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C&P On Friday - Notes On My HealtheVet Today


I had the hearing/tinnitus C&P on Friday and the examiner said the same thing...hearing loss is due to age and not military noise exposure.  He did say the tinnitus was at least as likely as not caused by military noise exposure.  Is it possible to get 10% for the tinnitus even though he said the hearing loss was due to age?

Left Ear: Was there a permanent positive threshold shift (worse than reference threshold) greater than normal measurement variability at any frequency between 500 and 6000 Hz for the left ear? Yes

Opinion provided for the left ear: Yes

If present, is the Veteran's left ear hearing loss at least as likely as not (50% probability or greater) caused by or a result of an event in military service? No

Rationale (Provide rationale for either a yes, no answer or speculation   reason): The veteran's e-file was reviewed for this opinion. The veteran does have a history of noise exposure as a military police (95B20) with high probability of noise exposure stipulated. The veteran's STR contains records of baseline audiometric testing dated 20OCT66 at the time of entrance to military showing a normal hearing in the left ear. A subsequent hearing test on 12FEB2003 showed a significant change to hearing during that time, but when corrected for age utilizing the OSHA 29CFR11910.95 Appendix F "Calculations and application of age corrections to audiograms", the results show no significant change to average hearing levels left ear beyond that which would be expected as normal progression due to age. The Institute of Medicine (2006) stated there was insufficient scientific basis to conclude that permanent hearing loss directly attributable to noise exposure will develop long after noise exposure. The IOM panel concluded that based on their current understanding of auditory physiology a prolonged delay in the onset of noise-induced hearing loss was "unlikely". Therefore, it is the opinion of this examiner that it is less likely than not (less than 50% likelihood) the veteran's current left hearing loss was caused by or incurred in active military service. Did hearing loss exist prior to service? No

4. Functional impact of hearing loss ------------------------------------ Does the Veteran's hearing loss impact ordinary conditions of daily life, including ability to work: Yes



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