Training Letter 10-04.pdf NOTE: DEPARTMENT OF VETERANS AFFAIRS Veterans Benefits Administration Washington, DC 20420 June 14, 2010 Director (00/21) In Reply Refer To: 211A All VA Regional Offices Training Letter 10-04 SUBJ: Training Guide for the readjudication of Claims for IschemicHeart Disease (IHD), Parkinson‟sDisease (PD), Hairy Cell Leukemia (HCL) and other Chronic B-cell Leukemias, andother Diseases Under Nehmer BACKGROU