Posted on Dec 10, 2013
SSG Detailed Recruiter
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I recently went to my TMC for a knee injury sustained downrange. The PA refuse to take me seriously, and was only worried about what I wanted in my profile and what meds I wanted. After arguing with him to not treat me as a "dirt bag" he agreed to send me for x-rays. I would really like to go to someone who will take me seriously and help me figure out what's wrong. how do I got about getting a 2nd opinion?
Posted in these groups: Ems MedicalInjuries logo Injuries
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Responses: 8
LTC Physician Assistant
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Sorry that you were not treated with respect.....sometimes we in medicine can become too jaded and lose perspective.  PAs are dependent practioners which means they have a supervising physician.  You can always request to be seen by the supervising physician.  The other option is that every medical facility in the Army has a procedure to file patient complaints.  I would utilize one of those procedures.  The last option is to contact Joint Commission which is a regulatory agency that oversees medical practice in the US.  If there is anything you need assistance with let me know and I will guide you the best I can
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Col Squadron Commander
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Edited >1 y ago
Yes, according to TriCare, you are entitled to a second opinion. However, if it's outside of the TriCare network, you will need a referral or consult. Be careful about seeking medical treatment/advice/etc outside of TriCare. You could potentially jeopardize your medical benefits and end up paying for it out of pocket if they do a line of duty determination. Typically civilian providers are only approved by TriCare if the military equivalent or specialist is not available. Hope this helps.
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SGT(P) Motor Transport Operator
SGT(P) (Join to see)
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Sir,

How does the LODD work, exactly. I'm also at the point of coming out of pocket for adequate treatment. I do not want to jeopardize anything. Can you please elaborate (preferably on a Barney level)?
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Col Squadron Commander
Col (Join to see)
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No problem, glad to assist.
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Col Squadron Commander
Col (Join to see)
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SGT (P) Mickles, I requested a connection so I could email you.
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Col Squadron Commander
Col (Join to see)
>1 y
Due to increased interest in the LODD process, I have found a 2008 Army Reg on the process. I don't want to misinform in case the branches do things differently. Here is the link to the PDF I saved. https://www.dropbox.com/s/grhobxal8mdikbo/LODD.pdf
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SFC James Baber
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You always have the right to ask for a referral for a 2nd opinion, the PA at the TMC may not like the idea but he can't deny it. Just ask for a referral after you have been sent for x-rays, you may possibly be sent to OT/PT for evaluation as it is and then they could refer you out if need be. It is just like anything until you ask you will never know.
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