(ED) DBQ or Nexus Letter? VA doctor or Outside provider?

[jsimon757]

This is yet another ED post. I just wanted your thoughts on if I should have a DBQ or Nexus letter done, and who should fill it out,  my VA provider or since I am still a Dependent have my PCM at the army medical center complete one of the two?

(Backstory) I was diagnosed with PTSD w/Anxiety & Depression after an Iraq deployment in 2006, a year later another event on another deployment further caused trauma and that's when my ED and psychotropic medication started. I got out in 2011 and worked with VA providers to resolve the issue by changing medications. In 2015 I began being prescribed viagra after it became a bigger issue in our marriage. I am 70% rater, but 100%P&TIU. The ED has been documented since 2011 in my VA records.

[brokensoldier244th]

I give myself testosterone shots so I'm not really worries about it, just that they never showed me how so what if I do it wrong or something. Lol.

After injections there are implants, too, but that's pretty invasive surgery.

[Buck52]

My VA Urlogist don't recommend the implants.

Vetquest  if you have ED file for it,  they will Service connect it at 0%  you get it S.C. From secondary meds,   they just add the 108.00 month to what your getting now  its SMC K and paid in addition to your S.C. comp.

The only other way to get it is Direct Service connection  from a military injury  /other wise its 0 %s.c. secondary from a   S.C.. condition  or from the medications from that condition,  for me it was the PTSD Med's and some prostate med's. check with your VA Urologist.  mine was pretty cool about it. 

IF YOUR LIKE ME EVERY LITTLE BIT OF INCOME HELPS OUT.

A lot of veterans miss out because they just don't wont to mess with it for  108.00 $$  month  or just to shy or something.??  I am not sure exactly how much E.D. Pays out  but its close to the 108.00$$  I get SMC S  &K  They add those to my 100% comp.

I want to add this  you do not have to take meds or the injections to get comp for E.D.  Once they service connect it...your good to go 108.00 extra a month. rest of your life.

Edited December 8, 2018 by Buck52

[vetquest]

Thanks Buck, I have been dealing with this for over twenty years and it has become impossible the past ten.

[jsimon757]

So I already have a date for a C&P for next week. So I noticed in my records I had a C&P in 2011 that identified E.D. as being caused by my medications, should it have been rated then? Is there a way to have this rating retroactive if granted? It was also noted another 13 times in records since 2011 by both Psych and Primary care. Just curious.

 

Thank you all for your comments and Happy Holidays!

[jsimon757]

So this was a response I got from my VSO when I notified her I filed a claim for "ED secondary to PTSD" and asked about the retroactive rating since it was listed in a C&P back in 2011.

"

A claim is filed for when you file for it.  There isn't a such thing in this regard (ED secondary to PTSD) as an implied claim.  Implied claims are ED secondary to Diabetes Mellitus Type 2 as this is VERY typically associated.

 

You can claim whatever. It would have nice to run it by your VSO prior to filing after all this is what I am here for ( to offer insight).

 

To answer your question- your care is at the VA and the diagnosis is in your records. (If you indicated on your filed claim where your care for this condition has been then the VA will look at those electronic records) SO- there is no need to print all the documents and take them with you. AS an FYI- a claim of this type will take a positive medical opinion for service connection ( secondary service connection)."

Thoughts?