Veterans Affairs TBI

Benjamin KrauseYesterday, the Department of Veterans Affairs disclosed to KARE 11 News reporter AJ Lagoe that over 25,000 veterans received brain injury exams from unqualified doctors.

A nationwide VA audit called for by Rep. Tim Walz (D-MN) revealed unqualified VA doctors performed the examinations back to 2007. VA Secretary Robert McDonald is expected to announce later this week that affected veterans can apply for “equitable relief”.

RELATED: VA Ignored ‘Important’ TBI Exam Policy


The agency said it will send out letters to all veterans affected. These veterans will be eligible for new examinations by qualified doctors. The extent of the “equitable relief” will hopefully be explained at that point.

According to VA policies, only four types of doctors who are qualified to conduct initial TBI assessments are neurologists, psychiatrists, neurosurgeons and physiatrists. Nationwide, doctors other than these four specialists were conducting the exams.

RELATED: Scope Of VA TBI Scandal Exposed In TV Special

To put this in terms a mechanic could understand, it is like asking a mechanic who works on lawnmowers to take a peek under the hood of your broken Ferrari. This is what I think of when I learn that nurse practitioners or family practice doctors are working on your brain.

Would any sensible Ferrari owner ever think this makes sense? Do you think a nurse should evaluate the impact of your brain injury?


For a little background, on of my clients was “Patient Zero” for this issue. I called out VA for having not one but two unqualified doctors evaluate his TBI residuals that led to a brain tumor.

Previously, I conducted research into VA’s policies on TBI assessments. This revealed training policies and manuals the agency claimed it was following but obviously was not. The case for Patient Zero clearly showed VA was violating its policies in a blatant and knowing manner.

RELATED: Resources To Help Prove Your TBI Benefits Claim

Once I called out the agency, they failed to immediately repent up until I called in KARE 11 News reporter AJ Lagoe to investigate the issue on the broader scale.

By last August, his investigation revealed over 300 veterans in Minnesota alone were seen by unqualified clinicians to assess their TBI residuals. The investigation did not end there, and Lagoe has been hitting VA across the country as audit numbers were disclosed.

And kudos to Congressman Walz. His call for a nationwide audit following Lagoe’s coverage revealed problems at various facilities across the country.

We are still waiting for the House Committee on Veterans Affairs to call for a hearing on the scandal, but one will no doubt be held in the near future to ensure the agency treats veterans as fairly was we deserve.


Jordan Taylor

I am a veteran that would like more specific info on this matter. I underwent consult and evaluation in 2013 in Marion IL for TBI and am suspect of the results.

crazy elf

@Jordan Taylor
The best suggestion I can give is this.
Contact Ben directly by email on this site. Or get a free consultation from an attorney near you. Which helps vets.
Get all your exrays etc together. Plus a copy of this blog. Take it with you. They might be able to find out if the person who evailuated you was, or was not, qualified to evailuate you!

If the VA is acknowledging 25,000 unqualified TBI exams performed across VAMC’s across USA, it tells me that this number is more than likely much higher, especially when one takes into consideration the number of Combat Troops in various locations in Middle East…and this report just went back to 2007….why not go back to 2001 or so, why only 2007 when those first years of this war were some of the most violent as far as roadside IED, et al????… Read more »
crazy elf
@namnibor Brother, it always comes down to the “GOD ALMIGHTY DOLLAR!” Think about this. IF VA were to have to pay out just 50% of the 25,000 vets back-pay for 10 years. Due to their fowl-up. Old Bagdad Bobby, Gimpy Gibson or another Lackey, like Shulkin, will be back in front of the committee begging for more taxpayer’s monies! (I do believe they will be doing that soon, anyway!) You watch, this will play out badly for most of these… Read more »
Yeah, and I was in NO WAY minimizing the previous wars, police actions, peacekeeper and special ops, Vietnam, et al; no, the point is the VA only took a micro-sample of even this current war which actually extends nonstop to 1991-ish, and then there’s that nasty depleted spent uranium munitions, and Gulf War Syndrome/Illness, et al…you are correct, it’s the almighty dollar over the Veterans that went and served to protect the freedoms of said dollars possess and people that… Read more »
Don Avant

The hits just keep rolling in…You kill a snake by cutting off it’s head. We need to go straight at congress.

I propose Ben as our national leader…

crazy elf

Here we go again.
Google this, from “military dot com” | by Bryant Jordan
4 May 2016

“VA Secretary Criticizes House Lawmakers Over Planned Budget Cuts”

Read it!

i didn’t read where any real accountability with VA employee’s would be implemented via Bobo’s speech/pitch. not surprising. reading the comments section also didn’t show any positives towards Bobo’s speech. not surprising either as probably most of the commentators are veterans that have made use of VA over the years, filed claims and such. so they know Bobo’s words are empty for the veteran, but hold promise for the fraudsters and tricksters. mo’ money for VA director’s? are you kidding… Read more »
This TBI revelation from the VA OIG that Benjamin has trying to expose for a while is more than likely only being used by the VA Spin Dr. and Sec. McDonald to use as yet another plea for $$$ for a another bandaid that will require yet another $$$ bandaid and yet more legislation in future ordering the VA to actually do the right thing….just as in the current Whistle Blower Protections that the VA freely farts in it’s direction… Read more »

The VA could ask for more money for this screw-up, but I think the more likely affect of this is the VA will be telling vets for years that their claim is delayed because they have to review all these TBI claims. The VA will again try pitting veteran against veteran as they have tried for years.
They did it with Vietnam and Gulf War vets for years.


And remember, you are dealing with veterans with brain injuries and damage to their executive function, memory etc. How are they supposed to file equitable relief claims?


How about where ever the professional medical misconduct occurred, that entire facility’s staff recives no bonuses and pay increases.
Now those that actually do proper hard work will want to fix the staffing problems within.
This idea will keep the asking for more money quiet, and, also increase productivity from the top down(Hopefully).
Of course the whistle blower protection act also has to work too.

I still think if a few providers started getting their licenses to practice yanked, it would cause every other provider to provide proper and ethical medical care, or lose their job. There are also many states with laws requiring licensed providers to report unethical medical practices, or they too could be held liable. Your point about whistleblower protection is a good one. If the AFGE were as caring for veterans and their members as some commenters claim them to be,… Read more »

I agree with that.
If a Dr. Does not report professional misconduct by other Dr. he too is guilty of malpractice (almost all 50 States).

“…do no harm…”

Part of their tenant, just hold them to their own standards…we didn’t write them.
They studied and then volunteered and swore an oath to it. Can’t back out just because it is now uncomfortable.

Robin Mitchell
I was told be a congressional type (and not in Zeldin’s office) that a full committee or joint committee hearing is in the works. The aid and attendance that Zeldin called out Shulkin over? It is SMC T…for SC TBI vets. About 1% of service connected TBI vets get approved and the VA is telling congress they expect that number to go down 40% by 2019. One congressman in charge of the brain injury task force says 375,000 vets have… Read more »
merri busch
This is a major embarrassment, but not untypical. I recently had a nurse practioner determine that despite objective collateral verification findings of moderate to severe osteoarthritis in the knees and back of a veteran, there were “no functional impairment” to his ability to work. Someone with those findings should be limited to sedentary and light work activities with limited climbing, lifting and carrying of objects weighing greater than 25 pounds. I fired off a letter to the doc in charge… Read more »

Another “shit happens defense”…wtf?

Merri Busch

In what world are you living that my comment was a defense of anything? Oh yeah…never mind…


Here you go: “This is a major embarrassment, but not untypical.”

Your “…but not untypical” comment is fat with a lackadaisical attitude. Defensive stance for VA, simple and dumbed-down enough for you?


Well, Merri did fire off a letter. Can we expect any more?

Being a Vietnam Vet (BlueWater) and listening to the BS that come from Government I see this as: “The Human Life Is Expendable The Dollar Isn’t.” and I have been saying this when I first started working at “The Wall” in DC. Look at Congress, Look at Every Single Federal Agency, now look at each and every State, County, Parish, Municipality all the way down to your local town. This disgusting game must stop not by the Worthy Military (active… Read more »
Ben, Would you please inform the “powers that be ” that Physiatrist still needs 3 yrs follow on education(Fellowship) plus an additional 1-2 yr residency… So for the VA and the mouth breathers in Federal government this comes out to: 4 years undergrad PLUS 4 years medical school EQUALS a basic Physiatrist… but to be qualified for Brain Injury Medicine (BIM) they still need 3 years Fellowship PLUS 1-2 years of residency in Brain Injury Medicine (BIM) then they are… Read more »
Merri Busch

??? What do you want to show me? This site is linked to Rosemont il ?
The AMA is in Chicago il…
Merri, the math doesn’t change to qualify people.
No BIM- no Qual for grown ups…sorry but big boy rules…we didnt write them. We sure don’t want a high school nurse making the diagnosis.

“VA Ignored ‘Important’ TBI Exam Policy”? Hardly the first time VA’s ignored its own policy, or its “ethical & legal obligation.” “VA has an ethical and legal obligation to disclose to patients adverse events they experienced during the course of their care, including when the adverse event event may not be obvious or severe, or where the harm may only manifest in the future.” The “policy” tied to the obligation set out above, is this one: “It is VA policy… Read more »
crazy elf

Yep, just like the ‘old’ “Article 99” which was used by VA.

“We know you received this debilitating medical condition while serving in the military. Yet, you will not be treated by VHA or compensated for it by VBA!”

Rememer that movie?

I think the neurosurgeons and neurologists are the ultimate source and there are not many of those (the VA is willing to pay for.) The psychiatrists are just certified pill pushers, and could be easily overridden, because they are the desperate sob’s that will hang you in a second breaking all rules of integrity for a VA paycheck. It’s easy to beat the VA on comparable experts, so they just make you wait a year every step so you have… Read more »
Merri Busch

Actually, once the neurosurgeon is done saving the life, it is a physiatrist, or Physical Medicine and Rehabilitation doctor who manages all the physical, occupational and cognitive therapies of a TBI rehabilitation.

Neurologist are the likely treaters of post traumatic cephalgia, or the headaches that can occur after a head injury.

Yeah, like the VA’s own Dr. Houlihan, aka, Candyman, VA Psychiatrist, and many other VA Shrinks that even if a patient is doing very well with a particular medicine, VA Psych’s have to always knee-jerk them out and try yet something new…it’s throwing big pharma blow darts at the pin cushion that happens to be a Vet. Sorry so stern here but you always seem to come on here and blow the rainbows and fairy dust out the VA’s ass… Read more »

Actually you are way lost in the woods!
As of 2011 the BPM&R set new guidelines for Brain Injury Medicine (BIM) to include treatment after.

Please do us, yourself, and the world a favor…when you get a thought, and I do mean when, research then research more…that way you come to the table with REAL information that is not 5 yrs outdated.
Have a good evening.

Ovez Japanwalla
Even a neurologist at a World-Renowned medical center will prostitute their medical license if it would help the VA defeat a cut and dry case of seizures caused by a TBI. A documented necrosis of cerebral tissue on an MRI/CT at site of injury and area of brain affecteddoes NOT have EEG leads purposefully, henceforth no epileptogenic activity showing up on the printout. Must be bucking for the Chief of Neurology position. Must have consulted and been treated by at… Read more »

My noggin got knocked by incoming 82mm mortars. But that was like 50 years ago. I’ve thought about letting them (VA) know about it now, because back then there was no TBI or PTSD at VA. After reading Ben’s article here, I don’t think it would do any good to tell them anyhow.

crazy elf

You remember the 122 rockets? They aren’t that accurate, but caused lots of damage and loss of life on small firebases!


Equitable relief is something the Regional Office personnel do not have a clue how to process. Those types of claims would linger on the vine or get shredded because of ignorance. A better course of action would be a widely publicized action lawsuit against VA.


Right, you definitely wouldn’t want to bet the farm that your RO would know what to do with your ER petition. (Come to think of it, you wouldn’t want to bet the farm that the Central Office would either.) Look it up here: 38 U.S.C. § 503(a)(b)(c ). Anyone want to guess, ballpark, how many ER petitions the Secretary approves each year? 5000? 1000? 100? 50? 25?

Robin Mitchell

The report was just due to congress April 1. I have seen 11 million approved under the secretary’s hand down to $150 for a piss test when the VA claimed drugs and the vet wasn’t even at the VA and had his own done.

Huge kudos to you Ben for doing the hard work necessary for Patient Zero. Clearly it should result in many veterans benefiting from what you have forced them to do. I say SHOULD, because it looks like the VA will be choosing who gets those letters. How would they know who should get them if they deny they have TBI? Will they just reopen all claims of TBI? What about those veterans who have TBI but their medical providers did… Read more »
It all starts at the Regional Office. They order the TBI exam and are advised who is supposed to conduct the exam. If the examiner does not have the proper credentials , then the exam is supposed to be returned to the VAMC or reordered so a contractor who has the proper credentials can do the exam. It is as simple as that. It not about removing anyone’s license at the VAMC. It is about accepting inadequate exams and knowingly… Read more »

I have a bridge to sell you, or, some land in Florida to sell if you prefer.


I might agree with you if this has not been happening across the nation and since 2007, if not well before.

That it has tells me the VA never cared about requiring a properly credentialed examiner providing the exam, like they ignore with many other exams.

You would think the workload and backlog, if that contributed to this, the numbers would be much lower than 25000 minimum.


I believe the worst thing that happened to the V.A. employees was the bonus granted by President Peanut Butter Jimmy Carter. The temptation and power afforded the employees to make life threatening decisions for us veterans was and is a monster that is consuming the wellness of the fabric of our society.