Here’s everything you need to know on Nexus requirements for disease/injuries. Even though this is laid out for HCV claims, the same tenets apply to all diseases except PTSD. VA has now made it law that only VA-approved doctors can do the bent brain nexus. This appears to be an attempt to eliminate the disease by making it impossible to attain. It figures. Nevertheless, no one can prevent you from submitting your own shrink’s take on your mental state. Once its in the records, they surely can’t ignore it or pretend you didn’t submit it. It’s also possible that they will overrule this new regulation so it would pay to have it in the file for a future appeal.


updated August 18th, 2015

Please also read this if you choose to utilize a jetgun defense for Hepatitis C.

And now, as of July 13, 2017, via  the miracle of Utube,  you can add a video of how they “really” administered injections via jetguns. Click on the link, skip the advertisement and move forward to 4:26 and get some killer screen shots of  no alcohol wipe, no prep, just raw skin again and again. I guarantee you’re gonna like this one, fellers. As Nurse Silvia points out: No filters on return air to ampule, either. No gloves, no face mask, no wiping the gun between shots. Ba-ges? We don’t need no stinkin’ ba-ges.

The best part was it’s published and filmed by the United States Army so it has to legitimate.


51 Responses to NEXUS BIBLE

  1. Data Digger says:

    You go Buckwheat! You aren’t just any kind of wheat you are the whole grain!

  2. My HCV claim got remanded and am waiting on results. I could have gotten it several ways and filed them all with the claim. I guess it should be only 1 item such as jet guns but I filed 3 ways I could have gotten it. This is why it got remanded. The judge did ok the transplant so now I will file secondary illness from said transplant. 30% for transplant which should be at least 60%. Waiting for results Ray.

  3. Korto Simpson says:

    What are the requirements for smc t?

    • asknod says:

      Generally, you need to qualify for a higher level of care as described in §3.352 for symptoms of diagnosed TBI and have served after 9/11/2001.

  4. Vaughn Camper says:

    I am trying to claim sleep apnea based on my broken nose (Deviated Septum). For the last couple of years I have been denied even with a Nexus letter from the doctor. My VA representative says that the VA thinks that my nose is healed even though I have it in my military records as having a deviated Septum. So now they want me to get the nexus letter to not focus on the broken nose but the deviated septum. Seems like a run around. I need a better Nexus example for the doctor to sign concerning his examination.What do you think?

    • asknod says:

      You need an atty. to get you a good nexus letter that will win. VA will never give you one.

    • Does anyone have a nexus letter i can leverage to get the right information?

      • woodguy11 says:

        You should hire asknod@gmail. He is the hardest working, results oriented law dog I know. I got mine by taking a sleep study that my doctor recommend I take. Sent the results to the VBA and they ok’d it. I hope the best for you. Welcome home.

      • woodguy11 says:

        he can be reached at this link. Scroll to the bottom of the page as you will see his e mail and phone#. I would hire him ….He is very good at what he does…

      • woodguy11 says:

        About the Author

        “Life should not be a journey to the grave with the intention of arriving safely in a pretty and well-preserved body, but rather to skid in broadside in a cloud of smoke, thoroughly used up, totally worn out, and loudly proclaiming “Wow! What a ride!”
        Hunter S. Thompson

        Operating Location Charlie 10.70

        April 21,1971 -the day my number of takeoffs became unequal to my number of landings
        April 20,1971 -the day my number of takeoffs became unequal to my number of landings

        Mr. NOD – Buckwheat, Electrolux, Chieu hoi boy. Iron arm and Grahamcracker

        Brand new bone chip @ L elbow 11/18/2018.

        Inpatient at Seattle, WA VAMC from 4/25/2009 to 5/19/2010…

        A 67 yr. old WM in NAD. Stage 4, Grade 3 HCV, Genotype 3A. Rated 100% P&T for HCV; 100% for PCT, 60% for anemia, 40% for cryoglobulinemia and fibromyalgia, 30% for PCT skin damage and 10% for Tinnitus. Dx: HBV, HCV, Autoimmune Hepatitis, Crohn’s disease, Cryoglobulinemia type 3, Porphyria Cutanea Tarda, Fibromyalgia and RA. Short bowel syndrome following 4 VAMC bowel surgeries. 6 Ventral hernias in surgical cadaver skin (Alloderm). Reconstructed left forearm. Post ileostomy. Post MRSA infection; ℞ = 1 pint Phlebotomy every month. DDD-L5-S1. 2 VA medical misadventures . Septal/myocardial infarction 10/2009. VA assessment? Good to go, bro-only 290% disabled.

        AST/ALT October 14,2011—122/300 . Viral load -200K

        AST/ALT 15 December 2011–59/106 (new diet/vitamins or portal gastropathy)

        AST/ALT 23 January 2012– 154/361 (may be time for another new diet.) Cryoglobulinemia IgG=2546 (normal 687-1671).

        AST/ALT 3 February 2012–210/432 (may be time for Imuran)

        AST/ALT 13 February 2012–159/299 ( the new diet-no sugar and it sucks)

        AST/ALT 5 March 2012—40/82 (still on the new diet–still no sugar. Love the numbers/hate the cure) Ammonia levels are normal.

        12 March 2012– Ultrasound revealed Stage 4 (cirrhosis) but no cancer yet.

        AST/ALT 6 June 2012— 153/300 ( Dr. is flummoxed)

        AST/ALT 15 June 2012—143/270 (VA always finds it much lower)

        AST/ALT 18 September 2012—79/183 ( Vegan diet-Bleh.)

        AST/ALT 19 December 2012—65/112 Liver is getting more cirrhosed? Pretty soon I’ll be decompensated and my numbers will be normal.

        AST/ALT 15 January 2013 —-102/201. IgG —3530. Viral Load —478, 026 copies. Wowser.

        AST/ ALT 22 February 2013—115/230. ANA 1:80 Looks like the AIH is coming back.

        AST/ALT 2 July 2013—-86/167 IgG—3281

        AST/ALT 6 August 2013—116/237

        AST/ALT 21 December 2013 —122/201 IgG— 2990 Viral Load— 852,612

        AST/ALT 10 February 2014— 86/157 Viral Load—1,350,000 copies

        AST/ALT 14 May 2014— 41/77 IgG—2810 Viral Load —290,316 copies

        AST/ALT 7 July 2014— 39/59 IgG—2540 Viral Load — 0

        AST/ALT 15 July 2014—49/73 IgG—2620 Viral Load— 0

        AST/ALT 19 October 2014—33/53. Viral Load— 0

        Hepatitis C in remission December 7th, 2014. Confirmed December 7th, 2015 December 23rd , 2016 and August 3rd, 2018

        April 23rd, 2016–Congestive heart failure.

        Received VA Accreditation # 39029 Nonattorney Practitioner on August 4th, 2016.

        Defibrillator/ pacemaker installed Feb. 8th, 2017.

        Accepted to practice at the Court of Appeals For Veterans Claims November 22nd, 2017

        real rack

        I have a dream that one day the VA will judge us by the content of our C-files and not the interpretation regurgitated from the M-21-1MR Adjudications Manual. But then, of course, it would still require they read the contents of the c-file visually without .pdf OCR. Many older records are hand-written.Therein lies the path to the VA’s much-touted but rarely-achieved 98% accuracy figure in claims processing.

        (o o)


        Mo Ghandi


        Finally. One man explained it in no uncertain terms. He was an

        American, then a Veteran, and lastly, a President. Nevertheless, he

        condensed the concept of a Veteran down into one concise phrase…


        The man who says it cannot be done should not interrupt the man doing it.

        Chinese Proverb

        And lastly, my favorite. Many ask me why I represent Veterans before the Department of Veterans Appeals and the Federal Court of Appeals for Veterans Claims (CAVC) . Well, boy howdy-it sure ain’t for the bucks. It’s because I might make a difference in the outcome between you and your battle with VA. I’ve been lucky to help over 1,000 of you in your pursuit of claims- in most cases TDIU or 100% schedular. In addition, I’ve also helped some of you attain the highest tiers of Special Monthly Compensation-R 1 and R2. Being almost 68 and a pragmatist, I get that there are millions of you “Veteran Starfish” out there. I wish I could, but I can’t make a difference for all of you. What’s important to Cupcake and me is that we make the effort to make that difference for even one of you.


        It’s conceivable Yoda might have said, “Do. Or do not do. To try is to fail.” had he been real. I choose to do.

        My contact information is here:

        G. Alexander Graham VA # 39029 POA Code E1P

        14910 125th Street NW

        Gig Harbor, WA 98329

        Accepted to practice at the DVA, BVA and CAVC, NOVA member

        (253) 313-5377

      • woodguy11 says:

        (253) 313-5377 Hire this guy Vaughn Camper.

      • asknod says:

        Vaughn, Search this site and you’ll eventually run into a nexus letter in one of my blogs…if you search and read them. Here’s one that has a good nexus letter /IMO example of what is needed to win. Scroll down to Medders BVA intro of new evidence redacted. There’s a lot to be learned here. It represents 11 years of fighting the VA and how to do it. In this day and age, everyone seems to want the quick fix and have it instantly regurgitated onto a copy and paste format. VA law is far more complicated as are each and every Veteran’s claim(s).

        • vaughncamper says:

          Thank You for providing me a view of the document. I see what you mean by having some with a law background to write the nexus letter. I did have a sleep study and got the doctor to sign a nexus letter stating the standard information for someone with a deviated septum. I would like to share that with you and let you see how far off I am. That was a lot of detail.

  5. John Collins says:

    I’m really confused about this hepatitis thing. I’m a Vietnam vet. Retired in 1990. Filed first VA claim in March 2010 (8 items, 3 were service connected). Hepatitis was one item that was denied. I didn’t know which flavor; A, B, or C I had. The symptoms came on me the same time I got back to the US during late Nov/early Dec 1972. Diagnosed as Hep A in early 1973 (January). Based on what I’ve read on your blog, how could it have been Hep A like the VA has stated? Any way you could look at my rating decision and determine if the VA screwed up? I haven’t had any symptoms since but I’d still like to know if I have a possible case. Thanks for any advice/assistance you can render.

    • asknod says:

      contact me at and scan/attach the rating decision. I’m an Officer of the Court now so you do not have to redact the SSN. Relax. I have plenty of condos in Puerto Vallarta and don’t need any more.

  6. woodguy11 says:

    Will do thanks again and I will touch bases with you in Sept.

  7. woodguy11 says:

    I’ll have my gastro doc write it up. He should know also

  8. woodguy11 says:

    Thank you for the feedback. The RO has denied my claim for hep-a because it resolved itself in 20 days in the hospital. I have been vaccinated for Hep-A and B . Will the test still work? It’s on appeal to the BVA. thanx again

  9. woodguy11 says:

    Can you tell me what acute viral hep means. The Doc wrote HAA weakly positive….sorry I know I am a pain but am trying to clear this up before the hearing. Thanx Alex RAY

    • asknod says:

      HAA means Hepatitis Australia Antigens test. If it was weakly positive, you had acute viral hep or HBV. That might indicate you had Hepatitis B. I have also heard doctors state some patients had the same thing (positive HAA) with a HCV diagnosis later on when they could test for it after 1992. If you had Hepatitis A (HAV), the HAA test would never be positive. More importantly, they now have a specific test that can spot the presence of HAV in your blood if you ever had it. Once you get HAV, your body develops a cure for it and leaves the antibodies in your blood forever. You can never get HAV again. Most develop the same antibodies and resistance to HBV as well. The mere presence of a HAA positive test means HBV but not HAV. One of our HCVets, Malcolm Melancon, had a positive HAA test in 1990 and lost his claim. Later, in 2001, he was diagnosed with HCV but the HAA test came back negative. In other words, he never had HBV-ever.

      • woodguy11 says:

        Alex, Help me with this. I had a serology test which showed HB Ag negative and negative antibody to hep A and positive antibody hep C. Can you tell me what this means. This was done 1995 by gastroenterologist. Thanx Ray Can you represent vets for VA claims yet? If so I would like to hire you.

        • asknod says:

          An HB ag test doesn’t exist. Perhaps you mean HBSAg which is the Australian Antigens test. Hep B Surface antigen tells you if you have ever had Hep B. Apparently, you nave not. Similarly, a negative antibody reading for Hep A would indicate you have never had HAV either. As for representing you for claims, yes I can but it will be a short while before I can do so. I’m overbooked now and do not want to turn into one of those VSO pukes who never return their calls or help Vets win. Constact me @ in September and we’ll talk then. Thanks

      • SPrice says:

        Alex, the HAA test is what blood banks use to test blood donations for hep B. Depending what test they used it may be a FALSE POSITIVE.

  10. woodguy11 says:

    Thanks for that. Can I find a link for this for evidence to Janesville? I have researched Hep_ A and found that it was not identified until 12/73. I had it 1/73. The Dr. called it acute viral hepetitis . Discovered by Steven Fienstone 1973

    • asknod says:

      One thing modern science is good for is knowing what you’ve ever had in your life. If you have had HAV, you develop an antibody to it. Same for HBV. A simple blood test will show what you have had in the past. The Australian Antigens test was the defining test in 1970 or so to show the difference. If the test was positive, you had HBV. If it was negative, you had HAV. HCV often traveled with HBV because they are both blood-borne diseases. HAV comes from contaminated food via the oral route (meaning you ate it). Viral hep was HBV. Infectious Hep was HAV.

      • woodguy11 says:

        On my blood test 1995 from Gastro doc he states Hep-A antigen is negative.. The RO denied my claim because They said I recovered from this Hep=A virus. Are they wrong? Thanks again They also said deny because I have tattoo That was put on when I was 15 with a sewing needle. It was a new needle

  11. woodguy11 says:

    Again thanking Alex the nod man. I am playing the waiting game attorney said 2 to 4 years to BVA on vacation to the beach. Oregon beach ….happy trails brother

  12. Pingback: NEXUS BIBLE | Thadine Quick's Writer's Blog

  13. woodguy11 says:

    Thank you again…so now if I get evidence for my hep-c I mail it to janes ville? Or to the lawyers?

    • asknod says:

      Always to the law dogs. They are driving your claim boat.

      • woodguy11 says:

        I got my C-File on disc and made a discovery ….I had hep-A in 1973 and through my research they hadn’t discovered hep-a until Dec. 1973….I got it in Jan 1973…I think this was Hep-C and they just put A .How could they know it was Hep-A if it hadn’t been discovered yet? Ray

        • asknod says:

          Hep A-or infectious Hep. lasted about 5-10 days. Hep B (viral) lasted about 6 weeks and wiped you out. If you were in the boonies, they didn’t have the Australian Antigens test to figure it out. They just kept you hospitalized until your eyes weren’t yellow anymore.

  14. woodguy11 says:

    cool….They (VA) made an appointment for me to see a private shrink here in wenatchee. Will they give me the prognosis on paper …can I get it from them?

    • asknod says:

      Well, not exactly as they say a dollar a day rentacar. VA ordered it so it will be a VA-purchased nexus. It could be done by the QTC outfit VA uses a lot. As such, it’s slightly better than one from the Medical Lake shrinks. If they deny you, it still pays to have a backup plan before you go to the BVA.

  15. woodguy11 says:

    The bent brain nexus can only be done by VA doctors or Private doc.?

  16. Absolutely Brilliant work, Asknod…! God bless you brother for helping so many of us Vets…!

  17. As always brilliant information! Thanks Alex for taking the time. You r an outstanding solider/veteran. Salute! 😎🙏🏾

  18. Keith Daniel says:

    How can I get a copy of this book!

  19. I bought your book. In fact both the Kindle version and the hard copy. I have also had some advice from you about my claim. (I kind of hope you saved some of the letters I sent to you.)I have a doctors appointment this Thursday with a new back specialist and a BVA visiting judge hering on the 14 th of October. I intend to try and get the previous doctors nexus letters substantiated by this new back doctor. I am going to ask him to concur with the other two doctors that wrote letters but again, did not use the correct phraseology.
    I decided to switch doctors because of the comments the Ph assistant made about the professor of spine surgery who did not use the correct phraseology in his nexus letter and was severely talked down on by the comp examiner. In his review. ( Isent you a copy) of the comp exam c file copy and the doctors letter.
    I need a back pertinent nexus letter. I can’t seem to take your hepatitis letter apart to apply to the back. Can you help? Before this Thursday so I can ask and maybe get it signed.
    Also if you still have any of my attachments or need any I can oblige if you do I would like any advice on what to put emphasis on at the hearing which is all about Service connection.

  20. James Perry says:

    Historically everyone should know about the honesty of the Department of Veterans Affairs. As a agency before VRJA of 1979? Back during the 1920s, or so the first VA Administrator Mr. (Col.) Charles R. Forbes was prosecuted and sent to Fort Leavenworth for a little over two years prison time for VA Fraud. Source Wiki. He is also buried at Arlington while not to take away from his WWI military service.This is why some choose to leave via the back door at the end of the day to their private parking spot under armed guard and insulate themselves from email, letters and telephone calls.

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