Hello. I’m in the early stages of the IDES process. I have a question about prescriptions. I have severe asthma that is controlled only with daily prednisone. I have notes from an allergist and pulmonologist saying that daily prednisone is needed and that they are prescribing the prednisone. Are those notes enough for the C&P exam or do I need to do more (print out from pharmacy, excel sheet with my current medications, or something else)? Thanks in advance for any assistance.
Prescriptions
- Thread starter FatherTime39
- Start date
Was your asthma present before you enlisted or is this something that was caused by service? That's really the defining characteristic of anything you want to claim. If it was caused by service, it needs to be documented the event/events that caused it for the VA to consider it service related.
It was definitely in service. I have a little over 20 years in. No asthma or breathing problems prior to service. Joined in 2004, started having issues in 2007, after an Iraq deployment. Since 2007 a bunch of ER visits and what not. I didn’t start seeing specialists until 2020 because medical believed it was nothing too serious. Since 2020 I have regular visits with a pulmonologist and allergist, documenting types of attacks and how often.
My concern is the medication side of it. Are the doctors notes enough or do I need to go over the top and get prescription records and what not. Thanks!
My concern is the medication side of it. Are the doctors notes enough or do I need to go over the top and get prescription records and what not. Thanks!
I printed out a list of prescriptions for my head to toe and didn't even need it since they had access to my prescriptions because I signed the release of medical records with my PEBLO. I'd get a list just in case but in my experience, I didn't have to have it because the doctor I went to was very in depth and thorough with his exam (I was there for like 3 and a half hours it was crazy how much he tested). Since your medical records are detailed and have a direct service connection I don't think you'd have any issues with the doctor examining you. Maybe someone else can chime in with their advice but that's just my two cents.
Thanks for your input and sharing your experience; I feel a bit better about it now. PeBlo has my in service records and just in case my civilian records weren’t sent over, I ran around and gathered all those and provided them as separate PDFs for each specialist.
What is your dosage for the daily prednisone? The CFR doesn't define what a "high dosage" is so I believe it's up to the examiner if they check that box. Also up to the rater if they classify your dose as "high dose". From what I've read, a high dose of prednisone is anything higher than 50mg. But I personally haven't seen anyone rated at 100% for asthma based on daily prednisone.
I'm in a similar boat. MEB process just started for asthma diagnosed after deployments last year.
I'm in a similar boat. MEB process just started for asthma diagnosed after deployments last year.
I’m at 40mg. Based on my search through Va case files, people with 20mg have been rated 100%. There is another post on here that explains “high dose” as not necessarily having a specific dosage tied to it.
ChaplainCharlie (another user) posted this from case law “The rating criterion does not define a "high dose" of corticosteroids. The supplemental information discusses
"high dose" in terms of a therapeutic dose without identifying in units per day or otherwise what that dose may
be. See 61 Fed. Reg. 46,720, 23 (Sep. 5. 1996). Absent such guidance, the Board will infer from the fact of the administration of the steroid therapy that it was prescribed
at a therapeutic level. Thus, looking from the present back to the effective date of the new rating criteria, the clear
long-term use of corticosteroid therapy is sufficient to establish that the veteran's disability is 100 percent disabling under the criteria effective from October 7, 1996.
38 C.F.R. § 4.97, Diagnostic Code 6602 (2002)."
ChaplainCharlie (another user) posted this from case law “The rating criterion does not define a "high dose" of corticosteroids. The supplemental information discusses
"high dose" in terms of a therapeutic dose without identifying in units per day or otherwise what that dose may
be. See 61 Fed. Reg. 46,720, 23 (Sep. 5. 1996). Absent such guidance, the Board will infer from the fact of the administration of the steroid therapy that it was prescribed
at a therapeutic level. Thus, looking from the present back to the effective date of the new rating criteria, the clear
long-term use of corticosteroid therapy is sufficient to establish that the veteran's disability is 100 percent disabling under the criteria effective from October 7, 1996.
38 C.F.R. § 4.97, Diagnostic Code 6602 (2002)."
I recommend you download the DBQ for your respiratory condition and complete the DBQ before your appointment with the VA examiner. The VA examiner should already have access to your medical records , including prescriptions. Do this for all contentions claimed on your VA claim.
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