Post deployment Chronic Kidney disease

[sgtdjusmc]

I have had annual blood tests at the VA for at least 5 years prior to deployment. All showed normal Creatine levels and GFR (except one 57 GR just prior). When I returned I had another round of blood tests 40 days post discharge. The VA Dr. diagnosed me with chronic kidney disease since my creatine was high and GFR was 47. The VA denied my claim out right. Shouldn't this be presumptive since it was within a year of discharge?

[GBArmy]

What was the reason for denial? What was the reasoning? What diagnostic code is applicable?

[vetquest]

Please post a copy of your denial, redacted of personal information.  The VA denies some initial claims hoping you will not appeal.  You need to appeal this.

[sgtdjusmc]

1 hour ago, GBArmy said:

What was the reason for denial? What was the reasoning? What diagnostic code is applicable?

The reason was it didn't manifest while on active duty. They asked for medical opinions on all my conditions so I think they just skipped over the year within discharge rules. it should be under renal dysfunction. 7530 I believe

[sgtdjusmc]

1 hour ago, vetquest said:

Please post a copy of your denial, redacted of personal information.  The VA denies some initial claims hoping you will not appeal.  You need to appeal this.

just said it didn't manifest in the military. I think they just skipped over within a year of discharge because they asked for medical opinions on all my claimed conditions. 

[Berta]

These are the Chronic Presumptives:

https://www.law.cornell.edu/cfr/text/38/3.309

a)Chronic diseases. The following diseases shall be granted service connection although not otherwise established as incurred in or aggravated by service if manifested to a compensable degree within the applicable time limits under § 3.307 following service in a period of war or following peacetime service on or after January 1, 1947, provided the rebuttable presumption provisions of § 3.307 are also satisfied.

Anemia, primary.

Arteriosclerosis.

Arthritis.

Atrophy, progressive muscular.

Brain hemorrhage.

Brain thrombosis.

Bronchiectasis.

Calculi of the kidney, bladder, or gallbladder.

Cardiovascular-renal disease, including hypertension. (This term applies to combination involvement of the type of arteriosclerosis, nephritis, and organic heart disease, and since hypertension is an early symptom long preceding the development of those diseases in their more obvious forms, a disabling hypertension within the 1-year period will be given the same benefit of service connection as any of the chronic diseases listed.)

Cirrhosis of the liver.

Coccidioidomycosis.

Diabetes mellitus.

Encephalitis lethargica residuals.

Endocarditis. (This term covers all forms of valvular heart disease.)

Endocrinopathies.

Epilepsies.

Hansen's disease.

Hodgkin's disease.

Leukemia.

Lupus erythematosus, systemic.

Myasthenia gravis.

Myelitis.

Myocarditis.

Nephritis.

Other organic diseases of the nervous system.

Osteitis deformans (Paget's disease).

Osteomalacia.

Palsy, bulbar.

Paralysis agitans.

Psychoses.

Purpura idiopathic, hemorrhagic.

Raynaud's disease.

Sarcoidosis.

Scleroderma.

Sclerosis, amyotrophic lateral.

Sclerosis, multiple.

Syringomyelia.

Thromboangiitis obliterans (Buerger's disease).

Tuberculosis, active.

Tumors, malignant, or of the brain or spinal cord or peripheral nerves.

Ulcers, peptic (gastric or duodenal) (A proper diagnosis of gastric or duodenal ulcer (peptic ulcer) is to be considered established if it represents a medically sound interpretation of sufficient clinical findings warranting such diagnosis and provides an adequate basis for a differential diagnosis from other conditions with like symptomatology; in short, where the preponderance of evidence indicates gastric or duodenal ulcer (peptic ulcer). Whenever possible, of course, laboratory findings should be used in corroboration of the clinical data.

Does your condition fit into anything described above?

What does your doctor attribute the  chronic kidney disease to?

I dont think any disability deemed 'chronic' happened overnight.

 

It would help to see their denial.

[Berta]

To add 

""a GFR of 60 or more is in the normal range. Ask your health care provider when your GFR should be checked again.

"a GFR of less than 60 may mean you have kidney disease. Talk with your health care provider about how to keep your kidney health at this level."

https://www.niddk.nih.gov/health-information/kidney-disease/chronic-kidney-disease-ckd/tests-diagnosis

Did you have a full creatinine clearance test?

There is also an albumin factor to some CKD diagnoses.

Do you have your complete SMRs?

If VA said they had them , that does not mean the VA actually has read them.

Sometimes GFR and creatinine values can be due to diabetes, but I assume that is not your situation.

I used creatinine and GFR values among other VA test results to prove my dead husband died from Diabetes Mellitus contributing to his death ( from AO exposure) .

He was never diagnosed or treated for diabetes the many years he was a VA patient.

If you can scan and attach the decision here, cover your C file # and name, address, prior to scanning it.