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Do Va Medical Professionals Tape You During Exams?

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This probably matters little regarding my claim, but...

I saw my VA PCP, an NP, some time ago. The day I saw him, I had just been discharged from a hospital after an appendectomy. I could barely walk, couldn't stand or sit up straight, was in intense pain, and using Hydrocodone for pain.

So, of course, in the record he basically put that I was fine with no real remarks about pain or anything. He did not note that I told him of chest pain and coughing up blood, though he did send me for a chest X-ray with reason for it stated as "Cough".

This doesn't matter, though. Here's what bothers me: On the Progress Notes, for some weird reason, he went back in the next day, 24 hours + later, and added an amended statement to the notes from the visit: "Patient says " feels good, feels like a human being again".

Now, I don't know why I would have said such a thing, IF I did, I felt like crap. But, whether I did or not, what would cause the NP to go back and add that the next day? Nothing else, JUST that statement?

Incidentally, he had called me with lab results the same day he added that note, and I told him again of my chest pain, and that I had been to the doctor (private REAL doctor). Just a few hours later, I went to the ER that night in respiratory distress and great pain, coughing up blood, due to bilateral Deep Venous Thrombosis and Pulmonary Emboli. I was in Pulmonary ICU for a week.

My question is: Do the VA NP's tape exams? Is there any regulation that says they can or cannot, and with or without permission from the patient? Also, what about a C&P exam, do they tape it?

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I don't think they tape anything. If they did they could not change it later to contradict themselves. I have been to many exams where when I get the copy I can't believe me and the exam doctor were in the same room.

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I know there's a form you can submit to your ROI office that requests a correction to the records. They let me make a change to what the examiner reported me saying in a C&P. It took a while, but it made me feel better. Didn't help my claim, though.... I'm going to be mentioning it in my NOD.

I also had a practitioner make a change to my progress notes, so you can also approach the NP directly, and tell them you think they must have confused you with another patient. In our clinic, some of the providers have never had to use a computer before and they really struggle. So when I saw that one had really botched my explanation of my symptoms, I talked to her about it and she changed it for me.

Could be your provider called up the wrong vet's records for that addendum? Anyway, approach it like it was an honest mistake and they will likely change it for you.

Let us be kind, one to another, for we are each of us together in our pain.

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I did requaest amendment to my records, there were a whole bunch of factual errors. The weasels made some very poor changes to what they did allow changed; however, they said the NP asserts that I did make this statement. Go figure.

I know there's a form you can submit to your ROI office that requests a correction to the records. They let me make a change to what the examiner reported me saying in a C&P. It took a while, but it made me feel better. Didn't help my claim, though.... I'm going to be mentioning it in my NOD.

I also had a practitioner make a change to my progress notes, so you can also approach the NP directly, and tell them you think they must have confused you with another patient. In our clinic, some of the providers have never had to use a computer before and they really struggle. So when I saw that one had really botched my explanation of my symptoms, I talked to her about it and she changed it for me.

Could be your provider called up the wrong vet's records for that addendum? Anyway, approach it like it was an honest mistake and they will likely change it for you.

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