Aggravation

Ok. Now I've got something to sink my teeth into. See Citation Nr: 21047063 08/02/21 Docket No. 17-08237 Archive date August 2, 2021 for this verbiage: "...his bipolar Disorder was at least as likely as not aggravated beyond its natural progression by his service connected tinnitus. A psychologist opines that it was at least as likely as not that his bipolar disorder is at least as likely as not proximately due to his traumatic experiences in service. Wow! Talk about bombshells. Holy shit. So it now turns on whether the experiences I had in service, or military service alone at least as likely as not worsened or aggravated my bipolar disorder. I have tinnitus as well. And the rules provide for there having to be evidence of the normal progression of the disease not of it worsening beyond that due to events in service. Or that the events I experienced in service are related to my current symptoms or diagnosis. As far as the unestablished fact that it is related to service? That point is moot. Stressful life events can unleash the Bipolarity beast or have long term effects on the severity of my bipolar disorder. It's now Schizoaffective Disorder Bipolar Type. I'm no doctor so my opinion as to this hair splitting is afforded zero weight as it's incredible. It looks like im in pretty good shape because even if it was preexisting and that's proven by VA then SC can be granted on the basis of aggravation of a pre-existing condition such as my bipolar. A springboard diving accident that has resulted in crippling orthopedic infirmities, a car accident, in flight emergencies as a flight engineer, divorce, security investigation, SERE/POW schools, water survival and so on. Hell, the nature of service itself probably increases the severity beyond the natural progression and do recall that there must be an affirmative showing by evidence there was only a natural progression. I know, it seems like the the statute has it backwards. So a supplemental claim with new evidence both medical and lay will trigger yet another C&P Exam. All I have to do is ask my treating VA Shrink to write another Nexus letter and I'll have new and relevant evidence which may, by itself or with all the other evidence of record, has a reasonable chance of substantiating a substantially complete claim. A C&P Exam would pretty much complete the claim. My Shrinks letter pry isn't necessary to trigger VA's Duty to Assist requirement which includes a VA Exam by a psychiatrist. So it seems that the QTC examiner opened the door up for me. She can't, logically, say it is not at least as likely as not that my Bipolarity is related to service because she said it predated service. Heretofore, the VA machine said that my service psychiatric profile was normal and the first mention of bipolar was in April of 2003 by Sandy Stearns, ARNP at the Knoxville, Iowa VA hospital. So I avoid a yes it is no it isn't yes it is back and forth fucking nonsense. Meaning my Nexus Opinion is better than yours. Oh yeah, I'll see you two of those and raise you one scenario. So by default, then, VA and the QTC examiner must capitulate and agree that bipolar is related to Bipolar. Symptoms began before service rather than after as previously postulated by VA in later claims for the same affliction. Or a similar one. She didn't opine that my sx or dx are not related. Well, my feet are Uber swollen so I'm gonna go put them up and relax. Thanks for reading what I wrote. Ciao