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Gulf War Syndrome Nexus Letter
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usmc0331
I was a 0331 machinegunner in the USMC. I was awarded the Combat Action Ribbon, Naval Achievement medal for actions in Iraq, and PUC. I have been disgusted by the VA so far. My file has been on hold because they sent my records to another veteran. I thought it was a prank call until the veteran started rattling off my SSN, address, phone number, DOB, etc.
I recieved a C & P Exam and the examiner noted in the report:
Diagnostic Impression: 1. Fibromyalgia. 2. Irritable Bowel Syndrome.
Discussion: Based upon the classic history for both irritable bowel syndrome and fibromyalgia, I do think that the Veteran suffers from both of these disorders primarily, but it would be speculation on my judgement to say that it is truly Gulf War Syndrome when he is so classic for each in and of themselves.
I have already provided a nexus letter from my doctor stating that my fibromyalgia and IBS "is due" to the activities and exposures while he was in Iraq. After the C & P Exam i will submit the following nexus:
To Whom It May Concern:
Veteran has been a patient of mine for several years. I have also reviewed his Military Service Medical Records. While in Iraq he was constantly exposed to Industrial Pollution, Raw Sewage, Smoke from Burning Trash and Feces, Solvents, Pesticide-Treated Uniforms, DEET, Raw Sewage, Vehicle and JP8 Exhaust Fumes, and Environmental Pesticides. He was also given numerous vaccinations to include Anthrax vaccinations.
In 2003 upon returning from Iraq, as evident in his Military File, he complained of Diarrhea, Chronic Fatigue, Difficulty Remembering, Muscle Aches, Headaches, Swollen Stiff and Painful Joints, Weakness, Dizziness and Light Headedness. He also listed he had health concerns about the exposures and events during his deployment.
In regards to his Fibromyalgia:
His Fibromyalgia is characterized as widespread musculoskeletal pain and tender points, with associated fatigue, sleep disturbance, stiffness, headaches, irritable bowel symptoms, depression, and anxiety. These symptoms are constant and refractory to therapy.
In regards to his Irritable Bowel Syndrome:
His Irritable Bowel Syndrome is characterized by constant daily abdominal distress. The symptoms consist of constant episodes of severe diarrhea and constipation with mucous in the stool.
In regards to his Migraine Headaches:
His migraines are characteristic of prostrating attacks occurring on average of two to three times per month.
It is my medical opinion that these medically unexplained chronic multi-symptom illnesses are more likely than not a direct result of his exposures and military service.Sincerely,John Smith, M.D.
Before I submit the Nexus letter, does he need to change any wording?
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