Jump to content

Ask Your VA   Claims Questions | Read Current Posts 
Read VA Disability Claims Articles
 Search | View All Forums | Donate | Blogs | New Users | Rules 

  • homepage-banner-2024.png

  • donate-be-a-hero.png

  • 0

VA Hospital Injury

Rate this question


knoxcap

Question

Hope someone has knowledge. I have been getting treated at a VA hospital for many years pertaining to my back disability. I have a 20% disability. Pain management had been giving me different injections and treatments for 20 years. My last set of injections was last October. I really like my doctor and trusted him. He had another new doctor assisting him and I remember him telling the other doctor to apply the injection to the other side of my spine and how to do it, etc…. As a few months went on, I started having advanced problems to my right leg all the way down to my toes. I saw a personal doctor about the pain in my feet thinking that it was a foot problem. He said it was the back.  I was getting nauseated, whoosie, headaches and thumping in my ears and saw a personal doctor and he wasn’t sure, allergies. I finally couldn’t take the leg pain and got in to see my surgeon thru community care. He did a full work up and concluded we needed to go in and clean the arthritis around L3-S1. When he got in he luckily found a pinhole leaking spinal fluid on a nerve in my spine. The repair he had to do was extensive and painful. I’m two weeks post op and in extreme pain and numbness in my leg. I read the community care surgeons report and he listed the problem as incompetence. All the problems I was having was due to the leak. Should I say something to pain management? What direction should I go?

Link to comment
Share on other sites

Recommended Posts

  • 0

Thank you both for directing me on how this works. I didn’t know anything about a 1151 claim. Can this be done on my own or should an attorney be involved or even a VSO? 

Link to comment
Share on other sites

  • 0
  • Moderator
Posted (edited)

You probably dont need an attorney to file 1151,  but this opinion is disputed by some, and with good reasons, too. If you dont object to paying 20 percent of future retro, then go ahead and get an attorney now.    My main reason for this is because you may just get some/all benefits without an appeal, tho, I agree there is a slim chance of that.  (Probably 10 percent or less).  Dont expect a  VSO's  help to help you with 1151, but, if they OFFER to file 1151, consider accepting their offer.  Your best bet, IMHO is to    Start with just filing a claim for increase, and or SMC S, as I explained.  

You may not have to prove VA did anything wrong.   Its just your symptoms worsened.  

You can find out how to file 1151 here (but again, I probably would wait until I had documented evidence of va malpractice, so get your file and read it, dont rely upon what your c and p examiner said.  

https://www.va.gov/disability/eligibility/special-claims/1151-claims-title-38/

If you claim is denied (either 1151 or regular), you can appeal, and, ask us again if its time to get an attorney.  

My favorite time to get an attorney is immediately after a BVA denial.  Why?  Because EAJA pretty much alsways pays legal fees to the CAVC.  I have hired attorneys on 3 seperate occassions and most of the fees were paid by eaja.  

Generally, you can represent yourself or use a vso at the VARO or the BVA.  If the board denies you, then get an attorney.  

 

Edited by broncovet
Link to comment
Share on other sites

  • 0

I would request the SC increase and do the 1151.  38 U.S. Code § 1151 - Benefits for persons disabled by treatment or vocational rehabilitation | U.S. Code | US Law | LII / Legal Information Institute (cornell.edu)   I believe you can do it on your own.  Someone who used to post here won at least one and I believe maybe 1 or 2 more.  I believe she got settlements in addition to retro 100%, plus, for her late husband.  Or you can hire an atty.  jmo

Link to comment
Share on other sites

  • 0
  • Content Curator/HadIt.com Elder

@knoxcap Another potential option is Federal Tort Claims Action (or FTCA). There is a whole forum dedicated to this. Some of the topics may be outdated, so please consider looking up the current criteria, laws, and regs.

https://community.hadit.com/forum/83-ftca-federal-tort-claims-action/

 

FTCAs are complex, involve a lot of laws, takes a very long time to complete, and might potentially offset some payments depending on the circumstances. The VA will either attempt to settle (you are not required to accept it) or deny. If you don't settle or get denied, you still can consider getting a personal injury lawyer to file a lawsuit.

 

Regarding pain management, I have been getting pain block spine injections for about 20 years. The first one was while I was awake and did nothing but make me suffer. I had one in my shoulder where the doc missed, I passed out cold because the doc missed the joint cavity which left me in physical therapy for months. Both of those were done outside the VA and before I was SC for my back. I got married and my wife worked in surgery at the local hospital. She told me to get one of her favorite docs to inject my back. When I showed up, he said that he never does spine injections unless the patient is properly sedated. For the first time in years, I was actually experiencing less pain. After getting my spine SC'd, the VA offered to do them. When I find out that they don't sedate, except in specific cases, I declined and kept going to experienced pain docs. When community care options came available, I leveraged that option to get referred to the very same doc I was doing.

 

 

 

"If it's stupid but works, then it isn't stupid."
- From Murphy's Laws of Combat

Disclaimer: I am not a legal expert, so use at own risk and/or consult a qualified professional representative. Please refer to existing VA laws, regulations, and policies for the most up to date information.

 

Link to comment
Share on other sites

  • 0
5 hours ago, Vync said:

@knoxcap Another potential option is Federal Tort Claims Action (or FTCA). There is a whole forum dedicated to this. Some of the topics may be outdated, so please consider looking up the current criteria, laws, and regs.

https://community.hadit.com/forum/83-ftca-federal-tort-claims-action/

 

FTCAs are complex, involve a lot of laws, takes a very long time to complete, and might potentially offset some payments depending on the circumstances. The VA will either attempt to settle (you are not required to accept it) or deny. If you don't settle or get denied, you still can consider getting a personal injury lawyer to file a lawsuit.

 

Regarding pain management, I have been getting pain block spine injections for about 20 years. The first one was while I was awake and did nothing but make me suffer. I had one in my shoulder where the doc missed, I passed out cold because the doc missed the joint cavity which left me in physical therapy for months. Both of those were done outside the VA and before I was SC for my back. I got married and my wife worked in surgery at the local hospital. She told me to get one of her favorite docs to inject my back. When I showed up, he said that he never does spine injections unless the patient is properly sedated. For the first time in years, I was actually experiencing less pain. After getting my spine SC'd, the VA offered to do them. When I find out that they don't sedate, except in specific cases, I declined and kept going to experienced pain docs. When community care options came available, I leveraged that option to get referred to the very same doc I was doing.

 

 

 

Oh wow! THATS a lot to go through! I’m glad your wife could direct you to some knowledgeable doctors. I have found irresponsible doctors and great doctors on each side but since my back was through VA initially, I stayed there for the convenience of the team I knew. Thinking back, it was probably not always the smartest move. I know VA docs hands are tied in some things. Now I think I’ll stay at community care. The VA doctors during injections would give something to relax me but I was told they couldn’t put you out because they needed to have you awake enough to know if there was an issue injecting you. One particular time a doctor was injecting me in my spine and it hurt so bad that I told the doctor “when I am able to get off this bed I’m gonna smack you!”  I’m only 4’11” but by the look on everyone’s faces they took me at my word. 

I’m not sure I’ll go the tort direction yet. Seems very complicated and not sure I want that fight right now. I’ll have to keep thinking on it and seeing that there is a 2 year time limit, makes the time short. 
 

Thank you for the information. 

Link to comment
Share on other sites

  • 0
  • Content Curator/HadIt.com Elder

@knoxcap If I recall from memory, I think the FTCA two year clock may also start from the time you became aware of the option. However, you might want to look that up directly. 

Sometimes when they give you light sedation with verset and/or propophol, they might not give you enough and you might be half awake. 

 

"If it's stupid but works, then it isn't stupid."
- From Murphy's Laws of Combat

Disclaimer: I am not a legal expert, so use at own risk and/or consult a qualified professional representative. Please refer to existing VA laws, regulations, and policies for the most up to date information.

 

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now


  • Tell a friend

    Love HadIt.com’s VA Disability Community Vets helping Vets since 1997? Tell a friend!
  • Recent Achievements

    • RICHKAY earned a badge
      One Month Later
    • pacmanx1 earned a badge
      Great Content
    • czqiang1079 earned a badge
      First Post
    • Vicdamon12 earned a badge
      Week One Done
    • Panther8151 earned a badge
      One Year In
  • Our picks

    • Caluza Triangle defines what is necessary for service connection
      Caluza Triangle – Caluza vs Brown defined what is necessary for service connection. See COVA– CALUZA V. BROWN–TOTAL RECALL

      This has to be MEDICALLY Documented in your records:

      Current Diagnosis.   (No diagnosis, no Service Connection.)

      In-Service Event or Aggravation.
      Nexus (link- cause and effect- connection) or Doctor’s Statement close to: “The Veteran’s (current diagnosis) is at least as likely due to x Event in military service”
      • 0 replies
    • Do the sct codes help or hurt my disability rating 
    • VA has gotten away with (mis) interpreting their  ambigious, , vague regulations, then enforcing them willy nilly never in Veterans favor.  

      They justify all this to congress by calling themselves a "pro claimant Veteran friendly organization" who grants the benefit of the doubt to Veterans.  

      This is not true, 

      Proof:  

          About 80-90 percent of Veterans are initially denied by VA, pushing us into a massive backlog of appeals, or worse, sending impoverished Veterans "to the homeless streets" because  when they cant work, they can not keep their home.  I was one of those Veterans who they denied for a bogus reason:  "Its been too long since military service".  This is bogus because its not one of the criteria for service connection, but simply made up by VA.  And, I was a homeless Vet, albeit a short time,  mostly due to the kindness of strangers and friends. 

          Hadit would not be necessary if, indeed, VA gave Veterans the benefit of the doubt, and processed our claims efficiently and paid us promptly.  The VA is broken. 

          A huge percentage (nearly 100 percent) of Veterans who do get 100 percent, do so only after lengthy appeals.  I have answered questions for thousands of Veterans, and can only name ONE person who got their benefits correct on the first Regional Office decision.  All of the rest of us pretty much had lengthy frustrating appeals, mostly having to appeal multiple multiple times like I did. 

          I wish I know how VA gets away with lying to congress about how "VA is a claimant friendly system, where the Veteran is given the benefit of the doubt".   Then how come so many Veterans are homeless, and how come 22 Veterans take their life each day?  Va likes to blame the Veterans, not their system.   
    • Welcome to hadit!  

          There are certain rules about community care reimbursement, and I have no idea if you met them or not.  Try reading this:

      https://www.va.gov/resources/getting-emergency-care-at-non-va-facilities/

         However, (and I have no idea of knowing whether or not you would likely succeed) Im unsure of why you seem to be so adamant against getting an increase in disability compensation.  

         When I buy stuff, say at Kroger, or pay bills, I have never had anyone say, "Wait!  Is this money from disability compensation, or did you earn it working at a regular job?"  Not once.  Thus, if you did get an increase, likely you would have no trouble paying this with the increase compensation.  

          However, there are many false rumors out there that suggest if you apply for an increase, the VA will reduce your benefits instead.  

      That rumor is false but I do hear people tell Veterans that a lot.  There are strict rules VA has to reduce you and, NOT ONE of those rules have anything to do with applying for an increase.  

      Yes, the VA can reduce your benefits, but generally only when your condition has "actually improved" under ordinary conditions of life.  

          Unless you contacted the VA within 72 hours of your medical treatment, you may not be eligible for reimbursement, or at least that is how I read the link, I posted above. Here are SOME of the rules the VA must comply with in order to reduce your compensation benefits:

      https://www.law.cornell.edu/cfr/text/38/3.344

       
    • Good question.   

          Maybe I can clear it up.  

          The spouse is eligible for DIC if you die of a SC condition OR any condition if you are P and T for 10 years or more.  (my paraphrase).  

      More here:

      Source:

      https://www.va.gov/disability/dependency-indemnity-compensation/

      NOTE:   TO PROVE CAUSE OF DEATH WILL LIKELY REQUIRE AN AUTOPSY.  This means if you die of a SC condtion, your spouse would need to do an autopsy to prove cause of death to be from a SC condtiond.    If you were P and T for 10 full years, then the cause of death may not matter so much. 
×
×
  • Create New...

Important Information

Guidelines and Terms of Use