Pretty simple deal. The VET had plenty of viable risk factors here but he ignored the ones he could make a medical nexus with and pursued the ones he couldn’t prove. The BVA Judge is being polite and not calling him a liar to his face. If this VET had actually roasted his face badly enough for a txfusion or Ringer’s Lactate, it would have been in his medrecs bigtime. I’m sure I’d remember that and tell the doc when I was going thru the last roundup and peckercheck. On the other hand, this guy could have made a case for the STDs. Maybe he was Navy and had one of those herking monsters on his chest. The biopsy showed he’d had at least thirty years which would easily fit into a nexus theory. But guess what? Forgot the nexus. OH YEAH. And then of course there’s that little matter of the old Cocaine use after service. That’s always a bummer when you realize that doctors write stuff down that you say. Just because you smoked it ain’t gonna fake out the VA wide receivers. A successful claim usually can be accomplished if you tell the truth. Or, If you tell the story the same exact way each time you tell it. The trouble with lying is it’s hard to remember what you lied about 5 years ago. You’ll notice that it gets lots of folks in trouble- even Presidents with a fantasy about blue dresses. Of course! That’s almost as funny as saying you were in Cambodia. Remember? As we motored up the Mekong River in our SWIFT boat, there was a big sign there that said “Welcome to Cambodia. Speed limit 10MPH! Leave no wake!” You remember that, don’t you?

http://www.va.gov/vetapp08/Files3/0825688.txt