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Author Topic: VA MEDICAL
RedRoofBob
Junior Poster
Member # 553

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From what I have been told, I am glad that I have nothing to so with VA medical.
I am a veteran, vut NO THANKS>

RRB

Posts: 23 | From: STL  |  IP: Logged
L1011Ret
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I work at the VA. There are some things I would not do there. However, eyeglasss are inexpensive, meds are cheap and for lesser complaints I am willing to use the VA.
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Irish
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Hey guys,

Two line posts are teasers. How 'bout elaborating on your posts for the uninitiated. [Confused]

Paul

Posts: 1634 | From: Hampton, NH  |  IP: Logged
L1011Ret
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Fair enough. The VA is a huge organization and relies on its regulations to keep some semblance of order among its many units and hospitals. On the one hand this creates a standardization of care, on the other a huge inflexability when it comes to change. The VA specializes in war related issues such as PTSD and Spinal Cord Injury. The VA is just rife with favoritism. The Secretary has just done something unthinkable, demanded accountability. He even threatened to fire managers who were not accountable. Unheard of in the VA! And how can you fire anyone in the VA? The VA system is designed to ensure mediocrity!!! It is a top down organization sort of like a military unit. Feedback from the bottom is hardly tolerated. The VA's biggest problem is doing things the VA way and not the right way.
Having said that, I must say the VA is an enormous resource for quality care for a lot of veterans. Especially war veterans.
If you have a serious medical problem (chronic or acute) such as cancer or heart disease, go to a hospital affiliated with a University (teaching hospital) or some smaller hospital that has the speciality you need. If you want to monitor a hyperthyroid condition by getting a blood test for thyroxin levels as I do and then meds for the condition, the VA is safe as far as I am concerned. If you have an unusual condition, find specialists in your area.
Not all VA's are alike. Some are decidedly well run while others are at best mediocre. I once worked at two VA hospitals different days of the week. There was a NOTABLE difference in staff attitudes, professionalism and accountability from one to the other. That was not just my opinion but that of nearly all staff required to work at both hospitals.

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Irish
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Now that's an informative post. Thanks, Bill.
Posts: 1634 | From: Hampton, NH  |  IP: Logged
Goodyear_26
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Yes, and don't bother going to work tomorrow!!!!
Posts: 103 | From: Tampa, FL, USA  |  IP: Logged
L1011Ret
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I expect to be leaving the VA in the not to distant future. It is not a rewarding place to work though I do enjoy my co-workers who are largely a dedicated group of people.
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Irish
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I received a letter from the VA yesterday, which stated I was being reclassified to category 8c, income above both HUD and VA means test, was enrolled prior to 1/16/03 and remain enrolled. That's no change for me (I still pay co-pays for medical and medications) but does confirm that the VA has changed its classifications at bit.

Paul

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L1011Ret
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Yes, realignment of categories is occuring. There is also a big realignment of facilities starting up. It reminds me of Base Closing in the military. There will be volumes of political and special interest group appeals before it is worked out.
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Captain Ed
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I'm saving quite a bit on VA Prescriptions.
There was a news item that said come 22 Sept., ALL RX's will be filled, incluging those fro private doctors.

We shall see.

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L1011Ret
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The only reason Rxs from private Doctors are being filled is that there are not enough "primary care" providers at VA. When that is rectified you will be required to visit a VA physician for your Rxs.
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Captain Ed
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I don't think so. VA is downsizing right now.
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Ed Vallecorse
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When I was living in STL I went to the VA Hospital and noted that it was the only hospital I had ever been in that had a police station INSIDE the hospital. I had wondered about that for about 6 months while I waited for my doctor's appointment and when the day finally arrived to see him I found out why.

I was sitting in a chair in a long, dark hallway waiting for my turn when a nurse walked by. Another vet was seated a ways down from where I was and I heard him ask the nurse if Dr. Smith was in as he had been waiting for 2 hours past his appointment time and had not seen anyone enter or leave the doctor's office. The nurse, in a very rude manner, said, "Doctor Smith in not in today and will not be in for another 2 weeks. He is on vacation." It was then that I found out why the location of the police station. The vet jumped up and started screaming. "I have waited 9 months for this f------ appointment and you tell me the m---- f----- is not even here?" The nurse's eyes got about the size of half dollars and turned as white as her uniform. As she fled the scene the vet picked up the chair he had been sitting on and started smashing the doctor's door with it. All the while screaming obscenities, spitting, and kicking. As I cautiously backed out of a bad situation the cops showed up and it took 4 really big guys to subdue this guy. Handcuffs and anklecuffs.

I was thinking that you teach a guy to be ready and able to kill and then not let him kill anyone he just may have a little hostility built up. You frustrate him by making the wait for medical attention insufferably long and further exacerbate the problem by not having his doctor show up it just may require you to have law enforcement close at hand. Vallecorse

Posts: 23 | From: Bradenton, Florida  |  IP: Logged
Ed Vallecorse
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[ 08-27-2003, 10:21: Message edited by: Ed Vallecorse ]

Posts: 23 | From: Bradenton, Florida  |  IP: Logged
L1011Ret
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VA is trying to rectify some of these problems. Unfortunately too many still occur. They have a large police force where I work too, more than would seem necessary for 250 patients. I got caught in the middle of an incident like that above and sent an e-mail to the Hospital director informing him of the details of the situation. For that I was chastized and there was no follow up to prevent another occurence. VA has a very hard time rectifying and being accountable for its mistakes. It is easier to blame the patient that to fix the system. Having said that I must say there are pockets of good treatment in the VA.
If you should find yourself in such a situation as described above, proceed immediately to the Patient Advocate's off and submit a complaint. The patient advocate has the Hospital Director's ear and s/he bypasses multiple layers of management types likely to cover up or rationalize the situation away. It is much more likely you will get some reasonable resolution of your complaint this way.

[ 08-27-2003, 17:32: Message edited by: L1011Ret ]

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