Merlynda

Not really sure. Complaints in my medical record since 2005. Also, claim was a BDD. I was still on active duty. Got decision letter 14 days after release from Service.

Just an update Got awarded a rating of 0% but service connected

Just an update. I was awarded 50% for PTSD

Thanks for the responses. I am not trying to get to 100% I simply do not believe my PTSD affects my work and social functioning at a 10% level. I found it insulting and stress inducing. If I get a 30% rating I can accept that and focus on recovery. If I get 10% rating I have to fight. Which sets off panic attacks.

If PTSD rating comes back at 10% I will submit a higher level review appeal.

Thanks Doc25! Already have OSA w/ CPAP in record since 2012 I did submit a PTSD DBQ from my private psychologist. It was rated at 70% My DoD psychiatrist initial PTSD exam scored my PCL-5 at 65 Will the above submitted evidence help?

Thanks Vetquest. I agree with your assessment. Broncovet: i did mention SC in my post. Specifically “SC diagnosed and treated by Psychiatrist while active duty “ -thanks to all

Oh my. Interesting response. I am still on active duty filing via BDD. Diagnosed with PTSD while on active duty was told b/c diagnosed while on active duty it is SC. No?

I am having terrible luck with VA C&P exams. Any guess as to my rating? SC diagnosed and treated by Psychiatrist while active duty Here are highlights of PTSD DBQ. Marked: 10% [X] Occupational and social impairment due to mild or transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or; symptoms controlled by medication But examiner checked these symptoms: [X] Depressed mood [X] Anxiety [X] Panic attacks that occur weekly or less often [X] Chronic sleep impairment [X] Difficulty in establishing and maintaining effective work and social relationships [X] Difficulty in adapting to stressful circumstances, including work or a worklike setting ———-Redacted DBQ below————— 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: 309.81 2. Current Diagnoses -------------------- a. Mental Disorder Diagnosis #1: PTSD ICD code: 309.81 b. Medical diagnoses relevant to the understanding or management of the mental health disorder (to include TBI): see Veteran's medical record for pertinent medical conditions 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 due to mild or transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or; symptoms controlled by medication 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 2. History Post-Military: N/A d. Relevant legal and behavioral history (pre-military, military, and post-military): Veteran denied. e. Relevant substance abuse history (pre-military, military, and post-military): Veteran denied d. 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. 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 --------------------------- 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) [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). 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, of 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 negative emotional state (e.g., fear, horror, anger, guilt, or shame). [X] Markedly diminished interest or participation in significant activities. 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] Irritable behavior and angry outbursts (with little or no provocation) typically expressed as verbal or physical aggression toward people or objects. [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 [X] Depressed mood [X] Anxiety [X] Panic attacks that occur weekly or less often [X] Chronic sleep impairment [X] Difficulty in establishing and maintaining effective work and social relationships [X] Difficulty in adapting to stressful circumstances, including work or a worklike settingrk and social relationships [X] Difficulty in adapting to stressful circumstances, including work or a worklike setting 6. Behavioral Observations -------------------------- Veteran was cooperative during the examination. 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 -------------------------------------------------- No remarks provided. **************************************************************************** Miscellaneous Disability Benefits Questionnaire Please use this DBQ to address 1151 requests, or other issues that are not specifically addressed by specific DBQs such as Individual Unemployability (UI). Mental health - Separation Health Assessment Disability Benefits Questionnaire * Internal VA or DoD Use Only* Was a DD Form 2807-1, Report of Medical History, completed by the Service member and available for review at the time of this examination? [x] Yes [] No [ ] N/A Any changes to his/her health status since DD 2807-1 completed? [ ] Yes[x] No[] N/A (Proposed) Date of separation from active service: ETS June 2018 1. Medical record review ------------------------- Was the Veteran's VA claims file reviewed? [x] Yes [ ] No 2. Medical history (Review of Systems) -------------------------------------- 1. Psychiatric: [x] Yes[ ] No #1. Claimed Condition: PTSD Onset: History: Prognosis: Unknown. #2. Claimed Condition: Onset: History: Prognosis: (Please follow format if more claims are being addressed) PTSD SCREEN PC-PTSD ------------------- In your life, have you ever had any experience that was so frightening, horrible, or upsetting that, in the past month, you: 1. Have had nightmares about it or thought about it when you did not want to? [x] Yes [] 2. Tried hard not to think about it or went out of your way to avoid situations that reminded you of it? [x] Yes [] No 3. Were constantly on guard, watchful, or easily startled? [x] Yes [] No 4. Felt numb or detached from others, activities, or your surroundings? [x] Yes [] No Depression screen: PHQ2 ----------------------- Over the past two weeks, how often have you been bothered by Any of the following problems? Little interest or pleasure in doing things. [] 0 = Not at all [x] 1 = Several days [] 2 = More than half the days [] 3 = Nearly every day Feeling down, depressed, or hopeless. [] 0 = Not at all [x] 1 = Several days [] 2 = More than half The days [ ] 3 = Nearly every day Total Point Score: 2 Brief Suicide Risk Assessment ----------------------------- - (Perform if score positive on Depression or PTSD screens) Are you feeling hopeless about the present or future? [] Yes [x] No Have you had thoughts about taking your life - if yes - when did you have these thoughts and do you have a plan to take your life? [x] Yes [x] No Have you ever had a suicide attempt? [ ] Yes [x] No 3. Physical Exam ----------------- 1. Psychiatric (Specify any personality deviation) [ ] Normal [x] Abnormal [ ] Not examined 5. Diagnosis: ------------- #1. Claimed condition: PTSD. Diagnosis/Rationale: Veteran meets the DSM-5 diagnostic criteria forPTSD #2. Claimed condition: Diagnosis/Rationale: (for additional Claim/diagnosis, please follow above format) 6. Remarks, if any: -------------------

Thank you. It is service connected. I am going to get a new EMG/NCS. I agree 0% I need objective evidence.

Below is my Peripheral Nerve DBQ. Any chance I will be rated 10%? Basically normal EMG, normal strength, normal everything. Except chronic numbness, tingling and night splints. T H A N K S ! ************************* 1. Diagnosis ------------ Does the Veteran have a peripheral nerve condition or peripheral neuropathy? [X] Yes [ ] No Diagnosis #1: Bilateral sensory cubital tunnel syndrome (sensory symptoms in ulnar nerve distribution) ICD code: G56.20 Date of diagnosis: 2019 2. Medical history ------------------ a. Describe the history (including onset and course) of the Veteran's peripheral nerve condition (brief summary): claimed condition: carpal tunnel syndrome This 57 year old has tingling and numbness in the forearms, involving 4th and 5th digits, these symptoms started in ~2011 with overuse of computer mouse and typing, began to experience difficulty turning jars,holding the steering wheel, my hands get tingling and I have to shake them out. If I use a scissors or a tool for too long, my hands cramp up, and it really hurts, has difficulty moving mouse at work had EMG/NCS in 2012 - which was normal has soft and hard wrist splints Symptoms primarily involve the 4th and 5th digits which is ulnar nerve distribution not median nerve distribution (carpal tunnel syndrome) 04 Jun 2012 1532 EDT WALTER REED NATIONAL MILITARY MEDICAL CENTER DEPARTMENT OF NEUROLOGY Bethesda, MD 20889 (301) 295-4770 Electroneuromyography Sex: Female History: 51 y/o female with "years of symptoms" presents to WRNMMC Neurology for EMG/NCS for bilateral hand numbness. Pt reports since 2000 she has noticed intermittent numbness involving bilateral hands (R>L) Unsure distribution of symptoms; however endorses symptoms into the forearm. Endorses night symptoms and having to "shake" the hands for symptom relief. Wears wrist braces at night and has experienced some improvement of symptoms. Endorses left neck (points to trapezius muscle) pain. Rare shooting pain into shoulder area. Focused Neuromuscular Examination: Normal bulk and tone 5/5 strength bilateral upper extremities (proximal & distal muscles)DTRs 2+ and symmetric + tinnels and + phalens b. Dominant hand [X] Right [ ] Left [ ] Ambidextrous 3. Symptoms ----------- a. Does the Veteran have any symptoms attributable to any peripheral nerve conditions? [X] Yes [ ] No Constant pain (may be excruciating at times) Right upper extremity: [ ] None [ ] Mild [X] Moderate [ ] Severe Left upper extremity: [ ] None [X] Mild [ ] Moderate [ ] Severe Intermittent pain (usually dull) Right upper extremity: [ ] None [ ] Mild [X] Moderate [ ] Severe Left upper extremity: [ ] None [X] Mild [ ] Moderate [ ] Severe Paresthesias and/or dysesthesias Right upper extremity: [ ] None [ ] Mild [X] Moderate [ ] Severe Left upper extremity: [ ] None [X] Mild [ ] Moderate [ ] Severe Numbness Right upper extremity: [ ] None [ ] Mild [X] Moderate [ ] Severe Left upper extremity: [ ] None [X] Mild [ ] Moderate [ ] Severe 4. Muscle strength testing --------------------------a. Rate strength according to the following scale: 0/5 No muscle movement 1/5 Palpable or visible muscle contraction, but no joint movement 2/5 Active movement with gravity eliminated 3/5 Active movement against gravity 4/5 Active movement against some resistance 5/5 Normal strength Elbow flexion: Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Elbow extension: Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Wrist flexion: Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Wrist extension: Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Grip: Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Pinch (thumb to index finger): Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Knee extension: Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Ankle plantar flexion: Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Ankle dorsiflexion: Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5 b. Does the Veteran have muscle atrophy? [ ] Yes [X] No 5. Reflex exam -------------- Rate deep tendon reflexes (DTRs) according to the following scale: 0 Absent 1+ Hypoactive 2+ Normal 3+ Hyperactive without clonus 4+ Hyperactive with clonus Biceps: Right: [ ] 0 [ ] 1+ [X] 2+ [ ] 3+ [ ] 4+ Left: [ ] 0 [ ] 1+ [X] 2+ [ ] 3+ [ ] 4+ Triceps: Right: [ ] 0 [ ] 1+ [X] 2+ [ ] 3+ [ ] 4+ Left: [ ] 0 [ ] 1+ [X] 2+ [ ] 3+ [ ] 4+ Brachioradialis: Right: [ ] 0 [ ] 1+ [X] 2+ [ ] 3+ [ ] 4+ Left: [ ] 0 [ ] 1+ [X] 2+ [ ] 3+ [ ] 4+ Knee: Right: [ ] 0 [ ] 1+ [X] 2+ [ ] 3+ [ ] 4+ Left: [ ] 0 [ ] 1+ [X] 2+ [ ] 3+ [ ] 4+ Ankle: Right: [ ] 0 [ ] 1+ [X] 2+ [ ] 3+ [ ] 4+ Left: [ ] 0 [ ] 1+ [X] 2+ [ ] 3+ [ ] 4+ 6. Sensory exam --------------- Indicate results for sensation testing for light touch: Shoulder area (C5): Right: [X] Normal [ ] Decreased [ ] Absent Left: [X] Normal [ ] Decreased [ ] Absent Inner/outer forearm (C6/T1): Right: [X] Normal [ ] Decreased [ ] Absent Left: [X] Normal [ ] Decreased [ ] Absent Hand/fingers (C6-8): Right: [X] Normal [ ] Decreased [ ] Absent Left: [X] Normal [ ] Decreased [ ] Absent Upper anterior thigh (L2): Right: [X] Normal [ ] Decreased [ ] Absent Left: [X] Normal [ ] Decreased [ ] Absent Thigh/knee (L3/4): Right: [X] Normal [ ] Decreased [ ] Absent Left: [X] Normal [ ] Decreased [ ] Absent Lower leg/ankle (L4/L5/S1): Right: [X] Normal [ ] Decreased [ ] Absent Left: [X] Normal [ ] Decreased [ ] Absent Foot/toes (L5): Right: [X] Normal [ ] Decreased [ ] Absent Left: [X] Normal [ ] Decreased [ ] Absent 7. Trophic changes ------------------ Does the Veteran have trophic changes (characterized by loss of extremity hair, smooth, shiny skin, etc.) attributable to peripheral neuropathy? [ ] Yes [X] No 8. Gait ------- Is the Veteran's gait normal? [X] Yes [ ] No 9. Special tests for median nerve --------------------------- Were special tests indicated and performed for median nerve evaluation? [X] Yes [ ] No Phalen's sign: Right: [ ] Positive [X] Negative Left: [ ] Positive [X] Negative Tinel's sign: Right: [ ] Positive [X] Negative Left: [ ] Positive [X] Negative 10. Nerves Affected: Severity evaluation for upper extremity nerves and radicular groups --------------------------- a. Radial nerve (musculospiral nerve) Right: [X] Normal [ ] Incomplete paralysis [ ] Complete paralysis Left: [X] Normal [ ] Incomplete paralysis [ ] Complete paralysis b. Median nerve Right: [X] Normal [ ] Incomplete paralysis [ ] Complete paralysis Left: [X] Normal [ ] Incomplete paralysis [ ] Complete paralysis c. Ulnar nerve Right: [X] Normal [ ] Incomplete paralysis [ ] Complete paralysis Left: [X] Normal [ ] Incomplete paralysis [ ] Complete paralysis d. Musculocutaneous nerve Right: [X] Normal [ ] Incomplete paralysis [ ] Complete paralysis Left: [X] Normal [ ] Incomplete paralysis [ ] Complete paralysis e. Circumflex nerve Right: [X] Normal [ ] Incomplete paralysis [ ] Complete paralysis Left: [X] Normal [ ] Incomplete paralysis [ ] Complete paralysis f. Long thoracic nerve Right: [X] Normal [ ] Incomplete paralysis [ ] Complete paralysis Left: [X] Normal [ ] Incomplete paralysis [ ] Complete paralysis g. Upper radicular group (5th & 6th cervicals) Right: [X] Normal [ ] Incomplete paralysis [ ] Complete paralysis Left: [X] Normal [ ] Incomplete paralysis [ ] Complete paralysis h. Middle radicular group Right [X] Normal [ ] Incomplete paralysis [ ] Complete paralysis Left: [X] Normal [ ] Incomplete paralysis [ ] Complete paralysis i. Lower radicular group Right: [X] Normal [ ] Incomplete paralysis [ ] Complete paralysis Left: [X] Normal [ ] Incomplete paralysis [ ] Complete paralysis 11. Nerves Affected: Severity evaluation for lower extremity nerves and radicular groups No response provided. 12. 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? [ ] Yes [X] No b. If the Veteran uses any assistive devices, specify the condition and identify the assistive device used for each condition: No response provided. 13. Remaining effective function of the extremities --------------------------- Due to peripheral nerve conditions, 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.) [ ] Yes, functioning is so diminished that amputation with prosthesis would equally serve the Veteran. [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? [ ] Yes [X] No b. Does the Veteran have any scars (surgical or otherwise) related to and conditions or to the treatment of any conditions listed in the Diagnosis Section above? [ ] Yes [X] No c. Comments, if any: No response provided. 15. Diagnostic testing ---------------------- a. Have EMG studies been performed? [X] Yes [ ] No Extremities tested: [X] Left upper extremity Results:[X] Normal [ ] Abnormal Date: 2012 b. Are there any other significant diagnostic test findings and/or results? [X] Yes [ ] No If yes, provide type of test or procedure, date and results (brief summary): Note Text 1. Carpal tunnel syndrome Procedure(s): -EMG Limited Study x 1 -NCS Right Median Nerve Motor Function x 1 -NCS Right Ulnar Nerve Motor Function x 1 -NCS Right Ulnar Nerve Sensory Function (Orthodromic) x 1 -NCS Right Radial Nerve Sensory Function x 1 -NCS Right Median Nerve Sensory Function (Orthodromic) x 2 Sex: Female History: 51 y/o female with "years of symptoms" presents to WRNMMC Neurology for EMG/NCS for bilateral hand numbness. Pt reports since 2000 she has noticed intermittent numbness involving bilateral hands (R>L) Unsure distribution of symptoms; however endorses symptoms into the forearm. Endorses night symptoms and having to "shake" the hands for symptom relief. Wears wrist braces at night and has experienced some improvement of symptoms. Endorses left neck (points to trapezius muscle) pain. Rare shooting pain into shoulder area. Focused Neuromuscular Examination: Normal bulk and tone 5/5 strength bilateral upper extremities (proximal & distal muscles)DTRs 2+ and symmetric + tinnels and + phalens Sensory NCS Nerve / Sites Distance Segments Peak Lat NP Amp cm ms µV R MEDIAN - VS ULNAR PALMAR Median 8 Median - Wrist 1.95 139.9 Ulnar 8 Ulnar - Wrist 2.00 34.0 R MEDIAN - VS RADIAL Median 10 Median - Dig I 2.75 46.5 Radial 10 Radial - Dig I 2.60 15.3 Motor NCS - MEDIAN APB Nerve / Sites Rec. Site Lat Amp Rel Amp Segments Dist. Vel. Area ms mV % cm m/s mVms R MEDIAN - APB Wrist APB 3.35 9.1 100 Wrist - APB 7 39.9 Elbow APB 6.95 9.3 103 Elbow - Wrist 21.5 59.7 41.6 Motor NCS - ULNAR ADM Nerve / Sites Rec. Site Lat Amp Rel Amp Segments Dist. Vel. Area ms mV % cm m/s mVms R ULNAR - ADM Wrist ADM 3.45 11.5 100 Wrist - ADM 7 40.6 B.Elbow ADM 6.80 10.7 92.9 B.Elbow - Wrist 19.5 58.2 36.3 A.Elbow ADM 8.05 10.9 94.4 A.Elbow - B.Elbow 7 56.0 34.9 Needle EMG EMG Summary Table Insertional Spontaneous MUAP Recruitment Activity PSW Fib Fasc Other Amp Dur. PPP Effort Pattern R. APB N None None None None N N N N N L. CERV PSPINAL N None None None None NA NA NA NA NA SUMMARY OF FINDINGS: 1. Right median palmar mixed/sensory nerve study was normal 2. Right median vs radial sensory nerve study was normal 3. Right median motor nerve study was normal. 4. Right ulnar motor nerve study was normal. 5. An EMG of the right upper extremity and left cervical paraspinal muscles was performed using a disposable monopolar needle. Muscles tested were normal. ELECTRODIAGNOSTIC INTERPRETATION: This is a normal nerve conduction study. No electrodiagnostic evidence of carpal tunnel syndrome, ulnar neuropathy or cervical radiculopathy. 16. Functional impact --------------------- Does the Veteran's peripheral nerve condition and/or peripheral neuropathy impact his or her ability to work? [X] Yes [ ] No If yes, describe impact of each of the Veteran's peripheral nerve and/or peripheral neuropathy condition(s), providing one or more examples: has difficulty moving mouse at work, slows me down 17. Remarks, if any: -------------------- No remarks provided.