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//

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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 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 orthopaedic ailments, such as NSAIDs, can lead to GERD and highlights the possibility of hypertension being linked to orthopaedic conditions due to pain, NSAID use, and weight gain. They express scepticism 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.

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

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

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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 Compensation and Pension exams for Erectile Dysfunction.
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, orthopedic 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 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

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/

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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/

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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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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/

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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