Nexus Statement- military request

[clubdeac]

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I worked in the VA for 6 yrs. I could write a book on disability fraud. Disability ratings for lbp are partly based on ROM testing! Completely insane.

I remember one guy who I put a cervical and lumbar stim in after failing numerous other treatments for his cervical and lumbar radiculopathy. MRIs showed very minimal disease. Shortly after implanting the cervical leads, I found out he was granted 100% rating. I realized then that I had been completely played

I was early in my career when I was young and naive and thought I could fix everyone with a procedure. The lengths some of these guys went to to get 100% ratings were unreal

 

[BobBarker]

So wasteful. The VA pays MSRP for everything. So probably $200k spent on that all in.

 

[hyperalgesia]

I worked in the VA for 6 yrs. I could write a book on disability fraud. Disability ratings for lbp are partly based on ROM testing! Completely insane.

I remember one guy who I put a cervical and lumbar stim in after failing numerous other treatments for his cervical and lumbar radiculopathy. MRIs showed very minimal disease. Shortly after implanting the cervical leads, I found out he was granted 100% rating. I realized then that I had been completely played

I was early in my career when I was young and naive and thought I could fix everyone with a procedure. The lengths some of these guys went to to get 100% ratings were unreal

Are u gonna go back to the fed later to get the health benefits?

 

[clubdeac]

Are u gonna go back to the fed later to get the health benefits?

Not a bad idea…probably will finish out 3 more yrs at some point to get the bennies. It’s 10 yrs total for health benefits right?

 

[hyperalgesia]

Not a bad idea…probably will finish out 3 more yrs at some point to get the bennies. It’s 10 yrs total for health benefits right?

Nope, 5 years. You're already there. To get fehb, you just need to be 62 and retire from the fed while enrolled on fehb plan.

 

[clubdeac]

Nope, 5 years. You're already there. To get fehb, you just need to be 62 and retire from the fed while enrolled on fehb plan.

Oh wow so I need to go back at some point and retire while enrolled. Good to know

 

[MitchLevi]

A 35 yo F coming in to see me...


VA patient service connected at 100% (PTSD 70%, cervicolumbar strain 20%, paralysis of radicular nerves 20% + 20%, limited motion of arm 20%, tinnitus 10%, limited motion of wrist 10%, allergic rhinitis 10%, hypothyroidism 10%, limited flexion of knee 10%).

 

[bedrock]

🤮

 

[cowboydoc]

what other options would they have, especially if they do not have access to employer-based coverage?


we should take care of our vets even if we disagree with their disability ratings etc. thats a process change inside the system, not tearing it all down.

I took his statement as giving them medicare type coverage (and disability?) and having them seek care in the community rather than duplicating the delivery system. I agree with hyper that this would be a far more efficient system that would most likely provide better care in general, but I will agree with you that tearing down the existing VA system is not palatable at this juncture.

 

[cowboydoc]

A 35 yo F coming in to see me...


VA patient service connected at 100% (PTSD 70%, cervicolumbar strain 20%, paralysis of radicular nerves 20% + 20%, limited motion of arm 20%, tinnitus 10%, limited motion of wrist 10%, allergic rhinitis 10%, hypothyroidism 10%, limited flexion of knee 10%).

Did her military stint go beyond basic training?

 

[hyperalgesia]

A 35 yo F coming in to see me...


VA patient service connected at 100% (PTSD 70%, cervicolumbar strain 20%, paralysis of radicular nerves 20% + 20%, limited motion of arm 20%, tinnitus 10%, limited motion of wrist 10%, allergic rhinitis 10%, hypothyroidism 10%, limited flexion of knee 10%).

I just completely ignore this topic with veterans. It has nothing to do with my practice. Any/all discussion of disability and compensation is actually detrimental to the care I provide. At the VA, it is a completely separate department. They pay contractors to come in and make these kinds of determinations.

If you engage in this topic with veterans, you will get a reputation as the go-to guy. The Dr Feel Good of disability.