CLEAR AS DAY Evidence For Migraine And Mental Health INCREASE For VA Disability Ratings

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3 ай бұрын

🩺 NEXUS LETTERS:
MENTAL HEALTH
Dr. Prashant Sharma - Psychiatrist
📧 Email: prashant.sharma2@concisepsych.com
MUSCULOSKELETAL
Dr. Rachna Patel - Physician
📧 Email: nexusletterdoc@gmail.com
🧠 MENTAL HEALTH COURSE:
Take control of your mental health
www.concisepsych.com/a/214784...
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Пікірлер: 119

@TheCivDiv 3 ай бұрын

If you want a 1-on-1: kzfaq.info/get/bejne/adugrKyVub2yeX0.htmlsi=BjhXNY2SJqlpA9A_ 1-stop-shop for VA Benefits: CivDivonline.com - Clay

@user-le2qp9gc8c Ай бұрын

I'm currently at 90 percent..70 anxiety/depression and 50 migraine. I hope when the new mental health ratings goes in effect later this year I can file for a increase to 100 percent.

@nicolcacola 3 ай бұрын

How these things affect the ability to parent is a huge deal. Which is why veteran parents with service connected disabilities deserve every compensation awarded to them. Being able to focus on self and family instead of finances is critical to familial stability ❤

@TheCivDiv 3 ай бұрын

That's a huge piece that veterans that are also parents fail to realize...assimilating back into society is difficult as is and it hits home when assimilating back to functioning as a 'normal' parent. - Clay

@patrickwrye8450 3 ай бұрын

I am a stay at home parent, and my DBQ provider said that I’ve never missed work due to my back pain because I don’t have a job. Can’t imagine that didn’t affect the rating decision.

@hollieadams795 28 күн бұрын

I 2nd this notion. I was low rated for my PTSD initially because I held down a job. In today's economy, I simply have to. The struggle to parent and work as I deal with escalating PTSD symptoms is immensely challenging. I was one of the first female Marines in Afghan in 2010 as we did the push. I saw and endured so much man and I can't keep it together most days. I just went in for an increase after 10 years being 50%. The C and P examiner asked me such basic questions-- to include if I am working...... I answered honestly and hate that my answer may low rate me again when I very much rate 100% for PTSD according to the criteria. I need help, need reassuring words, anything will do. Should I be concerned?

@jakejennings5152 2 ай бұрын

Secondary’s for mental health… Insomnia, Generalized Anxiety disorder, Chronic fatigue disorder, alcohol use disorder, Bruxism, TMJ, Major Depressive Disorder, on her back, if she has any form of numbness or loss of sensation whether constant or intermittent, she may have a claim for peripheral neuropathy. Shin splints are a rateable condition, so are Calcaneal bone spurs

@Riverchicky 3 ай бұрын

Thank you for this, Clay. It helps knowing I am not alone as a female disabled veteran.

@TheCivDiv 3 ай бұрын

This seriously makes my day. Female veterans definitely get overlooked as you are the extreme minority of all veterans. Glad this gives you some hope and direction in your process. - Clay

@tommylynch1211 3 ай бұрын

Videos like this are my favorite it helps me understand where i am and also makes me acknowledge issues i have but just didnt know how to articulate when filing a claim and the whole process

@GetApprovedNow 3 ай бұрын

Love your Videos Brother! I feel the same way. I have an 8 yr. I am in a pretty dark place at the moment. You listening to your explanation, insighted an eruption of feeling... thank you for taking the time to help our Vets!

@TheCivDiv 3 ай бұрын

Yeah the veteran started reacting in an emotional way so that was all I needed to make the point. Almost broke myself...seek healthcare. - Clay

@keithshep 3 ай бұрын

Outstanding video and information, as usual, Clay!

@Khellion 3 ай бұрын

This right here is why I am a member and patreon with @TheCivDiv. What you provide to the community is priceless and there are no words that can truly express the gratitude that I have for someone like you helping your fellow veterans getting what they deserve!

@TheCivDiv 3 ай бұрын

Dude thank you so much!! - Clay

@michaelprichett0617 3 ай бұрын

@@TheCivDiv should i go for an increase for my migraines The meds i have been given in reference to my migraines Are sumatripten at 100mg but I was then switched to nortriptyline at 10mg Then finally Rizatriptan at 10mg I also take magnesium pills at 420mg My current rating for migraines is at 30% I’m also currently trying to do a secondary claim that connects my service connected knee to my lower back. I have been denied for lower back 2 times from the direct so that’s why I’m goin secondary Any help would be appreciated

@TheCivDiv 3 ай бұрын

@@vividhaiku none - Clay

@danielgilland2468 3 ай бұрын

Thanks for doing these! I learn so much on the 1 and 1’s.

@TheCivDiv 3 ай бұрын

This makes me glad. We plan on pushing more of these out. - Clay

@robertrodriguez3614 3 ай бұрын

Clay. Great video. Good luck to her success!!!

@TheCivDiv 3 ай бұрын

Thank you!! Usually we get a lot of haters on these… - Clay

@itachijacobs265 3 ай бұрын

This is my favorite series on your channel

@TheCivDiv 3 ай бұрын

So good to hear this! We will be pushing out more. - Clay

@amberfairweather 3 ай бұрын

The world would be a better place with more people like you Clay ❤

@TheCivDiv 3 ай бұрын

♥️ - Clay

@AyameFyuu 3 ай бұрын

I'm a fellow female Veteran. I only recently got diagnosed with IIH that causes migraines. As well as got a lot of MRA, MRI, and the likes that show evidence of migraines. With an in service incident in the army where I passed out in formation, was suffering black mold exposure in the barracks, and despite fellow soldiers attempt to help. They dropped me right on my head and unfortunately I was still slightly conscious and my mood might have become more erratic after. I hadn't even been deployed! So if I wasn't already having issues before now got migraines. Took me ten years to even learn this is a thing I can get compensation for. So hoping now that I got a diagnosis and Lab work showing evidence of migraines, fingers crossed. As it been ten years and made a personal statement, taking medicine for the IIH as well as pain medicines. I'm also seeking increase in MH, but those reasons are a lot more... unpleasant to talk about. I too would cry when talking about MH so this is going to be fun.

@John-fr1kw 3 ай бұрын

Yep I will keep you updated on the rate as soon as I get it. It’s been a long haul with this migraine claim. I filed it in 2019 and it went to the board in Waco Tx and has the VA judge grant me service connected. Got the nexus saying I have prostrating also VA been mailing me sumatriptan past 3 years.

@geauxadventuring6039 Ай бұрын

This is an extremly helpful video and hits extremely close to home. I would love to see that video you said you would send her when you spoke on emotionally disconnected from your children. I feel that would be super helpful to me.

@TheCivDiv 10 күн бұрын

kzfaq.info/get/bejne/beCSariXvq7Ik2Q.htmlsi=91DXw1a2cxJLC2sN - Clay

@user-ci7td9mt1q 3 ай бұрын

I'm going to watch this about 5 times to shore up my claims. Biggest issue I ran Into is the Reviewer being confused on my Service dates. I was in the Reserves from 1996 to 2015. I was SplitOp for Basic and AIT And that produced 2 DD 214's. I had 3 Deployments that produced 2 DD 214's, 1 AGR tour which had 1 of the Deployments and produced a DD214, and a stateside deployment of 2 years which produced a DD214. So instead of seeing 18 years of service they totaled it to about 8. Which greatly hurts any chance of a through review. So now I'm trying to correct it with a supplemental but I think I may have to file a HLR to consider the mistakes made in relation to denials back in 2014. It's a huge headache and heightens my Anxiety and Deepens my depression dealing with it daily mentally, emotionally, and physically. Your videos are such a great help

@donaldreynolds4003 3 ай бұрын

I have just been prescribed Sumatriptan 50mg for migraines myself this past month and am at 90%. I am awaiting the VA to rule on an increase on my sinusitis from 10 to 30 percent along with hypertension. Maybe I need to write a personal statement myself for migraines as I was denied before even though I have evidence during my time in service over 20 years. Thanks for the great information.

@TheCivDiv 3 ай бұрын

Your statement will want to support your current evidence for migraines and that doesn’t include evidence from service for service-connection. kzfaq.info/get/bejne/jMppqNSk39O3YYU.htmlsi=Bhg5zwG22CStsW-4 - Clay

@Broommaker19 3 ай бұрын

You might already know this but If you get connection for migraines and if that percentage is equal to or exceeds your sinus rating then they will stop paying you for it and you'll only get the migraine pay since migraine tops at 50%. Speaking from my experience and it falls under pyramiding.

@candacesmith8008 2 ай бұрын

Just award 100 percent after being 90 for 5 years was a struggle

@culvercitycharlie Ай бұрын

I have a HLR tmrwo! I’m going to point out missed evidence from my STR’s from 1991..and make the connection. (I’m already connected with Tinitus) (and insomnia at 30%)

@JimChurchSr-lu2pq 3 ай бұрын

Nice job - I hope it works out for her -

@joeb.8625 3 ай бұрын

This is awesome I just went thru this and I got denied migraines although my sumatriptan is 100mg and my evidence is bulletproof. So I guess I need to do an HLR with the informal conference? I just got awarded 30 for mh. I believe I fit the 50% criteria at least. Her stuff is almost exactly like mine!

@joeb.8625 3 ай бұрын

So how soon can you submit for an increase on MH? I just got service connected at 30% this week?

@TheCivDiv 3 ай бұрын

I’m glad this helps! In your case, service-connection becomes more important. You realllly gotta look at your migraines and how to rope them to service (with evidence) or as a secondary (with evidence). As for your MH claim…I would recommend you gather evidence showing cause for 50/70% (I’ll link the same video I sent this veteran at the bottom). Once you have the evidence, submit that with a supplemental claim. This assumes your supplemental is within 1yr of the decision for your 30% MH. 70% symptoms: kzfaq.info/get/bejne/beCSariXvq7Ik2Q.htmlsi=n3Kao3-53Yt6G4zp - Clay

@ezebro1981 3 ай бұрын

So I got MH back in August 2023. With the scripts you get, I started getting side effects of Migraines. I then filed in September 2023 for migraines. I was awarded 30% for Migraines (even though I feel like it should be higher but it’s still points on the board) I’m going to file for a supplemental for MH and circle back to migraines this year. I still log my migraines on my log and take 100mg of Sumatriptan. And I also take 100mg of prophylaxis Topiramate.

@joeb.8625 3 ай бұрын

@@TheCivDiv They denied me migraines it was already SC’d so it was an increase. My plan is to add more evidence if possible. Then go HLR if needed.

@jeffg8674 3 ай бұрын

Have talked to a lot of fellow vets who have 30 or 50% PTSD. Asked them how their C&P went. What they had in common is they used most Ove them used most of their C&P time to talk about what they did while deployed and NOT enough of how it effects their life NOW.

@John-fr1kw 3 ай бұрын

Got service connected migraines back in January and waiting now for the rater. Can’t come soon enough. I’m going to flip my lid they give me 10%. I’m infantry served in Iraq 2004 already have 50%ptsd.

@TheCivDiv 3 ай бұрын

Something to keep in mind. Iraq and 50% for PTSD have nothing to do with how migraines are rated. The only thing that matters for the % awarded is the symptom severity outlined by 38 CFR. - Clay

@AlexisLove81 2 ай бұрын

OMG The exact same prescription and amount of pills was prescribed to me! It lasted me a week. It takes too long to kick in so I asked for something else. A nasal spray.

@TheCivDiv 2 ай бұрын

Solid medical evidence there - Clay

@sm14852 3 ай бұрын

Hey Clay, Please help. In the video you stated that if something is in your blue button record to print it out and send it anyway. Can you please clarify this statement? I was under the impression that VBA raters have access to your blue button record, therefore, sending something that they already have may bogg down the process. Thank you for the video. it was outstanding!

@TheCivDiv 3 ай бұрын

The VA has your VA Healthcare records...but when submitting a supplemental or an increase and you have evidence (even from your VA Healthcare records) I always advise to upload that evidence specifically. This will come to play during a HLR (if needed) which is likely for migraines. - Clay

@3381kevin 2 ай бұрын

Hey Clay I was recently denied for CAD. Do you recommend doing a supplemental with my Dr doing a nexus secondary to PTSD, lower lumbar strain, or both

@k5nutt 3 ай бұрын

I could really use help getting ready to file for a tbi. It's going to be a fight because the fall thru a ceiling occured in 1987.

@TheCivDiv 3 ай бұрын

If you have evidence from service of a TBI, that the start of a solid claim. - Clay

@k5nutt 3 ай бұрын

Yes. It's in my AD med record. And i still have pictures from that day after the stitches etc. My PCP didn't want to send me to the neuro docs...said i was trying to file a claim. He ended up refering me to a rehab doc. @@TheCivDiv

@duskykratos 3 ай бұрын

Question? Is Altered Gait a good secondary with lumbar strain? I have 40&20%(right/left) respectively for radiculopathy and my hips are my chronic pain in the a$$ now.

@TheCivDiv 3 ай бұрын

What does your evidence suggest? Have you spoken to your healthcare provider? Secondary conditions are not a 1-size fits all. - Clay

@SteelWolf13 3 ай бұрын

HA! Like #100.

@TheCivDiv 3 ай бұрын

Word - Clay

@jesuscabrera53 3 ай бұрын

I am waiting for my PTSD rating, do you know if I will be rated on the current rating or will the new rating be applied to my case. Thank you.

@TheCivDiv 3 ай бұрын

Most likely the current criteria and the proposal doesn't have an effective date. - Clay

@b.vo. Күн бұрын

0% ratings are important because they're SERVICE CONNECTED! You can claim secondary conditions caused by those and get %

@12Georgia83 3 ай бұрын

👍

@user-qj9sz2mw5q 3 ай бұрын

An extra rib that happened over time.. LOLOLOLOLOL.

@timetopay5344 3 ай бұрын

On tmj she needs to look in her dental records. I for got i had in service documentation for it and received 40%.

@TheCivDiv 3 ай бұрын

Solid. According to her, she was never seen for TMJ. From my position, that's what I gotta go off of. - Clay

@melvinroberts9263 3 ай бұрын

Had c&p for migraines secondary tinnitus. I had a migraine log,FMLA form for migraines 3* times a month signed by my va doctor and have a prescription for 50 mg sumatriptan, 500 mg naproxen & 400 mg magnesium. The c&p exam went 10 minutes is that bad or good.

@TheCivDiv 3 ай бұрын

Well…your current dx isn’t in question. What’s in question is your migraines secondary to tinnitus. Tinnitus doesn’t cause migraines so causation is off the table. It’ll come down to correlating factors (hence the changes to tinnitus). Now this isn’t my opinion, this is the consensus. - Clay

@Broommaker19 3 ай бұрын

@TheCivDiv How about current direct sc connected migraines with VA diagnosed tinnitus and claim as secondary aggrivation (Allen claim) of my migraines. Audiologist also has me in hearing aids for hearing loss and showing positive for military noise exposure and past service connected chronic sinus

@AnakinVoss1030 3 ай бұрын

Greetings ! I have seen my social worker and psychiatrist and they have prescribed me with several meds. They have donde the DMS-5 questionary and the PHQ-9. Is that a formal diagnosed ?

@TheCivDiv 3 ай бұрын

Yes. If you're on medication for MH, you have a diagnosis. - Clay

@CptBlackEye 3 ай бұрын

@@TheCivDiv If I have a CPAP for sleep apnea, does that count as a current diagnosis (like what you said about the meds for MH)? The actual sleep study was by VHA in 2017.

@T-Sim 3 ай бұрын

On the migraines, what about the severe economic impact for the 50% schedule

@neogeo227 2 ай бұрын

I have been talking to people on reddit and why is it talking longer for a duty to assist error, once a re-exam is complete and veterans are just waiting for a reviewer to look at the claim again to fix the error. It's taking 8 months to a year plus to correct the error. You would think since it's a error that the VBA did thing would move a little quicker.

@TheCivDiv 2 ай бұрын

Yeah once the HLR is closed that ‘new’ claim takes forever - Clay

@hutchins321 3 ай бұрын

The link you had for the personal statement can you add that to the description of this video or reply with it please?

@TheCivDiv 3 ай бұрын

www.vba.va.gov/pubs/forms/vba-21-4138-are.pdf - Clay

@Nature_Evolution 3 ай бұрын

What is the best route for filing a claim for Index Finger injury Orthopedic surgeon have X-ray & request MRI. Recommend surgery but cortisone injection is option. Would filing a claim now with medical evidence but no surgery or cortisone injection best route or wait until surgery or injection is complete?

@TheCivDiv 3 ай бұрын

Your dx is solid the biggest question is what’s your evidence from service? - Clay

@Nature_Evolution 3 ай бұрын

@@TheCivDiv the index finger injury happened while conducting weapon training. The only evidence is on final physical examination before EAS 2021

@allaboutlux 3 ай бұрын

i broke my index finger while in the military, and it is documented. However, i have no current medical evidence. Can this be filed? If so, how? @TheCivDiv

@ice-cold8827 3 ай бұрын

My c&p exam for migraines went a whopping minute and come back service connected @ 0%

@TheCivDiv 3 ай бұрын

The at actually pretty common. Here’s a 0-50% guide: kzfaq.info/get/bejne/jMppqNSk39O3YYU.htmlsi=Bhg5zwG22CStsW-4 - Clay

@user-le2qp9gc8c 2 ай бұрын

I recently was awarded a 90 percent rating 10 Tinnitus 70 anxiety/depression and 50 for migraines. My question is I believe I have an excellent chance of getting 100 rating when the new mental health changes are finalized and also for tdiu with my disability issues. Which do you think would be my best chance to get to 100?

@TheCivDiv 2 ай бұрын

Need more context before I give any type of answer worth something - Clay

@Verticalpedalgarage 3 ай бұрын

Isn’t a 0% rating also good to file for because you can potentially file secondaries?

@TheCivDiv 3 ай бұрын

Yes you can but in this instance I don’t think this veteran will need to go down that route. - Clay

@pennydittl3850 3 ай бұрын

Going from 30 to 50 % for increase for migraine. Do you have to be experiencing the frequent migraines with the increase sumatriptan for a long period of time before you can file for increase? My neurologist increased my Sumatriptan to 100mg a month ago. I’m currently at 30

@TheCivDiv 3 ай бұрын

You’ll find various answers but personally, keep record of 4 months with continuous records (preferably through your PCM/refill medications) and that’ll be solid evidence. ITF now. - Clay

@pennydittl3850 3 ай бұрын

@@TheCivDiv thanks so much Clay🙏❤️‍🩹

@pennydittl3850 3 ай бұрын

When I file for the increase for migraines. What documents along with my personal statement need to be submitted for the claim?

@robbc-kiddigital6858 Ай бұрын

Her diagnosis are the same as mine….but I have 2 more diagnoses that she does not…Would OSA with a CPAP and bilateral carpal tunnel syndrome push this over to 100…?

@codyjohnson9798 3 ай бұрын

Can you drop the KZfaq link in the comments for the emotional connection with children?

@TheCivDiv 3 ай бұрын

What 70% for MH could look like: kzfaq.info/get/bejne/beCSariXvq7Ik2Q.htmlsi=C69IM0sgHnCxQWQJ - Clay

@chinggop1 3 ай бұрын

In a personel letter, do we need to avoid using the same terminology from 38cfr and DBQ such as: Prosthrating and Very Prostrating? So it may not sound like it's was copied from 38 car and DBQ forms. I just recently rec'd my claim result for migraine with proper nexus, DBQ and it was rated 0%(better then denied). Recently too a 3rd medication was added for my ptsd meds, and two more new meds for my migraine. BTW I'm claiming my migraine as secondary to service-connected ptsd and tinnitus. Do you advise to avoid exact same phrase/terminology found in 38cfr and DBQs? thanks

@TheCivDiv 3 ай бұрын

Irrelevant. Your statement needs to support your current medical evidence and/or your medical evidence from service. That evidence should at least correlate with the rating criteria for severity of symptoms. - Clay

@pearceingcreations8544 3 ай бұрын

That medication makes my rebound headaches way worse so I don’t take it but I get 1 migraine a month…how else can I prove it?…I have 1 er visit so far…

@antonioreyes2692 3 ай бұрын

In this Veterans case, when was ALL her back and sciatic ratings granted? If her ROM is obviously worse, it’s worth to pursue an increase IMHO…

@TheCivDiv 3 ай бұрын

Agreed but a 70% mental health rating...which is likely (IMHO) is the road to 100%. The veteran being at 87% plays a factor in the decision making. - Clay

@tomasmrod 3 ай бұрын

How do I apply to do a one-on-one with you?

@TheCivDiv 3 ай бұрын

Explained: kzfaq.info/get/bejne/adugrKyVub2yeX0.htmlsi=a2gw0mFmrqZAOUCJ - Clay

@wyleya1 3 ай бұрын

Hello I Need help with increasing my migraines. I was services connected at 0% in November 2022 I requested for an increase October 2023 submitting my migraine log and medication sumatriptan 50mg. They denied the increase. Can you suggest what I should do now? Thank you in advance.

@TheCivDiv 3 ай бұрын

Migraines 0-50% here’s what you need: kzfaq.info/get/bejne/jMppqNSk39O3YYU.htmlsi=ME_1tOdg3hI7ZCRJ - Clay

@Maab32 3 ай бұрын

Are you claiming as a secondary?

@wyleya1 3 ай бұрын

@@Maab32 No.

@wyleya1 3 ай бұрын

@@TheCivDiv thank you for your response. I looked at the video and I did submit a migraine log and the new medication the doctor prescribed for me. When I had my appointment with the C&P I was not on medication only taking over the counter medication.

@danielmchugh8231 2 ай бұрын

I feel like there is always conflicting information. You are telling her if there is no medical evidence that this occurred in service don’t try but then you do videos on getting compensation with no medical evidence. Just trying to understand which it which. If we don’t have medical evidence from in service should we not file for it?

@TheCivDiv 2 ай бұрын

There is medical evidence and there is evidence other than medical. This veteran had neither based on what they said. If you don’t have medical evidence, it’s an uphill battle from the start. Now context is key in situations like these. - Clay