IPEB RESULTS CAME BACK TODAY!!!!

VA CODE 9411--PTSD--50% UNSTABLE
VA CODE 6847--SLEEP APNEA--50% STABLE
VA CODE 8045--TBI--40% UNSTABLE
VA CODE 5240--ANKYLOSING SPONDYLITIS--10%

TOTAL 90% TDRL.

I am very happy with the outcome. I was wondering though. If my sleep apnea is 50% stable, wont I eventually become permanent just on that alone? I want to thank this website for all the information you provided during my process. Now I just need to sign my 199 and move on with my life. Thanks again
 
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Good news and best wishes for you. Logic would say yes regarding sleep apnea however you will have to revisit all these issues in about 18 months during you TDRL review. I just don't have enough confidence in the system to say that the findings will be the same as today. That being said you need not focus on something down the road and just take what you have and do whatever you can to improve your own health and well being between now and then. If you have not already done so get a VA claim going quickly because there are manyn benefits available to you.

fdm
 
EOD123 said:
VA CODE 9411--PTSD--50% UNSTABLE
VA CODE 6847--SLEEP APNEA--50% STABLE
VA CODE 8045--TBI--40% UNSTABLE
VA CODE 5240--ANKYLOSING SPONDYLITIS--10%

TOTAL 90% TDRL.

I am very happy with the outcome. I was wondering though. If my sleep apnea is 50% stable, wont I eventually become permanent just on that alone? I want to thank this website for all the information you provided during my process. Now I just need to sign my 199 and move on with my life. Thanks again
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Many congrats to you!!

I am assuming by this that the AF found sleep apnea to be an unfitting "stable" condition? I am just skeptical of the way the AF treats SA at the IPEB and wondering if they'll try to pull a fast one on a re-eval. I hope not. Maybe there's hope after all...

Nate
 
It looks like they failed to rate your Ankylosing Spondylitis per VASRD 5002. Is the condition still active? Not a big deal with a 90% overall but maybe important on TDRL review. Are you in the pilot program?

Mike
 
EOD,

I do have a question for you. Did you get to see your NARSUM before it was submitted? How was your Sleep Apnea covered in there? I'm curious because you have nearly identical issues to me, although I am AF, but I know a lot of time the military does not find Sleep apnea unfitting. I am going through the VA exams (pilot program) right now. So, a goal of mine is to go the IPEB to find the apnea unfitting and stable (as it should be).

Nate
 
I did get to see the NARSUM before it was submitted. My MED board DOC stated that my sleep apnea most likely has been undiagnosed for a year or two, but that with all of my other conditions, he said the sleep apnea would most likely stay the same for a while in the future. My sleep apnea is pretty bad. I think the report said something like 62 times I would wake up from apnea while sleeping in an hour, and my oxygen level would hover around 82-85% without a cpap machine. My pressure is set on 14 psi right now and it seems to be doing the trick. As for my Ankylosing Spondylitis. I dont know why they didnt rate me under 5002 code, but in my NARSUM, the MED DOC actually stressed to the PEB that this would be one of my diagnoses that would cause me more trouble in the future. Another thing I dont understand about AS is that I have six years in the Army, not eight. I was not expecting them to even rate that because of the year mark, unless they concluded that my military service had aggravated that disease. Any other questions I would be more than happy to answer. My experience through this process has had its bumps, but for the most part in ran smoothly.
 
Just wanted to thank everyone on this site who has given my hubby and I advice over the last several months. Finally got his rating back from the IPEB yesterday. TDRL 70% was the outcome. 50% for PTSD (30% finding but payable at 50%) 20% DDD for back 10% each shoulder for limited range of motion. We were pleased with the outcome. It only took about 9 months from the start of his MEB till the rating lol
 
Interesting. My OSA is servere at 66+ plus episodes cpap 15psi. My Doc that sent me for my sleep studies etc said a profile wasnt needed because the cpap takes care of the issues. I told him that acording to army regs I should be given a profile. He said no. I brought it up to the nurse practitioner who did my MEB part 2 physical. She annotated that since I didnt have a profile for the OSA that it met retention standards. My problem with this is that now my sleep apnea is listed as meeting standards even though according to regs it isnt.(?) Should I disagree with my NARSUM and say it should be under not meeting standards? OR leave it go because the army IPEB probably won't rate me for it anyways?
 
NEOSPY,

I think it is a judgment call, but one I would not make without considering all of the facts of your case (your likely other ratings, your years of service, your grade, etc.). On the one hand, it is likely that you would not be rated for OSA. But, in the future, you may be able to challenge this decision. One question is what error would you challenge. If they do not include OSA in your MEB, that is one thing you could challenge. If they do include it, and the PEB does not find it unfitting, that is something you could challenge. Omission of consideration of the issue at either level would be an error. It gets quite complex as to what level an omission is better to challenge, though, I tend to think there may be an issue with your agreement of the MEB being an accurate evaluation of your conditions. So, that tends to support challenging now the omission at the MEB.
 
Thanks Jason. The IPEB only looks at conditions that the MEB finds to be not meeting retention standards? I mean do they even look at the ones listed as meeting standards? I see your point about challenging now. Just trying to get as much info to make that descision.Thanks again.
 
I wanted to comment on the OSA issue. My MEB listed my OSA as severe but still meeting standards. When I got my PEB results back it stated that even though my OSA was listed as meeting standards THEY STILL LOOKED AT IT. They stated it wasn't mentioned in my commanders statement so they went along that it must not be hindering my ability to function in the military. Just wanted to say that the commanders statement must carry tremendous weight compared to objective medical evidence.
 
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