Excellent!!! Thank you very much! I believe medical personnel and veterans are well served by your synopsis. I work with veterans all the time who have no idea about either of these things... and for those who do, many do not understand the difference between an independent medical opinion (Nexxus letter) and a DBQ.
I was just diagnosed with depression and anxiety and insomnia, and I am currently seeking treatment. I am trying to service connect as a secondary to my service connected sleep apnea. I need a Nexus Letter and have tried to reach out a few times. Can u help me?
I am sorry to hear this. We would be happy to take a look at possibly assisting with a medical nexus letter if that is what you are looking for. Please email us at info@prestigeveteranmctx.com
I believe the Explanation of a Nexxus(medical opinion) letter delivered by this Physicians Assistant that was attached to a Special Forces unit was Excellent! She explained the quantitative and qualitative elements as as they relate to a DBQ(disability benefits questionaire) vs the Nexxus letter... The composition of the Nexxus letter is very thorough in delivery...the medical expert first giving a quick summary of who they are and what medical records or other evidentary info concerning the veteran that they have reviewed...followed by their professional medical opinion... For each condition...**On a side note, I have a former special forces medic(retired) friend that told me about the carpal tunnel surgeries they performed out in the field, we were stationed at old BAMC at Ft Sam Houston, Tx before he became a team member**
I hear that! I HATE doctors, particularly psychiatrists. "Did you ever think of killing anyone?" WTF did we rehearse for years and years? Now this paperwork is driving me nuts. "Were you REALLY there?" How about.. are you REALLY a doctor? Or just went to the University of Muckabunga in Bongaland, then get a job with the VA. Did you ever do this- on a human being?
I have a low back condition, L4 &L5 degenerative disc disease as well as arthritis. My primary care doctor told me that my condition could have very well been caused by my in service duty. However, she refuses to write a nexus letter saying she can’t because it’s a conflict of interest due to her being a VA paid doctor. She also said no one does nexus letters anymore more. None of my issues are in my in service medical records.
I know this is an older post, but this channel also has a video about what to do if the VA doctors say that. The video was something like, can VA doctors write nexus letters. She discusses the VA guidelines state. I was kinda I was half watching because it didn't pertain to me, but thought she said they could.
I am meeting with my Primary Care Dr. at the VA New Orleans and informed her about Directive 1134 thanks to you. I am 55 years old. What advice can you give when I meet with her. I am 40% Service Connected. I am trying to use current diagnosis scoliosis, radiacul l/r, degenerative disc, anxiety, sleep apnea moderate/severe, insomnia (PTSD appointment upcomg to diagnosis) While in service my bunkie dropped a grenade in bunker and it went off and I feel down a mountain. My Primary Care has agreed to help me next week so I am researching all of the possible primary and secondary diagnosis.
I am glad to hear your doctor is willing to look at these issues with you. I do not have any advice unfortunately because each case is complex and there are so many variables that go into it. Best of luck and please keep us posted!
Thank you for your time and posting. Working on Mental Health service connected to Sleep Apnea secondary. After my primary care meeting next week, I'll decide if I will use Prestige Veteran's Nexus.
Any advice on how to get a copy of the exam results? I’ve submitted the FOIA, had an appointment with my regional office, and my attorney won’t give them to me. None of these routes worked. I haven’t gotten a decision back, but want to know what the examiner submitted
Nexus letters can be helpful for secondary and primary claims depending on the specifics of the case. As far as your second question is concerned it really just depends on the specifics. Nexus letters are never required they can just be helpful in some circumstances
@@combatdouglas1306 it's actually cleared up finally. Just in time for me to pick up chain smoking again. Seriously I quit for like 7 years and I am back at it
@@prestigeveteranmedical paxlovid 5 days. If it comes back (+) on a home test or PCR paxlovid again 10 days. Antiviral 'approved' of course but still in its' infancy.
This is helping me strategically prepare before filing for an increase and what I need to discuss with my primary care provider to ask for an Nexus. Love your excitement about useful information!
Service connection is not automatic for presumptive matters. For example if you smoked 3 packs of cigarettes per day and were in Iraq for a week, most medical professionals would attribute your COPD to smoking rather than a weeks worth of exposure. Also many people believe they have a specific medical condition that aligns with the presumptive list but they actually do not and this is discovered during the exam. A medical opinion and DBQ must be completed in order for the condition to be evaluated and rated appropriately. You will want to follow up with a legal professional for additional clarification on this.
Hi sir that is a great question. I cannot speak for the VA as I do not work for their organization. If I had to guess it is likely because they want their own examiner to provide an opinion or because they just automatically order exams without reviewing the content of the submission very well.
@@willjohnson846 I either tell veterans I cannot assist them and explain why or I write a letter and use either at least as likely as not or more likely then not which are both positive opinions
@@prestigeveteranmedical well the 38CFR mentions that if the advisor opinion is 50/50 the Veteran wins.... because the Veteran brought the claim forward.. Did you know that?
@@prestigeveteranmedical Yes that is most likely the true statement. The VSROs or Veteran Service Rating Officers or DROs Decision Review Officers are not actually reviewing the content of the evidence submitted. They are only looking for those medical opinions and taking action on the results of those medical advisory opinions in the "NEXUS" letters. this is likely the biggest reason for denials.... The submitted evidence is not being properly reviewed.
I have no private insurance. None of my VA providers will give me a nexus letter tying my ptsd to an already acknowledged motor vehicle accident that caused head wounds and TBI. Where can I go? Helpless
So far ive done two supplemental claims and a higher level review. I would get an increase here and there and also they found a duty to assist error during the higher level review .But ill get items on the decision notice where I am missing certain information when ive faxed packets of medical records, dbq's. But somehow ive always get something saying about how "the medical evidence youve provided doesnt show the severity of your condition, etc etc...." which is holding me back from getting the extra percentage.... like seriously??? paralysis in the left side of my face stated on the dbq and they wannna know how severe it is? VA loves this game of tag for the last 4 years... im thinking about using your services but am discouraged by the last 4 years.
I am sorry to hear about your struggles sir. The old saying “the devil is in the details” certainly rings true for these claims quite frequently. Keep me posted and I’m happy to assist if/when you are ready. Best of luck
Hello Ms. Leah, do you provide free consultation services? And what is your current fees for a DBQ or a nexus letter that are actionable and sufficient for rating purposes?
Hi sir we do not offer a free consultation because we have to review records in order to provide accurate feedback. We charge a one time $200 records review fee for an unlimited number of cases and files to review that does not expire then it is $600 per letter and $150 per DBQ
@@prestigeveteranmedical When I have a C&P I like to print one off and fill it out from MY perspective and give it to the examiner - they always seem to appreciate it. I don't know if it helps or not but seems to get the exam off to a good start.
@@jonguirl3942 that sounds pretty reasonable sir. I remember when I had exams myself years ago that they would often send those DBQ's in the packets I assume for that very reason
Thank you for the information you provide which brings value and help to veterans. I have been seeing a DC Chiropractor for many years due to Low Back Pain, which stems from service. Very little MD exposure for treatment post service. Can my Chiro complete a DBQ or must it be an MD? Army Treatment Records show vast amounts of complaints for LBP. Thank you.
I need one for Ischemia Heart Disease, Cornonary Heart Disease, AAA, Aortic Aneurysm (of way over 5CM and Lift threating ) Aortic Valve replacement. These operations were done by Experts in their field at Mijuer Hospital Grand Rapids, Mich. May 2023 , had heart attack, while at hospital, they did CT Scan , found out I also had an AAA that so big it could burst at any thim. sent by ambulance 300 miles to Grand rapids, where they put stent in heart than I seen dr, who was going to do the AAA. I asked the doctor: how long does it take it to get this big, Dr. stated 30 years at the very least, more in the 40-50 year range. because it doesn`t grow very fast.Had that surgery on June 26th and Had the Aortic Valve replaced this Feb. 1st.. I did really good for being 79.
Do you work with Lawyers on a L.O.P “letter of Protection” my lawyer going to need help with my case, i can’t win everything on appeal. The only thing I have won is Tinnitus 10%, we lost back pain, knee pain, ptsd, which I had a stim wave put in for my knee pain, Basic training accident, went through basic 4 times, kept getting injured and hospitalized. Since service I had 20 spine surgeries, all joints that were injured in there, I spent 3 weeks in the hospital, i had shin splints in there. They made me do a mental valuation , I had a profile not to March over a 1/2 mile for my knee, so my D.I made me platoon leader, causing more damage. They recycled me 4 times ! Fort Knox is the worst on backs and knees under 50lb back pack, already damaged. I rather do this right, then lose in the end?
Good morning. Have you seen a claim like Back pain secondary to PTSD with obesity as an intermediate? My understanding is that obesity can affect your lower back. Thanks.
#PrestigeVeteranMedicalConsultuing Thank you, Leah, for putting these videos out here for veterans to use and learn. I appreciate the format and the straight approach. Some who "claim to help or assist/coach/guide/advise" appear more to boost their own egos IMMHO versus helping veterans with what we need and how to proceed through this VA medical/disability minefield. I wish I had found you years earlier, yet I'm happy I found you now.
Thank you so much for the feedback you are very kind sir. I aim to empower my brothers and sisters with knowledge that is already out here so that they can apply it in the most efficient manner. Big hugs to you sir
I just want to know what exactly do i say to the doctor to write a nexus letter? I said to mine "can you write me a letter with your medical opinion regarding my military service and headache?" And I received a 3 sentence letter with a bunch of lab results stapled to it stating in plain language, that it "may be related" to military service. So I'm requesting to switch doctor as my provider isn't familiar with the VA obviously. I want to want to know, what exactly should I say word by word to the doctor to request a nexus letter??? anybody??
There really is not a templated answer for this. Your doctor may not want to do it or be familiar with how to write them. I am sorry about your experience
Does a VA claim have to be denied before the VA will request an independent medical opinion? Hypothetically speaking, if a veteran claimed something and Had yet to receive a denial or an award, Then was told the VA had reached out for second opinion, Is that possible? Does it have to be denied before second opinion can be requested?
They can ask for opinions on your case at their discretion based upon VA policy, so if they needed a second opinion for clarification for some reason they can do that as well if it aligns with their policies and federal law etc,
Hello! I have file for my claim due to having bilateral knee replacements from original knee injuries I got while in the Marines. My physician is writing me a Nexus letter. My question is what do I do with it? Do I upload it to VA under my claim? Do I bring it to my CNP exam? If anyone who reads this knows the answer please tell me. 😬 Thank you!
@@prestigeveteranmedical my orthopedic, but he doesn’t know what I’m supposed to do with it. I just wanted to know what to do with it once I get it. Google says to upload it to VA. Just wondering if that’s the correct step & if I would bring it to my CNP exam?
@@prestigeveteranmedical seems to be an ongoing theme. Everyone says get a Nexus! You yourself do videos about “Nexus’s & what should be in them” but nobody knows what to do with it, once you have it?? 🤦🏼♂️
That is not necessarily the case sir. The issue is that it is a federal offense for anyone to give claims filling advice unless they are accredited to do so by the VA's office of general council. That is why I recommended that you seek assistance from someone accredited to advise you on claims filling. @@jimi0710
Is a community care provider considered a non Va healthcare provider? Also the surgeon had my medical records with the military Dr diagnosis and states this on the DBQ.
I cannot assist you with obtaining a hearing. You would need to communicate with a legal professional like a VSO, attorney, or accredited claims agent for any legal need sir.
@Ron - You do know that it’s creepy that she just went through a 12 minute info session giving exceedingly important info and your only comment was that she’s pretty, right?
When your doctor evaluate you and give his opinion after looking at your medical records should serve as a Nexus letter...wording is important, he must state he saw your service records and his opinion is " more likely than not" is related to time in service
So I had a C&P exam and now the VA wants a medical opinion. Seems like they did not agreed with the first diagnosis from their own C&P evaluator and now they wan to make it harder
@@sticktothescript107 nexus letter, two buddy statements, two news letter papers from both of my incidents. And three diagnosis from different doctors!
I am so glad you found that helpful! I do not have sample letters because each veterans letter is very specific to their case and I do not share or even redact copies of those to share.
I'm 70% Service Connected PTSD with depression and alcohol dependence from my service back in 1967/68. I had a Stroke back in 2018...can I link that Stroke back to all of the Depression, Anxiety, Nightmares, Extreme Guilt that I have had ever since I was on B-52 Bombing missions over North and South Vietnam way back them ? LIKED/SUBSCRIBED !
Thank you for liking and subscribing! As far as stroke is concerned it really just depends on your risk factors and the particulars of your case etc. for example if you also have hypertension or another condition considered presumptive to agent orange exposure that could add to it as well if that makes sense.
Hey sir that is a great question. If you watch any of our topical videos I discuss those specifics on the individual videos. I hope that helps. Additionally if you are looking for assistance you can always email me at leah@prestigeveteranmctx.com
Morning, I have shoulder pain still to this day from an injury I received in the military years ago. I didn't go to a doctor but I have been seeing a chiropractor on a regular basis for treatment. do I have to see an MD or will involvement from my chiropractor suffice enough to file a claim for my shoulder pain? I take Tylenol pm to dull the pain at night.
@@prestigeveteranmedical ok, I went to sick call on AD, and they made me come to physical therapy 3 days a week for about 6 weeks. I am a civilian now but jobs that entail raising my shoulder above my head are a bit of a pain, hope the examiner is understanding. I will keep you guys up to date thank you.
Why is it necessary to have another C&P exam after you file a supplemental Appeal with new and relevant evidence in the form of a strong and well written nexus letter using all VA recognized language , is this what's called developing to deny ? Can the VA just render a decision on the Supplemental claim based on the new evidence without another C&P exam. I filed my supplemental a month ago , I'm just waiting on the next step .
Hey sir that is a great question. I really do not have a good answer for you on this it is super frustrating. Are you working with a good legal professional?
@@prestigeveteranmedical First of all , thank you for all your information , it's very helpful. Yes I contacted The Vet Resource Group for my nexus letter , I'm sorry I didn't choose you but they had a really high review satisfaction rate. They did an excellent job on my nexus letter , connecting my ankle to my bilateral , osteoarthritis service connected knees.
Interesting. My chiropractor says that DC are not considered "doctors" in the VA system. So if I understand you correctly madam, he can right an opinion letter as supporting evidence to a Nexus letter. I will speak with him on this matter.
Thanks for your breaking this topic down. I have my C&P exam next week for PTSD as a result of an HLR I submitted after being originally denied. Fingers crossed.
Hello Leah, what have you found with Airborne personnel after years of no problem. Then the pain and issues begin. Neck and Back pain then hands tingling, legs in pain. This is happening to me now and since 2008. I got out of the US Army in 1970. Yes, I was active 82nd Airborne.
Hi sir I am sorry ti hear this and thank you for your service. I am not sure that symptoms stating 30-40 years later would be related but it’s possible!
Can a compensation rating be given without a nexus or DBQ to a claim obviously associated with a secondary condition, or will it be denied out of hand without one? Ex: one has Bilateral Neuropathy already service connected, a V.A. psychologist examination renders an opinion and diagnoses a mental health issue as Adjustment disorder (SCT 17226007) based solely on the veterans claim of impairment?
So DBQ's were created out of convenience but prior to their ratings were decided often in the manner you describe, simply by evidence of record. They still CAN be decided this way however I would bet almost anything that they would not be. That would require some high level thinking on a very large scale and most often C&P's are simply triggered in an automated way. Does that make sense?
Adj Disorders are usually acute. But I have seen them evolve untreated fulminating into 100% PTSD. So MDD Anxiety would be syllogistic. Agree with Leah as to rater would have to do some high level thinking. I have seen that happen just once in a score of years. Vet wrote a letter complaing about something else unclaimed. Threw it in just for "good measure." Rater gratuitously gave him 30%. We both were flabbergasted. Moral ? Don't give up. Keep watching Leah B. videoes. :- ))
That can be permanent or static. You should be able to find that out by looking at your benefits letter or a code sheet. You may want to ask a legal professional to assist you in figuring that out
Good afternoon is there anyway that I can get your assistance in getting a Nexus Letter/Report I was diagnosed with Severe Sleep Apnea in Jan 2023 from the VA with blockage and the VA denied my claim because they said it’s not service related but they did give me 30% for sinusitis I am trying to refile for a secondary condition
I would not want to advise on how the claims should be presented as that is not my area of expertise. You would want to get with a legal professional on that. As far as the letters are concerned, that is up to the person writing it@@Salute_vet22
Excellent!!! Thank you very much! I believe medical personnel and veterans are well served by your synopsis. I work with veterans all the time who have no idea about either of these things... and for those who do, many do not understand the difference between an independent medical opinion (Nexxus letter) and a DBQ.
I am so glad you enjoyed the content!! Thank you for watching
Thank you for this! I'm 50 and am now just filing for the first time. Fairly anxious and overwhelmed. Your videos are incredibly helpful.
Thank you for watching and best of luck!!
You might be better than my VSO. My VSO seems very good. I will contact you more with private information. if you've even got time!
Glad to hear you are happy with your VSO. Reach out anytime to info@prestigeveteranmctx.com
I was just diagnosed with depression and anxiety and insomnia, and I am currently seeking treatment. I am trying to service connect as a secondary to my service connected sleep apnea. I need a Nexus Letter and have tried to reach out a few times. Can u help me?
I am sorry to hear this. We would be happy to take a look at possibly assisting with a medical nexus letter if that is what you are looking for. Please email us at info@prestigeveteranmctx.com
I believe the Explanation of a Nexxus(medical opinion) letter delivered by this Physicians Assistant that was attached to a Special Forces unit was Excellent! She explained the quantitative and qualitative elements as as they relate to a DBQ(disability benefits questionaire) vs the Nexxus letter... The composition of the Nexxus letter is very thorough in delivery...the medical expert first giving a quick summary of who they are and what medical records or other evidentary info concerning the veteran that they have reviewed...followed by their professional medical opinion... For each condition...**On a side note, I have a former special forces medic(retired) friend that told me about the carpal tunnel surgeries they performed out in the field, we were stationed at old BAMC at Ft Sam Houston, Tx before he became a team member**
Thank you for the awesome feedback and thank you for watching!
OMG! Most vets I know hate a couple of things, 1 doctors, 2 paperwork. I'm f×÷¥€d. But thank you. Each bit of information that sticks helps.
You are very welcome and thank you for watching!
I hear that! I HATE doctors, particularly psychiatrists. "Did you ever think of killing anyone?" WTF did we rehearse for years and years? Now this paperwork is driving me nuts. "Were you REALLY there?" How about.. are you REALLY a doctor? Or just went to the University of Muckabunga in Bongaland, then get a job with the VA. Did you ever do this- on a human being?
I have a low back condition, L4 &L5 degenerative disc disease as well as arthritis. My primary care doctor told me that my condition could have very well been caused by my in service duty. However, she refuses to write a nexus letter saying she can’t because it’s a conflict of interest due to her being a VA paid doctor. She also said no one does nexus letters anymore more. None of my issues are in my in service medical records.
I am sorry to hear this sir. Thank you for watching
Time to see another doctor.
I know this is an older post, but this channel also has a video about what to do if the VA doctors say that. The video was something like, can VA doctors write nexus letters. She discusses the VA guidelines state. I was kinda I was half watching because it didn't pertain to me, but thought she said they could.
The Fresno California V.A. ignores pain complains from way back then, perhaps I should get a lawyer,
Lawyers, VSO's and accredited agents are always a good idea!
Excellent presentation
Thank you for posting
Thank you for watching!!
I am meeting with my Primary Care Dr. at the VA New Orleans and informed her about Directive 1134 thanks to you. I am 55 years old. What advice can you give when I meet with her. I am 40% Service Connected. I am trying to use current diagnosis scoliosis, radiacul l/r, degenerative disc, anxiety, sleep apnea moderate/severe, insomnia (PTSD appointment upcomg to diagnosis) While in service my bunkie dropped a grenade in bunker and it went off and I feel down a mountain. My Primary Care has agreed to help me next week so I am researching all of the possible primary and secondary diagnosis.
I am glad to hear your doctor is willing to look at these issues with you. I do not have any advice unfortunately because each case is complex and there are so many variables that go into it. Best of luck and please keep us posted!
Hello, very good content. I'm going to reach out in the near future. And use your services. Thanks for this video.
Looking forward to it sir! Thanks for the support as always!
Well worth it
Thank you for your time and posting. Working on Mental Health service connected to Sleep Apnea secondary. After my primary care meeting next week, I'll decide if I will use Prestige Veteran's Nexus.
Thank you for watching. Best of luck to you and keep us posted!
Any advice on how to get a copy of the exam results? I’ve submitted the FOIA, had an appointment with my regional office, and my attorney won’t give them to me. None of these routes worked. I haven’t gotten a decision back, but want to know what the examiner submitted
I am sorry to hear this. I am not really sure beyond what you have tried
Are you saying nexus is only good for secondary claims? Do i still have a good chance of winning a primary claim w no nexus?
Nexus letters can be helpful for secondary and primary claims depending on the specifics of the case. As far as your second question is concerned it really just depends on the specifics. Nexus letters are never required they can just be helpful in some circumstances
I'm having problems trying to contact you from your email
what email did you send an email to sir? And what email address are you sending from?
Good information thanks Leah !!
Thanks for watching!
Many thanks for making this so much easier to understand.You are very much appreciated.( Now, get something for your cough!)
I know I had Corona back in December and this cough has just lingered!! Thanks for watching!
@@prestigeveteranmedical EKG
@@combatdouglas1306 it's actually cleared up finally. Just in time for me to pick up chain smoking again. Seriously I quit for like 7 years and I am back at it
@@prestigeveteranmedical paxlovid 5 days. If it comes back (+) on a home test or PCR paxlovid again 10 days.
Antiviral 'approved' of course but still in its' infancy.
@@combatdouglas1306 You always have the most interesting insight. Your brain works in a very interesting way
This is helping me strategically prepare before filing for an increase and what I need to discuss with my primary care provider to ask for an Nexus. Love your excitement about useful information!
I am so glad you are finding this info helpful! Thank you for watching
The video was very helpful you always got the bomb information for us ! Yea... that Corona she still out there 🤣🤣
Thank you for watching sir!!!
Very informative information. Thanks for sharing.
Thanks for watching!
What about a doctor of physical therapy, not just a physical therapist?
Hi sir most physical therapists have doctoral degrees. For the purposes of the discussion in the video their is no difference.
If the service connection has been established (presumptive) will I be given a C&P exam? Is a DBQ written after the service connection?
Service connection is not automatic for presumptive matters. For example if you smoked 3 packs of cigarettes per day and were in Iraq for a week, most medical professionals would attribute your COPD to smoking rather than a weeks worth of exposure. Also many people believe they have a specific medical condition that aligns with the presumptive list but they actually do not and this is discovered during the exam. A medical opinion and DBQ must be completed in order for the condition to be evaluated and rated appropriately. You will want to follow up with a legal professional for additional clarification on this.
@@prestigeveteranmedical thank you for your time responding to my questions! Very informative!
How come the Veterans Benefits Administration still require a C&P Exam even though an independent medical exam has been done?
Hi sir that is a great question. I cannot speak for the VA as I do not work for their organization. If I had to guess it is likely because they want their own examiner to provide an opinion or because they just automatically order exams without reviewing the content of the submission very well.
do you ever render a 50/50 opinion??
@@willjohnson846 I either tell veterans I cannot assist them and explain why or I write a letter and use either at least as likely as not or more likely then not which are both positive opinions
@@prestigeveteranmedical well the 38CFR mentions that if the advisor opinion is 50/50 the Veteran wins.... because the Veteran brought the claim forward.. Did you know that?
@@prestigeveteranmedical Yes that is most likely the true statement. The VSROs or Veteran Service Rating Officers or DROs Decision Review Officers are not actually reviewing the content of the evidence submitted. They are only looking for those medical opinions and taking action on the results of those medical advisory opinions in the "NEXUS" letters. this is likely the biggest reason for denials.... The submitted evidence is not being properly reviewed.
I have no private insurance. None of my VA providers will give me a nexus letter tying my ptsd to an already acknowledged motor vehicle accident that caused head wounds and TBI. Where can I go? Helpless
I am very sorry to hear this. Nexus letters are never required. They can be helpful at times. Have you followed up with a legal professional on this?
@@prestigeveteranmedical no I haven’t.
So far ive done two supplemental claims and a higher level review. I would get an increase here and there and also they found a duty to assist error during the higher level review .But ill get items on the decision notice where I am missing certain information when ive faxed packets of medical records, dbq's. But somehow ive always get something saying about how "the medical evidence youve provided doesnt show the severity of your condition, etc etc...." which is holding me back from getting the extra percentage.... like seriously??? paralysis in the left side of my face stated on the dbq and they wannna know how severe it is? VA loves this game of tag for the last 4 years... im thinking about using your services but am discouraged by the last 4 years.
I am sorry to hear about your struggles sir. The old saying “the devil is in the details” certainly rings true for these claims quite frequently. Keep me posted and I’m happy to assist if/when you are ready. Best of luck
Rule out Bell's Palsy. Severity can be handled by a personal stmt 21 - 4138. Swear to it. Sign and date it. Done.
Hello Ms. Leah, do you provide free consultation services? And what is your current fees for a DBQ or a nexus letter that are actionable and sufficient for rating purposes?
Hi sir we do not offer a free consultation because we have to review records in order to provide accurate feedback. We charge a one time $200 records review fee for an unlimited number of cases and files to review that does not expire then it is $600 per letter and $150 per DBQ
@@prestigeveteranmedical So how is the med records review done? Fax over all your records or? Thanks!
@@tobysmith5099 We have a secure file upload process. If you would like more details please email us at info@prestigeveteranmctx.com
When attending a c&p exam does the claimant bring the dbq for the doctor or does the doctor have one ready to send to the VBA ?
They have them sir
@@prestigeveteranmedical When I have a C&P I like to print one off and fill it out from MY perspective and give it to the examiner - they always seem to appreciate it. I don't know if it helps or not but seems to get the exam off to a good start.
@@jonguirl3942 that sounds pretty reasonable sir. I remember when I had exams myself years ago that they would often send those DBQ's in the packets I assume for that very reason
Thank you for the information you provide which brings value and help to veterans. I have been seeing a DC Chiropractor for many years due to Low Back Pain, which stems from service. Very little MD exposure for treatment post service. Can my Chiro complete a DBQ or must it be an MD? Army Treatment Records show vast amounts of complaints for LBP. Thank you.
I am glad you are enjoying the content! You can ask your chiropractor if they would be willing to write one for sure
I need one for Ischemia Heart Disease, Cornonary Heart Disease, AAA, Aortic Aneurysm (of way over 5CM and Lift threating ) Aortic Valve replacement. These operations were done by Experts in their field at Mijuer Hospital Grand Rapids, Mich. May 2023 , had heart attack, while at hospital, they did CT Scan , found out I also had an AAA that so big it could burst at any thim. sent by ambulance 300 miles to Grand rapids, where they put stent in heart than I seen dr, who was going to do the AAA. I asked the doctor: how long does it take it to get this big, Dr. stated 30 years at the very least, more in the 40-50 year range. because it doesn`t grow very fast.Had that surgery on June 26th and Had the Aortic Valve replaced this Feb. 1st.. I did really good for being 79.
I am so sorry to hear this sir. Big hugs to you and keep us posted
Do you work with Lawyers on a L.O.P “letter of Protection” my lawyer going to need help with my case, i can’t win everything on appeal. The only thing I have won is Tinnitus 10%, we lost back pain, knee pain, ptsd, which I had a stim wave put in for my knee pain, Basic training accident, went through basic 4 times, kept getting injured and hospitalized. Since service I had 20 spine surgeries, all joints that were injured in there, I spent 3 weeks in the hospital, i had shin splints in there. They made me do a mental valuation , I had a profile not to March over a 1/2 mile for my knee, so my D.I made me platoon leader, causing more damage. They recycled me 4 times ! Fort Knox is the worst on backs and knees under 50lb back pack, already damaged. I rather do this right, then lose in the end?
Hey sir I would be happy to discuss this further if you would email me at leah@prestigeveteranmctx.com
Good morning. Have you seen a claim like Back pain secondary to PTSD with obesity as an intermediate? My understanding is that obesity can affect your lower back. Thanks.
Yes I have sir. Thank you for watching
#PrestigeVeteranMedicalConsultuing Thank you, Leah, for putting these videos out here for veterans to use and learn. I appreciate the format and the straight approach. Some who "claim to help or assist/coach/guide/advise" appear more to boost their own egos IMMHO versus helping veterans with what we need and how to proceed through this VA medical/disability minefield. I wish I had found you years earlier, yet I'm happy I found you now.
Thank you so much for the feedback you are very kind sir. I aim to empower my brothers and sisters with knowledge that is already out here so that they can apply it in the most efficient manner. Big hugs to you sir
How does one contact you or your team
Please reach out to us through our website or you can email us at info@prestigeveteranmctx.com
I just want to know what exactly do i say to the doctor to write a nexus letter? I said to mine "can you write me a letter with your medical opinion regarding my military service and headache?" And I received a 3 sentence letter with a bunch of lab results stapled to it stating in plain language, that it "may be related" to military service.
So I'm requesting to switch doctor as my provider isn't familiar with the VA obviously. I want to want to know, what exactly should I say word by word to the doctor to request a nexus letter??? anybody??
There really is not a templated answer for this. Your doctor may not want to do it or be familiar with how to write them. I am sorry about your experience
My VA psychiatrist is for a raise in my ptsd from 70-100 or tdiu. So should I ask for a nexus or DBQ from him? I am getting set up for a C&P exam.
If he is willing to do a DBQ that would be great
Does a VA claim have to be denied before the VA will request an independent medical opinion? Hypothetically speaking, if a veteran claimed something and Had yet to receive a denial or an award, Then was told the VA had reached out for second opinion, Is that possible? Does it have to be denied before second opinion can be requested?
They can ask for opinions on your case at their discretion based upon VA policy, so if they needed a second opinion for clarification for some reason they can do that as well if it aligns with their policies and federal law etc,
Hello! I have file for my claim due to having bilateral knee replacements from original knee injuries I got while in the Marines. My physician is writing me a Nexus letter. My question is what do I do with it? Do I upload it to VA under my claim? Do I bring it to my CNP exam? If anyone who reads this knows the answer please tell me. 😬 Thank you!
Are you working with a legal professional? They should be able to assist with the administrative filling concerns
@@prestigeveteranmedical my orthopedic, but he doesn’t know what I’m supposed to do with it. I just wanted to know what to do with it once I get it. Google says to upload it to VA. Just wondering if that’s the correct step & if I would bring it to my CNP exam?
I am not really sure sir you may want to check with a VSO @@jimi0710
@@prestigeveteranmedical seems to be an ongoing theme. Everyone says get a Nexus! You yourself do videos about “Nexus’s & what should be in them” but nobody knows what to do with it, once you have it?? 🤦🏼♂️
That is not necessarily the case sir. The issue is that it is a federal offense for anyone to give claims filling advice unless they are accredited to do so by the VA's office of general council. That is why I recommended that you seek assistance from someone accredited to advise you on claims filling. @@jimi0710
Is a community care provider considered a non Va healthcare provider? Also the surgeon had my medical records with the military Dr diagnosis and states this on the DBQ.
I do not know how the VA classifies community care providers.
Hooah sister 🤜🤛 thank you
Thank you for watching my brother ❤️
Hello I was given a schedule A letter from my VA hospital doctor and I still can't get a hearing on my disability claim can you help 🤔
I cannot assist you with obtaining a hearing. You would need to communicate with a legal professional like a VSO, attorney, or accredited claims agent for any legal need sir.
You are so beautiful
Thank you! I hope you enjoyed the info!
@Ron - You do know that it’s creepy that she just went through a 12 minute info session giving exceedingly important info and your only comment was that she’s pretty, right?
@MakeWayForCJ what do you look like are you as pretty as she😛😛
When your doctor evaluate you and give his opinion after looking at your medical records should serve as a Nexus letter...wording is important, he must state he saw your service records and his opinion is " more likely than not" is related to time in service
Thank you for the awesome feedback and thank you for watching!
Great stuff!
Glad you enjoyed it
Good explanation! I wondered about those DBQ's. Have lots of secondaries and printed the DBQ's and wondered how the DBQ's would help.
Glad you found it helpful!
If you get an external examination, do they also conduct internal C &P exams or is it just it depends?
It just depends sir
So I had a C&P exam and now the VA wants a medical opinion. Seems like they did not agreed with the first diagnosis from their own C&P evaluator and now they wan to make it harder
I am really sorry to hear that sir. It does happen from time to time. Keep us posted
Did you have a nexus letters
@@sticktothescript107 nexus letter, two buddy statements, two news letter papers from both of my incidents. And three diagnosis from different doctors!
@@josecatty1 I'm having my exam out side the country bro
@@josecatty1 Two newspaper articles? What was your claimed issue/disability?
Do you have any sample nexus letters that you've written? Great video, btw! Much appreciated
I am so glad you found that helpful! I do not have sample letters because each veterans letter is very specific to their case and I do not share or even redact copies of those to share.
I'm 70% Service Connected PTSD with depression and alcohol dependence from my service back in 1967/68. I had a Stroke back in 2018...can I link that Stroke back to all of the Depression, Anxiety, Nightmares, Extreme Guilt that I have had ever since I was on B-52 Bombing missions over North and South Vietnam way back them ? LIKED/SUBSCRIBED !
Thank you for liking and subscribing! As far as stroke is concerned it really just depends on your risk factors and the particulars of your case etc. for example if you also have hypertension or another condition considered presumptive to agent orange exposure that could add to it as well if that makes sense.
Wow.. where are you, and how much do you charge for the letters?
We assist veterans everywhere from our virtual platform. You can see our full fee schedule here on our website: prestigeveteranmctx.com/
What makes a good nexus letter, with examples please.
Hey sir that is a great question. If you watch any of our topical videos I discuss those specifics on the individual videos. I hope that helps. Additionally if you are looking for assistance you can always email me at leah@prestigeveteranmctx.com
Morning, I have shoulder pain still to this day from an injury I received in the military years ago. I didn't go to a doctor but I have been seeing a chiropractor on a regular basis for treatment. do I have to see an MD or will involvement from my chiropractor suffice enough to file a claim for my shoulder pain? I take Tylenol pm to dull the pain at night.
It really just depends on the specifics of the case sir and how the examiner and rater review your evidence. Keep us posted on this!
@@prestigeveteranmedical ok, I went to sick call on AD, and they made me come to physical therapy 3 days a week for about 6 weeks. I am a civilian now but jobs that entail raising my shoulder above my head are a bit of a pain, hope the examiner is understanding. I will keep you guys up to date thank you.
Why is it necessary to have another C&P exam after you file a supplemental Appeal with new and relevant evidence in the form of a strong and well written nexus letter using all VA recognized language , is this what's called developing to deny ? Can the VA just render a decision on the Supplemental claim based on the new evidence without another C&P exam. I filed my supplemental a month ago , I'm just waiting on the next step .
Hey sir that is a great question. I really do not have a good answer for you on this it is super frustrating. Are you working with a good legal professional?
@@prestigeveteranmedical First of all , thank you for all your information , it's very helpful. Yes I contacted The Vet Resource Group for my nexus letter , I'm sorry I didn't choose you but they had a really high review satisfaction rate. They did an excellent job on my nexus letter , connecting my ankle to my bilateral , osteoarthritis service connected knees.
Best of luck to you sir!@@jeffery2350
@@prestigeveteranmedical Thank you Ms Leah , you're always so helpful !
Thank you I email you today 😊
Sounds great!
If the military can not locate my medical records, but I had my son while in the military what is my options? Over 20 yrs
You can always seek the assistance of a legal professional who may be able to help retrieve those files
@@prestigeveteranmedical Is there a method to speak privately?
@@jenjay0167 If you would like to email us at info@prestigeveteranmctx.com we can get you some info on our process
Interesting. My chiropractor says that DC are not considered "doctors" in the VA system. So if I understand you correctly madam, he can right an opinion letter as supporting evidence to a Nexus letter. I will speak with him on this matter.
Yes you sure can. If he has a question about it he can email me at leah@prestigeveteranmctx.com
Thank you for sharing! Excellent content.
Glad you enjoyed it! Thank you for watching!
Should I ask my physician do a DBQ?
That is totally up to you but would be great if they were willing to support your request
when you say support your request are you saying to also write a letter?@@prestigeveteranmedical
Thanks 🙏
Thank you for watching sir!
Hello, is there a RUclips on sinusitis claim/compensation? Please provide a link. Thank you
I do not have one but I will add it to the list!
Hello leah , do you assist veterans with a functional compacity evaluation to submit to social security when filing for SSDI ?
Hi sir our psychologists do write opinions for mental health related SSDI cases.
@@prestigeveteranmedical what about for orthopedic disabilities and functional loss?
@@williamhunter1959 No because that would really require a hands on assessment
@@prestigeveteranmedical Thank you.
@@williamhunter1959 You bet sir I would try an occupational health clinic in your local area. They do that kind of stuff
Thanks for your breaking this topic down. I have my C&P exam next week for PTSD as a result of an HLR I submitted after being originally denied. Fingers crossed.
Best of luck to you!
Hello Leah, what have you found with Airborne personnel after years of no problem. Then the pain and issues begin. Neck and Back pain then hands tingling, legs in pain. This is happening to me now and since 2008. I got out of the US Army in 1970. Yes, I was active 82nd Airborne.
Hi sir I am sorry ti hear this and thank you for your service. I am not sure that symptoms stating 30-40 years later would be related but it’s possible!
Can a compensation rating be given without a nexus or DBQ to a claim obviously associated with a secondary condition, or will it be denied out of hand without one?
Ex: one has Bilateral Neuropathy already service connected, a V.A. psychologist examination renders an opinion and diagnoses a mental health issue as Adjustment disorder (SCT 17226007) based solely on the veterans claim of impairment?
So DBQ's were created out of convenience but prior to their ratings were decided often in the manner you describe, simply by evidence of record. They still CAN be decided this way however I would bet almost anything that they would not be. That would require some high level thinking on a very large scale and most often C&P's are simply triggered in an automated way. Does that make sense?
@@prestigeveteranmedical Yes, in VAB parlance it sounds like a definite "maybe". ☺
Thanks for your valued opinion.
@@BeachsideHank Always!
Adj Disorders are usually acute.
But I have seen them evolve untreated fulminating into 100% PTSD. So MDD Anxiety would be syllogistic.
Agree with Leah as to rater would have to do some high level thinking. I have seen that happen just once in a score of years.
Vet wrote a letter complaing about something else unclaimed. Threw it in just for "good measure." Rater gratuitously gave him 30%. We both were flabbergasted.
Moral ? Don't give up.
Keep watching
Leah B. videoes. :- ))
Hi thanks for all you do.
? Is asthma with Copd
considered static or
permanent?
82 years of age.
60%
Since 2016
That can be permanent or static. You should be able to find that out by looking at your benefits letter or a code sheet. You may want to ask a legal professional to assist you in figuring that out
Are you able to do 1 nexus letter covering multiple issues? Sleep apnea. Gerd, hypertension and diabetes?
I do not combine multiple issues in my letters. Some people may do that but I do not as the letters I write are focused on the condition at hand
Good afternoon is there anyway that I can get your assistance in getting a Nexus Letter/Report I was diagnosed with Severe Sleep Apnea in Jan 2023 from the VA with blockage and the VA denied my claim because they said it’s not service related but they did give me 30% for sinusitis I am trying to refile for a secondary condition
so if they are secondary issues, they should be on a separate letter and separate claim?@@prestigeveteranmedical
I would not want to advise on how the claims should be presented as that is not my area of expertise. You would want to get with a legal professional on that. As far as the letters are concerned, that is up to the person writing it@@Salute_vet22