Please let me know your thoughts on possible rating:
The veteran still suffers from right ventricular dysfunction as the result of tricuspid regurgitation discovered by transesopageal echocardiogram performed 5 Sept 1995 in-service. To ascribe now a present right or left ventricular ejection fraction would require cardiologic studies not orderable by C&P examiners.
Service treatment records as well physical examination board proceedings via VBMS, CPRS, physical examination, radiologic findings of 12 OCT 2016 as well as examiner's clinical experience.
Other notes from exam:
[X] (1-3 METs) This METs level has been found to be consistent with activities such as eating, dressing, taking shower, slow walking (2mph) for 1-2 blocks
Does the Veteran's heart condition(s) impact his or her ability to work? [X] Yes
Yes either way is acceptable ,but word of caution
be sure they write in Dark ink or type it out...reason why?
everything you submit will be placed in your C-File
and at the present VA is changing over to the digitized format and they copy all our records now
by Imaging process to scan and copy over to be digitized and put on CD.
It usually will not copy light pencil or other light writen copy's so make sure all your copy's of anything is either type out or written in dark pencil or type in black ink so their scanner imaging can read it to copy.