She has not worked since 1983, and brings in a Social Security earnings statement detailing no income at all for many, many years.
This examiner discussed with her reasons for her lack of employment over the years.
She reports she used to work at a hospital, at a nursing home, stocking shelves at a store and on the cash registers.
The veteran reported that she had significant anxiety symptoms which involved excessive perspiration, especially on her hands.
She reported that when trying to take blood pressures, her hands
would be so wet, they would slide off the bulb that she had to squeeze.
If she touched paper, she reports the ink would smear. She had become
more intensely anxious when dealing with other people and reported she would leave " puddles" of moisture on the cash register keys.
In addition, she reported other more intense anxiety symptoms such as increased heartbeat, shortness of breath, intense anxiety, and lightheadedness.
She reports that on the way to work at a nursing home one time, she had to pull over and sit on the side of the road because her anxiety got to the point where it was inducing vomiting.
This veteran today discusses these symptoms in a rather dramatic
fashion and becomes tearful when describing them.
The veteran reports that she has not driven a car in many, many years, again due to her intense anxiety, feeling scared and feeling that she "can't think straight". when she is that nervous.
The veteran has been married for 43 years. She reports that they get along o.k. that she is often irritable, though her husband is supportive. She has two daughters and eight grandchildren.
And reports a good relationship with them and they and the husband
will help her out by driving her places. The veteran reports
that she has little in the way of close friendships, she is not
comfortable socializing. She does not like to go out to other people's homes. She reports that she does not go out even to restaurants out in the public, only about once a year.
She is highly anxious when out in the public, especially with
with a lot of people. She will only occasionally go out to a small
local store and reports her husband must do most of the grocery
shopping. She does have some acquaintances that she talks to on the
phone about once a month.
The veteran reports that some of her anxiety in public has to
do with her perception that others are noticing her own anxiety,
particularly her sweaty hands, and also she feels extremely
inadequate and feeling not as good as others and that she does not
fit in or have anything in common with people.
She spends her time mostly around the house, watering the plants,
around the yard, watching television, doing household chores.
She enjoys collecting dolls, which she often gets by looking
on the computer ( ebay). She reports she cannot go to doll shows
because of her anxiety. She reports that she is able to get out
to some yard sells at times, as these are more out in the open.
She denies legal problems.
Ingregrated Summary and Conclusion:
As noted above, this veteran continues to have severe problems with anxiety.
The exam request form ask about issues related to employability and specifically ask how it impacts about physical and sedentary employment potential.
The employability issue regarding sedentary versus physical seems irrevelant, as this women's severe anxiety seems to be severe enough that it would prohibit most employment.
Question
Josephine
August 20, 2008 C&P for Increase and TDIU
The veteran has not worked since the last exam.
She has not worked since 1983, and brings in a Social Security earnings statement detailing no income at all for many, many years.
This examiner discussed with her reasons for her lack of employment over the years.
She reports she used to work at a hospital, at a nursing home, stocking shelves at a store and on the cash registers.
The veteran reported that she had significant anxiety symptoms which involved excessive perspiration, especially on her hands.
She reported that when trying to take blood pressures, her hands
would be so wet, they would slide off the bulb that she had to squeeze.
If she touched paper, she reports the ink would smear. She had become
more intensely anxious when dealing with other people and reported she would leave " puddles" of moisture on the cash register keys.
In addition, she reported other more intense anxiety symptoms such as increased heartbeat, shortness of breath, intense anxiety, and lightheadedness.
She reports that on the way to work at a nursing home one time, she had to pull over and sit on the side of the road because her anxiety got to the point where it was inducing vomiting.
This veteran today discusses these symptoms in a rather dramatic
fashion and becomes tearful when describing them.
The veteran reports that she has not driven a car in many, many years, again due to her intense anxiety, feeling scared and feeling that she "can't think straight". when she is that nervous.
The veteran has been married for 43 years. She reports that they get along o.k. that she is often irritable, though her husband is supportive. She has two daughters and eight grandchildren.
And reports a good relationship with them and they and the husband
will help her out by driving her places. The veteran reports
that she has little in the way of close friendships, she is not
comfortable socializing. She does not like to go out to other people's homes. She reports that she does not go out even to restaurants out in the public, only about once a year.
She is highly anxious when out in the public, especially with
with a lot of people. She will only occasionally go out to a small
local store and reports her husband must do most of the grocery
shopping. She does have some acquaintances that she talks to on the
phone about once a month.
The veteran reports that some of her anxiety in public has to
do with her perception that others are noticing her own anxiety,
particularly her sweaty hands, and also she feels extremely
inadequate and feeling not as good as others and that she does not
fit in or have anything in common with people.
She spends her time mostly around the house, watering the plants,
around the yard, watching television, doing household chores.
She enjoys collecting dolls, which she often gets by looking
on the computer ( ebay). She reports she cannot go to doll shows
because of her anxiety. She reports that she is able to get out
to some yard sells at times, as these are more out in the open.
She denies legal problems.
Ingregrated Summary and Conclusion:
As noted above, this veteran continues to have severe problems with anxiety.
The exam request form ask about issues related to employability and specifically ask how it impacts about physical and sedentary employment potential.
The employability issue regarding sedentary versus physical seems irrevelant, as this women's severe anxiety seems to be severe enough that it would prohibit most employment.
Betty
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