Greetings all,
Can anyone tell me what this info on my hearing loss means in layman's terms? I removed the redundant sections and only included what I thought was applicable. I also removed the names of myself and the examiner.
Thank you for any info you can provide and Happy Holidays
LOCAL TITLE: AUDIOLOGY COMPENSATION AND PENSION EXAM (B) STANDARD TITLE: AUDIOLOGY C & P EXAMINATION CONSULT DATE OF NOTE: OCT 27, 2016@14:00 ENTRY DATE: OCT 27, 2016@15:32:45 AUTHOR: XXXXXX ONEI EXP COSIGNER: URGENCY: STATUS: COMPLETED Hearing Loss and Tinnitus Disability Benefits Questionnaire Name of patient/Veteran: XXXXX 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] CPRS This exam is for: Hearing loss and/or tinnitus (audiologist, performing current exam) SECTION 1: HEARING LOSS (HL) ----------------------------- xxxxx CONFIDENTIAL Objective Findings --------------------- a. Puretone thresholds in decibels (air conduction): RIGHT EAR +==============================================================+ | A | B | C | D | E | F | G | |========+========+========+========+========+========+========+========+ | 500 | 1000 | 2000 | 3000 | 4000 | 6000 | 8000 | Avg Hz | | Hz* | Hz | Hz | Hz | Hz | Hz | Hz | (B-E)**| |========+========+========+========+========+========+========+========| | 60 | 70 | 95 | 105+ | 105+ | 105+ | 105+ | 94 | +=======================================================================+ LEFT EAR +==============================================================+ | A | B | C | D | E | F | G | |========+========+========+========+========+========+========+========+ | 500 | 1000 | 2000 | 3000 | 4000 | 6000 | 8000 | Avg Hz | | Hz* | Hz | Hz | Hz | Hz | Hz | Hz | (B-E)**| |========+========+========+========+========+========+========+========| | 60 | 65 | 100 | 105+ | 105+ | 105+ | 105+ | 94 | +=======================================================================+ * The puretone threshold at 500 Hz is not used in determining the evaluation but is used in determining whether or not a ratable hearing loss exists. ** The average of B, C, D, and E. *** CNT - Could Not Test b. Were there one or more frequency(ies) that could not be tested: No c. Validity of puretone test results: Test results are valid for rating purposes. d. Speech Discrimination Score (Maryland CNC word list): +=======================+ | RIGHT EAR | 46% | |=============+=========| | LEFT EAR | 48% |
[X] Sensorineural hearing loss (in the frequency range of 500-4000 Hz)* ICD code: H90.3 [ ] Sensorineural hearing loss (in the frequency range of 6000 Hz or higher frequencies)** ICD code: [ ] Significant changes in hearing thresholds in service***
Does the Veteran's hearing loss impact ordinary conditions of daily life, including ability to work: Yes
If yes, describe impact in the Veteran's own words: Veteran reports that he misunderstands what i s said, asks for repetitions alot, people think he is not paying attention, TV is too loud, he needs to use closed captioning on the TV and that his hearing loss is annoying to him. 5. Remarks, if any, pertaining to hearing loss: ----------------------------------------------- No response provided SECTION 2: TINNITUS -------------------- 1. Medical history ------------------ Does the Veteran report recurrent tinnitus: Yes Date and circumstances of onset of tinnitus: Veteran is service connected for tinnitus. His military and medical history are a matter of VARO record. 2. Etiology of tinnitus ----------------------- [X] Etiology opinion not indicated as: [X] Service connected condition 3. Functional impact of tinnitus -------------------------------- Does the Veteran's tinnitus impact ordinary conditions of daily life, including ability to work: Yes
If yes, describe impact in the Veteran's own words: Veteran reports that the tinnitus is annoying. 4. Remarks, if any, pertaining to tinnitus:: ----------------------