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pyrotaz

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  1. Here are the results of my C&P exam, Just wondering what you think about it. 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: F43.1 2. Current Diagnoses -------------------- a. Mental Disorder Diagnosis #1: PTSD, Chronic ICD code: F43.1 b. Medical diagnoses relevant to the understanding or management of the mental health disorder (to include TBI): No response provided. 3. Differentiation of symptoms ------------------------------ a. Does the Veteran have more than one mental disorder diagnosed? [ ] Yes [X] No 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 occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks, although generally functioning satisfactorily, with normal routine behavior, self-care and conversation b. For the indicated occupational and social impairment, is it possible to differentiate which impairment is caused by each mental disorder? [ ] Yes [ ] No [X] Not Applicable (N/A) c. If a diagnosis of TBI exists, is it possible to differentiate which occupational and social impairment indicated above is caused by the TBI? [ ] Yes [ ] No [X] Not Applicable (N/A) SECTION II: ----------- Clinical Findings: ------------------ 1. Evidence Review ------------------ Evidence reviewed (check all that apply): [X] VA e-folder [X] CPRS [X] Other (please identify other evidence reviewed): Compensation & Pension (C&P) for Veterans Benefit Administration (VBA) and represents a Disability Evaluation - not a comprehensive clinical evaluation of the Veteran. Items on this DBQ are marked in highly specialized ways that conform specifically to the needs of VBA disability rating determination. Some items could be left blank because the Veteran's responses or physical findings could not be attributed to or are not associated with the current disability claim(s). Symptoms and signs may be present, but may not be clinically linked to the claim(s) C&P was requested to evaluate by VBA. =============================================== This C&P examination or/and medical opinion does not constitute a rating decision. by the C&P staff.] Rating decisions are made solely by the Regional Office (VBA) after all required data has been reviewed and verified. Any questions or concerns regarding rating procedures should be directed to the Veteran Service Organization, Regional Office or an Appeals Board. The decision to service connect or not service connect a claimed condition is the sole responsibility of VBA. The percentage of disability (if awarded) is determined by VBA - not C&P. Evidence Comments: All evidence gathered pertains to the review of Veteran's VBMS, CAPRI documents, own statements and recollections, as well as the WHODAS-2 and Mississippi Scale of Combat PTSD (administered to Veteran by this examiner today.) 4. PTSD Diagnostic Criteria --------------------------- Note: 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) 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] Dissociative reactions (e.g., flashbacks) in which the individual feels or acts as if the traumatic event(s) were recurring. (Such reactions may occur on a continuum, with the most extreme expression being a complete loss of awareness of present surroundings). [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 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 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). 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) the following [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 [X] Stressor #2 [X] Stressor #3 [X] Other, please indicate stressor number (i.e., Stressor #4, #5, etc.) as indicated above: 4, 5, 6, & 7 5. Symptoms ----------- For VA rating purposes, check all symptoms that actively apply to the Veteran's diagnoses: [X] Anxiety [X] Suspiciousness [X] Panic attacks that occur weekly or less often [X] Chronic sleep impairment [X] Disturbances of motivation and mood [X] Difficulty in adapting to stressful circumstances, including work or a Work like setting 6. Behavioral Observations -------------------------- Alert and oriented times three with good eye contact. Casually dressed and well groomed. Normal ambulation. Speech was slightly inaudible at times but otherwise WNL. Attention and concentration were good. Thought process was circumstantial. Thought content was slightly paranoid. Veteran denied SI/HI and AH/VH. Judgment was good and impulse control was good. Insight was fair. Intellect was average. 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 -------------------------------------------------- The WHODAS-II was developed to assess disabilities related to physical and mental disorders experienced within the past 30 days and provides a profile of functioning across six activity domains-understanding and communicating, mobility, self-care, getting along with others, life activities, and participation in society-as well as an overall disability score. The WHODAS-II has been used with individuals with PTSD and other stress-related disorders and research has shown it to be useful in these populations. A notable asset of the WHODAS-II is its relationship with the International Classification of Functioning, Disability, and Health which is an internationally recognized system of classifying the consequences of physical and mental health conditions. The WHO has also developed and validated a self-report version of the WHODAS-II that can be used in instances when an interview is not feasible or efficient. The scores assigned to each of the items - "none" (0), "mild" (1) "moderate" (2), "severe" (3) and "extreme" (4) - are summed. The simple sum of the scores of the items across all domains constitutes a statistic that is sufficient to describe the degree of functional limitations. The Mississippi Scale for Combat-Related PTSD (M-PTSD) is a 35-item self-report measure that assesses combat-related PTSD in Veteran populations. Items sample DSM-III symptoms of PTSD and frequently observed associated features (substance abuse, suicidality, and depression). Respondents are asked to rate how they feel about each item using 5-point, Likert-style response categories. Ten positively framed items are reversed scored and then responses are summed to provide an index of PTSD symptom severity which can range from 35-175. Cutoff scores for a probable PTSD diagnosis have been validated for some populations, but may not generalize to other populations. Examination measures were verbally administered by the examiner to the examinee instead of administered in written format and should be interpreted with this limitation in mind. It is as likely as not (50 percent or greater probability) that the Veteran is diagnosed with PTSD, chronic at moderate severity that incurred in or was caused by military sexual trauma. Rationale: The Veteran's summary score on the WHODAS-2 was 63, indicative of moderate impairment in social and occupational functioning. His score on the M-PTSD was 123, indicative of mild to moderate PTSD symptoms. Records indicate that Veteran meets with a D.O. who prescribes Veteran with psychotropic medications on a regular basis. In 2016, that provider diagnosed Veteran with PTSD and stated the following "it is my professional opinion that it is highly likely that the Veterans PTSD is a direct result of traumatic events from his military service." Further, the following markers provide evidence that his PTSD diagnosis is related to his military stressors: Markers: 1. Erectile dysfunction (per Veteran report) 2. Difficulties engaging in physical intimacy with wife (per wife and Veteran report) 3. Avoidance of male authority figures (per wife and Veteran report) 4. Veteran waited until 28 years old to engage in sexual relations (per Veteran report) 5. Veteran slit wrists during military service in direct response to ongoing harrassment by fellow Navymen, leaving a scar. (per Veteran report)
  2. So a little concerned. I looked today and noticed the they put in the following request. Request 4 Optional - We’ve asked others to send this to us, but you may upload it if you have it. <VA Medical Facility> Anybody want to chime in what this means?
  3. Moved to Prep for decision yesterday.
  4. Toddt it was the VA Why yes Master Chief I do!! Typo!!!!
  5. I had a DBQ done on June 11th and was just wondering if anyone could give me a rough timeline when it should show as submitted in MyVA. Its still listed as requested.
  6. So I survived the DBQ. I will admit it was the toughest thing I ever had to do. I had a female Doctor who allowed me time to explain my feeling and I didn't feel threatened or rushed. The questions that were asked opened up a lot of flood gates and to be honest I shed a lot of tears. She seemed very understanding and allowed me to take breaks as needed. The whole DBQ took about 2 hours. Before I left she took me aside and stated She definitely feels I suffer from PTSD and should look into counselling, which I am doing. She was going to finish up her report and submit it by the end of the day. What is roughly the timeline for a rating decision from here? I know it can go back and forth jut wonder the rough estimate.
  7. Received the call from my local VA to set up the date for my C & P exam. Next Thursday the 13th at 8:00 in the morning. I thought I was ready for this and while on the phone with the receptionist I started shacking and my pulse went up to 156 beats per minute. I took the day off from work and my wife will be with me for support. She will stay on the grounds and I will call her when done. I am a nervous wreck but know I can and half to do this.
  8. Sorry, I've taken so long to respond have a lot going on. Doc25 I was looking at the DBQ form for hypertension and attempting to figure out how they rate it. If my Doctor writes a nexus letter and fills out the DBQ without having me stop my medications to do the 3-5 day multi readings they would like: and covers the following #1. Current service connected disability. (You have that.) #2. Current diagnosis of condition claimed. (You have that.) #3. Obtain a nexus of opinion that states the minimum threshold as follows: The veteran's claimed condition is "at least as likely as not" (equal to or greater than 50% probability) due to or the result of the veteran's service-connected PTSD. And also states he feels that my diastolic pressure would average above 130 if take off my meds. We have documented proof that on at least five separate occasions when on a very high dose of hypertension meds my diastolic reading has been 110 which we will put in the Nexus letter. What sort of rating could I expect? Thanks for everyone's help
  9. My personal Doctor feels I should file a hypertension claim secondary to my PTSD/MST claim. Looking through my Military medical records it shows that my BP started elevating after the events started both systolic and diastolic numbers. About 3 months after my discharge one of my doctors placed me on bp medications and I have continued taking them. Even while on them my diastolic is always around 82-85. My question is that I am aware that the VA wants a 2-5 day consecutive reading to diagnose hypertension. I have been on hypertension medication now for over 25 years. My personal doctor does not feel comfortable taking me off these medications to get these readings. Unless it is in a very controlled environment where I could be monitored. Strokes run in the family and he does not feel safe taking me off these meds. Will a nexus letter from him explaining the visitation be significant to cover this. He feels that without the medication my diastolic BP would be above 130.
  10. Noticed today my claim finally should up on MYVA for initial review. To be honest to see it online knowing that the journey to tell my story and get the help I need was very overwhelming. it was a very emotional day. I know that my journey has just begun and one of the hardest part of it the C & P exam will be coming soon. I think of all the things I dread its C & P exam the most. Tp come out about what happened to my Wife and my doctors was by far the most hardest thing I ever had to do. Now I have to relive it again to a complete stranger and I am scared to death. Although everyone's story here is different I find comfort in reading them all and realizing I am not alone which for a long time I thought I was. Thank you for all the post and support.
  11. I met with a VSO on Feb 8th 2019 and started my MST/PTSD claim. To be totally honest I am scared to death. The incidents happened during my Navy duty 88-89. I had hid it from everyone including my wife until this past December. I had went to a VSO to talk about other claims when it slipped out and I was offered help to form a claim. We filed an intent to claim in Dec 2018. She suggested I talk with my wife and make an appointment with my doctor. After sitting and having a very emotional talk with my wife and with her support I made an appointment with my personal doctor. I am very lucky to have a great doctor who sat with me and after many tears I was able to explain in detail what had happened. He diagnosed me with extreme anxiety mostly when dealing with other Males ( Authority Figures or when confronted), and PTSD/MST and prescribed an anxiety as needed. What we submitted: A two page statement from me ( Timeline form) A statement from my wife A statement from from my 20 yr old son detailing my issues with examples of my issues with male authority figures A Nexus statement from my Doctor saying he feels that my anxiety and PTSD is definitely caused by what happened while I served. The VSO said that it was the best written Nexus statement she has ever seen in her 10 years in doing Veteran claims. My Questions: After submitting a claim to the VSO how long before it shows up on ebenefits? Mine still shows as intent to file. The VSO says it has been submitted. What can I expect at my C & P exam? How can I prepare myself for the exam? This is what I dread/fear most. Is it ok if I post my journey? I also want to thank all the men and women who have submitted to the MST forum. I now know I am not alone. Being a male and reading that similar things has happened to other males and reading their journeys has prepared me to start my journey and start the healing process.
  12. Looking for some guidance. I served on active duty in the Navy from 87-90 overseas on a ship. My original plans when I enrolled was to do 20 years, Back in Dec of 2018 I met with and amazing Veterans Service Officer about a tinnitus claim which was approved. While there she had handed me a bunch papers about claims and one was on PTSD and MST. She was copying and I was reading the PTSD-MST document and it triggered a bunch of emotions where I started shacking and tearing up. The VSO walked in and noticed my state and asked me if I was ok. I tried to answer her but, couldn't she went and got a male VSO and a male nurse to come in. Once the nurse helped calmed me down the male VSO noticed the document I was reading and we talked for awhile about it and I briefly explained a little. He recommend that I file a DBA for PTSD-MST and recommended the following. I document everything I can remember about the events is causing my stressors: I wrote an eight page document in details about the events. Talk to my wife about what happened and have her write a document on what she sees and how it effects our relationship: After having an very hard emotional talk with her, she wrote a two page document. My 20 year old son also wrote a two page document on things he as seen, even though he only knows a little about what happened. Talk to my doctor about what happened: Made an appointment and discussed detail what happened and he diagnosed me with severe PTSD and anxiety placed on Xanax as needed. He wrote a Nexus letter and has sent it into the VA for me Now I explain a little about what when on when arriving on ship I was assigned to a steam generator room and assigned watch with two other sailors one was a 2nd Class Petty officer and the other a 3rd class. At the time we were doing 12 hour watches 12 on 12 off. The first few watches went well. We were getting ready to pull into Subic Bay Philippines for a few days before heading back to Japan. They both stated " We want you to come out and drink with us and then we can tag team a few girls". Now a little history alcoholism runs in my family and I don'y shy away from drinking I just know my limits. When we arrived in port I hung out with a few of my buddies instead. When we headed back to sea things went down hill. On my first watch back with them they yelled to me to come to the watch booth which was big enough for 2 chairs and a small table/chair between them the whole booth was maybe 4 feet by 6 feet with a center door and windows. When I went in I noticed they both had towels over their laps which wasn't unusual do to it being over 100 degrees in there. I was told to sit down and did then one of them stated we figured out why you didn't go out with use you must be gay and not like girls. I didn't get a chance to answer when they ripped the towels off and exposed themselves to me. I tried to leave but they held the door laughing. I was finally let out and was very shaken up. This happened many time the next few day the both continually exposed themselves to me. I would ask them to stop and would be ignored. I went to my Chief Petty officer and told him what was going and and got this remark back " Why you trying to get them in trouble they are just playing with you". I went to back to my watch and was cornered by them and verbally threatened to keep my mouth shut. With out going in two many details things escalated to the point where I wold come done to watch and they would be masturbating in the open I'd try to move away and they would chase me around. One time I was working in the bilge( bottom area of ship lots of stinky water and valves) under the floor of our work space crawling around attempting to fix a valve when I felt what I thought was water coming down on me upon looking up realized they were urinating on me. A lot more worse things happened. I was very depressed and felt helpless. I tho ought about suicide many time and even cut my wrist once when things were at its worst. Got scared and told everyone I fell and sliced it still have the scar. Other than my failed attempt to tell my Chief about it I never told a soul about it. I ask myself why didn't I fight back? Lets put it this way at the time I weighed about 125 lbs soaking wet and about 5'7". They both were about 170-180 and were both over 6 feet. I was working in a space alone with them at anytime they could injury me say I got hurt working it was my word against the 2 of them. Why has it taking so long for me to open up about this? I always thought that Sexual trauma only happened to woman. I was scared and embarrassed to admit he happened to me. How has this affected me. I have nightmares weekly. I have flashbacks. Something will trigger memories and I'll have panic attacks. I have intimacy issues. I have ED issues that started at an early age. I have issues in places where there may be Male Public Nudity ( Locker rooms, even public restrooms I'll use a stall ) Just because it triggers flashback of them and what they did. I have issues with Male authority figures. I have the tendency to back down from and conflicts even though and right. Fear retaliation And the big one still fear retaliation from them. Still fear after almost 30 years that exposing them and what happened they will find away to get me. Thank you to everyone who reads this. Now my questions: Is there anything else I should include to help my case? I'm aware that after my meeting with the VSO they will set me up with a DBA with someone from the VA. What can I expect from that meeting and how should I prepare for it? What about secondary PTSD symptoms what applies? After meeting with my personal doctor he actually interned at the VA center I going to. He suggested apply for ratings secondary to the PTSD rating for the following. Erectile dysfunction, hypertension. Do you feel that these are ok? Are there others that I should consider or be aware of?
  13. Have a few questions about a possible claim. I was in the Navy back in the 87-90. During boot camp while running our first PT another recruit slipped and fell in front of me causing me to trip over him. I twisted my left hip causing excruciating pain. I remember being helped back to the barracks and originally told to sleep it off. I remember being on the bottom bunk and anytime the bunk moved being in extreme pain. The company commander that was doing the night watch actually came in and had a few of the recruits split the bed apart in the middle of the night do to all the pain I was in. The pain was in the left groin area and radiated to my left hip. I was then sent to the on base hospital, I saw a doctor who says it was just a groin pull and gave me some pain medication and was placed on light duty. Moving ahead about 2 weeks after a few followups, and never getting an x-ray I was sent to a Orthopedic Doctor on base. At first she treated it the same way as just a stubborn muscle pull. After a few weeks of seeing no improvement she decided to run a few test, having me walk straight lines. She noticed I favor my right side. She did some measuring and found that my left leg is almost 1/2 inch longer than my right leg. I was given a lift for my shoe and was given an option of going home or pushing thru the pain and attempting to pass the last PT test .NO X-RAY was ever completed. I stayed in passed the test highly medicated but I passed. During my years in the military I struggled to finish PT runs due to pain in the left hip/groin. I never had issues before I ran many road races and played baseball and soccer during high school years with no issues have documentation to prove that. Have had issues with the left hip through the years. Moving on a few years Oct 2013 I worked as a paramedic and was involved in a significant ambulance accident. While being treated for lower back pain I started developing left hip pain. The doctor and physical therapist stated they felt my left hip was very tight, mentioned my military incident and they felt it could be scar tissue from the pull. Filed a claim in 2014 with the VA and was denied with no rating exam completed. Moving on to May 2015 things were getting worse was sent to s specialist and was found to have a very serious labral tear in my hip. Went in and had a scope surgery done and the Surgeon noted I had three tears one small one on top of the hip and 2 very severe tears at the bottom of the hip near the groin. He stated he wasn't sure if the surgery would last do to the damage and felt that the tears most likely were there from a past injury and the crash just aggravated them. Unfortunately the surgery failed and on Nov 2015 I had my left hip replaced. My question is with the new information from the surgeons should I file a new claim? And if so what should I claim? On going hip issues: Still walk with a limp. Get very tired with walking Still have muscular issues with the left hip Still have pain and discomfort at times with the left hip Any help or comments would be greatly appreciated. Thank you all for your service.
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