John99GSX

Yes I had the chest pain that would put me on the floor. My primary sent me for EKG, and stress test to rule out the heart. Follow up with gastro yesterday added another med for the evening and scheduled for another upper GI scope. I do have all the symptoms in the list for the 30%. My major concern on the C&P is that it shows in the history\notes all of the "missing" symptoms listed on the 30% requirements. He didnt seem to check any of the symptoms on the page 1 of the DBQ and they are all in my medical notes at the VA as well. Im not sure if he skipped over it or didnt know what the terms were. I always make sure to use both the generic and medical terms when talking to the VA. When the examiner states: heartburn several times a month and then the symptom of pyrosis (heartburn) isnt on the symptoms list it is a bit onfusing to me.

Hello, Below is the part of my C&P related to GERD: ******************************************************************************************** Esophageal Conditions (Including gastroesophageal reflux disease (GERD), hiatal hernia and other esophageal disorders) Disability Benefits Questionnaire Indicate method used to obtain medical information to complete this document: In-person examination Evidence review --------------- Was the Veteran's VA claims file reviewed: No Check all records reviewed: [X] Other: cprs,vbms, electronic c file Diagnosis --------- Does the Veteran now have or has he/she ever been diagnosed with an esophageal condition? Yes Gastroesophageal reflux disease (GERD) ICD code: 530.81 Date of diagnosis: 2012 Medical history --------------- Description of the history (including onset and course) of the Veteran's esophageal conditions: Vet diagnosed with gerd in 2012. he has been taking for gerd.he still gets sore throat daily,regurgitatation 2-3 times a month,& heartburn several times a month.he also gets stomach pain 1-2 times per month. Some times left upper chest pain , he had stress test done it was normal. Does the Veteran's treatment plan include taking continuous medication for the diagnosed condition: Yes Medications used for the diagnosed condition: pantoparazole 40 mg daily Signs and symptoms ------------------ Does the Veteran have any of the following signs or symptoms due to any esophageal conditions (including GERD)? Yes Sign and Symptoms: Reflux Regurgitation Pain Substernal Vomiting Frequency of episodes of vomiting per year: 1 Esophageal stricture, spasm and diverticula ------------------------------------------- Does the Veteran have an esophageal stricture, spasm of esophagus (cardiospasm or achalasia), or an acquired diverticulum of the esophagus? No Other pertinent physical findings, complications, conditions, signs and/or symptoms ----------------------------------------------------------------------------- Does the Veteran have any scars (surgical or otherwise) related to any conditions or to the treatment of any conditions listed in the Diagnosis section above? No Does the Veteran have any other pertinent physical findings, complications, conditions, signs and/or symptoms related to any conditions listed in the Diagnosis section above? No Diagnostic Testing ------------------ Have diagnostic imaging studies or other diagnostic procedures been performed? Yes Diagnostic Testing Preformed: Upper endoscopy Date: july 2012 Results: normal Has laboratory testing been performed? Yes CBC Date of test: april 2015 Hemoglobin: 15.1 Hematocrit: 44.0 White blood cell count: 5.12 Platelets: 176 Are there any other significant diagnostic test findings and/or results? No Functional impact ----------------- Do any of the Veteran's esophageal conditions impact on his or her ability to work? No Remarks, if any: No response provided ----------------- NOTE: VA may request additional medical information, including additional examinations if necessary to complete VA's review of the Veteran's application. **************************************************************************************** I have already recieved my decision and was awarded GERD 10% SC for GERD was established (seconday to NSAIDS for SC Knee pain) 10% based on Regurgitation, Substernal pain, Vomiting 30% is not warrented unless the evidence shows persistently recurrent epigastric distress with dysphagia, pyrosis, and regurgitation, accompanied by substernal or arm or shoulder pain, productive of considerable impairment of health. ***************************************************************************************** My questions are it appears they several boxes were not checked on the C&P / DBQ paperwork, but are clearly noted in the history notes. recurrent epigastric distress with dysphagia > Inhistory as sore throat daily, gets stomach pain 1-2 times per month pyrosis > In history as heartburn several times a month What are my best options here? It appears he missed/skipped the entire signs and symptoms section on page 1 of the DBQ? I have a GI follow up at the VA today, I will attempt to get them to complete a DBQ as well. I have seen a private DR for the GERD, and he will complete one as well if needed. Thanks, John