From member Berta Simmons
The VARO likes to say (if they in fact acknowledge any ineternet abstracts or treatises you have sent in support of claim) that the information, while factual, is general in nature and not specific to the claimed disability of the veteran. (or some BS like that)
Often this can be overcome- say the vet has diabetes which VA rates but fails to sc and rate his secondary cataracts.
I would use the phrase that -The enclosed medical information from the internet proves that the standard medical community is fully aware of the association of diabetes to cataracts. While this information is not specific to this veteran’s claim, it fully supports that her service connected diabetes caused her secondary cataracts and she requests proper service connection award to reflect that additional documented disability.or example: in order to support Sec 1151 claim for misdiagnosed diabetes, the veteran’s medical records reveal ,within 3 VAMC ER trips,and within annual VA physicals, documentation of the following symptoms: dizziness, nausea,confusion, blurred vision, hot pepper taste in mouth, 5 abnormal high glucose readings, high creatinine, high Bun.
The veteran had a heart attack recently which he also claims is due to the undiagnosed diabetes.
The enclosed VA medical records have been supported with internet printouts showing the symptoms this veteran exhibited are highly likely due to undiagnosed diabetes, symptoms that are well known in the standard medical community as well as within VA training letter itself for diabetes. Also the enclosed print out from the American Diabetes Assoc clearly shows that diabetes as a cause of CAD must be medically considered, as it is consistent with normal well known medical knowledge than untreated diabetes can cause heart disease and stroke.
OK- 2 examples- my point is to get the printouts of medical abstracts as close to association with the claim as possible. Also- Use statements that are decisive. I recently prepared a Response to a denial for a veteran. I stated just like this- FACT: the veteran’s SMRs reveal ________conditions.
FACT: the veteran is diagnosed with a disability that these are highly prevalent symptoms of. Fact:The VA’s own training letter on this disability clearly states that the inservice documentation is consistent with not only the time span of full blown ramifications of this disorder but also it specifically mentions these inservice symptoms. Fact: the veteran had provided an IMO from an Expert in this field. Fact: The VARO in recent SOC failed to address not only a specific part of the IMO, highly probative to this claim and the inservice nexus, but also failed to list and address much of the veteran’s evidence. (sometimes you have to be tough in wording this stuff so it gets their full attention.)