Just started MEB/VA claim

I'm currently active duty ARMY stationed in Georgia. Since April of this year I started to have severe vertigo attacks multiple times a week and my hearing would come and go. I had to go to ER so much that eventually the ER doctors referred me to see the ENT and Audiology clinic. I eventually saw an ARMY ENT doctor and Audiologist in August who said it was all in my head because my hearing was "normal" at the time. My first hearing test at meps I had -5 or -10 across the board in both ears (better than perfect hearing) and now my hearing was 30db across all frequencies in my left ear. A pretty big jump but anything between 0-30 is considered "normal" according to them. Even though I told them my hearing would come and go during attacks they weren't even open to the possibility of early stage menieres disease. I continued to suffer these attacks so often that between attacks I would suffer terrible migraine headaches from the exhaustion. Eventually I was sent to a university to have an ENG/VEMP test done and another hearing exam. My results came back that my VEMP was borderline normal. My hearing test however came back surprising. I had severe to profound bilateral sensorineural hearing loss in BOTH ears with "good reliability" markers.

At this point, I took the results back to the ARMY ENT doctor. He was quite surprised, almost to the point of irate and demanded I retake the hearing exam. I retook the hearing exam and the same results from the university appeared. Profound hearing loss in both hears. He claimed that he didn't know if I had meneires disease because I had such a strong migraine history. He still couldn't explain the sudden profound hearing loss and drop attacks I suffer and said it was possible that I have menieres but that it could be migraine related. I was very pissed at this because to my knowledge migraines don't cause sudden hearing loss and drop attacks. A few days later an Army neurologist started an MEB for Migraine headaches. I was very dissatisfied with this because while I do suffer migraine headaches, I felt the meneires disease was the real culprit.

I did a little research and it just so happens that the university I was sent to had one of the best rated ENT doctors in the state of Georgia. She is a neurotologist who the ARMY sends patients to do invasive inner ear surgeries. Needless to say, I called her and asked if I could be seen by her and she agreed. She knew the Army ENT department I was seeing very well because they often refer patients to her. I showed her all of my records from the Army and hearing exams and she gave me the diagnosis of "Left sided Meneire's disease with drop attacks". She advised shunt surgery asap and prescribed me valium. I immediately sent these documents to my PEBLO and VA rep as well as to the ombudsmen and to of course the Army ENT clinic. Since I signed a 30 day extension to gather further evidence for my claim, these documents were uploaded in time with my claim.

I am quite relieved now but I still feel like something is going to go wrong and I might have to appeal. I had these symptoms for MONTHS but the Army did nothing until I complained enough. They tried to say it was a "benign" thing and would likely resolve on its own. What in the hell is "benign" about having a sudden drop attack and developing permanent profound hearing loss in both ears? I feel so betrayed and I would like to know what my next steps are. I'm sure I'm going to have to appeal this at some point or I will get lowballed.
 
I'm currently active duty ARMY stationed in Georgia. Since April of this year I started to have severe vertigo attacks multiple times a week and my hearing would come and go. I had to go to ER so much that eventually the ER doctors referred me to see the ENT and Audiology clinic. I eventually saw an ARMY ENT doctor and Audiologist in August who said it was all in my head because my hearing was "normal" at the time. My first hearing test at meps I had -5 or -10 across the board in both ears (better than perfect hearing) and now my hearing was 30db across all frequencies in my left ear. A pretty big jump but anything between 0-30 is considered "normal" according to them. Even though I told them my hearing would come and go during attacks they weren't even open to the possibility of early stage menieres disease. I continued to suffer these attacks so often that between attacks I would suffer terrible migraine headaches from the exhaustion. Eventually I was sent to a university to have an ENG/VEMP test done and another hearing exam. My results came back that my VEMP was borderline normal. My hearing test however came back surprising. I had severe to profound bilateral sensorineural hearing loss in BOTH ears with "good reliability" markers.

At this point, I took the results back to the ARMY ENT doctor. He was quite surprised, almost to the point of irate and demanded I retake the hearing exam. I retook the hearing exam and the same results from the university appeared. Profound hearing loss in both hears. He claimed that he didn't know if I had meneires disease because I had such a strong migraine history. He still couldn't explain the sudden profound hearing loss and drop attacks I suffer and said it was possible that I have menieres but that it could be migraine related. I was very pissed at this because to my knowledge migraines don't cause sudden hearing loss and drop attacks. A few days later an Army neurologist started an MEB for Migraine headaches. I was very dissatisfied with this because while I do suffer migraine headaches, I felt the meneires disease was the real culprit.

I did a little research and it just so happens that the university I was sent to had one of the best rated ENT doctors in the state of Georgia. She is a neurotologist who the ARMY sends patients to do invasive inner ear surgeries. Needless to say, I called her and asked if I could be seen by her and she agreed. She knew the Army ENT department I was seeing very well because they often refer patients to her. I showed her all of my records from the Army and hearing exams and she gave me the diagnosis of "Left sided Meneire's disease with drop attacks". She advised shunt surgery asap and prescribed me valium. I immediately sent these documents to my PEBLO and VA rep as well as to the ombudsmen and to of course the Army ENT clinic. Since I signed a 30 day extension to gather further evidence for my claim, these documents were uploaded in time with my claim.

I am quite relieved now but I still feel like something is going to go wrong and I might have to appeal. I had these symptoms for MONTHS but the Army did nothing until I complained enough. They tried to say it was a "benign" thing and would likely resolve on its own. What in the hell is "benign" about having a sudden drop attack and developing permanent profound hearing loss in both ears? I feel so betrayed and I would like to know what my next steps are. I'm sure I'm going to have to appeal this at some point or I will get lowballed.
Welcome to the PEB Forum! :)

In retrospect, since the DoD IDES MEB/PEB process is a performance-based system, one important factor is the impact of all medical conditions affecting the military service member's ability to "reasonably perform duties of his or her office, grade, rank or rating."

Each military department's first priority for military service members suffering from an illness or injury is to ensure delivery of the highest quality and proper medical attention. If the medical conditions improve to the point that the military service member is able to return to full military duty, then they are returned to their military unit.

Otherwise, despite the advances in modern medicine and the best efforts of patients, some military service members cannot be returned to full-duty status. In this event, it will be necessary for the military service member to be referred to the Integrated Disability Evaluation System (IDES). The IDES process begins whenever the military medical provider determines that the military service member's ability to continue their military service is questionable due to a physical and/or mental impairment.

As such, I would like to direct your attention to my PEB Forum URL thread for a detailed explanation about the entire DoD IDES process as follows:

http://www.pebforum.com/site/threads/a-detailed-explanation-of-the-dod-ides-meb-peb-process.22807/

To that extent, please remain "positively proactive" when progressing thru the DoD IDES MEB/PEB process! For sure, never default acceptance to any injustices; fight then continue to fight some more until receipt of your desired expectations supportive via medical evidence and/or medical documentation! Take care! :cool:

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer!"

Best Wishes!
 
Hey DV, I was having the same symptoms you have described. It started with the high frequency hearing loss after deployment in 2005. Other issues (tinitus, balance issues, headaches, fatigue and short term memory loss) increased in the past 3 years. Docs here in Springfield IL (I'm Fed Tech-Mday) couldn't figure out what was wrong so they finally just told me to go to MAYO Clinic. Well, Mayo looked at the same MRI's I had done in IL and found an Acoustic Neuroma (benign tumor). It increased in size from Dec 2013 to Dec 2014. I had surgery in Jan 2015 and again at my 3 month follow-up in April 2015 for a bacterial infection shown on the MRI. I just recently started the process of medical retirement using 3 other LOD's. It's going to be a fight to relate the tumor to deployment but It's a fight I'm willing to endure. Just thought I would share my situation as your symptoms seem very similar to what I'm going through. Good luck and take care of yourself. Jim
 
Hey DV, I was having the same symptoms you have described. It started with the high frequency hearing loss after deployment in 2005. Other issues (tinitus, balance issues, headaches, fatigue and short term memory loss) increased in the past 3 years. Docs here in Springfield IL (I'm Fed Tech-Mday) couldn't figure out what was wrong so they finally just told me to go to MAYO Clinic. Well, Mayo looked at the same MRI's I had done in IL and found an Acoustic Neuroma (benign tumor). It increased in size from Dec 2013 to Dec 2014. I had surgery in Jan 2015 and again at my 3 month follow-up in April 2015 for a bacterial infection shown on the MRI. I just recently started the process of medical retirement using 3 other LOD's. It's going to be a fight to relate the tumor to deployment but It's a fight I'm willing to endure. Just thought I would share my situation as your symptoms seem very similar to what I'm going through. Good luck and take care of yourself. Jim

Hey Jim thanks for the reply! Did you experience any head trauma or noise exposure on your deployment? Did you have an MRI done anytime before deployment? Shouldn't be too hard to connect it to service. The burden of proof is on them.
 
I had to fight like hell with these Army doctors to get them to take my condition seriously. First they said it was benign. Then I was malingering. Then I was overstating symptoms. Then when my hearing loss became permanent they tried to dismiss it and call it "Migraines". They spent more time telling me I was either full of shit, faking it, malingering, or it was all in my head instead of actually treating me. My condition got much worse to the point I now have to use a cane at times to get around and I'm in my early 20's. They wouldn't prescribe me any medication worth a damn and I finally had had enough and went to real doctor and she was a godsend. I couldn't believe the contrast. She listened to me, gave me everything I needed and found out exactly what the issue was. The Army never issued me any kind of profile even tho my balance was so bad I couldn't do PT without falling down and stumbling everywhere. I kept having random drop attacks and hurting myself from the falls.
 
Hey Jim thanks for the reply! Did you experience any head trauma or noise exposure on your deployment? Did you have an MRI done anytime before deployment? Shouldn't be too hard to connect it to service. The burden of proof is on them.
No head trauma or prior MRI, but yes with noise exposure (generators for tents) for a year. I've talked with the VA and the rep gave me info on history of medical issues for Soldiers being stationed in areas of the Middle East and seemed confident in a claim. I just have to see what DOD thinks about it. One of the biggest signs of the type of tumor I had is the frequency hearing loss. It was normal in 2003, deployed 2004-2005, next hearing exam 2006 showing significant change. Always thought it was just age (42) and exposure to loud noises. Have you had an MRI done? Diagnosis? Thanks! Jim
 
Hey DV, I was having the same symptoms you have described. It started with the high frequency hearing loss after deployment in 2005. Other issues (tinitus, balance issues, headaches, fatigue and short term memory loss) increased in the past 3 years. Docs here in Springfield IL (I'm Fed Tech-Mday) couldn't figure out what was wrong so they finally just told me to go to MAYO Clinic. Well, Mayo looked at the same MRI's I had done in IL and found an Acoustic Neuroma (benign tumor). It increased in size from Dec 2013 to Dec 2014. I had surgery in Jan 2015 and again at my 3 month follow-up in April 2015 for a bacterial infection shown on the MRI. I just recently started the process of medical retirement using 3 other LOD's. It's going to be a fight to relate the tumor to deployment but It's a fight I'm willing to endure. Just thought I would share my situation as your symptoms seem very similar to what I'm going through. Good luck and take care of yourself. Jim
Welcome to the PEB Forum! :)

Indeed, fight if it's not right; that's always been my official stance! ;) Take care and I hope for much success! :cool:

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer!"

Best Wishes!
 
Thank you Warrior644, I appreciate the support! Jim
No worries, and you are quite welcome too! :)

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer!"

Best Wishes!
 
Dont give up, i was failing PT tests because of a eustchian tube stuck open and felt like left was down, i had to do the same thing and go to a specialist few years down the road and im about to retire
 
No head trauma or prior MRI, but yes with noise exposure (generators for tents) for a year. I've talked with the VA and the rep gave me info on history of medical issues for Soldiers being stationed in areas of the Middle East and seemed confident in a claim. I just have to see what DOD thinks about it. One of the biggest signs of the type of tumor I had is the frequency hearing loss. It was normal in 2003, deployed 2004-2005, next hearing exam 2006 showing significant change. Always thought it was just age (42) and exposure to loud noises. Have you had an MRI done? Diagnosis? Thanks! Jim

That shows SOMETHING occurred during your deployment. I'm not sure what exactly causes an Acoustic Neuroma but I'm willing to bet noise exposure has something to do with it. I have had an MRI done and it was negative. I have been diagnosed with Left sided Meniere's Disease with drop attacks.
 
That shows SOMETHING occurred during your deployment. I'm not sure what exactly causes an Acoustic Neuroma but I'm willing to bet noise exposure has something to do with it. I have had an MRI done and it was negative. I have been diagnosed with Left sided Meniere's Disease with drop attacks.
Thanks for the reply, yeah, they don't really know what causes this type of tumor. Hopefully it will work out at the end of this long road ahead. Good luck to you and care! Jim
 
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