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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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catt02189

Denial Of Treatment

Question

This is rather a long story, but hopefully I can keep it brief, but may omit a few important details in the process. I would like some suggestions on how to proceed with this because I am lost at this point.

In 1999, my husband had reconstructive surgery on his left shoulder at the VA hospital. Claim was lost and wasn't pursued at the time. In 2004, he refiled and was given service connection 10%. He is a paramedic. His job is to treat and LIFT patients. His shoulder has acted up since the surgery. In July, he left work early (first time ever) because the pain in his left shoulder became so severe he couldn't do his job. Saw primary at VA. Ortho referral. Saw ortho same week at VA hospital. Note from both unable to work and pain meds prescribed, MRA ordered. First MRA available September 11. Sent paperwork to Regional office with both letters from doctors that couldn't work asking for a temp upgrade. HAH ! MRA switched to fee based and done August 21 - labrum tear. Then we wait. Can't get ahold of primary. VA refuses to pay until day surgery is done. No workman's comp because VA s/c. Finally talks to primary to get release to return to work because falling through cracks. Primary refused to release to work. Loses job, insurance, benefits. Finds new job. Goes back to work. Still no appointment given from VA. Finally, November 12 sees ortho for five minutes to be given a referal to yet another ortho department further away because this VA hospital can't do this surgery. More waiting. Called yesterday to be told by primary that the consult was rejected and that he should be put on anti inflamitories. Now, he has been for 6 months. He has returned to work since the VA can't take care of the mess it created and we have 5 kids. Don't know how much damage he has done to it further his only light at the end of the tunnel was that this surgery would make the pain stop. For six months, I have been watching him live with unbearable pain and popping narcs like they are candy and everyone passing the buck.

We have contacted 2 Senators offices one that is a presidential nominee candidate. Gotten no where. Talked to SO. gotten nowhere. Talked to regional office, patient advocates, head of hospital...nowhere.

This seemed real simple to me. You put someone out of work - you put them at 100%. They need surgery to put them back off of 100% - you do the surgery. You don't keep prescribing them narcs and have them lifting patients an average of 45 or more people a week. My husband loves his job and just wants to be able to do it.

Thank you,

Andrea

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I like the advice of consulting an attorney. You have a couple of issues here. First, this sounds like something that should be covered by workers comp and by your husbands work asking him to sign that he wouldn't file workers comp in the future if the injury is aggravated is a telling thing and second, you might have an EEOC violation here. Disabled Veteran's are not a defined class protected, but a person with a disability is. I am suprised the patient advocates office hasn't been helpful in getting your husband's care under control. How can a consult be rejected? That sounds crazy to me.

I appreciate the thought on the attorney, but like I said, he has a new job and he isn't willing to risk losing it going after the other job. The issue is where to go with the VA. I was suprised that the advocate didn't help worth a damn either, but upon meeting all of them at his last appointment, I will just say I have never met so many people that are completely apathetic to what is going on with another human being. And yes, I know it sounds crazy that it was rejected, but it was by the Indianapolis VA.

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I think I would try the media if the congressman did not help. If you are going to stick with the VA you just have to make so much noise they can't ignore you. Patient advocates are supposed to help but they are often retards. You have to create a fuss to get help. Just don't slug anyone but make noise. Forget about being reasonable or polite. Be a pain in their ass! It is not so smart to not go after the employer but that is your choice. Go to the VAMC and keep agitating until you get what you want or go to jail. That is about what it takes.

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suggestion only...i would write a complaint through the IRIS system about the level of care..sub-standard! next write a letter to the DIRECTOR/VA Hosp.... on the bottom, place...CC:Senator ?,CC:VA Deputy Undersecretary of Health, CC:Joint Commission/JHACO, CC:St. Pete Times Newspaper or local Paper, CC: State of ???,Dept of Health and Human Services...Then See What Happens!!!! Watch how fast your help arrives!!! good luck,William n

Edited by williamn

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Cat

If you are rated 100, would your husband and family not be elig.

for CHAMPVA? If I could I would get the medical treatment at a

private hospital. To depend on the VA for medical treatment is

a crap shoot. There are just to many folks chasing too few

medical resources.

Best of luck,

Dobie

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"How can a consult be rejected? That sounds crazy to me."

to me too-

If his SC got worse since the VA made that statement he could file a Section 1151 claim.

My husband was set for WU/RO CAD in 1988.

It took me a long time to figure out what that meant on a discharge certificate.

He collapsed on the job at VA and was rushed to ER and they diagnosed him with sinus infection with no follow up care.

The WP RO/CAD was for a consult by a cardiologist to work himup for testing for cardiovascular disease- the EKGs they did at this time clearly were abnormal and yet this "consult" never occurred, they never even told him about the EKG results and sent him sudafed for the next 6 years.

I found a sinus x ray in his med recs that was done shortly after all this and it was completely normal.

In your case -By not giving him the consult they could have made his condition get worse.If they did and you have medical proof that it has gotten worse (it must have if he was to have surgery)you can file a Sec 1151 claim.

"No workman's comp because VA s/c."

??? a SC disability prevents a vet from getting Workman's comp?

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