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Tbi Help... Thoughts?

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EW2(SW)

Question

Just finished my 2nd Level Evaluation for TBI and these two items stuck out to me

27) Are the history of the injury and course of clinical symptoms consistent with
a diagnosis of TBI sustained during OEF/OIF deployment?
No
28) In your clinical judgment the current clinical symptom presentation is most
consistent with:
A combination of OEF/OIF deployment related TBI and Behavioral Health
condition(s)

I read through myhealthyvet and the Dr. Listed me as having TBI with loss of consciousness and anxiety and depression.

I have an open claim for TBI due to MVA (New), Residuals of TBI (New), and anxiety (New). I am currently at 30% for my back and wrists.

I am wondering if anyone has any insight on this evaluation and what I could possibly expect and what I should look for... No C&P has been done, but I have been moved to PENDING DECISION APPROVAL.

Claim has been since 3/20/13

Thank you for your help

Edited by EW2(SW)
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Wasn't the evaluation a C&P exam? Did you see a psych doc or neurologist at VA? They are the only type of docs that can do a TBI exam for rating purposes.

Did they ask you the long list of questions on the ECI table? Things like, do you get lost easily, even when using navigation systems?

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Wasn't the evaluation a C&P exam? Did you see a psych doc or neurologist at VA? They are the only type of docs that can do a TBI exam for rating purposes.

Did they ask you the long list of questions on the ECI table? Things like, do you get lost easily, even when using navigation systems?

Yes, I went through all of those questions and the results are in MyHealthEVet... the answers I posted above are just two from her Evaluation notes... She is a Physiatrist from the VA... There were ratings I had to answer that ranged from

None 0 - Rarely if ever present not a problem at all.
Mild 1 - Occasionally present but it does not disrupt activities, I can
usually
continue what I am doing; does not really concern me.
Moderate 2 - Often present, occasionally disrupts my activities; I can
usually
continue what I am doing with some effort; I am somewhat concerned.
Severe 3 - Frequently present and disrupts activities; I can only do
things
that are fairly simple or take little effort; I feel like I need help.
Very Severe 4 - Almost always present and I have been unable to perform
at
work, school, or home due to this problem; I probably cannot function without
help.
Does this help?
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Is it possible for you to post more of the exam results?

I'm a bit confused. You said no C&P has been done. Is it possible this exam was the C&P?

It was never mentioned as being the C&P... Only listed as

LOCAL TITLE: TBI SECOND LEVEL EVALUATION
STANDARD TITLE: TBI NOTE
The Dr. Mentioned that the Eval is not for Compensation, but determintation if a TBI happened... Which in the above post came back as
A combination of OEF/OIF deployment related TBI and Behavioral Health

condition(s)

There were 30 total questions most of them had a,b,c,d add ons to the numbers to include questions like:
16. Please rate the following symptoms with regard to how they have
affected
you over the last 30 days. Use the following scale (Neurobehavioral Symptom
Inventory):
None 0 - Rarely if ever present not a problem at all.
Mild 1 - Occasionally present but it does not disrupt activities, I can
usually
continue what I am doing; does not really concern me.
Moderate 2 - Often present, occasionally disrupts my activities; I can
usually
continue what I am doing with some effort; I am somewhat concerned.
Severe 3 - Frequently present and disrupts activities; I can only do
things
that are fairly simple or take little effort; I feel like I need help.
Very Severe 4 - Almost always present and I have been unable to perform
at
work, school, or home due to this problem; I probably cannot function without
help.
16-A Feeling dizzy: Moderate
16-B Loss of balance: Moderate
16-C Poor coordination, clumsy: Mild
16-D Headaches: Moderate
16-E Nausea: None
16-F Vision problems, blurring, trouble seeing: Moderate
16-G Sensitivity to light: Moderate
16-H Hearing difficulty: Mild
16-I Sensitivity to noise: Mild
16-J Numbness or tingling in parts of my body: Moderate
16-K Change in ability to taste and/or smell: None
16-L Loss of appetite or increase appetite: Mild
16-M Poor concentration, can't pay attention: Mild
16-N Forgetfulness, can't remember things: Moderate
I am just trying to find out what potential disability rating I should receive based off of Dr.s notes if any at all... That way I have someithng to go off of if they try to low ball me? I have also just completed my TBI eye exam and Organizational and memory loss class.
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Unfortunately I don't think there's anything anyone can guess about your possible rating based off that particular exam. If the examiner specifically said that it was not for compensation then it sounds like that was not the C&P exam. The VA has to use a rating table of questions called the ECI table. Here's a link that explains it pretty well -scroll down to about page 11.

http://statesidelegal.org/sites/default/files/Veterans%20guide%20to%20TBIs.pdf

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