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  • 14 Questions about VA Disability Compensation Benefits Claims

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    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
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  • Most Common VA Disabilities Claimed for Compensation:   

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  • Can a 100 percent Disabled Veteran Work and Earn an Income?

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    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

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"Denied because disability not clinically diagnosed"


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I filed a claim for GERD in April of this year.  I had a C&P last month.  I loaded medical records from service of an upper GI that was done and the reason it was ordered according to the medical form filled out by the doctor was "DYSPHAGIA HX GERD" .  I just received my denial letter stating "the medical evidence of record fails to show that this disability has been clinically diagnosed".  I don't know what more I could have sent to them to prove this was diagnosed in service?  I have been treated by the VA since I got out of the military in 2009 with Prilosec daily, and still have some days when the reflux is terrible. I sleep with 5 pillows under me so that my head is elevated to keep the acid from waking me up.  Just wondering what I should do now to appeal? I found some medical evidence today that was not included when I filed this claim where I was seen for a cold, but it shows my medications of prilosec at that time (2004), and others show I was taking Prilosec, Tums, and that list problem list of GERD. I cannot find the medical note where I was diagnosed with GERD, but I have been treated for it since I was in service, and the scope showed an irregular Z-line which the doctor explained to me after the procedure was likely due from my history of reflux.  Any advice?

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There are two basic sections to a clinical report: Subjective: Your complaints Objective: Doc's assessment If they say "HX GERD", it just means you either complained about having GERD or have a histor

Vync , That's a good Ideal to use the Meds Fact sheets & high-light the parts for them to read. Since I was a victim of Identity Theft...I shred all my med fact sheets. or I let my 5 year old gran

Andyman, absolutely, if you have been on NSAIDS like ibuprofen and naproxen for long periods of time, they are well known to cause gerd and stomach issues. AFMed09, I would take a DBQ into your doctor

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There are two basic sections to a clinical report:

Subjective: Your complaints

Objective: Doc's assessment

If they say "HX GERD", it just means you either complained about having GERD or have a history of being diagnosed with GERD. 

Sounds like "lazy rater syndrome". They don't prescribe prilosec because you want it. I recommend you go through your medical records, in service, VA, and civilian, and make a list where the doc diagnosed you with GERD, dysphagia, or other reflux-related event. Send in the list of dates, diagnosis, medication history, treatment given, tests, etc... and summarize it in your submission. Keep the this submission limited solely to your GERD claim. If you already submitted the medical evidence, you might consider resending copies (never send originals). If you "spoon feed" the VA exactly what they need, it makes it hard for them to accidentally not read it. You connect the dots for them and then cross your fingers and hope they don't be stupid. Kindly let them know their assessment was jacked up.

Also, if you were given NSAIDs (ibuprofen, advil, naproxen, etc...), like the military likes to prescribe like candy, GERD is just one of the common problems that it causes. Almost everyone I personally know who served in the military has GERD because of this.

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AFMedic09,

I agree totally with Vync.  And for what it's worth, at least you have in your STR where you were prescribed the Prilosec.  Some of us, who where/are on a daily regimen of some type of pain reducer, have no listed GERD type ailment or treatment there of, in our records.

I've been on NSAIDs or tylenol, for 23 years, now, but not sure if or how I can file a claim for the side effects of that long term usage.

Vync is correct saying about spoon feeding the VA.  They give no quarter, and you must prove everything, guilty until proven innocent, such as it is.

Semper Fi.

Andyman

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Vync,

I will have to look up the side effects of the NSAIDs, since my PCP has switched me to tylenol, within the past 2 years, due to the effects on my bp.  Tylenol doesn't effect bp. 

I will make an appointment with my private MD for GERD/GERD like symptoms, but will have to be after the new year, since I'm pretty tied up with a lot of stuff going on, at the moment.

This heliobacter pylori, what other symptoms are known associates?

Thanks,

Andyman

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Vync,

I will have to look up the side effects of the NSAIDs, since my PCP has switched me to tylenol, within the past 2 years, due to the effects on my bp.  Tylenol doesn't effect bp. 

I will make an appointment with my private MD for GERD/GERD like symptoms, but will have to be after the new year, since I'm pretty tied up with a lot of stuff going on, at the moment.

This heliobacter pylori, what other symptoms are known associates?

Thanks,

Andyman

You can look them up online, but when I filed I used the papers that came with my meds. That way it came straight from the VA horse's mouth. They couldn't argue with that!

If you took NSAIDs for long term, it is likely the damage might have already been done to your digestive system to one degree or another. If you had any treatments for gastritis, consider including those also.

Here is a link to h. pylori: http://www.webmd.com/digestive-disorders/h-pylori-helicobacter-pylori
 

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