I respectfully disagree with your analysis on GERD, because the new rating criteria does not address the symptoms of GERD. Dilation(stretching) of the esophagus is not a testament for GERD, It is for slowing problems food getting stuck. Gerd is excess acid in stomach that comes up into the esophagus from a week stomach sphincter (valve at top of stomach), which this new rating suggests the opposite type of treatment this is putting GERD in an unrelated category which will make it almost impossible to get rated for with actual GERD symptoms. I hope this helps
No sweat and thank you for sharing. I totally see your argument. What do prefer is the ‘documented’ piece. This makes GERD more objective (in my opinion). - Clay
@TheCivDiv it is not. The final is not stating any real symptoms of Gerd. As a gerd my self. Symptoms are regurgitation, acid reflux, heartburn, chest pain, and difficulty swallowing. Your assessment is horrible.
@@Harlem139Convent1 it can but not always. You can have severe GERD symptoms without esophagus restrictions. Under this new rule, your moderate to severe GERD symptoms do not matter if you do not have a restriction.
Not at all favorable for Veterans with GERD. Glad I got my claim in before this change. No rating for severe GERD symptoms without esophagus constriction.
Yeah I see that and lots have spoken towards that piece. I totally agree but overall, with the separation…I think the changes are favorable. We will most likely see lower ratings GERD (10%) but see higher ratings for IBS. Although GERD/IBS are not 1 for 1, most people who have one, has the other. The separation is what makes it favorable. At least that’s my 2cents. - Clay
Awesome overview and analysis as always, Clay. Thank you for what you do! I wanted to mention my thoughts on the GERD changes. GERD is a separate disease/syndrome from esophageal stricture. One can have GERD without esophageal stricture - in fact, GERD most often presents without a stricture on endoscopy. Typically, on endoscopy for patients with GERD, the scope will visualize one of many possibilities including esophagitis (inflammation), and at other times the endoscopy will be normal. Rather than require an esophageal stricture for GERD - if the VA wanted an objective evaluation for GERD, they could have required an ambulatory acid probe, Barium swallow test, or esophageal manometry. Instead, the VA is requiring esophageal stricture to be present within GERD - which does not make sense from a pathophysiology standpoint about what GERD actually is. It's important to note that in recent studies, less than HALF of patients with GERD had ANY abnormalities on endoscopy. So more than half of patients with GERD have a normal endoscopy. And even in patients with abnormalities, esophagitis is most common, not strictures. I disagree with the VA's decision to rate GERD in this way. I did read their rationale in the PDF file - they state that they want to measure "functional impairment" with esophageal strictures. However, GERD with the currently rated symptoms does cause significant functional impairment. I think one of the most significant impairment I have seen in Veterans is being woken up at night because of acid reflux and food regurgitation. It even sometimes progresses to vomiting. This is bothersome and causes fatigue during the day due to lost sleep. The IBS guidelines look good, but I must say, I disagree with the VA's decision to rely on esophageal strictures wholly to determine functional impairment from GERD. (yes I know I am a psychiatrist, but this is drawing from my time as a primary care doc in the AF lol 😅 )
So they pretty much made GERD near impossible to recd 30% or higher and made IBS easier to get 30%. Since you can’t get both most will cap at IBS for 30% whereas before you could cap w/ GERD at 60%
@@TheCivDiv ahh gotcha. Still though they made GERD near impossible for 30% or higher to where I wouldn’t bother with a claim. IBS is obtainable but caps at 30% with Va math it hardly moves the needle. Prefer the 60% GERD criteria much more than this new rating requirements
Semper FI fellow Devil DOG!! MCRD San Diego - Sep 1983. Need some advice 2001 - 2002 musculoskeletal issues, service connected in 2007 2004 weight gain started, injuries got worse 2014 finally went to get VA ordered Barium swallow that confirmed Hiatal Hernia. reached 247 lbs, BMI of 31 April 2024 Gastro Intestinal Dr did Endoscopy and gave great IMO/nexus letter, diagnosed hiatal hernia, esophageal stricture/GERD with weight gain aggravated my service connected musculoskeletal injuries as an intermediate step. Made claim for Hiatal hernia, GERD, esophageal stricture with obesity as intermediate step, current weight 222 lbs, overweight BMI 27.9 Sep 12, 2024 denied, C&P examiner opined my fat ass was due to stuffing my face and not service connected musculoskeletal issues since I was able to lost 25 lbs in the last 10 years. How do I argue with that? Do I have to stay obese to get it granted? I am still overweight, BMI was 31 (2014) now 27.9.
I usually don't reply to videos but as a healthcare provider, if I had a patient come to me and describe all of the symptoms of gerd I am not going to evaluate them under esophageal stricture. They are going to be diagnosed and treated for gerd. Esophageal stricture is its own workup and unique diagnosis, I genuinely do not understand how they can equate gerd symptoms to stricture. The only thing that would make sense to me is they do not want to give gerd its own diagnosis code despite the rest of the medical community coding gerd under k21.9 virtually every day.
Solid solid solid insight and thank you for sharing. The VAs argument for these changes to GERD is ‘functional impairment’. They are arguing GERD can still be rated but based on functional impairment, those symptoms (GERD symptoms) do not equate to functional impairment. At least that’s how I read that. - Clay
How do you suggest dealing with VBA denials citing rationale based on gastro symptoms “diagnosed before primary PTSD diagnosis?” Nam vets and others deal with PTSD being recognized in the DSM in 1980 therefore this “rationale” is used to deny many of us… even thought the primary PTSD recognizes Nam as a “qualified event.”
Dilation- usually it’s when something opens up so that when the stomach acid is allowed to come up into the esophagus PEG- is a tube that they place from the outside and f the stomach and you can use it to feed or medications. Dysphagia - difficulty swallowing not to be confused with dysphasia difficulties talking
I recently became 100 p&t through other conditions. For a condition mentioned on this video I was rated 0% , I submitted the condition in January 2023 and in May 2023 I was rated. I submitted the increase before the 1 year cutoff in 2024. I submit for the increase and the Va is requesting a c&p exam, I have a feeling it’s because they don’t want to pay back pay to January 2023. Is the Va attempting to play games? Does the paperwork from the last increase be sufficient to automatically rate since it has been within the year ? The year expires may 23, 2024. Any feedback would be greatly appreciated.
CivDiv, If I do my Intent to Claim today, will this keep me in the grandfather category for GERD? I have nothing in my STR for GERD and the new criteria seems tougher than the older one.
Thanks for the info and great content as always. I’ve already submitted a claim for GERD. Judging by the length of time it takes to get through a claim, what’s your take on veterans who have a claim through now. Would they fall under the old rating criteria if they submitted prior to these changes, but it doesn’t get adjudicated until after the date of these new changes? That stuff always seems fuzzy to me and dont see many folks talking about the timing with new changes.
GREAT QUESTION! I explain this a bit more here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=BsF1RIccNBXueyxS Of note, IF the VA processes your claim prior to the effective date (May 19, 2024) then you will only be rated on the current (old) rating schedule. For GERD, probably best. If you have GERD and the other conditions covered under the change, then this would be bad (generally speaking). Regardless, once effective, if you believe you would rate higher or have separate ratings and that would be higher…you can always sink it the increase. - Clay
These changes are looking pretty good. There are a few IBS tracking apps, similar to a migraine tracker to fully track the frequency, symptoms, and form.
@@TheCivDiv Absolutely! I have been using a migraine tracker for a few years, but that got me thinking once IBS was listed as presumptive with the PACT act if you were in the applicable areas. Huge thanks to you and veterans info tap, I almost went through one of those paid services and now am tackling everything myself. So much I didn’t know and wasn’t told in taps and by the veteran services person I used when I got out in 2011.
From someone who got it in MCRD PI boot camp 28 years ago I'm on the fence about this change. Mine is rated under hiatal hernia (different DC) and its actually called eosinophilic esophagitis and my symptoms are directly in line between the 50-80% rating criteria of this change... (go figure I am low rated at 10% currently) Main point being I find this change odd to begin with because my GI doc has stated numerous times, I cannot continue to receive dilation due to the walls of the esophagus thinning and scarring, not sure how anyone else could receive that treatment three times a year (or more) without tearing their esophagus all to hell smh
The answer is yes but it’s not that simple. It totally depends on your situation. Answered here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=fT6lPZWPPsxv_FXa - Clay
😂 yeah I’ve had a few comments about how I should learn what these words are first but hey…I am a husband and dad of 4 who also works full-time. I ain’t got time for all that. If these conditions/symptoms apply to the Veteran, with the link provided, the Veteran can figure all that out. I don’t think it’s a big deal and tbh, it shows I’m just a real dude, in his basement, making videos. Veterans don’t need to understand the ins and outs of every little thing…just the baseline. Okay…I’m off my soap box 😂 - Clay
According to the VA "Claims related to these body systems that were pending on May 19 will be considered under both the old and new rating criteria, and whichever criteria is more favorable to the Veteran will be applied"
Answers here and it depends when the rating decision is made: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw Posted that one this morning. - Clay
What happens to those of us that has a current claim open for GERD (filed on Feb 27, 2024)? Are they going to use the new criteria or old criteria for rating?
Found the answer: According to the VA "Claims related to these body systems that were pending on May 19 will be considered under both the old and new rating criteria, and whichever criteria is more favorable to the Veteran will be applied"
VA prescribed Omeprazole, been retired 20 years and it's the best treatment for my GERD. Need to supplement with tums on rare occasions - spicy food and alcohol. Give it a try brother!
My IBS explanation was like this B4 it was a presumptive... Hey Doc somwthing not right in my gut. I eat and within minutes my gut is like vibrating but not in a good way it like starts about my belly button and then I feel the rolling sting circling around my waist line. I can literally feel my meal going to my butt hole until it explodes like a volcanic eruption. Doc the entire time oh oh my dear god oh my. Well i think we need a Colonoscopy Prostate exam Upper GI exam and let just see what we can find in the middle. 6 months of effing testing to be told well you have IBS and we will redo this again in 5 yrs. Sure enough 5yrs later boom same shit. All of this happened b4 PACT Act was even a thing. Soooo Glad my guts paved the way for the others behind me. Because trust me the testing to disprove Service Connected sucked as bad as having this awful illness. I now flip flop between Constipated and Erupting anal squirts.
Sorry you had to go through all that…question for you can send me an email if you’d like. If you can represent DKGVF on a live Q/A with me…I’d be more than willing. I know DKGVF has a CEO but my prior partnership with them should make the decision pretty easy. If so, email me subject line “DKGVF stream” - Clay
@TheCivDiv I will ask the higher command unit and see what they say. I personally have no issues I don't do a lot of public speaking or video at all. So you would have to guide me and when I say guide me I really mean pull me along lol
Thank you for paving the way. I was service connected with IBS in 2022, doc said i had something to the affect of stool problems while I was in, but still received a 0% rating for IBS but service connected? What can I do with the now since the pact act has been implemented?
I would say this is definitely bad because for all those ratings it requires “esophageal strictures” which is not always present in all cases of GERD. So you could have GERD with all those symptoms but if you don’t have esophageal strictures than sounds like a big 0 rating
I have 60 for GURD and IBS my medication has been doubled. Most of what you said applies to me. I considered filing a claim but worry crap could go south. Thoughts.
I answer this exact question in here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=UuPEPaKS8A5vwri7 Posted that this morning. There are 3 scenarios and YOU gotta figure YOU out. - Clay
If you have a claim in and they’re still working on it after may 19, would they use these new regulations? Or is it based on regulations at time of submission?
According to the VA "Claims related to these body systems that were pending on May 19 will be considered under both the old and new rating criteria, and whichever criteria is more favorable to the Veteran will be applied"
@@joegresells2161Thank you so much for the clarification. Please provide the source (official instruction, regulation, etc..) by a credible entity. I am glad that you answered this question because I waa wondering the same thing. Having this information and the credible source will help me fight my case if I get rejected. Thanks again.
Both. That is scenario 1. The VA is forced to award the Veteran the rating from both rating schedules that is HIGHER. Whether that is old (current) or the new change after May 19. - Clay
I'm at 30 percent rating on ibs. (Tmi and I'm sorry) but my stools come on fast with diarrhea to start and cramping constipation following shortly after. I've changed my diet several times over the years and the only real help was when I would fast for a week and had nothing to come out after the first 3 days or so. My wife carries a few diapers for the kids and a change of underware for me in her purse...I'm 35 and crap my pants more than my infant and 2 year old do. Somehow I don't think 30 percent is enough. I take baby wipes to work with me...
ive taken baby wipes every where just because of the amount of wiping to clean up... the sudden urge to go is your gastrocolic reflex. prob from something you ate prior.. cutting garlic and fried greasy foods has been my biggest help.. and also not being stressed and sleeping good.. if i mess with any of that i have painful diarhea and cramping.. ive been dealing with it since 21 but never saw a doc about it in service because it wasnt and still isnt crazy bad .. i do have days tho. how did you get rated? they denied mine because of no service connection but when i did the claim i never even saw a person for it..
If you are trying to put out information to veterans and educate them which I think for the most part you do a good job in presenting. Do yourself a favor in your video prep and read through the material ahead of time and if you don’t know the meaning of a word look it up. Google and WebMD are free. You will come off as a much more knowledgeable presenter of information and will lend to your credibility. If you want to be taken seriously you have to put in the effort, especially if you are just reading off the rating schedule. Not trying to be critical just trying to lend a hand.
I understand this but dude…I work full time and I have 4 kids. Not happening. If these conditions apply to the Veteran, they are more than welcome to use the source info linked. - Clay
My VA summary shows Gastroenteritis repoted while I was in. I was recently diagnosed with IBS. Any chance I could use my VA Summary as medical evidence?
Sure. That’s pretty decent for the GI system. Keep in mind that is only 1 of the Big 3. I am more curious of your in-service event (evidence from service) for this condition. Without that, your claim is poop water (pun). - Clay
Last year I logged my IBS symptoms. Three times I have no pain while defecting. Three times in the entire year. I have not filed for IBS yet. I might hit 100 from other issues so I might not need to. In my case the nexus may be my service connected GERD.
YOU gotta figure YOU out. Check this and I talk about 3 scenarios in which a Veteran would take advantage. I use GERD/I S as the baseline as these have an effective date. But the concept applies to all the proposed changes. ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=UuPEPaKS8A5vwri7 Posted that this morning. There are 3 scenarios and YOU gotta figure YOU out.
Explained here and it depends when the decision is processed. Posted this one this morning: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw - Clay
If I do supplemental claim beyond May 19. Will I still be rated under the old rating or new one? I was recently denied claim to GERD secondary to PTSD but at the same time was awarded 50% Sleep apnea. The VA doctors stated that there's allot of medical Journals linking GERD Secondary to Sleep apnea.
Mine is so bad that cramping you’re talking about. I literally pass out from it sometimes. That crap sucks already at 30% for it which is bad as I have it I don’t see why it can’t be higher because it almost makes it impossible to do stuff anymore. The medicine helps that they give me but it doesn’t stop it.
Any idea of these 3 (GERD, IBS, HEMEROIDS) are now pyramiding? I have all 3 but only IBS at 30%. I easily meet the 10% for GERD and HEMEROIDS. Don't want to open any new cases if not Going to increase my overall ratings (83%)
What greghoenig2017 said. I explain 3 scenarios in which a Veteran would and would NOT have their ratings changed/separated. I posted that video this morning here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw - Clay
Need to check this to understand when and when NOT to have your ratings changed/separated. I posted this one this morning here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw - Clay
I totally understand this one. A good friend of mine has a pretty severe TBI and had they not gotten the help they needed, which was a solid VSO and in-person meeting, they would not have gotten the benefits that they deserve. SMC-T has a HUGE pay out upwards of 11k-ish. - Clay
I want to be rated for the most favorable of the changes for IBS(Intent to File: April 3, 2024). Does that mean I must submit after May 19th 2024 to be considered for the most favorable rating schedules?
This makes me so happy and thank you for sharing. The whole reason I started this channel was to give Veterans ACTUAL help. Not just clickbait titles and selling a bootcamp for your claim. You made my day! - Clay
@@TheCivDiv glad I could do so! Thank you bro. For IBS am I better of claiming in May? I was actually going to claim it soon as I deployed to Kuwait as well
@@TheCivDiv I get it - cool enough. I just found it very hard to concentrate on the words .. my hearing is bad enough. Found myself getting all angry and such
I just went to the docotor for ibs to get a diagnosis because i was denied previously for not having one. Should i wait to sumit a supplement claim until this becomes effective or it does not matter? How do i go about asking my doctor to write a nexus letter for me for the claim. Sadly im under contract with VG, im just waiting to get my decision for MH to cancel with them. Should i wait until i cancel with them to sumit?
Timeframes are answered here as to what to do with these changes as they pertain to YOUR situation. ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw - Clay
According to the VA "Claims related to these body systems that were pending on May 19 will be considered under both the old and new rating criteria, and whichever criteria is more favorable to the Veteran will be applied"
Both. That is scenario 1. The VA is forced to award the Veteran the rating from both rating schedules that is HIGHER. Whether that is old (current) or the new change after May 19. - Clay
Honest Question, I am rated IBS, my pain happens only once per month during a constipation phase, But.. lasts at least 4 days during. Would that be considered 1 day per week??? And yes it hurts, no mistakes on that.
The rating isn’t for a single day…if your pain is consistent throughout 4 days…then that is 4 days per week. I’d recommend you give this information to your healthcare team and start documenting your symptoms if you haven’t already. As for the increase, YOU need to figure out YOU. I explain that this morning here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=BsF1RIccNBXueyxS - Clay
Question. I currently have a claim pending for gerd as a secondary to asthma which I’m rated at 30%. If I already have a claim pending will I fall under the new rules, or be grandfathered?
According to the VA "Claims related to these body systems that were pending on May 19 will be considered under both the old and new rating criteria, and whichever criteria is more favorable to the Veteran will be applied"
I answer this exact question in here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=UuPEPaKS8A5vwri7 Posted that this morning. There are 3 scenarios and YOU gotta figure YOU out. - Clay
So if currently service connected for GERD but do not meet the criteria will the diagnosis be changed to peptic ulcer or will we have to file a new claim for the new diagnosis?
If you’re SC for GERD, then what matters is how GERD is rated. Before you decide to change your GERD rating, YOU need to figure YOU out. Explanation I posted this morning: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=BsF1RIccNBXueyxS - Clay
Under the new info GERD, the only diagnosis that would apply is esphogeal stricture, all of the old GERD symptoms such as nausea, vomiting, regurgitation, sub sternal pain, etc are now classified under the peptic ulcer diagnosis . So, don’t put it past the VA to review everyone with a SC for GERD and reduce/remove everyone who doesn’t have an esphogeal stricture diagnosis.
Now that there is a specific DC for GERD, I didnt see any language addressing whether they will stop pyramid GERD and IBS. If they are going to be separate I wonder if they will separate the grandfathered grants.
@@greghoenig2207in a logical VA world you would be 100% correct. The question remains for those of us that got pyramided. I will have to do more researching since the original grant is not the language that this will turn into. Hopefully it as easy as being a straight designation of DC but I doubt it. Only time will tell.
Explained here is whether you should or should NOT change/separate your ratings: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw I posted that this morning. - Clay
You have NOTHING to worry about as long as you don’t increase your GERD/GI system. No sweat and congrats on that 60%. I know it sucks… Of the 2 friends I have that are rated 60% for GERD…I’ve seen and heard enough. Seek healthcare!! - Clay
I have been out of the service for 20 years now...I have Gerd and had it for a long while.. however I can only get medical records for the last 10 years as my previous Dr. closed down his practice and 20 years ago , I didn't go to the dr. that much. I have never been to a VA Hospital but only had private Dr. and had an Ulcer .. was treated at a private Hospital appx 8 years ago. I have been on Meds for a while for Gerd. Can I file a claim and would my chances getting rated be very low ?
I just went through something similar-without a direct service connection it will be very difficult, could maybe try a secondary connection if you have it. In my case, I had it listed as a "claimed condition" on my final physical and had already been taking tons of OTC meds which I mentioned all of that on exit physical also. Good luck.
You can submit the claim b it there are a few factors to consider…what is your evidence from service (if any) that would lead to GERD? Example: documented heartburn. If that’s the case…then direct and that’s fairly simple. If not, then you either make the argument that it is directly from service or you start building a secondary claim. I’d really like to know when you left service and when you started seeking treatment. I’m sure your current evidence at a minimum notes your medical history with GERD that is lost. You have the current dx and current evidence - not an issue. You either need the in-service event or start working towards building the nexus to be secondary. - Clay
@@TheCivDiv Thanks for your response. I ordered my Military Health Records and will try to find if I mentioned Gerd to my Dr. at anytime in my 14 year service time.
Awesome video as always. Does anyone know what happens to claims that are still open after these changes go into effect? Filed in February 2024 for IBS and assuming it will not be completed before May 19th.
Yes I do! I explained this in this mornings video (link at the bottom). There are 3 scenarios in which this will affect Veterans. ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=BsF1RIccNBXueyxS - Clay
How do you mean? Maybe I’m reading the question wrong 😂 If you file a symptom under GERD the VA would simply show the DC as GERD assuming you are/will be diagnosed with GERD. Kind of like claiming lower back pain and then the VA changes the DC to lumbosacral strain or whatever diagnosis the veteran ha/gets during the exam. I think that’s what you’re asking? - Clay
Hey i have an important question! Do you know what Abdominal Pain related to defecation mean? Does that mean it hurts when i poop? Or i have abdominal pain with defecation changes?
So since there will no longer be a 0% rating for IBS does that mean those of us with a 0% will get an automatic 10% for our IBS? Or how would that work?
NOT automatic and YOU have to file for an increase. The video I posted this morning explains 3 scenarios of when or when not to file for the increase for IBS. Link: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw - Clay
@@TheCivDiv oh wow!!! You replied!!! Thanks!!! I wanna do this asap! But…i had a C&P exam for 3 things and ED earlier…should I wait til these are done to file for my increase or go ahead and get my intent to file squared away?
@@TheCivDiv also…looking at the ratings for my IBS i should’ve been rated for 30% but somehow i was service connected for 0% without being presumptive, bad cramping, going 4+ times a day literally every single day!
I explained this in this mornings video about 3 scenarios of how this affects Veterans. It seems like you are scenario 1. YOU need to figure YOU out: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=BsF1RIccNBXueyxS - Clay
No. Not unless you want it to. Our ratings are protected when there is a change to the schedule of ratings UNLESS the veteran asks the VA to change the rating. For you, that would be an increase on your IBS. - Clay
I answered this during the live stream yesterday and I forgot the answer (which isn’t like me 🤦🏻♂️). If you click on the PDF document that is in the pinned comment and Control F “Barrett” you’ll find the DC and ratings. - Clay
It absolutely will. Your BDD will be submitted prior to May 19 which means you’ll be rated off both. Explained here more in-depth: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=bN6kUy3WfAH0qPx2 - Clay
You can check my website for more. I’ll drop the IMO/DBQ link. Keep in mind…I ONLY recommend considering IMOS/DBQs when you’ve been denied AND you have the evidence. If you’re sitting on a stack of money and don’t care, then do what you think is best for your claim. At the end of the day, IMOs/DBQs only strengthen your claim (assuming the IMO/DBQ is ‘good’ and ‘complete’). - Clay
@@MckenzieDaniel more than likely (pun) yes…at least an ACE depending on your evidence. I would assume (as a planning factor) ANYTIME you submit a claim that’s going to require a C&P. - Clay
Most likely, yes. Keep in mind I always recommend submitting EVIDENCE of documented symptoms for increase claims. It’s one thing to self-report your symptoms to your C&P examiner. It’s a whole other level when the veteran has HARD medical evidence that can’t be refuted from the C&P examiner. Speak with your healthcare team about your symptoms, seek treatment, and submit the claim when ready. In your case, that would be no earlier than May 19, 2024. - Clay
Man I filed for hemorrhoids. Never been seen during my time in service for it…got out of the Army almost ten years ago. I’m guessing I will be denied but at least someone will take a look at my booty hole😂🤷♂️
If im rated at 0 for hemorrhoids would i have to refile my claim? I also think I fall under the IBS categories but didn't have it checked while in service should I file for it?
I answer this exact question in the video I posted this morning: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=MvH1Opu9fvTwV9cV There are 3 scenarios and YOU ah e to figure out YOU. - Clay
@@TheCivDiv what evidence would be needed? I have a GERD diagnosis and the VA prescribed meds are documented in my VHA record. There are studies that link pain relievers to GERD and I take those OTC on the regular. Do I need a Doc letter?
NO..the examiner got an eyeful of mine and the bloody maxi pad stuck in my shorts. After 2 failed surgerys ya kinda lose your dignity. Tell your friend.
Yeah something is missing here. No sweat. Regardless, YOU have to decide what is best for YOU. Depending on that scenario, which I hope I answered in this video, you at least have a direction to start making a plan. There are 3 scenarios and you need to consider and I explain here posted this morning: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw - Clay
They were and overwhelmingly 0%. Now they will be rated at 10/20% AND separated - that’s the kicker. In my opinion, absolute SOLID change from the VA. BIG win. - Clay
Word! Veterans Info Tap and myself have been collating on Veterans Daily (link: youtube.com/@VeteransDaily?si=4e5f9Bi1-hDgb8c7) pretty well together. I like getting different perspectives on the same issue. Hopefully myself and Jason bring the best info in a manner that is digestible. - Clay
NOPERS!! Explained here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw are 3 scenarios where a Veteran would and would NOT change/separate their ratings. - Clay
1-stop-shop for VA Benefits: CivDivonline.com
FedReg Final: public-inspection.federalregister.gov/2024-05138.pdf
- Clay
I respectfully disagree with your analysis on GERD, because the new rating criteria does not address the symptoms of GERD. Dilation(stretching) of the esophagus is not a testament for GERD, It is for slowing problems food getting stuck. Gerd is excess acid in stomach that comes up into the esophagus from a week stomach sphincter (valve at top of stomach), which this new rating suggests the opposite type of treatment this is putting GERD in an unrelated category which will make it almost impossible to get rated for with actual GERD symptoms. I hope this helps
No sweat and thank you for sharing. I totally see your argument. What do prefer is the ‘documented’ piece. This makes GERD more objective (in my opinion).
- Clay
I am screwed since i currently have all the symptoms for Gerd for 30% but rated at 10% right now. This final proposal is horrible.
@TheCivDiv it is not. The final is not stating any real symptoms of Gerd. As a gerd my self. Symptoms are regurgitation, acid reflux, heartburn, chest pain, and difficulty swallowing. Your assessment is horrible.
But the acid building up in your esophagus can cause restriction!!
@@Harlem139Convent1 it can but not always. You can have severe GERD symptoms without esophagus restrictions. Under this new rule, your moderate to severe GERD symptoms do not matter if you do not have a restriction.
Not at all favorable for Veterans with GERD. Glad I got my claim in before this change. No rating for severe GERD symptoms without esophagus constriction.
Yeah I see that and lots have spoken towards that piece. I totally agree but overall, with the separation…I think the changes are favorable. We will most likely see lower ratings GERD (10%) but see higher ratings for IBS.
Although GERD/IBS are not 1 for 1, most people who have one, has the other. The separation is what makes it favorable.
At least that’s my 2cents.
- Clay
Awesome overview and analysis as always, Clay. Thank you for what you do!
I wanted to mention my thoughts on the GERD changes. GERD is a separate disease/syndrome from esophageal stricture. One can have GERD without esophageal stricture - in fact, GERD most often presents without a stricture on endoscopy. Typically, on endoscopy for patients with GERD, the scope will visualize one of many possibilities including esophagitis (inflammation), and at other times the endoscopy will be normal. Rather than require an esophageal stricture for GERD - if the VA wanted an objective evaluation for GERD, they could have required an ambulatory acid probe, Barium swallow test, or esophageal manometry. Instead, the VA is requiring esophageal stricture to be present within GERD - which does not make sense from a pathophysiology standpoint about what GERD actually is.
It's important to note that in recent studies, less than HALF of patients with GERD had ANY abnormalities on endoscopy. So more than half of patients with GERD have a normal endoscopy. And even in patients with abnormalities, esophagitis is most common, not strictures. I disagree with the VA's decision to rate GERD in this way. I did read their rationale in the PDF file - they state that they want to measure "functional impairment" with esophageal strictures. However, GERD with the currently rated symptoms does cause significant functional impairment. I think one of the most significant impairment I have seen in Veterans is being woken up at night because of acid reflux and food regurgitation. It even sometimes progresses to vomiting. This is bothersome and causes fatigue during the day due to lost sleep. The IBS guidelines look good, but I must say, I disagree with the VA's decision to rely on esophageal strictures wholly to determine functional impairment from GERD. (yes I know I am a psychiatrist, but this is drawing from my time as a primary care doc in the AF lol 😅 )
Absolutely SOLID doc and thank you for sharing and giving the insight.
- Clay
So they pretty much made GERD near impossible to recd 30% or higher and made IBS easier to get 30%. Since you can’t get both most will cap at IBS for 30% whereas before you could cap w/ GERD at 60%
IBS and GERD are now rated SEPARATELY!!!
- Clay
@@TheCivDiv ahh gotcha. Still though they made GERD near impossible for 30% or higher to where I wouldn’t bother with a claim. IBS is obtainable but caps at 30% with Va math it hardly moves the needle. Prefer the 60% GERD criteria much more than this new rating requirements
Semper FI fellow Devil DOG!! MCRD San Diego - Sep 1983. Need some advice
2001 - 2002 musculoskeletal issues, service connected in 2007
2004 weight gain started, injuries got worse
2014 finally went to get VA ordered Barium swallow that confirmed Hiatal Hernia. reached 247 lbs, BMI of 31
April 2024 Gastro Intestinal Dr did Endoscopy and gave great IMO/nexus letter, diagnosed hiatal hernia, esophageal stricture/GERD with weight gain aggravated my service connected musculoskeletal injuries as an intermediate step. Made claim for Hiatal hernia, GERD, esophageal stricture with obesity as intermediate step, current weight 222 lbs, overweight BMI 27.9
Sep 12, 2024 denied, C&P examiner opined my fat ass was due to stuffing my face and not service connected musculoskeletal issues since I was able to lost 25 lbs in the last 10 years.
How do I argue with that? Do I have to stay obese to get it granted? I am still overweight, BMI was 31 (2014) now 27.9.
I usually don't reply to videos but as a healthcare provider, if I had a patient come to me and describe all of the symptoms of gerd I am not going to evaluate them under esophageal stricture. They are going to be diagnosed and treated for gerd. Esophageal stricture is its own workup and unique diagnosis, I genuinely do not understand how they can equate gerd symptoms to stricture. The only thing that would make sense to me is they do not want to give gerd its own diagnosis code despite the rest of the medical community coding gerd under k21.9 virtually every day.
Solid solid solid insight and thank you for sharing. The VAs argument for these changes to GERD is ‘functional impairment’. They are arguing GERD can still be rated but based on functional impairment, those symptoms (GERD symptoms) do not equate to functional impairment. At least that’s how I read that.
- Clay
How do you suggest dealing with VBA denials citing rationale based on gastro symptoms “diagnosed before primary PTSD diagnosis?” Nam vets and others deal with PTSD being recognized in the DSM in 1980 therefore this “rationale” is used to deny many of us… even thought the primary PTSD recognizes Nam as a “qualified event.”
Much thanks man. You're the best as far as keeping us updated!
Dilation- usually it’s when something opens up so that when the stomach acid is allowed to come up into the esophagus
PEG- is a tube that they place from the outside and f the stomach and you can use it to feed or medications.
Dysphagia - difficulty swallowing not to be confused with dysphasia difficulties talking
Thank you for the clarification. And thank you for being a member!!
- Clay
@@TheCivDiv no problem not trying to correct you but just trying to save people the need to go to google.
@@joeb.8625 😂 no sweat. Words are hard.
- Clay
I recently became 100 p&t through other conditions. For a condition mentioned on this video I was rated 0% , I submitted the condition in January 2023 and in May 2023 I was rated. I submitted the increase before the 1 year cutoff in 2024. I submit for the increase and the Va is requesting a c&p exam, I have a feeling it’s because they don’t want to pay back pay to January 2023. Is the Va attempting to play games? Does the paperwork from the last increase be sufficient to automatically rate since it has been within the year ? The year expires may 23, 2024. Any feedback would be greatly appreciated.
I would like to have heard the part covering "Barretts Esophagus" . You skipped it .
Exactly what VHV said
- Clay
CivDiv, If I do my Intent to Claim today, will this keep me in the grandfather category for GERD? I have nothing in my STR for GERD and the new criteria seems tougher than the older one.
Thanks for the info and great content as always. I’ve already submitted a claim for GERD. Judging by the length of time it takes to get through a claim, what’s your take on veterans who have a claim through now. Would they fall under the old rating criteria if they submitted prior to these changes, but it doesn’t get adjudicated until after the date of these new changes? That stuff always seems fuzzy to me and dont see many folks talking about the timing with new changes.
GREAT QUESTION! I explain this a bit more here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=BsF1RIccNBXueyxS
Of note, IF the VA processes your claim prior to the effective date (May 19, 2024) then you will only be rated on the current (old) rating schedule. For GERD, probably best. If you have GERD and the other conditions covered under the change, then this would be bad (generally speaking).
Regardless, once effective, if you believe you would rate higher or have separate ratings and that would be higher…you can always sink it the increase.
- Clay
These changes are looking pretty good. There are a few IBS tracking apps, similar to a migraine tracker to fully track the frequency, symptoms, and form.
And this makes for a SOLID video idea. I never thought about tracking IBS but this totally makes sense. Thank you out for sharing.
- Clay
@@TheCivDiv Absolutely! I have been using a migraine tracker for a few years, but that got me thinking once IBS was listed as presumptive with the PACT act if you were in the applicable areas. Huge thanks to you and veterans info tap, I almost went through one of those paid services and now am tackling everything myself. So much I didn’t know and wasn’t told in taps and by the veteran services person I used when I got out in 2011.
What IBS under Pact Act? How
From someone who got it in MCRD PI boot camp 28 years ago I'm on the fence about this change. Mine is rated under hiatal hernia (different DC) and its actually called eosinophilic esophagitis and my symptoms are directly in line between the 50-80% rating criteria of this change... (go figure I am low rated at 10% currently) Main point being I find this change odd to begin with because my GI doc has stated numerous times, I cannot continue to receive dilation due to the walls of the esophagus thinning and scarring, not sure how anyone else could receive that treatment three times a year (or more) without tearing their esophagus all to hell smh
It sounds like you have a solid increase
- Clay
@@TheCivDiv I hope so brother, just not sure if theyd change the DC to fall more in line with this one for GERD. Appreciate the video and info!
I'm wondering if you have gerds and IBS is the VA still combining them into one rating, I was told that you can get two separate ratings now.
The answer is yes but it’s not that simple. It totally depends on your situation. Answered here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=fT6lPZWPPsxv_FXa
- Clay
You are doing better with the big words than I can ever do. I butcher all words.
😂 yeah I’ve had a few comments about how I should learn what these words are first but hey…I am a husband and dad of 4 who also works full-time. I ain’t got time for all that. If these conditions/symptoms apply to the Veteran, with the link provided, the Veteran can figure all that out.
I don’t think it’s a big deal and tbh, it shows I’m just a real dude, in his basement, making videos.
Veterans don’t need to understand the ins and outs of every little thing…just the baseline.
Okay…I’m off my soap box 😂
- Clay
Thanks for explaining this stuff brother.
Thank YOU for watching and commenting. Always appreciated.
- Clay
Just had my C&P exam last week for GERD for increase. Will I get in under the old rules or the new ones? Thanks HM3
According to the VA "Claims related to these body systems that were pending on May 19 will be considered under both the old and new rating criteria, and whichever criteria is more favorable to the Veteran will be applied"
Answers here and it depends when the rating decision is made: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw
Posted that one this morning.
- Clay
What happens to those of us that has a current claim open for GERD (filed on Feb 27, 2024)? Are they going to use the new criteria or old criteria for rating?
Found the answer: According to the VA "Claims related to these body systems that were pending on May 19 will be considered under both the old and new rating criteria, and whichever criteria is more favorable to the Veteran will be applied"
Video will post tomorrow at 10am explaining this.
- Clay
Thanks! For all you do.@@TheCivDiv
Great question, my DBQ's are getting ready to be filed prior to my ITF date of May 18th lol
GRED suks. I need to buy stock in Tums
Try a shot of apple cider vinegar diluted with a little water and you'll never use anything else, it's magical.
I’ve heard GERD sucks and I’m very fortunate to not deal with all that.
- Clay
@justincase992 ill have to try this . A spoon full of mustard is a super fast relief but doesn't last very long as well.
VA prescribed Omeprazole, been retired 20 years and it's the best treatment for my GERD. Need to supplement with tums on rare occasions - spicy food and alcohol. Give it a try brother!
My IBS explanation was like this B4 it was a presumptive... Hey Doc somwthing not right in my gut. I eat and within minutes my gut is like vibrating but not in a good way it like starts about my belly button and then I feel the rolling sting circling around my waist line. I can literally feel my meal going to my butt hole until it explodes like a volcanic eruption.
Doc the entire time oh oh my dear god oh my. Well i think we need a Colonoscopy Prostate exam Upper GI exam and let just see what we can find in the middle. 6 months of effing testing to be told well you have IBS and we will redo this again in 5 yrs. Sure enough 5yrs later boom same shit. All of this happened b4 PACT Act was even a thing. Soooo Glad my guts paved the way for the others behind me. Because trust me the testing to disprove Service Connected sucked as bad as having this awful illness. I now flip flop between Constipated and Erupting anal squirts.
Sorry you had to go through all that…question for you can send me an email if you’d like.
If you can represent DKGVF on a live Q/A with me…I’d be more than willing. I know DKGVF has a CEO but my prior partnership with them should make the decision pretty easy.
If so, email me subject line “DKGVF stream”
- Clay
@TheCivDiv I will ask the higher command unit and see what they say. I personally have no issues I don't do a lot of public speaking or video at all. So you would have to guide me and when I say guide me I really mean pull me along lol
The spastic diarrhea is from the constipation. The matter has nowhere to go. So it forces its way out as liquid.
Thank you for paving the way. I was service connected with IBS in 2022, doc said i had something to the affect of stool problems while I was in, but still received a 0% rating for IBS but service connected? What can I do with the now since the pact act has been implemented?
I would say this is definitely bad because for all those ratings it requires “esophageal strictures” which is not always present in all cases of GERD. So you could have GERD with all those symptoms but if you don’t have esophageal strictures than sounds like a big 0 rating
Dr. Sharma made the same exact argument and that is a solid catch!!!!
- Clay
Can we start filing now or do we have to wait until May to file for an increase?
Depends on YOU and that is answered here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=fkeXiU_7xq8wFbUF
- Clay
I have 60 for GURD and IBS my medication has been doubled. Most of what you said applies to me. I considered filing a claim but worry crap could go south. Thoughts.
I answer this exact question in here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=UuPEPaKS8A5vwri7
Posted that this morning. There are 3 scenarios and YOU gotta figure YOU out.
- Clay
If you have a claim in and they’re still working on it after may 19, would they use these new regulations? Or is it based on regulations at time of submission?
According to the VA "Claims related to these body systems that were pending on May 19 will be considered under both the old and new rating criteria, and whichever criteria is more favorable to the Veteran will be applied"
@@joegresells2161Thank you so much for the clarification. Please provide the source (official instruction, regulation, etc..) by a credible entity.
I am glad that you answered this question because I waa wondering the same thing. Having this information and the credible source will help me fight my case if I get rejected. Thanks again.
Both. That is scenario 1.
The VA is forced to award the Veteran the rating from both rating schedules that is HIGHER. Whether that is old (current) or the new change after May 19.
- Clay
@@TheCivDiv thank you for the info!
I'm at 30 percent rating on ibs. (Tmi and I'm sorry) but my stools come on fast with diarrhea to start and cramping constipation following shortly after. I've changed my diet several times over the years and the only real help was when I would fast for a week and had nothing to come out after the first 3 days or so. My wife carries a few diapers for the kids and a change of underware for me in her purse...I'm 35 and crap my pants more than my infant and 2 year old do. Somehow I don't think 30 percent is enough. I take baby wipes to work with me...
ive taken baby wipes every where just because of the amount of wiping to clean up... the sudden urge to go is your gastrocolic reflex. prob from something you ate prior.. cutting garlic and fried greasy foods has been my biggest help.. and also not being stressed and sleeping good.. if i mess with any of that i have painful diarhea and cramping.. ive been dealing with it since 21 but never saw a doc about it in service because it wasnt and still isnt crazy bad .. i do have days tho. how did you get rated? they denied mine because of no service connection but when i did the claim i never even saw a person for it..
If you are trying to put out information to veterans and educate them which I think for the most part you do a good job in presenting. Do yourself a favor in your video prep and read through the material ahead of time and if you don’t know the meaning of a word look it up. Google and WebMD are free. You will come off as a much more knowledgeable presenter of information and will lend to your credibility. If you want to be taken seriously you have to put in the effort, especially if you are just reading off the rating schedule. Not trying to be critical just trying to lend a hand.
I understand this but dude…I work full time and I have 4 kids. Not happening. If these conditions apply to the Veteran, they are more than welcome to use the source info linked.
- Clay
My VA summary shows Gastroenteritis repoted while I was in. I was recently diagnosed with IBS. Any chance I could use my VA Summary as medical evidence?
Sure. That’s pretty decent for the GI system. Keep in mind that is only 1 of the Big 3. I am more curious of your in-service event (evidence from service) for this condition. Without that, your claim is poop water (pun).
- Clay
It seems the VA’s description of GERD is different from the internet’s.
VA disability for GERD falls into esophageal stricture and the VBA specifically looks at those symptoms.
- Clay
Last year I logged my IBS symptoms. Three times I have no pain while defecting. Three times in the entire year. I have not filed for IBS yet. I might hit 100 from other issues so I might not need to. In my case the nexus may be my service connected GERD.
YOU gotta figure YOU out. Check this and I talk about 3 scenarios in which a Veteran would take advantage. I use GERD/I S as the baseline as these have an effective date. But the concept applies to all the proposed changes. ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=UuPEPaKS8A5vwri7
Posted that this morning. There are 3 scenarios and YOU gotta figure YOU out.
What about those that have already filed and are awaiting a decision… And expect a decision to be after May 19?
Explained here and it depends when the decision is processed.
Posted this one this morning: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw
- Clay
Thanks for the video!!!
If I do supplemental claim beyond May 19. Will I still be rated under the old rating or new one? I was recently denied claim to GERD secondary to PTSD but at the same time was awarded 50% Sleep apnea. The VA doctors stated that there's allot of medical Journals linking GERD Secondary to Sleep apnea.
Mine is so bad that cramping you’re talking about. I literally pass out from it sometimes. That crap sucks already at 30% for it which is bad as I have it I don’t see why it can’t be higher because it almost makes it impossible to do stuff anymore. The medicine helps that they give me but it doesn’t stop it.
Exactly! There is no mistaking these cramps
- Clay
when was this change proposed originally? just asking with the change proposal for tinnitus and wondering the total time frame.
Yeah same same…expect these to roll on out.
- Clay
Any idea of these 3 (GERD, IBS, HEMEROIDS) are now pyramiding? I have all 3 but only IBS at 30%. I easily meet the 10% for GERD and HEMEROIDS. Don't want to open any new cases if not Going to increase my overall ratings (83%)
Same
Separate can be assigned for all 3. 83+10% is also 85 rounding up to 90% under 38 cfr 4.25
What greghoenig2017 said.
I explain 3 scenarios in which a Veteran would and would NOT have their ratings changed/separated. I posted that video this morning here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw
- Clay
Need to check this to understand when and when NOT to have your ratings changed/separated. I posted this one this morning here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw
- Clay
All service officers think all veterans can understand but some of us with TBI ,S DONT UNDERSTAND
I totally understand this one. A good friend of mine has a pretty severe TBI and had they not gotten the help they needed, which was a solid VSO and in-person meeting, they would not have gotten the benefits that they deserve. SMC-T has a HUGE pay out upwards of 11k-ish.
- Clay
I have hemorrhoids because my over size wife is nagging the crap out of me sine I retired from the Army, please send me some preparation H.
This made me laugh 😂
- Clay
I want to be rated for the most favorable of the changes for IBS(Intent to File: April 3, 2024). Does that mean I must submit after May 19th 2024 to be considered for the most favorable rating schedules?
Man your videos keep coming In such a timely manner it's so weird, thanks for what you do!
This makes me so happy and thank you for sharing. The whole reason I started this channel was to give Veterans ACTUAL help. Not just clickbait titles and selling a bootcamp for your claim.
You made my day!
- Clay
@@TheCivDiv glad I could do so! Thank you bro.
For IBS am I better of claiming in May? I was actually going to claim it soon as I deployed to Kuwait as well
That background music ... maaaann --c'mon craaaaiig
Grocery store music 😂
😂 a friend of mine from back home makes beats and does the real thing. I decided I’d support local and help him out by buying the right 😂
- Clay
@@TheCivDiv I get it - cool enough. I just found it very hard to concentrate on the words .. my hearing is bad enough. Found myself getting all angry and such
I just went to the docotor for ibs to get a diagnosis because i was denied previously for not having one. Should i wait to sumit a supplement claim until this becomes effective or it does not matter? How do i go about asking my doctor to write a nexus letter for me for the claim. Sadly im under contract with VG, im just waiting to get my decision for MH to cancel with them. Should i wait until i cancel with them to sumit?
Timeframes are answered here as to what to do with these changes as they pertain to YOUR situation. ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw
- Clay
Now if you have a claim for all three of these now would they look at the new changes or rate them on the old standard? Filed February of this year?
According to the VA "Claims related to these body systems that were pending on May 19 will be considered under both the old and new rating criteria, and whichever criteria is more favorable to the Veteran will be applied"
Both. That is scenario 1.
The VA is forced to award the Veteran the rating from both rating schedules that is HIGHER. Whether that is old (current) or the new change after May 19.
- Clay
Date change was 5-10-24 said rater. Did you make mistake?
Are the proposed Tinnitus and Migraine changes included in the new effective date of May, 19, 2024 (Y or N)? Thanks
No x2
- Clay
Honest Question, I am rated IBS, my pain happens only once per month during a constipation phase, But.. lasts at least 4 days during. Would that be considered 1 day per week???
And yes it hurts, no mistakes on that.
Who has the pain for a single day……
The rating isn’t for a single day…if your pain is consistent throughout 4 days…then that is 4 days per week. I’d recommend you give this information to your healthcare team and start documenting your symptoms if you haven’t already. As for the increase, YOU need to figure out YOU. I explain that this morning here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=BsF1RIccNBXueyxS
- Clay
Question. I currently have a claim pending for gerd as a secondary to asthma which I’m rated at 30%. If I already have a claim pending will I fall under the new rules, or be grandfathered?
If I have a claim put in right now for GERD and IBS does it fall under the old ratings or under the new?
Explained in-depth here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=W5XMgnu3EEu-mYg7
I posted this one this morning.
- Clay
For a GERD claim submitted in January 2024 and closed after May 19 2024, which criteria will be used? New or old?
According to the VA "Claims related to these body systems that were pending on May 19 will be considered under both the old and new rating criteria, and whichever criteria is more favorable to the Veteran will be applied"
Answers here more in-depth: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw
Posted that this morning.
- Clay
Ty both
Is it too late to put in for an increase and fall into the old rating schedule?
I answer this exact question in here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=UuPEPaKS8A5vwri7
Posted that this morning. There are 3 scenarios and YOU gotta figure YOU out.
- Clay
I am rated at 60% for GERD, with a 5cm stricture thinking about going for the 80%. I also have hemorrhoids could they be secondary to GERD?
So if currently service connected for GERD but do not meet the criteria will the diagnosis be changed to peptic ulcer or will we have to file a new claim for the new diagnosis?
If you’re SC for GERD, then what matters is how GERD is rated. Before you decide to change your GERD rating, YOU need to figure YOU out.
Explanation I posted this morning: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=BsF1RIccNBXueyxS
- Clay
Under the new info GERD, the only diagnosis that would apply is esphogeal stricture, all of the old GERD symptoms such as nausea, vomiting, regurgitation, sub sternal pain, etc are now classified under the peptic ulcer diagnosis . So, don’t put it past the VA to review everyone with a SC for GERD and reduce/remove everyone who doesn’t have an esphogeal stricture diagnosis.
Now that there is a specific DC for GERD, I didnt see any language addressing whether they will stop pyramid GERD and IBS. If they are going to be separate I wonder if they will separate the grandfathered grants.
Just like everything else, if that happened, I’m sure they’d require you to file for it to be separate in some sort of way.
Separate will now be possible as the codes no longer overlap.
@@greghoenig2207in a logical VA world you would be 100% correct. The question remains for those of us that got pyramided. I will have to do more researching since the original grant is not the language that this will turn into. Hopefully it as easy as being a straight designation of DC but I doubt it. Only time will tell.
Explained here is whether you should or should NOT change/separate your ratings: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw
I posted that this morning.
- Clay
I was rated at 60% for GERD back in 2021...will these changes affect me in any way or am I grandfathered in ?
You have NOTHING to worry about as long as you don’t increase your GERD/GI system. No sweat and congrats on that 60%. I know it sucks…
Of the 2 friends I have that are rated 60% for GERD…I’ve seen and heard enough. Seek healthcare!!
- Clay
Thank you!
Thank YOU and thank you for commenting.
- Clay
now if they could only drop the mental health update effective date!
I’m REALLY looking forward to this one. In the meantime, gather your evidence.
- Clay
I have been out of the service for 20 years now...I have Gerd and had it for a long while.. however I can only get medical records for the last 10 years as my previous Dr. closed down his practice and 20 years ago , I didn't go to the dr. that much. I have never been to a VA Hospital but only had private Dr. and had an Ulcer .. was treated at a private Hospital appx 8 years ago. I have been on Meds for a while for Gerd. Can I file a claim and would my chances getting rated be very low ?
I just went through something similar-without a direct service connection it will be very difficult, could maybe try a secondary connection if you have it. In my case, I had it listed as a "claimed condition" on my final physical and had already been taking tons of OTC meds which I mentioned all of that on exit physical also. Good luck.
You can submit the claim b it there are a few factors to consider…what is your evidence from service (if any) that would lead to GERD? Example: documented heartburn. If that’s the case…then direct and that’s fairly simple. If not, then you either make the argument that it is directly from service or you start building a secondary claim. I’d really like to know when you left service and when you started seeking treatment. I’m sure your current evidence at a minimum notes your medical history with GERD that is lost.
You have the current dx and current evidence - not an issue. You either need the in-service event or start working towards building the nexus to be secondary.
- Clay
@@TheCivDiv Thanks for your response. I ordered my Military Health Records and will try to find if I mentioned Gerd to my Dr. at anytime in my 14 year service time.
Awesome video as always. Does anyone know what happens to claims that are still open after these changes go into effect? Filed in February 2024 for IBS and assuming it will not be completed before May 19th.
Yes I do! I explained this in this mornings video (link at the bottom). There are 3 scenarios in which this will affect Veterans.
ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=BsF1RIccNBXueyxS
- Clay
@@TheCivDiv Appreciate the response brother! I just started watching that video when I noticed your reply notification haha
Just my freaking luck. I’m just now finishing my lower back claim and was focusing on these in the video😡
So, for the actual symptoms of Gerd(which are not part of the new criteria,) what can we now file under for those symptoms? Thanks
Peptic ulcer
How do you mean? Maybe I’m reading the question wrong 😂
If you file a symptom under GERD the VA would simply show the DC as GERD assuming you are/will be diagnosed with GERD. Kind of like claiming lower back pain and then the VA changes the DC to lumbosacral strain or whatever diagnosis the veteran ha/gets during the exam.
I think that’s what you’re asking?
- Clay
Hey i have an important question! Do you know what Abdominal Pain related to defecation mean? Does that mean it hurts when i poop? Or i have abdominal pain with defecation changes?
Are hemorrhoids a separate rating from IBS or do they get rolled together under the highest rating due to pyramiding?
So how do I get a nexus and a dbq for IBS?
So since there will no longer be a 0% rating for IBS does that mean those of us with a 0% will get an automatic 10% for our IBS? Or how would that work?
NOT automatic and YOU have to file for an increase. The video I posted this morning explains 3 scenarios of when or when not to file for the increase for IBS.
Link: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw
- Clay
@@TheCivDiv oh wow!!! You replied!!! Thanks!!! I wanna do this asap! But…i had a C&P exam for 3 things and ED earlier…should I wait til these are done to file for my increase or go ahead and get my intent to file squared away?
@@TheCivDiv also…looking at the ratings for my IBS i should’ve been rated for 30% but somehow i was service connected for 0% without being presumptive, bad cramping, going 4+ times a day literally every single day!
I submitted a claim for GERD in February, will VA use old, or new rating schedule? Thanks in advance.
Explained more in-depth here but current (old). Explanation: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=YeC83gEk-DCJ0kl1
- Clay
@@TheCivDiv thank you Sir.
May.. Good thing I plan on filling in April.
I explained this in this mornings video about 3 scenarios of how this affects Veterans. It seems like you are scenario 1.
YOU need to figure YOU out:
ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=BsF1RIccNBXueyxS
- Clay
Do you have any videos on PCOS as a secondary claim
Wait a second.....IBS is a presumptive condition? ... What are the requirements to qualify for it to be presumptive?
Explained here: ruclips.net/video/9JxwBgB_jPQ/видео.htmlsi=d6wbPfPBSI2cKZXF
- Clay
If I have an ITF for 9/23, will I still be rated under previous scale or do I need to submit the claim before May 19th?
Answered: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=2CpELxAeYY7wEYxq
- Clay
Thanks that answered it!
I have a zero for hemorrhoids so does it increase automatically or reapply or do I lose it?
You’ll need to submit the increase
- Clay
Please answer this : what if you have actual Hiatal Hernia (and GERD) on EGD exam from excessive vomiting due to seasickness ?
If you’re SC’d then that’s good. If not, get SC’d. As far as how is it rated…gotta look at your symptoms.
- Clay
@@TheCivDiv Not SC but got diagnosed with these, have intent to file from a year ago and filing now but looks like I won't get SC by May 19th... sad!
Just an FYI-I am rated for IBS 0% Static since 2022. Will that change?
No. Not unless you want it to. Our ratings are protected when there is a change to the schedule of ratings UNLESS the veteran asks the VA to change the rating. For you, that would be an increase on your IBS.
- Clay
If I just got awarded 0% for IBS should I request to be evaluated under new rating table? To get minimum 10%
Brother, you don’t want to know what thrombosis means!
Had to use Gunny Google, that sucks
- Clay
I wonder where Barrett's Esophagus will fall within this.
I answered this during the live stream yesterday and I forgot the answer (which isn’t like me 🤦🏻♂️). If you click on the PDF document that is in the pinned comment and Control F “Barrett” you’ll find the DC and ratings.
- Clay
How will this effect bdd claims. I already submitted mine but my EAS is after may 19
It absolutely will. Your BDD will be submitted prior to May 19 which means you’ll be rated off both. Explained here more in-depth: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=bN6kUy3WfAH0qPx2
- Clay
Hey Bud,
I was watching your video on nexus letters. About 1yr old. You mentioned Dr. Sharma? Do you have more info about this.
You can check my website for more. I’ll drop the IMO/DBQ link.
Keep in mind…I ONLY recommend considering IMOS/DBQs when you’ve been denied AND you have the evidence.
If you’re sitting on a stack of money and don’t care, then do what you think is best for your claim. At the end of the day, IMOs/DBQs only strengthen your claim (assuming the IMO/DBQ is ‘good’ and ‘complete’).
- Clay
@@TheCivDiv thank you. I found his email and sent a message. He responded expediently. Thank you
I filed last year and have not been rated yet, will I be rated under new or old?
Any word on the MH proposals?
Nopers. Not a word…yet. Just waiting. But the 3 scenarios here applies to all rating schedule changes.
- Clay
Is gerd changes better or worse in your opinion
So will my 0% for hemorrhoids be updated to 10% automatically after I file for a increase without a c&p exam ?
No…you would need to file the increase.
- Clay
@@TheCivDiv after I file the increase, will I need to attend a new c&p exam if I’m already service connected at 0%?
@@MckenzieDaniel more than likely (pun) yes…at least an ACE depending on your evidence. I would assume (as a planning factor) ANYTIME you submit a claim that’s going to require a C&P.
- Clay
Im rated at 0% for ibs I suffer symptoms listed for the 30% should I file for an increase
Most likely, yes. Keep in mind I always recommend submitting EVIDENCE of documented symptoms for increase claims.
It’s one thing to self-report your symptoms to your C&P examiner. It’s a whole other level when the veteran has HARD medical evidence that can’t be refuted from the C&P examiner.
Speak with your healthcare team about your symptoms, seek treatment, and submit the claim when ready. In your case, that would be no earlier than May 19, 2024.
- Clay
Recently got 30% for IBS, I used logs
Man I filed for hemorrhoids. Never been seen during my time in service for it…got out of the Army almost ten years ago. I’m guessing I will be denied but at least someone will take a look at my booty hole😂🤷♂️
I have Barrets disease as result of gerd.,as would that rate?
Sure. It seems you’re implying secondary.
- Clay
If im rated at 0 for hemorrhoids would i have to refile my claim? I also think I fall under the IBS categories but didn't have it checked while in service should I file for it?
I answer this exact question in the video I posted this morning: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=MvH1Opu9fvTwV9cV
There are 3 scenarios and YOU ah e to figure out YOU.
- Clay
Can I claim GERD secondary to SC LBBP and associated OTC and VA prescribed meds?
You absolutely can. I would recommend you start gathering any and all evidence supporting your secondary claim.
- Clay
@@TheCivDiv what evidence would be needed? I have a GERD diagnosis and the VA prescribed meds are documented in my VHA record. There are studies that link pain relievers to GERD and I take those OTC on the regular. Do I need a Doc letter?
Would a picture of hemorrhoids count as documentation? Asking for a friend.
😂
NO..the examiner got an eyeful of mine and the bloody maxi pad stuck in my shorts. After 2 failed surgerys ya kinda lose your dignity. Tell your friend.
This one made me chuckle…solid.
- Clay
I have a 60% for gerd, will they change my rating?
I dont see the link to the document
Pinned comment
- Clay
It’s truly one of the most embarrassing diseases to live with… Thankful for the support.😂
What if you were rated at 20% for GERD?
Yeah something is missing here. No sweat.
Regardless, YOU have to decide what is best for YOU. Depending on that scenario, which I hope I answered in this video, you at least have a direction to start making a plan. There are 3 scenarios and you need to consider and I explain here posted this morning: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw
- Clay
I have it down as gastritis with gastroesophagial reflux.
Is hemorrhoids lumped in with IBS?
Separate; IBS 7319 and hemorrhoids 7336
No. What greghoenig2017 said.
- Clay
didn't know hemorrhoids were a ratable
They were and overwhelmingly 0%. Now they will be rated at 10/20% AND separated - that’s the kicker. In my opinion, absolute SOLID change from the VA. BIG win.
- Clay
What does related to defecation mean?
Meaning your stomach hurts when you poop
Thank you
- Clay
GERD, IBS, and Hemorrhoids use to be called Grandpa...
😂 nice!!!
- Clay
Where can you get the PDF
Pinned comment
- Clay
From infotap .
Word! Veterans Info Tap and myself have been collating on Veterans Daily (link: youtube.com/@VeteransDaily?si=4e5f9Bi1-hDgb8c7) pretty well together.
I like getting different perspectives on the same issue. Hopefully myself and Jason bring the best info in a manner that is digestible.
- Clay
Will ibs and gerd still be pyramiding after change
Nope, GERD 7206 *new and IBS still 7319....can now be separately evaluated
NOPERS!!
Explained here: ruclips.net/video/Vw-u6RJfaf8/видео.htmlsi=8GRrj39ha2IvpxUw are 3 scenarios where a Veteran would and would NOT change/separate their ratings.
- Clay