A friend of IP4PI shares yet another VA failure:
A VA patient came to me with a one month history of RUQ/R lower ribs pain. The VA had diagnosed him with “constipation” and prescribed laxatives, but despite a thorough bowel emptying, he was no better. I started with, “How did this begin?” He said he was shoveling some gravel on a hilltop, slipped and tumbled down. He had a rib fracture! I used to work at the VA, so I know how this went: “I’m having pain here (under R ribs) and..” (doctor staring at computer, knowing someone in admin is watching his screen too, making certain he clicks all the right boxes, so they get their bonus checks) “Yes, yes, RUQ abdominal pain. We’ll do an abdominal film” Showed constipation. Prescribe laxative. Next.. Most lay people can tell the difference between a fracture and a turd, but not (turns out) a doctor with their face in a computer and a gun to their head.