Hi Berta

[OSC]

Hi Berta,

I really appreciate everything you have done here to help us with the fight.

On this thread you had requested more info from me and I have posted it.

Just hoping you might have a comment or possibly make any additional recommendations.

One other thing I did do was request my C-File and posted it here along with the responses . I just hope I haven’t screwed up by this request for the file.

Again thanks for everything you do.

OSC

[Berta]

My advice remains the same as within that other post:

You stated“Fast forward to March 2012 when I received my completed compensation package from the November 2010 claim. I received approval for SC of the 2003 IHD heart attack and DMII, but all of my PAD surgeries and procedures were denied including this one done in September.”

It takes a medical opinion to service connect PAD as directly due to DMII or IHD.

The IHD regs specifically state it is not secondary to IHD-but that can be overcome with a strong medical rationale.

And

“My intentions are to seek a civilian doctor and pay for a second opinion and while I am being examined I will have them fill out the appropriate DBQs. “

They need to follow the IMO criteria here in the IMO forum.

If there has been a Section 1151 issue claimed as well, they can be asked to opine on the 1151 issue too.

[Berta]

Forgot to add:

"However, left carotid arterial endarterectomy is most likely related to your hypertension, which is not a service connected disability."

The IMO doctor might well be able to help you get the HBP SCed too with a full medical rationale as to the HBP stemming from an established SC condition.

[OSC]

Thanks again Berta.

Will follow your advice.

OSC