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Confused? 30% or 50% - Migraines C&P Exam
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KiKi
Greetings,
I am trying to decipher if after I am granted service connection for migraines whether I will be possibly rated at 30% or 50%. My C&P exam results below are a little contradictory. If I go by the questions then it will probably be 30% because the C&P doctor marked "no" for severe economic inadaptability but he also marked "yes" for affects my ability to work - further sating that I miss several days a month and work with out pay due to migraines. So if some one could please give me some guidance? I know this is just your opinions based on your experiences and I need to wait for the big brown (white) envelope but it's just so confusing. Please see c&p exam below
Headaches (including Migraine Headaches) Disability Benefits Questionnaire Name of patient/Veteran: Is this DBQ being completed in conjunction with a VA 21-2507, C&P Examination Request? [X] Yes [ ] No ACE and Evidence Review ----------------------- Indicate method used to obtain medical information to complete this document: [X] In-person examination Evidence Review --------------- Evidence reviewed (check all that apply): [X] VA e-folder (VBMS or Virtual VA) [X] CPRS 1. Diagnosis ------------ Does the Veteran now have or has he/she ever been diagnosed with a headache condition? [X] Yes [ ] No [X] Migraine including migraine variants ICD code: G43.009 Date of diagnosis: 1993 2. Medical History ------------------ a. Describe the history (including onset and course) of the Veteran's headache conditions (brief summary): She noted the onset of headaches during basic training in 1993 after striking her head against a tree limb on a physical training exercise. Headaches are mainly left-sided and posterior with throbbing pain, accompanied by nausea, vomiting, photophonophobia, worse with movement. Headaches occur about 4 per month and last 1-2 days. She has used up all of her sick leave due to work absences due to headaches. She takes sumatriptan, which can be helpful, and also topiramate 100mg bid for headache prophylaxis. b. Does the Veteran's treatment plan include taking medication for the diagnosed condition? [X] Yes [ ] No If yes, describe treatment (list only those medications used for the diagnosed condition): Sumatriptan for acute headaches and topiramate 100mg bid for headache prophylaxis. 3. Symptoms ----------- a. Does the Veteran experience headache pain? [X] Yes [ ] No [X] Pulsating or throbbing head pain [X] Pain localized to one side of the head [X] Pain worsens with physical activity. b. Does the Veteran experience non-headache symptoms associated with headaches? (including symptoms associated with an aura prior to headache pain) [X] Yes [ ] No [X] Nausea [X] Vomiting [X] Sensitivity to light [X] Sensitivity to sound c. Indicate duration of typical head pain [X] 1-2 days d. Indicate location of typical head pain [X] Left side of head 4. Prostrating attacks of headache pain --------------------------------------- a. Migraine / Non-Migraine- Does the Veteran have characteristic prostrating attacks of migraine / non-migraine headache pain? [X] Yes [ ] No If yes, indicate frequency, on average, of prostrating attacks over the last several months: [X] Once every month b. Does the Veteran have very prostrating and prolonged attacks of migraines/non-migraine pain productive of severe economic inadaptability? [ ] Yes [X] No 5. 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. 6. Diagnostic testing --------------------- Are there any other significant diagnostic test findings and/or results? [ ] Yes [X] No 7. Functional impact -------------------- Does the Veteran's headache condition impact his or her ability to work?[X] Yes [ ] No If yes, describe the impact of the Veteran's headache condition, providing one or more examples: She misses several days per month from work due to headaches and currently has used all of her sick leave and has had to borrow sick leave and work without pay. 8. Remarks, if any: ------------------- No remarks provided. ****************************
Thanks in advance folks. KiKi
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Phury & Rhage
That's gotta be a typo. They probably mean "leave" without pay - also called LWOP. The Veteran takes time off due to migraines and has used all of her sick leave. It appears she's had people donate
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