Okinawa Navy Timeline

Joecool

PEB Forum Veteran
Registered Member
So all 3 exams went well. the Ortho doc was good but it was fast. he was kind of rushing the appointment because he was about 1 hour behind. basically he said I have a frozen left shoulder with ROM 45 Deg forward and to the side. and i think it was 20 degrees toward the rear and no stregnth in any muscle except for 1. also he said my ankles are jacked up. and i have a floating bone chip in my ankle. my Psych eval went well not much there because all they are trying to do is gauge your symptoms. dental i went for TMD so she did a quick look then did the write up and that was that. so far easy day. we will see when i get to Gen Med on wednesday. i will also look to see about getting copies of my last visits so i can get a better feel for what was really notated vs what was said.
 

Joecool

PEB Forum Veteran
Registered Member
I finished my General medical exam. it went well. just 1 more visit left then im all done with the va exams.
 

Joecool

PEB Forum Veteran
Registered Member
well i finished off all of my exams on the 15th. I signed my Narsum and submitted my NMA on Thurs 22 Aug 2013. So now the waiting game begins. fortunately i can now take leave so im gonna drop 15 days to go visit the wife and kids in Nebraska. should be a peaceful 2 weeks and when I get back that is 3 weeks down on the count. I am getting excited to because my dad is trying to rummage up some Rocky Mountain oysters for me and if he gets some ill be one happy guy. havent had any of those for almost 10 years.

Signature updated to reflect timeline***
 

Joecool

PEB Forum Veteran
Registered Member
So I recieved a copy of my paper work and wanted to get some ideas on ratings. my predictions (which are based off the bold below) are gonna be DOD 20% med sep. Note: This is only for my refered non dominant Left Shoulder:

Shoulder and Arm Conditions
Disability Benefits Questionnaire
Name of patient/Veteran: Joecool
Indicate method used to obtain medical information to complete this document:
[X] In-person examination
Evidence review
---------------
Was the Veteran's VA claims file reviewed?
[X] Yes [ ] No
If yes, list any records that were reviewed but were not included in the
Veteran's VA claims file:
NONE
1. Diagnosis
-------------
Does the Veteran now have or has he/she ever had a shoulder and/or arm
condition?
[X] Yes [ ] No
Diagnosis #1: TEAR OF GLENOID LABRUM
ICD code: 718.91
Date of diagnosis: 12 JUL 12
Side affected: [ ] Right [X] Left [ ] Both
Diagnosis #2: ADHESIVE CAPSULITIS OF SHOULDER
ICD code: 726.0
Date of diagnosis: 02 AUG 13
Side affected: [ ] Right [X] Left [ ] Both
Diagnosis #3: OSTEOARTHROSIS, GLENOHUMERAL SHOULDER JOINT
ICD code: 715.11
Date of diagnosis: 03 AUG 13
Side affected: [ ] Right [X] Left [ ] Both

b. Dominant hand:
[X] Right [ ] Left [ ] Ambidextrous
3. Flare-ups
------------
Not applicable
4. Initial range of motion (ROM) measurements
---------------------------------------------
a. Right shoulder flexion
No response provided.
b. Right shoulder abduction
No response provided.
c. Left shoulder flexion
Select where flexion ends (normal endpoint is 180 degrees):
[X] 45
Select where objective evidence of painful motion begins:
[X] 45
d. Left shoulder abduction
Select where abduction ends (normal endpoint is 180 degrees):
[X] 45
Select where objective evidence of painful motion begins:
[X] 45
5. ROM measurements after repetitive use testing
------------------------------------------------
a. Is the Veteran able to perform repetitive-use testing with 3 repetitions?
[X] Yes [ ] No
c. Left shoulder post-test ROM
Select where flexion ends:
[X] 45
Select where abduction ends:
[X] 45
6. Functional loss and additional limitation in ROM
---------------------------------------------------
a. Does the Veteran have additional limitation in ROM of the shoulder and arm
following repetitive-use testing?
[ ] Yes [X] No
b. Does the Veteran have any functional loss and/or functional impairment of
the shoulder and arm?
[X] Yes [ ] No
c. If the Veteran has functional loss, functional impairment and/or
additional limitation of ROM of the shoulder and arm after repetitive use,
indicate the contributing factors of disability below (check all that
apply and indicate side affected):
[X] Less movement than normal [ ] Right [X] Left [ ] Both
[X] Weakened movement [ ] Right [X] Left [ ] Both
[X] Excess fatigability [ ] Right [X] Left [ ] Both
[X] Pain on movement [ ] Right [X] Left [ ] Both
7. Pain (pain on palpation)
---------------------------
a. Does the Veteran have localized tenderness or pain on palpation of
joints/soft tissue/biceps tendon of either shoulder?
[X] Yes [ ] No
If yes, shoulder affected: [ ] Right [X] Left [ ] Both
b. Does the Veteran have guarding of either shoulder?
[X] Yes [ ] No
If yes, shoulder affected: [ ] Right [X] Left [ ] Both
8. Muscle strength testing
--------------------------
Rate strength according to the following scale:
0/5 No muscle movement
1/5 Palpable or visible muscle contraction, but no joint movement
2/5 Active movement with gravity eliminated
3/5 Active movement against gravity
4/5 Active movement against some resistance
5/5 Normal strength
Shoulder abduction:
Left: [ ] 5/5 [X] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5
Shoulder forward flexion:
Left: [ ] 5/5 [X] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5
9. Ankylosis
------------
Does the Veteran have ankylosis of the glenohumeral articulation (shoulder
joint)?
[ ] Yes [X] No

10. Specific tests for rotator cuff conditions
----------------------------------------------
a. Hawkins' Impingement Test (Forward flex the arm to 90 degrees with the
elbow bent to 90 degrees. Internally rotate arm. Pain on internal rotation
indicates a positive test; may signify rotator cuff tendinopathy or tear.)
[X] Positive [ ] Negative [ ] Unable to perform [ ] N/A
If positive, side affected: [ ] Right [X] Left [ ] Both
b. Empty-can test (Abduct arm to 90 degrees and forward flex 30 degrees.
Patient turns thumbs down and resists downward force applied by the
examiner. Weakness indicates a positive test; may indicate rotator cuff
pathology, including supraspinatus tendinopathy or tear.)
[X] Positive [ ] Negative [ ] Unable to perform [ ] N/A
If positive, side affected: [ ] Right [X] Left [ ] Both
c. External rotation/Infraspinatus strength test (Patient holds arm at side
with elbow flexed 90 degrees. Patient externally rotates against
resistance. Weakness indicates a positive test; may be associated with
infraspinatus tendinopathy or tear.)
[X] Positive [ ] Negative [ ] Unable to perform [ ] N/A
If positive, side affected: [ ] Right [X] Left [ ] Both
d. Lift-off subscapularis test (Patient internally rotates arm behind lower
back, pushes against examiner's hand. Weakness indicates a positive test;
may indicate subscapularis tendinopathy or tear.)
[X] Positive [ ] Negative [ ] Unable to perform [ ] N/A
If positive, side affected: [ ] Right [X] Left [ ] Both
11. History and specific tests for instability/dislocation/labral pathology
---------------------------------------------------------------------------
a. Is there a history of mechanical symptoms (clicking, catching, etc.)?
[X] Yes [ ] No
If yes, side affected: [ ] Right [X] Left [ ] Both
b. Is there a history of recurrent dislocation (subluxation) of the
glenohumeral (scapulohumeral) joint?
[X] Yes [ ] No
If yes, indicate frequency, severity and side affected (check all that
apply):
[X] Infrequent episodes [ ] Right [X] Left [ ] Both
c. Crank apprehension and relocation test (With patient supine, abduct
patient's arm to 90 degrees and flex elbow 90 degrees. Pain and sense of
instability with further external rotation may indicate shoulder
instability.)
[X] Positive [ ] Negative [ ] Unable to perform [ ] N/A
If positive, side affected: [ ] Right [X] Left [ ] Both
12. History and specific tests for clavicle, scapula, acromioclavicular (AC)
joint, and sternoclavicular joint conditions
----------------------------------------------------------------------------
a. Does the Veteran have an AC joint condition or any other impairment of the
clavicle or scapula?
[ ] Yes [X] No
b. Is there tenderness on palpation of the AC joint?
[X] Yes [ ] No
If yes, indicate side: [ ] Right [X] Left [ ] Both
c. Cross-body adduction test (Passively adduct arm across the patient's body
toward the contralateral shoulder. Pain may indicate acromioclavicular
joint pathology.)
[X] Positive [ ] Negative [ ] Unable to perform [ ] N/A
If positive, side affected: [ ] Right [X] Left [ ] Both
13. Joint replacement and/or other surgical procedures
------------------------------------------------------
a. Has the Veteran had a total shoulder joint replacement?
[ ] Yes [X] No
b. Has the Veteran had arthroscopic or other shoulder surgery?
[X] Yes [ ] No
If yes, indicate side affected: [ ] Right [X] Left [ ] Both
Date and type of surgery: 25 JUL 12: ARTHROSCOPIC LEFT SHOULDER SURGERY
FOR LABRAL REPAIR
c. Does the Veteran have any residual signs and/or symptoms due to
arthroscopic or other shoulder surgery?
[ ] Yes [X] No
16. Diagnostic Testing
----------------------
a. Have imaging studies of the shoulder been performed and are the results
available?
[X] Yes [ ] No
If yes, is degenerative or traumatic arthritis documented?
[X] Yes [ ] No
If yes, indicate shoulder: [ ] Right [X] Left [ ] Both
b. Are there any other significant diagnostic test findings and/or results?
[ ] Yes [X] No
17. Functional impact
---------------------
Does the Veteran's shoulder condition impact his or her ability to work?
[X] Yes [ ] No
If yes, describe the impact of each of the Veteran's shoulder conditions
providing one or more examples:
The patient is not fit for repetitive heavy lifting involving the
shoulder to include stocking shelves, overhead movements of arms, working
into elevated spaces accessible via ladders only, police work, military
work, off-loading from truck.
 

Warrior644

Staff Member
PEB Forum Lifetime Supporter
PEB Forum Veteran
Registered Member
So I recieved a copy of my paper work and wanted to get some ideas on ratings. my predictions (which are based off the bold below) are gonna be DOD 20% med sep. Note: This is only for my refered non dominant Left Shoulder:

Shoulder and Arm Conditions
Disability Benefits Questionnaire
Name of patient/Veteran: Joecool
Indicate method used to obtain medical information to complete this document:
[X] In-person examination
Evidence review
---------------
Was the Veteran's VA claims file reviewed?
[X] Yes [ ] No
If yes, list any records that were reviewed but were not included in the
Veteran's VA claims file:
NONE
1. Diagnosis
-------------
Does the Veteran now have or has he/she ever had a shoulder and/or arm
condition?
[X] Yes [ ] No
Diagnosis #1: TEAR OF GLENOID LABRUM
ICD code: 718.91
Date of diagnosis: 12 JUL 12
Side affected: [ ] Right [X] Left [ ] Both
Diagnosis #2: ADHESIVE CAPSULITIS OF SHOULDER
ICD code: 726.0
Date of diagnosis: 02 AUG 13
Side affected: [ ] Right [X] Left [ ] Both
Diagnosis #3: OSTEOARTHROSIS, GLENOHUMERAL SHOULDER JOINT
ICD code: 715.11
Date of diagnosis: 03 AUG 13
Side affected: [ ] Right [X] Left [ ] Both

b. Dominant hand:
[X] Right [ ] Left [ ] Ambidextrous
3. Flare-ups
------------
Not applicable
4. Initial range of motion (ROM) measurements
---------------------------------------------
a. Right shoulder flexion
No response provided.
b. Right shoulder abduction
No response provided.
c. Left shoulder flexion
Select where flexion ends (normal endpoint is 180 degrees):
[X] 45
Select where objective evidence of painful motion begins:
[X] 45
d. Left shoulder abduction
Select where abduction ends (normal endpoint is 180 degrees):
[X] 45
Select where objective evidence of painful motion begins:
[X] 45
5. ROM measurements after repetitive use testing
------------------------------------------------
a. Is the Veteran able to perform repetitive-use testing with 3 repetitions?
[X] Yes [ ] No
c. Left shoulder post-test ROM
Select where flexion ends:
[X] 45
Select where abduction ends:
[X] 45
6. Functional loss and additional limitation in ROM
---------------------------------------------------
a. Does the Veteran have additional limitation in ROM of the shoulder and arm
following repetitive-use testing?
[ ] Yes [X] No
b. Does the Veteran have any functional loss and/or functional impairment of
the shoulder and arm?
[X] Yes [ ] No
c. If the Veteran has functional loss, functional impairment and/or
additional limitation of ROM of the shoulder and arm after repetitive use,
indicate the contributing factors of disability below (check all that
apply and indicate side affected):
[X] Less movement than normal [ ] Right [X] Left [ ] Both
[X] Weakened movement [ ] Right [X] Left [ ] Both
[X] Excess fatigability [ ] Right [X] Left [ ] Both
[X] Pain on movement [ ] Right [X] Left [ ] Both
7. Pain (pain on palpation)
---------------------------
a. Does the Veteran have localized tenderness or pain on palpation of
joints/soft tissue/biceps tendon of either shoulder?
[X] Yes [ ] No
If yes, shoulder affected: [ ] Right [X] Left [ ] Both
b. Does the Veteran have guarding of either shoulder?
[X] Yes [ ] No
If yes, shoulder affected: [ ] Right [X] Left [ ] Both
8. Muscle strength testing
--------------------------
Rate strength according to the following scale:
0/5 No muscle movement
1/5 Palpable or visible muscle contraction, but no joint movement
2/5 Active movement with gravity eliminated
3/5 Active movement against gravity
4/5 Active movement against some resistance
5/5 Normal strength
Shoulder abduction:
Left: [ ] 5/5 [X] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5
Shoulder forward flexion:
Left: [ ] 5/5 [X] 4/5 [ ] 3/5 [ ] 2/5 [ ] 1/5 [ ] 0/5
9. Ankylosis
------------
Does the Veteran have ankylosis of the glenohumeral articulation (shoulder
joint)?
[ ] Yes [X] No

10. Specific tests for rotator cuff conditions
----------------------------------------------
a. Hawkins' Impingement Test (Forward flex the arm to 90 degrees with the
elbow bent to 90 degrees. Internally rotate arm. Pain on internal rotation
indicates a positive test; may signify rotator cuff tendinopathy or tear.)
[X] Positive [ ] Negative [ ] Unable to perform [ ] N/A
If positive, side affected: [ ] Right [X] Left [ ] Both
b. Empty-can test (Abduct arm to 90 degrees and forward flex 30 degrees.
Patient turns thumbs down and resists downward force applied by the
examiner. Weakness indicates a positive test; may indicate rotator cuff
pathology, including supraspinatus tendinopathy or tear.)
[X] Positive [ ] Negative [ ] Unable to perform [ ] N/A
If positive, side affected: [ ] Right [X] Left [ ] Both
c. External rotation/Infraspinatus strength test (Patient holds arm at side
with elbow flexed 90 degrees. Patient externally rotates against
resistance. Weakness indicates a positive test; may be associated with
infraspinatus tendinopathy or tear.)
[X] Positive [ ] Negative [ ] Unable to perform [ ] N/A
If positive, side affected: [ ] Right [X] Left [ ] Both
d. Lift-off subscapularis test (Patient internally rotates arm behind lower
back, pushes against examiner's hand. Weakness indicates a positive test;
may indicate subscapularis tendinopathy or tear.)
[X] Positive [ ] Negative [ ] Unable to perform [ ] N/A
If positive, side affected: [ ] Right [X] Left [ ] Both
11. History and specific tests for instability/dislocation/labral pathology
---------------------------------------------------------------------------
a. Is there a history of mechanical symptoms (clicking, catching, etc.)?
[X] Yes [ ] No
If yes, side affected: [ ] Right [X] Left [ ] Both
b. Is there a history of recurrent dislocation (subluxation) of the
glenohumeral (scapulohumeral) joint?
[X] Yes [ ] No
If yes, indicate frequency, severity and side affected (check all that
apply):
[X] Infrequent episodes [ ] Right [X] Left [ ] Both
c. Crank apprehension and relocation test (With patient supine, abduct
patient's arm to 90 degrees and flex elbow 90 degrees. Pain and sense of
instability with further external rotation may indicate shoulder
instability.)
[X] Positive [ ] Negative [ ] Unable to perform [ ] N/A
If positive, side affected: [ ] Right [X] Left [ ] Both
12. History and specific tests for clavicle, scapula, acromioclavicular (AC)
joint, and sternoclavicular joint conditions
----------------------------------------------------------------------------
a. Does the Veteran have an AC joint condition or any other impairment of the
clavicle or scapula?
[ ] Yes [X] No
b. Is there tenderness on palpation of the AC joint?
[X] Yes [ ] No
If yes, indicate side: [ ] Right [X] Left [ ] Both
c. Cross-body adduction test (Passively adduct arm across the patient's body
toward the contralateral shoulder. Pain may indicate acromioclavicular
joint pathology.)
[X] Positive [ ] Negative [ ] Unable to perform [ ] N/A
If positive, side affected: [ ] Right [X] Left [ ] Both
13. Joint replacement and/or other surgical procedures
------------------------------------------------------
a. Has the Veteran had a total shoulder joint replacement?
[ ] Yes [X] No
b. Has the Veteran had arthroscopic or other shoulder surgery?
[X] Yes [ ] No
If yes, indicate side affected: [ ] Right [X] Left [ ] Both
Date and type of surgery: 25 JUL 12: ARTHROSCOPIC LEFT SHOULDER SURGERY
FOR LABRAL REPAIR
c. Does the Veteran have any residual signs and/or symptoms due to
arthroscopic or other shoulder surgery?
[ ] Yes [X] No
16. Diagnostic Testing
----------------------
a. Have imaging studies of the shoulder been performed and are the results
available?
[X] Yes [ ] No
If yes, is degenerative or traumatic arthritis documented?
[X] Yes [ ] No
If yes, indicate shoulder: [ ] Right [X] Left [ ] Both
b. Are there any other significant diagnostic test findings and/or results?
[ ] Yes [X] No
17. Functional impact
---------------------
Does the Veteran's shoulder condition impact his or her ability to work?
[X] Yes [ ] No
If yes, describe the impact of each of the Veteran's shoulder conditions
providing one or more examples:
The patient is not fit for repetitive heavy lifting involving the
shoulder to include stocking shelves, overhead movements of arms, working
into elevated spaces accessible via ladders only, police work, military
work, off-loading from truck.
In my opinion, if the DoVA D-RAS rates under VASRD 5200 Scapulohumeral articulation, ankylosis of: Favorable, abduction to 60°, can reach mouth and head; then a 20% rating (minor) could potentially be assigned unfortunately.

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

Best Wishes!
 

Joecool

PEB Forum Veteran
Registered Member
so from what i can tell RI is the place to have your VA paperwork sent. lucky me i just looked on Ebenes and thats where they are supposed to go "IF" i am found unfit.
 

Warrior644

Staff Member
PEB Forum Lifetime Supporter
PEB Forum Veteran
Registered Member
so from what i can tell RI is the place to have your VA paperwork sent. lucky me i just looked on Ebenes and thats where they are supposed to go "IF" i am found unfit.
Indeed, it seems that RI is the place to be for DoVA D-RAS ratings! ;)

To that extent, I am now at almost 2.5 months in the DoVA D-RAS in Seattle, WA on my VARR request without any updates as to when it's to be completed. :(

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

Best Wishes!
 

Joecool

PEB Forum Veteran
Registered Member
so i found out yesterday that i am unfit as of 29 Aug 2013 and the VA Received my package on that date as well. kind of nice being able to fast foward almost 4 weeks without knowing it.
 

CombatEngO

Registered Member
Did you get a memo from Balboa or just a verbal?

PEBLO told me that Navy Yard recieved my case Sept 19th, but no word on UNFIT yet!
 

Joecool

PEB Forum Veteran
Registered Member
i went to dtap again for a second time for a refresher and while there i asked and they verbally told me that i was unfit and we should be getting ratings back soon.
 

Joecool

PEB Forum Veteran
Registered Member
looked on EBENIES today and it says Pending decision approval. so praying i get results soon.
 
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mcg912

Registered Member
I've been through 3 med boards here in Okinawa and wasn't been accepted into IDES at all. I just started my 4th. It really seems to be a Navy thing
 

Joecool

PEB Forum Veteran
Registered Member
Mcg hey from what mr tighe told me i was his first navy guy to be accepted into oides since he had been there. Everyone in that office said they almost shit bricks when my findings came back. Ill pray for you brother
 

Joecool

PEB Forum Veteran
Registered Member
So i called the peblo today to get see if they had heard anything. And if u look at prior post in this thread i was expecting 20% DOD / 50% VA. Well my peblo just told me my verbal %s are 40%/80%. RETIREMENT BABY!!!! Im so excited and blessed by GOD. He has anwsered prayers. Thank you all for your support.
 

lostinfantryman

PEB Forum Veteran
Registered Member
So i called the peblo today to get see if they had heard anything. And if u look at prior post in this thread i was expecting 20% DOD / 50% VA. Well my peblo just told me my verbal %s are 40%/80%. RETIREMENT BABY!!!! Im so excited and blessed by GOD. He has anwsered prayers. Thank you all for your support.
Congrats!! that's good news I'm expecting 70/90 so hopefully like you mine jumps a little higher unfortunately for me mines going through Seattle so it will take longer. Based on your timeline you seem to have had a much faster experience than others congrats and good luck!!!
 

Joecool

PEB Forum Veteran
Registered Member
i have to remember to take this with a grain of salt bc it was only verbal. but still pretty exciting
 

Warrior644

Staff Member
PEB Forum Lifetime Supporter
PEB Forum Veteran
Registered Member
So i called the peblo today to get see if they had heard anything. And if u look at prior post in this thread i was expecting 20% DOD / 50% VA. Well my peblo just told me my verbal %s are 40%/80%. RETIREMENT BABY!!!! Im so excited and blessed by GOD. He has anwsered prayers. Thank you all for your support.
Indeed, mighty prayers; congratulations! :)

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

Best Wishes!
 
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