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Chronic Fatigue Syndrome and VA Disability

chronic fatigue syndrome va rating

Chronic Fatigue Syndrome (CFS) is a condition that has garnered increased attention, especially among veterans who have deployed in support of operations in the Middle East. Leah Bucholz analyzes Chronic Fatigue Syndrome and VA Disability and sheds light on the relevance of CFS related to Gulf War exposures, focusing on those serving in areas that may be presumptively related to this condition.

Defining Chronic Fatigue Syndrome

The Center for Disease Control defines Chronic Fatigue Syndrome as a syndrome characterized by severe fatigue lasting longer than six months. Diagnosis involves the presence of at least four of the following physical symptoms:

  1. Post-exertional malaise
  2. Unrefreshing sleep
  3. Impaired memory or concentration
  4. Muscle pain
  5. Polyarthralgia
  6. Sore throat
  7. Tender lymph nodes or new headaches

It is crucial to note that CFS is a clinical diagnosis, meaning there is no specific test or imaging study for confirmation. Diagnosis relies on a constellation of symptoms, and it must be made after excluding other disease processes.

Excluding Other Conditions

It is important to exclude other conditions before diagnosing CFS. Common conditions like sleep apnea, thyroid disorders, or cancer can cause fatigue. If fatigue is a symptom of another condition, it may not meet the criteria for chronic fatigue syndrome. Veterans are encouraged to follow up with their private treating doctors for comprehensive evaluations.

Gulf War Illness and Presumptive Conditions

Moving on to Gulf War exposures, veterans can explore va.gov for eligibility requirements. To be eligible, the illness must have persisted for at least six months, resulting in a disability rating of 10 or more. Presumptive conditions include functional gastrointestinal disorders, chronic fatigue syndrome, fibromyalgia, and other undiagnosed illnesses.

Geographical Areas Included

Gulf War presumptive conditions are linked to service in specific geographical areas. These areas include Iraq, Kuwait, Saudi Arabia, the neutral zone between Iraq and Saudi Arabia, Bahrain, the UAE, Oman, and the waters and air above the Gulf of Aiden and the Gulf of Oman. The timeline for eligibility spans from 1991 to the present day.

VA Disability Benefits and CFS

Veterans who meet the criteria for Gulf War Illness, including chronic fatigue syndrome, may be eligible for service-connected disability benefits. It’s essential to establish a connection between the diagnosed condition and military service, meeting the necessary criteria.

Navigating the VA Disability Claim Process

The process involves submitting evidence demonstrating aggravation or a relationship to military service. Veterans should consider seeking professional advice from accredited legal professionals to ensure a thorough and accurate claim submission. The VA provides a Disability Benefits Questionnaire (DBQ) for chronic fatigue syndrome, which can be found on va.gov. Understanding the DBQ can prepare veterans for the Compensation and Pension (C&P) examination.

What to Expect: C&P Examination for CFS

Leah Bucholz suggests checking the DBQ on va.gov to understand what to expect during a C&P examination for chronic fatigue syndrome. Veterans can proactively review the document for situational awareness.

Closing Thoughts

Navigating the complexities of chronic fatigue syndrome and its connection to Gulf War exposures requires a thorough understanding of the diagnostic criteria and VA disability claims process. Veterans are encouraged to stay informed, seek professional guidance, and be proactive in their pursuit of service-connected disability benefits. The key lies in excluding other conditions and establishing a clear link between chronic fatigue syndrome and military service to ensure a successful VA disability claim.

Also read: Can VA Doctors Write a Nexus Letter?

At Prestige Veteran Medical Consulting, a veteran-owned company, we specialize in Independent Medical Opinions (IMOs) known as Nexus letters.

Our purpose 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.

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Danielle McClaskey

Client Relations Specialist U.S. Navy Veteran

In her active-duty service in the United States Navy, Danielle undertook a variety of responsibilities, ranging from essential administrative duties to providing crucial medical care. Her multifaceted contributions played a pivotal role in enhancing her fellow service members’ operational effectiveness and well-being.

As a disabled veteran, she developed a profound understanding of the unique challenges faced by her fellow service members. Now, in her civilian role, Danielle is a valued member of the Prestige Veteran Medical Consulting team, where she continues to leverage her extensive background and educational achievements to provide exceptional support to veterans.

Leticia

LETICIA

ADMINISTRATIVE ASSISTANT

Leticia has been in the medical field for nearly 14 years. She has always had a passion for medicine and caring for her community. Leticia has spent the last 4 years caring for veterans and first responders with alcohol and substance abuse in a medical rehabilitation setting whilst continuing her education working towards a degree in software development.

Someday she hopes to develop medical software that further enhances the patient’s experience in medical care. Leticia has a deep respect and love for those who have served as she comes from a family of law enforcement and military veterans.

Alan Bucholz

ALAN BUCHOLZ, PA-C:

U.S ARMY VETERAN, CHIEF FINANCIAL OFFICER

Alan enlisted in the US Army as a combat medic, where he deployed in support of Operation Iraqi Freedom.
Influenced by his time as a combat medic, he attended the Interservice Physician Assistant program while on
active duty, was commissioned as an officer, and subsequently deployed to Afghanistan.  

Alan’s military and medical background inspired him to form Prestige Veteran Medical Consulting with his
wife, Leah Bucholz, a Physician Assistant and Army Combat Veteran.  He has devoted himself to using his
knowledge gained in the military as a medical professional to serve the Veteran community.

Alan Bucholz

ALAN BUCHOLZ, PA-C:

U.S ARMY VETERAN, CHIEF FINANCIAL OFFICER

Alan enlisted in the US Army as a combat medic, where he deployed in support of Operation Iraqi Freedom.
Influenced by his time as a combat medic, he attended the Interservice Physician Assistant program while on
active duty, was commissioned as an officer, and subsequently deployed to Afghanistan.  

Alan’s military and medical background inspired him to form Prestige Veteran Medical Consulting with his
wife, Leah Bucholz, a Physician Assistant and Army Combat Veteran.  He has devoted himself to using his
knowledge gained in the military as a medical professional to serve the Veteran community.

Julie Pereira

JULIE PEREIRA:

ADMINISTRATIVE ASSISTANT

During her Active-Duty time in the US Navy as a Hospital Corpsman, Julie provided medical administration
and patient care services in the field, the hospital, and base medical office settings.  This military medical and
administrative background has given Julie the hands-on experience and extensive knowledge necessary to
provide unparalleled service to her fellow Veterans through the Prestige Veteran Medical Consulting team.

Julie’s educational achievements include a Bachelor of Arts with a minor in Human Services and a pre-nursing associate in arts and science.

Julie has been inspired by her firsthand knowledge of navigating the VA Benefits process. She has dedicated
most of her adult life to serving Veterans through her knowledge derived from her military and civilian medical
education and training.

Jennifer Januta

JENNIFER JANUTA

U.S ARMY VETERAN, CHIEF OPERATIONS OFFICER

During her Active-Duty service in the Army, Jennifer supported various research efforts centered on combat casualty care and Soldier performance. Her military background gave her unique insights into veterans’ distinct challenges, ultimately inspiring her to join the Prestige Veteran Medical Consulting team.

Jennifer’s educational achievements include a master’s in molecular biology from George Washington University and a master’s in data science from Texas Tech University. Jennifer wholeheartedly dedicates herself to utilizing her knowledge and expertise gained from 15 years of healthcare experience to impact the well-being of those who have served positively.

Alan Bucholz

ALAN BUCHOLZ, PA-C:

U.S ARMY VETERAN, CHIEF FINANCIAL OFFICER

Alan enlisted in the US Army as a combat medic, where he deployed in support of Operation Iraqi Freedom.
Influenced by his time as a combat medic, he attended the Interservice Physician Assistant program while on
active duty, was commissioned as an officer, and subsequently deployed to Afghanistan.  

Alan’s military and medical background inspired him to form Prestige Veteran Medical Consulting with his
wife, Leah Bucholz, a Physician Assistant and Army Combat Veteran.  He has devoted himself to using his
knowledge gained in the military as a medical professional to serve the Veteran community.

Leah - Meet the Team

LEAH BUCHOLZ, PA-C

U.S ARMY VETERAN, MEDICAL EXPERT & FORMER C & P EXAMINER

Meet Leah, the founder, and leader of our organization. ​​A combat veteran herself, she understands the unique challenges veterans face, making her mission about much more than running a successful business. It’s about the opportunity to provide a legacy of exceptional service for our heroes.​

​“It is essential to remember that there is no greater honor than caring for service members on the battlefield. Continuing to care for Veterans after separation is an opportunity that I have been afforded to extend that care in this new battlefield related to service-incurred disabilities.”

Her inspiration comes from years of military experience working alongside her fellow servicemembers, particularly key leaders who have influenced her journey, applying their wisdom to her path. She values her team deeply, most of whom are also disabled combat veterans, each member a trusted individual sharing her vision.

 “Driven by passion and purpose, I aim to create a sustainable change that empowers veterans and future generations.”

Leah’s journey hasn’t been without challenges. From overcoming and living with her service-related disabilities to navigating work-life balance, she’s learned to face each hurdle head-on with resilience.  Like many of her veteran brothers and sisters, her early background consisted of limited resources and opportunities. Her military service has helped shape her into a steadfast leader, offering relatable inspiration to others.

Join us in celebrating Leah, a compassionate leader, and resilient veteran, driving our mission to serve those who served our nation.