Denied Shoulder impingement syndrome with nexus letter.
Denied IBS that was diagnosed by va and preferred choice gastro doctor
Denied Psorisis that C&P doctor admitted is Psorisis.
Maybe I don't understand the rules of the presumptives? How should I proceed? Here is the actual denials.
DIAGNOSIS:
1. Left shoulder impingement [Icd10 code: m75.40]. Veteran has claimed a
disability pattern related to (left shoulder pain) that meets TL10-01 criteria
for a disease with a clear and specific etiology and diagnosis. Not caused by or
related to GW environmental exposure. Not caused by rotator cuff weakness
documented in 1991 and that pre-existed to deployment and active service at the
time, as per medical records documentation. Veteran denied any shoulder
condition
on physical examination dated 1993. No functional limitations. Normal x rays.
Condition is due to re
petitive activity at or above the shoulder during work or
sports as per medical literature. Dr. Herzog assessment/note, although full of
advocacy, is inconsistent with objective documented data in medical records
(STR's), and hence delegated to a personal speculation.
2. Claimed condition: "Irritable Bowel Syndrome". There is insufficient
evidence
to warrant or confirm a diagnosis of an acute or chronic Irritable Bowel
Syndrome
condition or its residuals. No medical opinion can be rendered as no condition
is
diagnosed. Veteran does not meet Roma III criteria for diagnosis. Veteran denied
any gastrointestinal condition on physical examination dated 1993. Veteran
reported symptomatology as likely as not 2ry to dietary variations, although the
possibility of functional diarrhea, celiac or other malabsorption condition has
not being entirely ruled out.
3. Psoriasis [Icd10 code: L40.0]. Veteran has claimed a disability pattern
related to (skin condition) that meets TL10-01 criteria for a disease with a
clear and specific etiology and diagnosis. Not caused by or related to GW
environmental exposure. Not caused by or related to nickel allergy, nor by rash
documented on 1991 that resolved after Lidex treatment. Veteran denied any skin
condition on physical examination dated 1993. Condition as per medical
literature, is genetically determined by the psoriasis-susceptibility (PSORS1)
locus within the major histocompatibility complex (MHC) on chromosome 6p21
(location of the HLA genes)
I admit I may have said I had no issues out processing in 1993 but I was wanting to leave the airforce at the time and didn't want anything to stop that and did not know anything about compensation. I was told to go the the va and get treated for rashes from the gulf war and the va did treat until I stopped going.