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Question
kevin4998
My first C&P (2013) read:
"2. Service connection for Pain disorder (claimed as depression, anxiety, post-traumatic
stress disorder and gulf war syndrome) as secondary to the service-connected disability of Spinal stenosis.
We have assigned a 30 percent evaluation for your based on:
o Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal)
o Chronic sleep impairment
Your Global Assessment of Function (GAP) score is 61. A range of 61-70 indicates some mild symptoms; or some difficulty in social, occupational, or school functioning, but generally functioning pretty well, has some meaningful interpersonal relationships.
The overall evidentiary record shows that the severity of your disability most closely approximates the criteria for a 30 percent disability evaluation.
A higher evaluation of 50 percent is not warranted unless there is occupational and social
impairment with reduced reliability and productivity due to such symptoms as:
Flattened affect; circumstantial, circumlocutory, or stereotyped speech;
Panic attacks more than once a week; Difficulty in understanding complex commands;
Impairment of short- and long-term memory (e.g., retention of only highly learned material, forgetting to complete tasks);"...
My second C&P (2014) exam read the following which they(VA) now use Somatic instead of Pain Disorder as noted in the copied text below.
"1. Evaluation for somatic symptom disorder (previously rated as Pain disorder, claimed as
depression, anxiety, post-traumatic stress disorder and gulf war syndrome).
Evaluation for somatic symptom disorder (previously rated as Pain disorder (claimed as depression, anxiety, post-traumatic stress disorder and gulf war syndrome) currently rated as 30 percent disabling, is continued.
An evaluation of 30 percent is continued.
We have continued a 30 percent evaluation for your somatic system disorder (previously coded
as Pain disorder, claimed as depression, anxiety, post-traumatic stress disorder and gulf war syndrome) based on:
Difficulty in establishing and maintaining effective work and social relationships
Anxiety
Depressed mood
Symptoms controlled by continuous medication
Occupational and social impairment due to mild or transient symptoms which decrease work
efficiency and ability to perform occupational tasks only during periods of significant stress.
No Global Assessment of Function (GAF) score was reported. (The paper work I received, stated they don't use GAF anymore)
The overall evidentiary record shows that the severity of your disability most closely
approximates the criteria for a 30 percent disability evaluation."...
1) Has anyone else "Pain Disorder" been changed too Somatic Disorder that you know of?
2) Why was this change made to the cfr if that is what has happened? (speculation)
I tried during this bout (2014 C&P) with the VA to connect sleep apnea secondary too Gerd, but if I would of done my research better I would of realized that I would of been better off going with my mental disabilities. But now, with the way this last exam was worded and the change to somatic... I am wondering if that "is" even a possibility now. To me they threw every mental disability I have into a pot and took out the reasoning which was spinal stenosis. I am not sure what to make out of the changes and what it means too me.
I have been diagnosed with sleep apnea, through the VA. They have that documentation in their files. I am also diabetic and from the research I have done sleep apnea and diabetes type 2 can be linked to each other.
(question will it be the chicken or the egg first)
But, for now I need to get sleep apnea secondary to my major depression.
Any thoughts on this would be greatly appreciated.
South Indianapolis message me if you need help, and if I can I will
I also am starting to gold pan as a hobby, and if your interested maybe we can hook up.
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