The Board has remanded the claims for diabetes mellitus type II and amputation of the right leg below the knee, secondary to diabetes mellitus type II due to exposure to contaminated water at Camp Lejeune. The Veteran needs to provide all pertinent records from Barnes Jewish Hospital and Dr. J.D., including any treatment notes from Dr. J.D. An addendum opinion is needed to consider the specific treatise evidence submitted by the Veteran.
The deciding factor: The Board found that additional development was necessary due to the submission of new medical treatise evidence suggesting a link between TCE exposure and diabetes, which could impact the service connection determination for amputation of the right leg below the knee as well.
- Claimed conditions
- diabetes mellitus type II, amputation of the right leg below the knee
- How they argued it
- Direct service connection
- Exposure basis
- Camp Lejeune water
- Rating assigned
- None in this decision
- Decision date
- January 8, 2019
- Citation
- 19101359
What this means for you
A remand is not a loss. The Board sent the case back for more development — often a new exam or missing records — before making a final decision. Many remands later end in a grant, and the decision spells out exactly what the Board wanted to see.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Denied
The Board denied service connection for coronary atherosclerosis, hypertension, diabetes mellitus type II, and penile cancer as there was no evidence of a medical nexus between the Veteran's conditions and his military service.
- Remanded (sent back)
The Board remands the matter to correct a pre-decisional duty-to-assist error, specifically to verify the Veteran's assertion of herbicide exposure while working on C-123 aircraft at Clark Air Base from May 1965 to November 1966.
- Denied
The Board denied service connection for multiple conditions, including rheumatoid arthritis, right hip degenerative joint disease and rheumatoid arthritis with acetabular cyst status post right total hip replacement, osteoarthritis, psoriatic arthritis, hypertension, prostate cancer, diabetes mellitus type II, fever sores, and a compromised immune system, as the evidence did not support a finding of service connection for any of these conditions.
- Granted
The Board granted earlier effective dates for the awards of service connection for various conditions associated with a stroke, including obstructive sleep apnea, depression, and diabetes mellitus type II.
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