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When a SC condition "exacerbates" a NSC condition-direct service connection can be warranted for the additional condition-

This above claim might helps others-

"The evidence shows that the service-connected right knee

disability did not directly cause the left knee disability.

However, the evidence contains conflicting medical opinions

regarding whether the service-connected right knee disability

has exacerbated the left knee disability"

This could be the case where a left arm SC disability causes a right arm disability-

overdependence on one muscle joint system due to SC of other system is always possible.

The above veteran had opinions both for and against the claim and succeeded under Benefit of Doubt as the evidence was determined to be equally for and against his claim.

I found this case because in a reply to CUE today- I recalled that a VA doctor had opined that Rod's PTSD exacerbated his stroke and brain trauma-in a old SOC and another VA doctor opined that Rod's catastrophic PTSD was compounded by the affects of a major CVA and vice versa- I guess this is the claim that the VA itself is re-opening for me based on exacerbation-

This would be an important point for an IMO doctor to make in any opinion that the vet needs regarding how a SC disability has compounded the affects of a NSC disablity.

Also -PTSD exacerbating colitis-


"While some private medical evidence

attempts to draw a cause and effect relationship between PTSD

and the development of ulcerative colitis, the VA examiner,

following a search of medical data, could find no clinical

evidence to support such a relationship. Nevertheless, his

statements, along with the other medical evidence of record,

support a conclusion that the veteran's ulcerative colitis

underwent an increase in severity of the disease process due

to his PTSD, with the eventual need for a total colectomy"


Service connection is granted for additional disability due

to ulcerative colitis, which was aggravated by the veteran's

service-connected PTSD."

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For Vets that have a Service connected condition that effects another Non service conencted condition, This post is paramount. The term exacerbates means to make worse. For examply, A Vet has Hypertension, CAD, HHD, and Restrictive Lung disease, The Heart may attribute to the lung disease thus possibly connecting the two.

I have a paralyzed left diaphragm and Heart disease, My Oxagen is way too low, Both issues contribute to that fact. If one makes the other one worse and a Doc will nexus the two issues, Then SC for the prebvious NSC condition can be awarded..

Great Find Berta.

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