Does Gulf War Illness have to be specifically stated by the Dr as the cause of illness/condition?
I just sent his NOD for all the denials, but wanted to make sure I was right in what I sent.
I thought that GWI is presumed as the cause if there is no underlying cause? & service in GW is documented. Am I wrong?
My husband just got denied for conditions that are all listed under US 11/38 & has been trying to get treatment at VA since 2000. I do not believe any Dr actually said it was GWI, (waiting on rec's) they just ran lots of test (upper GI, colost,etc)never gave him a diagnosis of any of these problems. Decision Letter denied them all as non S/C , but they didn't list them in his claim for GWI - although his claim for GWI was also denied - said don't cause significant disabilities & again saying non S/C (how is GWI not S/C?)
chronic stomach pains, bloating (stuck in @ 10 in colon operation claim- only thing he got approved s/c) they didn't put this in his GWI claim at all.
Repritory problems - no sc
high blood pressure (very young started @ 30 years old) (GWI cardiovascular) - no sc
depression no sc (definaly diagnosised, but said it was from hand surgery, no mention of GWI) I disagreed in NOD , stated GWI caused depression & many factors have aggrevated his depression.
Memory lapses - said C&P said memory fine, answered ? fine. (She told him she couldn't address mental issues/ had to go to psyc - can they even use her statement?) denied in GWI section
mood swings, anxiety, worry, anger control - all conf diag. - but denied for no s/c
(he has many other conditions too - but I know this is getting long)
All of these are listed as presumed conditions of GWI & I wrote in the NOD they should have been put in that group instead of individual.
Am I missing something? Does a Dr have to actually diagnosis GWI as the cause? I already sent the letter, but just 2nd guessing myself & wanted opinions.
Question
dtclou
Does Gulf War Illness have to be specifically stated by the Dr as the cause of illness/condition?
I just sent his NOD for all the denials, but wanted to make sure I was right in what I sent.
I thought that GWI is presumed as the cause if there is no underlying cause? & service in GW is documented. Am I wrong?
My husband just got denied for conditions that are all listed under US 11/38 & has been trying to get treatment at VA since 2000. I do not believe any Dr actually said it was GWI, (waiting on rec's) they just ran lots of test (upper GI, colost,etc)never gave him a diagnosis of any of these problems. Decision Letter denied them all as non S/C , but they didn't list them in his claim for GWI - although his claim for GWI was also denied - said don't cause significant disabilities & again saying non S/C (how is GWI not S/C?)
chronic stomach pains, bloating (stuck in @ 10 in colon operation claim- only thing he got approved s/c) they didn't put this in his GWI claim at all.
Repritory problems - no sc
high blood pressure (very young started @ 30 years old) (GWI cardiovascular) - no sc
depression no sc (definaly diagnosised, but said it was from hand surgery, no mention of GWI) I disagreed in NOD , stated GWI caused depression & many factors have aggrevated his depression.
Memory lapses - said C&P said memory fine, answered ? fine. (She told him she couldn't address mental issues/ had to go to psyc - can they even use her statement?) denied in GWI section
mood swings, anxiety, worry, anger control - all conf diag. - but denied for no s/c
(he has many other conditions too - but I know this is getting long)
All of these are listed as presumed conditions of GWI & I wrote in the NOD they should have been put in that group instead of individual.
Am I missing something? Does a Dr have to actually diagnosis GWI as the cause? I already sent the letter, but just 2nd guessing myself & wanted opinions.
Thanks
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