The Veteran's unauthorized medical expenses at Carilion Roanoke Memorial Hospital on January 13, 2014 are reimbursed as the care was deemed necessary due to an emergency and a VA facility was not feasibly available.
The deciding factor: The Board found that the treatment provided by CRMH was necessary due to an acute medical condition (bile leak) and that it would have been reasonable for the Veteran to seek care at CRMH given their familiarity with his case.
- Claimed conditions
- Gastrointestinal symptoms, Bile leak
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating
- Not verified here — check the original decision
- Decision date
- January 24, 2019
- Citation
- 19105766
Veterans Law Judge
Decisions by this judge: 3,038 · Granted: 30% (granted or partly granted, in the indexed decisions on this site)
Judge attribution: 2025 complete; earlier years partial.
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Read the original VA decision (opens in a new tab) using citation 19105766.
What this means for you
A grant means the Board allowed the benefit or issue identified in this decision. Review the original order: other issues in the same appeal may have a different outcome, and this decision does not predict another claim.
What you can do next
Use your own notice and decision stage. A remanded issue is not a final court-appealable denial. VA review guidance and CAVC filing instructions (U.S. federal; reviewed October 7, 2026).
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Whole decision: Remanded (sent back)
The Board has remanded the claims for service connection for an unspecified allergy (allergic rhinitis) due to insufficient evidence regarding its relationship to service.
- Whole decision: Remanded (sent back)
The Board has remanded the Veteran's claims for service connection due to unclear diagnoses and conflicting opinions. The Veteran is seeking service connection for a respiratory condition, gastrointestinal disability, fatigue, and lightheadedness, all of which he contends are related to his Gulf War service.
- Whole decision: Granted
The Veteran's gastrointestinal symptoms, including abdominal distension, bloating, nausea, and frequent semi-formed stool, are considered an undiagnosed Gulf War illness. The Board found that the Veteran served in Iraq during the Persian Gulf War and exhibited signs of chronic disability related to this illness during his service.
- Whole decision: Remanded (sent back)
The Veteran's respiratory condition (including pneumonia) is remanded for further development.,The Veteran's memory and comprehension difficulties, mental health issues, nightmares, vivid dreams, irritability, anger, anxiety, mood swings, low coping abilities, depression, conflicts, hypervigilance, time lapses, compulsive/impulsive habits, gastrointestinal symptoms, joint aches, muscle fatigue, gum condition, genital warts, and an ear, nose, and throat condition (including as due to an undiagnosed illness related to Gulf War service) are remanded for further development.,The Veteran's entitlement to TDIU is remanded.
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