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tdiu Results From C&p Exam
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Bravo6
What do you think my changes of being approved for TDIU with this C&P exam?
My current Conditions rated at 70%:
1. Degenerative Joint Disease of L4-L5 and L5-S1, spondylosis L4-L5 - 40%
2. Right tibiofibular fracture with status post IM nailing and fasciotomy - 30%
3. Right second toe digit proximal interphalangeal fusion - 20%
4. Multiple scars to right leg from fracture - 10%
This is what the Dr wrote:
"It is my opinion that the diagnosis of the right knee degenerative joint disease is related to the Veteran's service injury. Therefore, it is related". Interesting since I was never seen before and I have no rating on my right knee, yet.
He continues:
"Concerning the Veteran's functional limitations impacting physical and sedentary employment, the veteran states that he can lift up to 10 pounds. He states that he limits his stooping and bending and walk 1/4 miles, he can stand for 3 minutes, he can go up one flight of stairs. Due to these restrictions and also the veteran being on narcotics, physical activity would be somewhat limited; however, a sedentary desk type of job could be a possibility"
I rec'd my OT report on my physical assessment:
She states " Bravo6 demostrated fair-good effort with fair-poor performance. He complain of increased LBP will all testing with inability to complete one of the long distance tasks due to pain. He required several rest/stopping breaks with increased weighted and long distance testing due to increased pain. He demo. decreased endurance with stair climbing test with inability to complete test fully due to pain with below average time results".
Her recommendation (OT):
"Increase activity level, Learn to balance lifestyle issues/activities and coping skills, Conditioning and stretching program"
I rec'd my PT report on my physical assessment:
He states "Bravo6 appears to be disability and pain oriented with much pain and self limiting behavior. Bravo6 is a tall individual with moderate degenerative lumbar spine changes. It is difficult to know how much of his past orthopedic trauma is a part of his pain behavior and how much is related to degenerative back condition and how much is from general deconditioning or mental attitude. He reports very little activity over the past 4 years. Recommend two or three months of progressive guided conditioning to see if PT would benefit from changes in environment and increased physical activity."
Any and all comments welcome! Thanks!
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