Army man 2

This is just a quick Summary of Chronic sinusitis & Allergic Rhinitis What do think I get? C/P Exams Very mixed on where there will go. Doctor Note were mixed. Listed below are some of the doctor note I meet the criteria for some% base on this on few items Veteran is claiming or for which an exam has been requested) [X] Yes [ ] No [X] Chronic sinusitis ICD code: Date of diagnosis: 2011 [X] Allergic rhinitis ICD code: Date of diagnosis: 2011 Does the Veteran currently have any findings, signs or symptoms attributable to chronic sinusitis? [X] Yes [ ] No TYPE OF MEDICAL OPINION PROVIDED: [MEDICAL OPINION FOR DIRECT SERVICE CONNECTION ] The condition claimed was at least as likely as not (50% or greater probability) incurred in or caused by the claimed in-service injury, eventor illness. Rationale: Veteran's chronic sinusitis started in the Military. 1. If yes, provide the total number of incapacitating episodes of sinusitis requiring prolonged (4 to 6 weeks) of antibiotic treatment over past 12 months: [ ] 1 [ ] 2 [X] 3 or more 2. Has the Veteran had NON-INCAPACITATING episodes of sinusitis characterized by headaches, pain and purulent discharge or crusting in the past 12 months? [X] Yes [ ] No If yes, provide the total number of non-incapacitating episodes over the past 12 months: [X] 1 [ ] 2 [ ] 3 [ ] 4 [ ] 5 [ ] 6 [ ] 7 or more 3. Has the Veteran had pulmonary function testing to assess for upper airway obstruction due to laryngeal stenosis?: Yes If yes, indicate results: [ ] FEV-1 of 71 to 80% predicted [ ] FEV-1 of 56 to 70% predicted [ ] FEV-1 of 40 to 55% predicted [ ] FEV-1 less than 40% predicted Is the Flow-Volume Loop compatible with upper airway obstruction? [ ] Yes [X] No FEV-1 % predicted: 63 4. Are there any other significant diagnostic test findings and/or results? Yes If yes, provide type of test or procedure, date and results (brief summary): Mild-moderate restrictive lung disease Concerns 1. Functional impact Does the Veteran's sinus, nose, throat, larynx or pharynx condition Impact his or her ability to work? [ ] Yes [X] No I meet the critera in some area but fall shorts in others area.

I agree with you no string together 22 10%ers. make you TDIU. I spend 40 Year in US Army I just retired last year I had 10 disability things rated on me as soon I got out added two later. Most of all of my disability were cause due to not taking care of me while I was in. I worried more about what people would said if I complaint. I was a team player. I love to worked and will continue until I can't, but my age and health is starting to effect me Disabilities you earn them. All of mind were earned the hard way. All vet need to remember you serve your country and if you got hurt or injury while in serve you earn it. File wether it a crooked toe or sore butt.

Thank you all for you responses Just a quick history of all this process. I am presently at 90% rating but with 93% VA math I have 12 SC disability items with my lower leg area three disability items hook to it. R/ankle 10 R/foot 30% R/Foot morton 10% if award another 10% for buinon removal from Surgery Then I would be at 94% If they only give me 40% over all my rating (Lower leg) it will go down or stay the same at 92.89%. If I can get rated at 10% more I would be at 94% very closer to 100%. I have four more disabilities in a deferred status with one with a good chance of get 10% or more. I rather not have a SMC K at this time but I have been constant told that if my disability rate keep going up on my lower leg VA will stop it at 40% Right know (Lower Leg Only) I have 30-10-10 it equal out to 43% at 40% but with another 10% added to it will be 48% at 50% Thank

Just had Toe surgery Cheilectomy with plantarflexory bunion osteotomy and screw fixation right metatarso palflexory joint According to Code 5280 When the big toe points toward the second toe, a bunion can form on the outside of the big toe. If the bony bump is removed by surgery, then it is rated 10%. If it is so severe that it is as though the big toe had been amputated, then it is also rated 10%. Otherwise, it is not ratable. This is what was told me the absolute maximum evaluation (with the exception of a temporary surgical or convalescence rating) for the foot is 40 percent. Actually this is the maximum combined evaluation that can be assigned for all disabilities below the knee which includes the lower leg, ankle, and foot. I was told the most VA give is 40% on the lower leg which consist of foot, ankle, and toe. In most cases when various disabilities reach the point that they combine to a 40 percent or greater evaluation they are all closed out and a single 40 percent is assigned under the diagnostic code for loss of use of the foot. This 40 percent would also include smc "k" Total rating is VA Disability 90% Current VA rating on right lower leg Right foot hallux valgus with hallux rigdus 0% (This could be increase to 10% base on Code 5280) Morton neuroma right foot 10% right foot pes planus (also claimed as right foot arthritis 30% degenerative joint disease right ankle 10% If get at least 10% more for this foot surgery listed above then I will be at 30-10-10-10 meaning my right foot would be at 60% So will they give me closed me out or continue to rank each items separated. Does anyone know for sure?

Just had Surgery on Right Toe. 2 Feb 16 Cheilectomy with plantarflexory osteotomy and screw fixation right metatarsisopalflexory joint Here is my Present VA rating. right foot hallux valgus with hallux rigidus (claimed as right toe pain and right foot arthritis 0% Does anyone know if I will get a increase and how much? Hoping to get some kind of increase.

Sinusitis, Rhinitis and Other Conditions C/P exam Any Ideals what do you think I get? SECTION I: Diagnosis:
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Does the Veteran now have or has he/she ever been diagnosed with a sinus, nose, throat, larynx, or pharynx condition? (This is the condition the Veteran is claiming or for which an exam has been requested)
[X] Yes [ ] No [X] Chronic sinusitis ICD code: Date of diagnosis: 2011 [X] Allergic rhinitis ICD code: Date of diagnosis: SECTION II: Medical history Veteran is here claiming SC for sinus and rhinitis condition. He reports h/o chronic sinusitis, allergic rhinitis, while he was in the military. SECTION III: Nose, throat, larynx or pharynx conditions Does the Veteran have any of the following nose, throat, larynx or pharynx conditions? X] Yes [ ] No [X] Sinusitis [X] Rhinitis Sinusitis
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a. Indicate the sinuses/type of sinusitis currently affected by the=16.0ptVeteran's
chronic sinusitis (check all that apply):
[ ] None [X] Maxillary [X] Frontal
[ ] Ethmoid [ ] Sphenoid [ ] Pansinusitis Does the Veteran currently have any findings, signs or symptoms attributable to chronic sinusitis?
[X] Yes [ ] No If yes, check all that apply:[ ] Chronic sinusitis detected only by imaging studies (see Diagnostic testing section) ] Episodes of sinusitis
[ ] Near constant sinusitis tIf checked, describe frequency:[X] Headaches
 [X] Pain of affected sinus
[ ] Tenderness of affected sinus [ ] Purulent discharge
[ ] Crusting
[ ] Other For all checked conditions, describe: Left side headaches
Pain in left sided forehead and maxillary Has the Veteran had NON-INCAPACITATING episodes of sinusitis characterized by headaches, pain and purulent discharge or crusting in the past 12 months?
[X] Yes [ ] No tIf yes, provide the total number of non-incapacitating episodes over the past 12 months:
[X] 1 [ ] 2 [ ] 3 [ ] 4 [ ] 5 [ ] 6 [ ] 7 or more Has the Veteran had INCAPACITATING episodes of sinusitis requiring prolonged (4 to 6 weeks) of antibiotics treatment in the past 12 months? [X] Yes [ ] No NOTE: For VA purposes, an incapacitating episode of sinusitis means one that requires bed rest and treatment prescribed by a physician.=16.0ptIf yes, provide the total number of incapacitating episodes of sinusitis requiring prolonged (4 to 6 weeks) of antibiotic treatment over past 12 months:
[ ] 1 [ ] 2 [X] 3 or more Has the Veteran had sinus surgery? [ ] Yes [X] No tIf yes, specify type of surgery:
[ ] Radical (open sinus surgery) [ ] Endoscopic [ ] Other Type of procedure, sinuses operated on and side(s):Date(s) of surgery (if repeated sinus surgery, provide all dates of surgery):=16.0ptIf Veteran has had radical sinus surgery, did chronic osteomyelitis follow=16.0ptthe surgery? [ ] Yes [ ] No Has the Veteran had repeated sinus-related surgical procedures performed? [ ] Yes[X] No 2. Rhinitis
-a. Is there greater than 50% obstruction of the nasal passage on both sides due to rhinitis? [ ] Yes [X] No Is there complete obstruction on the left side due to rhinitis? [ ] Yes [X] No Is there complete obstruction on the right side due to rhinitis? [ ] Yes [X] No Is there permanent hypertrophy of the nasal turbinates? [ ] Yes [X] No Are there nasal polyps? [ ] Yes [X] No Does the Veteran have any of the following granulomatous conditions? [ ] Yes [X] No If yes, check all that apply:
[ ] Granulomatous rhinitis [ ] Rhinoscleroma
[ ] Wegener's granulomatosis [ ] Lethal midline granuloma [ ] Other granulomatous infection, describe:Other pertinent physical findings, scars, complications, conditions,=16.0ptsigns
and/or symptoms 
a. Does the Veteran have any scars (surgical or otherwise) related to any conditions or to the treatment of any conditions listed in the Diagnosis=16.0ptsection above? [ ] Yes[X] No=16.0ptb. Does the Veteran have any other pertinent physical findings, complications, conditions, signs and/or symptoms related to any conditions
listed in the Diagnosis section above? [ ] Yes[X] No Does the Veteran have loss of part of the nose or other scars of the nose exposing both nasal passages?
[ ] Yes[X] No Does the Veteran have loss of part of the nose or other scars causing loss part of one ala? [ ] Yes[X] No Does the Veteran have loss of part of the nose or other scars causing other obvious disfigurement?
[ ] Yes[X] No SECTION IV: Diagnostic testing
 
a. Have imaging studies of the sinuses or other areas been performed? t[X] Yes[ ] No=[ ] Magnetic resonance imaging ( MRI) Date: Results:[X] Computed tomography (CT) Date: 2011 Results:Except left frontal sinuses opacification otherwise normal sinus series. However, sphenoid sinus cannot be evaluated due to the technique.[ ] X-rays Date:=Results: [ ] Other: Date: Has endoscopy been performed?: No
c. Has the Veteran had a biopsy of the larynx or pharynx?: No
. Has the Veteran had pulmonary function testing to assess for upper airway obstruction due to laryngeal stenosis?: Yes If yes, indicate results:
[ ] FEV-1 of 71 to 80% predicted [ ] FEV-1 of 56 to 70% predicted [ ] FEV-1 of 40 to 55% predicted [ ] FEV-1 less than 40% predicted Is the Flow-Volume Loop compatible with upper airway obstruction? [ ] Yes [X] No FEV-1 % predicted: 63 Are there any other significant diagnostic test findings and/or results?: Yes= If yes, provide type of test or procedure, date and results (brief summary):
Mild-moderate restrictive lung disease tSECTION V: Functional impact and remarks 1. Functional impact
- Does the Veteran's sinus, nose, throat, larynx or pharynx condition impact this or her ability to work? [ ] Yes [X] No 2. Remarks, if any: -------------------
No answer provided RESTATEMENT OF REQUESTED OPINION: Opinion from general remarks: Does the Veteran have a diagnosis of a sinusitis that is at least as likely as not incurred in or caused by
sinusitis, headaches symptoms during service? Indicate type of exam for which opinion has been requested: Sinusitis condition TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE CONNECTION ] The condition claimed was at least as likely as not (50% or greate probability) incurred in or caused by the claimed in-service injury, event or illness.
 c. Rationale: Veteran's chronic sinusitis started in the Military

This is what my Lung Doctor wrote. I have not had a C/P on this Claim of yet. Here is a little more information to add. I have all my medical records from active duty. I had six indecent where I was treated for Sinus. I have three x ray showing granulomatous disease exposure one in 2007 2009 and VA did one in 2013 when I got out of Military and I just had one again by VA in 2015

I have been out of the Army since 2103 and just been treated for Mild to moderate restrictive lung disease Chronic granulomatous disease. I had a motorcycle accident back in 2009 and three broken ribs and a puncture lung. I do have ribs on my VA Disability showing service connected already. I have granulomatous disease noted on my 2009 X-ray while on Active Duty and I have numerous documents showing me being treated for Sinusitis on my Active duty record. Here is my current conditions. This is what was put in my Medical Note from the doctor Mild to moderate restrictive lung disease Chronic granulomatous disease, stable; Can follow up in one year with repeat PFT to assess progression of disease This is what the result I get on a chest X ray I have a history of bronchiolitis and sinusitis Radiology: CT Chest shows:Stable calcified mediastinal and hilar adenopathy dating back to 2009 while in Active Duty. This finding along with calcified granuloma in the right upper lobe, suggest etiology from prior granulomatous disease exposure. Ongoing but to a much lesser extent right upper lobe findings suggestive of mild chronic inflammation/bronchiolitis Spirometry test results FVC 58% FEV1:
57% FEV1/FVC: 76% TLC: 70% RV: 85% I put in a claim for Lung disease, Sinusitis. I have already put in this claim and wondering what my chance of get some disablites or any other advise you can give me

Will this get rated together or separate I am having surgery here in Jan 2016 for: 1. Bunions (hallux valgus) removal. 2. Hallux rigidus bone spurs 3. I am presently undergoing treatment for Morton disease Morton Neuroma (Neurosclerotherpy Metatarsalgia, anterior (Morton’s disease), unilateral, or bilateral............................ 10 Bunions (hallux valgus) When the big toe points toward the second toe, a bunion can form on the outside of the big toe. If the bony bump is removed by surgery, then it is rated 10%. Hallux rigidus occurs when bone spurs (bony growths) cause arthritis to form at the base of the big toe, causing it to be stiff and hard to move. This condition is rated 10%. This rating cannot be combined with a rating for claw foot. Only one or the other can be rated. Present rating: Here is my present rating. right foot hallux valgus claimed as right toe pain and right foot arthritis 0% right foot pes planus also claimed as right foot arthritis 30% Thanks thanks

This is what I was just told. Category K Special Monthly Compensation is based solely on the loss of (amputation or removal) or loss of use of a body part or function. 100% is not required. So if I meet this criteria below then I should be able to received it. Either way is VA will award another 10% base on their guidance on their own code foot disability then I go to overall 90% This is what was told me the absolute maximum evaluation (with the exception of a temporary surgical or convalescence rating) for the foot is 40 percent. Actually this is the maximum combined evaluation that can be assigned for all disabilities below the knee which includes the lower leg, ankle, and foot. In most cases when various disabilities reach the point that they combine to a 40 percent or greater evaluation they are all closed out and a single 40 percent is assigned under the diagnostic code for loss of use of the foot. This 40 percent would also include smc "k"

So what do you mean small 2? I already have 40% on both foot (30) and Ankle (10) and with surgery pending I should get 10% for r toe I guess. If the maximum combined evaluation that can be assigned for all disabilities below the knee which includes the lower leg, ankle, and foot. is 40% and I alraedy have 40% combined both foot and ankle and should get 10% percent per Right Toe upon surgery I should be awarded SMC (k)

Question will be VA award my SMC K for my foot I was told the most VA give is 40% on the lower leg which consist of foot, ankle, and toe. Does anyone know for sure? I am having surgery on my big toe to remove the following three things Hammertoe, Hallux valgus and Bone spur removal I am presently under treatment for Morton Neuroma (Neurosclerotherpy) Back ground Information: I already have 30% on my foot 10% on my ankle and 0% on my Big Toe right foot pes planus also claimed as right foot arthritis 30% right foot hallux valgus claimed as right toe pain and right foot arthritis 0% degenerative joint disease, right ankle 10% According to VA disablity once you have surgery on Big Toe (Hallux valgus) and have Morton Neurom on any foot give you a rating of 10% Does this mean, I have a chance to be awarded SMC (k) combined on all three rating foot ankle and toe. I already have a rating of 30% foot, and ankle 10% already. With the information below I should get another 10% on right foot hallux valgus claimed as right toe pain and right foot arthritis. Code 5280 When the big toe points toward the second toe, a bunion can form on the outside of the big toe. If the bony bump is removed by surgery, then it is rated 10%. If it is so severe that it is as though the big toe had been amputated, then it is also rated 10%. Otherwise, it is not ratable. Code 5279 Morton’s disease occurs when a small mass forms over the nerves in between the toes on the pad of the foot. This causes pain when walking or when pressure is applied to these specific points. This is rated 10% whether it is in one foot or both.