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ArmChairRanger

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About ArmChairRanger

  • Rank
    E-3 Seaman

Contact Methods

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    Swilson865@gmail.com

Profile Information

  • Military Rank
    E-5
  • Location
    Texas
  • Interests
    Spending time with my grandchildren.

Previous Fields

  • Service Connected Disability
    100%
  • Branch of Service
    Army
  • Hobby
    Fishing

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  1. See attached questionnaire from my Independent Living assessment done at our home this year. Has good information for items and home improvements you can request. He did ask us to go online and send him screen shots of any specific items we would like to have. This helped the VA to provide exactly what we needed by taking the guess work out. The VR&E provided us an adjustable split king size bed. Most other items are pretty much general but helpful: shoe horn, wash brush, ring doorbell, iRobot, etc. Good luck and hope all goes well. IL Questions To Complete 2019.docx
  2. I am currently rated SMC (L-1) Entitled to special monthly compensation under 38 U.S.C. 1114, subsection (l) and 38 CFR 3.350(b) on account of loss of use of both feet from 01/2018. I had submitted a claim for sleep apnea based on weigh gain and submitted an examination for permanent need for aid and attendance to show that I could not exercise properly. The sleep apnea claim was denied but the VA approved a second SMC (L-1) Entitled to special monthly compensation under 38 U.S.C. 1114, subsection (l) and 38 CFR 3.350(b) on account of being so helpless as to be in need of regular aid and attendance from 08/2019. Do you have to submit a claim for additional SMC based on the new rating or should that be automatic? Found this information on asknod.org. The easiest way to get to R1 is the most obvious- §3.350(e)(1)(ii). You start at SMC L. If you are entitled to Aid and attendance, you are awarded SMC L #1. If you also lose the use of both your upper or lower extremities, or an upper and a lower extremity, you get another SMC L- #2. Two SMC Ls or any combination of of two Ls, Ms, or Ns gives you a bump to SMC O. SMC N ½ with a K will too. But-here comes the legal pyramiding- if you have two of any of the rates between L and N, with no condition being counted twice, and one of the ratings is for Aid and Attendance, you advance to SMC R 1 automatically.
  3. Hi ArmChairRanger, Thank you for your donation! We look forward to improving the forums with your donation. Your donation includes 1 month of ad free viewing. If you prefer the ad free view, you can subscribe for a monthly or yearly subscription. Thanks Tbird/VA Disability Compensation Benefits Forums - HadIt.com Veterans
  4. Thanks for the reply Berta, appreciate all that you do! When they awarded ths 100% did they-at that time- consider you for SMC S? No What Diagnostic code did they give you for the bi lateral pes planus? Code 5276 - B/L Pronounced Was that more recent surgery done prior to this C & P exam? Yes, One surgery on each foot mid 2017 to remove multiple large fibromas CRPS - http://www.rsdhope.org/what-is-crps1.html is rated as left & right lower extremity complex regional pain syndrome B/L Did you get a C & P exam for this- VA Form 21-0960F-1,( the scars)?Yes: Scars are rated as: scars, s/p left plantar fasciectomy, thigh graph, fibromatosis (right and left) From C&P form 21-0960: 3. Scars Functional impact Does the Veteran's scar(s) (regardless of location) or disfigurement of the head, face, or neck impact his or her ability to work? Yes Impact of the Veteran's scar(s) (regardless of location) or disfigurement of the head, face, or neck, providing one or more examples: VERY LIMITED AMBULATION, CONNOT WORK
  5. Hello all, Great site and I have learned a lot for reading. Thank you all. Any thoughts on deciphering my C&P exam? I am 100% P&T. I am already service connected 50% for b/l flat foot & 40% CRPS but had additional operations last year that further worsened my issues. To get around now I use a VA prescribed wheelchair and 3 wheeled electric scooter. Is this DBQ being completed in conjunction with a VA 21-2507, C&P Examination Request? [X] Yes [ ] No ACE and Evidence Review ----------------------- Indicate method used to obtain medical information to complete this document: [X] In-person examination Evidence Review Evidence reviewed (check all that apply): [X] Not requested 1. Diagnosis a. List the claimed condition(s) that pertain to this DBQ: FEET b. Select diagnoses associated with the claimed condition(s): [X] Flat foot (pes planus) ICD code: 00000000000 Side affected: Both Date of diagnosis: Right: HISTORICAL Date of diagnosis: Left: HISTORICAL [X] Plantar fasciitis ICD Code: 00000000 Side affected: Both Date of diagnosis: Right HISTORICAL Date of diagnosis: Left HISTORICAL [X] Arthritic conditions [X] Arthritis, degenerative ICD Code: 0000000000 Side affected: Both Date of diagnosis: Right HISTORICAL Date of diagnosis: Left HISTORICAL c. Comments (if any): No response provided d. Was an opinion requested about this condition (internal VA only)? [ ] Yes [X] No [ ] N/A 2. Medical history a. Describe the history (including onset and course) of the Veteran's foot condition (brief summary): veteran was seen and treated for arch pain on multiple occasions in service with many different diagnoses. he received steroid injections into arches and several occasions. after service veteran continued with foot pain and saw several doctors. This progressed to large painful nodules in his arches. the tumors were so large and invasive that he required excision of the overlying skin as well. skin grafts from anterior thighs to cover the defects. he uses custom shoes and inserts with minimal relief. Uses cane as well. walks on lateral side of his feet. can not place foot flat on floor without increased pain. First surgery and second on left foot was 2005. later 2005 on right foot. op reports and photos were reviewed by me. If veteran walks on sole of feet he gets a tearing type pain in his arches. no stairs or ladders. limited walking. has bench at work to elevate his feet. pain requires narcotic pain meds, muscle relaxers and gabapentin for nerve pain and burning in soles. pin and needle sensation both feet worse at night. painful to wear shoes even with insoles. minimal standing or walking. feet wake him at night. veteran does have mild pes planus, Not associated with current condition. Since the surgeries he has had recurrence of the tumors in both feet. Lederhosen disease to the bilateral feet, as well as complex regional pain syndrome, presents to clinic today for re-evaluation of his foot fibromas. Has significant pain to his feet when walking. Noted to have had 3 debridements to the left foot and 1 to the right, as well as skin grafting bilaterally. Has had 4 previous orthotics, which do not provide relief. Has been to pain management and plastics clinic. Bilateral feet - Multiple fibromas to the feet bilaterally, with tender nodules - Skin graft of the feet noted bilaterally MRI DATED 4/28/17 INDICATED HE CURRENTLY HAS FIBROUS TUMORS BILATERALLY. HE HAS GROSELY ABNORMAL GAIT DUE TO PAIN. b. Does the Veteran report pain of the foot being evaluated on this DBQ? [X] Yes [ ] No If yes, document the Veteran's description of pain in his or her words: SEE ABOVE c. Does the Veteran report that flare-ups impact the function of the foot? [ ] Yes [X] No d. Does the Veteran report having any functional loss or functional impairment of the foot being evaluated on this DBQ (regardless of repetitive use)? [X] Yes [ ] No If yes, document the Veteran's description of functional loss or functional impairment in his or her own words: SEE HISTORY. 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? [X] Yes [ ] No If yes, indicate side affected: [ ] Right [ ] Left [X] Both d. Does the Veteran have characteristic callouses? [X] Yes [ ] No If yes, indicate side affected: [ ] Right [ ] Left [X] Both 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? [X] Yes [ ] No If yes, indicate side affected: [ ] Right [ ] Left [X] Both Is the tenderness improved by orthopedic shoes or appliances? RIGHT - [ ] Yes [X] No [ ] N/A LEFT - [ ] Yes [X] No [ ] N/A g. Does the Veteran have decreased longitudinal arch height of one or both feet on weight-bearing? [ ] Yes [X] No 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? [ ] Yes [X] No k. Is there a lower extremity deformity other than pes planus, causing alteration of the weight-bearing line? [ ] Yes [X] No l. Does the Veteran have "inward" bowing of the Achilles tendon (i.e., hindfoot valgus, with lateral deviation of the heel) of one or both feet? [ ] Yes [X] No m. Does the Veteran have marked inward displacement and severe spasm of the Achilles t endon (rigid hindfoot) on manipulation of one or both feet? [ ] Yes [X] No n. Comments: No comments provided 11. Surgical procedures a. Has the Veteran had foot surgery (arthroscopic or open)? [X] Yes [ ] No If yes, indicate side affected, type of procedure and date of surgery: [X] Right foot procedure: SEE HISTORY Date of surgery: [X] Left foot procedure: SEE HISTORY Date of surgery: b. Does the Veteran have any residual signs or symptoms due to arthroscopic or other foot surgery? [X] Yes [ ] No If yes, describe residuals: SEE HISTORY 12. Pain 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 [ ] No (Further description of limitations requested in Section XIII below.) 13. Functional loss and limitation of motion a. Contributing factors of disability (check all that apply and indicate side affected): [X] Weakened movement (due to muscle injury, disease or injury of peripheral nerves, divided or lengthened tendons, etc.) Side affected: [ ] Right [ ] Left [X] Both [X] Excess fatigability Side affected: [ ] Right [ ] Left [X] Both [X] Incoordination, impaired ability to execute skilled movements smoothly Side affected: [ ] Right [ ] Left [X] Both [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 [X] Swelling Side affected: [ ] Right [ ] Left [X] Both [X] Instability of station Side affected: [ ] Right [ ] Left [X] Both [X] Disturbance of locomotion Side affected: [ ] Right [ ] Left [X] Both [X] Interference with standing Side affected: [ ] Right [ ] Left [X] Both [X] Lack of endurance Side affected: [ ] Right [ ] Left [X] Both Contributing factors of disability associated with limitation of motion: b. Is there pain, weakness, fatigability, or incoordination that significantly limits functional ability during flare-ups or when the foot is used repeatedly over a period of time? RIGHT FOOT: [ ] Yes [X] No LEFT FOOT: [ ] Yes [X] No c. Is there any other functional loss during flare-ups or when the foot is used repeatedly over a period of time? RIGHT FOOT: [ ] Yes [X] No LEFT FOOT: [ ] Yes [X] No 14. Other pertinent physical findings, complications, conditions, signs, symptoms and scars a. Does the Veteran have any other pertinent physical findings, complications, conditions, signs or symptoms related to any conditions listed in the Diagnosis section above? [X] Yes [ ] No If yes, describe (brief summary): SEE HISTORY b. Does the Veteran have any scars (surgical or otherwise) related to any conditions or to the treatment of any conditions listed in the Diagnosis section above? [X] Yes [ ] No If yes, are any of these scars painful or unstable; have a total area equal to or greater than 39 square cm (6 square inches); or are located on the head, face or neck? (An "unstable scar" is one where, for any reason, there is frequent loss of covering of the skin over the scar.) [X] Yes [ ] No If yes, also complete VA Form 21-0960F-1, Scars/Disfigurement c. Comments: No comments provided 15. Assistive devices a. Does the Veteran use any assistive devices as a normal mode of locomotion, although occasional locomotion by other methods may be possible? [X] Yes [ ] No If yes, identify assistive devices used (check all that apply and indicate frequency): Assistive Device: Frequency of use: [X] Wheelchair [ ] Occasional [ ] Regular [X] Constant [X] Walker [ ] Occasional [ ] Regular [X] Constant [X] Other: SCOOTER [ ] Occasional [ ] Regular [X] Constant b. If the Veteran uses any assistive devices, specify the condition and identify the assistive device used for each condition: FEET 16. Remaining effective function of the extremities Due to the Veteran's foot condition, is there functional impairment of an extremity such that no effective function remains other than that which would be equally well served by an amputation with prosthesis? (Functions of the upper extremity include grasping, manipulation, etc., while functions for the lower extremity include balance and propulsion, etc.) [X] Yes, functioning is so diminished that amputation with prosthesis would equally serve the Veteran. [ ] No If yes, indicate extremities for which this applies: [X] Right lower [X] Left lower For each checked extremity, describe loss of effective function, identify the condition causing loss of function, and provide specific examples (brief summary): SEE HISTORY 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? [ ] Yes [X] No c. If any test results are other than normal, indicate relationship of abnormal findings to diagnosed condition: No response provided 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: HE IS UNABLE TO WORK thank you!
  6. Mine changed to this week, your Regional Office is unable to provide an estimated completion date for this type of claim. My est. completion time was 11/4/15 to 11/28/15. FDC too. Two contentions, hearing loss and tinnitus claim. The QTC C&P was on 9/8/2015 and the claim went to "Prep for Decision" a couple of days later. Ebenies showed new VBMS filed on 9/21/2015 which the VSO told me was the date the C&P was scanned into the system. He sent me a copy of the C&P stating the magic words "as least likely as not (50% or better) for both contentions. So guessing they have made a decision and my claim will finish processing soon. Best of luck and God bless.
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