Sgt Spencer Sikder 786855 <div class="images-v2-count-0"></div>Interesting that the COS (below) has to threaten and yell (all caps?) at his physicians. I don't see any clarity in this message to the clinicians as to how to handle someone who needs to be seen before the 3 months are up waiting for NVCC to finally get a veteran scheduled. For example, if a veteran had a rash and to wait the 3 months to see a dermatologist, it didn't help for the dermatologist to diagnose the problem. <br /><br /> <br />BTW, we're on 63 days waiting for a NVCC. We called two weeks ago and finally spoke with a live person. She asked if there was someone who would see us, we provided her a name to a clinician who has done work for VA before. Then last Monday, we called and had to leave a message. We were told we would hear back in 24 to 48 hours. Well, no call back or MyHeathe Vet message. What happened to Congress' Veterans Choice Card we were to receive if VA couldn't see a veteran within 30 days??? Where did those billions go? <br /><br /> <br /><br />From: Antoine, Gregory A. FNCVAMC <br />Sent: Thursday, July 02, 2015 11:33 AM<br />To: VHAFNC Physicians; VHAFNC Primary Care Providers<br />Cc: Campbell, Theadora D. FNCVAMC; Jarvis, Jeffrey T. FNCVAMC; Johnson, Karen FNCVAMC<br />Subject: STAT CONSULTS<br /><br />THERE ARE TO BE NO STAT CONSULTS TO NVCC! <br /><br />ANYTHING STAT IS DESIGNATED FOR A LIFE THREATENING CONDITION AND THAT WOULD NOT NORMALLY BE SENT TO NVCC. <br /><br />911 IS THE CORRECT STAT LIFE THREATENING CONSULT<br /> <br />YOU ARE ADDING TO AN ALREADY OVERBURDENED SYSTEM A NONSENSICAL CONSULT. <br /><br />ALL PROVIDERS REQUESTING STAT CONSULTS WILL BE MONITORED FOR COMPLIANCE WITH THIS ORDER.<br /><br />YOU WILL BE REQUIRED TO JUSTIFY YOUR REQUEST FOR AN AMBULATORY STAT CONSULT TO ME PERSONALLY. THE FACT THAT YOU WILL BE REQUIRED TO DO THIS MEANS THAT I WILL BE QUESTIONING YOUR CLINICAL JUDGEMENT.<br /><br />Whose questioning this COS' ethical and clinical judgment?????? <br /><br /> <br /><br /> <br /><br />Gregory A. Antoine MD MBA FACS<br /><br />Chief of Staff<br /><br />Fayetteville, NC VAMC<br /><br />imagesCAX8ZQWI 2015-07-02T16:49:35-04:00 Sgt Spencer Sikder 786855

<div class="images-v2-count-0"></div>Interesting that the COS (below) has to threaten and yell (all caps?) at his physicians. I don't see any clarity in this message to the clinicians as to how to handle someone who needs to be seen before the 3 months are up waiting for NVCC to finally get a veteran scheduled. For example, if a veteran had a rash and to wait the 3 months to see a dermatologist, it didn't help for the dermatologist to diagnose the problem. <br /><br /> <br />BTW, we're on 63 days waiting for a NVCC. We called two weeks ago and finally spoke with a live person. She asked if there was someone who would see us, we provided her a name to a clinician who has done work for VA before. Then last Monday, we called and had to leave a message. We were told we would hear back in 24 to 48 hours. Well, no call back or MyHeathe Vet message. What happened to Congress' Veterans Choice Card we were to receive if VA couldn't see a veteran within 30 days??? Where did those billions go? <br /><br /> <br /><br />From: Antoine, Gregory A. FNCVAMC <br />Sent: Thursday, July 02, 2015 11:33 AM<br />To: VHAFNC Physicians; VHAFNC Primary Care Providers<br />Cc: Campbell, Theadora D. FNCVAMC; Jarvis, Jeffrey T. FNCVAMC; Johnson, Karen FNCVAMC<br />Subject: STAT CONSULTS<br /><br />THERE ARE TO BE NO STAT CONSULTS TO NVCC! <br /><br />ANYTHING STAT IS DESIGNATED FOR A LIFE THREATENING CONDITION AND THAT WOULD NOT NORMALLY BE SENT TO NVCC. <br /><br />911 IS THE CORRECT STAT LIFE THREATENING CONSULT<br /> <br />YOU ARE ADDING TO AN ALREADY OVERBURDENED SYSTEM A NONSENSICAL CONSULT. <br /><br />ALL PROVIDERS REQUESTING STAT CONSULTS WILL BE MONITORED FOR COMPLIANCE WITH THIS ORDER.<br /><br />YOU WILL BE REQUIRED TO JUSTIFY YOUR REQUEST FOR AN AMBULATORY STAT CONSULT TO ME PERSONALLY. THE FACT THAT YOU WILL BE REQUIRED TO DO THIS MEANS THAT I WILL BE QUESTIONING YOUR CLINICAL JUDGEMENT.<br /><br />Whose questioning this COS' ethical and clinical judgment?????? <br /><br /> <br /><br /> <br /><br />Gregory A. Antoine MD MBA FACS<br /><br />Chief of Staff<br /><br />Fayetteville, NC VAMC<br /><br />imagesCAX8ZQWI

2015-07-02T16:49:35-04:00 2015-07-02T16:49:35-04:00 Sgt Spencer Sikder 787768

<div class="images-v2-count-0"></div>Maybe I should have defined "NVCC." It's the Non-VA Care card/Choice card.

2015-07-02T22:50:10-04:00 2015-07-02T22:50:10-04:00 2015-07-02T16:49:35-04:00