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Feedback On Nexus I Wrote For My Pcp

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hmcquade

Question

Patient Name: Hugh T. McQuade

DOB:

Gender: Male

VA File number

Subject: Mr. McQuades Peripheral Arterial Disease Secondary to Type 2 Diabetes Mellitus

To Whom It May Concern:

I am Mr. Hugh T. McQuade Primary Care Physician, he has been a patient of mine since_____. I see

Mr. McQuade once a year for physical exams, in (date) I diagnosed him with Type 2 Diabetes Mellitus based on his consistent high glucose and AC1 levels.

I have reviewed Mr. McQuades Military Service and Medical Records that included his C and P exams, and VA blood test results, these records indicated that Mr. McQuade is a Viet Nam Veteran, he was diagnosed by the Saginaw VA Doctors with Type 2 Diabetes Mellitus, and Mr. McQuade was

Service Connected for Type 2 Diabetes Mellitus by the VA Compensation Board.

My review of Mr. McQuades private medical records from Dr. _________, M.D., Endocrinologist, who is treating Mr. McQuade for Type 2 Diabetes Mellitus, shows that Mr. McQuade is being seen by

Dr. _________, M.D. every 3 to 6 months, that Mr. McQuades glucose and Ac1 levels had not been stable over the past 3 years, subsequently Dr. Thawani, M.D. had to increase Mr. McQuades Diabetic medication from Metformin 500mg once a day to 500mg 3 times a day, adding Amaryl 2 mg once and day, and Zocor once a day.

My review of Mr. McQuades medical report from his Neurologist Dr. ___________, D.O. and Ultra Sound of Mr. McQuades, lower extremities show that Mr. McQuade has mild Peripheral Arterial Disease, more in his left leg that right leg.

Based on Mr. McQuades history of Service Connected Type 2 Diabetes Mellitus, my review of all tests and lab results, and my physical examination of Mr. McQuades feet and legs it is most than likely than not that Mr. McQuades Peripheral Arterial Disease is Secondary to his Type 2 Diabetes Mellitus.

Further evidence of Type 2 Diabetes Mellitus causing Peripheral Arterial Disease is supported by

The American Diabetes Association, The American Heart Association, and the Journal of the American College of Cardiology.

Please feel free to call me at_____________

Sincerely,

Hi all feedback accepted. I write the following Nexus letter for my private doctor to send to the VA on my denial for PAD Secondary to DMII

Thanks,

Hugh

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