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63SIERRA

Draining the swamp and smoking out the cockroaches.

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if you are being lied to, denied care, mistreated, misled, delayed care, denied medications , ect    at VA  facilities, report it and there will likely be consequences for the offender if you can get it high enough up the food chain. The new law is now in place, and no Doctor, lawyer or Indian Chief is  safe from diciplinary actions anymore. ALWAYS know who you speak with in person or on the phones if they will say, because documentation is always king!!! Documentation is evidences  sword...

https://www.va.gov/accountability/Adverse_Actions_Report.pdf

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So, if I ask my pcp to refer me for care and he does not, then I have recourse?  I plan to send him another secure message asking for vestibular therapy, recreational therapy and not kidding, I have to have a freaking referral but yes gynecology.  If he doesn't do these things I can file a report? 

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Im sure doctors can/do still make judgement calls, and some of those are unpopular.  I suggest "not abusing" this, but use it only when an employee is truly bad.  I would not report a doctor "just because" she wont do as you ask.  But that is just me.  However, if you really need this referral, and the doc does not have a good reason to not give this to you, well..if you discuss this with the doc first and they still refuse, yes, if it is super important to you.  

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8 minutes ago, broncovet said:

Im sure doctors can/do still make judgement calls, and some of those are unpopular.  I suggest "not abusing" this, but use it only when an employee is truly bad.  I would not report a doctor "just because" she wont do as you ask.  But that is just me.  However, if you really need this referral, and the doc does not have a good reason to not give this to you, well..if you discuss this with the doc first and they still refuse, yes, if it is super important to you.  

I am not going to report him for not referring me, I just think he is being super weird right not.  The gyn is ridiculous!!!   I am going to start raising some hell about it though.  I am going to have my neurologist put in the referrals for the other things, clearly the local clinic I go to doesn't even know what the heck vestibular therapy is or that recreational therapy even exists.  Currently, I am being driven 2 1/2 hours each way once a week for mental health therapy because my local va can't provide individual therapy and choice hasn't been able to locate me a provider in 5 months.    THAT is absurd.  The irony will come when they refuse to pay my travel.  lol  have I told you lately how much I love the VA??

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the facts are that most VAMCs dont have specialists inside the VA system, and they dont want to send veterans outside the system for fee based care, so many times, your PCP will downplay your problem, or ignore it and not follow up with it. You may be prescribed something that doesnt work, and you tell them this, and they take no action.

Heres an example. friend of mine is service  connected for exema.. has terrible outbreaks and is embarresed to wear shorts in this burning texas heat. friend was RX some bullshit cream, that did nothing. Friend told primary that it wasnt working, and primary took NO action or follow up. Friend kept bugging primary for follow up, then primary calls her in and they tale a photo of the outbreak and send it upstairs to dermatology. NO action is taken. Finally friend goes outside the system and sees a real dermatologist. a ointment was RX ed and friends exema is almost completely healed.

MOST primary care doctors are internal medicine docs. They are general doctors and usually dont have the expertise to diagnose many things that come to them. Further more, many doctors that work at the VA that come from middle eastern countrys do not have an actual MD.  \They go to various millitary style training facilities for abt 8 weeks,and get issued a certfication. The VA accepts these certifications as a reciprocity in  lieu of a real MD  sheep skin.. So what do you get?  a questionable medical entity from a different country who likely cant care less about an american veteran. a foriegn entity who isnt required to carry insurance. a foriegn entity who cannot be sued, because he works for the government. A foriegn entity who is likely not to be fired, because there is a shortage of doctors inside the VAMCs.

Ever wonder why there arent many american doctors inside the VAMCS, you would think the VAMCs would be full of american doctors just knocking down the doors to get in and help thier american brothers of  nobility,  Well the reason there arent alot of american docs in the VAMCS in my opinion is that american docs just cant stomach screwing veterans over. Ive seen several occasions where docs were hired at the VA  and quit the next day or less than 2 weeks later. now why would they quit so fast.. I think its because when they are told what to do and not do for veterans, they quickly decide that they want no part of the activity.

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