MEB NARSUM with questions

UncleMike

UncleMike

PEB Forum Regular Member
PEB Forum Veteran
Registered Member
Ok, I have my NARSUM from my MH doctor who referred me. I'm going to post the meat of it, and any input would be much obliged.

The history of present illness was obtained from the patient and available medical record and is considered reliable. He has been diagnosed with chronic PTSD an Major Depression. The conditions are considered combat-related and did not exist prior to enlistment.

Axis 1: 309.81 PTSD, chronic- DNEPTE
292.81 Major Depression, Moderate Episode - DNEPTE
Axis II: No diagnosis or condition
Axis III: Joint pain, shoulder surgery, arthritis in neck, back and shoulders, Vitamin D deficiency, TBI
Axis IV: Deployment, pending medical seperation
Axis V: GAF 45 (current)

First question, what if all of my issues aren't included in Axis II? There's much more going on...


xxx xxxxx reported the following symptoms:
1. Decreased pleasure in previously enjoyed activities
2. Irritability, angry outbursts
3. Feeling detached from others
4. Feeling emotionally numb
5. Recurrent distressing thoughts about deployment daily
6. Frequent distressing dreams about events that occurred on deployment
7. Avoidance of thoughts, feelings, and conversations associated with deployment
8. Flashbacks
9. Feeling upset when reminded of deployment experiences
10. Having physical reactions when reminded of deployment experiences
11. Avoiding activities or situations that remind him of deployment
12. Difficulty falling asleep and staying asleep
13. Exaggerated startle response
14. Being constantly on guard
15. Nervousness around crowds
16. Anxiety/ racing thoughts
17. Changes in memory and concentration
18. Depressed mood
19. Increased guilt
20. Changes in appetite with fluctuating weight
21. Speech problems with constant stutter
22. Migraines
23. Tinnitus with profound hearing loss
24. Balance and equilibrium difficulties

My second question, do these sound normal for a referred PTSD case? I will post some more info, as well as some info from my C&P exams when I get them.
 
From my experiences, specific responses to your questions are as follows:

Q1. What if all of my issues aren't included in Axis II?
A1. Potential Axis II diagnoses are not compensable via the DoVA since they are presumptive to adolescence origination. Thus, you were not diagnosed with any; therefore, that's good news.
A2. If you meant Axis I, then not every behavioral health medical condition shall be listed; only the most significant ones.

Q2. Do these sound normal for a referred PTSD case?
A2. Your symptoms are typical for a referred PTSD. Thus, the more symptoms present could potentially result in a higher DoVA rating.

Best Wishes!
 
Warrior, thanks in advance for always having positive input on these matters. As I was reading the rating schedule, I guess I'm confused. As well as reading information on here and other sites, the VA doesn't care about how much it affects you outside of work. Is this true?
 
UncleMike said:
Warrior, thanks in advance for always having positive input on these matters. As I was reading the rating schedule, I guess I'm confused. As well as reading information on here and other sites, the VA doesn't care about how much it affects you outside of work. Is this true?
Click to expand...

UncleMike...you are welcome; my brother! :)

Well, of course, I don't know the answer to that question. But, in my opinion, what affects you at work will eventually affect you elsewhere (i.e., home, school, etc.)...at least it does for me.

Best Wishes!
 
Warrior644 said:
UncleMike...you are welcome; my brother! :)

Well, of course, I don't know the answer to that question. But, in my opinion, what affects you at work will eventually affect you elsewhere (i.e., home, school, etc.)...at least it does for me.

Best Wishes!
Click to expand...
Understood. I guess the justification for the question was through multiple readings and word of mouth, that the DoVA doesn't in fact give a crap about how it affects your personal life. If that was the case, why would the DoVA MH C&P examiner ask about my personal life? 'twas more of a rhetorical questions I guess.

Any more input?
 
UncleMike said:
Understood. I guess the justification for the question was through multiple readings and word of mouth, that the DoVA doesn't in fact give a crap about how it affects your personal life. If that was the case, why would the DoVA MH C&P examiner ask about my personal life? 'twas more of a rhetorical questions I guess.

Any more input?
Click to expand...

Well...they are all good questions via observations; I guess it's specific to each DoVA MH C&P Examiner.

Naturally, the experiences with my individual DoVA MH C&P Examiner was purely bad, worse and the worst ever!!!

Therefore, I am NOT going to be favorable towards my individual DoVA MH C&P Examination clinician.

Indeed, she was the droppings that the fall into the bottom of a toilet bowl!!!
 
UncleMike said:
Understood. I guess the justification for the question was through multiple readings and word of mouth, that the DoVA doesn't in fact give a crap about how it affects your personal life. If that was the case, why would the DoVA MH C&P examiner ask about my personal life? 'twas more of a rhetorical questions I guess.

Any more input?
Click to expand...
The VA does take your social interactions heavily into consideration. That is why in your C&P they ask about your family, friends, activities and so forth.
 
Funny how lejeune throws in vitamin D defiency like it cool.
They did the same exact thing to me.
I was never even tested for that.
 
ssgt said:
Funny how lejeune throws in vitamin D defiency like it cool.
They did the same exact thing to me.
I was never even tested for that.
Click to expand...
I was indeed tested for it, and now on 50,000 IU a week for it. It was actually severely low.
 
You must log in or register to reply here.
Top