The Board has determined that additional development is necessary for the Veteran's claims of increased rating for left knee disability, service connection for diabetes as secondary to PTSD, and service connection for erectile dysfunction. The case will be remanded for further examination and opinion.
The deciding factor: The VA examinations are inadequate in light of Sharp v. Shulkin (2017), requiring additional information regarding the Veteran's left knee disability during flare-ups. Further development is needed to address the nature and etiology of the Veteran’s diabetes, including whether obesity is an intermediate step between PTSD and diabetes. Additionally, a new examination and opinion are required for the service connection claim for erectile dysfunction.
- Claimed conditions
- left knee chondromalacia, diabetes mellitus type II (diabetes), erectile dysfunction
- How they argued it
- Not specified
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- September 18, 2019
- Citation
- 19172715
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. Look up the original decision on VA.gov (opens in a new tab) using citation 19172715.
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.
- Dismissed
The Veteran's claim for an earlier effective date for diabetes mellitus type II with erectile dysfunction was denied as the evidence did not show that he had been diagnosed and manifested to at least a 10 percent disability rating on or prior to May 8, 2001.
- Denied
The Board denied service connection for diabetes mellitus, prostate cancer, visual impairment, hypertension, and erectile dysfunction due to lack of exposure to herbicide agents during service. The Veteran's claims were not granted.
- Remanded (sent back)
The Board has found that the Veteran meets the basic medical eligibility criteria for PCAFC benefits due to his need for personal care services based on symptoms or residuals of neurological or other impairment or injury. However, further clinical evaluation is needed to determine if participation in the program is in the Veteran's best interest.
- Granted
The Board has granted service connection for prostate cancer, coronary artery disease (CAD), diabetes mellitus type II (DM II), hypertension, and erectile dysfunction as secondary to service-connected DM II. The Veteran's exposure to Agent Orange during active service is presumed.
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