The Veterans Disability Nexus

VA Benefits for Surviving Disabled Vets : DIC Benefits Explained Nov 20, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In the video, Leah and Rebecca Deming delve into the specifics of Dependency Indemnity Compensation (DIC) for the survivors of veterans who either died in the line of duty or from service-related injuries. Rebecca, a VA attorney, clarifies that DIC provides monthly financial support primarily to spouses, children, and parents under certain conditions, such as marriage duration and financial need based on poverty thresholds. They discuss the complexities of proving a service-connected cause of death, especially when death certificates list vague causes like "natural causes" or "pneumonia." They emphasize the necessity of linking the cause of death to service-related conditions and possibly amending death certificates to reflect accurate causes, enhancing the survivors' eligibility for DIC benefits.

Shin Splints and VA Disability Nov 19, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

Eosinophilic Esophagitis and Gulf War Veterans Nov 13, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this episode, Leah discusses Eosinophilic Esophagitis and Gulf War Veterans.

Osteoporosis and Veterans Disability | All You Need To Know Nov 12, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this episode, Leah discusses osteoporosis and its potential connection to Veterans Affairs (VA) disability benefits. She explains that osteoporosis, which weakens bones and increases fracture risk, can be linked to military service either directly or as a secondary condition caused by another service-connected disability. Leah highlights the risk factors and symptoms of osteoporosis and mentions that certain medications, such as proton pump inhibitors (PPIs), can contribute to its development. She also outlines how veterans diagnosed with osteoporosis during or after service may qualify for VA disability ratings, particularly if they experience incapacitating episodes or significant bone damage.

When Should You Hire a VA Disability Attorney? Nov 06, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this episode, Leah, discusses when to hire a VA disability attorney with Rebecca Deming, an accredited VA attorney from ProVet Legal. Rebecca shares her journey into VA law and explains that while veterans can file claims on their own or with the help of a Veteran Service Organization (VSO), attorneys can be essential when claims are complex or denied. She emphasizes that VA attorneys must be accredited and do not charge for assisting with initial claims, but typically charge a contingency fee of 20-33% on back pay for successful appeals. Rebecca also highlights the importance of seeking legal advice early in the process to avoid complicating a case and stresses the value of working with experienced, dedicated VA attorneys.

Who Is Entitled to Community Care for Veterans? Nov 05, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video, Leah, discusses community care for veterans under the Veterans Health Administration (VHA). She explains how veterans can access health care from local community providers when the VA cannot provide the necessary services. Leah emphasizes the eligibility criteria, such as being enrolled in VA healthcare and obtaining prior approval from the VA. She highlights various types of community care, including urgent care, emergency care, and specialty services, and explains how veterans can use the VA website to find in-network providers. She encourages veterans to explore these benefits and praises the VA for offering valuable healthcare services, sharing her positive experiences using VA healthcare.

Who is Entitled to VA Vision Care Benefits? Oct 30, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this episode, Leah B., a U.S. Army veteran and physician assistant, discusses who is entitled to VA vision care benefits and how to access them. She explains that if veterans qualify for VA healthcare benefits, they may receive routine eye exams and preventive vision testing, such as glaucoma screenings, through the VA. Additionally, veterans with service-connected disabilities or specific conditions (e.g., blindness, stroke, or traumatic brain injury) may be eligible for advanced vision care, rehabilitation services, and coverage for eyeglasses. Leah emphasizes that veterans can visit VA.gov to find detailed information and contact their local VA Medical Center or prosthetic representative for further assistance.

What to Expect in a C&P Exam for Urinary Frequency | All You Need To Know Oct 29, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video, Leah, discusses urinary frequency and voiding dysfunctions in the context of VA disability claims and Compensation & Pension (C&P) exams. She explains that urinary frequency is often a symptom of underlying conditions such as benign prostatic hyperplasia, cancer, or stress incontinence. Veterans may receive service connection for urinary frequency either on a primary or secondary basis, depending on when the condition developed. Leah outlines what happens during a C&P exam, including the use of the Disability Benefits Questionnaire (DBQ) to evaluate the veteran's condition and determine the severity of symptoms, such as the need for absorbent materials or the frequency of bathroom visits. She also touches on how urinary frequency impacts VA disability ratings, which range from 10% to 40% based on the frequency of urination.

Who is Entitled to VA Dental Care Benefits? Oct 23, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video, Leah discusses VA dental care benefits, focusing on eligibility and available services. She explains how veterans may qualify for full or partial dental care based on factors such as military service, health, and living situation, with VA placing veterans into different dental classification categories. Leah highlights specific scenarios where veterans can receive dental care, such as for service-connected disabilities, and guides viewers to the VA’s website for further information. She encourages veterans to familiarize themselves with their benefits, contact VA liaisons for help with enrollment, and explore options for dental insurance if not fully covered.

VA Benefits After Death: DIC Benefits for Surviving Dependents Oct 22, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video, Leah discusses Dependency and Indemnity Compensation (DIC) benefits for surviving dependents with Rebecca Deming, an accredited VA attorney from ProVet Legal. They cover the basics of DIC, including eligibility requirements for spouses, children, and parents, as well as the different factors that can influence the amount received. Rebecca clarifies common misconceptions, such as whether benefits depend on the veteran's previous compensation and how service-related deaths affect eligibility. The discussion also touches on the process for filing claims, the importance of understanding these benefits for estate planning, and highlights the need for attention to detail to avoid delays and errors in claims. The video serves as an informative guide for those seeking to understand the complexities of VA survivor benefits.

2025 Cost Of Living Allowance (COLA) Increase for Veterans ! Oct 16, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability.

In this video, Leah, discusses the 2025 Cost of Living Allowance (COLA) increase for veterans receiving VA disability payments. She explains that there will be a 2.5% increase, the lowest since the COVID-19 pandemic, aimed at addressing inflation. Leah compares past increases, such as 3.2% in 2023 and 5.9% in 2021, and outlines how the adjustment will affect veterans, particularly those without dependents. For example, a veteran receiving 100% disability will see their payment rise from $3,737 to an estimated $3,833. Leah encourages viewers to factor in any dependents when calculating their new rates.

What to Expect in a C&P Exam for Elbow Pain | All You Need To Know Oct 09, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video, Leah provides a detailed walkthrough of what veterans can expect during a C&P exam for elbow pain or related conditions. She explains the process from receiving the exam notification to the specific tests and questions that will be covered, such as range of motion assessments and the evaluation of any related surgeries or scars. The video aims to ease veterans' nerves by offering a comprehensive guide to the exam, helping them understand the purpose behind each step, and ensuring they are well-prepared.

Depression Secondary to Back Pain in Veterans Disability | All You Need To Know Oct 08, 2024

In this video, Leah, discusses the connection between depression and orthopedic conditions like back pain, particularly in the context of VA disability claims. Leah, a US Army veteran and physician assistant, explains how mental health conditions such as depression can be directly or secondarily related to a veteran's service. She highlights that chronic pain from service-related injuries often exacerbates mental health issues, creating a cyclical relationship between physical pain and depression. Leah reviews several studies underscoring this link, noting that individuals with chronic pain are at a higher risk of developing depressive symptoms.

Caregiver Support Program and VA Disability | All You Need To Know Oct 02, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video, Leah discusses the VA Caregiver Support Program. She highlights the program's two branches: the General Caregiver Support Services and the Comprehensive Assistance for Family Caregivers. The General Caregiver Support Services offers resources such as peer support and training, while the Comprehensive Assistance program provides more intensive support for those caring for veterans with serious injuries or illnesses, including access to Champ VA healthcare and monthly stipends.

Top 5 Conditions Related to Knee Pain in Veterans Disability Oct 01, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video, Leah B from Prestige Veteran Medical Consulting discusses the top five conditions related to knee pain in VA disability claims, drawing from her extensive experience as a former compensation and pension examiner and current medical consultant for veterans. She explains how compensatory mechanisms and gait abnormalities can lead to issues in the other knee and hips, highlights the gastrointestinal problems caused by NSAID usage, and addresses the impact of weight gain due to reduced mobility. Additionally, Leah emphasizes the mental health challenges, such as depression and anxiety, that often accompany chronic orthopedic pain.

What to Expect in a C&P Exam for Skin Cancer | All You Need To Know Sep 25, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video, Leah provides an insightful and detailed explanation of what veterans can expect during a Compensation and Pension (C&P) exam for skin cancer. She covers the different types of skin cancer commonly seen in VA disability cases, the importance of early detection, and the specifics of the Disability Benefits Questionnaire (DBQ) process. Leah offers practical advice on preparing for the exam, highlights useful resources available on va.gov, and reassures veterans by demystifying the exam process to reduce anxiety. Her thorough approach and empathetic perspective make this video a valuable resource for veterans navigating their C&P exams.

Knee Pain Secondary to Ankle Pain in Veterans Disability | All You Need To Know Sep 24, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video, Leah delves into the connection between knee pain and ankle pain in the context of VA disability claims. She explains how veterans can get rated for knee pain either on a primary basis due to direct service-related injuries or on a secondary basis when an ankle issue affects the knee. Leah highlights several studies that support this connection, emphasizing the importance of obtaining medical reports to substantiate claims. She also notes the role of weight gain from service-connected disabilities in exacerbating joint issues, providing a comprehensive overview to help veterans navigate their disability claims related to knee pain.

Carpal Tunnel and VA Disability | All You Need To Know Sep 18, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video, Leah explains carpal tunnel syndrome (CTS) and its relation to VA disability. She begins by describing CTS as a common condition where pressure on the median nerve in the wrist causes symptoms like numbness, tingling, and weakness primarily in the thumb and first three fingers. The condition can be exacerbated by repetitive hand movements or anatomical factors. Leah also discusses how CTS can qualify for VA disability either on a primary basis if it was developed during active duty, or on a secondary basis if another service-connected condition aggravates it. She covers the potential influence of risk factors like obesity and provides a brief overview of how the VA rates the disability severity of CTS, emphasizing the importance of consulting with a veteran service officer or similar expert for claims assistance.

Melanoma and Veterans Disability | All You Need To Know Sep 17, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video, Leah explains the relationship between melanoma and VA disability. She discusses melanoma as a type of skin cancer often found in veterans, which can manifest during or years after active duty due to exposure to ultraviolet light. The recent Sergeant First Class Heath Robinson Honoring Our PACT Act classifies melanoma among the presumptive conditions for veterans exposed to environmental toxins during service, particularly in Gulf War areas. Several studies have shown higher skin cancer rates, including melanoma, among military personnel compared to the general population, particularly those who served in equatorial or sunny climates.

New 2024 GERD Updates for VA Disability Ratings Sep 11, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video, Leah discusses recent updates to the VA disability ratings for GERD (gastroesophageal reflux disease) effective May 19, 2024. She explains that GERD is no longer rated analogously with hiatal hernia but now has its specific rating criteria. Leah highlights the new disability benefits questionnaire (DBQ) that includes various GERD-related symptoms and the severity of conditions like esophageal stricture, which significantly influence the rating percentages. She emphasizes the importance of medical documentation in claims and encourages veterans with GERD, often related to service or other service-connected conditions, to consult with legal professionals or claims agents for personalized guidance. The updated ratings now reflect the structural nature of GERD, distinguishing it from functional digestive disorders related to Gulf War exposures.

What is the Impact of Smoking on Veterans Disability Benefits ? Sep 10, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In the video, Leah discusses the implications of smoking among veterans and its potential impact on VA disability benefits. She highlights the high prevalence of smoking among veterans and active duty service members compared to civilians, often starting during military service or deployment. Leah emphasizes that for veterans to qualify for compensation for smoking-related health issues, they must demonstrate a connection between their condition and military service. She also outlines the resources available for quitting smoking and the significant health risks associated with tobacco use, encouraging veterans to seek help and use available support systems like the VA's smoking cessation resources.

How Combat Medics Can Leverage Their MOS for VA Disability Claims Sep 04, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In the video Leah discusses the relevance of military occupational specialties (MOS) to VA disability claims, particularly focusing on combat medics. She shares her own journey from being a combat medic deployed with the 82nd Airborne Division to deciding to become a physician assistant influenced by her experiences and mentors. Leah introduces the MOS smartbook, explaining how it helps in assessing whether personnel can still perform their duties and how these duties, especially those demanding physical tasks like carrying heavy loads or performing medical procedures under stress, can be linked to service-related health conditions. She emphasizes the value of understanding one's MOS requirements when filing for VA disability claims, aiming to assist veterans in navigating their rights and potential claims.

Hip Pain Secondary to Back Pain in VA Disability | All You Need To Know Sep 03, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video, Leah explains the connection between hip pain and back pain in the context of VA disability ratings. She discusses various bases for service connection of hip conditions, emphasizing secondary connections to other issues like back pain, knee problems, and significant weight gain. Leah highlights several studies illustrating how lumbar spine degeneration precedes hip osteoarthritis and impacts hip joint mechanics and kinematics. She provides resources and studies for veterans to review with their doctors to potentially support their disability claims.

Reports of Bad Veteran C&P Examiners Aug 28, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

Leah discusses recent concerns regarding the quality of veteran compensation and pension (C&P) exams. Drawing from a military.com article featuring comments from Senator Elizabeth Warren, Leah highlights issues such as examiners not reviewing veterans' service records, inappropriate locations for exams, and rushed assessments. She explains that these exams are often crucial for adjudicators in determining if a veteran's disability is service-connected and the degree of disability. Despite the challenges, Leah points out that there are dedicated and skilled examiners, urging veterans to seek legal advice if they experience a poor exam outcome.

PTSD and Herpes Simplex Virus in VA Disability | All You Need To Know Aug 27, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In the video, Leab discusses the connection between Herpes Simplex Virus (HSV) and PTSD in the context of VA disability claims. She explains that HSV, a common virus causing painful blisters, is often embarrassing for many, including veterans, and encourages those affected to seek medical advice or legal assistance for related VA claims. Highlighting the physiological link, she notes that stress, including emotional stress from conditions like PTSD, can activate the virus. She also references several sources, including the World Health Organization and CDC, to underscore the recurrent nature of HSV, its triggers, and the impact of stress on outbreaks.

Gout secondary to PTSD in VA Disability | All You Need To Know Aug 21, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In the video, Leah discusses the relationship between Gout and PTSD as it relates to VA disability claims. As a US Army veteran and physician assistant with experience as a compensation and pension examiner, she explains that gout is a type of arthritis characterized by severe pain, swelling, and tenderness, often occurring in the big toe, and can be exacerbated by factors like diet and alcohol consumption, which are common in those suffering from PTSD due to compensatory behaviors such as overeating or increased alcohol use to cope with mental health conditions. Leah also touches on how these lifestyle changes associated with PTSD can lead to obesity, which is a risk factor for developing gout.

What to Expect in a Prostate Cancer C&P Exam | VA Disability Aug 20, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video Leah offers a detailed guide on what to expect during a VA Compensation and Pension (C&P) exam specifically for prostate cancer, aiming to alleviate the concerns of veterans who often feel apprehensive about the process. Initially, veterans scheduled for an exam receive a packet detailing the examiner's qualifications and the exam logistics. At the exam, the examiner discusses the Disability Benefits Questionnaire (DBQ), which veterans can also have completed by their healthcare provider beforehand. The DBQ covers various conditions but will focus on those relevant to the veteran’s case, including any history of prostate cancer. The exam might address additional conditions like erectile dysfunction if applicable, and veterans have the option to decline certain physical exams for comfort.

Crohn's Disease and PTSD in Veterans Disability | All You Need To Know Aug 14, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video, Leah discusses Crohn's disease in the context of VA disability, particularly how it can be connected to PTSD and other mental health conditions. She defines Crohn's disease as an inflammatory bowel disease causing swelling in the digestive tract, leading to symptoms like abdominal pain, severe diarrhea, fatigue, weight loss, and malnutrition. Leah explains the process for service connection of Crohn's disease, which can be directly diagnosed during active duty or secondary if related to other medical conditions like PTSD. She cites studies showing the impact of stress on the brain-gut axis and its contribution to gastrointestinal disorders, including Crohn's. Furthermore, Leah touches on the VA examination and rating process for Crohn's disease, emphasizing the importance of consulting with a legal professional for current ratings and legal advice.

Non Alcoholic Fatty Liver Disease & Obesity as an Intermediate Step in Veterans Disability Jul 09, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video Leah addresses the issue of non-alcoholic fatty liver disease (NAFLD) and its connection to obesity in the context of VA disability. She explains that NAFLD is a common liver condition affecting individuals who consume minimal to no alcohol, primarily seen in those who are overweight or obese. This condition, which affects about 25% of the global population and 100 million people in the U.S., can progress to non-alcoholic steatohepatitis (NASH), leading to severe liver damage similar to that caused by heavy alcohol use. Leah highlights the importance of recognizing obesity as a contributing factor to NAFLD and discusses various studies on the relationship between obesity, physical inactivity, and NAFLD. She emphasizes the role of weight loss and physical activity in managing NAFLD, referencing guidelines that recommend these as primary treatments. Additionally, she outlines the VA disability ratings for conditions related to NAFLD, stressing the need for a current diagnosis, an in-service event, injury, or illness, and a link between the service event and the current disability.

OSA Secondary to Sinusitis in VA Disability | All You Need To Know Jul 03, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video, Leah discusses how obstructive sleep apnea (OSA) can be connected to chronic sinusitis and its implications for VA disability claims. She explains that sleep apnea can be rated on a direct basis if diagnosed in service or as a secondary condition related to another service-connected disability, such as sinusitis, allergic rhinitis, obesity, or GERD. Through various studies, Leah highlights that nasal congestion significantly increases the prevalence of OSA and that conditions like chronic sinusitis and allergic rhinitis contribute to upper airway patency impairment, thus exacerbating OSA. She also delves into how nasal pathologies, including deviated septum and nasal inflammation, play a role in OSA by causing breathing obstructions.

What to Expect in a C&P Exam for Heart Conditions | VA Disability Jul 02, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video Leah shares insights on what to expect during a Compensation and Pension (C&P) exam for heart or cardiac conditions for VA disability claims. She emphasizes that understanding the process can alleviate anxieties veterans may have. Information about the exam is available on the VA website, where veterans can download the Disability Benefit Questionnaire to review or have filled out by their doctor, potentially aiding their VA claim. Leah highlights that the exam can assess heart conditions on a primary or secondary basis, including conditions caused or aggravated by service. The process involves receiving a packet with details about the provider conducting the evaluation, which could be a variety of healthcare professionals, not necessarily a cardiologist.

ACL Tear and Veterans Disability | All You Need To Know Jun 26, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video, Leah delves into the specifics of anterior cruciate ligament (ACL) injuries and their connection to VA disability. She starts by explaining the anatomy of the knee using a model to pinpoint the location and role of the ACL, detailing how such injuries can lead to knee instability. Leah further discusses how veterans can acquire ACL injuries either directly during active duty through activities such as jumps or sports or indirectly as a secondary consequence of other knee conditions. She underscores the importance of understanding the medical literature and encourages consulting with healthcare providers to support claims related to knee injuries stemming from service. Highlighting the commonality of ACL injuries, their diagnosis, and the potential long-term complications of untreated injuries, Leah advises veterans on the claims filing process and the utility of finding accredited support through va.gov.

Camp Lejeune Water contamination and VA Disability | All You Need To Know Jun 25, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video, Leah discusses the water contamination at Camp Lejeune and its health implications for veterans. She explains that volatile organic compounds, found in products like dry cleaning solvents, contaminated the camp's groundwater due to nearby industrial activities, surpassing Environmental Protection Agency limits. This contamination, discovered in 1982 but present for years prior, has been linked to several health conditions, including various cancers. Leah highlights the importance of understanding VA disability and healthcare benefits available for veterans exposed to these toxins between 1953 and 1987. She outlines the concept of presumptive conditions, which are health issues presumed to be caused by military service, eliminating the need for veterans to prove the link themselves. Conditions like leukemia, bladder cancer, and Parkinson's disease are among those recognized for eligibility for compensation.

Unemployability and PTSD in Veterans Disability | All You Need To Know Jun 19, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this video Leah discusses the concept of individual unemployability among veterans, particularly how mental health conditions such as PTSD and depression can render a veteran unemployable and eligible for a 100% disability rating from the VA. She emphasizes the importance of understanding the VA's criteria for eligibility, which include the inability to maintain substantially gainful employment due to service-connected disabilities, and explains the process of applying for such benefits, including consulting with an accredited legal professional. Leah B also highlights the significance of supporting documentation, such as personal statements or reports from vocational assessors and psychologists, in demonstrating how mental health conditions affect workplace performance and eligibility for increased compensation.

Kidney Disease and Anti-inflammatory use in Veterans Disability Jun 18, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

Obstructive Sleep Apnea secondary to TMJ in Veterans Disability Jun 12, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

Ulcerative Colitis and Veterans Disability Jun 11, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

What happens in a Veterans Disability C&P exam for Hiatal Hernia? Jun 05, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

Top 5 conditions Related to Tinnitus in Veterans Disability Jun 04, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

Leah explores the complex relationships between tinnitus and various conditions in the context of VA disability. She emphasizes the individuality of each case, cautioning that the presence of tinnitus doesn't guarantee a causal link to other conditions like depression, anxiety, or migraines. Leab provides a comprehensive overview of tinnitus, describing it as a common issue characterized by ringing or other internal noises in the ears, often associated with acoustic noise exposure among veterans. She details the secondary conditions frequently connected with tinnitus on a service-connected basis, including migraines, insomnia, anxiety, and depression. She discusses the concept of tinnitus as an intermediate step, potentially leading to other medical conditions indirectly.

Take control of your medical evidence related to your benefits and visit https://www.prestigeveteranmctx.com for more information and support.

Obstructive Sleep Apnea & Gastroesophageal Reflux in Veterans Disability | All You Need To Know May 29, 2024

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.
Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7 AM.

In this episode, Leah explores the relationship between obstructive sleep apnea (OSA) and gastroesophageal reflux disease (GERD) in the context of veterans seeking disability compensation. Leah notes that while OSA is often linked to obesity, there is growing evidence of a connection to GERD. She emphasizes the importance of considering all risk factors, both positive and negative when evaluating a veteran's condition. Leah references various studies and articles that provide evidence of a link between OSA and GERD, highlighting how GERD might contribute to the development or severity of OSA. Throughout the video, she stresses the importance of having an objective, comprehensive medical opinion and encourages viewers to discuss these findings with their doctors to better understand the potential overlap between these conditions in their disability claims.

Take control of your medical evidence related to your benefits and visit https://www.prestigeveteranmctx.com for more information and support.

VA Appeals to the Board Explained by an Accredited Claims Agent May 28, 2024

Garren, an accredited claims agent and CEO of AVET Appeals explains the process of appealing to the Board of Veterans Appeals for VA disability claims. The discussion between Leah and Garren highlights various options available to veterans during the appeal process, such as selecting a decision review lane and the possibility of requesting a hearing. They emphasize the significance of preparing and presenting new and relevant evidence, the importance of timelines in the appeal process, and the impact of personal interactions during hearings. The video also touches upon the challenges veterans face in navigating the VA system and the importance of providing ample evidence to support their claims.
For more info on Garren and AVET Appeals check them out at: https://avetappeals.com/

VA Supplemental Claims Explained by an Accredited Claims Agent May 22, 2024

Garen, an accredited claims agent, explains the benefits of the Appeals Modernization Act of 2019, particularly regarding supplemental claims, which can contest decisions made years ago. He emphasizes the necessity of submitting new and relevant evidence to support these claims. Garen and Leah also discuss the weight given to different types of evidence, like lay statements, and the importance of well-grounded claims with a nexus to service. They highlight the significance of gathering substantial evidence to tip the balance in the veteran's favour under the Reasonable Doubt Doctrine. Leah and Garen also acknowledge that while veterans can represent themselves in this process, having professional guidance can be immensely beneficial in navigating the complexities of VA claims and appeals. To contact Garen reach out to: https://avetappeals.com/

VA Higher Level Reviews Explained by an Accredited Claims Agent May 21, 2024

Leah and Garren Cone, an accredited claims agent and legal advocate for veterans, discuss the appeals process for veterans who receive unfavourable decisions from the VA. Garren explains his role in assisting veterans with appeals, emphasizing the importance of the Appeals Modernization Act (AMA) and the different options available under it. He outlines the higher-level review process, where veterans can challenge VA decisions based on errors in fact or law, without adding new evidence. The discussion also includes the importance of using the correct forms under the AMA and the option for an informal conference during the review process.

Bruxism and PTSD in Veterans Disability | All you Need to Know May 15, 2024

Leah explains the difference between bruxism and TMJ, highlighting that while TMJ involves the jaw joint, bruxism is about teeth grinding, which can occur consciously or unconsciously, and may be linked to stress or previous oral trauma. She shares her personal experience with both conditions and discusses treatments, which can involve primary care doctors or dentists.

Fibromyalgia Secondary to PTSD in Veterans Disability | All You Need To Know May 14, 2024

Leah from Prestige Veteran Medical Consulting, a U.S. Army veteran and physician assistant, focuses on the relationship between fibromyalgia and mental health conditions like PTSD in the context of VA disability. Leah, addressing requests from veterans, explains that fibromyalgia, characterized by widespread pain, fatigue, and emotional distress, affects about 2% of U.S. adults and is more prevalent in women and those with traumatic or stressful experiences.

What to Expect in a Hypertension C&P Exam | VA Disability May 08, 2024

Leah a former US Army physician assistant and compensation and pension (C&P) examiner, provides insights into the C&P exam for hypertension, often known as high blood pressure. She clarifies that hypertension is defined as having a sustained systolic pressure of 140 or above, or a diastolic pressure over 90, and discusses prehypertension levels. Leah explains that veterans may seek service connection for hypertension if diagnosed during service if it's aggravated by another service-connected disability, or due to specific exposures like Agent Orange for Vietnam veterans.

Hearing Loss and Veterans Disability | All you Need to Know May 07, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses about Hearing Loss and Veterans' Disability.
Leah discusses the relationship between military service and hearing loss as it pertains to VA disability claims. She explains her expertise as a certified occupational hearing conservationist, which involves interpreting hearing loss data and operating audio booths. Leah highlights the VA's duty noise exposure level chart, which categorizes various military occupations (MOS) by their probable noise exposure levels (high, moderate, low), aiding veterans in assessing their risk for hearing loss. She emphasizes that even MOS with lower noise exposure can still experience significant hearing loss, drawing on her own experience as a paratrooper. The video also covers research articles on noise-induced hearing loss in the military, noting that both temporary and permanent threshold shifts can cause long-term hearing damage.

What is the AVET Project ? (American Veterans Empowerment Team) May 01, 2024

Physician Assistant and prior C&P examiner Leah Bucholz interviewing Kim and Garren Cone from the AVET Project What is the AVET Project? (American Veterans Empowerment Team).
Leah is interviewing Kim and Garren Cone from the AVET Project. This non-profit organization assists veterans, particularly in understanding VA benefits and providing emotional and psychological support. Garen is an accredited claims agent, and Kim is an aspiring one. They discuss the impact of their work, such as helping veterans receive significant monthly benefits, which can be life-changing. The AVET Project also organizes PR&R (Project Recuperation Reintegration) Retreats for combat veterans and their families, offering a safe space to share experiences and receive professional support for issues like PTSD. The video highlights the importance of community and shared experiences in aiding veterans and their families. Leah shares her positive experiences with the AVET Project, including participating in a Veterans Day cruise.

What to Expect in a PTSD C&P Exam | VA Disability Apr 30, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses What to Expect in a PTSD C&P Exam.
Leah provides insight into what veterans can expect during a VA Compensation and Pension (C&P) exam for PTSD. Leah emphasizes the importance of being honest and prepared for the exam, which includes filling out a Disability Benefit Questionnaire (DBQ). She explains that the exam, typically conducted by psychologists or psychiatrists, may involve an emotional recounting of experiences related to PTSD. The DBQ covers various aspects, including diagnostic criteria for PTSD, symptoms, and the impact on social and occupational functioning. Leah advises veterans to be forthcoming about their mental health history, substance abuse, and legal issues, as these factors play a crucial role in the evaluation. Additionally, she touches on the possibility of telehealth exams and the significance of distinguishing symptoms attributable to PTSD from other conditions like TBI.

Paratroopers and Veterans Disability | All you Need to Know Apr 24, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses about Paratroopers and Veteran's Disability.
Leah is discussing the intersection of paratrooper activities and VA (Veterans Affairs) disability. She focuses on the specific injury patterns associated with paratrooper duties and the impact these have on VA disability claims. Leah shares her experience as a former paratrooper and medic, referencing her time at the Airborne school at Fort Benning, Georgia, and serving in the 82nd Airborne Division and 101st Airborne Division. She emphasizes the various forces acting on the body during static line jumps, such as quick, intense landings, and the resulting risk of injuries to joints and bones. The video delves into literature reviews and articles that highlight the mechanical forces involved in military parachute operations and the common injuries resulting from them, particularly to the lower back, knees, hips, and in some cases, the head.

The Benefits of Psychedelics on PTSD | Ben "Doc" Askins Interview Apr 23, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses about The Benefits of Psychedelics on PTSD | Ben "Doc" Askins Interview.
Leah and former PA Ben "Doc" Askins discuss the integration of psychedelic medicine within veteran healthcare. Ben shares his journey from being a combat medic and National Guard member to pursuing a career in medicine, leading to his involvement in psychedelic science, particularly regarding mental health. He details his experiences with ketamine and MDMA, discussing their therapeutic potential in treating conditions like chronic depression, PTSD, and pain. Despite the challenges of navigating medical regulations and ensuring patient access, there's optimism for the rescheduling of these substances to allow for broader therapeutic use. Ben also touches on his work outside the clinic, including his podcast "The Anti-Heroes Journey" and his book "The Zero with a Thousand Faces," which plays on Joseph Campbell's "Hero's Journey" to advocate for self-compassion and understanding in human behaviour.

Atrial Fibrillation and PTSD in Veterans Disability | All you Need to Know Apr 17, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses What to Expect in a TMJ Veterans Disability C&P Exam.
Leah discusses how veterans can be service-connected for AFib, emphasizing the necessity of a current diagnosis and a nexus linking the condition to an in-service event or another disability. She highlights that AFib can be directly service-connected or related to other issues like cardiac disorders or sleep apnea. Particularly, she focuses on the relationship between AFib and PTSD, referencing studies that show psychological stress contributes to arrhythmias. Leah encourages viewers to empower themselves with this knowledge and consult with professionals for potential service connections.

What to Expect in a Low Back Pain C&P Exam | VA Disability Apr 16, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses What to Expect in a Low Back Pain C&P Exam.
Leah discusses what to expect during a lumbar spine or low back pain C&P (Compensation and Pension) exam for VA disability. After filing a claim for a low back condition, veterans receive a packet detailing their examination details. At the exam, physicians use a Disability Benefit Questionnaire (DBQ) to document medical history, current condition, and the results of various tests like range of motion, goniometry, reflex tests, and more. The DBQ also inquires about related conditions like radiculopathy and any other neurological abnormalities. Leah emphasizes the importance of understanding and verbalizing pain points during the exam and recommends viewing her other related videos for a deeper understanding.

Can you get VA Disability for Jet Fuel Exposure? | VA Disability Apr 10, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses to Obtaining VA Disability for Jet Fuel Exposure is possible.
Leah, explains the connection between jet fuel exposure and potential VA disability claims for veterans. She clarifies that while jet fuel exposure is not a disability, the medical conditions resulting from it can be. Various military roles, including those in the Air Force and others working on flight lines, might face exposure to different types of jet fuels like JP5, JP8, and Jet A. This exposure isn't limited to direct contact; it can occur through ingestion, inhalation, or skin contact, sometimes due to environmental contamination like at Camp Lejeune. Health issues from this exposure can range from neurological conditions, including a potential link to Parkinson’s disease, to respiratory, liver, gastrointestinal issues, and possibly renal cancers. To file a VA disability claim, a veteran needs to establish a connection (Nexus) between their current medical condition and their service-related jet fuel exposure.

Multiple Sclerosis and Veterans Disability | All you Need to Know Apr 09, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses What to Expect in a TMJ Veterans Disability C&P Exam.
Leah discusses Multiple Sclerosis (MS) with Veterans Affairs (VA) disability. She explains that MS, an autoimmune disease affecting the central nervous system, can be linked to service-related factors, including exposure or symptoms that began during active duty. MS has various types, including Clinically Isolated Syndrome, Relapsing-Remitting MS, Primary Progressive MS, and Secondary Progressive MS, each with distinct characteristics and progression patterns. For VA disability, a current MS diagnosis, an in-service event, and a nexus linking the event to MS are essential. Leah highlights the VA’s presumptive criteria, which considers MS diagnosed within seven years of service exit as service-connected if it’s compensable to a 10% degree. She suggests that medical records can help establish a connection even if diagnosed later.

11B Infantryman and Veterans Disability | All you Need to Know Apr 03, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses about 11B Infantryman and Veterans Disability.
Leah discusses the specific occupational challenges and long-term physical impacts faced by 11B Infantrymen in the U.S. Army. She explains how the MOS (Military Occupational Specialty) Smart Book outlines the physical and skill requirements for different army roles, highlighting how these requirements can lead to disabilities eligible for compensation. Leah focuses on the 11B Infantryman, presenting the D.A. Pam (Department of Army Pamphlet) which details the major duties and physical demands at various skill levels, from private to senior non-commissioned officers. This includes tasks like carrying heavy loads, identifying targets at long distances, and physical endurance challenges. She points out that these documented requirements can be crucial for veterans seeking disability compensation, especially in cases where injuries or strains weren’t well recorded during service.

Top 5 Secondary Conditions to PTSD | VA Disability Apr 02, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses What to Expect in a TMJ Veterans Disability C&P Exam.
Leah discusses common conditions linked to PTSD in veterans. She outlines five key secondary conditions: headaches (including migraines and tension headaches), sexual dysfunction disorders (often related to PTSD treatments like SSRIs), gastrointestinal disorders (like IBS and GERD, connected to stress), sleep apnea (controversially linked to PTSD, with emphasis on showing causation), and various conditions stemming from PTSD-related weight gain, such as plantar fasciitis, coronary artery disease, hypertension, diabetes, and sleep apnea. Leah highlights the importance of understanding these connections for veterans seeking disability claims and provides references to studies and resources for further information.

What to Expect in a TMJ Veterans Disability C&P Exam Mar 27, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses What to Expect in a TMJ Veterans Disability C&P Exam.
Leah discusses the Temporal Mandibular Joint Disorder (TMJD), a condition many veterans suffer from, and its relationship with VA disability. TMJD can be related to service either primarily (diagnosed during service and persistent thereafter) or secondarily (related to other conditions like mental health issues or facial injuries). Veterans filing a claim for TMJD will likely undergo a Compensation and Pension (C&P) exam, mostly conducted by contract companies, not the VA. During the exam, dental professionals evaluate the veteran using a Disability Benefits Questionnaire for TMJ, which focuses heavily on the range of motion of the jaw. Ratings for disability due to TMJD can range up to 50% based on several variables, including diet and jaw movement limitations. Leah emphasizes consulting legal professionals to understand the ratings and refers to her other videos for more insights on TMJD.

Insomnia and Tinnitus in Veterans Disability | All you Need to Know Mar 26, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses about Insomnia and Tinnitus in Veterans' Disability.
Leah provides an overview of how insomnia and tinnitus are considered in the context of VA disability. She explains that insomnia, defined by the DSM-5, is a mental health condition rated according to the schedule of mental health ratings, with specific diagnostic criteria including dissatisfaction with sleep quality and issues like difficulty in falling or staying asleep. Leah emphasizes the possibility of insomnia being service-connected directly if diagnosed during service or secondarily due to other conditions like tinnitus. She cites several studies highlighting the link between tinnitus and mental health issues in veterans. Finally, Leah briefly discusses the VA's rating system for mental health disorders, which ranges from 0% for mild symptoms to 100% for total occupational and social impairment. She advises veterans to consult legal professionals for claim filing and strategy and suggests discussing these issues with healthcare providers for potential support in claims.

What to Expect in a Knee Pain C&P Exam | VA Disability Mar 20, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses What happens in a C&P examination for Knee pain.
Physician Assistant and prior C&P examiner Leah Bucholz discusses What to Expect in a Knee Pain C&P Exam.
Leah offers an in-depth guide for veterans undergoing a Compensation and Pension (C&P) exam for knee pain. As a US Army veteran, former C&P examiner, and physician assistant, Leah discusses various knee conditions eligible for VA disability, including patellofemoral pain syndrome, meniscal tears, and arthritis. She explains how these conditions can be service-connected directly or secondarily due to other injuries or issues like weight gain. The video outlines the preparation for a C&P exam, detailing the contents of the pre-exam packet and the importance of the Disability Benefits Questionnaire (DBQ).
If you would like more information on our services including Independent Medical Opinion Letters often referred to as nexus letters and records review, please check us out here: https://www.prestigeveteranmctx.com/
#veterans #va #medical

What to Expect in a Hypothyroidism C&P Exam | VA Disability Mar 19, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses What to Expect in a Hypothyroidism C&P Exam.
Leah explains hypothyroidism and its relevance to VA disability evaluations. Hypothyroidism, often autoimmune (Hashimoto's thyroiditis), is characterized by an underactive thyroid, leading to symptoms like weight gain, fatigue, muscle weakness, menstrual changes, and memory issues. Leah discusses how hypothyroidism can be primary (diagnosed in active duty) or secondary (caused/worsened by another service-connected disorder). She advises veterans on the Compensation and Pension (C&P) exam process following a disability claim, emphasizing the role of the Disability Benefits Questionnaire (DBQ) in documenting symptoms and their impact on daily life and work.

What to Expect in a Fibromyalgia C&P Exam | VA Disability Mar 13, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses What to Expect in a Fibromyalgia C&P Exam.
Leah explains the process and what to expect in a C&P exam for fibromyalgia. She describes fibromyalgia as a chronic pain syndrome characterized by sleep disturbances, fatigue, headache, and other symptoms, affecting mainly middle-aged females. She discusses how fibromyalgia can be service-connected directly (if diagnosed during active duty) or secondarily (as an aggravation of other conditions like PTSD). Leah provides a detailed walkthrough of the Disability Benefits Questionnaire (DBQ) used in the C&P exam, covering aspects like symptom assessment, tender points examination, and the impact on daily activities. She also explains the importance of this questionnaire in determining VA disability ratings, which vary based on the severity and frequency of symptoms.

What to Expect in a Scars C&P Exam | VA Disability Mar 12, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses What to Expect in a TMJ Veterans Disability C&P Exam.
Leah provides an informative guide for veterans about the Compensation and Pension (C&P) exam specifically related to scars. She explains that veterans can get service-connected for scars either on a primary basis (directly incurred during service) or on a secondary basis (related to another service-connected disability). Leah emphasizes the overwhelming nature of the information provided by the VA but assures veterans that it's clearly outlined in the packets they receive, which include details about the exam and the Disability Benefits Questionnaire (DBQ). She walks through the DBQ, highlighting the importance of each section such as scar locations, pain, stability, and how they impact functionality and ability to work. Leah urges veterans to report pain during the exam and explains that the ratings depend on various factors, including the size and characteristics of the scars.

What is the difference between a Nexus letter and an IMO in VA disability? Mar 06, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses What is the difference between a Nexus letter and an IMO in VA disability.
Leah explains the terminologies used in the context of VA disability claims. The term "Nexus letter" is commonly known among veterans and is considered slang for "Independent Medical Opinion" (IMO). The presenter prefers the term IMO, viewing it as a more professional and legal definition. They also introduce the concept of a "Nexus statement," which is a declaration about whether a condition is "as likely as not" linked to military service. An IMO is a medical opinion formed after reviewing a veteran's files or sometimes directly examining the veteran, to determine the connection, or "nexus," between their service and their medical condition. In essence, a Nexus letter and an IMO are essentially the same, with the Nexus letter specifically referring to the explanation of the connection between the veteran's service and their condition.

Ménière's Disease and Veterans Disability | All You Need To Know Mar 05, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses about Ménière's Disease and Veterans' Disability.
Leah discusses Ménière's disease in the context of VA disability compensation. She explains that many service members and veterans suffer from Ménière's disease, an inner ear disorder causing vertigo, dizziness, disorientation, hearing loss, tinnitus, nausea, and sweating. Symptoms can last from minutes to 24 hours and may be confused with other conditions like BPPV. Leah emphasizes the importance of consulting healthcare providers for proper diagnosis. She outlines how Ménière's disease can be service-connected on a primary basis (directly during service) or a secondary basis. A significant aspect is its association with acoustic noise exposure, referencing a study on post-traumatic Ménière's disease.

Plantar Fasciitis and Veterans Disability | All You Need To Know Mar 01, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses Plantar Fasciitis and VA disability compensation.
Leah discusses plantar fasciitis in the context of VA disability. She highlights that many veterans suffer from this condition, often linked to their service, either as a primary issue diagnosed during service or secondary to other service-related disabilities. Leah explains that plantar fasciitis is an inflammation of the connective tissue on the foot's bottom, causing significant pain and discomfort. Risk factors include age over 40, overuse, certain exercises, female gender, foot structure issues like flat feet or high arches, obesity, and prolonged standing or walking. Treatment options she suggests range from physical therapy, using cold packs, and night splints, to more advanced techniques like orthotripsy or steroid injections.
If you would like more information on our services including Independent Medical Opinion Letters often referred to as nexus letters and records review, please check us out here: https://www.prestigeveteranmctx.com/
#veterans #va #medical

Hemorrhoids and IBS in Veterans Disability | All you Need to Know Feb 28, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discuss about Hemorrhoids and IBS in Veteran's Disabilities.
Leah explains the connection between hemorrhoids, IBS (Irritable Bowel Syndrome), constipation, and veterans' VA disability claims. She clarifies that hemorrhoids, defined by the Cleveland Clinic as swollen veins in the anus and rectum, can be painful and cause bleeding. Risk factors include obesity, pregnancy, low-fiber diets, chronic constipation or diarrhea, heavy lifting, and prolonged sitting. Leah discusses how veterans can seek service connection for hemorrhoids, either directly if diagnosed on active duty or secondarily if related to other service-connected conditions like IBS or chronic constipation. She references studies highlighting the link between dietary changes, IBS, chronic constipation, and the development of hemorrhoids. Leah also outlines the VA disability ratings for hemorrhoids, stressing the importance of consulting legal professionals for current information.

Hiatal Hernia and Weight Gain in Veterans Disability | All You Need To Know Feb 27, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses Hiatal Hernia and Weight Gain in Veterans' Disability.
Leah explains the relationship between hiatal hernia, obesity, and VA disability ratings for veterans. She describes a hiatal hernia as a condition where the upper stomach bulges through the diaphragm into the chest cavity, often overlapping with GERD symptoms. Leah emphasizes that obesity, a significant risk factor for hiatal hernia, increases intra-abdominal pressure, contributing to the condition. Symptoms include heartburn, regurgitation, difficulty swallowing, and chest or abdominal pain. She discusses both primary and secondary service connections for VA disability, explaining that veterans diagnosed with hiatal hernia during active duty can be service-connected. Leah also addresses how obesity can be an intermediate link between a service-connected disability and a hiatal hernia, particularly if the disability leads to weight gain.

How can Medical Consultants Boost Your IBS Rating by 30% ? | VA Disability Feb 21, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses How can Medical Consultants Boost Your IBS Rating by 30%.
Leah explains the intricacies of Irritable Bowel Syndrome (IBS) in the context of VA disability ratings. She clarifies that IBS, a functional gastrointestinal disorder, often requires a diagnosis of exclusion, and mentions the Rome criteria used in its diagnosis. Leah categorizes IBS into three types: IBS-C (constipation), IBS-D (diarrhea), and IBS-M (mixed), and discusses its potential connection to military service either on a primary or secondary basis. She particularly notes its prevalence among Gulf War veterans. Regarding the VA disability rating, she states that IBS can be rated at 0%, 10%, or 30%, with 30% being the highest. This highest rating is given for severe symptoms like constant abdominal pain, alternating diarrhea and constipation. Leah emphasizes the importance of the Disability Benefits Questionnaire (DBQ) in assessing these conditions and suggests her other videos for further guidance, especially on IBS secondary to PTSD.

Herpes Simplex Virus (HSV) and VA Disability | All You Need To Know Feb 20, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses about Herpes Simplex Virus (HSV) and VA Disability.
Leah discusses the implications of herpes simplex virus (HSV) with VA disability. She explains that herpes, a common and transmittable disease, can be service-connected if it is shown to be related to military service. Veterans may be eligible for service connection for HSV if diagnosed during service (primary service connection) or if it's linked to another service-connected disability, such as PTSD from combat or sexual assault. Leah highlights the differences between HSV-1 (typically oral herpes) and HSV-2 (usually genital herpes), noting the increasing instances of crossover between the two. She mentions how stress, including that from PTSD, can aggravate herpes outbreaks, referencing various studies and resources like the CDC and WHO.

HIV in Veterans Disability | All You Need To Know Feb 14, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses HIV in Veterans Disability.
Leah B. explores how HIV can be a service-connected disability for veterans. She highlights the VA's role as the largest provider of HIV care in the U.S., serving over 30,000 veterans, and emphasizes the prevalence of HIV among veterans, reservists, and active duty service members. Leah discusses primary and secondary service connections for HIV, where the primary connection relates to HIV contracted during service and the secondary involves post-service contraction linked to a service-related condition. She also addresses challenges in establishing service connections, especially differentiating between willful misconduct and conditions like substance abuse disorders linked to service-connected mental health issues. Leah further reviews the VA's disability ratings for HIV-related illnesses, ranging from asymptomatic cases to advanced AIDS with varying levels of disability compensation.

50% For Sleep Apnea in VA Disability Feb 07, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses about 50% For Sleep Apnea in VA Disability.
Leah discusses VA disability ratings for sleep apnea, with a focus on the 50% rating. Although ratings may change and there's been talk of alterations recently, at the time of the video, the ratings have remained stable. Sleep apnea can be classified as obstructive, central, or mixed type. The VA assigns ratings of 0%, 30%, 50%, or 100% to sleep apnea based on severity and required treatments. A 0% rating means the veteran has the disorder but is asymptomatic. A 30% rating indicates daytime sleepiness unimproved by sufficient sleep. A 50% rating is given to those using a breathing device like CPAP or a mouth guard. The 100% rating, which is rare, is assigned for chronic respiratory failure, requiring a tracheostomy or having chloropulmonol. Leah emphasizes the difference between having a breathing device and requiring its use, as this distinction can affect the rating percentage. She advises those navigating the rating system to consult a legal professional or VA-accredited representative for guidance.

Femoroacetebular Impingement Syndrome and Veterans Disability | All You Need To Know Feb 06, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses Plantar Fasciitis and VA disability compensation.
Leah discusses VA disability ratings for sleep apnea, with a focus on the 50% rating. Although ratings may change and there's been talk of alterations recently, at the time of the video, the ratings have remained stable. Sleep apnea can be classified as obstructive, central, or mixed type. The VA assigns ratings of 0%, 30%, 50%, or 100% to sleep apnea based on severity and required treatments. A 0% rating means the veteran has the disorder but is asymptomatic. A 30% rating indicates daytime sleepiness unimproved by sufficient sleep. A 50% rating is given to those using a breathing device like CPAP or a mouth guard. The 100% rating, which is rare, is assigned for chronic respiratory failure, requiring a tracheostomy or having chloropulmonol. Leah emphasizes the difference between having a breathing device and requiring its use, as this distinction can affect the rating percentage. She advises those navigating the rating system to consult a legal professional or VA-accredited representative for guidance.

Frozen Shoulder Syndrome and Veterans Disability | All you Need to Know Jan 31, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses Frozen Shoulder Syndrome and Veterans' Disability.
Leah discusses VA disability ratings for sleep apnea, with a focus on the 50% rating. Although ratings may change and there's been talk of alterations recently, at the time of the video, the ratings have remained stable. Sleep apnea can be classified as obstructive, central, or mixed type. The VA assigns ratings of 0%, 30%, 50%, or 100% to sleep apnea based on severity and required treatments. A 0% rating means the veteran has the disorder but is asymptomatic. A 30% rating indicates daytime sleepiness unimproved by sufficient sleep. A 50% rating is given to those using a breathing device like CPAP or a mouth guard. The 100% rating, which is rare, is assigned for chronic respiratory failure, requiring a tracheostomy or having chloropulmonol. Leah emphasizes the difference between having a breathing device and requiring its use, as this distinction can affect the rating percentage. She advises those navigating the rating system to consult a legal professional or VA-accredited representative for guidance.

Radiculopathy in Veterans Disability | All You Need To Know Jan 30, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses Radiculopathy in Veterans' Disability.
Leah explains radiculopathy and its relevance to VA disability. She describes radiculopathy as a condition characterized by numbness, pain, and tingling in extremities, which can arise from various levels of the spine, including cervical, thoracic, and lumbar. Leah B clarifies the difference between radiculopathy and peripheral neuropathy, emphasizing that radiculopathy originates from the spine, whereas peripheral neuropathy arises from peripheral nerve damage. She discusses how veterans can be service-connected for radiculopathy either as a primary condition if diagnosed during active duty, or secondarily related to spinal degeneration. Treatment options like traction, steroid injections, and surgery are mentioned.

Gout and Hypertension in Veterans Disability | All You Need To Know Jan 24, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses Gout and Hypertension in Veterans' Disability.
Leah discusses the connection between gout and hypertension, particularly in the context of veterans' disability claims. Gout, an inflammatory arthritis caused by hyperuricemia (excess uric acid in the body), often presents as painful flare-ups, commonly in the big toe. Leah highlights risk factors like being male, obesity, certain health conditions (e.g., hypertension, diabetes), and lifestyle choices (e.g., alcohol consumption, diet high in purines). She explains how hypertension and the use of diuretics for its treatment can be significant risk factors for developing gout. Leah then guides veterans on how gout can be service-connected, either directly or secondarily, due to other conditions or risk factors like obesity or mental health issues with alcohol use. She references several research articles that support the relationship between hypertension and gout, emphasizing the importance of discussing these findings with healthcare providers to explore potential service-related connections.

Hip Pain Secondary to Knee Injuries in Veterans Disability | All You Need To Know Jan 23, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses about Hip Pain Secondary to Knee Injuries in Veterans Disability.
Leah discusses the connection between hip pain and knee injuries in the context of VA disability. She emphasizes that hip pain can be service-connected either directly (due to an injury sustained while on active duty) or secondarily, where an existing service-connected condition, like a knee injury, leads to hip problems. Using her own experience with a foot injury leading to hip pain, she illustrates how impairments in one area can impact others. Leah highlights research on how knee osteoarthritis affects hip and ankle mechanics and the significance of the kinetic chain theory, indicating that issues in one joint can influence adjacent joints.

Gout and VA Disability | All You Need To Know Jan 17, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses about Gout and VA Disability.
Leah discusses gout and its relevance to VA disability. She explains that many veterans suffer from gout, which is a painful form of inflammatory arthritis that often affects the big toe joint. Leah highlights that gout is primarily caused by high levels of uric acid in the body due to factors such as diet, alcohol consumption, and kidney dysfunction. She also mentions that gout can be connected to VA disability on either a primary or secondary basis, with common secondary connections including mental health conditions with alcohol use disorder, chronic kidney disease, hypertension, and obesity. Leah emphasizes the importance of establishing a medical diagnosis, a link to service, and a connection between the condition and service for VA disability claims related to gout.

How to Overcome Patellofemoral Pain Syndrome | VA Disability Jan 16, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses How to Overcome Patellofemoral Pain Syndrome.
Leah explains Patellofemoral Pain Syndrome (PFPS) in her video "How to Overcome Patellofemoral Pain Syndrome | VA Disability". PFPS is a common anterior knee pain condition among U.S. Army veterans and active service members. Leah uses a knee model to describe the anatomy involved in PFPS, including the patellar tendon, patella, femur, tibia, fibula, and various ligaments. She mentions that PFPS is generally an overuse injury potentially linked to kneecap alignment issues, leading to conditions like chondromalacia and arthritis. The video also covers how veterans can get service connected for PFPS or related anterior knee pain through direct service connection (if injury or PFPS started during service) or secondary service connection (if PFPS is caused or worsened by another service-connected condition).

What to Expect in a Neck Pain & Cervical Spine Conditions C&P Exam | VA Disability Jan 10, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses What to Expect in a Neck Pain & Cervical Spine Conditions C&P Exam.
Leah is explaining the process of a C&P exam for veterans with neck pain or cervical spine conditions. She emphasizes that the process should not be a surprise as it is straightforward, though it can be confusing. Leah mentions that veterans will receive a packet with details about the exam, including the appointment time, location, and examiner information. The key component of the exam is the Disability Benefits Questionnaire (DBQ), which she displays and explains in detail. This questionnaire covers various aspects such as diagnosis, symptoms, range of motion, and impact on daily functions. She also touches on other topics like flare-ups, functional loss, radiculopathy, and assistive devices. Additionally, Leah discusses the possibility of a medical opinion being requested to determine if the condition is service-related.

What to Expect in a Hip Pain C&P Exam | VA Disability Jan 09, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses What to Expect in a Hip Pain C&P Exam.
Leah explains the process of a compensation and pension (C&P) exam for hip pain. She highlights how hip pain can be service-connected either as a primary condition (like an injury during active duty) or secondarily (due to other service-related conditions). When filing a claim for VA disability, veterans can do it alone or with legal assistance and will receive a packet detailing the exam specifics. The key component of the exam is the Disability Benefit Questionnaire (DBQ), which assesses the veteran’s hip condition, including diagnosis, onset, flare-ups, functional loss, and range of motion. Leah emphasizes the importance of understanding the DBQ and range of motion measurements, suggesting veterans view it before the exam to reduce anxiety and better prepare.

What to Expect in a Shoulder Pain Exam | VA Disability Jan 03, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses Plantar Fasciitis and VA disability compensation.
Leah explains the Compensation and Pension (C&P) exam process for veterans with shoulder conditions. She outlines that the exam focuses on the Disability Benefits Questionnaire (DBQ), which the examiner uses to assess the condition with VA regulations and other evidence to determine service connection and disability rating. Leah emphasizes the possibility of primary service connection (injury during duty) and secondary service connection (shoulder pain caused by another service-connected disability). She also discusses what happens during the exam, including the examiner's credentials (which may vary but must be a medically trained professional), the importance of accurately describing symptoms and history, and the thorough physical examination of the shoulder.

What to Expect in a TMJ Veterans Disability C&P Exam Jan 02, 2024

Physician Assistant and prior C&P examiner Leah Bucholz discusses What to Expect in a Shoulder Pain Exam.
Leah explains the Compensation and Pension (C&P) exam process for veterans with shoulder conditions. She outlines that the exam focuses on the Disability Benefits Questionnaire (DBQ), which the examiner uses to assess the condition with VA regulations and other evidence to determine service connection and disability rating. Leah emphasizes the possibility of primary service connection (injury during duty) and secondary service connection (shoulder pain caused by another service-connected disability). She also discusses what happens during the exam, including the examiner's credentials (which may vary but must be a medically trained professional), the importance of accurately describing symptoms and history, and the thorough physical examination of the shoulder.

What to Expect in an Ankle Pain C&P Exam | VA Disability Dec 27, 2023

Physician Assistant and prior C&P examiner Leah Bucholz discusses What to Expect in an Ankle Pain C&P Exam.
Leah provides an in-depth guide for veterans undergoing an ankle pain Compensation and Pension (C&P) exam for VA disability. Leah discusses how ankle injuries can be service-connected, either through direct injuries during active duty or secondarily due to other service-connected disabilities. She explains the process of scheduling and preparing for the C&P exam, emphasizing the importance of understanding and reviewing the Disability Benefits Questionnaire (DBQ) sent by the VA. Leah provides a detailed walkthrough of the ankle condition DBQ, highlighting key sections such as medical history, symptoms, functional impairment, range of motion assessments, joint stability, surgeries, and the impact of the condition on the veteran’s life and work.

50% For How do I get 50% VA disability for migraines? Dec 26, 2023

Physician Assistant and prior C&P examiner Leah Bucholz discusses What to Expect in a Shoulder Pain Exam.
Leah discusses the intricacies of obtaining a 50% disability rating for service-connected migraines in the Veterans Affairs (VA) system. She emphasizes that many veterans aim to increase their disability rating from 30% to 50% but often face denials due to misunderstandings about the criteria. The key criteria for a 50% rating include very frequent, prostrating, and economically debilitating migraines. Leah explains that "prostrating" migraines are severely debilitating and disrupt normal activities. She notes the importance of maintaining a detailed log of migraine occurrences and symptoms, as this can provide necessary evidence of their impact. The difference between 30% and 50% ratings hinges on the "severe economic inadaptability" caused by the migraines. This is often evidenced by factors like frequent sick leave, doctor's notes, or supervisor reports indicating significant work impact.

Depression and Veterans Disability | All You Need To Know Dec 20, 2023

Physician Assistant and prior C&P examiner Leah Bucholz discusses What to Expect in a Shoulder Pain Exam.
Leah discusses the intricacies of VA disability ratings for depression among veterans. She explains that depression, a common mental health disorder among veterans, is characterized by various symptoms lasting more than two weeks as defined by the DSM-5. Leah highlights that both psychologists and psychiatrists, as well as mid-level providers like nurse practitioners and physician assistants, can diagnose and treat depression. She distinguishes between primary and secondary service connections for depression, with primary relating to incidents during active duty and secondary stemming from other service-connected disabilities. Ratings for depression can range from 0 to 100, depending on the severity and impact on life, with a 100 rating indicating severe impairment, including self-harm and suicidal tendencies.

The Benefits of Psychedelics on PTSD | Ben "Doc" Askins Interview Dec 19, 2023

Physician Assistant and prior C&P examiner Leah Bucholz discusses Psychedelic Medicine with Physician Assistant Ben "Doc" Askins who is a US Army combat Veteran and trailblazer in Psychedelic medicine.
Leah and former PA Ben "Doc" Askins discuss the integration of psychedelic medicine within veteran healthcare. Ben shares his journey from being a combat medic and National Guard member to pursuing a career in medicine, leading to his involvement in psychedelic science, particularly regarding mental health. He details his experiences with ketamine and MDMA, discussing their therapeutic potential in treating conditions like chronic depression, PTSD, and pain. Despite the challenges of navigating medical regulations and ensuring patient access, there's optimism for rescheduling these substances to allow for broader therapeutic use. Ben also touches on his work outside the clinic, including his podcast "The Anti-Heroes Journey" and his book "The Zero with a Thousand Faces," which plays on Joseph Campbell's "Hero's Journey" to advocate for self-compassion and understanding in human behaviour.
Please check out his podcast and most importantly his awesome new book Anti-Hero's Journey:
https://www.antiherosjourney.com

If you would like more information on our services including Independent Medical Opinion Letters often referred to as nexus letters and records review, please check us out here: https://www.prestigeveteranmctx.com

Migraines and PTSD in Veterans Disability Dec 13, 2023

Physician Assistant and prior C&P examiner Leah Bucholz discusses about Migraines and PTSD in Veterans' Disability.
Leah discusses the potential link between migraines and PTSD in the context of VA disability claims. Not a legal professional but experienced in assisting veterans with medical opinions for their cases, Leah explains different headache types, focusing on migraines and their association with PTSD. Research suggests that PTSD may increase the likelihood of migraines due to shared mechanisms like reduced serotonin and norepinephrine levels. Veterans with PTSD are notably more prone to migraines. Leah elaborates on claiming migraines in VA disability, either as a primary condition or secondary to a service-connected issue like PTSD.

Top 5 Secondary Conditions to PTSD | VA Disability Dec 12, 2023

Physician Assistant and prior C&P examiner Leah Bucholz discusses about Top 5 Secondary Conditions to PTSD.
Leah discusses common conditions linked to PTSD in veterans. She outlines five key secondary conditions: headaches (including migraines and tension headaches), sexual dysfunction disorders (often related to PTSD treatments like SSRIs), gastrointestinal disorders (like IBS and GERD, connected to stress), sleep apnea (controversially linked to PTSD, with emphasis on showing causation), and various conditions stemming from PTSD-related weight gain, such as plantar fasciitis, coronary artery disease, hypertension, diabetes, and sleep apnea. Leah highlights the importance of understanding these connections for veterans seeking disability claims and provides references to studies and resources for further information.

11B Infantryman and Veterans Disability | All you Need to Know Dec 06, 2023

Physician Assistant and prior C&P examiner Leah Bucholz discusses about 11B Infantryman and Veterans Disability | All you Need to Know.
Leah discusses the specific occupational challenges and long-term physical impacts faced by 11B Infantrymen in the U.S. Army. She explains how the MOS (Military Occupational Specialty) Smart Book outlines the physical and skill requirements for different army roles, highlighting how these requirements can lead to disabilities eligible for compensation. Leah focuses on the 11B Infantryman, presenting the D.A. Pam (Department of Army Pamphlet) which details the major duties and physical demands at various skill levels, from private to senior non-commissioned officers. This includes tasks like carrying heavy loads, identifying targets at long distances, and physical endurance challenges. She points out that these documented requirements can be crucial for veterans seeking disability compensation, especially in cases where injuries or strains weren’t well recorded during service.

Can VA Doctors Write a Nexus Letter? Dec 05, 2023

Physician Assistant and prior C&P examiner Leah Bucholz discusses about Can VA Doctors Write a Nexus Letter?
Leah addresses the challenges veterans face in getting assistance from VA healthcare providers for filling out forms such as DBQs, Nexus letters, and aid and attendance forms. She notes that veterans often encounter reluctance from providers who cite reasons such as conflict of interest or lack of time. Leah aims to empower veterans by discussing the VA's policy, VHA Directive 1134, which mandates VA healthcare providers to assist in form completion. She highlights key sections of the directive, emphasizing that VA providers are required to provide medical opinions (Nexus statements) and complete DBQs as part of their duties, contrary to the common belief of a conflict of interest. The directive also covers the completion of various forms, including those for benefits claims and handicap parking. Leah urges veterans to approach their providers respectfully and guides how to request form completion, particularly for mental health DBQs, where she recommends a neutral provider to maintain the integrity of the patient-provider relationship.

VA Disability Tips for Navy Divers | All You Need To Know Nov 29, 2023

Physician Assistant and prior C&P examiner Leah Bucholz discusses about VA disability tips for Navy divers.
Leah discusses VA disability tips for Navy divers and divers from other branches. She highlights a VA directive from 2007 that discusses the medical consequences of diving and aims to inform VA decision-makers about these consequences to help veterans who were divers receive proper consideration for benefits claims. Leah covers various diving-related disorders and disabilities, including decompression sickness, musculoskeletal issues, skin problems, neurological abnormalities, hearing deficits, and more. She emphasizes the importance of divers being knowledgeable about these issues and suggests downloading the directive for reference when interacting with medical professionals.

What are Nexus Letters for Veterans ? | VA Disability Nov 28, 2023

Physician Assistant and prior C&P examiner Leah Bucholz discusses What are Nexus Letters for Veterans?
Nexus letters are technical reports, also referred to as independent medical opinions, that establish a link between an injury or illness and a veteran's service. Such letters, usually drafted by medical professionals like doctors, nurse practitioners, or PAs, detail how one condition relates to another or to the veteran's service. The letters can range from a few sentences to lengthy reports, with an emphasis on presenting a rational connection. Leah differentiates between primary and secondary service connections, detailing examples for each. Primary connections have a direct relationship to one's service, while secondary connections relate a condition to another service-connected condition. She also highlights presumptive service connections that are assumed by the VA based on specific criteria. Leah emphasizes that while Nexus letters determine service-related connections, Disability Benefits Questionnaires (DBQs) help ascertain the rating.

Veterans Disability Records Review & the MOS Smartbook Nov 22, 2023

Welcome to The Veterans Disability Nexus, where we provide unique insights and expertise on medical evidence related to VA-rated disabilities.

Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as “Nexus Letters” in support of your pursuit of VA Disability every Wednesday at 7AM.

In this episode, Leah explains the usefulness of the Department of the Army Pamphlet (DA PAM) 611-21, also known as the MOS Smartbook. This resource provides detailed information on the specific requirements and duties associated with different Military Occupational Specialties (MOS) in the Army, useful for understanding the physical demands placed on soldiers. Leah emphasizes how this pamphlet aids in assessing whether veterans meet retention standards, need reclassification, or in her current role, helps document and understand the physical requirements of various army roles, especially for disability claims. She demonstrates how the MOS Smartbook is interactive and live, walking viewers through an example of finding information for an 11 Bravo (infantryman) role, detailing the varying physical tasks required at different skill levels.

Take control of your medical evidence related to your benefits and visit https://www.prestigeveteranmctx.com for more information and support.

#veterans #va #medical

What to Expect in Headaches C&P Exam | VA Disability Nov 21, 2023

Physician Assistant and prior C&P examiner Leah Bucholz discusses What to Expect in Headaches C&P Exam.
Leah provides detailed insights into the CMP exam process for veterans seeking disability claims for headaches. Leah explains that veterans will receive paperwork indicating their CMP exam details, including the examiner's information. She suggests researching the examiner in advance, although notes this might increase anxiety for some. On exam day, veterans should expect to complete paperwork and discuss their headache history, including type, duration, associated symptoms, medication, and impact on daily life and work. The examiner will use a Disability Benefits Questionnaire (DBQ) available on the VA website, which matches the rating criteria for disability. Leah clarifies that the exam might lead to an increase in existing benefits or new service connections, depending on the severity and impact of the headaches.

If you would like more information on our services including Independent Medical Opinion Letters often referred to as nexus letters and records review, please check us out here: https://www.prestigeveteranmctx.com/

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