen to go away and leave them alone, and they're under no obligation to tell the Congressman the truth. The Congressman will write you back: "Sorry, I tried." Try an IG complaint. Also, contact DAV, VFW, AmerLeg, etc.
 
I alright have the full work up neuro psych etc... They gave me the fibro as severe. My issue is that the IDES Doc said I'm being screwed because my medical file has hypersomnolence, cognitive issues that are memory and attention issues, and severe migraines. The hypersomnolence is so severe I cant do pt I wake up at 7 go to work after I pop 2 pills then sleep 2 hours at lunch with 2 more pills then sleep at 1800 then in bed by 2130 again. I have sleep attacks and sleep paralysis. Any type of physical activity makes it worse and I crash out. I went from a marathon runner to cant drive or function. My pulmonary doc says Ill need the meds and naps to function for the rest of my life and I wont be able to work but wont write a p3. he keeps redoing the p2. Now my PCM currently denies me any type of treatment or referals, this is after I fired my pervious doc who I met 3 times because he got mouthy with my wife because he tried to deny her accompanying me to an appointment. I've been trying to get my p2s updated now for a year. I'm being told by hospital staff and other docs to contact my congressmen because based on the info they have I could slam dunk a law suit if I was legally able to sue. My biggest issue is I just want the damn p3 so when I hit the va I can continue my medication and naps and get care if I cant find employment due to the issue. The sleep apnea is medboardable when you have an apap and stimulant, that's big armys rule I tried to avoid it. I just don't like the fact that I'm in a medboard and my pcm has refused to update my profiles or document any care over the last 6 months. I made sure to say" so you are denying me care?" they said yes but then paused. I said Id like a referral off post and was told no. The patient advocate and legal both said theyre in deep shit but I have to push it higher
 
I alright have the full work up neuro psych etc... They gave me the fibro as severe. My issue is that the IDES Doc said I'm being screwed because my medical file has hypersomnolence, cognitive issues that are memory and attention issues, and severe migraines. The hypersomnolence is so severe I cant do pt I wake up at 7 go to work after I pop 2 pills then sleep 2 hours at lunch with 2 more pills then sleep at 1800 then in bed by 2130 again. I have sleep attacks and sleep paralysis. Any type of physical activity makes it worse and I crash out. I went from a marathon runner to cant drive or function. My pulmonary doc says Ill need the meds and naps to function for the rest of my life and I wont be able to work but wont write a p3. he keeps redoing the p2. Now my PCM currently denies me any type of treatment or referals, this is after I fired my pervious doc who I met 3 times because he got mouthy with my wife because he tried to deny her accompanying me to an appointment. I've been trying to get my p2s updated now for a year. I'm being told by hospital staff and other docs to contact my congressmen because based on the info they have I could slam dunk a law suit if I was legally able to sue. My biggest issue is I just want the damn p3 so when I hit the va I can continue my medication and naps and get care if I cant find employment due to the issue. The sleep apnea is medboardable when you have an apap and stimulant, that's big armys rule I tried to avoid it. I just don't like the fact that I'm in a medboard and my pcm has refused to update my profiles or document any care over the last 6 months. I made sure to say" so you are denying me care?" they said yes but then paused. I said Id like a referral off post and was told no. The patient advocate and legal both said theyre in deep shit but I have to push it higher

Sleep apnea may be "boardable," but it is rarely, if ever, "unfitting." The PEB will find you "fit" for sleep apnea and return you to duty, where you will be AdSepped for misconduct, failure to deploy, or personality disorder.

Get the sleep apnea DBQ and read the sleep apnea VASRD to assess your symptom level. If it's more than 50%, you MAY have a shot.

"Hypersomnolence" is not a 38 CFR condition. "Chronic Fatigue Syndrome" is. Get the DBQ and read the VASRD.

You will want to take care to separate your sleep apnea from your chronic fatigue syndrome. They're two different conditions, and you should get two separate ratings. If they just say your fatigue is a symptom of your sleep apnea, you're losing money.

Right after you write your Congressman, file an Army IG complaint.
 
Ya that's the problem. Pulmonary says that sleep apnea isn't boardable but is when a stimulant is needed. the Hypersomnolence though is bad. Untreated I can drive at all and get sleep attacks at work. The Va assures me I'm looking at 100 my only worry is the ides doc saying I'm being screwed. I also came up wacky for a ton of anti bodies for lyme and mono but no one wants to touch that. Ive been saying severe chronic fatigue syndrome all along but no one except behavioral health wants to say that's what it is. excersise makes me crash big time which sucks
 
Ya that's the problem. Pulmonary says that sleep apnea isn't boardable but is when a stimulant is needed. the Hypersomnolence though is bad. Untreated I can drive at all and get sleep attacks at work. The Va assures me I'm looking at 100 my only worry is the ides doc saying I'm being screwed. I also came up wacky for a ton of anti bodies for lyme and mono but no one wants to touch that. Ive been saying severe chronic fatigue syndrome all along but no one except behavioral health wants to say that's what it is. excersise makes me crash big time which sucks

Sean, it does NOT matter what this person or that person "says." You have to start being your own best advocate, because the "system" WILL let you down. I assure you, nobody cares about you more than you care about you. Both the Army and the VA would just prefer you go away: you'd save them a ton of work and a ton of money. Invest in yourself and your future by making the Army and the VA do what they're supposed to do. When they don't, raise hell.

There is a DBQ for Infectious Diseases. I know lyme is on there, pretty sure mono is too. YOU have to get these DBQs and fill them out and find a doctor to sign them. If your PCM won't sign, find a doctor who will.

You need to learn how to speak "disability." For example, you can say "my knee hurts like hell." Or, you can say "the cartilage in my knee frequently dislocates, causing pain, swelling and locking in the knee." One of these statements will get you a rating, the other one won't.
 
lol I get that. My problem is my pcm retired and the new one is denying me care and refuses to transfer me or let me refer for second opinion. The hospital says this is fucked but to what for the ombudsman to get back. The va side I'm not worried about theyre being awesome. Its the Ides army doc that says his hands are tied due to my pcm
 
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