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Nexus letter


Tammie

Question

I am needing to find a Dr to give me a nexus letter.  I live in Troy, Mo. I got out of the service in 1988 and am sc for my knee. This injury happened when I fell out of a helicopter and twisted my knee.  I blacked out when I hit the flight line and when I regained consciousness I was in extreme pain in my knee. It was doubled up under me. At this time nothing else hurt and over  the years I have suffered from back pain. I have since found out I have disc compress and arthritis in my spine in multiple places. I have had to have two nerve blocks due to the arthritis in my spine pushing on my spinal cord.   I am needing to find a Dr to give me a nexus letter for this.  Does anyone know of a Dr in the St. Louis area?  Thank you for your help. 

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  • Community Admin

@Tammie you many not need to pay for Dr to give you Nexus letter. You could file the claim as secondary to your service connected knee injury. Others will jump in I hope and give you helpful information.

 

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I recently had great success in being granted OSA Sleep Apnea secondary to my long term PTSD and PTSD medications with a private doctor's nexus opinion.  We did everything by phone and mail plus email with him reviewing copies of my VA and Army STRs from 1970 and 1985 to 2022.  There was no in person exam or interview.

He does charge a fee tho and is from Arizona.  Good luck. 

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  • HadIt.com Elder

Dusty

 

                   Do you have the name and address of this doctor.  I have mental condition, DMII and high blood.  I also have OSA and I really struggle with it.  I don't mind a reasonable fee.

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On 4/20/2022 at 4:11 PM, Tammie said:

 I blacked out when I hit the flight line and when I regained consciousness I was in extreme pain in my knee. 

So you got knocked the F out?  Is that in your service record?  I got knocked the F out during a training accident.  There is one excerpt in my medical records in which it is documented and prescribed one week off.  I got an IME from DR. Ellis in OKC.  Several of them actually.  I filed a TBI claim and got it approved.  You might want to look into it.  They'll put you through the wringer, but it was worth it.

Getting a spine claim approved for me didn't happen.  It was due to the same accident in which I got knocked out.  I had an IME for this as well.  The VA went with their VA NP opinion over Dr. Ellis.  Sure I could fight it and win, however I was already at 100% P&T with SMC-S.  Moot point. I do get Chiro and massage for my messed up spine.

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  • HadIt.com Elder

Tammie

                         In my experience you almost always need a letter from a doctor to make the connection between your primary disability and any secondary condition.  The VA often just disregards the science and insists on a doctor saying that your secondary is at least as likely as not the result of the primary condition.  I have DMII.  VA found clots in my legs.  My doctor wrote a letter saying why this was most likely a result of DMII.  I got 60% for heart disease.  I have PN from the DMII.  VA granted 10%. I got my doctor to write a letter and I got 40% for each limb.  The VA won't just do this for you.  In your case bad knees could affect your gait.  This could cause hip problems as well as back trouble in time.  If you can make the connection you could get a higher rating.  This is my opinion based on my own experience.  I have two primary  and 7 secondary ones.  You might get lucky and your C&P doctor might make the connections.

       

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It doesn't hurt to file for TBI.  Have you ever file for TBI in the past?

As far as your spinal conditions, being that you are already sc for knee conditions, that may have caused your back problems.  

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  • HadIt.com Elder

I agree with Whodat.  File for everything that you think you can get.  Times are going to get very tough for disabled vets.

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Exactly.  Go through your service medical records. You can use a rep if you would like to but in my opinion, being that reps have a huge work load, they may not put as much effort. 

All of the claims that you are SC for, ask for an increase. For the other claims, file a new claim such as depression, TBI, spine.  I would also file secondary for my serviced connected conditions. You may be depressed from your tinnitus and knee condition. 

Keep in mind, you are at the max on tinnitus. 

Also keep going to treatments. 

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  • HadIt.com Elder

Oh, yes, if you have chronic pain start to see a shrink.  Depression and disability go together.  Even your half-ass VA shrink might make that connection.  As Dr. Who says stay in treatment. Put on the full court press.  You have nothing to lose.

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