| 1 | DVBCPWCK ;ALB/GTS-557/THM-PRISONER OF WAR PROTOCOL EXAM ; 5/6/91 9:38 AM
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| 2 | ;;2.7;AMIE;;Apr 10, 1995
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| 3 | ;
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| 4 | S PG=1,HD91="Department of Veterans Affairs",HD9="Full Exam Worksheet"
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| 5 | EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
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| 6 | W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 1705 Worksheet" S HD7="PRISONER OF WAR PROTOCOL",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!
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| 7 | W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
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| 8 | W !!!!,"Narrative: "
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| 9 | S LX="TXT" F I=1:1 S LY=$T(@LX+I) Q:LY["$END" D:LY["|TOP|" HD2 W:LY'["|TOP|" ?13,$P(LY,";;",2),!
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| 10 | W !,"A. Medical history (include childhood and adult illnesses and",!?3,"operations):",!!!!!!!!!!!!!,"B. Past history (include civilian and military occupation, military)",!
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| 11 | W ?3,"history including geographic locations and dates, habits",!?3,"such as alcohol, tobacco and drugs, family history):",!!!!!!!! D HD2^DVBCPWCK
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| 12 | S CNT=0 W "C. System review (comment specifically if positive symptom):",!!?4,"a. General:",!! F I="weight change","fever or chills","night sweats","polydipsia" S CNT=CNT+1 W ?($S(CNT<10:7,1:6)),CNT,". ",I,!! I $Y>55 D HD2
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| 13 | G ^DVBCPWC1
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| 14 | ;
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| 15 | HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for ",HD7,!,"for ",NAME,!!!
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| 16 | Q
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| 17 | ;
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| 18 | SETIOF ; ** Set device control var's
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| 19 | D HOME^%ZIS
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| 20 | Q
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| 21 | ;
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| 22 | TXT ;
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| 23 | ;;The protocol for conducting examinations on former
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| 24 | ;;POWs should include the following and be faxed in
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| 25 | ;;in its entirety to the regional office.
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| 26 | ;;
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| 27 | ;;1. The veteran completes VAF 10-0048, Former POW
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| 28 | ;;Medical History, which the examiners should review.
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| 29 | ;;
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| 30 | ;;2. The examination should include an exam for all
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| 31 | ;;presumptive POW disabilities, as well as any other
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| 32 | ;;disabilities claimed by the veteran. All laboratory
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| 33 | ;;and diagnostic tests should be completed and reviewed
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| 34 | ;;prior to completing the summary of findings.
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| 35 | ;;
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| 36 | ;;3. A mental disorders examination should be conducted.
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| 37 | ;;An appropriate worksheet is attached.
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| 38 | ;;
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| 39 | ;;4. A social survey should be conducted. An appropriate
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| 40 | ;;worksheet is also attached.
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| 41 | ;;
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| 42 | ;;5. The POW Physician Coordinator should complete
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| 43 | ;;summary of findings, diagnoses, and recommendations.
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| 44 | ;;The POW Physician Coordinator may express his or
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| 45 | ;;her judgement about the possible epidemiological
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| 46 | ;;factors and/or etiological origins of any noted
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| 47 | ;;disabilities.
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| 48 | ;;
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| 49 | ;;6. The following conditions are presumptive POW
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| 50 | ;;disabilities:
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| 51 | ;;
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| 52 | ;;Avitaminosis
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| 53 | ;;Beriberi (including beriberi heart disease)
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| 54 | ;;Chronic dysentery
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| 55 | ;;Helminthiasis
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| 56 | ;;Malnutrition (including optic atrophy associated with
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| 57 | ;; malnutrition)
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| 58 | ;;Pellagra
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| 59 | ;;any other nutritional dificiency
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| 60 | ;;Psychosis
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| 61 | ;;Any of the anxiety states
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| 62 | ;;Post-traumatic osteoarthritis
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| 63 | ;;Organic residuals of frostbite
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| 64 | ;;Peptic ulcer disease
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| 65 | ;;Irritable bowel syndrome
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| 66 | ;;Peripheral neuropathy
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| 67 | ;;|TOP|
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| 68 | ;;7. Because the term "irritable bowel syndrome", as
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| 69 | ;;applied to former POWs, includes a number of other
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| 70 | ;;conditions, and because the rating schedule places
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| 71 | ;;restrictions on the evaluation of co-existing gastro-
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| 72 | ;;intestinal conditions, it is important that all
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| 73 | ;;gastrointestinal disorders found be described in
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| 74 | ;;detail. The term "peptic ulcer" is not proper for
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| 75 | ;;evaluation purposes. You should specify "gastric",
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| 76 | ;;"marginal", or "duodenal" as appropriate.
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| 77 | ;;
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| 78 | ;;8. In many cases, the contemporary treatment records
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| 79 | ;;for the initial manifestation of POW presumptive
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| 80 | ;;diseases will no longer be available because of the
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| 81 | ;;passage of time, death of the physician, etc. Histories
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| 82 | ;;of specific diseases should include whether the
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| 83 | ;;veteran recalls his symptoms at the time so the
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| 84 | ;;rating board can determine whether conditions now
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| 85 | ;;present, but non-compensable, were of compensable degree
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| 86 | ;;in the past.
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| 87 | ;;$END
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