This is my statement in support of claim that I am sending to the VA along with the letter from my Dr. stating that "After careful review of Mr. XXXXXX service treatment records, it appears that Mr. XXXXX has long standing Meniere's disease that in all likelihood began while he was in the military in the early 1990's."
What does everyone think? Do I have most of my bases covered? Remember from my previous posts, the VA denied me on the grounds of no current medical diagnosis.
Thanks for your time!!!!
This statement, in support of claim is made as a follow up to my Notice of Disagreement that was received by VARO Roanoke on November 8th 2010.
On April 13, 2010 I received a decision letter denying my claim for Meniere's Disease. The VA is in custody of my service medical records which show repeated instances of care for my right ear hearing loss while in the military. During my military service in the early 1990's, I had periodic episodes of vertigo along with the hearing loss and tinnitus. On August 3, 1995 an attending physician noted symptoms consistent with right ear eustachian tube dysfunction and it was likewise noted during my separation exam on July 31, 1995. It is imperative to note, however, that these were brief exams with only hearing tests and a brief look inside the ear canal. These test were not thorough enough to detect Meniere's disease.
In 1997, after the vertigo episodes had gotten so frequent and severe, I underwent exploratory right ear surgery. Initially, the attending doctor made a pre-surgical diagnosis of perilymph fistula. The pre-surgical diagnosis of perilymph fistula which upon further research was negative. Following the surgery I was diagnosed with Meniere's disease by the Otolaryngology surgeon. The attending Doctor explained to me that there was no cure for this disease and it was something I would have to live with for the rest of my life.
In a VA decision letter received on July 28, 2009 for right ear hearing loss, it was noted by the VA examiner that "It is at least likely as not that the veteran's hearing loss and tinnitus are related to noise exposure as a Rifleman and Infantry Unit Leader and Meniere's Disease during his military service." In the decision process, this may have been overlooked.
At the present time my vertigo has become serious enough that it is causing me to miss a substantial amount of work. Because of this, I started seeing a new Otolaryngologist who has also diagnosed me with Meniere's disease. He performed an MRI to check for any acoustical tumors, which was negative. Please see attached doctor notes.
I have requested a De Novo review, a review by a Decision Review Officer at the Regional Office level.