Posted on Mar 7, 2023
SPC Motor Vechile Oporator
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Soldier requested how to go about changing PCM due to conflicts in diagnosis' from hospital and PCM. PCM stated that is not possible due to unit soldier is in. Tried looking up if it is allowed for them to deny this and cannot find any info.
Posted in these groups: Ems Medical
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Responses: 4
CSM Darieus ZaGara
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Receiving a second opinion is all that is. You cannot change PCMs in the Military unless something happens to prove negligence or misconduct in part of the PCM.

Can’t hurt to ask, but you are making waves where they do not exist.
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COL Randall Cudworth
COL Randall Cudworth
3 y
"Cannot change PCMs in the military..." is not 100% accurate (although it is the normal answer). Active Duty being able to change your PCM is driven by the MTFs policy.

At Ft. Belvoir, the hospital's policy was that you could request a new one based on a few criteria (change in duty status, unable to see them X times out of Y appointments, etc). I was able to change a PCM twice (both at my request), but when I was at Ft. Bliss it was impossible to do (except as CSM Darieus ZaGara said above).
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SFC Retention Operations Nco
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Soldiers don't get to change their PCM. That's for dependents
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SGM Jeff Mccloud
SGM Jeff Mccloud
3 y
And if this is in reference to your previous post, it is not uncommon for a follow up diagnosis from a PCM, with more time to evaluate the patient and previous notes, to differ from an ER visit diagnosis, based on no notes and trying to get through a full ER waiting room.
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MAJ Byron Oyler
MAJ Byron Oyler
3 y
SGM Jeff Mccloud - Spot on and very true. ER docs are specialists in keeping you from dying right now and little more.
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MAJ Ronnie Reams
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Edited 3 y ago
If PCM is the Primary Care person, would not that be your unit Surgeon? I know that BN Surgeons are few and far between now days, found to be under utilized as wounded evaced past the BN aid station to a Surg or Evac, but surely there is one at BDE.
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Can a PCM deny you the ability to change to another PCM?
MAJ Byron Oyler
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SPC (Join to see) "Hospital same day diagnosis. Within 2 hours. Soldier went to ER got paperwork, PCM did no tests other than hearing lungs and said that the hospital on post misdiagnosed the individual and asked why they gave the soldier meds." So how do you know one gave the correct DX and the other did not? Was it one dx was preferred by the patient and the other was not? Providers often have differing opinions and ER docs are general practitioners trained to keep you from dying that moment. The only thing ER docs are trained in better is life threatening, acute situations, and absolutely nothing else. There is a huge misunderstanding in the US that ER docs are better than all the specialists and primary care providers in the US and this is simply not accurate.
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