After initially being denied right knee degenerative arthritis secondary to my service connected left knee through the C&P exam process, I reached out to Dr Brennes to see if he thought there was a medical connection between the two. After reviewing my documentation, he wrote a thorough nexus letter detailing how they were related, and, upon a supplemental appeal, my right knee was approved and found to be service connected. The reason it was approved was specifically because of the nexus letter. I could not have done this without Dr Brennes, who was patient, professional, and very communicative throughout the process. If you’re in need of a nexus letter to get your claim to approved status, Dr Brennes is your best shot.
