I received copies of my c&p physicals today for both my claims of increased depression and bilateral hearing loss with tinnitis. Here are the findings of the increased depression: I also have a TDIU claim
Axis I Major Depression
Axis II defer
Axis III See Med list
Axis IV Unemployment
Axis V GAF score is 50
The veteran cannot work due to anxiety, agoraphobia and worsened depression
The prognosis is guarded. He is mentally capable of managing benefit payments in his own best interest. Mentally, he occasionally has some interference performing activities of daily living because of his left Knee and depressive problems. He has difficulty establishing and maintaining effective work/school and social relationships because of his isolation. The best description of the claimant's current psychiatric impairmentis: psychiatric symptoms cause occupational and social imparment with occasional decrease in work efficiency and intermittent inability to perform occupational tasks although generally the person is functioning satisfactorily with routine behavior, self care and normal conversation. The above statement is supported by the following symptoms: depressed mood, anxiety, suspiciousness, chronic sleep impairment and mild memory loss such as forgetting names directions or recent events . He has no difficulty understanding commands. Based upon the examination, the claimant needs to seek follow up treatment. The claimant requires therapy and medication management. This information was conveyed to the claimant during the examination. The claimant does not appear to pose any threat of danger or injury to self or others.
Audiology: puretone
right
500hz 1000hz 2000hz 3000hz 4000hz b+C+
30 40 35 50 40 41.25
left
500hz 1000hz 2000hz 3000hz 4000hz b+C+
35 40 40 65 60 56.25
Diagnosis:
For the claimant's claimed condition of BILATERAL HEARING LOSS, the diagnosis is bilateral hearing loss. The subjective factors are the claimant report of hearing loss. The objective fators are audiometric findings.
For the claimant's claimed condition of TINNITUS, the diagnosis is bilateral persistent tinnitis. The subjective factors are claimant report of tinnitus. The objective factors are the claimant's subjective report.
For the right ear, the claimant has moderate, mixed (sensorinural and conductive) hearing loss. For the left ear, the claimant has a moderately severe mixed (sensorineural and conductive) hearing loss. If treated the problem will cause a change in the hearing threshold level because resolving any middle ear pathology can improve air conduction thresholds.
Answers to the questions from VA
In reference to the question "IT IS LESS LIKELY AS THAN NOT THAT THE VETERAN'S HEARING LOSS IS RELATED TO ACOUSTIC TRAUMA FROM COMBAT NOISE", due to the presence of an air-bone gap bilaterally with flat tympanograms normal ear canal volumes and absent ipsilateral acoustic reflexes.
It is as least as likely as not that the veteran's tinnitis is related to acoustic trauma from combat noise due to the reported time of onset and the noises inherentin those duties that are known to cause tinnitis.
If anyone can shed some light on these findings and what to expect from my RSO please help me. thanks in advance.
Question
navydoc2
I received copies of my c&p physicals today for both my claims of increased depression and bilateral hearing loss with tinnitis. Here are the findings of the increased depression: I also have a TDIU claim
Axis I Major Depression
Axis II defer
Axis III See Med list
Axis IV Unemployment
Axis V GAF score is 50
The veteran cannot work due to anxiety, agoraphobia and worsened depression
The prognosis is guarded. He is mentally capable of managing benefit payments in his own best interest. Mentally, he occasionally has some interference performing activities of daily living because of his left Knee and depressive problems. He has difficulty establishing and maintaining effective work/school and social relationships because of his isolation. The best description of the claimant's current psychiatric impairmentis: psychiatric symptoms cause occupational and social imparment with occasional decrease in work efficiency and intermittent inability to perform occupational tasks although generally the person is functioning satisfactorily with routine behavior, self care and normal conversation. The above statement is supported by the following symptoms: depressed mood, anxiety, suspiciousness, chronic sleep impairment and mild memory loss such as forgetting names directions or recent events . He has no difficulty understanding commands. Based upon the examination, the claimant needs to seek follow up treatment. The claimant requires therapy and medication management. This information was conveyed to the claimant during the examination. The claimant does not appear to pose any threat of danger or injury to self or others.
Audiology: puretone
right
500hz 1000hz 2000hz 3000hz 4000hz b+C+
30 40 35 50 40 41.25
left
500hz 1000hz 2000hz 3000hz 4000hz b+C+
35 40 40 65 60 56.25
Diagnosis:
For the claimant's claimed condition of BILATERAL HEARING LOSS, the diagnosis is bilateral hearing loss. The subjective factors are the claimant report of hearing loss. The objective fators are audiometric findings.
For the claimant's claimed condition of TINNITUS, the diagnosis is bilateral persistent tinnitis. The subjective factors are claimant report of tinnitus. The objective factors are the claimant's subjective report.
For the right ear, the claimant has moderate, mixed (sensorinural and conductive) hearing loss. For the left ear, the claimant has a moderately severe mixed (sensorineural and conductive) hearing loss. If treated the problem will cause a change in the hearing threshold level because resolving any middle ear pathology can improve air conduction thresholds.
Answers to the questions from VA
In reference to the question "IT IS LESS LIKELY AS THAN NOT THAT THE VETERAN'S HEARING LOSS IS RELATED TO ACOUSTIC TRAUMA FROM COMBAT NOISE", due to the presence of an air-bone gap bilaterally with flat tympanograms normal ear canal volumes and absent ipsilateral acoustic reflexes.
It is as least as likely as not that the veteran's tinnitis is related to acoustic trauma from combat noise due to the reported time of onset and the noises inherentin those duties that are known to cause tinnitis.
If anyone can shed some light on these findings and what to expect from my RSO please help me. thanks in advance.
navydoc
Link to comment
Share on other sites
Top Posters For This Question
9
4
3
2
Popular Days
Jul 3
14
Jul 5
4
Jul 4
2
Jul 6
1
Top Posters For This Question
navydoc2 9 posts
john999 4 posts
Pete53 3 posts
Hoppy 2 posts
Popular Days
Jul 3 2009
14 posts
Jul 5 2009
4 posts
Jul 4 2009
2 posts
Jul 6 2009
1 post
20 answers to this question
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now