Hello, I am new, so I will throw this out there and hope it is in the correct place. Background: I am a 61 y/o vietnam vet. I served 2 tours in nam during my 1st and 2nd enlisted term. I filed for the following conditions / problems on one inital claim: Diabetes Mellitus Type II Diabetic Retinopathy Neuropathy Impotence Depression Skin Conditions Peripheral Vascular Disease Myocardial Infarction with Chronic Cogestive Heart Failure Coronary Artery Disease Cardiomyopathy Coronary Bypass Surgery Ventricular Tachycardia All Secondary To Diabetes Mellitus Type II After originally being denied due to them not having the records from my local VA facility, I was given approval on some of the claim: Diabetes Mellitus Type II 20% Severe Retinopathy 20% Neuropathy left lower extrimity 10% Neuropathy right lower extrimity 10% Impotence % (Entitlement to Special Mothly Comp due to loos of use of a creative organ) For a total combined rating of 50% service connection. The claim for the following was denied Myocardial Infarction with Chronic Cogestive Heart Failure Coronary Artery Disease Cardiomyopathy Coronary Bypass Surgery Ventricular Tachycardia The reasons given are "Upon VA examination, your heart condition was not found to be caused by your diabetes. Your VAMC Durham treatment records do not show evidence of a causal relationship between your diabetes and heart conditions". I must note during the C& P exam the examining doctor asked if I happened to have my latest echo, stress test, and other relevent test results from my private cardiaologist with me. I stated no, that I was not informed I needed to bring any medical records to this exam. He stated that he coldnt make a conclusinve decision based on the limited information he had. He DID NOT do any test, nor did he order any test at all. Skin Conditions My skin has been medicated and healed as of the tiem I received the c&P exam. Thankfully it has stayed healed since the last treatment, so I dropped this claim. Depression Peripheral Vascular Disease These were denied as they are contributed from the heart, and the heart condistions had been denied. I was told be a vso that getting the depression in was a 99% no go and I shouldnt refile for it in my NOD, so I did not. I did refile for the Vascular Disease. I did file an NOD for the above items. I included a leter from my cardiologist that stated "There is of course, a well-known association between insulil-dependent diabetes and coronary artery disease, so one can safely conclude that Mr. XXXXXXX's diabetes was a major contributor to his develpoement of his severe coronary artery disease and ischemic cardiomyopathy" Do you think this is enough? Should I try to scrape together enough money to find another doctor that will give me anotehr letter of opinon? I originally began being treated in the late 80's for diabetes via oral medication, with average blood sugars around 340. In early 96 I had a heart attack, bypass, and other misc procedures. I only have a few blood test results fromt he late 80's as proof of my high blood sugars, my docotor at that time has since retired and records destroyed. Should I include these blood test results in the information I send the Va? My apolagies for a long post, jsut wanted to stuff all the relevant information I could in here. Thanks in advance for any advice.