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[null,"Disability","Date","Location of Treatment","Notes","Sarge's Notes"]
[1,"Degenerative arthritis of spine","2016-07-27","Bowie, MD C&P Exam","lower back","lower back"]
[2,"Degenerative arthritis of spine","2016-03-15","Where?","Lumbar spinal impression Mild L5-S1","Where were you seen in March 2016?"]
[3,"Degenerative arthritis of spine","2013-01-01","Okinawa, Japan","Imaging confirmed arthritis (pain level 7 out of 10)"]
[4,"Degenerative arthritis of spine","2016-07-27","Bowie, MD C&P Exam","Page 4 if 11 C&P localized tenderness or pain on palpation of joint or associated soft tiusse of the thoracolumbar spine; seeverity 6 out of 10; arthritis studies & results confirmed at C&P exam"]
[5,"Degenerative arthritis of spine","2016-02-01","North Carolina (need ER records)","MVA sliding into railing on icy road; knocked unconscious, slammed right knee into dashboard, Veteran confirmed right knee and shin splint pain since; uses knee brace; must avoid aggravating activities","Request your records from the Hospital's Record Section to confirm knee, head and shin splint injuries"]
[6,"Hearing loss/tinnitus exam request","2016-08-09","Annendale, VA Audiology Exam","Right ear 100% and left ear 96%: Right ear had abnormal Ipsilateral Acoustic Reflexes and Contralateral Acoustic Reflexes; \"There is currently no hearing loss present that can be related to military noise exposure/acoustic trauma.\" BUT doctor did check \"At least is likely as not causd by or a result of military noise exposure.\" Then wrote Veteran's hearing was found to be within normal range....Veteran was exposed to multiple sources of hazardous noise/acoustic trauma while serving in the military. Tinnitus is a symptom known to be associated with noise exposure; therefore, it is as least as likely as not that the tinnitus was cause by or is a result of military noise exposure/acoustic trama.","Need to discuss the hearing loss and how it affects your work environment, e.g. kept getting hurt because I couldn't hear warnings in loud garage, boss kept disciplining b/c I wasn't \"listening\" to him but I couldn't hear him. How does it affect you at home? Wife gets so upset because she thinks I wasn't \"listening\" to her but I couldn't hear her - has caused martial problems. It affects my relationship with my kids, as well, because I don't \"hear\" what they are doing or what my wife needs help with...special needs children. "]
[7,"Hearing loss/tinnitus exam request","2016-08-09","Annendale, VA Audiology Exam","Marked that Veteran received head trauma from car accident in 2016 while active duty."]
[8,"Hearing loss/tinnitus exam request","2016-08-09","Annendale, VA Audiology Exam","Veteran has been exposed to fire arms, aircraft noise, heavy equipment, power tools.","In your MOS, weren't you exposed to artillary and heavy missle noises?"]
[9,"Mastectomy, scar","2016-07-27","Bowie, MD C&P Exam","right breast - tumor removal of right pec"]
[10,"Mastectomy, scars (2)","2016-07-27","Bowie, MD C&P Exam","Anterior trunk, right upper chest & right lower areola","How do the scars bother you? Emotionally damaged due to abnormal scars - not socially normal for men to have breast cancer."]
[11,"Mastectomy, simple","2016-07-27","Bowie, MD C&P Exam","right breast - tumor removal of right pec","Since breast cancer is so rare in men, my wife is hyper-focused on it returning and is constantly worrying about my scars. Due to the tatoo that existed before my mastectomy, it is hard to \"see\" any skin differences to I endure the week after week examination of this area to try to alleviate my wife's concerns."]
[12,"Mastectomy, simple","2016-07-27","Bowie, MD C&P Exam","Incisional areas s/p removal of right breast tissue with sensitivity and pain 3-4/10 to touch.","The pain affects my ability to show affection to my family due to the sensitivity of the scars. The location is greatly impacted by hugging. As a mechanic, I am required to wear the company's polyester polo shirt but I have to wear cotton underneath due to the sensitivity. As a mechanic, the grime of the garage contstantly ruins the cotton shirts and creates an excessive expense."]
[13,"Right knee","2016-07-27","Bowie, MD C&P Exam","knee fine - shin splint right"]
[14,"Right knee","2016-02-15","McDowell Hospital ER","fluid on knee"]
[15,"Shin Splints","2014-01-01","Where?","M79.A29","\"Nontraumatic compartment syndrome of unsp lower extremity\" Google definition How can it be nontraumatic when you got it during the intense USMC training?"]
[16,"Thoracolumbar Spine","2016-07-27","Bowie, MD C&P Exam"]
[17,"Tinnitus","2016-07-27","Bowie, MD C&P Exam","\"mildly bothersome\" noticed but doesn't interfere with daily activities"]
[18,"Toenail removal"]
[19,"Toe issues from too small boots"]
[20,"MST"]
[21,"PTSD"]
[22,"Addiction",null,null,"Mastecomy oxy-drugs; withdrawal visit to ER - sent back to barracks"]
[23,"Sleep Apnea",{"$nulls":3},"Talk to Dr. Smith to get 2nd to PTSD"]
[24,"Narcolepsy",{"$nulls":3},"Chronic neurological disorder that affects the brain's ability to control sleep-wake cycles. Did this start after your car accident? \"Increased\" after car accident? This can be caused by major psychological stress or a sudden change in sleep patterns (such as the periods of long wakeness during USMC training.) There is no cure for it; again, if service connected it will support a P&T status."]
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