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Va Training Manuals


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My claim for Raynauds disease secondary to discord Lupus erythematosus was turned down by the VA. The C&P doctor stated that in my opionion is that it is not secondary to DLE. Raynauds phenomenon may be associated with Lupus but it is not caused by it. IN the VA training manual it states,( In Raynaulds disease there is no underlying cause. This is the milder form, And it usually affects both hands and feet. In raynauds Phenomenon. Altjough the signs and symptoms are the same an underlying cause is known. one of the causes include LUPUS ERYTHEMATOSUS). I DONT UNDERSTAND THIS. ( ANY SUGESTIONS).

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Obviously, you will need to file a Notice of Disagreement citing the training manual but don't lose sight of other issues in that Notice of Disagreement like effective date under 38 USC 5110, 38 CFR 3.400, treatment within the presumptive period of military service under 38 CFR 3.309, entitlement to benefits for dependents under 38 USC 5110 (f), eligiblity for service disabled veterans life insurance. Last I heard there was something like a 2 year window after a service connected veteran was given a 0% rating to apply for service disabled life insurance on the new condition. Also don't forget that you need to aubmit a dependents form (entitled something like Declaration of the status of dependents) along with certified copies of you marriage certificate and childrens' birth certificates within one year of award. [see 38 USC 5110 (f)].

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HELLO, I just talked to my VA Rheumatologist doctor about my problem with my C&P exam doctor stating that RAYNOLDS DISEASE was'nt secondary to DISCORD LUPUS. THE C&P doctor stated that RAYNOUDS PHENOMENON may be associated with LUPUS but not caused by it. So the VA denied my claim, Stating what the C&P examiner wrote, That the diagnosed Raynauds Phenomenon is not secondary to service connected DISCORD LUPUS ERYTHEMATOSUS. The examiner stated that the two conditions may be associated, but Raynaulds is not casused by LUPUS. Therefore, service connection for this condition cannot be granted on a direct, secondary, or presumtive basis, and sevice connection is DENIED. My VA Rheumatologist doctor said she would write a later in support of my claim disagreeing with my C&P examiner statment. I hope this and the VA training letters will be enough for filling a NOD. I will wait until my other claims are finished before filling a NOD OR RECONSIDERATION.

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  • HadIt.com Elder

There is certainly medical support on the net for the premise of your claim:

http://www.nhlbi.nih.gov/health/dci/Diseases/raynaud/ray_causes.html

"My VA Rheumatologist doctor said she would write a later in support of my claim disagreeing "

GREAT! Maybe best to file a Request for Reconsideration. The NOD clock will still tick for the appeal period but a Recon request with her statement might resolve this claim faster.

She should use and refer to any good internet printout like the one I posted but probably has good references to cite herself.

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  • HadIt.com Elder

PS does any other causes here in the link IO gave you have any basis for a direct SC claim?

Where you exposed to any inservice chemicals that could be narrowed down as the cause of the Raynald's

"Causes of Secondary Raynaud's

A number of different things can cause secondary Raynaud's, such as:

* Diseases and conditions that directly damage the arteries or damage the nerves that control the arteries in the hands and feet

* Repetitive actions that damage the nerves that control the arteries in the hands and feet

* Injuries to the hands and feet

* Exposure to certain chemicals

* Medicines that narrow the arteries or affect blood pressure

and as the article also states:

"Scleroderma (skler-o-DER-ma) and lupus are two examples of conditions that are linked to Raynaud's. About 9 out of 10 people who have scleroderma have Raynaud's. About 1 out of 3 people who has lupus has Raynaud's."

Those are statistics that also support your claim.

The C & P doc probably didnt have a clue on Lupus or Raynalds.

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HELLO, BERTA, Thanks for the imformation. The only link that I have for Raynaud's to be secondary is that I have DICORD LUPUS ERYTHEMATOSUS. I had this disease since 1976 whitch was misdiagnosed by the VA DOCTORS when I was in the service, they thought I had psorasis, I did not find out what I had until 1986, the damage was done by then, I did not file until 2002 for benifits from the VA because of my lack knowledge. I will file for a reconsideration on this claim denial when I get the decisions on a few other claims that is already in the system since May of 2010, One of the claims is for a reconsideration for MDD that I put In at the end of August 2010, It has been in the system for six months and counting, The original denied claim for RAYNAUD'S PHENOMENON was August 17, 2010 I guess I have to watch the time frame for sure when I file for a reconsideration on this RAYNAUD'S claim. AGAIN THANKS FOR THE INFO.

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