Any guesses on my %?

J

joelf

PEB Forum Regular Member
PEB Forum Veteran
Registered Member
1. Lumbar intervertebral Disc Syndrome w. Degenerative Arthritic Changes (Radiculopathy noted, but not separately listed)
Flexion 19
Extension 16
R Lateral Flexion 19
L Lateral Flexion 17
R Rotation 15
L Rotation 15

2. Plantar Fasciitis B/L

3. Esophageal Reflux
confirmed by UGI

4. Cervical Strain
Flexion 40
Extension 40
R Lateral Flexion 30
L Lateral Flexion 30
R Rotation 45
L Rotation 45

5. Degenerative Arthritis of B/L Knee Joints
Flexion R: 40 L: 46
Extension R: 0 L: 0

6. Sleep Apnea
confirmed by Polysonogram (use CPAP)

7. Onychomycosis toenails

8. Strain B/L Ankles
Dorsiflexion R: 10 L: 15
Plantar Flexion R: 20 L: 30

9. Polyuria
secondary to Lumbar IVDS

10. Tinnitus Intermittent B/L

11. Tempomandibular Joint Dysfunction
Inter-incisial 26mm
Lateral Excursion R: 10 L: 11

I realize this will just be speculation...these are the diagnoses listed on my C&P exam and DA3947, so as I understand it, they could still be changed by either the PEB or VA prior to final ratings
 
what of those are found to make you unfit? Or witch of those are "Meet the Army Standerd" Or Does not meet standerd? Sleep Apnea
is 50% and depending on the rest and with VA math i would guess 60-80% Its hard to get 90-100%
 
Mastertz said:
what of those are found to make you unfit? Or witch of those are "Meet the Army Standerd" Or Does not meet standerd? Sleep Apnea
is 50% and depending on the rest and with VA math i would guess 60-80% Its hard to get 90-100%
Click to expand...

Lumbar intervertebral Disc Syndrome w. Degenerative Arthritic Changes & Plantar Fasciitis B/L are the unfitting conditions (as it stands now).
 
Plantar fasciitis will depend on the severity and other problems it causes. Potentially 10-50%. Look under VASRD musculoskeletal system to see where you think you fit in.
 
usafaviator said:
http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&rgn=div5&view=text&node=38:1.0.1.1.5&idno=38
Click to expand...

So if i'm reading the VASRD correctly (and that's a BIG if), using worst case scenario, it breaks down like this...

1. Lumbar intervertebral Disc Syndrome w. Degenerative Arthritic Changes.....40%

2. Plantar Fasciitis B/L.....10%

3. Esophageal Reflux.....10%

4. Cervical Strain.....10%

5. Degenerative Arthritis of B/L Knee Joints.....40%

6. Sleep Apnea.....50%

7. Onychomycosis toenails.....10%

8. Strain B/L Ankles.....20%

9. Polyuria.....10%

10. Tinnitus Intermittent B/L.....10%

11. Tempomandibular Joint Dysfunction.....20%

Using the combined ratings table, that comes out to 100%. Anyone case to double check me?
 
Probably...but, impossible to figure out without doing bilateral factor. You need to run all bilateral conditions with bilateral factor first, then place everything from highest to lowest before you combine them.
 
Jason said:
Probably...but, impossible to figure out without doing bilateral factor. You need to run all bilateral conditions with bilateral factor first, then place everything from highest to lowest before you combine them.
Click to expand...

The bilateral factor would only increase the rating, no?

One thing I'm concerned about is whether I can be rated for both Lumbar and Cervical conditions...since it's the same body part (spine), would this be considered pyramiding?
Also, there is a knee condition, ankle condition, toenail condition and foot condition...according to the amputation rule in the VASRD, "the combined evaluations for disabilities below the knee shall not exceed the 40 percent evaluation"
 
Also, as Mastertz eluded to, the question persists of which conditions (if any) will be considered unfitting by the PEB. That will determine your DoD rating. Alternatively, the VA will rate everything. Typically, there is quite a difference between DoD and VA final ratings, with DoD often being quite a bit lower because they only rate you on the conditions that deem you unfit for continued service.
 
usafaviator said:
Also, as Mastertz eluded to, the question persists of which conditions (if any) will be considered unfitting by the PEB. That will determine your DoD rating. Alternatively, the VA will rate everything. Typically, there is quite a difference between DoD and VA final ratings, with DoD often being quite a bit lower because they only rate you on the conditions that deem you unfit for continued service.
Click to expand...

Thank you for the info. I think I have a pretty solid comprehension of the MEB/PEB...the VA ratings on the other hand are definitely not as easily understood.

Using the percentages I've estimated, I think it would be 50% DoD (~ $1900) and 100% VA (~$2950). Too bad I won't be able to collect both...my back injury happened in Iraq (loading helicopters), however it wasn't due to direct combat.
 
When I put your numbers in, it only comes up to 89.79%. That would round up to 90% and that would be your VA rating provided your estimate at % are correct.DoD came up 46% which rounds up to 50%.
 
I don't have time to do the leg work for figuring out the numbers without the OP helping out...you have to order the ratings in descending order with the bilateral factors figured in the first in determining where they fall into the ratings. I am also reticent to "guess" because I am not sure whether the listing is a guess or what will be actually awarded.

There are a ton of permutations that are possible depending on what is actually awarded when you figure in the bilateral factor.
 
Jason said:
I don't have time to do the leg work for figuring out the numbers without the OP helping out...you have to order the ratings in descending order with the bilateral factors figured in the first in determining where they fall into the ratings. I am also reticent to "guess" because I am not sure whether the listing is a guess or what will be actually awarded.

There are a ton of permutations that are possible depending on what is actually awarded when you figure in the bilateral factor.
Click to expand...

I completely understand about not wanting to guess and especially about not having the time. The motivation for posting this query in the first place was more about seeing if I'm interpreting the VASRD correctly for the conditions listed on my DA3947.

To that end, do you think I'm correct about these three items?

Lumbar intervertebral Disc Syndrome w. Degenerative Arthritic Changes
Flexion 19
Extension 16
R Lateral Flexion 19
L Lateral Flexion 17
R Rotation 15
L Rotation 15
That ROM seems to indicate 40% in my opinion.

Degenerative Arthritis of B/L Knee Joints
Flexion R: 40 L: 46
Extension R: 0 L: 0
That ROM also seems to indicate 40% to me.

Strain B/L Ankles
Dorsiflexion R: 10 L: 15
Plantar Flexion R: 20 L: 30
That ROM seems to fall into the 20% category.

Would you agree? Obviously that would not take the B/L factor into consideration.

Thanks again for everyone's help. This forum is a honey hole of knowledge
 
I goofed somewhere. I must have left something out. I came up with 93.87% and that rounds to 90% if I'm correct. This is provided you interpreted your numbers correctly and the VA agrees. To be honest with you, I haven't figured out what mine might be because to many variables.

I found my mistake. I left out one of the 40%.

« » Start point 0 100.000000 Start
50% SC Condition #1 50 100 50.000000 50
40% SC Condition #2 40 20 30.000 70
40% SC Condition #3 40 12 18.000 82
20% SC Condition #4 20 3.6 14.400 85.6
20% SC Condition #5 20 2.88 11.520 88.48
10% SC Condition #6 10 1.152 10.368 89.632
10% SC Condition #7 10 1.0368 9.33120 90.6688
10% SC Condition #8 10 0.93312 8.398080 91.60192
10% SC Condition #9 10 0.839808 7.558272 92.441728
10% SC Condition #10 10 0.755827 6.802445 93.1975552
10% SC Condition #11 10 0.680244 6.122200 93.87779968
 
Jeep Freak said:
This is provided you interpreted your numbers correctly and the VA agrees
Click to expand...

I am not even remotely confident that I interpreted the numbers correctly...in fact I'm relatively certain I was too generous as I double/triple check things. That's kind of the reason I started the thread.

Thanks for running those numbers...it's interesting how doing the math longhand as you have comes out with a different calculation than using the combined ratings table in the VASRD.
 
One thing I'm concerned about is whether I can be rated for both Lumbar and Cervical conditions...since it's the same body part (spine), would this be considered pyramiding?
The VA and Army break it down into upper and lower sections of the spine. you can get rated for both. I have multiple disc injuries to the C-spine, t-spine, and L-spine. I asked that specific question. This was the answer given by the VA Doc.
 
Robert Kopczyk said:
One thing I'm concerned about is whether I can be rated for both Lumbar and Cervical conditions...since it's the same body part (spine), would this be considered pyramiding?
The VA and Army break it down into upper and lower sections of the spine. you can get rated for both. I have multiple disc injuries to the C-spine, t-spine, and L-spine. I asked that specific question. This was the answer given by the VA Doc.
Click to expand...

That's great info, thanks Robert. I was also pointed to a spot in the VASRD... THE SPINE Note (6): Separately evaluate disability of the thoracolumbar and cervical spine segments, except when there is unfavorable ankylosis of both segments, which will be rated as a single disability.
 
joelf, you sucked me in. For 8 months I refused to try and figure out what I might get. I couldn't sleep last night so I sat down and did it in the dark. I made some interesting discoverages that I need to look at closer but I got a pretty good idea what I might get. I always try to figure on the low side so I won't be to upset. Bad thing about working in the dark, I forgot to save it and now I got to start over. I was sure I save it but can't find it anywhere.
 
Signed my amended DA3947 this morning. Here's the new breakdown (changes in red)

1. Lumbar intervertebral Disc Syndrome w. Degenerative Arthritis Changes, with radiculopathy
*medically unacceptable
Flexion 19
Extension 16
R Lateral Flexion 19
L Lateral Flexion 17
R Rotation 15
L Rotation 15

2. Pes Cavus with associated Plantar Fasciitis
*medically unacceptable

3. Esophageal Reflux
confirmed by UGI

4. Cervical Strain
Flexion 40
Extension 40
R Lateral Flexion 30
L Lateral Flexion 30
R Rotation 45
L Rotation 45

5. Degenerative Arthritis of B/L Knee Joints
Flexion R: 40 L: 46
Extension R: 0 L: 0

6. Sleep Apnea
confirmed by Polysonogram (use CPAP)

7. Onychomycosis toenails

8. Strain B/L Ankles
Dorsiflexion R: 10 L: 15
Plantar Flexion R: 20 L: 30

9. Polyuria
secondary to Lumbar IVDS

10. Tinnitus Intermittent B/L

11. Tempomandibular Joint Dysfunction
Inter-incisial 26mm
Lateral Excursion R: 10 L: 11

12. B/L Sesamoiditis of the feet

13. Hammertoes


Definitely disappointed that the radiculopathy wasn't added as a separate condition, but according to my PEBLO, there's nothing further I can do about that issue. Now the waiting begins for Ft Sam to determine fit/unfit...
 
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