How/ Who gets Nexus

Posted on September 29, 2011 by asknod

drdigger
Registered: 10/08/10
Posts: 2
12/24/10 #1
I am a veteran (72-76). I have reopened a case asking for disability compensation for Hep C. After the VA told me that “Sorry, All we can do now is keep you comfortable and in your own home as long as possible”, I found a very well known Dr. that could help me. He has agreed to write the Nexus or be my Nexus. My question is, who gets that statement from him. As he has some experience in this area I asked his Nurse and she said that the VA would send him the paperwork.That also applies to the VA Hematologist that took me through the treatment and my Primary Care Dr. that treated me during the process. Neither is with the VA at the present time (One retired and one left for private practice in a warmer climate).
As I am completely at a loss in this (side effects from the TX) all assistance would be greatly appreciated.
Thanks
Drdigger
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NOD
Avatar / PictureManager
Registered: 11/22/08
Posts: 654
12/24/10 #2
Dear Sir,VA is full of it. You can file for comp. as long as there is fog on the mirror under your nose. You and only you are responsible for obtaining this all important document. VA will supply one for you in the event you arrive at the rock/paper/ scissors contest without one. However, it will not be in your favor.Writing the nexus letter is part of a three legged stool. You need: 1) Hep currently; 2) Hep in service or, in the alternative, documented risk factors to support a presumptive risk for it while in service; and 3) the all important nexus letter. The requirements for that letter are many and onerous. The doctor(s) writing it must state that he/they have reviewed your military and medical records (contemporary as well as private ones after service), rule out any other intercurrent causes and state with a 51% probability that the hep is “at least as likely as not” related to your service. He has to discount any other risks that may be in your records. A liver biopsy will often show the age of the disease and it is a good yardstick to buttress a nexus. There obviously are other minutiae that are needed but the above is the general gist of what you will need. That will entail your retrieving your medical/military records from the NPRC in St. Louis. Look to the column to the left for instructions on how to accomplish this. Get started pronto. There is a horribly long wait right now due to the large number of Afghan Vets in the VA pipeline. Every time Uncle Sam starts a war, VA has to gear up to do a land office sized business. Unfortunately the funding lags far behind. Let us know if you need more info. That’s our stock in trade to pay forward. Thank you also for your service and we hope you holiday season is bright and cheerful under these unfortunate circumstances
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About asknod

VA claims blogger
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