VA Doctors giving me the run around.. what can I do?
I hope this is the right place to post this. and I apologize for the length but it is important to put out all the info for it to make sense.
I have a 20% disability rating with the VA, which is just enough to allow me to go to the VA for health care for free. I still pay copay on meds that are not service connected, and it doesnt include dental but free healthcare otherwise is a pretty big deal! In the last 20 years, the VA has been pretty damn good to me. I haven't had long waits and they have been very responsive to care and doing what I request as long as it is relevant.
However, in the past year or so they have been terribly slow and resistant to helping me. I tore my right rotator cuff (full tear) in October of last year and it took several month of me banging on them to finally send me to Community Care to have an MRI done and after that more time of me banging n them to get an appt with ortho doc (which was another 2 months away and in another city). I finally have a surgery date to fix it in June which is a full 8 months since injury.
The problem now, is in February I was hanging on a bar when I pulled my self up a bit before letting go and in doing so, I felt my pectoral muscle pop & sharp pain. there was no immediate bruising but you could see an clear indentation on my left pec, going into my armpit, and if I were to try to use it (push/pull) it felt like cramp on that side. A day or 2 later, a huge bruise that covered my entire bicep formed.
I should have gone to the ER (civilian hospital) and had the VA cover it later, but instead I tried the new Urgent Care in my local VA clinic. Big mistake. The PA on duty kept focusing on my shoulder and bicep, ordered an Xray which was negative (duh) and an MRI which was never scheduled because they are too backed up. So I had to bang on them again for community care to get the MRI done. However the MRI was ordered on my shoulder, not on my pectoral area so by the time I got to see a ortho doc about it (2 months after injury), he could only guess as to what happened as he didn't have the proper imaging.
When I asked my primary at the VA about ordering an ultrasound or MRI of my pec and/or bicep, she was tired of dealing with it and referred me to the ortho doc.
So I emailed my ortho doc about it thru the VA system. Interestingly enough, that left shoulder (same side with the new pectoral injury) had rotator cuff repair done on it 6 years ago and the long head of the bicep was released (tenotomy) so I don't know how that plays into it, but when I presented that info and surgery note to the Ortho doctor in the email, he didn't address anything or order any new imagine, he just wanted me to make another appt with him (a month away, and an hour drive) instead of trying to address it.
No one seems to care or want to do anything about it. The bruising is gone now but it feels the same way it did after the injury and Im worried to work out on that side or lift anything at all as to not damage it more. A simple ultrasound would show the pec muscle damage and an MRI of my bicep will show any damage there, but they seem content to guess at the issue and pass me back and forth between providers.
What can I do? Is there any way I can go to a civilian Dr and have them do these things in a way that the VA will cover it on the back end?