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Partly grantedPACT Act

Service connection granted for right and left knee disabilities.,Service connection granted for right wrist disability due to Gulf War exposure.,Remanded for further examination and evaluation of right shoulder post rotator cuff injury and bilateral ankle fracture residuals.,Remanded for initial rating in excess of 10 percent for thoracolumbar spine degenerative disc disease, as well as separate evaluation for neurological bladder disability.,Service connection granted for right shoulder post rotator cuff injury.,Service connection granted for bilateral ankle fracture residuals.,Separate evaluation requested for neurogenic bladder disability.

The deciding factor: The evidence is in relative equipoise as to whether the Veteran's bilateral knee disabilities had their onset during active military service.,The examiner found no current right wrist diagnosis, but noted functional impairment/loss due to the claimed right wrist disability.,VA added Gulf War DBQ examination reports and clinical records since February 2015 statement of the case. Remand for AOJ initial consideration and issuance of a supplemental statement reflecting such consideration.,The Veteran's service treatment records document chronic bilateral knee pain, as well as in-service physical training activities that may have contributed to his current right wrist disability.,VA added Gulf War DBQ examination reports and clinical records since February 2015 statement of the case. Remand for AOJ initial consideration and issuance of a supplemental statement reflecting such consideration.,The Veteran's service treatment records document chronic bilateral knee pain, as well as in-service physical training activities that may have contributed to his current right wrist disability.,VA added Gulf War DBQ examination reports and clinical records since February 2015 statement of the case. Remand for AOJ initial consideration and issuance of a supplemental statement reflecting such consideration.

Claimed conditions
Right Knee Disability, Left Knee Disability, Right Wrist Disability, Disability Manifested by Low Liver Output Test Results (presumably related to Gulf War exposure), Right Shoulder Post Rotator Cuff Injury, Bilateral Ankle Fracture Residuals, Neurogenic Bladder Disability
How they argued it
Not specified
Exposure basis
None
Rating assigned
None in this decision
Decision date
December 18, 2018
Citation
18158269

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