Received Decision Letter Today

[gs106]

I received the decision letter today and don't know what to make of it.  I am going to be nice and presume that the VA raters are all well trained and make decisions based on ALL available evidence.  I am going to post parts of the decision with my added comments and ask that some knowledgeable folks on this site suggest what I should do next.

 Decision LeDecision Letter.doc

Well, I don't guess that worked.  If any of you can open the document, look at the 1st explanation that says there was a 2003 diagnosis of ulnar neuropathy and carpal tunnel syndrome and then take a look at the last entry that says there is no evidence showing that your carpal tunnel syndrome and cubital syndrome are related to your military service.  I know that I can't be rated for cervical radiculopathy, carpal tunnel, and cubital tunnel but the left arm should have been rated as all radicular nerve groups as the right arm was.

All EMG reports show the carpal tunnel as moderate and I was prescribed wrist braces by VA and the last physical therapy note says that the numbness and weakness have gotten worse since beginning physical therapy.  With that information,  I thought they would rate it as moderate.  Should I accept it as is or should I file a NOD?

[brokensoldier244th]

full excerpt from previous post.

 

CAS

[brokensoldier244th]

They rated you 20% for left and right upper extremity already- they couldn't rate the other separately. The criteria the diagnostician uses for ''mild", "moderate", etc are different than what is in the CFR for the raters. What do the symptoms mesh with in the CFR? 

 

Edited April 15, 2016 by brokensoldier244th

[Navy04]

I agree with statement above, where exactly do you think they went wrong?