Re: Update on VA Discrimination

[Guest guest]

My nephew might have some input to give you. As one of the telephone advice

intake people he gets to hear many of the problems Vets have getting the needed

care an WRJ. If you are intersted I will see if he is willing to do this. I know

he would like to see things change but it could put his job at risk.

>

> I just spoke with Sen. Bernie ' (I-VT) office about my sexual

discrimination issue regarding mammograms. (It was actually his #1 man in

Vermont.) They will be addressing that issue in Washington.

>

> While I had him on the phone I told him I would soon be looking for advice on

how to change the system! I briefly explained how I felt the system was

" missing the boat " when it came to treating my condition, I did concede it was a

broader issue than just the VA but felt it could make a big difference in

quality and cost of care for the VA. I told him it would take me a month or two

to get my act together and then we could meet and agree on an approach. Stay

Tuned!

>

> - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt.

flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76

HR 60

> Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

> Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin,

Metformin 2000MG and Spironolactone 50 MG.

>

[Guest guest]

Thanks for the offer but sometimes it's easier to fix things from the outside

looking in where there are no risks. I will be focusing directly on the long

road to DX, missed clues and problems getting the correct treatment. I think the

Quality of Life issues will get some attention and the $$$ should get their

attention, especially if we extrapolate it cross the whole VA system! Maybe

I'll be an Auditor when I grow up!

.....

> >

> > I just spoke with Sen. Bernie ' (I-VT) office about my sexual

discrimination issue regarding mammograms. (It was actually his #1 man in

Vermont.) They will be addressing that issue in Washington.

> >

> > While I had him on the phone I told him I would soon be looking for advice

on how to change the system! I briefly explained how I felt the system was

" missing the boat " when it came to treating my condition, I did concede it was a

broader issue than just the VA but felt it could make a big difference in

quality and cost of care for the VA. I told him it would take me a month or two

to get my act together and then we could meet and agree on an approach. Stay

Tuned!

> >

> > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt.

flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76

HR 60

> > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

> > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin,

Metformin 2000MG and Spironolactone 50 MG.

> >

>

[Guest guest]

This should help in our files is this VA study on PA.pdf

> > >

> > > I just spoke with Sen. Bernie ' (I-VT) office about my sexual

discrimination issue regarding mammograms. (It was actually his #1 man in

Vermont.) They will be addressing that issue in Washington.

> > >

> > > While I had him on the phone I told him I would soon be looking for advice

on how to change the system! I briefly explained how I felt the system was

" missing the boat " when it came to treating my condition, I did concede it was a

broader issue than just the VA but felt it could make a big difference in

quality and cost of care for the VA. I told him it would take me a month or two

to get my act together and then we could meet and agree on an approach. Stay

Tuned!

> > >

> > > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt.

flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76

HR 60

> > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

> > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin,

Metformin 2000MG and Spironolactone 50 MG.

> > >

> >

>

[Guest guest]

Let me know if I can help. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

I just spoke with Sen. Bernie ' (I-VT) office about my sexual discrimination issue regarding mammograms. (It was actually his #1 man in Vermont.) They will be addressing that issue in Washington.

While I had him on the phone I told him I would soon be looking for advice on how to change the system! I briefly explained how I felt the system was "missing the boat" when it came to treating my condition, I did concede it was a broader issue than just the VA but felt it could make a big difference in quality and cost of care for the VA. I told him it would take me a month or two to get my act together and then we could meet and agree on an approach. Stay Tuned!

- 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

[Guest guest]

Don't think it is only PA that doesn't get DX. What my nephew say is if PCP

doesn't Dx you they just treat SX. In my case they don't try very hard to find

DX. The do run same test like EKG and stress and Echo but since they are some

what normal They stop there.

> > >

> > > I just spoke with Sen. Bernie ' (I-VT) office about my sexual

discrimination issue regarding mammograms. (It was actually his #1 man in

Vermont.) They will be addressing that issue in Washington.

> > >

> > > While I had him on the phone I told him I would soon be looking for advice

on how to change the system! I briefly explained how I felt the system was

" missing the boat " when it came to treating my condition, I did concede it was a

broader issue than just the VA but felt it could make a big difference in

quality and cost of care for the VA. I told him it would take me a month or two

to get my act together and then we could meet and agree on an approach. Stay

Tuned!

> > >

> > > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt.

flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76

HR 60

> > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

> > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin,

Metformin 2000MG and Spironolactone 50 MG.

> > >

> >

>

[Guest guest]

In my professionl career I found I needed to define a project and manage it in

workable pieces. The project is my case and where they went astray. I will

explain flaws such as incorrect BP taking and the cost of unnecessry treatment

and meds. I think if you broaden it too much it will take too long and delute

it too much so nothing will get acomplished. Remember, I'm not a doctor - only

a PTN who has support and has done a lot of research on one specific disease!

I do not share your or your nephew's opinion regarding treating SX and not

trying to find DX. I have found they will work very hard to DX if you advocate

for yourself and provide a clear and accurate HX. How many department chairs

have you discussed your situation with? I do that when I feel they have not

gone far enough or if I think we need more expertiese. So far I've talked with

Dr. Kelley (Pulmonary), Dr. Robey (Nepherology) and Dr. Bauman (Endocrology).

If nothing else it serves as a good second opinion and they may identify

something that might need their attention. It also provides a good trail if you

need to go back!

- 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank

pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin

2000MG and Spironolactone 50 MG.

> > > >

> > > > I just spoke with Sen. Bernie ' (I-VT) office about my sexual

discrimination issue regarding mammograms. (It was actually his #1 man in

Vermont.) They will be addressing that issue in Washington.

> > > >

> > > > While I had him on the phone I told him I would soon be looking for

advice on how to change the system! I briefly explained how I felt the system

was " missing the boat " when it came to treating my condition, I did concede it

was a broader issue than just the VA but felt it could make a big difference in

quality and cost of care for the VA. I told him it would take me a month or two

to get my act together and then we could meet and agree on an approach. Stay

Tuned!

> > > >

> > > > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous

rt. flank pain. Treating with Meds. And DASH. . Current BP(last week ave):

131/76 HR 60

> > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

> > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin,

Metformin 2000MG and Spironolactone 50 MG.

> > > >

> > >

> >

>

[Guest guest]

Will do and you will be in the loop. Aren't you going to be working at a VA

soon?

.....

>

> > I just spoke with Sen. Bernie ' (I-VT) office about my sexual

discrimination issue regarding mammograms. (It was actually his #1 man in

Vermont.) They will be addressing that issue in Washington.

> >

> > While I had him on the phone I told him I would soon be looking for advice

on how to change the system! I briefly explained how I felt the system was

" missing the boat " when it came to treating my condition, I did concede it was a

broader issue than just the VA but felt it could make a big difference in

quality and cost of care for the VA. I told him it would take me a month or two

to get my act together and then we could meet and agree on an approach. Stay

Tuned!

> >

> > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt.

flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR

60

> > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

> > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin,

Metformin 2000MG and Spironolactone 50 MG.

> >

> >

>

[Guest guest]

Start Monday. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

Will do and you will be in the loop. Aren't you going to be working at a VA soon?

.....

>

> > I just spoke with Sen. Bernie ' (I-VT) office about my sexual discrimination issue regarding mammograms. (It was actually his #1 man in Vermont.) They will be addressing that issue in Washington.

> >

> > While I had him on the phone I told him I would soon be looking for advice on how to change the system! I briefly explained how I felt the system was "missing the boat" when it came to treating my condition, I did concede it was a broader issue than just the VA but felt it could make a big difference in quality and cost of care for the VA. I told him it would take me a month or two to get my act together and then we could meet and agree on an approach. Stay Tuned!

> >

> > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60

> > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

> > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

> >

> >

>

[Guest guest]

First you PCP has to refer you to specialist. Then once you see one if they tell

you there is nothing wrong and you knowlage is lacking you don't if they are

right or not.

In my book Dr Bauman is useless. When I went to see him he didn't ask me any

questions He had look if my records and decided I didn't need and more testing.

> > > > >

> > > > > I just spoke with Sen. Bernie ' (I-VT) office about my sexual

discrimination issue regarding mammograms. (It was actually his #1 man in

Vermont.) They will be addressing that issue in Washington.

> > > > >

> > > > > While I had him on the phone I told him I would soon be looking for

advice on how to change the system! I briefly explained how I felt the system

was " missing the boat " when it came to treating my condition, I did concede it

was a broader issue than just the VA but felt it could make a big difference in

quality and cost of care for the VA. I told him it would take me a month or two

to get my act together and then we could meet and agree on an approach. Stay

Tuned!

> > > > >

> > > > > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous

rt. flank pain. Treating with Meds. And DASH. . Current BP(last week ave):

131/76 HR 60

> > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and

PTSD.

> > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin,

Metformin 2000MG and Spironolactone 50 MG.

> > > > >

> > > >

> > >

> >

>

[Guest guest]

Here is part of a posting of the Information of Dr Bauman report and my then PCP

reponce to my question to Conn's BTW My PCP was the past Chief of Staff at the

VA.

It was my intent to add the VA Endocrinologist report but somehow it didn't copy

to here. so here it is.

pt w/ 18 mm mass in left adrenal

no Sx's of HA, no spells, no nervousness or tremolous episodes

no DM Hx aunt w/ DM

HTN treated for 3 yrs but ?elevated in past

nl K

A & P

Pt w/ incidental small adrenal adenomas found on CT.

Neg cortisol w/u and nl glu and K. No ~x's of pheo.

Given the small size and lack of labs or Sx's, I would not proceed to any

other testing at this time.

ANDREW J BAUMAN

Assistant Chief Medicine

Signed: 04/28/2008 13:50

At the time I him I had 4 blood tests that my K was less then 3.5. and many B/P

readings over 140/80.

> > > > > >

> > > > > > I just spoke with Sen. Bernie ' (I-VT) office about my sexual

discrimination issue regarding mammograms. (It was actually his #1 man in

Vermont.) They will be addressing that issue in Washington.

> > > > > >

> > > > > > While I had him on the phone I told him I would soon be looking for

advice on how to change the system! I briefly explained how I felt the system

was " missing the boat " when it came to treating my condition, I did concede it

was a broader issue than just the VA but felt it could make a big difference in

quality and cost of care for the VA. I told him it would take me a month or two

to get my act together and then we could meet and agree on an approach. Stay

Tuned!

> > > > > >

> > > > > > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with

previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week

ave): 131/76 HR 60

> > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and

PTSD.

> > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg

asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

I guess if in their professional opinion and the results of multiple tests say

there is nothing wrong and you have no way to dispute it then I would presume

there is nothing wrong! This doesn't mean there is nothing wrong with you but

just it wasn't what they were looking at.

Opinions are like noses, everyone has one! Dr Bauman was doing his job by

reviewing your record and treatment plan. If your record is not complete you

should have told your treating doctor. What did you want him to ask you? The

only thing he asked me was if I was sure I didn't want the tumor removed.

There is a way to talk with a dept. chair w/o a PCP referral. I already told

you that made it happen for me!

- 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank

pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin

2000MG and Spironolactone 50 MG.

> > > > > >

> > > > > > I just spoke with Sen. Bernie ' (I-VT) office about my sexual

discrimination issue regarding mammograms. (It was actually his #1 man in

Vermont.) They will be addressing that issue in Washington.

> > > > > >

> > > > > > While I had him on the phone I told him I would soon be looking for

advice on how to change the system! I briefly explained how I felt the system

was " missing the boat " when it came to treating my condition, I did concede it

was a broader issue than just the VA but felt it could make a big difference in

quality and cost of care for the VA. I told him it would take me a month or two

to get my act together and then we could meet and agree on an approach. Stay

Tuned!

> > > > > >

> > > > > > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with

previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week

ave): 131/76 HR 60

> > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and

PTSD.

> > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg

asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

Guess you should have pointed out the inccuracies, if there are any, 3 1/2 years

ago. I don't know his shorthand but I see nl K, is nl short for normal? I also

see his comment re HTN which I read as previously high but under control at the

time he was talking with you. I've seen a quote " as high as " from you but

don't really know what it runs on a daily basis.

Maybe the fact that I presented him a daily graph of BP & BS going back a year

when he asked how my BP was let him know I was serious. His only comment was

that I was doing an excellent job controlling them and he would get Eplere

approved. (He did wish everybody would keep track like that!)

- 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank

pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin

2000MG and Spironolactone 50 MG.

> > > > > > >

> > > > > > > I just spoke with Sen. Bernie ' (I-VT) office about my

sexual discrimination issue regarding mammograms. (It was actually his #1 man

in Vermont.) They will be addressing that issue in Washington.

> > > > > > >

> > > > > > > While I had him on the phone I told him I would soon be looking

for advice on how to change the system! I briefly explained how I felt the

system was " missing the boat " when it came to treating my condition, I did

concede it was a broader issue than just the VA but felt it could make a big

difference in quality and cost of care for the VA. I told him it would take me

a month or two to get my act together and then we could meet and agree on an

approach. Stay Tuned!

> > > > > > >

> > > > > > > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with

previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week

ave): 131/76 HR 60

> > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and

PTSD.

> > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg

asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

Would seem if if reason for Dr Bauman was for uncontroled B/P he or someone

should have taken B/P that day. Have checked notes and doesn't seem to be any

B/P taken that day.

> > > > > > >

> > > > > > > I just spoke with Sen. Bernie ' (I-VT) office about my

sexual discrimination issue regarding mammograms. (It was actually his #1 man

in Vermont.) They will be addressing that issue in Washington.

> > > > > > >

> > > > > > > While I had him on the phone I told him I would soon be looking

for advice on how to change the system! I briefly explained how I felt the

system was " missing the boat " when it came to treating my condition, I did

concede it was a broader issue than just the VA but felt it could make a big

difference in quality and cost of care for the VA. I told him it would take me

a month or two to get my act together and then we could meet and agree on an

approach. Stay Tuned!

> > > > > > >

> > > > > > > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with

previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week

ave): 131/76 HR 60

> > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and

PTSD.

> > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg

asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

This is apprently going nowhere if you are going to continue living in the past.

I certainly can't determine if BP was taken if you aren't sure! I'm not sure

how relevent it would be anyway if your record at the time did not indicate

elevated BP since you need atleast 2 readings taken on 2 seperate occasions to

confirm HTN.

IMHO If you still feel you are ill and are interested in resolving the issues

you need to become part of your healthcare team! I still recommend BP readings

taken by AHA Stds. every morning before meds and recorded in MyhealthEvet or a

similar system. (No excusses about your heart problems preventing you from

taking accurate readings or accuracy of your cuff - have it verified! Try it

and see what you get! If results are negative or inconsistant you have

something to discuss with PCP or referral to specialist.)

If your K is running normal maybe we should assume it is normal. I say this

because if yours runs on the low end and mine runs on the high end, one of us

should be dead or seriously ill if it is drastically off since the draw is done

consistantly the same.

That should give us an idea where you are w/BP. I saw you report the

re-breathing trick " greatly helped " your hyperventling problem, is that still

the case?

Start today and methodically go forward and you should be able to better your

care. BTW there should never be a reason for 5 minute appointment and I

wouldn't allow it. They can't even assess your current health in that length of

time. (Ankles, finger nails, chest, skin, etc. And then assessing your mental

attitude - act crazy and they'll give you atleast 10 minutes! Seriously, you

paid for 20 minutes, make sure you take atleast 15! I've been known to set my

watch on the desk so they know I'm tracking the time! Of course I'm usually

accused of taking too much time - probably why you only get 5 minutes!)

- 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank

pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin

2000MG and Spironolactone 50 MG.

> > > > > > > >

> > > > > > > > I just spoke with Sen. Bernie ' (I-VT) office about my

sexual discrimination issue regarding mammograms. (It was actually his #1 man

in Vermont.) They will be addressing that issue in Washington.

> > > > > > > >

> > > > > > > > While I had him on the phone I told him I would soon be looking

for advice on how to change the system! I briefly explained how I felt the

system was " missing the boat " when it came to treating my condition, I did

concede it was a broader issue than just the VA but felt it could make a big

difference in quality and cost of care for the VA. I told him it would take me

a month or two to get my act together and then we could meet and agree on an

approach. Stay Tuned!

> > > > > > > >

> > > > > > > > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with

previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week

ave): 131/76 HR 60

> > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2,

and PTSD.

> > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg

asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

There are focused visits that can last 5 minutes.i don't know about this case as to what the provider is looking for or why no BP would be taken. I don't get that. I have had ER docs lie on their reports when they never even touched me. But I have always put stethoscope to chest, even as a paramedic, and took or looked at vitals. 2 of the most easiest and important things. But...... I can take stitches out in 2 mins no prob. Not every visit is comprehensive even if we always think it should be or want every issue addressed every time we come through the door. If this is the case say so when you make the appt or call ahead to see if you can get more time. You can't treat every monthly visit the same as the first one. Isn't "doable" n the real world. Ideally it would be wonderful, but again not doable. I have pts that if they had the floor unencumbered I'd never see another pt that day.Sent from my Palm Pre on the Now Network from Sprint

This is apprently going nowhere if you are going to continue living in the past. I certainly can't determine if BP was taken if you aren't sure! I'm not sure how relevent it would be anyway if your record at the time did not indicate elevated BP since you need atleast 2 readings taken on 2 seperate occasions to confirm HTN.

IMHO If you still feel you are ill and are interested in resolving the issues you need to become part of your healthcare team! I still recommend BP readings taken by AHA Stds. every morning before meds and recorded in MyhealthEvet or a similar system. (No excusses about your heart problems preventing you from taking accurate readings or accuracy of your cuff - have it verified! Try it and see what you get! If results are negative or inconsistant you have something to discuss with PCP or referral to specialist.)

If your K is running normal maybe we should assume it is normal. I say this because if yours runs on the low end and mine runs on the high end, one of us should be dead or seriously ill if it is drastically off since the draw is done consistantly the same.

That should give us an idea where you are w/BP. I saw you report the re-breathing trick "greatly helped" your hyperventling problem, is that still the case?

Start today and methodically go forward and you should be able to better your care. BTW there should never be a reason for 5 minute appointment and I wouldn't allow it. They can't even assess your current health in that length of time. (Ankles, finger nails, chest, skin, etc. And then assessing your mental attitude - act crazy and they'll give you atleast 10 minutes! Seriously, you paid for 20 minutes, make sure you take atleast 15! I've been known to set my watch on the desk so they know I'm tracking the time! Of course I'm usually accused of taking too much time - probably why you only get 5 minutes!)

- 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > > > > > >

> > > > > > > > I just spoke with Sen. Bernie ' (I-VT) office about my sexual discrimination issue regarding mammograms. (It was actually his #1 man in Vermont.) They will be addressing that issue in Washington.

> > > > > > > >

> > > > > > > > While I had him on the phone I told him I would soon be looking for advice on how to change the system! I briefly explained how I felt the system was "missing the boat" when it came to treating my condition, I did concede it was a broader issue than just the VA but felt it could make a big difference in quality and cost of care for the VA. I told him it would take me a month or two to get my act together and then we could meet and agree on an approach. Stay Tuned!

> > > > > > > >

> > > > > > > > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60

> > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

> > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

My point is that if you are to get someone from Sen. Bernie to look into

problems at the VA they you are somehow going to have enough things wrong to get

them to do this. What are they doing that you can show To establish that

carelessness, negligence, lack of proper skill, error in judgment, or similar

instance of fault on VA's part in furnishing hospital care, medical or surgical

treatment, or

examination it must be shown that the hospital care, medical or

surgical treatment The VA failed to exercise the degree of care that would be

expected of a reasonable health care provider.

I can tell you Dartmouth take B/P the same way as the VA. So you are going to

have to have something that to a non medical person shows The VA failed to

exercise the degree of care that would be expected of a reasonable health care

provider.

> > > > > > > > >

> > > > > > > > > I just spoke with Sen. Bernie ' (I-VT) office about my

sexual discrimination issue regarding mammograms. (It was actually his #1 man

in Vermont.) They will be addressing that issue in Washington.

> > > > > > > > >

> > > > > > > > > While I had him on the phone I told him I would soon be

looking for advice on how to change the system! I briefly explained how I felt

the system was " missing the boat " when it came to treating my condition, I did

concede it was a broader issue than just the VA but felt it could make a big

difference in quality and cost of care for the VA. I told him it would take me

a month or two to get my act together and then we could meet and agree on an

approach. Stay Tuned!

> > > > > > > > >

> > > > > > > > > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with

previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week

ave): 131/76 HR 60

> > > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2,

and PTSD.

> > > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg

asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

I have not had a problem getting Sen. Sander's, Bernie's, attention. He is one

of the top advocates for veterans and so far I am 2 for 2 with his office. This

issue is much larger than either of them and his Vermont chief of staff has

already shown interest. Remember, I'm an optimist, my glass is always half full

or in this case three-quarters full!

I don't think for a minute that I will have a problem demonstrating that it

cost the government well over $100,000 in extra care. The oxygen alone has a

tab of $15,000 and that doesn't include doctor appointments and my travel!

(In writing that I realize my number is extremely low. Going on disability at

age 58, certainly a quality of life issue, alone cost them over $100,000! And

they didn't collect taxes on most of it!)

Regarding the taking of BP, because everybody does it wrong does that make it

right? If everybody drives 80 MPH on the interstate does that change the speed

limit? (Tell that to the officer the next time you get stopped!) The AHA

publishes a prescribed method that is duplicated in the DOD/VA procedure manual

that address how treat HTN! I'm sure Bernie learned to " read with

comprehension " and will have no trouble understanding that! Why have over 100

pages of a SOP if you don't follow it!

Now in the interest of not clogging up this forum and boring others with the day

to day detail I will limit my discussion as I go forward.

- 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank

pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin

2000MG and Spironolactone 50 MG.

> > > > > > > > > >

> > > > > > > > > > I just spoke with Sen. Bernie ' (I-VT) office about

my sexual discrimination issue regarding mammograms. (It was actually his #1

man in Vermont.) They will be addressing that issue in Washington.

> > > > > > > > > >

> > > > > > > > > > While I had him on the phone I told him I would soon be

looking for advice on how to change the system! I briefly explained how I felt

the system was " missing the boat " when it came to treating my condition, I did

concede it was a broader issue than just the VA but felt it could make a big

difference in quality and cost of care for the VA. I told him it would take me

a month or two to get my act together and then we could meet and agree on an

approach. Stay Tuned!

> > > > > > > > > >

> > > > > > > > > > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with

previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week

ave): 131/76 HR 60

> > > > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19,

DM2, and PTSD.

> > > > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

[Guest guest]

If any normal person understands the key role BP plays in ones life and death they they know it should be take. Correctly. If the then read the guideline on how BP should be done then they will understand that they are not getting good quality cAre if not taken according to guidelines. It is almost never take. When BP is not taken properly on the health care system you must conclude one or more of several things 1. You team does not understand how important the BP MEASUREMENT they use for your health care.2. They understand but do not believe the BP THEY take is important. 3. They don't care about your health. 4. They have more important things to spend their time doing rather than taking the time to do BP CORRECTLY. 5. Based on my research and experience most healthcare workers at all levels were not taught how to do it properly in the first place. This is based on written assessment of knowledge, watching them take a BP AND listening with the as they take BP on another person. Those who were taught correctly and still do not do it right must believe that taking aN accurate BP is not important. Or they do not care about the health of their patients. I really can't believe that most take BP incorrectly because they want to harm their patients. So if you want your diagnosis and treatment to be guided by accurate measurements YOU must insist it is done accurately with a device that is accurate on YOU. Once your team understands this Thea should do it accurately or Go elsewhere or complains to those in charge and go up the chain of command needed. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

My point is that if you are to get someone from Sen. Bernie to look into problems at the VA they you are somehow going to have enough things wrong to get them to do this. What are they doing that you can show To establish that carelessness, negligence, lack of proper skill, error in judgment, or similar instance of fault on VA's part in furnishing hospital care, medical or surgical treatment, or

examination it must be shown that the hospital care, medical or

surgical treatment The VA failed to exercise the degree of care that would be expected of a reasonable health care provider.

I can tell you Dartmouth take B/P the same way as the VA. So you are going to have to have something that to a non medical person shows The VA failed to exercise the degree of care that would be expected of a reasonable health care provider.

> > > > > > > > >

> > > > > > > > > I just spoke with Sen. Bernie ' (I-VT) office about my sexual discrimination issue regarding mammograms. (It was actually his #1 man in Vermont.) They will be addressing that issue in Washington.

> > > > > > > > >

> > > > > > > > > While I had him on the phone I told him I would soon be looking for advice on how to change the system! I briefly explained how I felt the system was "missing the boat" when it came to treating my condition, I did concede it was a broader issue than just the VA but felt it could make a big difference in quality and cost of care for the VA. I told him it would take me a month or two to get my act together and then we could meet and agree on an approach. Stay Tuned!

> > > > > > > > >

> > > > > > > > > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60

> > > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

> > > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

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[Guest guest]

This issue is important to all here who get their BP taken wrong. May your pressure be low!CE Grim MS, MDSpecializing in DifficultHypertension

I have not had a problem getting Sen. Sander's, Bernie's, attention. He is one of the top advocates for veterans and so far I am 2 for 2 with his office. This issue is much larger than either of them and his Vermont chief of staff has already shown interest. Remember, I'm an optimist, my glass is always half full or in this case three-quarters full!

I don't think for a minute that I will have a problem demonstrating that it cost the government well over $100,000 in extra care. The oxygen alone has a tab of $15,000 and that doesn't include doctor appointments and my travel! (In writing that I realize my number is extremely low. Going on disability at age 58, certainly a quality of life issue, alone cost them over $100,000! And they didn't collect taxes on most of it!)

Regarding the taking of BP, because everybody does it wrong does that make it right? If everybody drives 80 MPH on the interstate does that change the speed limit? (Tell that to the officer the next time you get stopped!) The AHA publishes a prescribed method that is duplicated in the DOD/VA procedure manual that address how treat HTN! I'm sure Bernie learned to "read with comprehension" and will have no trouble understanding that! Why have over 100 pages of a SOP if you don't follow it!

Now in the interest of not clogging up this forum and boring others with the day to day detail I will limit my discussion as I go forward.

- 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > > > > > > > >

> > > > > > > > > > I just spoke with Sen. Bernie ' (I-VT) office about my sexual discrimination issue regarding mammograms. (It was actually his #1 man in Vermont.) They will be addressing that issue in Washington.

> > > > > > > > > >

> > > > > > > > > > While I had him on the phone I told him I would soon be looking for advice on how to change the system! I briefly explained how I felt the system was "missing the boat" when it came to treating my condition, I did concede it was a broader issue than just the VA but felt it could make a big difference in quality and cost of care for the VA. I told him it would take me a month or two to get my act together and then we could meet and agree on an approach. Stay Tuned!

> > > > > > > > > >

> > > > > > > > > > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60

> > > > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

> > > > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

>

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[Guest guest]

If I can add one:

6. AMEN!

As I have said many times I have established that we will use nobody's numbers

but mine for decisions affected by BP. It wasn't easy at first but now my

regular providers don't even argue! There's not much room for discussion when

you show them a piece of paper with a month of daily numbers on one side and a

years worth on the back! (Unless I want to discuss the effect of treating PA

correctly, then I have to do a 2-year graph on the back!)

Call me noncomplient, I dare them!

- 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank

pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60

Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.

Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin

2000MG and Spironolactone 50 MG.

> > > > > > > > > > >

> > > > > > > > > > > I just spoke with Sen. Bernie ' (I-VT) office about

my sexual discrimination issue regarding mammograms. (It was actually his #1 man

in Vermont.) They will be addressing that issue in Washington.

> > > > > > > > > > >

> > > > > > > > > > > While I had him on the phone I told him I would soon be

looking for advice on how to change the system! I briefly explained how I felt

the system was " missing the boat " when it came to treating my condition, I did

concede it was a broader issue than just the VA but felt it could make a big

difference in quality and cost of care for the VA. I told him it would take me a

month or two to get my act together and then we could meet and agree on an

approach. Stay Tuned!

> > > > > > > > > > >

> > > > > > > > > > > - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma

with previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last

week ave): 131/76 HR 60

> > > > > > > > > > > Other Issues/Opportunities: OSA w Bi-Pap settings 13/19,

DM2, and PTSD.

> > > > > > > > > > > Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG,

81mg asprin, Metformin 2000MG and Spironolactone 50 MG.

> > > > > > > > > > >

> > > > > > > > > >

> > > > > > > > >

> > > > > > > >

> > > > > > >

> > > > > >

> > > > >

> > > >

> > >

> >

> >

> > Reply to sender | Reply to group | Reply via web post | Start a New Topic

> > Messages in this topic (16)

> > RECENT ACTIVITY: New Members 6

> > Visit Your Group

> > MARKETPLACE

> > Stay on top of your group activity without leaving the page you're on - Get

the Yahoo! Toolbar now.

> >

>

[Guest guest]

I'm sure many of us would like to hear of your progress or lack thereof. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim Now in the interest of not clogging up this forum and boring others with the day to day detail I will limit my discussion as I go forward.

[Guest guest]

Yes, I certainly was looking more at a RTC or followup to see how I'm doing on

your PA treatment. If you weigh me and take my BP correctly you have used more

than 5 minutes! If you tell me you're done and you haven't taken that thing

that hangs around your neck and placed one end on by chest and then on my back

I'll remind you that you misses something! (I love it when you mke me breath

hard!)

>

> & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

>

> & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; I just spoke with Sen. Bernie '

(I-VT) office about my sexual discrimination issue regarding mammograms. (It

was actually his #1 man in Vermont.) They will be addressing that issue in

Washington.

>

> & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

>

> & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; While I had him on the phone I told

him I would soon be looking for advice on how to change the system! I briefly

explained how I felt the system was " missing the boat " when it came to treating

my condition, I did concede it was a broader issue than just the VA but felt it

could make a big difference in quality and cost of care for the VA. I told him

it would take me a month or two to get my act together and then we could meet

and agree on an approach. Stay Tuned!

>

> & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

>

> & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; - 65 yo super ob. male - 12mm X

13mm rt. a.adnoma with previous rt. flank pain. Treating with Meds. And DASH. .

Current BP(last week ave): 131/76 HR 60

>

> & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Other Issues/Opportunities: OSA w

Bi-Pap settings 13/19, DM2, and PTSD.

>

> & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Meds: Duloxetine hcl 80 MG,

Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone

50 MG.

>

> & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

>

> & gt; & gt; & gt; & gt; & gt; & gt; & gt;

>

> & gt; & gt; & gt; & gt; & gt; & gt;

>

> & gt; & gt; & gt; & gt; & gt;

>

> & gt; & gt; & gt; & gt;

>

> & gt; & gt; & gt;

>

> & gt; & gt;

>

> & gt;

>

[Guest guest]

Well vitals aren't supposed to be considered the visit time. Only the face to face with the doc (or NP or PA) is.

Subject: Re: Update on VA DiscriminationTo: hyperaldosteronism Date: Monday, December 19, 2011, 3:09 PM

Yes, I certainly was looking more at a RTC or followup to see how I'm doing on your PA treatment. If you weigh me and take my BP correctly you have used more than 5 minutes! If you tell me you're done and you haven't taken that thing that hangs around your neck and placed one end on by chest and then on my back I'll remind you that you misses something! (I love it when you mke me breath hard!) > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; I just spoke with Sen. Bernie ' (I-VT) office about my sexual discrimination issue regarding mammograms. (It was actually his #1 man in Vermont.) They will be addressing that issue in Washington.> >

& gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; While I had him on the phone I told him I would soon be looking for advice on how to change the system! I briefly explained how I felt the system was "missing the boat" when it came to treating my condition, I did concede it was a broader issue than just the VA but felt it could make a big difference in quality and cost of care for the VA. I told him it would take me a month or two to get my act together and then we could meet and agree on an approach. Stay Tuned!> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR

60> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG.> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;> > & gt; & gt; & gt; & gt; & gt; & gt; & gt;> > & gt; & gt; & gt; & gt; & gt; & gt;> > & gt; & gt; & gt; & gt; & gt;> > & gt; & gt; & gt; & gt;> > & gt; & gt; & gt;> > & gt; & gt;> > & gt;>

[Guest guest]

Point taken and I find you are right, now. Guess I was thinking when BP, BS and

weight were discussed at every appt. (Even if I went in for a focused

appointment.)

I have to share with you. I went to a doctor, not my PCP, for my breast bumps

and in addition to discussing my " out of control BP " she put me on an inhaler!

(Inhalers were D/Qed by Pulmonologist in July and approved by both the head of

polmonary and my PCP!) (It is still unopened since I looked t my previous PFT

and it reported no effect from broncoltors! BTW she ordered repeat PFT but

failed to request w/broncoltors!)

.....

> >

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

> >

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; I just spoke with Sen. Bernie

' (I-VT) office about my sexual discrimination issue regarding

mammograms. (It was actually his #1 man in Vermont.) They will be addressing

that issue in Washington.

> >

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

> >

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; While I had him on the phone I told

him I would soon be looking for advice on how to change the system! I briefly

explained how I felt the system was " missing the boat " when it came to treating

my condition, I did concede it was a broader issue than just the VA but felt it

could make a big difference in quality and cost of care for the VA. I told him

it would take me a month or two to get my act together and then we could meet

and agree on an approach. Stay Tuned!

> >

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

> >

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; - 65 yo super ob. male - 12mm X

13mm rt. a.adnoma with previous rt. flank pain. Treating with Meds. And DASH. .

Current BP(last week ave): 131/76 HR 60

> >

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Other Issues/Opportunities: OSA w

Bi-Pap settings 13/19, DM2, and PTSD.

> >

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Meds: Duloxetine hcl 80 MG,

Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50

MG.

> >

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;

> >

> > & gt; & gt; & gt; & gt; & gt; & gt; & gt;

> >

> > & gt; & gt; & gt; & gt; & gt; & gt;

> >

> > & gt; & gt; & gt; & gt; & gt;

> >

> > & gt; & gt; & gt; & gt;

> >

> > & gt; & gt; & gt;

> >

> > & gt; & gt;

> >

> > & gt;

> >

>

[Guest guest]

Maybe that doc needs a proctologist for her brain transplant!

Subject: Re: Update on VA DiscriminationTo: hyperaldosteronism Date: Monday, December 19, 2011, 3:31 PM

Point taken and I find you are right, now. Guess I was thinking when BP, BS and weight were discussed at every appt. (Even if I went in for a focused appointment.)I have to share with you. I went to a doctor, not my PCP, for my breast bumps and in addition to discussing my "out of control BP" she put me on an inhaler! (Inhalers were D/Qed by Pulmonologist in July and approved by both the head of polmonary and my PCP!) (It is still unopened since I looked t my previous PFT and it reported no effect from broncoltors! BTW she ordered repeat PFT but failed to request w/broncoltors!)....> > >

> & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;> > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; I just spoke with Sen. Bernie ' (I-VT) office about my sexual discrimination issue regarding mammograms. (It was actually his #1 man in Vermont.) They will be addressing that issue in Washington.> > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; > > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; While I had him on the phone I told him I would soon be looking for advice on how to change the system! I briefly explained how I felt the system was "missing the boat" when it came to treating my condition, I did concede it was a broader issue than just the VA but felt it could make a big difference in quality and cost of care for the VA. I told him it would take me a month or two to

get my act together and then we could meet and agree on an approach. Stay Tuned!> > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; > > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; - 65 yo super ob. male - 12mm X 13mm rt. a.adnoma with previous rt. flank pain. Treating with Meds. And DASH. . Current BP(last week ave): 131/76 HR 60> > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Other Issues/Opportunities: OSA w Bi-Pap settings 13/19, DM2, and PTSD.> > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt; Meds: Duloxetine hcl 80 MG, Metoprolol Tartrate 200 MG, 81mg asprin, Metformin 2000MG and Spironolactone 50 MG.> > > > & gt; & gt; & gt; & gt; & gt; & gt; & gt; & gt;> > > > & gt; & gt;

& gt; & gt; & gt; & gt; & gt;> > > > & gt; & gt; & gt; & gt; & gt; & gt;> > > > & gt; & gt; & gt; & gt; & gt;> > > > & gt; & gt; & gt; & gt;> > > > & gt; & gt; & gt;> > > > & gt; & gt;> > > > & gt;> >>