andrewdc

Attached is my recent MH eval. I am currently SMC S + K (100 % P&T copd, 50% mental disorder, 30% allergic rhinitius, 30% sinusitis, 20% diabetes ll, and 4 separate 10% ratings) It appears my mental disorder would be increased to 70% since she checked the box "occupation and social impairment inmost areas. in addition, she said my mild memory impairment had increased to Major neurocognitive disorder, and she added new diagnosis of adjustment disorder with mxed anxiety and depressed mood. So two questions, does the report reflect a 70% rating or is there enough evidence to support a 100% rating. Second question- does the report substantiate smc l. dc.pdf

I am currently 10% for peripheral neuropathy sciatic nerve left and right lower extremity. I requested an increase due to severe foot pain. The medical opinion stated: vets foot pain and related exam are consistent with diabetic neuropathy of which vet is service connected. foot pain is at least likely as not due to sc diabetes via its sequel DPN. My questions is regarding a rating. On the dbq, doc indicated mild constant pain, does impact work, severity=mild, has trophic changes, mild parastesias, mild numbness, and decreased light touch. Since everything was considered mild, would the rating remain at 10% for each?

Will the VA automatically consider SMC L if the outcome of my mental health exam indicates that I require regular care due to my memory issues? I'm currently smc s + k. The examiner indicated I met criteria for total social and occupational impairment and stated several times that my mental conditions (memory deficit, anxiety, and depression) requires my wife to taker care of my daily needs such as cooking, medicine management, finances, driving to appts, ect

two questions- below is a comment that there are different levels to smc L. what are the different levels and comp? second question. question 2- Can you receive smc L solely due to mental disorder? Moderator 3,293 9,413 posts Service Connected Disability: 100 Branch of Service: Navy Donor Report post Posted August 28 No. Smc S is housebound. SMC L is Aid and Attendance, but there are different levels of Aid and Attendance, generally depending upon the level of care you require. If a nurse is required to change bandages or IV's, thats a higher level of A and A than just someone help you get dressed or take a bath.

not sure what you mean regarding lower level of a&a?...If I'm considered housebound now, and then awarded a&a, I thought that meant jump to L from S?

just completed mh exam and examiner indicated I meet criteria for total and social impairment. I now plan to apply again for aid and attendance. I am 100%, 50% mh, 30%, AR, 30% sinusitis, 20% diabetes, and 4 separate 10% ratings (currently smc s) + K . If my mh 50% rating is increased to 100% and I am approved for a&a, what would my comp be based on the ratings listed? I think it is "N" but not sure. Thanks

I'm currently 100% copd, 50% mental, 30% sinusitis, 30% allergic rhinitis, 20% diabetes and 4 10% ratings for sciatica (smc s). I requested an increase in mental and just completed exam. Examiner told me that I meet the criteria for total occupation and social impairment. If I receive another 100% rating, will the va automatically consider me for aid and attendance (smc l)?

I am currently smc s (100% copd), 50% mci-mental, 30% sinusitis, 30% allergic rhinitis, 20% diabetes, and 4 10% ratings for nerve sciatica

I'm currently 100% copd and 50% mental with a host of other rated disabilities. I currently work, but have received many reprimands due to my forgetfulness (memory disorder) so continued employment is shaky at best. I feel I would qualify for ssdi now, but haven't applied because I don't have the financial resources to wait 6 months for ssdi payment assuming I qualify. So, I have put in for an increase in my mental rating and although struggling to work, feel I could be deemed total occupational and social impaired. My wife who was retired for 6 years recently went back to work to help us in the event I am terminated. My eval is Thursday and my wife helped me put together my current mental status as I would probably forget some key items during the eval. my question is, is it possible to receive a 100% mental rating while still maintaining employment. due to my mental issues, I'm hoping to get smc L at some point. MCI, Depression, Anxiety, Sleep Disorders COPD, Sleep Apnea, Diabetes, neuropathy, Hypertension, Sinusitis, Allergic rhinitis, Medicines (see attached) Forget to put car in park before exiting car Left stove burners on unattended Forget to take daily medicine Severe anxiety in crowds- profuse sweating Forget grand kids and other relatives names Forget where going while driving Dr simukuvar (va pschyistrsit) advised me to stop driving) Forgetful of date and time-forgot daughters recent birthday No emotion to anything Unable to focus at work Forget who I call Unable to remember person I am speaking with Forget short term instructions Severe difficulty understanding instruction Judgement is poor, makes bad decisions regarding finances, work, and relationship Unable to function in crowds—extreme sweating Unable to maintain friendships, withdrawn Speech issues,,,words don’t come out as intended Hit knees with fists when I’m overwhelmed or anxious Forget to wash hair or brush teeth, hygene4 is deteriorating without wife intervention Unable to tell whether certain dreams were actual events or just dream. Continue issues with sleep---fragmented Obsessed rituals, 16 pumps of soap, 4 pumps shampoo- don’t know why Careless driving Poor memory especially short term- Will be applying for ssdi due to current medical conditions as unemployment is eminent due to poor function at work. Feel will qualify now but unable to apply as payments don’t begin for 6 months after approval. All work reprimands related to memory issues. Linda- assumed control of finances and bill paying, all meal preparation, all medicine management, monitors all my activities. Prefer to be by myself and not around people. Only hobby is fishing Irritated easily Always tired from slack of sleep No energy No mood Have fallen asleep while driving more than once Nervous often Rely heavily on wife to manage daily activities

how is hypertension rated (by %)

I was increased to smc s because I have one disability rated at 100% and additional ratings that equal 60% or more. Other than a&a which I applied for but was denied for now, seems like I will remain at S even if my other disabilities increase in severity.

My rated disabilities are as follows: 100 P&T COPD, 50% mental disorders, 30% sinusitis, 30% allergic rhinitis, 20% diabetes II, and (4) 10% separate nerve disabilities, and smc k. If I understand correctly, regardless of any additional added disabilities, without another rated at 100%, then I would forever remain at SMC S. is that correct?

I was already SMC s for 100% P&T (COPD) plus 30%,30%, 20%,10%,10%,10%,10%. so even though I have a new 50% rating plus k, I assume, the only additional increase I will see is the %105 for ed.

I am 100%pt, 30,30,20,10,10,10,10. Just found out from vso I was granted k for ed and 50% for mental disorders. If I understand correctly, my comp remains smc s plus the new k, is that correct?

exam completed by contractor

I faxed a request today for a copy of my exam completed in March by LHI. How long does it typically take to process request?

I am smc s (100,30,30,20,10,10,10,10). I am waiting on decision on my A&A claim. If approved, am I bumped to L? and what additional bumps would I receive for remaining ratings?

I am currently smc s....(100, 30,30,20,10,10,10,10). I am awaiting claim decisions for a&a, ed, and mental disorders. Based on my current ratings, if a&a is approved, is the next increase l1/2? And, if MH is rated 100%, then m1/2? On my ed exam, reviewer indicated she would service connect as secondary to diabetes, so I assume k would be added as well. Thanks

I submitted the VA 21 form for aid and attendance on 5/2 along with claim for ED. I had my c&p for ed 2 weeks ago and as of now no other c&p exams are pending. I submitted an a&a form completed by my neurologist and one completed by my physiatrist. Just wondering since I my doctors completed the A&A forms, should I also expect a c&p exam? On a side note, I'm filing for A&A because of my memory impairment issues. My wife handles all financial matters and medication and both doctors indicated I am unable to prepare meals as I have forget to turn burners off ect. I earlier filed a claim for same. The va examiner opined the my depression and anxiety are related to my MCI (mild cognative impairment) but was not service connected because the origin of my neurocognitive disorder was unclear. Unfortunately I submitted the claim and said I had no other evidence to provide. After my claim submission, my neurologist wrote a chart note that said it is likely my memory disorders were directly caused by my COPD and sleep apnea. I am service connected for both. So I reopened claim and submitted a copy of his letter which is currently pending review.

just completed c&p exam by ves..lasted 10 minutes, just asked a few questions...didn't directly say she would service connect but said diabetes is huge factor for ed. I field for ed secondary to service connected diabetes. .

I am receiving SMC S (housebound) 100% p&t plus others totaling more than 60%. After rating decision, I submitted the VA A&A form. Actually, I submitted two forms, one completed by my neurologist and one completed by my psychiatrist. Because I am rated at S, will they understand I'm asking for the higher level of A&A because my wife now has to handle financial affairs, medication management, meal preparation, ect ?

My current ratings are 100p&T (copd) 30,30, 20,10,10,10,10) I am being paid smc s (100 + 60) HB...However, after receiving smc s, I submitted a&A form because my wife handles our finances as my memory issues worsened to the point I can no longer manage, in addition, I am unable to prepare meals, or manage medications, ect. Just spoke to va and they said I am already receiving smc thus I didn't need to submit a&a form...But doesn't the a&a approval increase to level L if you have a single 100 % rating? and l1/2 since other disabilities equal at least 50%

ok..will see what the examiner says...my evidence of ED is my va prescriptions for Sildenafil citrate..

I submitted claim for ED secondary to my diabetes. Have exam next week...Is this typically approved secondary to diabetes?

I am currently smc s (100%pt, 30,30,20,10,10,10,10). I was also service connected for sleep apnea, but rating not changed due to copd rating. My claim for mental disorders (memory, sleep, anxiety, ect) was not service connected. After reading decision letter, the VA examiner opined mental issues are related to my diagnosed MCi. However, the origin was not clear, so service connection not granted. It appears they did not consider letter from my neurologist (I submitted about 2 weeks after I said I had no other info to submit- my fault. My neurologist wrote the following note in my chart. I believe this will allow service connected and rating will be 100%. I am also waiting for decision on aid and att form I submitted. So, if mental approved at 100%, what would my new rating be based on my ratings above? I have been asked to comment on patients cognitive decline and possible etiologies. In review of his prior cognitive evaluation by the neuropsychiatric department, it was noted that he has a history of obstructive sleep apnea, also with history of asthma/COPD, currently on multiple inhalers. In our review of the literature, it is likely that his ongoing lung disease (COPD/Asthma) as well as Obstructive sleep apnea (OSA) can contribute to cognitve impairment (MCI), and in fact the longer duration of a patient having COPD puts them at increased risk for MCI (per 2014 Mayo Clinic study https://www.ncbi.nlm.nih.gov/pubmed/24637951) https://www.ncbi.nlm.nih.gov/pubmed/23364388 We will therfore attest to his MCI likely being caused by his underlying dx of COPD/Asthma. Doctor name excluded