The Veterans Disability Nexus (Leah Bucholz)

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.

Physician Assistant and prior C&P examiner Leah Bucholz discusses Migraines related to service-connected tinnitus in VA disability.
Physician Assistant and prior C&P examiner Leah Bucholz discusses about Migraines and Tinnitus in Veterans' Disability.
Leah discusses the connection between migraines and tinnitus in veterans. She explains that many veterans suffer from service-connected tinnitus, often caused by acoustic noise trauma during active duty. Leah, drawing from her own experience and background in occupational hearing, emphasizes the variability of noise exposure across different military roles and its impact on developing tinnitus. She explains that tinnitus and migraines often have a reciprocal relationship, where one can exacerbate the other, forming a vicious cycle. Citing a study from Biomedical Research International (2015), she notes that both conditions share a pathophysiological mechanism involving alterations in thalamocortical activity.

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

Physician Assistant and prior C&P examiner Leah Bucholz discusses The MOS smart book and VA Disability.
Leah emphasizes the importance of maintaining a headache log for individuals suffering from various types of headaches, such as migraines, tension, or cluster headaches. This log is crucial not only for medical treatment but also for VA disability claims. She highlights how a detailed log should include the frequency, duration, and characteristics of the headaches. Laah recommends using digital tools like the Migraine Buddy app or downloadable paper charts for logging. The log should detail the headache's severity, location, associated symptoms, medications taken, and possible triggers. This information helps in identifying patterns, understanding triggers, and potentially improving management.

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

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.

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. 

Leah provides a detailed tutorial on how veterans can access their VA medical records online. She explains that veterans can log into the My HealtheVet platform to not only review their medical records but also refill prescriptions, communicate with their care team, schedule appointments, and view lab and x-ray reports. Leah demonstrates step-by-step how to navigate the website, starting from logging in at myhealth.va.gov to downloading medical records. She emphasizes selecting the appropriate date range and types of information to ensure a comprehensive record is obtained. The process involves clicking the “Blue Button Medical Report,” choosing records from the desired time frame and submitting the request, after which the records can be downloaded as a PDF. 

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

#veterans #va #medical #health

 * This Podcast episode is not medical or legal advice and should not be substituted for advisement from your VSO, accredited agent, or Attorney.

#veterans #va #medical

Physician Assistant and prior C&P examiner Leah Bucholz discusses Compensation and Pension exams for Erectile Dysfunction.
Leah provides an insightful guide for veterans about the C&P examination process for erectile dysfunction (ED). She explains that veterans can be service-connected for ED either directly if diagnosed while on active duty, or secondarily if related to other service-connected disabilities like mental health issues or certain medications. Leah details the examination process, noting that veterans will receive a packet outlining the details of their appointment, which involves reviewing the Disability Benefits Questionnaire (DBQ) and potentially undergoing a physical examination, although this can be declined. She clarifies common concerns about physical exams and highlights various aspects of the DBQ, including medical history, medications, and associated conditions.

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

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.

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.

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. 

Leah explains the significance of 'buddy letters' in VA disability claims. These letters, formally known as "Statements in Support of Claim," provide personal accounts of a veteran's injury or illness, offering insight into their medical history. While not required, these documents can strengthen a claim by depicting a veteran’s condition during and post-service. Leah emphasizes that buddy statements can be written by various individuals, such as family members, supervisors, or fellow service members ('battle buddies'), detailing the onset and progression of symptoms. She advises that, although not mandatory, certain elements like the date, reference to the veteran, and the writer’s signature can enhance the letter's impact.

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

#veterans #va #medical #health 

 * This Podcast episode is not medical or legal advice and should not be substituted for advisement from your VSO, accredited agent, or Attorney.

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.

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.

Physician Assistant and prior C&P examiner Leah Bucholz discusses the relationship between Erectile Dysfunction and Back Pain and VA disability compensation
Leah explores the link between erectile dysfunction (ED) and back pain in veterans. She emphasizes the importance of discussing ED with healthcare providers, given its common occurrence and the embarrassment it often causes. Leah outlines various risk factors for ED, including heart disease, diabetes, mental health conditions, and medication side effects. Specifically, she highlights how back pain, particularly resulting from spinal injuries or conditions like disc herniations, can lead to ED. This is supported by studies she references, indicating a significant prevalence of ED in patients with lumbar spine issues. Leah stresses the multifactorial nature of ED in the context of VA disability, considering overlapping factors like mental health and medication.
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

Physician Assistant and prior C&P examiner Leah Bucholz discusses VA disability Presumptive Conditions related to Agent Orange Exposure.
Leah discusses the intricacies of Agent Orange exposure and its related presumptive conditions for VA disability benefits. She emphasizes the importance of understanding the VA's guidelines regarding service locations and timelines, such as service in Vietnam, on certain US military vessels, or at Thai and Korean bases during specific dates. Leah highlights various medical conditions linked to Agent Orange, including newly added ones like bladder cancer, hypothyroidism, and Parkinsonism. She clarifies that while nexus letters are not mandatory for presumptive conditions, they can be beneficial in certain cases. Using a story about a veteran she assisted, Leah illustrates the challenges veterans face in navigating the VA system, especially regarding documentation like the DD214 form.

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

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. 

Leah discusses the relationship between Gastroesophageal Reflux Disease (GERD) and PTSD, especially in the context of veterans' affairs and disability claims. GERD is characterized by symptoms like heartburn, coughing, and nausea due to the malfunction of the esophageal sphincter. Leah explores how GERD can be directly connected to military service if diagnosed and treated during service. Additionally, she discusses the potential secondary connection between GERD and mental health disorders, particularly PTSD, citing various studies that demonstrate a link between emotional state and esophageal function. She mentions articles that explore the intersection of GERD with sleep quality, depression, and anxiety. Furthermore, she briefly touches upon the VA disability rating system for GERD, explaining the criteria for different ratings and addressing the common query about simultaneous ratings for GERD and IBS.

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

#veterans #va #medical

Physician Assistant and prior C&P examiner Leah Bucholz discusses VA Disability Gerd/IBS Quick Q&A.
Leah addresses questions related to Veterans Affairs (VA) disability claims, specifically focusing on gastroesophageal reflux disease (GERD) and irritable bowel syndrome (IBS) concerning other service-connected conditions. The speaker confirms that medications for service-connected orthopedic ailments, such as NSAIDs, can lead to GERD and highlights the possibility that hypertension is linked to orthopedic conditions due to pain, NSAID use, and weight gain. They express skepticism about hypertension's direct link to tinnitus but acknowledge connections between tinnitus and mental health issues, migraines, and vertigo. The speaker advises veterans whose claims, like GERD secondary to NSAID use, are denied, to carefully review their rating decision letters and consider various avenues for recourse.

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

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 the significance of reviewing VA rating decision letters when assessing medical records and evidence for veterans. She emphasizes the usefulness of these letters in providing a historical perspective on previous claims, especially those that were denied. Leah highlights how these letters can offer details about service-related conditions, reasons for denial, and evidence considered or overlooked. She advises veterans to obtain their "C file" or previous decision letters, either through their accredited agent, attorney or directly from the VA, often with a quick response time. Leah also mentions the importance of ensuring all submitted evidence is acknowledged in the VA’s review process and suggests that overlooked evidence could be a key factor in denials. 

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

#veterans #va #medical #health

 * This Podcast episode is not medical or legal advice and should not be substituted for advisement from your VSO, accredited agent, or Attorney.

#veterans #va #medical

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.

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.

Physician Assistant and prior C&P examiner Leah Bucholz discusses Central Sleep Apnea and TBI in VA disability.
Leah focuses on Central Sleep Apnea (CSA) in veterans, differentiating it from the more common Obstructive Sleep Apnea. Leah explains that CSA, caused by the brain's failure to signal breathing during sleep, is diagnosed through sleep studies. She discusses challenges in establishing service connections for CSA, especially for reservists, and explores the link between CSA and Traumatic Brain Injury (TBI), citing relevant studies. Leah advises veterans to consult healthcare providers for medical opinions linking CSA to TBI. Additionally, she briefly covers the VA disability ratings for sleep apnea, based on severity and treatment needs.

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

Physician Assistant and prior C&P examiner Leah Bucholz chats about hypertension and VA disability.
Leah discusses the nuances of hypertension (high blood pressure) in the context of VA disability claims. She explains the medical definition of hypertension, referencing the Joint National Committee guidelines, and differentiates between systolic and diastolic blood pressure. Leah emphasizes the ease of receiving service connection for hypertension developed during active duty and mentions conditions like sleep apnea and chronic kidney disease that can be related to or aggravated by hypertension. She also covers the association between hypertension and Agent Orange exposure, obesity, NSAID use, and stress. Furthermore, Leah delves into how multiple factors contribute to hypertension, affecting VA disability ratings, and guides viewers on accessing the most current rating schedules from the VA. She introduces the Disability Benefits Questionnaire (DBQ) for hypertension, explains its significance in the claim process, and suggests consulting with a medical professional for a potential service connection.

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

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).

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. 

Leah  explains the importance of range of motion (ROM) measurement or goniometry in evaluating orthopedic or musculoskeletal conditions for VA disability ratings. She clarifies that the severity of a condition doesn't directly determine the disability rating; instead, it's based on functional limitations as assessed by ROM. Leah demonstrates how to measure elbow flexion using a goniometer, explaining the process of measuring both active and passive ROM. She emphasizes that the degree of motion measured corresponds to specific disability ratings according to the 38 Code of Federal Regulation 4.71a. 

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

#veterans #va #medical #health

 * This Podcast episode is not medical or legal advice and should not be substituted for advisement from your VSO, accredited agent, or Attorney.

Physician Assistant and prior C&P examiner Leah Bucholz Anxiety related to Tinnitus in VA disability.
Leah explores the relationship between anxiety, tinnitus, and VA disability. She discusses how veterans can be service-connected for anxiety and other mental health conditions either directly, if diagnosed and treated during active duty and continuing post-service, or secondarily, as a result of other service-connected disabilities. Leah highlights several studies illustrating the strong association between tinnitus, depression, and anxiety, including their impact on sleep quality and workdays missed. Although not a legal expert, she provides insights into the VA’s mental health ratings, which range from 0 to 100 per cent based on severity.

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

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.

Physician Assistant and prior C&P examiner Leah Bucholz discusses Obstructive Sleep Apnea and Neck pain in VA Disability
Leah explores the relationship between obstructive sleep apnea (OSA) and neck pain, particularly in the context of veterans' service-connected disabilities. She explains how OSA can be directly or secondarily service-connected, including connections to PTSD, mental health conditions, orthopaedic conditions, and weight gain. Focusing on neck pain, Leah details how cervical spine pathology can contribute to OSA, referencing various academic articles that support this link. These articles discuss how cervical spine issues, including osteochondromas, osteophytes, and misalignments, can exert pressure on the upper airway, leading to OSA.
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

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.

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 provides an overview of what veterans can expect during a Compensation and Pension (C&P) exam for diabetes. She explains that the Disability Benefits Questionnaire (DBQ) is a crucial document used by examiners to determine rating criteria, available on VA.gov for review or completion by a private provider. The video focuses on Type 1 and Type 2 diabetes, discussing their connection to military service, including direct service-related cases, secondary connections through conditions like obesity, and presumptive conditions linked to Agent Orange exposure. During the exam, veterans can expect to discuss their medical history, treatment details, the impact of diabetes on their daily life, and potential secondary conditions like neuropathy or retinal issues. Ratings for diabetes in VA disability claims are determined by the level of management needed, ranging from dietary restrictions to insulin injections, and the severity of symptoms and complications.

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

#veterans #va #medical #health

 * This Podcast episode is not medical or legal advice and should not be substituted for advisement from your VSO, accredited agent, or Attorney.

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.

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.

Physician Assistant and prior C&P examiner Leah Bucholz discusses GERD and VA disability compensation 
Leah addresses veterans about Gastroesophageal Reflux Disease (GERD) and its relation to VA disability compensation. She explains GERD symptoms, like heartburn and difficulty swallowing, is caused by stomach contents moving back into the esophagus. Leah discusses various causes and connections of GERD, including its relation to mental health conditions, sleep apnea, and NSAID use. She touches upon the challenges of GERD in the context of VA disability, especially distinguishing between direct service connections (like diagnosis during service) and secondary connections (like those related to mental health or medication use). Leah also addresses the misconception about GERD being a presumptive condition for Gulf War veterans, explaining that it is a structural disorder, not a functional one like IBS, often leading to denial of claims.

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

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.

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.

Physician Assistant and prior C&P examiner Leah Bucholz discusses knee pain and VA disability 
Leah discusses various knee injuries common among active duty personnel and veterans, and how these injuries can transition into chronic disabilities eligible for VA disability. She provides an anatomical overview of the knee using a model, explaining different components such as the femur, tibia, fibula, patella, and associated tendons and ligaments. Leah highlights common conditions like patellar tendonitis, chondromalacia, arthritis, and IT band syndrome, differentiating between overuse injuries and traumatic injuries such as meniscal and ligament tears. She stresses the importance of proper diagnosis and treatment to prevent deterioration, like arthritis leading to the need for knee replacements. Additionally, Leah addresses viewers' questions about connecting knee problems to military service, the challenges of establishing a service connection for knee issues without a documented history, and the potential for increased VA disability ratings due to worsening conditions like arthritis.

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

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

Physician Assistant and prior C&P examiner Leah Bucholz discusses Fatty Liver Disease and VA disability.
Leah discusses various types of headaches experienced by veterans and their relation to VA disability claims. She elaborates on common types, including migraines, tension headaches, cluster headaches, and sinus headaches, describing their characteristics and associated symptoms. Migraines, for instance, are often one-sided and can come with nausea, vomiting, or visual changes, while tension headaches feel like a band squeezing the head. She mentions treatments like abortive medications (e.g., sumatriptan, Tylenol) for immediate relief and preventive medications for frequent sufferers. Additionally, Leah notes that headaches can be connected to other conditions like tinnitus, stress, PTSD, anxiety, depression, Gulf War exposures, and hypertension. She emphasizes the importance of understanding how these headaches can impact daily functioning, a key factor in VA disability evaluations.

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 #medical #disease

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.

Physician Assistant and prior C&P examiner Leah Bucholz Anxiety related to Tinnitus in VA disability.
Leah explores the relationship between anxiety, tinnitus, and VA disability. She discusses how veterans can be service-connected for anxiety and other mental health conditions either directly, if diagnosed and treated during active duty and continuing post-service, or secondarily, as a result of other service-connected disabilities. Leah highlights several studies illustrating the strong association between tinnitus, depression, and anxiety, including their impact on sleep quality and workdays missed. Although not a legal expert, she provides insights into the VA’s mental health ratings, which range from 0 to 100 per cent based on severity. 

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

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.

Physician Assistant and prior C&P examiner Leah Bucholz discusses Coronary Artery Disease and weight gain as an intermediate step.
Leah explores the connection between coronary artery disease (CAD) and VA disability, with a focus on obesity as an intermediate factor. She clarifies that while not specialized in internal medicine or cardiology, she has relevant experience in treating CAD. CAD, characterized by plaque buildup in heart arteries, can be a result of both modifiable (e.g., smoking, sedentary lifestyle) and non-modifiable (e.g., age, gender) risk factors. Leah discusses how conditions like hypertension, sleep apnea, PTSD, depression, and especially obesity can be linked to CAD. She emphasizes the role of obesity, caused by factors like mental health conditions or physical disabilities, in increasing CAD risk. When evaluating VA disability claims, she considers the totality of the evidence, including various risk factors and their relation to military service.
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

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.

Physician Assistant and prior C&P examiner Leah Bucholz discusses What Happens in a VA Disability C&P Exam for Chronic Fatigue Syndrome 
Leah provides insights into Chronic Fatigue Syndrome (CFS) in veterans and the related VA disability Compensation and Pension (C&P) exam process. She explains that CFS is often a diagnosis of exclusion and may be difficult to assert in the presence of conditions like sleep apnea or hypothyroidism. Leah discusses the potential for service connection of CFS, including direct connections from active duty diagnosis, secondary connections to other disabilities, or links to Gulf War exposures. During the C&P exam, veterans encounter a Disability Benefits Questionnaire (DBQ) covering symptoms, history, and impact of CFS. The DBQ includes questions on symptom severity, exclusions of other conditions, cognitive impacts, and incapacitation periods. 

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

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.

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 the connection between orthopedic injuries and military service, particularly in the context of paratroopers. Leah, an ex-paratrooper and medic who became an army officer, acknowledges the high risk of orthopedic injuries like compression fractures and cervical neck problems due to the physical demands of para trooping, especially with static line parachuting and carrying combat loads. They advise veterans with such injuries to pursue medical opinions and VA disability claims. The discussion also covers the interrelation of knee, hip, and back problems, emphasizing the importance of considering all risk factors, including post-service injuries, weight gain, and walking irregularities. The concept of aggravation versus causation in VA disability is explained, particularly in the context of pes planus (flat foot). Aggravation involves the worsening of a pre-existing condition due to service, whereas causation refers to conditions developed during service.

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

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.

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/ 

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.

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

Physician Assistant and prior C&P examiner Leah Bucholz discusses Primary or Direct VA Disability service connection for Obstructive Sleep Apnea.
Leah addresses the issue of obstructive sleep apnea (OSA) in veterans and its relation to VA disability claims. She explains that OSA occurs when throat muscles relax during sleep, causing airway obstruction. For a VA service connection, she notes that a sleep apnea diagnosis must be confirmed by a polysomnogram (sleep study). Leah discusses two types of service connections: primary and secondary. Primary connection is possible if OSA was diagnosed during active duty, while secondary connection relates to OSA resulting from another service-connected condition like mental health disorders or medication side effects. She emphasizes the importance of supporting evidence, such as buddy statements, to substantiate undiagnosed OSA during service.

 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 

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 

Physician Assistant and prior C&P examiner Leah Bucholz discusses Coronary Artery Disease and weight gain as an intermediate step.
Leah explores the connection between coronary artery disease (CAD) and VA disability, with a focus on obesity as an intermediate factor. She clarifies that while not specialized in internal medicine or cardiology, she has relevant experience in treating CAD. CAD, characterized by plaque buildup in heart arteries, can be a result of both modifiable (e.g., smoking, sedentary lifestyle) and non-modifiable (e.g., age, gender) risk factors. Leah discusses how conditions like hypertension, sleep apnea, PTSD, depression, and especially obesity can be linked to CAD. She emphasizes the role of obesity, caused by factors like mental health conditions or physical disabilities, in increasing CAD risk. When evaluating VA disability claims, she considers the totality of the evidence, including various risk factors and their relation to military service.

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

Physician Assistant and prior C&P examiner Leah Bucholz discusses Headaches & VA Disability.
Leah discusses various types of headaches experienced by veterans and their relation to VA disability claims. She elaborates on common types, including migraines, tension headaches, cluster headaches, and sinus headaches, describing their characteristics and associated symptoms. Migraines, for instance, are often one-sided and can come with nausea, vomiting, or visual changes, while tension headaches feel like a band squeezing the head. She mentions treatments like abortive medications (e.g., sumatriptan, Tylenol) for immediate relief and preventive medications for frequent sufferers. Additionally, Leah notes that headaches can be connected to other conditions like tinnitus, stress, PTSD, anxiety, depression, Gulf War exposures, and hypertension. She emphasizes the importance of understanding how these headaches can impact daily functioning, a key factor in VA disability evaluations.

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

Physician Assistant and prior C&P examiner Leah Bucholz discusses the relationship between GERD & PTSD in VA Disability.
Leah discusses the relationship between Gastroesophageal Reflux Disease (GERD) and PTSD, especially in the context of veterans' affairs and disability claims. GERD is characterized by symptoms like heartburn, coughing, and nausea due to the malfunction of the esophageal sphincter. Leah explores how GERD can be directly connected to military service if diagnosed and treated during service. Additionally, she discusses the potential secondary connection between GERD and mental health disorders, particularly PTSD, citing various studies that demonstrate a link between emotional state and esophageal function. She mentions articles that explore the intersection of GERD with sleep quality, depression, and anxiety. Furthermore, she briefly touches upon the VA disability rating system for GERD, explaining the criteria for different ratings and addressing the common query about simultaneous ratings for GERD and IBS.

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

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.

Physician Assistant and prior C&P examiner Leah Bucholz discusses the relationship between GERD & PTSD in VA Disability.
Leah discusses the relationship between Gastroesophageal Reflux Disease (GERD) and PTSD, especially in the context of veterans' affairs and disability claims. GERD is characterized by symptoms like heartburn, coughing, and nausea due to the malfunction of the esophageal sphincter. Leah explores how GERD can be directly connected to military service if diagnosed and treated during service. Additionally, she discusses the potential secondary connection between GERD and mental health disorders, particularly PTSD, citing various studies that demonstrate a link between emotional state and esophageal function. She mentions articles that explore the intersection of GERD with sleep quality, depression, and anxiety. Furthermore, she briefly touches upon the VA disability rating system for GERD, explaining the criteria for different ratings and addressing the common query about simultaneous ratings for GERD and IBS.

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

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 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).

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

#veterans #va #medical #health

 * This Podcast episode is not medical or legal advice and should not be substituted for advisement from your VSO, accredited agent, or Attorney.

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.

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.

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 Bucholz provides a comprehensive guide for understanding medical records, emphasizing their relevance in VA disability claims. She explains the standard structure of medical records, regardless of their origin. The records typically start with the chief complaint, followed by a section detailing vital signs, allergies, medications, and surgical history. The subjective portion covers the patient's specific complaints for that visit, including details like onset, provocations, severity, and timing. The objective findings section includes the doctor's observations, such as swelling, bruising, or other physical signs. Leah highlights the importance of the assessment or diagnosis section, where the doctor's diagnosis, crucial for VA disability claims, is documented with specific ICD-10 codes. Finally, she describes the plan section, outlining the prescribed treatment or interventions. 

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

When considering filing a claim for VA disability with the Department of Veterans Affairs (VA) Going through your Service Treatment Records (STR), VA medical records, or Civilian medical notes can be a daunting task, here are some tips on what to look for to gain a better understanding of what is in your charts. Join Leah Bucholz Physician Assistant and former C&P examiner for some information related to medical records review. 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 #health 

 * This Podcast episode is not medical or legal advice and should not be substituted for advisement from your VSO, accredited agent, or Attorney.

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 addresses how active duty service members and veterans can document medical conditions for VA claims. She emphasizes the importance of DD Form 2807 (Report of Medical History) and DD Form 2808 (Report of Medical Examination), which are filled out during military entrance, at various military schools, and upon exit. Leah advises service members to thoroughly document all ailments on the DD Form 2807, suggesting they schedule separate appointments for each issue to ensure thorough documentation. For those exiting service, this approach ensures that their medical records accurately reflect their health concerns, aiding future VA benefit claims. Leah also explains how these forms provide a comprehensive medical history snapshot, beneficial for veterans to illustrate the progression or aggravation of conditions during service.

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

#veterans #va #medical #health 

 * This Podcast episode is not medical or legal advice and should not be substituted for advisement from your VSO, accredited agent, or Attorney.

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.

Physician Assistant and prior C&P examiner Leah Bucholz discusses what happens in a C&P examination for sleep apnea. 
Leah provides an informative overview of what veterans can expect during a Compensation and Pension (C&P) exam for sleep apnea. She explains that these exams are primarily conducted by one of three main contractors and outlines the process of the exam, including possible paperwork and the types of healthcare professionals who might perform the evaluation. Leah details the Disability Benefits Questionnaire (DBQ) and the kinds of questions veterans can expect, such as the type of sleep apnea, symptoms, use of CPAP or other devices, and the impact of the condition on daily life and work. She emphasizes that veterans can bring additional documents to support their case but reminds them that the examiner will not provide a medical opinion immediately. 

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

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.

Physician Assistant and prior C&P examiner Leah Bucholz discusses Obstructive Sleep Apnea and Weight Gain as an Intermediate Step in VA Disability
Leah addresses the link between obstructive sleep apnea (OSA) and weight gain, particularly in the context of veterans claiming VA disability. She highlights that weight gain, influenced by factors like mental health issues, physical disabilities, or lifestyle changes post-service, can be a significant risk factor for OSA. Leah emphasizes the importance of understanding various causes leading to weight gain, such as lack of exercise, dietary habits, or medication side effects. She references several studies underscoring the role of physical activity in preventing chronic diseases and maintaining weight loss, rather than focusing solely on calorie intake. For veterans, weight gain related to their service can serve as a bridge for connecting various disorders to their service for VA disability claims.
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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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/

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. 

Leah discusses Battlefield Acupuncture, a technique developed by Air Force veteran Dr. Nimitzau. This form of auricular (ear) acupuncture is designed for rapid deployment among healthcare professionals in military settings, offering non-traditional, pharmacologic pain relief for various conditions, including orthopedic issues and migraines. Frequently used in the military and available in VA clinics, it involves placing small, semi-permanent ASP needles at five specific points in the ear. While not a universal remedy, many service members report benefits such as reduced stress and improved sleep. Leah, sharing her personal experience, mentions possible side effects like minor discomfort and infection risk, advising veterans to consult their healthcare providers to determine if it's suitable for them.

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

#veterans #va #medical #health

 * This Podcast episode is not medical or legal advice and should not be substituted for advisement from your VSO, accredited agent, or Attorney.

Physician Assistant and prior C&P examiner Leah Bucholz discusses Central Sleep Apnea and TBI in VA disability.
Leah explores the relationship between obstructive sleep apnea (OSA) and neck pain, particularly in the context of veterans' service-connected disabilities. She explains how OSA can be directly or secondarily service-connected, including connections to PTSD, mental health conditions, orthopaedic conditions, and weight gain. Focusing on neck pain, Leah details how cervical spine pathology can contribute to OSA, referencing various academic articles that support this link. These articles discuss how cervical spine issues, including osteochondromas, osteophytes, and misalignments, can exert pressure on the upper airway, leading to OSA. 

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

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 

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.

Physician Assistant and prior C&P examiner Leah Bucholz discusses what happens during a VA C&P exam for IBS
Leah discusses various types of headaches experienced by veterans and their relation to VA disability claims. She elaborates on common types, including migraines, tension headaches, cluster headaches, and sinus headaches, describing their characteristics and associated symptoms. Migraines, for instance, are often one-sided and can come with nausea, vomiting, or visual changes, while tension headaches feel like a band squeezing the head. She mentions treatments like abortive medications (e.g., sumatriptan, Tylenol) for immediate relief and preventive medications for frequent sufferers. Additionally, Leah notes that headaches can be connected to other conditions like tinnitus, stress, PTSD, anxiety, depression, Gulf War exposures, and hypertension. She emphasizes the importance of understanding how these headaches can impact daily functioning, a key factor in VA disability evaluations.

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

Physician Assistant and prior C&P examiner Leah Bucholz discusses Erectile Dysfunction as it relates to PTSD in VA disability.
Leah discusses the relationship between erectile dysfunction (ED) and mental health disorders like PTSD, depression, and anxiety in the context of VA disability. She explains that ED can be service-connected either directly (primary) or secondarily due to other service-connected disabilities, such as mental health disorders. Leah emphasizes the importance of supporting VA disability claims with peer-reviewed literature, citing several studies from the Journal of Sexual Medicine that establish a significant link between PTSD in veterans and sexual dysfunction. She also mentions that medications used for treating mental health disorders, such as SSRIs and SNRIs, can contribute to ED. While not an expert on VA disability ratings, Leah briefly touches on them, explaining that ED generally receives a special monthly compensation, and the rating can vary based on specific conditions like testicular atrophy or physical deformities.

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

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 explains the concept of presumptive conditions related to military service and how they are handled by the VA. She clarifies that presumptive conditions are illnesses or injuries likely caused by military service, as defined by the VA, which may include specific illnesses for veterans exposed to Agent Orange. Focusing on disabilities manifesting within one year of service separation, Leah emphasizes that not all conditions diagnosed within this period are automatically service-connected. She urges veterans to review the VA’s list of presumptive conditions within this timeframe, available online, to better understand which conditions are covered. She uses arthritis as an example, explaining its logical inclusion due to its development over time, making it likely service-related if diagnosed shortly after separation. Leah also touches on other types of presumptive conditions like Gulf War-related illnesses and exposure-related conditions, emphasizing the importance of veterans educating themselves and consulting with professionals for claims processes.

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

#veterans #va #medical #health 

 * This Podcast episode is not medical or legal advice and should not be substituted for advisement from your VSO, accredited agent, or Attorney.

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

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.

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.

Physician Assistant and prior C&P examiner Leah Bucholz discusses about Chronic Fatigue Syndrome and Veterans' Disability.
Leah discusses various types of headaches experienced by veterans and their relation to VA disability claims. She elaborates on common types, including migraines, tension headaches, cluster headaches, and sinus headaches, describing their characteristics and associated symptoms. Migraines, for instance, are often one-sided and can come with nausea, vomiting, or visual changes, while tension headaches feel like a band squeezing the head. She mentions treatments like abortive medications (e.g., sumatriptan, Tylenol) for immediate relief and preventive medications for frequent sufferers. Additionally, Leah notes that headaches can be connected to other conditions like tinnitus, stress, PTSD, anxiety, depression, Gulf War exposures, and hypertension. She emphasizes the importance of understanding how these headaches can impact daily functioning, a key factor in VA disability evaluations.

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.

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.

Physician Assistant and prior C&P examiner Leah Bucholz discusses the connection between Diabetes and Sleep Apnea in VA disability. 
Leah explores the relationship between Type 2 Diabetes and Obstructive Sleep Apnea (OSA) in veterans, particularly in the context of VA disability claims. She discusses the common occurrence of Type 2 Diabetes in veterans and its potential connections to various service-related conditions, including sleep apnea and Agent Orange exposure. Leah emphasizes the significance of service connection for diabetes, as it can lead to a cascade of secondary service-connected disabilities like diabetic eye changes, erectile dysfunction, and peripheral neuropathy. She highlights the importance of medical opinions supported by scientific evidence in establishing these connections and discusses the role of OSA in altering glucose metabolism and increasing the risk of Type 2 Diabetes, referencing multiple scientific articles. A.

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

Physician Assistant and prior C&P examiner Leah Bucholz discusses Hypertension and its relationship to PTSD in VA Disability.
Leah discusses the relationship between hypertension (high blood pressure) and PTSD in veterans, explaining how hypertension can be service-connected in military personnel. Hypertension, defined as a systolic blood pressure over 140 or a diastolic pressure over 90, can be directly linked to military service if diagnosed during active duty or secondarily associated with other conditions, such as PTSD and mental health issues. Leah emphasizes the role of various risk factors, both modifiable (like lifestyle choices) and non-modifiable (like genetics), in the development of hypertension. She references studies showing the impact of psychological stress and PTSD on blood pressure. 

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

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.

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.

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.

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.

Physician Assistant and prior C&P examiner Leah Bucholz discusses Female Sexual Arousal Disorder and VA Disability.
Leah Bucholz discusses Female Sexual Arousal Disorder (FSAD), a common condition among female veterans that often leads them to seek VA service connections. She explains how FSAD can be associated with other service-connected disabilities like PTSD, depression, anxiety, and the side effects of medications like SSRIs. FSAD falls under the broader category of female sexual disorders, which also includes disorders related to sexual desire, aversion, orgasm, and pain. Treatment options vary, including counselling, specialized therapies, and sometimes medications like intranasal prolactin or low-dose testosterone, although the effectiveness and appropriateness of these treatments can vary. Leah emphasizes that women with FSAD, related to their military service, may be eligible for special monthly compensation under the category of loss of use of a reproductive organ, similar to erectile dysfunction in men. This compensation is usually around $110 monthly, in addition to any other service-connected benefits.

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

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.

Physician Assistant and prior C&P examiner Leah Bucholz discusses IBS and VA disability compensation 
Leah addresses the topic of IBS (Irritable Bowel Syndrome) concerning VA disability for veterans. She clarifies that IBS can be diagnosed by a range of medical providers and does not always require invasive tests like colonoscopies, especially if symptoms match the Rome criteria (chronic symptoms like bloating, gas, constipation, or diarrhea). Leah notes that many veterans seek service connections for IBS, often related to Gulf War exposures, classified as a functional gastrointestinal disorder. She explains that IBS can also be associated with mental health conditions like PTSD and depression, influencing symptom severity. Regarding VA disability compensation, IBS and related GI conditions can be rated up to 30%, but overlapping symptoms with other GI disorders can affect the rating (known as pyramiding).

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

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.

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. 

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.