Rosacea is granted as service connected.,Hemorrhoids are not rated compensably due to current severity.,Compensation for an undiagnosed illness or medically unexplained chronic multisymptom illness related to Southwest Asia service is remanded.,Left and right knee conditions are remanded for further examination and opinion.,Right elbow injury is remanded for further examination and opinion.,Right shoulder condition is remanded for further examination and opinion.,Sleep apnea is remanded for further examination and opinion.,Residuals of traumatic brain injury are remanded for further examination and opinion.
The deciding factor: The Veteran's rosacea began during service and is presumed to be related due to the PACT Act, as it occurred during Southwest Asia service.,Hemorrhoids were no worse than moderate in severity without irreducible external or internal hemorrhoids that are large or thrombotic, have excessive redundant tissue, and evidence frequent recurrences. The current rating does not meet criteria for a compensable initial rating.,The Veteran's undiagnosed illness or chronic multisymptom illness is related to service due to the PACT Act, as it occurred during Southwest Asia service.,Further examination is needed to determine if left and right knee conditions are related to in-service complaints.,Right elbow injury was noted during service but further examination is needed to determine its relationship to current symptoms.,Right shoulder condition was diagnosed during service but further examination is needed to determine its relationship to current symptoms.,Sleep apnea was diagnosed after service but further examination is needed to determine if it had its onset during service or is otherwise related to in-service complaints.,Further examination is needed to determine if residuals of traumatic brain injury are related to in-service head injuries.
- Claimed conditions
- rosacea, hemorrhoids, sleep apnea, right elbow injury, right shoulder condition
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- April 10, 2019
- Citation
- 19128002
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
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