How to Prepare Vietnam Claims for Veterans: Service Connection and Secondary Conditions
Learn valuable insights on preparing Vietnam claims for veterans, including tips on service connection, common secondary conditions to claim, and guidance for veterans to maximize their chances during examinations.
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Presentation Transcript
Preparing for Vietnam Claims What to claim and how to coach the veteran
Abigail Degner, MPAS, PA-C General medicine examiner
Objectives Discuss direct/TERA service connections for Vietnam veterans Discuss common secondary conditions to claim Discuss what to tell veterans to prep for their exam to give them the best chance at service connection
Example 1 John Smith served in Vietnam for 1 year. This is his medical problem list: Sleep apnea Hypertension Cirrhosis of liver Osteoporosis Basal cell carcinoma COPD Diabetes Hyperlipidemia What would you add to claim?
Example 1 Sam Smith served in Vietnam for 1 year. This is his medical problem list: Sleep apnea Hypertension Cirrhosis of liver Osteoporosis Basal cell carcinoma COPD Diabetes Hyperlipidemia What would you add to claim?
Direct/TERA SC considerations Burning trash and particulates -Gulf war presumptives Cancers Injuries
Example 2 James Johnson served in Vietnam for 3 years. This is his problem list: Obesity GERD Chronic kidney disease Diabetes Peripheral Arterial disease Multiple sclerosis Shingles Neuropathy What would you claim?
Example 2 James Johnson served in Vietnam for 3 years. This is his problem list: Obesity GERD Chronic kidney disease Diabetes Peripheral Arterial disease Multiple sclerosis Shingles Neuropathy What would you claim?
Conditions secondary to diabetes arteries -peripheral arterial/vascular disease kidney neuropathy erectile dysfunction heart disease stroke vision impairment/retinopathy skin ulcers/infections dental infections/problems dementia
Example 3 Paul Peterson served in Vietnam for 18 months. This is his problem list: Hypertension Chronic kidney disease Recurrent UTI Aortic aneurysm Cholecystectomy Heart failure Stroke Arthritis What would you claim?
Example 3 Paul Peterson served in Vietnam for 18 months. This is his problem list: Hypertension Chronic kidney disease Recurrent UTI Aortic aneurysm Cholecystectomy Heart failure Stroke Arthritis What would you claim?
Conditions secondary to hypertension heart -coronary artery disease, arrhythmias, heart failure arteries -peripheral arterial/vascular disease, aneurysm bleeding (brain hemorrhage) stroke dementia vision impairment/retinopathy Erectile dysfunction kidneys
Mnemonic -SHAKED Complications of BOTH diabetes and hypertension S -stroke H -heart A -arteries K -kidney E -erectile dysfunction/eyes D -dementia I SHAKED hands with a Vietnam Veteran today!
Prep for C&P exam Questionnaire Proof of diagnosis Medication list Statement in support of claim/letters Musculoskeletal claims: imaging studies Cancer claims: list of new symptoms/side effects Recent lab work (6 months) Pertinent records submitted after claim
Your experience: Vietnam Claims What would you claim as a direct or secondary SC? Have certain claims surprised you? Is there a condition you frequently claim that is not presumptive?
