The Distancing Effect To Eliminate Responsibility In The Va Machine

[63SIERRA]

The VA methology seems to be all about making someone else do the dirty work.. Take for instance the procedures for primary care.. Ok the primary doctor is the healthcare gate keeper.. Everything is supposed to go thru the primary doctor. you believe you have a major problem with your neck, report it to your primary and its thier decision to do further testing or refer you to a specialist or order tests such as Mri, X RAYS, Blood tests. ect.. From my personal experience and reports from a employee inside my VAMC I believe that data manipulation and denial of care to veterans has become an art form.

Heres how things have unfolded in my personal experiences.. I go to my VAMC seeking specific care for an ailment and report it to the nurse on intake before seeing the primary doc,, usually that information is either immediately shrugged off by the nurse or if it is reported to the doctor, it is frequently not added to the medical notes. It seems no matter how many issues and maladys you are burdened with, the primary doctors try to keep your problems list quite scant.. Why??? Because adding major problems to the problems list will garner possibly more care, testing, compensation, more visits, and last but not least, OUTSIDE fee based health care... The VA certainly doesnt want that, because civillian doctors have no bone in the game.. Civillian doctors tend to be very truthful and comprehensive in thier healthcare.. I compare the methology of VA healthcare to the communist leader in north korea s tactics...Keep the people oppresesed and ignorant to control them..Ok lets continue on with our quest to get care... You do not agree with the diagnosis given and request further testing such as an MRI or to see a specialist... You will likely then be told that you do not meet the """"""" criteria..""""... why praytell do you not meet the criteria? because the primary is saying you dont, even though they dont really know.. Most primarys are INTERNAL MEDICINE docs... they are basically an extensively trained pharmacist and prescribe pills..

So moving right along... after being denied care for a LONG time, you finally get wise by either figuring it out as I did , or being put wise by a podna. you save your sheckels and go see an independant, unbiased, highly qualified specialist.. You are then informed that your "neck pain" is a hell of alot more that they were telling you at the VA. So you print the diagnosis and doctors notes and recommendations, and go straight to your primarys office and stick the diagnosis in his face..

You get a sheepish, shit eating grin from him or her, and the outside retained proof is handed off to the nurse to add it to your file.. Ok now surely they will give me the treatment I need, because they have verifiable proof from a reputable medical professional..

Ok the days and weeks start going by, with no action,.. you message and call your primary team asking what is going on,,, why havent you scheduled an appt with a specialist, or ordered tests, or something ? Well heres why... either the VA your going to doesnt have a specialist in the field required or they are so swamped with other patients they cannot see you..

Ok , now this is metastisizing into a real dillema .. The primary is hell bent on not reffering you to fee based care ( because he has no power and being told not to), and theres no slots open for you at the VAMC... So now what... you are likely ignored and put off and they hope you just give up..

If you are quite the stubborn hard headed jackass as I am, you dig in and hold the line..you call and message them... ( they dont like messages for some reason and I was actually told, dont message ,,, calll)... So after bugging the hell out of them, they pull out thier next bag of tricks.. They tell you they are putting in a request for authorization for fee based care... NOW were gaining ground. ...........WRONG,,!!!!!!!!

A few weeks later you are promptly informed that they cannot authorize, because it is a service offered at the VAMC. ... hmmmmm... So now the primary must submit a request for care inside the hospital... if they cannot get to you within 30 days they are supposed to refer you to fee based care...

to be continued.....

Edited June 4, 2015 by 63SIERRA

[ArNG11]

In the VAMC in Oklahoma it is the same thing. They either play dumb or bold face lie. I get tired of it. I call them out every time. I've been documenting it by the secured message function and talking to the patient advocate, which are sometimes useless and at times worse than the doctor you are dealing with.

I feel for you 63Sierra as I go through similar. The other observation is they downplay your conditions almost like the regional office. I have several MRi's that indicate moderate to severe damage and the results they send me in their reports are reported as mild. Seriously it's like having a mini regional office right there at the hospital.

I'm serious, you could probably come in with a missing, chopped off arm, and they will ask you what is wrong with you. Depending on the VAMC for quality care is quite a scare sometimes.

[Pete53]

Fact is VA is all about CMA and Medicine on the cheap.

[63SIERRA]

In the VAMC in Oklahoma it is the same thing. They either play dumb or bold face lie. I get tired of it. I call them out every time. I've been documenting it by the secured message function and talking to the patient advocate, which are sometimes useless and at times worse than the doctor you are dealing with.

I feel for you 63Sierra as I go through similar. The other observation is they downplay your conditions almost like the regional office. I have several MRi's that indicate moderate to severe damage and the results they send me in their reports are reported as mild. Seriously it's like having a mini regional office right there at the hospital.

I'm serious, you could probably come in with a missing, chopped off arm, and they will ask you what is wrong with you. Depending on the VAMC for quality care is quite a scare sometimes.

its ALL connected.. The CP docs at the hospitals communicate regularly with the regional office personnel.

I bet I could review at least half the veterans medical files at the va and find malpractice, negligence, malfeasance, intentional deception , and failure to follow the standard of care .

Once your doc figures out you have caught on, they try to get rid of you and dump you off on another doc..

I dont trust anyone at my VA at all anymore. lies lies lies..

Hell I called the records clerk and asked for a copy of my MRI, I was told they are.. 89.00 I called xray and they told me they were free. the records clerk just does not want to do her job... The VA needs to get rid of a bunch on trash.

[63SIERRA]

Back when I was recieving treatment for hepatitis, at the end of the 52 weeks of chemo, the NP who treated me, set up a CP inside the hospital.I was later awarded 40 percent,, I thought I was being done a favor until I found out years later She made me feel like I was very lucky to have it service connected and told me not to mess up againn... WTF ... I m positive I got the hep from either a jet gun or a tattoo in service. I could have recieved 100 percent temp until thew hellish treatment was over, and I wasnt puking like a drunk, pooping like a goose, sweating like a whore in church, mean as a rattlesnake, and depressed. It would have been nice to get treatment and no worry abt my bills, puking on the job, crapping my pant, going apeshit on a customer... ect/

I also had to hire a helper to drive my van, because I was too sick to drive most days. I had to pay him, and never got a nickel back of compensation for that.. that year was a real struggle \

The NP never told me,,,, look sir, this chemo is bad stuff and you are real sick, if you get so sick you cant work, you can be comped ar the 100 percent rate until you feel better or a year has passed..

Yet she was quick to escort me to the CP after the treatment was over...

Just imagine feeling like you have a bad casde of the flu for 52 weeks, with deppression, anxiety, and several other things.

There was documentation I contracted the disease in service, so she knew it was going on a long time...

why did she wait till the treatment was over....

Edited June 4, 2015 by 63SIERRA

[SeattleShay]

Back when I was recieving treatment for hepatitis, at the end of the 52 weeks of chemo, the NP who treated me, set up a CP inside the hospital.I was later awarded 40 percent,, I thought I was being done a favor until I found out years later She made me feel like I was very lucky to have it service connected and told me not to mess up againn... WTF ... I m positive I got the hep from either a jet gun or a tattoo in service. I could have recieved 100 percent temp until thew hellish treatment was over, and I wasnt puking like a drunk, pooping like a goose, sweating like a whore in church, mean as a rattlesnake, and depressed. It would have been nice to get treatment and no worry abt my bills, puking on the job, crapping my pant, going apeshit on a customer... ect/

I also had to hire a helper to drive my van, because I was too sick to drive most days. I had to pay him, and never got a nickel back of compensation for that.. that year was a real struggle \

The NP never told me,,,, look sir, this chemo is bad stuff and you are real sick, if you get so sick you cant work, you can be comped ar the 100 percent rate until you feel better or a year has passed..

Yet she was quick to escort me to the CP after the treatment was over...

Just imagine feeling like you have a bad casde of the flu for 52 weeks, with deppression, anxiety, and several other things.

There was documentation I contracted the disease in service, so she knew it was going on a long time...

why did she wait till the treatment was over....

Why didn't you put in for retro pay ?

I did and got 100% for having chemo.....