Asthma Rating

[Chinook4]

Hi, I have a little bit of a tricky case and am wondering if anyone has any experience with what the va/dod might do. I claimed shortness of breath on my VA claims and they did a pft at my exams:

Pre-Bronchodilator:
FVC: 60% predicted
FEV-1: 27% predicted
FEV-1/FVC: 45%

Post-Bronchodilator:
FVC: 1.82% predicted
FEV-1: 0.37% predicted
FEV-1/FVC: 20.33%

The examiner said the best indicator of my symptoms is FEV-1/FVC.
I was a diver so have had pfts periodically and they have been excellent. I saw a pulmonologist afterwards and she diagnosed me with severe persistent asthma. After this my medical officer said she wants to add the asthma to my unfitting conditions. The doctor started me on Flovent 220mg twice a day (she said to use up to 4 times a day but insurance wouldn’t approve if she wrote that) and a prednisone taper. I have another condition that prevents me from taking vasoconstrictors and most steroids, she wrote in her notes ‘will be difficult to control given medication limitations’. What is considered a high dose steroid (would Flovent count?). Also my FEV-1/FVC puts me at 60% but my FEV-1 puts me at 100%. Any ideas what I might be looking at ratings wise? Thanks!

 

[Grenhep]

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[Grenhep]

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