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Medically Unexplained Chronic Multisymptom Illnesses
A prominent condition affecting Gulf War Veterans is a cluster of medically unexplained
chronic symptoms that can include fatigue, headaches, joint pain, indigestion, insomnia, dizziness, respiratory disorders, and memory problems.
VA does not use the term “Gulf War Syndrome” when referring to “medically
unexplained chronic multisymptom illnesses” reported by Gulf War Veterans.
Symptoms vary widely and therefore, do not meet the definition of a syndrome.
A syndrome is a group of symptoms that usually occur together and characterize a
certain disease or abnormal condition. That is why VA uses the term “medically
unexplained chronic multisymptom illnesses” instead of “Gulf War Syndrome.”
Gulf War Veterans who meet the criteria below do not need to prove a connection
between their military service and medically unexplained chronic multisymptom
illnesses in order to receive VA disability compensation.
VA presumes certain chronic, unexplained symptoms existing for 6 months or more are
related to Gulf War service without regard to cause. These "presumptive" illnesses
must have appeared during active duty in the Southwest Asia theater of military operations or by
December 31, 2016, and be at least 10 percent disabling.
These illnesses include:
Chronic fatigue syndrome, a condition of long-term and severe fatigue that is
not relieved by rest and is not directly caused by other conditions.
Fibromyalgia, a condition characterized by widespread muscle pain. Other symptoms may
include insomnia, morning stiffness, headache, and memory problems.
Functional gastrointestinal disorders, a group of conditions marked by chronic or
recurrent symptoms related to any part of the gastrointestinal tract. Functional condition
refers to an abnormal function of an organ, without a structural alteration in the tissues.
Examples include irritable bowel syndrome (IBS), functional
dyspepsia, and functional abdominal pain syndrome.
Undiagnosed illnesses with symptoms that may include but are not limited to:
abnormal weight loss, fatigue, cardiovascular disease, muscle and joint pain,
headache, menstrual disorders, neurological and psychological problems,
skin conditions, respiratory disorders, and sleep disturbances.
VA’s final rule specifying that functional gastrointestinal disorders
are covered as presumptive illnesses took effect on August 15, 2011.
Presumptive Veterans Affairs
Disability Conditions & Ratings
UPDATED...April 2017
This is a series of stories
bringing light to the dark side of the
VA’s treatment of some Veterans
applying for disability. Whether out
of frustration, desperation, anger, or
‘just to make it right” they contacted me, and together, we fought the injustice.
These are actual cases and claims.
I have changed names and identifying
information for confidentiality reasons.
This is the first in a series of stories bringing
light to the dark side of the VA’s treatment
of some Veterans applying for disability.
Claim Killer DBQ Questions.
VA Spotlight is a series of stories bringing
light to the dark side of the VA’s treatment
of some Veterans applying for disability.
Whether out of frustration, desperation,
anger, or ‘just to makeit right” they contacted
me, and together, we fought the injustice.
Click Here To Contact Dr. Valette
Agent Orange
Parkinson's Disease - A progressive disorder of the nervous system that affects muscle movement
Peripheral Neuropathy, Early-Onset - A nervous system condition that causes numbness,
tingling, and motor weakness. Under VA's rating regulations, it must be
at least 10 percent disabling within one year of herbicide exposure.
Porphyria Cutanea Tarda - A disorder characterized by liver dysfunction and by thinning and
blistering of the skin in sun-exposed areas. Under VA's rating regulations,
it must be at least 10 percent disabling within one year of exposure to herbicides.
Prostate Cancer - Cancer of the prostate; one of the most common cancers among men
Respiratory Cancers (includes lung cancer) Cancers of the lung, larynx, trachea, and bronchus
Soft Tissue Sarcomas (other than osteosarcoma, chondrosarcoma, Kaposi's sarcoma,
or mesothelioma) A group of different types of cancers in body tissues
such as muscle, fat, blood and lymph vessels, and connective tissues
Agent Orange
AL Amyloidosis - A rare disease caused when an abnormal protein, amyloid, enters tissues or organs
Chronic B-cell Leukemias - A type of cancer which affects white blood cells
Chloracne (or similar acneform disease) A skin condition that occurs soon after exposure
to chemicals and looks like common forms of acne seen in teenagers. Under VA's rating
regulations, it must be at least 10 percent disabling within one year of exposure to herbicides.
Diabetes Mellitus Type 2 A disease characterized by high blood sugar levels
resulting from the body’s inability to respond properly to the hormone insulin
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Veterans' Diseases Associated with Agent Orange
VA assumes that certain diseases can be related to a Veteran's qualifying military
service. We call these "presumptive diseases."
VA has recognized certain cancers and other health problems as presumptive diseases
associated with exposure to Agent Orange or other herbicides during military service.
Veterans and their survivors may be eligible for benefits for these diseases.
Gulf War Presumptions Gulf War Service
For VA benefit purposes, Gulf War service is active military duty in any of the following
areas in the Southwest Asia theater of military operations any time during the first
Gulf War starting August 2, 1990 through the current conflict in Iraq.
This includes Veterans who served in Operation Iraqi Freedom (2003-2010) and
Operation New Dawn (2010 and continuing).
Iraq, Kuwait, Saudi Arabia, The neutral zone between Iraq and Saudi Arabia, Bahrain,
Qatar, The United Arab Emirates, Oman, Gulf of Aden, Gulf of Oman, Waters of the
Persian Gulf, the Arabian Sea, and the Red Sea & the airspace above these locations.
Welcome to Military Disney Tips!
VA urges veterans to be
screened for hepatitis C
Veterans injured by service wait
years for compensation hearings
"Contact Your Representative!!!"
Who are my representatives?
New Outreach for Vets Regarding
Discharges & Military Records.
Vietnam War
Resources
VA’s Airborne Hazards and Open Burn
Pit Registry for Veterans and Servicemembers
Home Based Primary Care (HBPC)
Veterans Benefits Administration
Benefit Brochures
Veterans Benefits Administration
Fact Sheets
Agent Orange
Hodgkin's Disease - A malignant lymphoma (cancer) characterized by progressive enlargement
of the lymph nodes, liver, and spleen, and by progressive anemia
Ischemic Heart Disease - A disease characterized by a reduced supply of
blood to the heart, that leads to chest pain
Multiple Myeloma - A cancer of plasma cells, a type of white blood cell in bone marrow
Non-Hodgkin's Lymphoma - A group of cancers that affect the lymph glands and other lymphatic tissue
Presumptive Conditions
A "condition", in the language of the VA, is any disease, illness or injury that occurs during
active duty military service. To be service connected and eligible for a disability
compensation rating, the condition must be caused or contributed to by an event that
occurred during service. If the condition existed prior to service, it must be shown to
have been aggravated (made worse) by military service.
To achieve a disability compensation rating, the veteran must prove that he or she had
appropriate military service, that an event that caused the claimed condition occurred
and that a medically diagnosed condition that is disabling exists today.
The regulations that govern presumptive conditions only eliminate the requirement to
prove that an event caused the condition. For example, a Vietnam veteran does not have
to prove that agent orange caused the diabetes he has today. It is presumed that he was
exposed to agent orange and also that agent orange is at the root of the diabetes.
While agent orange and the Vietnam veteran are the best known of all presumptive conditions
and ratings, atomic veterans, certain Korean veterans and other veterans may also be
eligible for presumptive ratings of certain conditions.
The regulations are complex. Some veterans who have a Vietnam Service Medal aren't
eligible for presumptive ratings because they didn't set their boots on the soil of the country
of Vietnam. Many Korean veterans don't realize that they may be eligible for service
connections due to exposure to the herbicide agent orange.
If you believe that you may be eligible for any presumptive condition and rating, the best way
to find out is to file a VA disability claim. The process of adjudication is the only sure way to know.
PROCEDURAL Guidance
requests to Add Dependents
Legislation will help Pacific veterans
exposed to Agent Orange
How To Leak To ProPublica
Tech Q&A
Finding veterans' records online
MRI twice as likely as biopsy to spot
prostate cancer, research shows
Become a Freedom Fighter
Join the ACLU
VA starts domestic violence program
Department of Defense Extends
Online Military Exchange
Shopping Privileges to Veterans
Here's What Medicare Part A
Costs and Covers in 2017
Department of Veterans Affairs Fast Facts
Choice Program billing issues
1-877-881-7618
9 a.m. – 5 p.m. ET
CIA Freedom of Information Act
Electronic Reading Room
Veterans Benefits Administration
(VBA) Fact Sheets
Standard Claims and Appeals Forms Update
Disability Compensation Benefits
C-123 Aircraft andAgent Orange Exposure
Special Monthly Compensation
(SMC)
Things You'll Need
Mail your forms, documents
and evidence here...
Department of Veterans Affairs
Claims Intake Center
PO Box 5235
Janesville, WI 53547-5235
Toll Free Fax: 844-822-5246
We recommend that you mail a copy
and then fax a copy! Yes, it's twice the
work but maybe VA will only lose one
and the other will be processed.
Remember: Use Certified Mail!
Forms to File Claims
VA Form 21-526EZ
For...
Disability Service Connection
Secondary Service Connection
IncreasedDisability Compensation
Temporary Total Disability Rating
Individual Unemployability
Compensation under 38 U.S.C. 1151
Special Monthly Compensation
Specially Adapted Housing
Special Home Adaptation
Automobile Allowance/Adaptive Equipment
Benefits Based on a Veteran's
Seriously Disabled Child
VA Form 21-0958 - NOD
Notice of Disagreement
VA Form 21-534 EZ
Application for DIC, Death Pension
Change of Address
TDIU Annual - VA Form 4140
Declaration of Status of Dependents
VA form 21-686c
How To
How To Apply For SSDI
How To Apply For
TDIU Unemployability
How To Use
Disability Benefits Questionnaires
(DBQ's)
How To Apply For A Disability Rating
How To Apply For An Increase
to an existing rating
How To Retrieve Your
Military Personnel Records
Research Your Claim
The M21-1MR
The CFR
TDIU
SMC
The Schedule For Rating Disabilities