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ztecman

Seaman
  • Posts

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About ztecman

Previous Fields

  • Service Connected Disability
    40%
  • Branch of Service
    Coast Guard

ztecman's Achievements

  1. Hi, Can anyone tell me when this law came into effect? ztecman B)
  2. Would there be a CUE if the following is not followed in a C&P Exam of this type? Only one doctor did my exam back in 1981. Very little information was entered by the Doctor. He did not note any my complaints in the exam report. This is what the guide states must happen at the exam please see bolded item. Thanks in advance ztecman C&P Exam Clinicians Guide 9.4 What needs to be reported about anatomical loss or loss of use of a creative organ and why? The examination must include the following information: a. The details of loss of a creative organ may be in the medical records, but the examiner should still describe lost and remaining portions of the penis, scrotum, and testes. b. Impotence, sterility, or retrograde ejaculation should always be described and the cause named (e.g., Peyronie's disease causing impotence or TURP for BPH causing retrograde ejaculation). If a vasectomy was performed, the examiner should report when it was done and the reason. c. With impotence, the report should indicate whether it is constant, whether it is permanent, what treatment is used, and the effectiveness of treatment in allowing intercourse. d. With penile deformity, whether erectile function is wholly or partially lost should be reported. e. Examination for testicular atrophy must be conducted by at least two examiners. The size and consistency of the testis should be recorded. Reduction in size should be described as reduction to one-third or one-half normal size, or even less, for example. If only one testis is affected, the size of the unaffected testis should be recorded. The etiology of the atrophy should be reported. Worksheet - GENITOURINARY EXAMINATION Name: SSN: Date of Exam: C-number: Place of Exam: A. Review of Medical Records: B. Medical History (Subjective Complaints): Comment on: 1. Lethargy, weakness, anorexia, weight loss or gain. 2. Frequency (day or night, indicate voiding intervals), hesitancy, stream, dysuria. 3. Incontinence - if present, describe required frequency of absorbent material and whether an appliance is needed. 4. Provide details of any history of: a. Surgery on any part of the urinary tract. Residuals? Impotence? b. Recurrent urinary tract infections. c. Renal colic or bladder stones. d. Acute nephritis. e. Hospitalization for urinary tract disease, if so, how many in the past year? f. Treatment for malignancy, including type and date of last treatment. 5. Treatments. a. Is catheterization needed? Intermittent or continuous? b. Frequency of dilations? c. Drainage procedures. d. Diet therapy - specify. e. Medications. f. Frequency per year of invasive and noninvasive procedures. 6. Describe the effects of the condition(s) on the veteran's usual occupation and daily activities. For Male Loss of Use of a Creative Organ Comment on: 1. Trauma/surgery affecting penis/testicles (e.g. vasectomy?) 2. Local and/or systemic diseases affecting sexual function. a. Endocrine. b. Neurologic. c. Infections. d. Vascular. e. Psychological. 3. Symptoms: Vaginal penetration with ejaculation possible? 4. Past treatment: a. Medications, injections, implants, pump, counseling b. Effectiveness in allowing intercourse. C. Physical Examination (Objective Findings): Address each of the following, as appropriate, to the condition being examined and fully describe current findings: 1. Blood pressure, cardiovascular examination, if indicated, describe edema, to include persistence. 2. If on dialysis, type, where done, and how often? 3. Inspection and palpation of penis, testicles, epididymis, and spermatic cord. If there is penis deformity, state whether there is loss of erectile power. Inspection of anus and digital exam of rectal walls, prostate, and seminal vesicles. 4. Fistula. 5. Specific residuals of genitourinary disease, including post-treatment residuals of malignancy. 6. Testicular atrophy - size and consistency. 7. Sensation and reflexes 8. Peripheral pulses D. Diagnostic and Clinical Tests: 1. CBC. 2. UA. 3. Creatinine, BUN, albumin, electrolytes. 4. Uroflowmetry, if indicated. 5. Measurement of post-void residual, if indicated. 6. Semen analysis, including sperm count and interpretation of results, if applicable. 7. Endocrine evaluation (glucose, TSH, testosterone, LH, FSH, prolactin), if applicable. 8. Psychiatric evaluation, if applicable. 9. Include results of all diagnostic and clinical tests conducted in the examination report. E. Diagnosis: Signature: Date:
  3. Hi John999, Yes, being the secondary condition wasn't mentioned. Thanks ztecman
  4. I was assigned a 100% service connected rating on 09/02/80 effective date 04/08/1980 (LAW PROVIDES THAT SERVICE-CONNECTED AWARD PAYMENT IS RETROACTIVE DATE OF SEPARATION PROVIDED CLAIM IS FILED WITHIN ONE YEAR OF DATE OF SEPARATION) a. My date of seperation from the USCG was "08/04/1979" b. I have the "ORIGINAL COPY" of DISABILITY COMPENSATION AWARD "VA FORM 21-6782" in which paragraph 1 states: 1. "This award has been made to you for the following SERVICE-CONNECTED award has been made to you for the following Service-Connected Condition(s) with a combined evaluation of 100%. This combined rating is not arrived at by adding the percentages of your disabilities but is computed in accordance with a combined rating table. CONDITION S/P Left orchiectomy and Retroperitoneal Lymph Node Dissection SECONDARY to Malignant Testicular Tumor 100%. You are entitled to a Special monthly compensation Benefit on account of Anatomcal loss of a Creative Organ effective 6-16-80." 2. I was notified on 2-12-82 that compensation was being reduced from 100% to 10% due to improvement in my Service-Connected Condition. I filed a Notice of Disagreement with and received no increase in compensation and no mention of my secondary condition caused by the Malignant Testicular tumor. Decision received from RO on Dec 23rd 1982 was continue the 10% evaluation for risiduals of Testicular Carcinoma again not mentioning THE SECONDARY CONDITION AS STATED IN ORIGINAL DISABILITY AWARD DATED 09/02/1980. VETERAN WAS FURNISHED WITH A "STATEMENT OF THE CASE". THE VETERAN THEN FILED AN APPEAL WITH THE VETERANS BOARD OF APPEALS IN WASHINGTON, DC HEARING WAS SET FOR SEPTEMBER 14TH 1983 which I personally attended with an American Legion Rep. THE BVA REMANDED case to RO. The RO again failed to recognize or mention Secondary condition stated in Original Disablity Award of 09/02/1980 that was that was caused by Malignat Testicular Tumor. Was there (2) two CLEAR AND UNMISTAKEABLE ERROR'S (CUE) #1 being I was not paid back to my date of separation, and #2 being Failure to consider the Secondary Condition caused my Malignant Testicular Tumor by the RO? Any thoughts or input on the above matter would be appreciated, I had another bout of Testicular Cancer in 1989 and have long term effects of the Chemotherpy I had in 1980 ie; hypertension, loss of teeth, feel fatigued all the time, and haven't held a job since 1996, trying to get by on the 40% SC rating I currently have. Thanks, ztecman
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