The Department of Veterans Affairs says potentially life-threatening condition is not an emergency.
It was 8:00 p.m. at night and the nearest VA hospital in St Cloud was 140 miles away.
“And I needed help now!” Gerry exclaimed. “I mean it hurt! My heart attack was nothing compared to that urinary retention.”
So Gerry’s wife rushed him to the closest emergency room at a private hospital in Grand Rapids where doctors changed his catheter plug and the urinary retention was relieved.
The letter sates Gerry’s claim was denied because the treatment provided does not meet the prudent layperson definition of an emergency.
The VA’s “Prudent Layperson Fact Sheet” describes a prudent layperson as someone: “… possessing an average knowledge of medicine and health, to believe that his or her condition, sickness, or injury is of such a nature that failure to obtain immediate medical care could result in placing the patient’s health in serious jeopardy, cause serious impairment to bodily functions, serious dysfunction of any bodily organ or part, or in the case of a behavioral condition placing the health of such person or others in serious jeopardy.”
Sourced through Scoop.it from: www.kare11.com