While participating in an inpatient treatment program at a VA Medical Center, our veteran client suffered a stroke. After falling in his room and reporting weakness and difficulty walking, he was transported to the emergency department where imaging studies were performed. Unfortunately, despite clear neurological symptoms and abnormal imaging, the veteran’s VA providers misread the initial MRI and delayed the diagnosis of his stroke. The following day, the veteran fell again

A damning new report from the Department of Veterans Affairs Office of Inspector General (OIG) has uncovered serious  VA patient safety...