maine2000

11cvolley My BVA was complete on OCT 11.Hopefully I will get good news next month. Congrats to you.

I did report that, I let the DRO officer know this when we met with her about the initial C&P when the examiner stated no STR found.

Thanks I will start looking into filing that,

Here are the results for my C&P Exam.I appealed the last denial because,I was told that the VA did not have my service records.I cut some of the wording down. [X] In-person examination a. Evidence Review Was the Veteran's VA e-folder (VBMS or Virtual VA) reviewed? [X] Yes [ ] No Was the Veteran's VA claims file (hard copy paper C-file) reviewed? [ ] Yes [X] No If no, check all records reviewed: [X] Military service treatment records [X] Other: vbms a. List the claimed condition(s) that pertain to this DBQ: plantar fasciitis b. Select diagnoses associated with the claimed condition(s): [X] Flat foot (pes planus) ICD code: 000 Side affected: Both [X] Plantar fasciitis ICD Code: 000 Side affected: Both Date of diagnosis: Right May 1, 2015 Date of diagnosis: Left May 1, 2015 [X] Arthritic conditions [X] Arthritis, degenerative ICD Code: 716.93. May 1, 2015 Side affected: Both Date of diagnosis: Right May 1, 2015 Date of diagnosis: Left May 1, 2015 c. Comments (if any): No response provided d. Was an opinion requested about this condition (internal VA only)? [X] Yes [ ] No [ ] N/A If yes, document the Veteran's description of flare-ups in his or her own words: Severe 8 out of 10 d. Does the Veteran report having any functional loss or functional impairment of the foot being evaluated on this DBQ (regardless of repetitive use)? [ ] Yes [X] No 3. Flatfoot (pes planus) ------------------------ a. Does the Veteran have pain on use of the feet? [X] Yes [ ] No If yes, indicate side affected: [ ] Right [ ] Left [X] Both If yes, is the pain accentuated on use? [X] Yes [ ] No If yes, indicate side affected: [ ] Right [ ] Left [X] Both b. Does the Veteran have pain on manipulation of the feet? [X] Yes [ ] No If yes, indicate side affected: [ ] Right [ ] Left [X] Both If yes, is the pain accentuated on manipulation? [X] Yes [ ] No If yes, indicate side affected: [ ] Right [ ] Left [X] Both c. Is there indication of swelling on use? [ ] Yes [X] No d. Does the Veteran have characteristic callouses? [ ] Yes [X] No e. Effects of use of arch supports, built-up shoes or orthotics: Tried But Remains Symptomatic Device Side Not Relieved: [X] Orthotics [ ] Right [ ] Left [X] Both f. Does the Veteran have extreme tenderness of plantar surfaces on one or both feet? No response provided g. Does the Veteran have decreased longitudinal arch height of one or both feet on weight-bearing? [X] Yes [ ] No If yes, indicate side affected: [ ] Right [ ] Left [X] Both h. Is there objective evidence of marked deformity of one or both feet (pronation, abduction etc.)? [ ] Yes [X] No i. Is there marked pronation of one or both feet? [ ] Yes [X] No j. For one or both feet, does the weight-bearing line fall over or medial to the great toe? [X] Yes [ ] No If yes, indicate side affected: [ ] Right [ ] Left [X] Both a. Does the Veteran have symptoms due to a hallux valgus condition? [X] Yes [ ] No If yes, indicate severity: [X] Mild or moderate symptoms Side affected: [ ] Right [ ] Left [X] Both RIGHT FOOT: Is there pain on physical exam? [X] Yes [ ] No If yes, (there is pain on physical exam), does the pain contribute to functional loss? [X] Yes [ ] No (Further description of limitations requested in Section XIII below.) LEFT FOOT: Is there pain on physical exam? [X] Yes [ ] No If yes, (there is pain on physical exam), does the pain contribute to functional loss? [X] Yes [ ] 13. Functional loss and limitation of motion a. Contributing factors of disability (check all that apply and indicate side affected): [X] Pain on movement Side affected: [ ] Right [ ] Left [X] Both [X] Pain on weight-bearing Side affected: [ ] Right [ ] Left [X] Both [X] Pain on non weight-bearing Side affected: [ ] Right [ ] Left [X] Both 17. Diagnostic testing a. Have imaging studies of the foot been performed and are the results available? [X] Yes [ ] No If yes, is degenerative or traumatic arthritis documented? [X] Yes [ ] No If yes, indicate foot: [ ] Right [ ] Left [X] Both b. Are there any other significant diagnostic test findings or results? [X] Yes [ ] No If yes, provide type of test or procedure, date and results (brief summary): October 10, 2012 x-ray show bunions with arthritis first MTP's. May 1, 2015 x-rays of the feet showed mild to moderate bunions with minimal arthritis of the first MTPs bilaterally c. If any test results are other than normal, indicate relationship of abnormal findings to diagnosed condition: 18. Functional impact Regardless of the Veteran's current employment status, do the condition(s) listed in the Diagnosis section impact his or her ability to perform any type of occupational task (such as standing, walking, lifting, sitting, etc.)? [X] Yes [ ] No If yes, describe the functional impact of each condition, providing one or more examples: Walking up to 100 yards standing up to 20 minutes [X] In-person examination a. Evidence review Was the Veteran's VA e-folder (VBMS or Virtual VA) reviewed? [X] Yes [ ] No [ ] Yes [X] No If no, check all records reviewed: [X] Military service treatment records [X] Other: vbms a. List the claimed condition(s) that pertain to this DBQ: Left knee b. Select diagnoses associated with the claimed condition(s) (Check all that apply): [X] Arthritic conditions [X] Arthritis, degenerative Side affected: [ ] Right [X] Left [ ] Both ICD Code: 716.93 Date of diagnosis: Left May 1, 2015 c. Comments (if any): No response provided d. Was an opinion requested about this condition (internal VA only)? [X] Yes [ ] No [ ] N/A 2. Medical history a. Describe the history (including onset and course) of the Veteran's knee and/or lower leg condition (brief summary): He is claiming direct service connection for his left knee arthritis which she strained while on active duty and also injured playing football. He endorses continuation progression of the left knee now with constant moderate 5 out of 10 pain b. Does the Veteran report flare-ups of the knee and/or lower leg? [X] Yes [ ] No If yes, document the Veteran's description of the flare-ups in his or her own words: Severe 8 out of 10 c. Does the Veteran report having any functional loss or functional impairment of the joint or extremity being evaluated on this DBQ, including but not limited to repeated use over time? [ ] Yes [X] No 3. Range of motion (ROM) and functional limitation a. Initial range of motion Left Knee [ ] All normal [X] Abnormal or outside of normal range [ ] Unable to test (please explain) [ ] Not indicated (please explain) Flexion (0 to 140): 0 to 90 degrees Extension (140 to 0): 90 to 0 degrees If abnormal, does the range of motion itself contribute to functional loss? [ ] Yes (please explain) [X] No Description of pain (select best response): Pain noted on exam but does not result in/cause functional loss Is there evidence of pain with weight bearing? [ ] Yes [X] No Is there objective evidence of localized tenderness or pain on palpation of the joint or associated soft tissue? [ ] Yes [X] No Is there objective evidence of crepitus? [X] Yes [ ] No If the examination is not being conducted immediately after repetitive use over time: [X] The examination is medically consistent with the Veteran's statements describing functional loss with repetitive use over time. symptoms and scars a. Have imaging studies of the knee been performed and are the results available? [X] Yes [ ] No If yes, is degenerative or traumatic arthritis documented? [X] Yes [ ] No If yes, indicate knee: [ ] Right [ ] Left [X] Both b. Are there any other significant diagnostic test findings and/or results? [X] Yes [ ] No If yes, provide type of test or procedure, date and results (brief summary): March 9, 2013 MRI shows arthritis. c. If any test results are other than normal, indicate relationship of abnormal findings to diagnosed conditions: No response provided 14. Functional impact --------------------- Regardless of the Veteran's current employment status, do the condition(s) listed in the Diagnosis Section impact his or her ability to perform any type of occupational task (such as standing, walking, lifting, sitting, etc.)? [X] Yes [ ] No If yes, describe the functional impact of each condition, providing one or more examples: One flight of stairs at a time standing up to 20 minutes lifting up to 20 pounds [ ] Review of available records (without in-person or video telehealth examination) using the Acceptable Clinical Evidence (ACE) process because the existing medical evidence provided sufficient information on which to prepare the DBQ and such an examination will likely provide no additional relevant evidence. [ ] Review of available records in conjunction with a telephone interview with the Veteran (without in-person or telehealth examination) using the ACE process because the existing medical evidence supplemented with a telephone interview provided sufficient information on which to prepare the DBQ and such an examination would likely provide no additional relevant evidence. [ ] Examination via approved video telehealth [X] In-person examination Was the Veteran's VA claims file reviewed? No If no, check all records reviewed: [X] Military service treatment records [X] Other: vbms MEDICAL OPINION SUMMARY RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: Is the condition of his feet related to treatment in service b. Indicate type of exam for which opinion has been requested: feet TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE CONNECTION ] b. The condition claimed was less likely than not (less than 50% probability) incurred in or caused by the claimed in-service injury, event or illness. c. Rationale: The plantar fasciitis found on active duty is a progression of his pes planus due to service TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR AGGRAVATION OF A CONDITION THAT EXISTED PRIOR TO SERVICE ] a. The claimed condition, which clearly and unmistakably existed prior to service, was aggravated beyond its natural progression by an in-service event, injury or illness. c. Rationale: The pre-existing pes planus that was not symptomatic exam aggravated beyond its natural progression due to service as evidence by the diagnosis of plantar fasciitis, and now bunions with arthritis of the first MTPs RESTATEMENT OF REQUESTED OPINION: a. Opinion from general remarks: Is the arthritis of the left knee incurred in or caused by pain strain tendinitis of the left knee during service b. Indicate type of exam for which opinion has been requested: left knee TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE CONNECTION ] a. The condition claimed was at least as likely as not (50% or greater probability) incurred in or caused by the claimed in-service injury, event or illness. c. Rationale: I found evidence in his service treatment records of ongoing left leg soreness diagnosis of left knee strain on August 9, 1989 ; injuries chronic strain playing football August 21, 1989 and May 4, 1991 over use injury along with orthopedic evaluation showing ongoing tendinitis in September 11, 1989 patella laxity. The arthritis is natural progression of these chronic conditions.

What does VARONP mean?I noticed on ebenefits that is the status its showing now in gathering of eviedence.

I have on going treatment that is now once a week.I have a C&P for the GW.I called the 800# and I was told that its for a Special Gulf War exam what ever that is on the 18th.This will be my 4th exam dealing with the GW claim. Thanks again Harleyman

I have on going treatment that is now once a week.I have a C&P for the GW.I called the 800# and I was told that its for a Special Gulf War exam what ever that is on the 18th.This will be my 4th exam dealing with the GW claim. Thanks again Harleyman

Thank you Harleyman

THE GAF was 50.The remarks stated the veteran continues to meet the criteria for PTSD related stressors.He is getting treatment for PTSD and reports no significant relief for his symptoms.

Not working as we speak

Or should I say a file for increase

I should have stated I'm at 50% there was some things were different on the award letter and the previous C&P exam.This was a NOD.

---------- 1. Diagnostic Summary --------------------- Does the Veteran now have or has he/she ever been diagnosed with PTSD? [X] Yes[ ] No 2. Current Diagnoses -------------------- a. Diagnosis #1: PTSD ICD code: 309.81 Indicate the Axis category: [X] Axis I [ ] Axis II b. Axis III - medical diagnoses (to include TBI): Chronic pain, plantar faciitis c. Axis IV - Psychosocial and Environmental Problems (describe, if any): No response provided. d. Axis V - Current global assessment of functioning (GAF) score: 50 3. Differentiation of symptoms ------------------------------ a. Does the Veteran have more than one mental disorder diagnosed? [ ] Yes[X] No b. Is it possible to differentiate what symptom(s) is/are attributable to each diagnosis? No response provided. c. Does the Veteran have a diagnosed traumatic brain injury (TBI)? No response provided. 4. Occupational and social impairment ------------------------------------- a. Which of the following best summarizes the Veteran's level of occupational and social impairment with regards to all mental diagnoses? (Check only one) [X] Occupational and social impairment with reduced reliability and productivity b. For the indicated level of occupational and social impairment, is it possible to differentiate what portion of the occupational and social impairment indicated above is caused by each mental disorder? [ ] Yes[ ] No[X] No other mental disorder has been diagnosed c. If a diagnosis of TBI exists, is it possible to differentiate what portion of the occupational and social impairment indicated above is caused by the TBI? [ ] Yes[ ] No[X] No diagnosis of TBI SECTION II: ----------- Clinical Findings: ------------------ 1. Evidence review ------------------ If any records (evidence) were reviewed, please list here: CPRS and claims file available and reviewed in its entirety 2. Recent History (since prior exam) ------------------------------------ a. Relevant Social/Marital/Family history: Veteran currently lives with girlfriend. Reports that their relationships are strained. He has been married and has one daughter who lives in rock hill. b. Relevant Occupational and Educational history: Veteran reports that he has been out of work since July 2013 because of problems with his knee and back. He had been on this job since 2009. He reports that he felt that he was being taken advantage of, because they would send him to far away jobs. He reports that he was having problems with communication with others/ He also reports having been written up for poor performance and difficulty with concentration. c. Relevant Mental Health history, to include prescribed medications and family mental health: Veteran continues to get treatment for PTSD; he is prescribed hydroxyzine, trazodsone, and venlafaxine. he reports that he feels the medications do not help. He has been getting treatment since 2007 d. Relevant Legal and Behavioral history: none e. Relevant Substance abuse history: none f. Sentinel Event(s) (other than stressors): No response provided. g. Other, if any: No response provided. 3. PTSD Diagnostic Criteria --------------------------- Criterion A: The Veteran has been exposed to a traumatic event where both of the following were present: [X] The Veteran experienced, witnessed or was confronted with an event that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others. [X] The Veteran's response involved intense fear, helplessness or horror. Criterion B: The traumatic event is persistently reexperienced in 1 or more of the following ways: [X] Recurrent and distressing recollections of the event, including images, thoughts or perceptions [X] Recurrent distressing dreams of the event [X] Intense psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event Criterion C: Persistent avoidance of stimuli associated with the trauma and numbing of general responsiveness (not present before the trauma), as indicated by 3 or more of the following: [X] Efforts to avoid thoughts, feelings or conversations associated with the trauma [X] Efforts to avoid activities, places or people that arouse recollections of the trauma [X] Markedly diminished interest or participation in significant activities [X] Feeling of detachment or estrangement from others Criterion D: Persistent symptoms of increased arousal, not present before the trauma, as indicated by 2 or more of the following: [X] Difficulty falling or staying asleep [X] Irritability or outbursts of anger [X] Difficulty concentrating [X] Hypervigilance Criterion E: No response provided. Criterion F: [X] The PTSD symptoms described above cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. 4. Symptoms ----------- For VA rating purposes, check all symptoms that apply to the Veterans diagnoses: [X] Depressed mood [X] Anxiety [X] Chronic sleep impairment [X] Mild memory loss, such as forgetting names, directions or recent events [X] Flattened affect [X] Disturbances of motivation and mood [X] Suicidal ideation 5. Other symptoms ----------------- Does the Veteran have any other symptoms attributable to PTSD (and other mental disorders) that are not listed above? [ ] Yes[X] No 6. Competency ------------- Is the Veteran capable of managing his or her financial affairs? [X] Yes[ ] No 7. Remarks, if any: ------------------- veteran continues to meet the criteria for PTSD re lated to previously described stressors. He is getting treatment although he reports no signficant relief from his symptoms.

Thanks Grid I have been trying to get my records from the time I was in and the exit.The only thing I have is from my Meps entrance info.I will post some of the info from the C&P later.

Thanks