Narsum from DOD c&p exam

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I received my narsum and am wondering if a rating is possible to decipher from the information given. What part of the narsum would I post?
 
I received my narsum and am wondering if a rating is possible to decipher from the information given. What part of the narsum would I post?

Indeed, in my opinion, your best option is the review the DoVA C&P examination results for each particular medical condition.

To that extent, did you receive a copy of the DoVA C&P examination results along with the completed NARSUM? If not, please make the inquiry to your assigned PEBLO for immediate receipt! Take care!

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer."

Best Wishes!
 
I reviewed my Narsum and in Section 1 block 4A the following reads:

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), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events)

would it be a safe assumption that this will be the DoD rating? Are there any other factors that need to be considered for the rating?
 
I reviewed my Narsum and in Section 1 block 4A the following reads:

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), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events)

would it be a safe assumption that this will be the DoD rating? Are there any other factors that need to be considered for the rating?

In accordance with e-CFR Title 38, Part 4--Schedule for Rating Disabilities, Subpart B--Disability Ratings, 4.130 Schedule of ratings--mental disorders, "General Rating Formula for Mental Disorders," a rating of 30% is assigned.

As such, it seems that your DoD proposed rating could potentially result as annotated above via the aforementioned VASRD criteria without any other unforeseen circumstances during the evaluation process by the DoVA D-RAS in my opinion.

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer."

Best Wishes!
 
when it talks about the criterion in the ptsd section (A-H) is that only justification for the diagnoses? what is the reason they include that in the narsum?
 
when it talks about the criterion in the ptsd section (A-H) is that only justification for the diagnoses? what is the reason they include that in the narsum?

Hmm, exactly what documentation are you referring which has "criterion in the ptsd section (A-H)" so that I may obtain a better comprehension of your inquiry? :confused:

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer."

Best Wishes!
 
Sounds like 30-50% to me... from the VA just from the blurb given. I have mTBI with those same characterizations and am looking at that much. Probably closer to 30%. Now as far as DoD goes, not sure.
 
when it talks about the criterion in the ptsd section (A-H) is that only justification for the diagnoses? what is the reason they include that in the narsum?

Yes - to the VA it is important that they have a confirmed diagnosis, (meeting diagnostic criteria in A-H), a confirmed link to service, and a confirmed level of impairment. All three go to their ability to rate. As far as rating, I think the others above are right in the ballpark - given the information that we have. Best of luck...Bob
 
when it talks about the criterion in the ptsd section (A-H) is that only justification for the diagnoses? what is the reason they include that in the narsum?

Yes - to the VA it is important that they have a confirmed diagnosis, (meeting diagnostic criteria in A-H), a confirmed link to service, and a confirmed level of impairment. All three go to their ability to rate. As far as rating, I think the others above are right in the ballpark - given the information that we have. Best of luck...Bob
 
Hmm, exactly what documentation are you referring which has "criterion in the ptsd section (A-H)" so that I may obtain a better comprehension of your inquiry? :confused:

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer!

Best Wishes!

here is a scanned image of the page

Indeed, appreciate the follow-up information! :)

Okay, it seems that the document presented is a result of the PTSD DBQ (using either old DSM IV or new DSM V criteria) completed by the DoVA C&P Examination clinician. ;)

That said and in my opinion, @PsychOfficer's feedback gives further insight on your previously inquiry about the NARSUM.

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer."

Best Wishes!
 
Keep in mind, somethignt hat has yet to be mentioned, if found unfitting for continuied service, PTSD is generally rated at 50% and you will be placed on the TDRL list, with a re-eval at 18 months/then yearly thereafter, until it is considered "stable" and un changin. The point in time that happens, what ever level of impact you have will be the rating assigned for PDRL etc.
 
Keep in mind, somethignt hat has yet to be mentioned, if found unfitting for continuied service, PTSD is generally rated at 50% and you will be placed on the TDRL list, with a re-eval at 18 months/then yearly thereafter, until it is considered "stable" and un changin. The point in time that happens, what ever level of impact you have will be the rating assigned for PDRL etc.

In addition...

The Secretary of Defense also directed, as a matter of policy, that the PDBR and ABCMR will apply VASRD section 4.129 to PTSD unfitting conditions for applicants discharged on or after September 11, 2001. This means that a Soldier who was separated on or after September 11, 2001, at least in part due to PTSD, is entitled to placement on the Temporary Disability Retirement List (TDRL) for six months with a disability rating of 50%, although that rating is subject to re-evaluation at the end of that six-month period.

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer."

Best Wishes!
 
I think I understand. the initial rating is 50% which is reevaluated after 6 months, and is reevaluated again 1 year later and every year until the ptsd is stable enough for a permanent rating. What happens if the symptoms go away entirely?
 
I think I understand. the initial rating is 50% which is reevaluated after 6 months, and is reevaluated again 1 year later and every year until the ptsd is stable enough for a permanent rating. What happens if the symptoms go away entirely?

Hmm, well, the DoVA D-RAS shall assign a 0% non-compensable rating albeit the medical condition shall remain as military service-connected.

To that extent, in the event that your medical condition's symptomatology again declines to a point which yields a compensable rating, the DoVA D-RAS shall again assign a disability rating IAW the criteria in the VASRD.

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer."

Best Wishes!
 
Can anyone explain something to me:

proposed rating
100% PTSD
50 Sleep Apnea
30 Migraines
20 back
10 shouilder
10 each leg
10 tinnitus

Under PTSD, it states per cfr 32, re-evaluation required in 6 months...Am I considered P/T for VA and TDRL for army or am I not P/T for Va...If not P/T do i need to appeal...I have had PTSD for 8 years now...I will not pay real estate tax in my state if VA P/T...
 
Can anyone explain something to me:

proposed rating
100% PTSD
50 Sleep Apnea
30 Migraines
20 back
10 shouilder
10 each leg
10 tinnitus

Under PTSD, it states per cfr 32, re-evaluation required in 6 months...Am I considered P/T for VA and TDRL for army or am I not P/T for Va...If not P/T do i need to appeal...I have had PTSD for 8 years now...I will not pay real estate tax in my state if VA P/T...

Welcome to the PEB Forum! :)

From your information provided, it seems that you are not considered "DoVA 100% P&T" at this point in time albeit you are considered "DoD 100% TDRL" at this point in time.

Indeed, upon your transition from the U.S. military into a military veteran status, you may either request a DoVA Decision Review Officer (DRO) reconsideration and/or file an official DoVA Notice of Disagreement (NOD) appeal to the BVA.

Moreover, in my opinion, it may seem that the DoVA D-RAS shall not consider a DoVA "P&T" increased rating until the 38 CFR 4.129 criteria is completed. Take care! :cool:

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer."

Best Wishes!
 
Warrior 644 beat me to it. As long as you are on a TDRL status you will not get a permanent and total. VA and DoD will continue to reevaluate you until either A) you are deemed permanent and total or B) statutory time limits elapse and they will still declare you permanent and total and place you on PDRL. You can always appeal to the VA and attempt to get permanent and total, whether they process it or not is up to the VA.
 
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