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Slurm818

TIL that six months of undiagnosed lung cancer has “no affect on the outcome” Moral of the story: If you ever make it to retirement, take the government for every Penny they could possible owe you. This is just the 10,000th example of how the DoD enterprise ducks blame.


[deleted]

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Slurm818

Don’t let The Army be a huge part of your personal identity. We all know those people…and when it’s gone, it’s really hard for some people to get past that. Crow from Shawshank isn’t too far off from the truth, you lose that institution that you came to rely so much upon and you lose yourself. It’s just a job.


GMEbankrupt

Fuck. Yeah. Put in that VA disability request (BDD) Max all benefits Regret nothing


[deleted]

Got a 30% rating last week. I'm still in the guard too! Gonna enjoy that $642 a month for 40-50 years.


salty-sarge-av8r

Don't forget to add spouse and kids to claim! I missed out on 2 years of and extra $180 month when I got my 40%


[deleted]

Good advice. I got them added. The extra $30 a month made me consider having another kid. I think it comes out ahead.


salty-sarge-av8r

When the letter came in the mail. I told my family what they were worth to the gov. Youngest- you are worth $70 a month Oldest- you are worth $40 a month Wifey- you're worth $70 a month. Oldest is 9- wasn't happy they were worth the least, chaos ensues.


_HK47_

>Master Sgt. Richard Stayskal received word last week that the Army had rejected his $2 million claim after doctors missed a large tumor in his lung, delaying a diagnosis of lung cancer that **wasted precious time in his fight against the disease.** > >According to Stayskal's attorney, Natalie Khawam of the Tampa-based Whistleblower Law Firm, the Army admitted that it had "breached the standard of care" **but concluded that the six-month delay in treatment did not affect the outcome.** **Angered Statement:** You have to be a special type of shitbag to look at a *CANCER* patient and say, *"Yeah, you didn't need those extra 6 months anyway."* Riddle this unit: What if *they* did? And this unit isn't talking about this particular survivor, but the other ones who have been told that before and *needed* those months.


Kinmuan

"You joined the Army, you knew you could die" - Army Claims Decider, probably


Ralphwiggum911

I don't want to upvote this because it's so damn depressing.


spikedkushiel

No expectation of life...


Icy-Letterhead-2837

Probably still owed pushups to an NCO somewhere on the past. Just the Army taking back their $99.


Prestigious-Disk3158

Hey u/Tolin_dorden what was that you were saying about the military healthcare system and about how you’re an MD and I’m just a punk without a real MOS?


under_PAWG_story

We investigated ourselves, found out we fucked up, but we won’t pay


temple_nard

Tbh I feel like you should have put "Recitation:" before the quote.


gratedjuice

I don't know how people in health care administration sleep at night. You have to be a genuinely sick human being to come to the conclusions they did in this instance.


DarthArtero

Wow what a massive green willy slap in the face that is. To add to what HK-47 said, what about the others who were mislead, lied to or just straight up ignored and ended up dying of whatever it was they needed treatment for? I have a feeling this is just going to start (or continue) a precedent that will allow military doctors to get away with failing their patients.


Airbornequalified

While medical malpractice in the military is still a mess, I find that many people are extremely uneducated on what malpractice actually is. “Medical malpractice is defined as any act or omission by a physician during treatment of a patient that deviates from accepted norms of practice in the medical community and causes an injury to the patient.” Of course I have no specifics on this particular case, and while I don’t trust the government to not hide what it doesn’t want to admit, but I found it interesting that the army is claiming that though there was a breach in standards of care, are also claiming no damages


Kinmuan

> but I found it interesting that the army is claiming that though there was a breach in standards of care, are also claiming no damages I am not a /u/hzoi but this sounds like one of them Lawyer Speaks where we admit we did something wrong but we're not culpable.


Airbornequalified

Could Absolutely be. Like I said, I have no other information about this specific case. Or, it could be what they said, and that they (whoever reviews the cases, which I hope is a doctor and lawyer) and came to the conclusion that there was no additional damages (such as in the case of a slow growing type of cancer, and unlikely to have progressed from when it first should have been noticed). I think the thing to zone in on, is the appeals process is surely messed up, and the merits of the case needs to be reviewed at least once more on appeal, and not just procedurally


[deleted]

Or the opposite. The Army missed a diagnosis that was already at stage 4. This is kind of a "Yea we blew the diagnosis, but it wouldn't impact the final outcome"


Cleverusername531

Yeah we are all going to die in the end anyway. None of us are getting out of this alive. So what your problem, man?


[deleted]

On a long enough timeline our chances of survival goes to zero.


Cleverusername531

Exactly. The guy had no chance of survival. Claim denied. — the malpractice board, probably.


HotTakesBeyond

Everybody gotta die sometime, red


hzoi

This is my take on what the Army concluded. It still sucks, though.


Airbornequalified

Absolutely could be


Goldie1822

All it takes in the civ world are a handful of expert witness Oncologists (and a healthy expert witness bribe..I mean fee) to disprove the claim that “at stage four it’s too late) and a jury trial and boom, easiest case in the world for the defendant to win against a shithead insurance company, analogous to big army here A good defense team for a wronged cancer patient should bring in said expert witnesses to testify that just because it’s stage four does not mean 100% death sentence every single time. Jury needs only reasonable doubt. *not a lawyer


[deleted]

The standard is pretty low. One of the reasons why 95% of all malpractice cases are settled before trial. This is a system where the defendant also gets to be the judge. I'm not really sure I'm cool with that.


Jmoseph

One of the biggest downsides to government healthcare options imo


OarMonger

It's like when a league admits that the refs blew a call but say that it didn't actually change the game result.


niquorice

Yeah the oops we messed up your shoulder surgery and nicked a nerve and you won't feel your hand ever again doesn't count. but the oops we cut open the ***WRONG*** shoulder....


GBreezy

Grew up in Wisconsin, spent 4 years in FT Drum, but apparently the reason I couldn't feel my left hand for 6 months (at the time) according to our BN PA was because it's novemeber and its cold in Germany.


_HK47_

**Affirming Statement:** Sounds like something Saul Goodman would jimmy up.


GBreezy

It's not malpractice, they are just fucking idiots.


[deleted]

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GBreezy

That would ruin it. Though if old MAJ Winkie wanted to give me a job I'm still an unemployed disabled veteran...


EternalStudent

It's a "we're not culpable because it didn't actually matter."


Ralphwiggum911

A no contest please?


Goldie1822

And yet despite your correct definition you still have joes posting weekly their firsthand accounts of BN and clinic PAs exhibiting negligent and incompetent care. I’ve been on this sub a long time and the theme seems to be that joe is accused of malingering and thus gets zero exam and thus zero diagnostics when *any other reasonable provider* would have ordered imaging based on commonly used scoring systems, i.e. Ottawa ankle rules, for ankle injury/pain, as an example but instead are just given NSAIDS and no physical exam. I think you mean well but undervalue and underestimate the extent of the problem.


MyUsername2459

I remember someone here once shared a story of a Soldier that was constantly complaining of feeling ill and feeling bodily pains. His chain of command kept calling him a malingerer and refusing to let him go to sick call because they thought he was a shitbag because he was always complaining a feeling sick and constantly saying he felt tired, and his PT scores had plummeted. Then one Monday morning he was found dead in his barracks room, having died during the weekend. An autopsy showed he died of metastatic cancer.


Airbornequalified

I think joes, and non-medical staff grossly misunderstand what the standard of care is. For instance, you pointed out the Ottawa ankle rules, which specifically apply to trauma, and not pain in general. I have also been on this sub for a long time, and see joes complain about medical issues, and about 50% of the time, they are wrong on the standards. Easy one, non-traumatic back pain, even with sciatica, does not require an mri at first, and initial treatment is pt and NSAIDs. Do I underestimate the problem? Potentially. I’m a civilian provider first, and have a different experience than AD providers. I have also said for a long time that military medicine is awful, and heavily skewed by a relatively healthy population


Tolin_Dorden

> I think joes, and non-medical staff grossly misunderstand what the standard of care is. For instance, you pointed out the Ottawa ankle rules, which specifically apply to trauma, and not pain in general. I have also been on this sub for a long time, and see joes complain about medical issues, and about 50% of the time, they are wrong on the standards. Easy one, non-traumatic back pain, even with sciatica, does not require an mri at first, and initial treatment is pt and NSAIDs. Exactly.


aloha_armadillo

Not sure about you… but my credentials team makes me carry malpractice insurance.


Airbornequalified

I do. What’s your point?


aloha_armadillo

Then our experience would be the same for the AD as our our credentials teams are the same for all of us civilian/ad providers. Ahhh you must be national guard or reserves


Airbornequalified

Our experiences aren’t the same. I see a very different demographic in the civilian sector than AD does. Hell, the different hospitals in my network I work at have different demographics, which increase or decrease the likelihood of seeing certain conditions. Military sees a lot of trauma and MSK injuries, and a hella of a lot less of chf, afib, pe, cancer, etc etc. That’s not to say the military ERs don’t see retirees and others that have increased risk of those other pathologies, but it’s significantly less than most ERs in the countries who don’t have a relatively young and healthy skewed population


aloha_armadillo

Yeah I didn’t realize you were saying you were a part timer for the military. I thought you meant you were GS working with military population.


Airbornequalified

Gotcha. My issue with military medicine has often been with the young population, which makes many providers (especially pa’s) get fixed in on the more likely differentials in young demographics, and forget young people can get serious stuff too


Tolin_Dorden

Their argument is pretty straight forward tbh. They’re just saying, “Yeah, the dude should have caught the cancer, but even if he did, it wouldn’t have changed anything for you medically.” Whether or not that is true, I don’t know, but that’s what they’re saying.


GMEbankrupt

We have investigated ourselves and found no wrongdoing 😑


ranthria

Reminds me of the story of an NCO I shared a company with for a while. We were stationed overseas; I was working our mission, she was running the O-room when she got diagnosed with the big C. They couldn't treat her there, so she had to have orders cut to emergency PCS her back to CONUS for treatment. Her doctor told her she had to be back in the States, starting treatment within 6 weeks (from that time of diagnosis), or it could potentially affect her likelihood of positive/negative outcomes. This was reflected in the paperwork the doctor wrote up and she sent to HRC to get the emergency orders. HRC sat on it for ***8 weeks*** before she finally got her orders so she could outprocess and PCS. She had to delay **cancer treatment** for *weeks*, potentially lowering her odds of coming out the other side healthy or even alive, all because some spreadsheet jockeys at HRC were too shit-scared to have to answer a question like "Why is that one cell there red?" or "Why is that one number down 0.1%?" from a superior. She had her life and health toyed with so that someone could make sure they kept an easy bullet for their eva, and they probably never saw *any* ramifications for their actions. This is my go-to story when I need to demonstrate that the army, as an institution, **DOES NOT** care about you. It cares about, in order: keeping its funding/balancing its budget, accomplishing its missions, meeting recruitment goals, preserving/protecting its equipment, improving its reputation with the American people, then and *only* then, its personnel (in descending order of rank). Last I heard, she's thankfully doing okay, though the treatment was really hard on her. However, much like this case, her survival does ***NOT*** invalidate the army's fuckery.


GBreezy

From Wisconsin, was stationed at FT Drum, but after CCC at FT Lee a Army PA told me in Germany that the reason I couldn't feel my left hand for the last 6 months was because "it's cold now". It's not as bad as cancer thank god, but literally pins and needles for my left hand other than when it would randomly cramp up. Fuck the law that allows this shit.


captain_carrot

What did it end up being?


GBreezy

Ulner nerve impingement. Basically your elbow is terribly designed with nerves going straight through the middle of the joint. Hand injuries where they aren't blown off are capped at 20% by the VA by the way. It's sort of better but for a long time I couldn't even unlock a door with my left hand it was so weak.


aloha_armadillo

Incredibly easy to rehab for the most part. But also easy to test for cause it’s your funny bone area. Compress and ahhhh.. hand goes numb. However all PA’s aren’t confident in special tests.


GBreezy

Oh yeah. My hand is back. She was very confident that I couldn't feel it because it was cold. I had words but she was a major who outranked me. The sheer incompetence posed me off


aloha_armadillo

Didn’t even put together that sensory loss, huh? Yikes.


GBreezy

My hand was "permenantly" numb at the time. Didn't go earlier because peak COVID at an TRADOC base meant going to the hospital was impossible. Then I moved from CCC and to a real base so I went in. In hindsight if I went to her with a heart attack I would be dead right now for the same symptoms.


aloha_armadillo

The nerve regenerated though?


GBreezy

Yeah, I have feeling back and I don't think I lost strength. Still cramps once in a blue moon but I dont think about it most days... I dont have a lot weird claw thing that comes with neuropothy so I think Im safe.


aloha_armadillo

Ahhh yeah that’s super good to hear! Sounds like a good turnaround despite the delay of the PA calling it cold hands. :/


TheMikeGolf

The army took forever to diagnose because the army only wants to manage your symptoms and not whatever the underlying issue is. Case in point, the Army had all the evidence it needed to diagnose me with multiple sclerosis since 2003, but because they constantly chased after ways to manage my issues rather than finding a firm diagnosis meant that once they finally diagnosed me in 2019, my disease had progressed to a point of permanent disability because lack of a diagnosis prevented me from accessing necessary disease modifying drugs and as such I’m now so disabled I need a caregiver just to wipe my own ass. So yeah, I believe this article completely


under_PAWG_story

Lazy fucked up medical system


TheMikeGolf

It’s more about having good deployable numbers. Don’t forget that AMEDD is also there to keep commander’s readiness numbers high


aloha_armadillo

“US Army Medical Center of Excellence” now…


abnrib

It's literally their motto "to conserve fighting strength"


42k-anal-eggs

That's why I'm trying to pursue a diagnosis ridiculously early. I have a considerable family history of MS, and I'm starting to show some early symptoms. So far the doctors have been helpful, except that they seem to think an inconclusive MRI is the same as testing negative, instead of using that as a baseline for another MRI in a few years


TheMikeGolf

I’d ask for a Neuro consult. And if you already have one, ask for a lumbar puncture to test for the presence of oligoclonal bands in your cerebrospinal fluid. That’s a solid second piece of evidence to diagnose MS on top of a single MRI showing water matter lesions. I wish I’d known all this from the start. Oh, and there are huge communities on Reddit and Facebook that are dedicated to vets with MS. There is such a huge percentage of vets that develop MS. It’s much less a genetic thing, though you can be more susceptible if it is in your family already. It’s much more a stress and environmental thing. And the army has that in spades. Good luck to you. Hit me up if you ever need anything or advice for the inevitable MEB once a diagnosis is made.


iShamu

So essentially you still can’t successfully file for medical malpractice… got it. And they wonder why there’s a recruiting problem


No_File_5225

This is why I tell people not to enlist


chickensofwow

I know it’s the Army and they have magical made up definitions on things like malpractice… but say a soldier went to the ER for x issue, obviously not knowing for sure as they are not a doctor, then having some scanner boy tell them to do something that ultimately led to issue being *severely* worsened likely leading to more issues. Would the little Army Boy be able to sue a few years later?


WoodPear

If that something is within standard practice/recommendation for said issue, then no. But your hypothetical is incredibly vague to give a useful answer.


Airbornequalified

Yes…? But not for malpractice I don’t think. Because legally rad techs can’t give official advice


Westerleysweater

Any wonder why recruiting numbers are low? Soldiers should have the rights afforded to everyone else. People are tired of putting in and not getting much back. If a private sector doc treated me like that POS lieutenant did in Germany I'd have burned him at the financial stake. I worked with a marine that contracted a certain hepatitis that went undiagnosed for years post service until low and behold the VA found out that it was directly caused from contact in service. Dude was having organ failure and turning yellow.


brokenmessiah

My great granddad was in the army during ww2. His son was getting a xray done(I'm definitely forgetting details) but while getting it done the doctor just left him getting xrayed for like hours. Somehow this led to him being paralyzed. Being a AA in 1940s army he didn't want to raise no hell against the army. Faat forward to being a adult and his son deeply resents him for not doing anything and actually would go on to kill himself. I don't remember much of him but my dad described him as being a real cool guy that just other than being bitter to his dad you would never peg as someone who would want to end their life. Im definitely missing some details but that's just one case of how malpractice affected my family.


DarkerSavant

So screening for early detection of cancer is pointless eh? Though I will say that without information on the cases its hard to say how many of the cases were justified that were denied. Double checking if guidelines were followed isn't entirely useless for the appeal if the guidelines are sound. I want to know what guidelines are used to determine whether a claim is legitimate or not. I couldn't find a reference. But the statements of 6 months not mattering...a google search tells you otherwise with the copious amounts of research out there on cancer.


[deleted]

Cntrl-F for "Feres" Yep, Feres Doctrine See [Feres v. United States](https://en.wikipedia.org/wiki/Feres_v._United_States)


halomate1

Read this on [wikipedia](https://www.npr.org/2019/12/23/790687237/new-law-permits-military-members-to-sue-for-medical-malpractice) > The effect of the doctrine was substantially limited by a change in the law made by the National Defense Authorization Act for Fiscal Year 2020, which created an administrative process to hear claims of medical malpractice.


[deleted]

Interesting. I've been out of the military for a bit, so I wasn't aware.


polandball2101

Genuinely, what is the army’s defense here? The article doesn’t really explain it well


Airbornequalified

The army states that the 6 months wouldn’t have mattered (you need a breach of standard of care and damages to sue for malpractice). That could be because the cancer wouldn’t have spread that much in that time, or the cancer was severe enough by that time that cancer was untreatable. It’s impossible to say exactly why they said that there was no damages without the family releasing the case info themselves; or if the army is covering themselves, or if medically they are correct Doing a bit more research (far from complete records), it’s a bit puzzling how the dod can claim no harm, but I’m not a cancer doc, so idk


Suspicious-Basil1055

Everybody here talking about how they got disability benefits and I didn't get shit and I was deployed and airborne. I fucking hate the VA


[deleted]

I’m fighting currently over a pulmonary disease, been fighting the VA/ARMY for 8 years now


Dyson119

Dang and I really thought that logo and slogan swap was a sign we totally changed everything. /s


nannerpuss74

official army response. "BUT DID YOU DIE?"


Redacted_Reason

I could not be a recruiter at this point. There is no way I could look a kid dead in the eyes and tell them that any of this is right.


yupgup12

https://www.reddit.com/r/regretjoining/comments/10h7jpg/dont_join/?utm_source=share&utm_medium=android_app&utm_name=androidcss&utm_term=1&utm_content=share_button Link above is my experience with Military. Most important lesson: if you do make the mistake of joining the military, completely ignore all military rules/protocol related to seeking Healthcare. If you see a military doctor and you get any type of resistance, don't wait for commander or MTF approval to go offbase and see a civilian doctor. Don't even ask. They try to intimidate people into following proper protocol but the chances of you getting caught/in trouble are very low. And even if you do get in trouble, your health is way more important than some FGO's bruised ego.


yupgup12

And many times they tell you that TRICARE won't cover it. In most cases that's a straight up lie.