Thousands of vets misdiagnosed in Veterans Affairs traumatic brain injury exam mishap - WXYZ.com

Peggy Zuckerman peggyzuckerman at GMAIL.COM
Wed Nov 23 18:00:00 UTC 2016


I also read the complete article which did not explain fully exactly who
made and/or failed to make the diagnosis of the patients.  Most people
would assume that this kind of diagnosis needs an expert practitioner, and
perhaps multiple visits and tests.  If there is no kind of patient-reported
symptoms which are accepted into the record and captured, so that all those
who might examine and treat the patient, this is an oversight.

With the many problems that exist in electronic records, and with the
special issues where there are psychological barrier to seeing the records,
how do the vets get a review of their issue, know if they were properly
diagnosed, etc?

And are seven months and one letter enough to find those in need?

Peggy

Peggy Zuckerman
www.peggyRCC.com

On Wed, Nov 23, 2016 at 8:56 AM, HM Epstein <hmepstein at gmail.com> wrote:

> Hi Mark:
>
> I would agree despite the headline if this paragraph wasn't part of the
> article:
>
> "They were not conducted by properly qualified neurological and
> psychiatric specialists, resulting in not only potential misdiagnosis, but
> disability compensation claims that may have been unfairly denied."
>
> As most on this listserv know, TBIs can be difficult to diagnose even for
> doctors who are trained to do so. That's why the potential new blood test
> has made headlines. But the VA are the ones who said the neurologists and
> psychiatrists were not properly qualified.
>
> Perhaps you can help me understand what was meant by "properly qualified".
> The Devil's in the details and this article is missing too many of them.
>
> Thank you, Mark.
>
> Best wishes for a Happy Thanksgiving,
> Helene
>
>
> *-- *
> *hmepstein.com <http://hmepstein.com> *
> *@hmepstein*
> *Mobile: 914-522-2116 <914-522-2116>*
>
> *Sent from my iPhone*
>
>
>
> On Nov 23, 2016, at 11:05 AM, Mark Graber <mark.graber at improvediagnosis.
> org> wrote:
>
> Please excuse my bias as a VA provider, but the headline about
> misdiagnosis of TBI in combat veterans is probably highly misleading.  This
> is NOT a story about botched diagnoses.  The VA has been at the forefront
> of studying and trying to characterize and diagnose TBI since the war in
> Iraq.  This is a story about how much progress has been made in recognizing
> and understanding TBI over the past decades, transparency in admitting that
> the science of diagnosis in this field has advance considerably and trying
> to do the right thing for the affected patients (and being able to do so by
> tracking them through registries).  Its a story of how diagnosis improves,
> more than how it fails.
>
> Mark
>
> Mark L Graber MD FACP
> Senior Fellow, RTI International
> Professor Emeritus, SUNY Stony Brook
> President, Society to Improve Diagnosis in Medicine
>
>
>
>
> On Nov 23, 2016, at 9:37 AM, HM Epstein <hmepstein at GMAIL.COM> wrote:
>
> 25 thousand veterans were just notified their traumatic brain injury was
> misdiagnosed. VA admits to 8 years of mishandling how the patients were
> diagnosed and treated. And then how their claims were rejected.
>
> This article is just about one city's numbers.
>
> http://www.wxyz.com/news/hundreds-of-local-vets-misdiagnosed-in-veterans-
> affairs-traumatic-brain-injury-exam-mishap
>
> Best,
> Helene
>
> *-- *
> *hmepstein.com <http://hmepstein.com/> *
> *@hmepstein*
> *Mobile: 914-522-2116 <914-522-2116>*
>
> *Sent from my iPhone*
>
>
>
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