@Berta
On her rationale for the " as likely as not" ( 50% or greater probability) was as follows
"The veteran has documentation in strs of her wheezing x4 days with treatment for URI during active service. She continued to seek medical treatment for her wheezing and cough post active duty service. on 04/2013 was diagnosed with asthma. This is within the first years of active duty service and is a nexus to her wheezing in service as likely as not asthma in service.
"The veteran currently has multiple medications to include a monthly injection due to her severe persistent asthma. She is treated by private pulmonologist. She has a daily nebulizer which she carries to school with her just in case of exacerbation. She has approximately 3 exacerbation monthly beyond her day to day severe asthma."
Medications
Requires chronic low dose cortecosteroids
other, describe: nucala 100 mg- inject once monthly
inhalation bronchodilator therapy, daily
inhalation anti-inflammatory medication, daily
other inhaled medication, describe: Advair, albuterol, nebulizer, proventil, daily
"Does the veterans condition require the use of oral bronchodilators?" Yes
also, my PFT's are as follows
Pre-bronchodilator:
FVC: 66% predicted
FEV-1 50% predicted
FEV-1/FVC 68%
Post-bronchodilator:
FVC: 65% predicted
FEV-1 56% predicted
FEV-1/FVC 76%
she stated that the FEV-1/FVC accurately measures my level of disability but I was on all me medications while I was being examined.