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Common Veterans Affairs Disabilities: Tinnitus - Hearing loss - PTSD - Post-traumatic stress disorder - Lumbosacral or cervical strain - Scars - Limitation of flexion, knee - Diabetes mellitus - Paralysis of the sciatic nerve - Limitation of motion of the ankle - Degenerative arthritis of the spine - TBI - Traumatic Brain Injury

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Michael.j.greene1

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About Michael.j.greene1

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    E-3 Seaman

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  • Service Connected Disability
    25
  1. any guesses at my rating

    have an update I applied for the scare on top of my head and and k I was denied for the scare approved for and k and now the va has me listed as 100% P&T back to the date I got out and now they also diagnosed me with carpal tunnel syndrome mild in my left hand and moderate in my right that is my domanet hand so that should put me over the top for and s then correct??
  2. carpal tunnel syndrome & radiculopathy

    i qas just diagnosed with carpal tunnel syndrome last week it does not go off of the musculo-skeletal ratings schedule it goes off the one for nerves will they lump it together with my radiculopathy or rate it on its own
  3. carpal tunnel syndrome & radiculopathy

    my worries is that they will lower my rating for the radiculopathy and cause me to lose my 100% rating or will it just add to it because i it is all rated as nerves in the hand
  4. hello, i am rated static for radiculopathy right and left at 20% now i also have carpal tunnel syndrome mild on left hand modarite on right any guess on what i would be looking at for a %
  5. any guesses at my rating

    i ended up with 70% static for ptsd that put me over 100% but its not P&T i have an exam pending for my neck in 5 years i will be filling for an increase on that and adding more for.my knees and ankle
  6. any guesses at my rating

    well the VA added the ED all on there own now im at the Pending Decision Approva
  7. any guesses at my rating

    the va wants to lok ar my back again in 5 years i filed a clam for ptsd when i was going theough the medboard but the doc that did the c&p exam at fort campbell said i had no issues so i got out and starded.to see the va and after talkimg to them they told me i had put me.on meds for that and to sleep at night my other 90% stuff is listed here also i just got out in jun so i still have 6.months left to add stuff i did.not want to fight it at the time with the medboard because i was looking at the QMP for a failed PT test at SLC i was just happy to get retired at the time i still have more stuff to all that the va has started to treat me for since i got out so i dont think 100% should be that hard for me to get the P &T part might take sometime
  8. any guesses at my rating

    any advice on the smc
  9. any guesses at my rating

    ok im lost i thought that if the va adds my ptsd to my 90% then that would bring to or over 100% and with just me and my wife the would mean about $3000 a month i have no clue what SMC S-1 H.B. is
  10. any guesses at my rating

    i dont have the paperwork with me right now im working on the boat for the next 2 weeks i look at like this my ptsd should at least be a 30 to 50 added with the other scar should bring me up to 100 and then i still have 6 months to work on the other stuff before i hit my 1 year out
  11. any guesses at my rating

    i dont have a TBI the concussions were from jumps and a humve accident in iraq the reason they were denied was they were not in my med records i got medically retired at 17 years i applied for CRSC on 24 aug 2016 havent been aproved im going to refile for my left ankle with my jump log and i have some new stuff to add the ED and high blood pressure high cholesterol i also have a c&p exam coming up for gulf war for othe issues
  12. any guesses at my rating

    Disabilities 90% Total Combined Disability You have a 90% final degree of disability. This percentage determines the amount of benefit pay you will receive. How is this calculated Rated Disabilities Disability Rating Decision Related To Effective Date multiple concussions Not Service Connected painful scars, right leg, right ankle, and neck 20% Service Connected 06/30/2016 left shoulder strain (non-dominant) 0% Service Connected 06/30/2016 gastroesophageal reflux disease (GERD) Not Service Connected scar, neck 0% Service Connected 06/30/2016 left ankle degenerative arthritis Not Service Connected right leg lumbar radiculopathy (also claimed as numbness/tingling and peripheral neuropathy) 10% Service Connected Disability Evaluation System (DES) 06/30/2016 right ankle posttraumatic arthritis (also claimed as fibula fracture) 10% Service Connected 06/30/2016 right knee chondromalacia 10% Service Connected 06/30/2016 right hip condition Not Service Connected tension headaches Not Service Connected Lumbar spine degenerative changes and stenosis (also claimed as affecting gait) 10% Service Connected Disability Evaluation System (DES) 06/30/2016 left knee degenerative changes 10% Service Connected 06/30/2016 right arm radiculopathy (dominant) (also claimed as numbness/tingling and peripheral neuropathy) 20% Service Connected Disability Evaluation System (DES) 06/30/2016 tinnitus 10% Service Connected 06/30/2016 left arm radiculopathy (non-dominant) (also claimed as numbness/tingling and peripheral neuropathy) 20% Service Connected Disability Evaluation System (DES) 06/30/2016 scars, right leg and ankle 0% Service Connected 06/30/2016 unspecified insomnia disorder (claimed as sleep disturbances) 0% Service Connected 06/30/2016 right hand ring finger status post fracture 0% Service Connected 06/30/2016 left leg lumbar radiculopathy (also claimed as numbness/tingling and peripheral neuropathy) 10% Service Connected Disability Evaluation System (DES) 06/30/2016 right shoulder AC osteoarthritis (dominant) 20% Service Connected 06/30/2016 cervical spine disc herniation (also claimed C5-C6 and stenosis without myopathy) 20% Service Connected Disability Evaluation System (DES) 06/30/2016 left hip condition Not Service Connected Pending Disabilities Disability Submitted Type Actions Chronic Ptsd 10/20/2016 NEW View Pending Claim 3 Inch Painful Scar Top Left Of Head 10/20/2016 NEW View Pending Claim Chronic Major Depression 10/20/2016 NEW View Pending Claim Add Disabilities
  13. any guesses at my rating

    i dont understand that the SMC-S is here is a list of what i have now plus adding somemore after my ptsd is done i just got medically retired from the army at the end of jun all combat related my retirement is tax free here is a list of the other disabilities i have also i am still working but it is very hard trying to learn a new skill set and the doc at the cp exam understood
  14. any guesses at my rating

    thank you for your insight last i remember my vso told me that i need 40% to make 100 i dont know if i would want 100% PTSD i dont want to lose my concealed carry prmite i am waiting on perp for decision
  15. hello i wanted to see what you guys think my rating for ptsd would be based off of my c&p exam for ptsd i am at 90% for other stuff and need 40% to put me over 100% SECTION I: ---------- 1. Diagnostic Summary --------------------- Does the Veteran have a diagnosis of PTSD that conforms to DSM-5 criteria based on today's evaluation? [X] Yes [ ] No ICD code: F43.12 2. Current Diagnoses -------------------- a. Mental Disorder Diagnosis #1: PTSD ICD code: F43.12 Mental Disorder Diagnosis #2: Major depressive disorder Mental Disorder Diagnosis #3: Male erectile dysfunction (ED) Comments, if any: ED secondary to treatment for PTSD and depression (this is consistent as a well docuemted side effects of zoloft). b. Medical diagnoses relevant to the understanding or management of the Mental Health Disorder (to include TBI): Chronic pain - see service connected conditions below 3. Differentiation of symptoms ------------------------------ a. Does the Veteran have more than one mental disorder diagnosed? [X] Yes [ ] No b. Is it possible to differentiate what symptom(s) is/are attributable to each diagnosis? [X] Yes [ ] No [ ] Not applicable (N/A) If yes, list which symptoms are attributable to each diagnosis and discuss whether there is any clinical association between these diagnoses: It is difficult if not impossible differentiate what portion of depression versus PTSD is attributable to each diagnoses. There is a high degree of overlap and comorbidity between the disorders. Erectile dysfunction is secondary to treatment for PTSD and depression. c. Does the Veteran have a diagnosed traumatic brain injury (TBI)? [ ] Yes [ ] No [X] Not shown in records reviewed 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 deficiencies in most areas, such as work, school, family relations, judgment, thinking and/or mood 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? [X] Yes [ ] No [ ] No other mental disorder has been diagnosed If yes, list which portion of the indicated level of occupational and social impairment is attributable to each diagnosis: It is difficult if not impossible differentiate what portion of depression versus PTSD is attributable to each diagnoses. There is a high degree of overlap and comorbidity between the disorders. Erectile dysfunction is secondary to treatment for PTSD and depression. 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 ------------------ Evidence reviewed (check all that apply): [X] VA e-folder (VBMS or Virtual VA) [X] CPRS 2. History ---------- a. Relevant Social/Marital/Family history (pre-military, military, and post-military): Mr. Greene is currently married. He has one son. Grew up in Buffalo NY. He had step sibling growing up but outside of that was an only child. b. Relevant Occupational and Educational history (pre-military, military, and post-military): High school education US Army 1998-2016 5th group special forces supply 72 months deployed to Afghanistan and Iraq Recently started working as a deck hand on a boat. c. Relevant Mental Health history, to include prescribed medications and family mental health (pre-military, military, and post-military): Currently in treatment counseling and 100mg of zoloft for depression. Experiencing erectile dysfunction as a side effect from the zoloft. d. Relevant Legal and Behavioral history (pre-military, military, and post-military): No response provided. e. Relevant Substance abuse history (pre-military, military, and post-military): No response provided. f. Other, if any: No response provided. 3. Stressors ------------ Describe one or more specific stressor event(s) the Veteran considers traumatic (may be pre-military, military, or post-military): a. Stressor #1: Multiple combat situation (Bronze star with valor). Fear of IEDs, mortars and rockets. Does this stressor meet Criterion A (i.e., is it adequate to support the diagnosis of PTSD)? [X] Yes [ ] No Is the stressor related to the Veteran's fear of hostile military or terrorist activity? [X] Yes [ ] No Is the stressor related to personal assault, e.g. military sexual trauma? [ ] Yes [X] No 4. PTSD Diagnostic Criteria --------------------------- Please check criteria used for establishing the current PTSD diagnosis. Do NOT mark symptoms below that are clearly not attributable to the Criterion A stressor/PTSD. Instead, overlapping symptoms clearly attributable to other things should be noted under #7 - Other symptoms. The diagnostic criteria for PTSD, referred to as Criterion A-H, are from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). Criterion A: Exposure to actual or threatened a) death, b) serious injury, c) sexual violence, in one or more of the following ways: [X] Directly experiencing the traumatic event(s) [X] Witnessing, in person, the traumatic event(s) as they occurred to others Criterion B: Presence of (one or more) of the following intrusion symptoms associated with the traumatic event(s), beginning after the traumatic event(s) occurred: [X] Recurrent, involuntary, and intrusive distressing memories of the traumatic event(s). [X] Recurrent distressing dreams in which the content and/or affect of the dream are related to the traumatic event(s). [X] Intense or prolonged psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the traumatic event(s). [X] Marked physiological reactions to internal or external cues that symbolize or resemble an aspect of the traumatic event(s). Criterion C: Persistent avoidance of stimuli associated with the traumatic event(s), beginning after the traumatic events(s) occurred, as evidenced by one or both of the following: [X] Avoidance of or efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s). [X] Avoidance of or efforts to avoid external reminders (people, places, conversations, activities, objects, situations) that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s). Criterion D: Negative alterations in cognitions and mood associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following: [X] Persistent and exaggerated negative beliefs or expectations about oneself, others, or the world (e.g., "I am bad,: "No one can be trusted,: "The world is completely dangerous,: "My whole nervous system is permanently ruined"). [X] Persistent, distorted cognitions about the cause or consequences of the traumatic event(s) that lead the individual to blame himself/herself or others. [X] Persistent negative emotional state (e.g., fear, horror, anger, guilt, or shame). [X] Markedly diminished interest or participation in significant activities. [X] Feelings of detachment or estrangement from others. [X] Persistent inability to experience positive emotions (e.g., inability to experience happiness, satisfaction, or loving feelings.) Criterion E: Marked alterations in arousal and reactivity associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by two (or more) of the following: [X] Reckless or self-destructive behavior. [X] Hypervigilance. [X] Exaggerated startle response. [X] Problems with concentration. [X] Sleep disturbance (e.g., difficulty falling or staying asleep or restless sleep). Criterion F: [X] Duration of the disturbance (Criteria B, C, D, and E) is more than 1 month. Criterion G: [X] The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. Criterion H: [X] The disturbance is not attributable to the physiological effects of a substance (e.g., medication, alcohol) or another medical condition. Criterion I: Which stressor(s) contributed to the Veteran's PTSD diagnosis?: [X] Stressor #1 5. Symptoms ----------- For VA rating purposes, check all symptoms that actively apply to the Veteran's diagnoses: [X] Depressed mood [X] Anxiety [X] Suspiciousness [X] Panic attacks more than once a week [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] Difficulty in establishing and maintaining effective work and social relationships [X] Difficulty in adapting to stressful circumstances, including work or a worklike setting 6. Behavioral Observations -------------------------- Mr. Greene was early to his appointment. 7. Other symptoms ----------------- Does the Veteran have any other symptoms attributable to PTSD (and other mental disorders) that are not listed above? [ ] Yes [X] No 8. Competency ------------- Is the Veteran capable of managing his or her financial affairs? [X] Yes [ ] No 9. Remarks, (including any testing results) if any -------------------------------------------------- PTSD and major depressive disorder would be considered a progression / worsening of the previously diagnosed insomnia disorder. This opinion is supported the presentation of Mr. Greene's symptoms as consistent with PTSD as well has his STRs that document over 70 months deployed to Iraq and Afghanistan, having earned a bronze star with valor in the US Army special forces. Based on a review of the available records in VBMS, it is the writer's medical opinion that Mr. Greene's currently diagnosed PTSD is due to or a result of fear of hostile military activity from multiple combat deployments. This opinion is supported by the his exposure to threat of mortars and other explosive devices during deployment. The veteran continues to experience multiple symptoms that are consistent with combat related PTSD. NOTE: VA may request additional medical information, including additional examinations if necessary to complete VA's review of the Veteran's application.
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