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Oct 11 07 7:59 PM
Oct 12 07 12:47 AM
I read this thread with interest, wondering who might be able to answer the original poster's question
Oct 12 07 11:12 AM
Oct 12 07 2:12 PM
Oct 12 07 2:36 PM
Oct 12 07 3:07 PM
Oct 12 07 3:56 PM
Cruiser, in regards to your previous post comparing an elevated white cell count and anemia.
I don't think an elevated white cell count is a ratable entity but anemia is. Its dx code is #7700 in the RatingSchedule. (Anemia is considered a part of
several GI disabilities and in those cases where the GI condition is service connected no additional, separate, rating should not be made for anemia - its
part of the GI condition. Kinda like a lump on a bone is part of the fracture and not a second, distinct condition - its a part of the fracture itself.)
So I guess my reply to Stillhere would be that if his doctor states that he (doc) has diagnosed the vet with anemia and that it is a result of DM II, then VA
would have to give him a separate percentage for anemia.
You know the rating schedule better than I do - whatcha think?
Elevated white blood cells is a ratable disease process when it is chronic, it's called leukemia. Acute elevated white blood cells is not a disability
nor is it a ratable entity. That's what I said in my first post on this.
The same is true for red blood cells. Chronic decreased red blood cells is a ratable disease process while a simple acute decrease in red blood cells usually
isn't. For example, you can make yourself anemic by simply eating an iron deficient diet over a period of time. If a doc did a blood test and saw this he
would call it anemia; however, you don't actually have a disease. You just need to eat better and it will go away. Just like with an elevated white blood
count associated with an infection. As soon as you clear up the infection, it returns to normal. If it doesn't, then it's time to start looking at the
possibility you have leukemia.
So the first question that must be answered in both situations is whether or not you have an actual disease process or simply some acute thing going on like an
infection in the case of white blood cells or an iron deficiency in your diet in the case of the red blood cells. If you do have chronic anemia and it is
related to service in some way, service connection can be granted and it is a ratable entity, unless of course it is part of the evaluation criteria for
another conditions such as a GI condition. Then the issue of pryamiding prevents a separate evaluation being assigned.
With regard to diabetes and anemia, the association between these two conditions appears to run through the kidneys. People with kidney dysfunction suffer a
much higher rate of chronic anemia than people without kidney dysfunction, so there is a definite link in many cases. Since diabetes is one of the leading
causes of kidney dysfunction, this means that diabetics would naturally have a higher rate of anemia.
Oct 12 07 9:24 PM
Oct 13 07 12:44 AM
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