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article imageVeterans Affairs Staff Member Asked Doctors To Stop Diagnosing Patients With PTSD

Posted May 16, 2008 by  Nikki W (karateblossom) in Health | 5 comments | 882 views
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When working at a VA Hospital, take care sending emails geared at cutting VA benefits unless you do not value your own job. At least that is the position that the coordinator of the PTSD program should have taken prior to sending out such an email.
An email that was sent out by a Veterans Affairs Hospital Post Traumatic Stress Disorder Program Coordinator has created quite a problem. The email suggested that physicians stop diagnosing patients with Post Traumatic Stress Disorder and consider a more short-term diagnosis of Adjustment Disorder instead, as a means of cost cutting.

Email quote, as reported by a military news report:

“Consider a diagnosis of adjustment disorder, r/o [rule out] PTSD. Additionally, we really don’t ... have time to do the extensive testing that should be done to determine PTSD.”


Aside from the unethical suggestion, the problem with this is that Adjustment Disorder does not provide veterans with benefits, whereas PTSD makes them eligible for healthcare benefits and in cases, retirement benefits as well.

The PTSD coordinator was not counting on a VA Hospital psychiatrist forwarding the email onto VoteVets.org, a veteran's advocacy group.

Brandon Friedman, Vice-chair of VoteVets.org said of the situation:

“They can say, ‘Ah, you’ve got something temporary, it’ll go away, so we don’t need to pay you for the rest of your life,’ ”

He said several veterans have told him they were diagnosed with adjustment disorder rather than PTSD, and that they felt they had received the wrong diagnosis.

“We hear anecdotal evidence all the time that VA is trying to cut costs by not diagnosing PTSD,” said Friedman, a former infantry officer who served in Iraq and Afghanistan. “But we’ve never actually seen proof that it was being done in an organized way.”


Friedman also spoke highly of the VA and continued to remind the public that many great individuals work them and have helped enumerable veterans over the years. Even the VA Secretary James Peake acknowledged the isolated incident as inappropriate, claiming that the single responsible employee has been counseled.

The VA continues to operate under trust and transparency in order to provide healthcare benefits rightfully earned by all veterans. With over 230,000 employees, the miserly and uncaring judgement of one employee seemed to have gotten the best of them.
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  • avatar Posted May 16, 2008 by  Chris V. (cgull)
    #1
    The veterans deserve better, they should fire this guy.
  • avatar Posted May 16, 2008 by  Orange
    #2
    Definitely fire him. There is a sub-group of Veteran's Administration bureaucrats who think that denying veterans benefits is a good way to save money. They are heartless and despicable, and should all be fired.
  • avatar Posted May 16, 2008 by  Mr Garibaldi
    #3
    @ Orange
    Definitely fire him. There is a sub-group of Veteran's Administration bureaucrats who think that denying veterans benefits is a good way to save money. They are heartless and despicable, and should all be fired.


    amen
  • avatar Posted May 16, 2008 by  Nikki W (karateblossom)
    #4
    I always reserve that subjective comment for this section:

    This person SHOULD BE fired, not counseled.

    Veterans have paid their price and should not be denied their benefits due to some miser jerk.
  • pragmaticus Posted May 16, 2008 by  pragmaticus
    #5
    The article and blogs demonstrate the danger of mixing psychiatry and politics. Read Goodwin and Guze's seminal book "Psychiatric Diagnosis" to understand the early problems of such mixtures, including the sadly humorous political path of the PMS diagnosis.

    Also described in this book is a "heretical view" endorsed by those who laid the foundation for American descriptive psychiatry:

    "In our view there are only about a dozen diagnostic entities in adult psychiatry that have been sufficiently studied to be useful."

    As of the printing of DSM-IV, PTSD was not one of those diagnoses.

    Further, American psychiatry struggles presently with a pseudo-plague of overdiagnosed bipolar disorder, with powerful, published research emerging to this effect. Why?

    The psychiatric profession and money make for a messy mix.
    *** In most settings, reimbursement REQUIRES diagnosis, thus everyone who sees a psychiatrist gets one.
    *** Patients won't return unless a medication is prescribed.
    *** Psychiatrists are paid much more per minute for short visits than for long visits, thus they now tend to see 20-25 patients per day. Careful diagnosis cannot occur with such a schedule.

    Bankrupting the American taxpayer for politically motivated diagnoses is reprehensible and disrespectful to those who actually need disability benefits. Flagellating a president with fallible psychiatric diagnostic processes is useless.

    I saw nothing wrong with Dr. Perez's statements. I merely heard her to be endorsing mindful diagnosis. Since when do we castigate a clinician for being careful? Would this same discussion be occurring if she were talking about cancer? "Given that cancer has serious implications, I'd like to suggest that you refrain from giving a diagnosis of cancer straight out ..."

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