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EODMOMMY

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I am new to the board, but I have lurked for a little while. I just recently started posting.

My husband was medically retired from the Air Force in October of 2002, after serving for 21 years. We started his VA disability claim when we where notified he was going to be medically retired.

The Air Force Physical Evaluation Board retired him on these Categories:

Category I: Unfitting Conditions which are compensable and rateable: Gastroespohageal Reflux Disease associated with non-cardiac chest pain and dyspnea on exertion. (I actually think the PEB board messed up on this one, because his doctor who did the package to the board listed Cardiac Syndrome X as a reason also). The Air Force gave him a 10% rating, not that it did anything for us, since he would get his retirement pay.

Category II: Conditions that can be unfitting but are not currently compensable or rateable: Chronic knee and Shoulder Pain. He did injure his shoulder and knee while on active duty and had surgery on both of them. His shoulder was separated, but the ER docs made it worst, because they thought it was dislocated and tried to manipulate it back in place, finally an orthopedic doctor who was in the next room came into the room we where in and said that his shoulder should have gone back into the joint by then and asked what my husband's name was and looked at the x-ray and came in and said that it was not dislocated, but it was separated. So he had surgery on his shoulder in which they pinned it, but it didn't work, because he bent the pins somehow and they had to remove them. If you look at a shoulder x-ray of him now, he is missing part of his clavicle, because the pinning process never got to take effect to grow new bone. Plus it got worsen when he got shot by a Sherman Tank....he is not a WWII vet, but he got shot by a Sherman tank...you should see the doctors' faces when they hear that one. He was at a 50th Anniversary of VJ day and was setting up charges for a plane flyover, so it would look like they where bombing. This person driving the tank thought it would be funny to shoot over the EOD guys' heads and when he aimed the tank (which was moving) hit a dip and a wad from a 75mm shell hit him square in his injured shoulder. It took an old retired Marine to get the guy out of the tank after it happened, he wouldn't open up the hatch. Of course I didn't find out about any of this till after he was seen at the ER, the doctors wanted to call me and he said "NO!" and the other EOD guys told the doctor it wasn't wise...they knew me too well!! Anyways, he also reinjured the shoulder again while on a range clearance, he got hit by some bar that was sticking out of a truck. The VA did give him 10% for his shoulder.

Once he got his first VA decision which was 20% for his shoulder and knee. They did put the GERD as service connected, but gave him a 0%, because they said it was being controlled by medicine. That is debatable, he still has a lot of acid reflux, regurgitation and he gets chest pains, which is part of our NOD on the decision. The gastroenterologist doesn't feel the chest pains are related to the GERD, because he put him on a course of meds (basically overdosing him on reflux medication) for a few weeks and it didn't help the pain any. His cardiologist came up with the Cardiac Syndrome X or vasospasms. He has had 3 cardiac caths (2 while on active duty) which came back normal (no blockages or other abnormalities) and echocardiograms, stress tests, etc. He does show some occassional EKG changes when he gets near max exhertion and starts to have some chest pains. He has high cholesterol and high triglycerides and is on 3 meds at the moment for that and was diagnosed as being borderline insulin intolerance. Which is common in Caridiac Syndrome X. When he gets a chest pain episode and the nitroglycerine doesn't help he ends up in the ER, he doesn't have to be doing anything ot get the attacks. He has had several admissions to the hospital to run tests when these episodes happen, but they usually come back normal or inconclusive. The cardiologist can't say if the chest pains are cardiac related, GERD related or both. All I know is I am tired of the VA saying that angina is a symptom (yes, I know it is), but his is chronic and started while on active duty. So they will not give him a rating other then 0% for this under his heart or under GERD. It has gotten to the point that my husband will ignore the attacks unless they are so bad that his gets diaphoresis and will almost pass out. It has worried his co-workers many times. I am afraid that one day he will ignore it and it will be the real thing.

I need to get him to call the VA, but he is working and going to school, so most of the time he is asleep or at school or work. The VA won't talk to me and the our state's Department of Veteran Services is suppose to be helping out, but I haven't seen or heard from them.

When he was retired, I found a job before he did and was working full time, but my boss and I came to blows over favortism in the office and the fact that I was not getting out of work when I was suppose to and was always late to pick up my kids at daycare. By that time my husband had found a job and told me to quit. This was before his first VA decision came thorugh. I am in school at the moment and work part time subbing for our school district, but that isn't enough live on with three kids. My husband's first job actually put him in the hospital because of his condition...they had him working 18 hour days, because the district manager wouldn't get off his butt to find another manager to help him out. He was working 40 miles away and I wouldn't let him drive home, because I was affraid he would fall asleep at the wheel. So I had him stay at a motel near his work. If he did get home, he would almost have to turn around and go back to work. This went on for about a month. I went up to visit him at work and he looked awful, he had lost a lot of weight, which I had noticed before this, but this one night he was so pale and in pain. I called 911, but he refused to go to the hospital, because he didn't have anyone to close the store. So the kids and I stayed till closing time and I took him to the ER. He was admitted to the hospital for a week. All his cardiac enzymes elevated, except the one for his heart and his metabolism was way out of wack. It was only a matter of time and he could have gone into heart failure. His district manger was pissed when the store didn't open the next day and called me (BTW, I forgot to mention I called him on his cell phone and left over a dozen messages up till about 3 a.m. in the morning), he said he was out of town and that it was his answering service I got, which I knew was B.S. Luckily, someone steered us towards another job and they hired my husband knowing his condition and have been wonderful working with him when he has had chest pain episodes.

So any suggestions on my husband's situation?

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Has your husband had an endoscopy? People with persistent GERD usually have an endoscopy. Don't get it done at the VA. Go to a good specialist and have it done. They knock you out for it. I have heard that sometimes the VA does not knock out patients for endoscopies.

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BTW, I wonder if the VA would give me anything for everything I have been through because of all this. All the phone calls telling me my husband is being taking to the ER by ambulance and all the B.S. I had to put up with at his last base because he had a terrible doctor and all the B.S. the VA has caused... I now get anxiety attacks, which are being treated....I am just kidding of course, not about the anxiety attacks, but all the stuff this has put my family through....but my anxiety attacks started when my husband started getting these chest pain episodes, I should get a rating just for having to go through all this. LOL Of course then the VA would be really, really overloaded!! B) :)

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Has your husband had an endoscopy? People with persistent GERD usually have an endoscopy. Don't get it done at the VA. Go to a good specialist and have it done. They knock you out for it. I have heard that sometimes the VA does not knock out patients for endoscopies.

He had an endoscopy done while he was still on active duty by a civilian doctor. They did detect a small hiatal hernia, which the VA won't recognize and if I remember right, some errosions in his stomach. They did a biopsy, but didn't it came back normal for...uggh, by brain just went blank...the bacteria that causes many ulcers. But the base lab did blood work and found he had that bacteria in his blood stream and treated him as if he had an ulcer, just on G.P.

With my brain going blank, I would have to look at my husband's medical records to find out exactly what the gastroenterologist said. Going though his medical records is like going through an encylopedia.

Edited by EODMOMMY
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Has your husband had an endoscopy? People with persistent GERD usually have an endoscopy. Don't get it done at the VA. Go to a good specialist and have it done. They knock you out for it. I have heard that sometimes the VA does not knock out patients for endoscopies.

I had to have this done once. I was knocked out. There was no way they where going to stick that thing down my throat if I was not unconscious. I have heard of colonoscopies done without sedation, but never endoscopies...to easy for the patient's gag reflex to kick up and cause problems and patients freaking out. But I wouldn't put it past to the VA to try to do one without sedation.

Mine was done because I was on the MAX amount of Mortin every day for three months due to TMJ, Motrin was the only thing that would help my pain. Narcotics didn't even help. But they had to switch me over to a narcotic drug, because the motrin was killing my stomach. I had errosions in my stomach over a month after taking motrin. My doctor had me listed as NO NSAIDS PERIOD! I couldn't tolerate Vioxx or Celebrex, it would cause me the same kind of stomach pain. They have now kinda lifted the No NSAID's on me, but tell me to watch out when I take them. About a month ago a slipped on something my kids left out and my hurt my right knee (which I had surgery on for a torn meniscus)and it was hurting, so I took some motrin. I only took a total of 600 mg of motrin that day and my stomach was hurting so bad!! I wanted to go to the ER (which says something about the pain, I hate going to the hospital), but my husband was at work and I didn't want to call him. Luckily, I had a doctor's appointment the next day and my doctor put me on Reglan and Nexium (for 10 days) along with my Prevacid. I think he was worried I had an ulcer, I don't know, all I know was I was in pain. The meds helped, thank goodness, or I wold probably have been off to the gastroenterologist again.

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He had an endoscopy done while he was still on active duty by a civilian doctor. They did detect a small hiatal hernia, which the VA won't recognize and if I remember right, some errosions in his stomach. They did a biopsy, but didn't it came back normal for...uggh, by brain just went blank...the bacteria that causes many ulcers. But the base lab did blood work and found he had that bacteria in his blood stream and treated him as if he had an ulcer, just on G.P.

With my brain going blank, I would have to look at my husband's medical records to find out exactly what the gastroenterologist said. Going though his medical records is like going through an encylopedia.

Now I remember the bacteria...it was H. Pyloric. With the kids out of school, I am surprised I even have a brain left. B)

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I have had 2 stomach surgeries, with only a small portion of my stomach left, due to ulcers. I also have GERD. I have been told by my doctors that the H. Pyloric bacteria research has shown that this can cause ulcers, which I wish had been known long ago before my surgeries. If I have a flareup and go to the doctor, there is an antiobiotic regimen that they can put you on to clear the problem up. But, because of the type of antibiotic treatment, they must be certain first that you do have this type of bacteria lurking in your stomach.

As far as the GERD is concerned, he has me on Prevacid. Seems to help somewhat.

mssoup1

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