I had this C&P exam back in January 2016, I have not yet received a rating for this exam. Currently, I'm at the baseline 30% for Parkinson's which I was given when I won my case at the BVA in July 2015. Does anyone have a guess to what my new rating will be? Once I receive my new rating I will update this post.
1. Diagnosis
Does the Veteran now have or has he ever been diagnosed with Parkinson's
disease (Paralysis Agitans)? Yes
ICD Code: G20
Date of Diagnosis: 11/2011
2. Dominant hand: Right
3. Motor manifestations due to Parkinson's or its treatment (check aII that apply)
Stooped posture
[X] None [ ] Mild [ ] Moderate [ ] Severe
Balance Impairment
[ ] None [ X] Mild [ ] Moderate [ ] Severe
Bradykinesia or slowed motion (difficulty initiating movement " freezing, " short shuffling steps)
[ ] None [X] Mild [ ] Moderate [ ] Severe
Loss of automatic movements (such as blinking, leading to fixed gaze; typical Parkinson' s faces)
[ ] None [ ] Mild [X] Moderate [ ] Severe
Speech changes (monotone, slurring words, soft or rapid speech)
[ ] None [X] Mild [ ] Moderate [ ] Severe
Tremor (characteristic hand shaking, "pill-rolling")
[X] Yes [ ] No
Extremities affected:
Right Upper:
[ ] Not affected [ ] Mild [ ] Moderate [X] Severe
Left Upper:
[ ] Not affected [X] Mild [ ] Moderate [ ] Severe
Right Lower
[ ] Not affected [ ] Mild [X] Moderate [ ] Severe
Left Lower
[ ] Not affected [X] Mild [ ] Moderate [ ] Severe
Muscle rigidity and stiffness
[X] Yes [ ] No
Extremities affected:
Right Upper:
[ ] Not affected [ ] Mild [ ] Moderate [X] Severe
Left Upper:
[ ] Not affected [ ] Mild [X] Moderate [ ] Severe
Right Lower
[ ] Not affected [ ] Mild [ ] Moderate [X] Severe
Left Lower
[ ] Not affected [ ] Mild [X] Moderate [ ] Severe
4. Mental manifestations due to Parkinson's or its treatment
Depression
[X] None [ ] Mild [ ] Moderate [ ] Severe
Cognitive impairment or dementia
[ ] None [ ] Mild [X] Moderate [ ] Severe
5. Additional manifestations,/complications due to Parkinson's or its treatment
Loss of sense of smell
[ ] None [ ] Partial [X] Complete
Sleep disturbance, (insomnia, day-time sleep attacks)
[ ] None [ ] Mild [ ] Moderate [X] Severe
Difficulty chewing,/ swallowing
[ ] None [X] Mild [ ] Moderate [ ] Severe
Urinary problems (incontinence or
[X] None [ ] Mild [ ] Moderate [ ] Severe
Constipation (due to slowing of GI tract or secondary to Parkinson's medications)
[X] None [ ] Mild [ ] Moderate [ ] Severe
Sexual dysfunction
[X] None [ ] Mild [ ] Moderate [ ] Severe
6. Financial responsibility
In your judgment, is the Veteran able to manage his,/her benefit payments in his,/her own best interest, or able to direct someone else to do so?
[X] Yes [ ] No
7. Functional impact
Does the Veteran's Parkinson's disease impact his or her ability to work?
[X] Yes [ ] No
If yes, describe impact, providing one or more examples:
Veteran reports increased sleep disturbance and requires nonconsecutive work schedule days. Veteran reports difficulty manipulating computer mouse at work.