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ptsd Went To Va To Pick Up Copies Of Cand P
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matt
So had a C and P for PTSD and Feet back on June 24th. Called and asked if I could pick up copies of the c and p, they said sure. I went to the Va where the C and P's were conducted. I was told that I could not have a copy for the PTSD, until the Dr released it. I was like huhhhh? Didn't make any sense. But ehy did give me the one for the feet so here it is:
Physical Exam:
Patient can wiggle his toes without pain. There is no foot edema. Gait is normal. He has mild bilateral heel calluses. Peripheral pulses are grade 2+. he doe snot have hammertoes. he has mild flatfoot, both weight bearing and non weightbearing, bilaterally. Achilles tendon are mobile and nontender to palpation. he has a mild amount of midfoot malalignment and no forefoot malalignment. This is true bilaterally. He has 10 degrees of hallux vargus bilaterally. He is tender to palpation under his heels bilterally and mid arch bilaterally and under the 4th metarsal on the left.
impression:
bilateral planter fasciitis
bilateral pes planus
X-rays show left foot pes planus hammer toes and posterior continual spur, right foot shows pes planus posterior calcaneal spur and possible old trauma to the lateral malleolus.
Opinion: I have been asked for an opinion if the patient's current bilateral pes planus is at least likely as likely as not a continuation of problems in the military.
the patient was seen for bilateral pes planus in 2001 and planter fasciitis is listed on is report of medical history dated 2005. the planter fasciitis is noted to be chronic. Given this, i would state that his current foot pain is most likely a continuation of the foot pain noted in the military.
So we shall see what comes of this..actaully i was happy that at least the VA can see that I do have feet problems....i would love to just start over with a new set of feet, but that isn't an option, but at least the examinier can see the problems I am having and x-rays don't lie.....
Matt
Matt
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