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  1. #1
    Join Date
    Mar 2019
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    4

    Default How to Get Medical Treatment Through the Veterans Administration

    My question involves public health law in the State of: United States

    First off I don't see any sections here for veterans help, I did see something about active military. But nothing on veterans health or anything else. Did search of veterans affairs, came back with nothing, so I guess I need to contact another forum.
    I was needing help for my brother who needs operation done ( carpal tunnel ), he goes to the neurologist at the VA hospital. They tell him his test shows that blockage is at 50%, and definitely needs the procedure. He asks if they can schedule him, to have it done. They of course pass the buck, and say no they can't, that his doctor at his local VA clinic needs to do this. He tells the doctor there of the tests findings,mthe doctor says, yes, I have the records here of the test. The doctor puts in the request, and months later he calls to ask of the scheduling, sense no contact has been made, they tell him that the request for the operation was kicked back, to the office, with no explanation. This same thing scenario, has now happened twice. Over the last two years, he's had two testing procedures, two results that blockage is excessive, and two requests put forward for operation to be done, and two kick backs, or I guess flat out refusals. To top it off the pain medication they perscribed, to take care of the pain they won't operate on to correct, has been withheld. Because of their claim of addiction, instead, they keep scheduling, pain management seminars for him to attend, instead of giving actual care or meds to take care of what they won't operate on. It really is a story that should be a made for TV movie. No operation, and medication because pharmaceutical companies have flooded the market with pain meds to the point that people who actually need the mdcation can't get it.

  2. #2
    Join Date
    Jan 2006
    Posts
    38,718

    Default Re: Veteran Administration

    Cps is the result of a pinched nerve as it passes through the carpal tunnel (at the base of the hand)

    suggestions from the Cleveland clinic



    • Ice your wrist or soak it in an ice bath for 10 minutes to 15 minutes once or twice an hour.
    • Relieve nighttime pain by gently shaking your hand and wrist or hanging your hand over the side of the bed.
    • Buy a wrist splint at the drugstore to keep your hand properly aligned. It may help to wear the splint at night to keep you from flexing or overextending your wrist while you sleep.
    • Take a non-steroidal anti-inflammatory drug (NSAID), such as ibuprofen or naproxen to relieve pain. Take NSAIDs with food and after consulting your primary care physician to make sure there are no medical reasons ó such as interaction with other medicines you may be taking ó to avoid these pain relievers.
    • Immerse your hand in warm water ó with a temperature between 92 and 100 degrees ó and gently move or flex your hand and wrist. Do this three to four times a day.


    I believe anything stronger than basic over the counter pain meds are innapprpriate, especially long term such as brother is experiencing. Itís not surprising to hear his pain meds have been discontinued.



    Has your brother explained to the local va doctor about the denial? Since the va hospital said the local va clinic needs to do this, has he asked about it being done locally with the people at the local va clinic?

  3. #3
    Join Date
    Mar 2013
    Posts
    17,054

    Default Re: Veteran Administration

    I'm a vet who also obtains my health care from the VA. You might recall reading about the VA scandal several years ago where the Phx VAMC was at the forefront of the investigation. Well, Phx has mostly cleaned up its act and, with an occasional hiccup, I've been able to get approved for non-VA fee based treatment fairly responsively.

    I suggest that you get the Director of your VAMC involved. A detailed letter to the Director, quoting what's written in the medical records is where he should start. And hand deliver it to the Executive offices in the building instead of relying on mail.

    Does he know that he can view and print out his records from the VA website?

    https://www.myhealth.va.gov/mhv-port...ealthevet/home

    Those records should show everything the doctors say about his condition.

    If the Director doesn't get things moving he can file a complaint with the VA Office of Inspector General.

    https://www.va.gov/oig/hotline/default.asp

    No guarantee that either of those suggestions will bear fruit but it's worth a try.

    Is your brother on Medicare? If he can't get the VA to foot the bill for the surgery his option is to get it done privately under Medicare and pay his 20% or pay the whole thing himself if the condition is bad enough.

    If you need further discussion, come back to this thread. I'm here every day.

    Quote Quoting jk
    View Post

    Has your brother explained to the local va doctor about the denial? Since the va hospital said the local va clinic needs to do this, has he asked about it being done locally with the people at the local va clinic?
    I think you misunderstood something. The VA doesn't do that kind of surgery. The VA uses a network of community resources for fee based medical treatment.

    The local clinic is where the vet's primary physician is generally located. The medical center is where the specialties are located.

    Depending on the nature of the condition, either the specialist or the primary physician refers the vet to the community resources program to arrange for treatment that cannot be provided by the VA.

    Any VA provider can make that referral. When I had my cataract surgery, my primary made the referral. When I had my kidney stones, the urology department made the referral.

    I have no idea why the OP's brother isn't getting the referral. Somebody should be doing it.

  4. #4
    Join Date
    Jan 2006
    Posts
    38,718

    Default Re: Veteran Administration

    Quote Quoting adjusterjack
    View Post
    I'm a vet who also obtains my health care from the VA. You might recall reading about the VA scandal several years ago where the Phx VAMC was at the forefront of the investigation. Well, Phx has mostly cleaned up its act and, with an occasional hiccup, I've been able to get approved for non-VA fee based treatment fairly responsively.

    I suggest that you get the Director of your VAMC involved. A detailed letter to the Director, quoting what's written in the medical records is where he should start. And hand deliver it to the Executive offices in the building instead of relying on mail.

    Does he know that he can view and print out his records from the VA website?

    https://www.myhealth.va.gov/mhv-port...ealthevet/home

    Those records should show everything the doctors say about his condition.

    If the Director doesn't get things moving he can file a complaint with the VA Office of Inspector General.

    https://www.va.gov/oig/hotline/default.asp

    No guarantee that either of those suggestions will bear fruit but it's worth a try.

    Is your brother on Medicare? If he can't get the VA to foot the bill for the surgery his option is to get it done privately under Medicare and pay his 20% or pay the whole thing himself if the condition is bad enough.

    If you need further discussion, come back to this thread. I'm here every day.



    I think you misunderstood something. The VA doesn't do that kind of surgery. The VA uses a network of community resources for fee based medical treatment.

    The local clinic is where the vet's primary physician is generally located. The medical center is where the specialties are located.

    Depending on the nature of the condition, either the specialist or the primary physician refers the vet to the community resources program to arrange for treatment that cannot be provided by the VA.

    Any VA provider can make that referral. When I had my cataract surgery, my primary made the referral. When I had my kidney stones, the urology department made the referral.

    I have no idea why the OP's brother isn't getting the referral. Somebody should be doing it.
    The va doesn’t do what kind of surgery?

    If you mean carpal tunnel release, this website appears to disagree with you:

    https://www.va.gov/directory/guide/facility.asp?id=47


    https://www.erie.va.gov/ERIE/feature...Advances11.asp


    since the op didn’t mention a state, it’s impossible to determine what services are available at the location op’s brother attended.

    If you mean surgical prosesss in general, again, that wouldn’t be correct.

    This website appears to state nearly limitless services offered by VA direct treatment centers.


    https://www.va.gov/healthbenefits/ac...e_services.asp



    while the VA health system does work in a cooperative capacity in many situations, the VHA also does provide direct treatment in various VA facilities.

    In fact, often the VA will not pay for local private providers. This has been in the news recently.

    https://www.blogs.va.gov/VAntage/398...hoice-program/

  5. #5
    Join Date
    Mar 2013
    Posts
    17,054

    Default Re: Veteran Administration

    JK, are you a vet who gets medical care through the VA?

    Simple question. Requires only a yes or no answer.

  6. #6
    Join Date
    Jan 2006
    Posts
    38,718

    Default Re: Veteran Administration

    Quote Quoting adjusterjack
    View Post
    JK, are you a vet who gets medical care through the VA?

    Simple question. Requires only a yes or no answer.
    No but my father was and he was provided services, which you are implying are not available, directly by a va facility.

    ifmyou want to play the: you don’t know because you aren’t a member of that club, I suggest you limit all responsive posts to insurance related matters.

    Where do I go for care?


    You’ll receive regular care at one VA location of your choice. If you need specialized medical treatments and services, we may refer you to other locations as well. Your health care team will use our electronic medical record system to coordinate your care no matter where you are.
    Care settings may include:

    • VA medical centers. These centers offer a range of services:
      • All centers provide traditional hospital-based services—like surgery, critical care, mental health, and physical therapy.
      • Most centers provide medical and surgical specialty services—like oncology (cancer care), geriatrics (elder care), and neurology (care for conditions of the brain and nervous system).
      • Some medical centers also offer advanced services—like organ transplants and plastic surgery (reconstructing or repairing parts of the body in the treatment of traumatic injury).


    What if the nearest VA location can’t provide the services I need?


    We may refer you to a community provider. Your eligibility for community care will be based on your specific needs and circumstances. Your VA provider will work with you to determine if you’re eligible.
    Learn more about VA community care.


    https://www.va.gov/health-care/about...u-go-for-care/


    unless you are suggesting a VA medical center is not a facility directly operated by the VA, , I don’t see any basis to your objection to my statements.

    You seem to be misunderstanding their organization and believe the VA operates only outpatient clinics. That would be an incorrect belief. They operate full fledged hospitals as well as local outpatient clinics. If you want the VA to pick up the tab, you either receive services directly from the VA or qualify for private care for the issue under the VA Choice program

    otherwise you can attend any private pay provider you wish but plan on paying for their services either out of pocket or through any insurance you carry.

  7. #7
    Join Date
    Jun 2014
    Posts
    3,045

    Default Re: Veteran Administration

    It is possible the carpal tunnel damage is not severe enough. They will not operate until a certain point. The neurologist saying it was severe enough. Does not mean another doctor will agree.

    It us highly unlikely VA will prescribe him opiates. If he cannot tolerate the pain. His best chance at possibly receiving opiates. Is to see a pain management doctor in the private sector. This is what most veterans have to do.

    https://www.va.gov/painmanagement/op...iative_osi.asp

  8. #8
    Join Date
    Mar 2019
    Posts
    4

    Default Re: Veteran Administration

    VA doesn't do carpal tunnel operations, well I guess when he had his other wrists carpal tunnel surgery done at the VA hospital, they were way out of line, for doing it. Maybe we can sue them for doing something, you know they don't do. Jk please don't involve yourself in my postings, I would appreciate it. I know enough people who talk shit, I don't need anymore. Thanks guys for your help and suggestions I don't know how to contact people mentioned I should contact, but I will look into it.

  9. #9
    Join Date
    Jan 2006
    Posts
    38,718

    Default Re: Veteran Administration

    I guess you missed this link


    https://www.erie.va.gov/ERIE/feature...Advances11.asp


    the va does provide carpal tunnel release as well as many other surgeries including organ transplants. Suggesting they donít is a disservice for those using their services


    its also extremely funny that you state the va doesnít do carpal tunnel release procedures yet your brother was the beneficiary of exactly that from the va.

  10. #10
    Join Date
    Mar 2019
    Posts
    4

    Default Re: Veteran Administration

    The doctor reading the results of the test, told him it was severe. That he needed to schedule it done through the Doctor he sees at the local va clinic. That doctor also reviewed the test results, and sent papers forward to the VA hospital to schedule the operation. So that would be two doctors recommendations, why a third doctor or not doctor would kick it back is the problem. Two doctors suggestion of the symptom being severe cannot be then termed by another doctor as, oh it looks alright to me. But i guess anything is possible. I do know hia other wrist was not as high as 50% blocked and was schedule to be done, and was done. My brother only offers this to me when I ask why this might be happening, he says the doctor there is about to retire, and the nurse there practically runs the place, and that the nurse hates my brother. This is something I can't believe would be a reason, but something definitely is messed up.

    He had been getting opiate meds and is in fact still receiving them. Why you would suggest you doubt he could get them through the VA is another misleading statement. His meds he recieved were and are for pain in his wrists, they have basically refused to schedule the surgery, and as the pain gets worse, they cut his pain meds in half. So this is like throwing salt on the would.

    Quote Quoting jk
    View Post
    Cps is the result of a pinched nerve as it passes through the carpal tunnel (at the base of the hand)

    suggestions from the Cleveland clinic



    • Ice your wrist or soak it in an ice bath for 10 minutes to 15 minutes once or twice an hour.
    • Relieve nighttime pain by gently shaking your hand and wrist or hanging your hand over the side of the bed.
    • Buy a wrist splint at the drugstore to keep your hand properly aligned. It may help to wear the splint at night to keep you from flexing or overextending your wrist while you sleep.
    • Take a non-steroidal anti-inflammatory drug (NSAID), such as ibuprofen or naproxen to relieve pain. Take NSAIDs with food and after consulting your primary care physician to make sure there are no medical reasons — such as interaction with other medicines you may be taking — to avoid these pain relievers.
    • Immerse your hand in warm water — with a temperature between 92 and 100 degrees — and gently move or flex your hand and wrist. Do this three to four times a day.


    I believe anything stronger than basic over the counter pain meds are innapprpriate, especially long term such as brother is experiencing. It’s not surprising to hear his pain meds have been discontinued.



    Has your brother explained to the local va doctor about the denial? Since the va hospital said the local va clinic needs to do this, has he asked about it being done locally with the people at the local va clinic?
    He has told the doctor at the VA about his inability to get the procedure scheduled, that is why he asked the doctor after reading him the results if he could schedule it for him. He said that is something that needs to done by your doctor at the local VA clinic, not the procedure
    Just the scheduling, as the clinic here in this small town is nothing more than a band aid station. Nothing more. The suggestion from the Cleveland clinic sounds great, if it worked, and my notation of this is that if these simple things done would relieve the pain then the pain would not be worth mentioning. I have had carpal tunnel surgery and can tell you nothing eases the pain, the stupid thing is that the whole hand goes completely numb, something that would be a god send if it were numb and you could not feel it. But it is a numb that tingles at a continuous hard hitting pace, that never stops until it seems to let up sometimes for no reason and vice vesa, but mostly it just drive you nuts.

    Director of your VAMC, is this person to be found at the local clinic or at an office within the VA hospital? Thanks

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