What to Expect in an Irritable Bowel Syndrome C&P Exam | VA Disability
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- čas přidán 24. 04. 2022
- In this video, Leah explains what to expect during a C&P exam for IBS. She notes that these exams, conducted by nurse practitioners, physician assistants, or physicians, are essential for veterans seeking VA disability benefits, especially those with Gulf War service. The examination process includes reviewing medical records and filling out the Disability Benefits Questionnaire (DBQ), which covers various aspects such as diagnosis, treatment history, symptoms like diarrhea, constipation, abdominal distension, and any related complications like malnutrition or weight loss. Leah emphasizes the importance of veterans having their symptoms and treatments well-documented, including any weight changes or impact on work.
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At Prestige Veteran Medical Consulting, a veteran-owned company, we specialize in Independent Medical Opinions (IMOs) known as Nexus letters.
The purpose of this channel is to empower YOU, the veteran, to take charge of your medical evidence and provide you with valuable educational tools and research to guide you on your journey.
Understanding the unique challenges veterans face our commitment lies in delivering exceptional service and support.
Leveraging an extensive network of licensed independent medical professionals, all well-versed in the medical professional aspects of the VA claims process, we review the necessary medical evidence to incorporate in our reports related to your VA Disability Claim.
Prestige Veteran Medical Consulting is not a law firm, accredited claims agent, or affiliated with the Veterans Administration or Veterans Services Organizations. However, we are happy to discuss your case with your accredited VA legal professional.
⚠️ DISCLAIMER
This video is not medical or legal advice and should not be substituted for advisement from your VSO, accredited agent, or Attorney.
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Thanks for the video!!
You bet! Thank you for watching!!
Thanks for sharing
Thanks for watching!
Thanks very much for your information.
Glad it was helpful! Thanks for watching!
Thanks for sharing! Good info
Glad it was helpful!
Hi Ms Leah, even though am not filing, you are helping me understand my symptoms so well..I have all to these and 100% T&P but have struggle to get a proper diagnosis on what’s going on with my GI bleeds and IBS..ended up in a hospital once with a haemoglobin of 3.0..Thank you’🙏
I am so happy you have found this to be helpful! Thank you for watching!!
Very good information.
Glad you think so! Thanks for your support as always!
I just did a c&p exam on IBS last week, wow you are spot on and the examiner diagnosed me .
Best of luck on that keep us posted!
@@prestigeveteranmedical Will do !
@@tonybarnes4096hey Tony how’d you make out after the exam and what not? Have you received your rating?
@@300ss5 I only got 10% for IBS but that wasn’t the only thing I was doing claims on . I was over 70% service connected now I’m 90 percent . I submitted some more claims to the packed act hopefully that gets me to 100 .
@@tonybarnes4096Results yet?
Hi and thanks for another great video. Can you tell me if IBS is presumptive for Gulf War vets?
Many people are service connected for this in relation to GW exposures. The category the VA considers is actually functional gastrointestinal disorders.
Thank you for this. Another c&p scheduled for Crohn’s( service connected ) coming up.
Best of luck to you with this!
Thank you so much ☺️
Thank you so much ☺️
@@jamiegould689 You are very welcome and thank you for watching!
@@jamiegould689 Thank you for watching!
But I did break my toe....!
Lol. Great video thank you.
Thank you for watching!!
IBS with diverticulitis. Diagnostic Code 7327 (diverticulitis) provides that the disability should be rated as for irritable colon syndrome. I wonder if VA may consider PACT Act as a form of gastro cancer?
That is a great question. Hard to say because this one is a more structural disorder then functional and I am not sure if it meets PACT act criteria based upon that alone.
I commented on your last video on ibs please get back with me im diagnosed with this already on top 80 percent ptsd but its cronic diarrhea its presumptive to my gulf war service im an oif veteran and im currently disgnosed with the diarrhea do i need a nexus to tie it with my PTSD
Functional gastrointestinal disorders to include chronic diarrhea are often related to gulf war exposure. It really just depends on the specifics. Nexus letters are never required but can be helpful at times. If you would like more infomation on our services please reach out to us at info@prestigeveteranmctx.com
I had emergency appendectomy (ruptured) 1986. Many instances, of vomiting, diarrhea , nausea, dehydration, abdominal pain. I've had emergency room visits in 1998, 2003, 2005, 2009 ( twice), 2012 (multiple organ failure and abdominal pain), 2015, 2019 blocked colon, and 2023 blocked colon. Those visits were very severe, the incidents when I could bear the pain I didn't seek medical help and so no documentation. QUESTION: Could the multiple organ failure (liver and kidney) be caused by the abdominal condition via dehydration or other means and can I claim it separate from my claim for DC 7301 Peritoneal Adhesions? The doctors did not know what caused my multiple organ failure and after 3 weeks of dialysis,two of those weeks in the hospital I was able to get off dialysis.
Possibly adhesions but it really just depends on the specifics. Have you discussed this with your treating provider?
What is the difference between an episode, an attack and an exacerbation of IBS? I am 0% S/C for IBS and on the DBQ, section 4, it is not checked off on the occasional, frequent or constant part but under the episodes of exacerbations with 7 or more checked. How is a rater to interpret this since the diagnostic codes only have the occasional, frequent and constant ratings? Love the content! Keep up the great work you do for all of us Veterans!
That is interesting. If you look at the DBQ you will notice that those lower portions are only to be completed if the answer to question 4 is yes. I wonder if the person made a mistake. Hard to say best to talk to a legal professional about that
@@prestigeveteranmedical Check this out. I was called back in for a medical opinion DBQ with the SAME C&P examiner. I brought copies of the dbq's and kinda pointed out that I thought that section 4 needed to be checked off on the episodes. She thought that since she checked off the last part of that section 4 that it meant it was the more severe of the episodes. Meaning it should have been a 30% rating for IBS. Do you think it is a misunderstanding between the examiner and the VA? Just thought I would let you know and see if you had any input. Thanks again!
@@uppercumberlanddrone4164 sounds like it. Did she say she was going to fix it?
@@prestigeveteranmedical She said she was going to fix it. But I just wonder how many other claims were handled in the same manner. There just needs to be some clarification on the form for the examiners.
@@uppercumberlanddrone4164 💯
I am in the process of having a second C&P exam for IBS/PACT ACT "presumptive condition" mid October. OPTUM Serve told me there was a "conflict of interest" regarding the NP (she recently provided C&P exams for radiculopathy and Degenerative Disc Disease (I'm not sure their rationale)....anyway I've had four gastro MDs with three diagnosing IBS and the most recent (two years ago) diagnosing as Chronic Constipation. So I'm not sure what I have. I recently got this ailment looked at in VA medicine (previously medical documentation were civilians). Stool samples for VA show no IBS issues; just had blood work early Oct awaiting results. Welcome comments.
I am sorry to hear that. I am sure you asked them to specify what the conflict of interest was specifically? As far as the IBS is concerned, it sounds like you may not have a formal diagnosis for that condition based upon what you mentioned. The C&P examiner is capable of diagnosing you but that does not mean the necessarily will unfortunately. Best of luck to you and keep us posted!
What happened with your claim for DDD and radiculophy??
Recently diagnosed with Ulcerative Colitis and still learning about my body triggers and approaching a lifestyle change.
As I do more research, I’m not sure where I may potentially fall on the VA scale of 10, 30, 60 or 100%.
You, as a provider, does my medical record need to show all the signs of 100%? Malnutrition, Anemia, general debility and liver issues?
I am sorry to hear this. Medical professionals do not determine the level of severity. That is generally what the raters and other adjudicators evaluate after reviewing the totality of evidence.
@@prestigeveteranmedical thank you
@@Timehealsall_wounds You bet! Thank you for watching
Pretty good ❤yes 🙏
Will they backdate the pay for IBS from the time you file your claim or from the time you were diagnosed with IBS?
You will want to ask this question to a legal professional sir. Thank you for watching
@@prestigeveteranmedicaldon’t misgender her. 😡
Hi Leah, I’ve recently been in contact with your company for possible future services needed. I am currently awaiting a C&P exam for left shoulder that was injured during boot camp and had to have surgery to repair it. Long story short I was prescribed NSAIDs (prior to surgery as they kept telling me the shoulder was fine even though it kept dislocating) and ended up with IBS. I’m sure the shoulder will be service connected and we filed a secondary for the IBS. What’s the likelihood that the VA fights against the IBS claim and deny me? Enlisted in 2006, Injured in 2007, surgery in 2008, prevalent stomach issues by 2009’( weight loss, vomiting, blood, etc.) and separated 2010. Filed this past May with the help of a VSO since I never stopped seeing specialists for the stomach and shoulder. Have an intent to file for anxiety (with panic attacks) due to the IBS but VSO recommends waiting for the other 2 claims to be adjudicated first. These issues have been going on since before I was discharged and/or not long after. Mind you I was in the National Guard but the initial injury happened during training doing unarmed combative
Hi sir thank you for watching. That sounds complicated. We are happy to take a look at this with you if/when you are ready. Best of luck to you and thank you for watching.
@@prestigeveteranmedical thanks again! I wasn’t expecting such a prompt response, I appreciate it! I’ll be sure to respond again to the email once everything is in play. Out of curiosity, for the intent to file, should I file for the anxiety first and then wait for all 3 conditions to be rated (or decided upon) and then reach back out to you guys or should I work with you guys after these 2 are adjudicated but before filing the 3rd claim for mental health? I’m naive (hence why I’m just now getting around to all of this 🤦🏽♂️) so I’m still learning how this process works and the DBQs and Nexus Letters etc.
@@prestigeveteranmedical basically what I’m asking is do I attend an exam for mental health and then contact you guys for assistance or do I get the Nexus Letter and DBQ before even filing for the claim?
That is a tough question. Every case is different I would really ask your VSO what they think as they have the best strategy in mind for your case. We are happy to assist whenever you are ready @@300ss5
Is Inactive Gastritis and Hemorrhoids related to IBS?
Hemorrhoids are often related to IBS depending on the type and other risk factors
is ibs/gerd presumptive under gulf war or pact act
IBS and GERD are different conditions of course I am sure you are aware. GERD is a structural Gastrointestinal disorder and IBS is a functional disorder. Most of the conditions considered presumptive are functional disorders and are otherwise unexplainable illnesses. GERD has a known etiology and is structural in nature. I hope this somewhat answers your question and you may want to follow up with a legal professional
How often does your IBS need to be to be considered very frequent ?
That is a subjective complaint so it just depends on the examiners interpretation of what you report
What if you had to quit your job because of the issues IBS was causing? I have it documented but not sure if anything else was needed. Getting a note from my former employer is out. As they were ready to terminate me although I had a doctors note stating I had IBS.
You keep me tioning DBQ's but the VA's website since 2020 has said that DBQ's are no longer used.
Explain this inconsistancy.
I am not sure where you are seeing that but they are absolutely still used and are available on the VA's website