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Get your NEXUS, then you can pick your Lexis.

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broncovet

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Some Veterans advocates have pointed out that some Vets are going to the BVA with no NEXUS.  Dont let that be you.  No Nexus means no retro for a Lexis.  

The VA has 3 criteria for Service connection.  They wont budge on these:

1.  Current diagnosis.  No diagnosis = NO Service connection.  

2.  In service event or aggravation.

3.  Nexus, or link between 1 and 2.  The doc needs to say something very close to "the VEterans xx condition is at least as likely as not related to xx event while in military service".  

   If you dont have all 3 of these criteria, its highly unlikely you will get VA benefits for the claimed condtion.   DO NOT go to the BVA with a water pistol in a gunfight, and that is what you are doing without any of these three.  

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  This is in the beginning of my Notes.  its when they diagnosed me with PTSD /Depression

DSM-5 DIAGNOSES:
PTSD Unspecified depressive disorder 
        Gastroesophageal reflux disease (SCT 235595009)        Depression (SCT 35489007)        Dupuytren's contracture (SCT 274142002)        Sleep disturbances (ICD-9-CM 780.50)        Rosacea (ICD-9-CM 695.3)        Bronchitis (ICD-9-CM 490.)        Upper Respiratory Infections (ICD-9-CM 465.9)        BENIGN NEO SKIN EYELID (ICD-9-CM 216.1)        REFRACTION DISORDER NOS (ICD-9-CM 367.9)        HYPERLIPIDEMIA NEC/NOS (ICD-9-CM 272.4)        DJD (ICD-9-CM 715.98)        Obesity (ICD-9-CM 278.00)        Pernicious anemia (ICD-9-CM 281.0)

They don't address my arthritics in my knees? unless its in the( DJD (ICD-9-CM 715.90??


ASSESSMENT/Plan -Medication reconciliation done, Educated pt on illness,course/prognosis w/and w/o tx as well as tx options, pregnancy/lactation concerns where applicable. patient expressed comprehension for his/her responsibilties in the partnership of his/her treatment plan -VETERAN is a 63 year old MALE DSM-5 DIAGNOSES:
PTSD Unspecified depressive disorder 


        Gastroesophageal reflux disease (SCT 235595009)        Depression (SCT 35489007)        Dupuytren's contracture (SCT 274142002)        Sleep disturbances (ICD-9-CM 780.50)        Rosacea (ICD-9-CM 695.3)        Bronchitis (ICD-9-CM 490.)        Upper Respiratory Infections (ICD-9-CM 465.9)        BENIGN NEO SKIN EYELID (ICD-9-CM 216.1)        REFRACTION DISORDER NOS (ICD-9-CM 367.9)        HYPERLIPIDEMIA NEC/NOS (ICD-9-CM 272.4)        DJD (ICD-9-CM 715.98)        Obesity (ICD-9-CM 278.00)        Pernicious anemia (ICD-9-CM 281.0)
ASSESSMENT/Plan -Medication reconciliation done, Educated pt on illness,course/prognosis w/and w/o tx as well as tx options, pregnancy/lactation concerns where applicable. patient expressed comprehension for his/her responsibilties in the partnership of his/her treatment plan veteran is a 63 year old MALE Vietnam Veteran boots on ground presenting with anxiety and depressive symptoms with sleep disturbances since his military time impairing his social functioning. He is open to maintain mh med to improve his Sx and quality of life, starts therapy 8/4/15 per plan. Veteran is positive towards the current psych med and agrees to try higher mg on 
prozac to target PTSD and mood Sx, also adv may try 3mg prazosin prn if well tolerated. -Risk/benefit/alternatives of current psych med is explained to the veteran at length and he/she voiced understanding -Discussed risk of hypot Veteran  boots on ground presenting with anxiety and depressive symptoms with sleep disturbances since his military time impairing his social functioning. He is open to maintain mh med to improve his Sx and quality of life, starts therapy 8/4/15 per plan. Veteran is positive towards the current psych med and agrees to try higher mg on 
prozac to target PTSD and mood Sx, also adv may try 3mg prazosin prn if well tolerated. -Risk/benefit/alternatives of current psych med is explained to the veteran at length and he/she voiced understanding -Discussed risk of hypot

 

.............Buck

Edited by Buck52
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Buck: Did you file it as an FDC? If so, you should be up for a PTSD C & P most skoshi, maybe in a month or so.

As to another VA Staff Psychiatrist doing your requested DBQ, he/she would absolutely have to review your VA MH File and might even want to interview you.

Keep in mind, the only DBQ that the Rater cares about, is the PTSD DBQ completed by the C & P Psychiatrist or Psychologist PHD. The C&P PTSD Clinicians are trained to do a "Forensic" exam, they are not your friendly MH Dr or clinician.

If you can believe it, there are some Vets that over-report their symptoms. The PTSD C&P is supposed to weed out the fakers and over-reporters.

Semper Fi

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