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What to Expect in a Chronic Fatigue Syndrome C&P Exam

va chronic fatigue syndrome rating

Chronic Fatigue Syndrome (CFS) is a medical condition that affects many veterans, and understanding the process of a Compensation and Pension (C&P) exam can be insightful for those seeking disability benefits. Leah explores what happens during a Chronic Fatigue Syndrome C&P exam, including the key components and considerations. While experiences may vary, there are common elements in these exams, often guided by the Disability Benefits Questionnaire (DBQ).

Understanding Chronic Fatigue Syndrome

Before delving into the C&P exam specifics, let’s briefly revisit what Chronic Fatigue Syndrome is and how it can be connected to military service. CFS is a diagnosis of exclusion, meaning it is identified when other potential causes of chronic fatigue have been ruled out. Veterans may develop CFS during or after active duty, and it can be service-connected if diagnosed during military service or linked secondarily to another service-connected disability.

Service Connection and Gulf War Exposures

CFS can be service-connected in various ways, including a direct diagnosis during active duty, as a secondary condition to another service-connected disability, or in relation to Gulf War exposures. Veterans who served in specific areas, such as Iraq, Kuwait, Saudi Arabia, and others, may be eligible for service connection based on Gulf War-related functional disorders or unexplained illnesses.

The C&P Exam Process

1. Disability Benefits Questionnaire (DBQ)

The Chronic Fatigue Syndrome C&P exam often follows the completion of a Disability Benefits Questionnaire (DBQ). Veterans receive a packet detailing their appointment time, location, and the examiner’s information. The DBQ, available on va.gov, serves as a guideline for the examination. It covers crucial aspects of the veteran’s medical history, symptoms, and their impact on daily life.

2. DBQ Components

  • Current Diagnosis: The examiner notes whether the veteran has been diagnosed with Chronic Fatigue Syndrome and provides the date of diagnosis.
  • Exclusion of Other Conditions: The DBQ emphasizes the importance of excluding other clinical conditions that could produce similar symptoms, reinforcing the diagnosis of exclusion.
  • Acute Onset and Symptoms: Veterans are asked about the acute onset of debilitating fatigue and whether they experience specific symptoms such as low-grade fever, pharyngitis, lymph node tenderness, muscle aches, and more.
  • Cognitive Impairments: The DBQ explores cognitive impairments related to Chronic Fatigue Syndrome, including difficulty concentrating, forgetfulness, confusion, and other cognitive issues.
  • Impact on Daily Activities: The impact on daily activities is assessed, considering the veteran’s ability to concentrate, engage in routine activities, and any restrictions compared to pre-illness levels.
  • Periods of Incapacitation: The examiner determines if the veteran experiences periods of incapacitation and, if so, for how long.
  • Workability: The impact of Chronic Fatigue Syndrome on the veteran’s ability to work is evaluated, providing a narrative response.
  • Additional Findings and Remarks: The DBQ includes sections for any pertinent physical findings, complications, diagnostic test results, and overall remarks from the examiner.

3. VA Ratings

The VA provides disability ratings for Chronic Fatigue Syndrome, ranging from 10 to 100 percent. The percentages reflect the severity of symptoms, restrictions on daily activities, and the duration of incapacitation. For example, a 10 percent rating may apply if symptoms come and go for at least one but less than two weeks a year, while a 100 percent rating is assigned for near-constant and severe restrictions on routine activities.

Conclusion

Navigating the C&P exam process for Chronic Fatigue Syndrome involves understanding the DBQ components and being prepared for questions about symptoms, history, and their impact on daily life. Veterans seeking disability benefits should work closely with their healthcare providers and consider obtaining a DBQ to streamline the evaluation process. While Chronic Fatigue Syndrome claims may present challenges, a thorough understanding of the criteria and documentation can strengthen a veteran’s case for service connection and disability compensation.

Also read: What to Expect in a Knee Pain C&P Exam

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.