Here is something Vets can take to the bank. Peel off the studies on HCV and DM2 and insert them into your claims. Then proceed to get it in nexus format. This is proof positive that HCV equal DM2. VA has denied this for years but this puts paid to the story. Read it closely and look up the studies to print and include in your claims. This is an instance where the evidence is overwhelmingly in your favor. The Vet wins on his hypertension claim as well even though it was far more tenuous.
In contrast, the file contains positive nexus opinion of September 2011, offered by a practicing hepatologist. The doctor cited numerous medical studies and provided additional medical information, but determined that he could not conclusively say that HCV was the proximate cause of the Veteran's diabetes. He further observed that based on the preponderance of (specifically cited) evidence linking both HCV and cirrhosis with diabetes, it was his expert opinion that it was more likely than not that HCV and cirrhosis were either causally related to or chronically aggravated the Veteran's diabetes. The Court has held that a medical article or treatise "can provide important support when combined with an opinion of a medical professional" if the medical article or treatise evidence discusses generic relationships with a degree of certainty such that, under the facts of a specific case, there is at least "plausible causality" based upon objective facts rather than on an unsubstantiated lay medical opinion. Mattern v. West, 12 Vet. App. 222, 228 (1999); see also Sacks v. West, 11 Vet. App. 314 (1998) and Wallin v. West, 11 Vet. App. 509 (1998). Here, the studies cited by the hepatologist assisted him in providing a positive and adequately supported medical opinion in 2011.
The BVA has been good to us this year and even more so in this last quarter. Realization that something is amiss should be evident by now. If we have appealed 20,000+ denials of HCV at the ROs, how many were filed, lost and unappealed? Frightening to think. Using the 28% figure, I would assume somewhere in excess of 100,000 of us filed in 2010-2011.
We are rapidly becoming dinosaurs in this fight, so it behooves us to fight all the harder to win. With the BVA more inclined to actually read the appeal and use elementary logic, chances of a win go up daily.


Service in Vietnam equaled, for some, DM2 from AO exposure AND DM2 from those further afflicted with HCV. A double whammy.