| 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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