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  1. Just for your info I was very recently awarded GERD @60% and Tinnitus at 10% by VARO on initial claim. The decisions were only based upon a review of my long term VA medical records to include copies of prescriptions since 1985 and 2000 and also Army medical records in Nam and Japan in 1970 (for Tinnitus). I again supplied my own duplicate copies of all records and prescriptions just to be sure and save time and no excuses from VARO that there were no records or evidence. Favorable decisions on both were fast within 20 days from filing. VARO agreed with my own claim request statement that GERD is secondary to long term VA VN PTSD and PTSD medications and that my Tinnitus was direct service connected to my repeated combat incidents in Nam in 70 as Army medevac pilot and receiving the PH and CMB. The nice ladies Nurse Practitioners (not doctors) at QTC exam immediately agreed with my records as a mere formality. In 2000 the VA Austin, TX outpatient clinic made a simple one sentence note I had GERD among other medical issues and issued me a prescription for Ranitidine that I have taken over 20 years to present day. Medication was changed to Omeprazole few years ago. Over the many years other VA doctor and nurses entered GERD in my notes. I made always copies of my prescriptions for VA claims. Works well for me. Never did I receive any doctor's actual diagnosis or nexus statement from anyone that my PTSD caused GERD only my own statement in the GERD claim. If you have strong medical records evidence as me then you have a good chance to win your claim if you cannot find a VA or private doctor to give you a nexus opinion statement. I would have won my claim on appeal to BVA if it was necessary to do so. My very friendly VA primary care doctor is very lazy and speaks very poor English but is helpful with labs and meds and referrals only and will not give out nexus opinions or letters for anything at all. Also this note from Nurse Judy Rose at the VA Outpatient Clinic in Austin in 2000 about my GERD acid reflux. Problem: OTH SP DISORD/ESOPHAGUS Date/Time Entered: 17 Feb 2000 @ 1200 Location: CENTRAL TEXAS HEALTH CARE SYSTEM - TEMPLE DIVISION Status: ACTIVE Provider: ROSE,JUDY In 2017 VA Sleep Clinic nurse in Nevada stated I had acid reflux on Axis III My comment is not legal advice as I am no lawyer, paralegal or VSO.
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