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Possible Positive At C&p

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brokensoldier244th

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So, im hoping that when the mental examiner for a mental C&P asks me near the end if I have already filed for SSDI or not, that is a positive?

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Here are the notes from my physical GM exam for IU. I had a mental one as well, which was my primary reason for filing for IU so Im not as worried about this one. Thoughts, though?

Male Reproductive System Conditions
Disability Benefits Questionnaire
Name of patient/Veteran: Satterfield, Cedric
Indicate method used to obtain medical information to complete this
document:
[ ] Review of available records (without in-person or video telehealth
examination) using the Acceptable Clinical Evidence (ACE) process
because
the existing medical evidence provided sufficient information on which
to
prepare the DBQ and such an examination will likely provide no
additional
relevant evidence.
[ ] Review of available records in conjunction with a telephone interview
with the Veteran (without in-person or telehealth examination) using the
ACE process because the existing medical evidence supplemented with a
telephone interview provided sufficient information on which to prepare
the DBQ and such an examination would likely provide no additional
relevant evidence.
[ ] Examination via approved video telehealth
[X] In-person examination
Evidence review
---------------
Was the Veteran's VA claims file (hard copy paper C-file) reviewed?
[X] Yes [ ] No
If yes, list any records that were reviewed but were not included in the
Veteran's VA claims file:
none
If no, check all records reviewed:
[ ] Military service treatment records
[ ] Military service personnel records
[ ] Military enlistment examination
[ ] Military separation examination
[ ] Military post-deployment questionnaire
[ ] Department of Defense Form 214 Separation Documents
[ ] Veterans Health Administration medical records (VA treatment
records)
[ ] Civilian medical records
[ ] Interviews with collateral witnesses (family and others who have
known the Veteran before and after military service)
[ ] No records were reviewed
[ ] Other:
1. Diagnosis
------------
Does the Veteran now have or has he ever been diagnosed with any conditions
of the male reproductive system?
[X] Yes [ ] No
[X] Erectile dysfunction
ICD code: . Date of diagnosis: many years
2. Medical history
------------------
a. Describe the history (including onset and course) of the Veteran's male
reproductive organ condition(s) (brief summary):
The veteran states that his ED has progressed to the point that he is
unable to have full penetration and ejaculation. He tried medication
in
the past ("I think Cialis") and it was ineffective. He states that
this
impacts his quality of life and his relationship with his wife.
b. Does the Veteran's treatment plan include taking continuous medication
for
the diagnosed condition?
[ ] Yes [X] No
c. Has the Veteran had an orchiectomy?
[ ] Yes [X] No
d. Is there any renal dysfunction due to condition?
[ ] Yes [X] No
3. Voiding dysfunction
----------------------
Does the Veteran have a voiding dysfunction?
[ ] Yes [X] No
4. Erectile dysfunction
-----------------------
Does the Veteran have erectile dysfunction?
[X] Yes [ ] No
If yes, complete the following section:
a. Etiology of erectile dysfunction:
erectile dysfunction
b. If the Veteran has erectile dysfunction, is it as likely as not (at least
a 50% probability) attributable to one of the diagnoses in Section 1,
including residuals of treatment for this diagnosis?
[X] Yes [ ] No
If yes, specify the diagnosis to which the erectile dysfunction is as
likely as not attributable:
erectile dysfunction
c. If the Veteran has erectile dysfunction, is he able to achieve an
erection
sufficient for penetration and ejaculation without medication?
[ ] Yes [X] No
If no, has the Veteran used medications for treatment of his erectile
dysfunction?
[X] Yes [ ] No
If yes, is the Veteran able to achieve an erection sufficient for
penetration and ejaculation with medication?
[ ] Yes [X] No
5. Retrograde ejaculation
-------------------------
Does the Veteran have retrograde ejaculation?
[ ] Yes [X] No
6. Male reproductive organ infections
-------------------------------------
Does the Veteran have a history of chronic epididymitis, epididymo-orchitis
or prostatitis?
[ ] Yes [X] No
7. Physical exam
----------------
a. Penis
[ ] Normal
[ ] Not examined per Veteran's request
[ ] Not examined per Veteran's request; Veteran reports normal anatomy
with no penile deformity or abnormality
[X] Not examined; penis exam not relevant to condition
[ ] Abnormal
b. Testes
[ ] Normal
[ ] Not examined per Veteran's request
[ ] Not examined per Veteran's request; Veteran reports normal anatomy
with no testicular deformity or abnormality
[X] Not examined; testicular exam not relevant to condition
[ ] Abnormal
c. Epididymis
[ ] Normal
[ ] Not examined per Veteran's request
[ ] Not examined per Veteran's request; Veteran reports normal anatomy of
epididymis with no deformity or abnormality
[X] Not examined; epididymis exam not relevant to condition
[ ] Abnormal
d. Prostate
[ ] Normal
[ ] Not examined per Veteran's request
[X] Not examined; prostate exam not relevant to condition
[ ] Abnormal
8. Tumors and neoplasms
-----------------------
Does the Veteran have a benign or malignant neoplasm or metastases related
to
any of the diagnoses in the Diagnosis section?
[ ] Yes [X] No
9. Other pertinent physical findings, complications, conditions, signs
and/or
symptoms
-----------------------------------------------------------------------------
a. Does the Veteran have any scars (surgical or otherwise) related to any
conditions or to the treatment of any conditions listed in the Diagnosis
Section above?
[ ] Yes [X] No
b. Does the Veteran have any other pertinent physical findings,
complications, conditions, signs or symptoms?
[ ] Yes [X] No
10. Diagnostic testing
----------------------
a. Has a testicular biopsy been performed?
[ ] Yes [X] No
b. Have any other imaging studies, diagnostic procedures or laboratory
testing been performed and are the results available?
[ ] Yes [X] No
11. Functional impact
---------------------
Does the Veteran's male reproductive system condition(s), including
neoplasms, if any, impact his ability to work?
[ ] Yes [X] No
12. Remarks, if any:
--------------------
This condition does not impact the veteran's ability to function in an
occupational environment.
Veteran already SC for this condition and GU exam well documented in VA
records (see 8/29/13 Urology clinic note for exam documenting normal GU
exam) so this exam was not repeated today.
****************************************************************************
Back (Thoracolumbar Spine) Conditions
Disability Benefits Questionnaire
Name of patient/Veteran: Satterfield, Cedric
Indicate method used to obtain medical information to complete this
document:
[ ] Review of available records (without in-person or video telehealth
examination) using the Acceptable Clinical Evidence (ACE) process
because
the existing medical evidence provided sufficient information on which
to
prepare the DBQ and such an examination will likely provide no
additional
relevant evidence.
[ ] Review of available records in conjunction with a telephone interview
with the Veteran (without in-person or telehealth examination) using the
ACE process because the existing medical evidence supplemented with a
telephone interview provided sufficient information on which to prepare
the DBQ and such an examination would likely provide no additional
relevant evidence.
[ ] Examination via approved video telehealth
[X] In-person examination
Evidence review
---------------
Was the Veteran's VA claims file (hard copy paper C-file) reviewed?
[X] Yes [ ] No
If yes, list any records that were reviewed but were not included in the
Veteran's VA claims file:
none
1. Diagnosis
------------
Does the Veteran now have or has he/she ever been diagnosed with a
thoracolumbar spine (back) condition?
[X] Yes [ ] No
Thoracolumbar Common Diagnoses:
No response provided.
Diagnosis #1: intervertebral disc syndrome lumbar spine; bilateral
lower
extremity radiculopathy
ICD code: .
Date of diagnosis: many years
2. Medical history
------------------
a. Describe the history (including onset and course) of the Veteran's
thoracolumbar spine (back) condition (brief summary):
The veteran's low back and bilateral radicular symptoms have gradually
worsened over the years. He states that for the last 3 months or so he's
been on FMLA leave due to a combination of back pain and mental health
issues. He normally works as a computer technical support engineer. His
back and bilateral radicular leg pain are now constant and flare up
frequently. He reports missing work on average at least once a week due
to
this condition. "I work on a computer and can remote from home" but
this
is not always practical. He takes continuous medication (Diclofenac and
Gabapentin) for these symptoms. His back and leg pain contributes to
poor
sleep at night and he sometimes sleeps in a chair.
b. Does the Veteran report flare-ups of the thoracolumbar spine (back)?
[X] Yes [ ] No
If yes, document the Veteran's description of the flare-ups in his or
her
own words:
"About a day a week" on average.
c. Does the Veteran report having any functional loss or functional
impairment of the thoracolumbar spine (back) (regardless of repetitive use)?
[X] Yes [ ] No
If yes, document the Veteran's description of functional loss or
functional impairment in his or her own words.
"I can't travel for work anymore" and "because of that I can't get
promoted"
"My wife has to drive me" if going long distances because "I have to
stop all the time to change positions" due to pain.
"I can't go to client sites"
"I've caught my toe and tripped on a step in my home" because "my
feet
are numb".
"I don't clean stuff around the house" and "I have to get my kids to
help"
"I have to be able to get up and changes positions"
3. Range of motion (ROM) and functional limitation
--------------------------------------------------
a. Initial range of motion
[ ] All normal
[X] Abnormal or outside of normal range
[ ] Unable to test (please explain)
[ ] Not indicated (please explain)
Forward Flexion (0 to 90): 0 to 50 degrees
Extension (0 to 30): 0 to 20 degrees
Right Lateral Flexion (0 to 30): 0 to 10 degrees
Left Lateral Flexion (0 to 30): 0 to 15 degrees
Right Lateral Rotation (0 to 30): 0 to 20 degrees
Left Lateral Rotation (0 to 30): 0 to 25 degrees
If abnormal, does the range of motion itself contribute to a
functional loss? [X] Yes (please explain) [ ] No
If yes, please explain:
loss of full ROM
Description of pain (select best response):
Pain noted on exam and causes functional loss
If noted on exam, which ROM exhibited pain (select all that apply)?
Forward Flexion, Extension, Right Lateral Flexion, Left Lateral
Flexion, Right Lateral Rotation, Left Lateral Rotation
Is there evidence of pain with weight bearing? [X] Yes [ ] No
Is there objective evidence of localized tenderness or pain on palpation
of the joints or associated soft tissue of the thoracolumbar spine
(back)?
[ ] Yes [X] No
b. Observed repetitive use
Is the Veteran able to perform repetitive use testing with at least three
repetitions? [X] Yes [ ] No
Is there additional loss of function or range of motion after three
repetitions? [ ] Yes [X] No
c. Repeated use over time
Is the Veteran being examined immediately after repetitive use over time?
[ ] Yes [X] No
If the examination is not being conducted immediately after
repetitive
use over time:
[ ] The examination is medically consistent with the Veteran's
statements describing functional loss with repetitive use over
time.
[ ] The examination is medically inconsistent with the Veteran's
statements describing functional loss with repetitive use over
time. Please explain.
[X] The examination is neither medically consistent or inconsistent
with the Veteran's statements describing functional loss with
repetitive use over time.
Does pain, weakness, fatigability or incoordination significantly limit
functional ability with repeated use over a period of time?
[ ] Yes [ ] No [X] Unable to say w/o mere speculation
If unable to say w/o mere speculation, please explain:
I am unable to opine whether pain, weakness, fatigability, or
incoordination could significantly limit functional ability during
flare-ups, or when the joint is used repeatedly over a period of
time.
I am unable to provide this information in terms of degrees of ROM
loss due to "pain on use or during flare-ups." The veteran was not
experiencing a flare up at the time of examination therefore I am
unable to render an opinion regarding functional ability during a
flare-up.
d. Flare-ups
Is the exam being conducted during a flare-up? [ ] Yes [X] No
If the examination is not being conducted during a flare-up:
[ ] The examination is medically consistent with the Veteran's
statements describing functional loss during flare-ups.
[ ] The examination is medically inconsistent with the Veteran's
statements describing functional loss during flare-ups. Please
explain.
[X] The examination is neither medically consistent or inconsistent
with the Veteran's statements describing functional loss during
flare-ups.
Does pain, weakness, fatigability or incoordination significantly limit
functional ability with flare-ups?
[ ] Yes [ ] No [X] Unable to say w/o mere speculation
If unable to say w/o mere speculation, please explain:
I am unable to opine whether pain, weakness, fatigability, or
incoordination could significantly limit functional ability during
flare-ups, or when the joint is used repeatedly over a period of
time.
I am unable to provide this information in terms of degrees of ROM
loss due to "pain on use or during flare-ups." The veteran was not
experiencing a flare up at the time of examination therefore I am
unable to render an opinion regarding functional ability during a
flare-up.
e. Guarding and muscle spasm
Does the Veteran have guarding or muscle spasm of the thoracolumbar spine
(back)? [ ] Yes [X] No
f. Additional factors contributing to disability
In addition to those addressed above, are there additional contributing
factors of disability? Please select all that apply and describe: None
4. Muscle strength testing
--------------------------
a. Rate strength according to the following scale:
0/5 No muscle movement
1/5 Palpable or visible muscle contraction, but no joint movement
2/5 Active movement with gravity eliminated
3/5 Active movement against gravity
4/5 Active movement against some resistance
5/5 Normal strength
Hip flexion:
Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5
Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5
Knee extension:
Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5
Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5
Ankle plantar flexion:
Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5
Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5
Ankle dorsiflexion:
Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5
Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5
Great toe extension:
Right: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5
Left: [X] 5/5 [ ] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5
b. Does the Veteran have muscle atrophy?
[ ] Yes [X] No
5. Reflex exam
--------------
Rate deep tendon reflexes (DTRs) according to the following scale:
0 Absent
1+ Hypoactive
2+ Normal
3+ Hyperactive without clonus
4+ Hyperactive with clonus
Knee:
Right: [ ] 0 [X] 1+ [ ] 2+ [ ] 3+ [ ] 4+
Left: [ ] 0 [X] 1+ [ ] 2+ [ ] 3+ [ ] 4+
Ankle:
Right: [ ] 0 [X] 1+ [ ] 2+ [ ] 3+ [ ] 4+
Left: [ ] 0 [X] 1+ [ ] 2+ [ ] 3+ [ ] 4+
6. Sensory exam
---------------
Provide results for sensation to light touch (dermatome) testing:
Upper anterior thigh (L2):
Right: [X] Normal [ ] Decreased [ ] Absent
Left: [X] Normal [ ] Decreased [ ] Absent
Thigh/knee (L3/4):
Right: [X] Normal [ ] Decreased [ ] Absent
Left: [X] Normal [ ] Decreased [ ] Absent
Lower leg/ankle (L4/L5/S1):
Right: [ ] Normal [X] Decreased [ ] Absent
Left: [ ] Normal [X] Decreased [ ] Absent
Foot/toes (L5):
Right: [ ] Normal [X] Decreased [ ] Absent
Left: [ ] Normal [X] Decreased [ ] Absent
7. Straight leg raising test
----------------------------
Provide straight leg raising test results:
Right: [ ] Negative [X] Positive [ ] Unable to perform
Left: [ ] Negative [X] Positive [ ] Unable to perform
8. Radiculopathy
----------------
Does the Veteran have radicular pain or any other signs or symptoms due to
radiculopathy?
[X] Yes [ ] No
a. Indicate symptoms' location and severity (check all that apply):
Constant pain (may be excruciating at times)
Right lower extremity: [ ] None [X] Mild [ ] Moderate [ ] Severe
Left lower extremity: [ ] None [X] Mild [ ] Moderate [ ] Severe
Intermittent pain (usually dull)
Right lower extremity: [ ] None [ ] Mild [X] Moderate [ ] Severe
Left lower extremity: [ ] None [ ] Mild [X] Moderate [ ] Severe
Paresthesias and/or dysesthesias
Right lower extremity: [ ] None [X] Mild [ ] Moderate [ ] Severe
Left lower extremity: [ ] None [X] Mild [ ] Moderate [ ] Severe
Numbness
Right lower extremity: [ ] None [X] Mild [ ] Moderate [ ] Severe
Left lower extremity: [ ] None [X] Mild [ ] Moderate [ ] Severe
b. Does the Veteran have any other signs or symptoms of radiculopathy?
[ ] Yes [X] No
c. Indicate nerve roots involved: (check all that apply)
[X] Involvement of L4/L5/S1/S2/S3 nerve roots (sciatic nerve)
If checked, indicate: [ ] Right [ ] Left [X] Both
d. Indicate severity of radiculopathy and side affected:
Right: [ ] Not affected [ ] Mild [X] Moderate [ ] Severe
Left: [ ] Not affected [ ] Mild [X] Moderate [ ] Severe
9. Ankylosis
------------
Is there ankylosis of the spine? [ ] Yes [X] No
10. Other neurologic abnormalities
----------------------------------
Does the Veteran have any other neurologic abnormalities or findings related
to a thoracolumbar spine (back) condition (such as bowel or bladder
problems/pathologic reflexes)?
[ ] Yes [X] No
11. Intervertebral disc syndrome (IVDS) and episodes requiring bed rest
-----------------------------------------------------------------------
a. Does the Veteran have IVDS of the thoracolumbar spine?
[X] Yes [ ] No
b. If yes to question 11a above, has the Veteran had any episodes of acute
signs and symptoms due to IVDS that required bed rest prescribed by a
physician and treatment by a physician in the past 12 months?
[ ] Yes [X] No
12. Assistive devices
---------------------
a. Does the Veteran use any assistive device(s) as a normal mode of
locomotion, although occasional locomotion by other methods may be
possible?
[ ] Yes [X] No
13. Remaining effective function of the extremities
---------------------------------------------------
Due to a thoracolumbar spine (back) condition, is there functional
impairment
of an extremity such that no effective function remains other than that
which
would be equally well served by an amputation with prosthesis? (Functions of
the upper extremity include grasping, manipulation, etc.; functions of the
lower extremity include balance and propulsion, etc.)
[X] No
14. Other pertinent physical findings, complications, conditions, signs,
symptoms and scars
-----------------------------------------------------------------------
a. Does the Veteran have any other pertinent physical findings,
complications, conditions, signs or symptoms related to any conditions
listed in the Diagnosis Section above?
[ ] Yes [X] No
b. Does the Veteran have any scars (surgical or otherwise) related to any
conditions or to the treatment of any conditions listed in the Diagnosis
Section above?
[ ] Yes [X] No
c. Comments, if any:
No response provided
15. Diagnostic testing
----------------------
a. Have imaging studies of the thoracolumbar spine been performed and are
the
results available?
[X] Yes [ ] No
If yes, is arthritis documented?
[X] Yes [ ] No
b. Does the Veteran have a thoracic vertebral fracture with loss of 50
percent or more of height?
[ ] Yes [X] No
c. Are there any other significant diagnostic test findings and/or results?
[ ] Yes [X] No
16. Functional impact
---------------------
Does the Veteran's thoracolumbar spine (back) condition impact on his or her
ability to work?
[X] Yes [ ] No
If yes describe the impact of each of the Veteran's thoracolumbar
spine (back) conditions providing one or more examples:
The veteran is very limited in his ability to perform physical
tasks due to this condition. Due to his service connected back
and
bilateral radicular condition, he is limited to sedentary work.
For these purposes, sedentary work is defined as exerting up to 10
pounds of force occasionally (Occasionally: activity or condition
exists up to 1/3 of the time) and/or a negligible amount of force
frequently (Frequently: activity or condition exists from 1/3 to
2/3 of the time) to lift, carry, push, pull, or otherwise move
objects, including the human body. Sedentary work involves sitting
most of the time, but may involve walking or standing for brief
periods of time. Jobs are sedentary if walking and standing are
required only occasionally and all other sedentary criteria are
met. In addition, the veteran is limited to work which allow him
to frequently change positions (change from sitting to standing
for
example).
17. Remarks, if any:
--------------------
No remarks provided.
****************************************************************************
Sleep Apnea
Disability Benefits Questionnaire
Name of patient/Veteran: Satterfield, Cedric
Indicate method used to obtain medical information to complete this
document:
[ ] Review of available records (without in-person or video telehealth
examination) using the Acceptable Clinical Evidence (ACE) process
because
the existing medical evidence provided sufficient information on which
to
prepare the DBQ and such an examination will likely provide no
additional
relevant evidence.
[ ] Review of available records in conjunction with a telephone interview
with the Veteran (without in-person or telehealth examination) using the
ACE process because the existing medical evidence supplemented with a
telephone interview provided sufficient information on which to prepare
the DBQ and such an examination would likely provide no additional
relevant evidence.
[ ] Examination via approved video telehealth
[X] In-person examination
Evidence review
---------------
Was the Veteran's VA claims file reviewed?
[X] Yes [ ] No
If yes, list any records that were reviewed but were not included in the
Veteran's VA claims file:
none
If no, check all records reviewed:
[ ] Military service treatment records
[ ] Military service personnel records
[ ] Military enlistment examination
[ ] Military separation examination
[ ] Military post-deployment questionnaire
[ ] Department of Defense Form 214 Separation Documents
[ ] Veterans Health Administration medical records (VA treatment
records)
[ ] Civilian medical records
[ ] Interviews with collateral witnesses (family and others who have
known the Veteran before and after military service)
[ ] No records were reviewed
[ ] Other:
1. Diagnosis
------------
Does the Veteran have or has he/she ever had sleep apnea?
[X] Yes [ ] No
[X] Other sleep disorder, specify: sleep apnea
ICD code: . Date of diagnosis: many years
2. Medical history
------------------
a. Describe the history (including onset and course) of the Veteran's sleep
disorder condition (brief summary):
The veteran has well documented obstructive sleep apnea and requires
regular use of CPAP. The CPAP has been effective but his still has
some
daytime sleepiness at times. Per the veteran's history this is in
large
part related to insomnia. "I have to sleep in a chair" due to back and
leg pain and "then I'm still tired and grumpy" and "I sometimes nod
off"
and "it can affect my concentration".
b. Is continuous medication required for control of a sleep disorder
condition?
[ ] Yes [X] No
c. Does the veteran require the use of a breathing assistance device?
[ ] Yes [X] No
d. Does the Veteran require the use of a continuous positive airway pressure
(CPAP) machine?
[X] Yes [ ] No
3. Findings, signs and symptoms
-------------------------------
Does the Veteran currently have any findings, signs or symptoms attributable
to sleep apnea?
[ ] Yes [X] No
4. Other pertinent physical findings, complications, conditions, signs
and/or
symptoms
-----------------------------------------------------------------------------
a. Does the Veteran have any scars (surgical or otherwise) related to any
conditions or to the treatment of any conditions listed in the Diagnosis
section above?
[ ] Yes [X] No
b. Does the Veteran have any other pertinent physical findings,
complications, conditions, signs and/or symptoms related to any
conditions
listed in the Diagnosis section above?
[ ] Yes [X] No
5. Diagnostic testing
---------------------
a. Has a sleep study been performed?
[X] Yes [ ] No
If yes, does the Veteran have documented sleep disorder breathing?
[X] Yes [ ] No
Date of sleep study: 2011
Facility where sleep study performed, if known: Omaha VA
Results:
severe obstructive sleep apnea
b. Are there any other significant diagnostic test findings and/or results?
[ ] Yes [X] No
6. Functional impact
--------------------
Does the Veteran's sleep apnea impact his or her ability to work?
[X] Yes [ ] No
If yes, describe impact of the Veteran's sleep apnea, providing one or
more examples:
CPAP has been very effective in treating this veteran's sleep apnea,
but he still has some residual fatigue at times which will impact his
alertness and concentration. The sleep apnea component of this does
not rise to the degree that it would prevent him from operating
equipment or function in an occupational enviroment.
7. Remarks, if any:
-------------------
Per the veteran's testimony today, his daytime fatigue at this time appears
more related to insomnia related poor sleep and sedation due to medication
rather than sleep apnea related fatigue. His sleep apnea related fatigue
appears well managed by use of CPAP and would not be expected to have a
significant impact on his ability to function in an occupational
environment.
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Favorable on the ED claim....

Back C/P the examiner gives you 5/5 for your limbs and he basically states you are in pain due to your already S/C back condition but that you can work.

The examiner indicates you have SA and the CPAP is helpful but that your sleeping issues are related to medication and that it does not impact your ability to function in an occupational environment meaning you can work....

Not sure if this is good for UI....

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