CONTACTS 

SUBJECTS
Meeting Report New Issues and Progress of Existing Medical Matters L

0703 -
0703 -    ..
0704 - Summary/Objective
0705 -
070501 - Follow up ref SDS 35 0000. ref SDS 34 0000.
070502 -
070503 - Doctor made examination and recommended using cold water to treat eye
070504 - strain, and to schedule follow examination if problems persist.
070505 - ref SDS 0 OY6M  Doctor approved plans to treat lipoma diagnosed a
070506 - month or so ago, and after treatment for achalasia. ref SDS 0 N83H
070507 - Doctor examined dental problem and initially indicated VA Martinez is
070508 - not equiped to support these issues. ref SDS 0 YR4J
070509 -
070510 -     [On 060322 received notice to call VA OA 060325 to schedule follow
070511 -     up meeting; and to call again on 060820 to schedule another
070512 -     meeting; purpose of meetings is not presented. ref SDS 46 P18O
070514 -      ..
070515 -     [On 060324 called VA, ref SDS 47 P18O; was told there nothing in
070516 -     the system about scheduling a meeting with the doctor. ref SDS 47
070517 -     S74I
070519 -      ..
070520 -     [On 060331 Rhonda scheduled meeting with primary care physician on
070521 -     060505. ref SDS 49 P18O
070522 -
070523 -
070524 -
070526 -  ..
0706 -
0707 -
0708 - Progress
0709 -
070901 - Agenda Meeting Report New Issues and Progress on Medical Treatments
070902 -
070903 - Meeting today follows up visit yesterday.
070904 -
070905 -    1.  Eyes...................................... ref SDS 0 OY6M
070906 -    2.  Lipoma.................................... ref SDS 0 N83H
070907 -    3.  Dental.................................... ref SDS 0 YR4J
070908 -    4.  Manometry Test............................ ref SDS 0 FT6M
070909 -
070911 -  ..
070912 - Vitals.....
070913 -    1.  Temperature................  97.1
070914 -    2.  Weight..................... 194
070915 -    3.  Pulse......................  71
070916 -    4.  Blood pressure............. 133/65
070918 -  ..
070919 - Actual weight is about 188 without cloths.
070920 -
070921 -
070922 -
070923 -
070924 -
0710 -

SUBJECTS
Lipoma Notify Doctor of Planning for Treatment to Follow Up Initial
Meeting Report New Issues and Progress of Existing Medical Matters L

1104 -
110501 -  ..
110502 - Lipoma Planning Corrective Surgery After Treatment for Achalasia
110503 -
110504 - Follow up ref SDS 41 G46P, ref SDS 40 0001.
110505 -
110506 - Doctor approved planning on 060202 for treatment of lipoma,
110507 - ref SDS 41 G46P, to follow up examination 060131, ref SDS 40 K860, and
110508 - original examination by primary care physician on 051222. ref SDS 35
110509 - P18O
110510 -
110511 -
110512 -
110513 -
110514 -
110515 -
1106 -

SUBJECTS
Manometry Test Scheduled Again This Time on 060321 1300 as Predicate

1303 -
130401 -  ..
130402 - Manometry Test Confirm Schedule on 050321 at VA Mather AFB Sacramento
130403 -
130404 - Follow up ref SDS 42 5K5F, ref SDS 35 FT6M.
130405 -
130406 - The doctor checked the computer and confirmed understandings from
130407 - yesterday that VA has scheduled at meeting at VA Mather AFB,
130408 - Sacramento for manemotry test on 060321 1300, ref SDS 44 5K5F, and to
130409 - perform work deferred on 060221 due to equipment failure and repairs.
130410 - ref SDS 42 5K5F
130412 -  ..
130413 - The doctor said that failure to notify the customr of a scheduled
130414 - meeting, as reported yesterday, ref SDS 44 6I5M, relates to staffing.
130415 - He advised that Kim will be moving to Department C.  This additional
130416 - help will enable the GI clinic team to notify patients when service is
130417 - scheduled, based on Kim's excellent record this past year facilitating
130418 - communications with the primary care physician, reported recently on
130419 - 060314. ref SDS 43 2M7I
130421 -  ..
130422 - This is great, but it also eliminates communication with the primary
130423 - care doctor.  Would be great if Kim could facilitate communication in
130424 - GI and PC.
130425 -
130426 -
130428 -  ..
1305 -
1306 -
1307 - 1104
1308 -
130801 - Received call from Vi at the VA Mather AFB Sacramento.
130802 -
130803 - Vi said that she received a call from the doctor today, following up
130804 - the letter submitted yesterday confirming understandings of a meeting
130805 - scheduled for 060321 1300, and noting this conflicts with prior
130806 - practice in this case for meetings at VA Mather AFB Sacramento to
130807 - occur on Thursdays at 0800, so that the doctor in the GI clinic VA
130808 - Martinez, CA can attend. ref SDS 44 5K5F
130810 -  ..
130811 - Vi advised that the doctor wants to change the meeting to Thursday, as
130812 - noted in the letter, and that the next available date is 060330 0800.
130814 -  ..
130815 - As a result, the schedule for manometry test has been changed from
130816 - 060321 1300 reported yesterday, ref SDS 44 PE7I, to 060330 0800.
130817 -
130818 -
130819 -
130821 -  ..
1309 -
1310 -
1311 - 2344
1312 -
131201 - Submitted ref DIT 1 0001 to Iris confirming correction to schedule
131202 - for manometry test....
131203 -
131204 -    1.  Thanks very much for coordinating with Doctor Lee on correcting
131205 -        the schedule for the manometry test, as set out in the letter
131206 -        to you yesterday (see below). ref DIT 1 0001
131208 -         ..
131209 -    2.  Vi called this morning and advised that she received a call
131210 -        from the doctor, who requested a change in the schedule to
131211 -        align with prior practice in this case. ref SDS 0 QG7M  As a
131212 -        result, the test is scheduled for Thursday, 060330 0800, so
131213 -        that the doctor can support the work. ref DIT 1 8P6H
131215 -         ..
131216 -    3.  Thanks again for timely attention. ref DIT 1 GP6O
131217 -
131218 -
131219 -
131220 -
131221 -
1313 -

SUBJECTS
Dental Examination Tooth Broke OA 060310 Eating Causes Contnued Trau
Eyes and Dental Examination Request Meeting to Review Recent Problem

1604 -
160501 -  ..
160502 - Dental Examination Tooth Broke About a Week Ago Eating Causes Trauma
160503 -
160504 - Primary care physician examination found tooth #2 on upper right rear
160505 - molar broke off, and filling fell out, causing severe need for dental
160506 - repair.  This work was originally performed while in the US Army in
160507 - 1967, when four back teeth were removed and fillings performed.
160509 -  ..
160510 - There seems to be a record that work was identified on 941028 for the
160511 - upper left side. ref SDS 1 6206  On 980227 tooth #31 on the lower
160512 - right side filling failed and had to be replaced with a crown.
160513 - ref SDS 2 6343
160515 -  ..
160516 - The doctor advised that the VA does a lot of dental work.  He
160517 - recommended review for elegibility to obtain a referral, and noted
160518 - that the Martinez clinic does not support this work, so it would have
160519 - to be done at another location.
160521 -  ..
160522 - Research today indicates grounds for dental treatment in this case.
160523 - ref SDS 0 M56G
160524 -
160525 -     [On 060322 received notice to call VA OA 060325 to schedule follow
160526 -     up meeting; purpose of the meeting is not presented, but may be
160527 -     dental. ref SDS 46 P18O
160529 -      ..
160530 -     [On 060403 Connie called to follow up, and suggested sending a
160531 -     letter to primary care physician for making a referral.
160532 -     ref SDS 50 3G8F
160534 -      ..
160535 -     [On 060505 primary care physician reports that referral for
160536 -     dental work was issued on 060406 about three (3) days after
160537 -     receiving from Kim on 060403 the review of VA elegibility
160538 -     requirements in this record. ref SDS 51 2O4J
160540 -      ..
160541 -     [On 060529 follow up letter asks about response time on dental
160542 -     referrals, because meeting has not yet been scheduled. ref SDS 52
160543 -     GM6P
160545 -      ..
160546 -     [On 060601 Kim forwarded a letter asking about timing of dental
160547 -     referrals to Rubin for advocacy expediting patient care.
160548 -     ref SDS 53 T68I
160550 -      ..
160551 -     [On 060614 visited VA; Rubin is out of office until 060616;
160552 -     so, met with Renato who will ask Rubin to follow up on
160553 -     scheduling dental care. ref SDS 54 YR4J
160554 -
160556 -  ..
160557 - Research found...
160558 -
160559 -        http://www.iowa-city.med.va.gov/About_ICVAMC/Dental-Eligibility.asp
160561 -  ..
160562 - Which says in part...
160563 -
160564 -    United States
160565 -    Department of Veterans Affairs
160566 -
160567 -    Dental Service - Eligibility
160569 -     ..
160570 -    VA has the busiest dental services in the world, and so getting
160571 -    treatment can sometimes takes several weeks to a month or more to
160572 -    schedule work.
160574 -     ..
160575 -    Persons Eligible for Outpatient Dental Care.
160577 -     ..
160578 -    Dental treatment for outpatients relates to statutory eligibility
160579 -    granted to veteran beneficiaries, such as former Prisoners of War
160580 -    (POWs), those with service connected dental conditions related to
160581 -    trauma, etc. This eligibility is categorized as follows:
160582 -
160584 -     ..
160585 -    Classes I through VI Dental Beneficiaries.
160586 -
160587 -    Outpatient dental benefits will be furnished to veterans in
160588 -    accordance with the provisions of existing law and regulations.
160589 -    Note:  See 38 U.S.C. sections 1710(c) and 1712, and 38 CFR sections
160590 -    17.160 through 17.166.  The definitions of classifications of
160591 -    eligible dental outpatients are as follows:
160593 -         ..
160594 -     •  Class I.
160595 -
160596 -        Those having a service connected compensable dental disability
160597 -        or condition are eligible for any dental care, reasonably
160598 -        necessary to maintain oral health and masticatory function,
160599 -        including repeat care.
160601 -         ..
160602 -     •  Class II.  Those having service connected noncompensable dental
160603 -        conditions or disability shown to have been in existence at
160604 -        time of discharge or release from active duty may be authorized
160605 -        any treatment as reasonably necessary for the one-time
160606 -        correction of the service connected noncompensable condition,
160607 -        but only if:
160609 -            ..
160610 -        •  They are discharged or released under conditions other than
160611 -           dishonorable, from a period of active military service of
160612 -           not less than 180 days.  In the case of Gulf Era veterans,
160613 -           they are discharged or released under conditions other than
160614 -           dishonorable, from a period of active military service of
160615 -           not less than 90 days.
160617 -            ..
160618 -        •  Application for treatment is made within 90 days after such
160619 -           discharge or release.
160621 -            ..
160622 -        •  The certificate of discharge or release does not bear
160623 -           certification that the veteran was provided, within the 90
160624 -           day period immediately before such discharge or release, a
160625 -           complete dental examination (including dental x-rays) and
160626 -           all appropriate dental treatment indicated by the
160627 -           examination was completed.
160629 -         ..
160630 -     •  Class II(a).
160631 -
160632 -        Those having a service connected noncompensable dental
160633 -        condition or disability adjudicated as resulting from combat
160634 -        wounds or service trauma are eligible for repeat care for
160635 -        service connected condition(s).
160637 -         ..
160638 -     •  Class II(b).
160639 -
160640 -        Those having a service connected noncompensable dental
160641 -        condition or disability and who were POWs for less than 90 days
160642 -        are eligible for repeat care for the service connected
160643 -        condition(s).
160645 -         ..
160646 -     •  Class II(c).
160647 -
160648 -        Those who were POWs for 90 days or more are eligible for any
160649 -        needed dental care, including repeat care.
160651 -         ..
160652 -     •  Class III.
160653 -
160654 -        Those having a dental condition professionally determined by VA
160655 -        to be currently aggravating a service connected medical
160656 -        condition are eligible for dental care to satisfactorily
160657 -        resolve the problem. Eligibility for each episode of dental
160658 -        care must be predicted on referral and application, followed by
160659 -        a new evaluation.
160661 -         ..
160662 -     •  Class IV.
160663 -
160664 -        Veterans whose service connected disabilities have been rated
160665 -        at 100 percent or who are receiving the 100 percent rate by
160666 -        reason of individual unemployability are eligible for any
160667 -        needed dental care, including repeat care.
160669 -         ..
160670 -     •  Class V.
160671 -
160672 -        •  A service connected, disabled veteran who has been approved
160673 -           by VA for vocational rehabilitation training and for whom an
160674 -           objective has been selected, or who is pursuing this
160675 -           training, may be provided dental care to the extent the VA
160676 -           dentist determines it is necessary to:
160678 -            ..
160679 -        •  Make it possible to enter the training program, Prevent
160680 -           interruption of the training
160682 -            ..
160683 -        •  Hasten the return to training status which became
160684 -           interrupted because of a dental condition, or
160686 -            ..
160687 -        •  Overcome significant adverse esthetic or speech problems
160688 -           where specific goals of rehabilitation, including
160689 -           employability, would not be achievable due to the
160690 -           uncorrected dental handicap.  NOTE:  This benefit may be
160691 -           extended for 3 years following the completion of the
160692 -           training program if the individual gains employment as a
160693 -           result of completing the program.
160695 -         ..
160696 -     •  Class VI.
160697 -
160698 -        Any veteran scheduled for admission or who is receiving
160699 -        outpatient care under 38 U.S.C. may receive dental care if the
160700 -        dental condition is clinically determined to be complicating a
160701 -        non-service connected medical condition currently under VA
160702 -        treatment.  Eligibility for each episode of dental care will be
160703 -        predicated on referral and consultation, followed by a decision
160704 -        based upon clinical judgement.
160705 -
160706 -
160708 -  ..
160709 - Eligibility for Dental Treatment Under VA Regulations
160710 -
160711 - Examination this morning showed need for dental repair to enable
160712 - mastication for digestion. ref SDS 0 YR4J
160713 -
160714 - In 1967 while serving in the US Army, significant dental work was
160715 - performed that required numerous visits.  Current issues relate to
160716 - part of the original work in 1967, and so may qualify for follow up
160717 - treatment under Class I. ref SDS 0 ER9A
160719 -  ..
160720 - Benefits may be approved for dental care under class VI that requires
160721 - dental repair to avoid compounding complications, ref SDS 0 ES88, from
160722 - achalasia currently being treated by the VA, diagnosed on 051202.
160723 - ref SDS 30 5B5K
160724 -
160725 -        [On 060330 manometry test confirms diagnosis achalasia; discuss
160726 -        need for complementary dental repair. ref SDS 48 447P
160728 -         ..
160729 -        [On 060403 Connie called to follow up, and suggested sending a
160730 -        letter through Kim to primary care physician for making a
160731 -        referral. ref SDS 50 3G8F
160733 -         ..
160734 -        [On 060505 primary care physician reports that referral for
160735 -        dental work was issued on 060406 about three (3) days after
160736 -        receiving from Kim on 060403 the review of VA elegibility
160737 -        requirements in this record. ref SDS 51 2O4J
160739 -         ..
160740 -        [On 060529 follow up letter asks about response time on dental
160741 -        referrals, because meeting has not yet been scheduled.
160742 -        ref SDS 52 GM6P
160744 -  ..
160745 - Currently, VA is providing benefits under class IV, ref SDS 0 ES5R,
160746 - which may support dental care in this case.
160747 -
160748 -
160749 -
160750 -
160751 -
1608 -

SUBJECTS
Eyes and Dental Examination Request Meeting to Review Recent Problem

1903 -
190401 -  ..
190402 - Eyes Very Painful to Light for Extended Periods Cannot Work
190403 -
190404 - Over the past week, experienced a period of about two (2) days when
190405 - it was very difficult to work.  The left eye in particular was
190406 - sensitive to light.  Had to rest eyes with sleep.
190407 -
190408 - The doctor made an examination.
190410 -  ..
190411 - He recommended throwing cold water on the left eye to reduce pressure.
190413 -  ..
190414 - Report persistant problem for referral to eye specialist.
190415 -
190416 -     [On 060320 receive notice of meeting with optometry on 060512.
190417 -     ref SDS 45 XV5O
190418 -
190419 -
190420 -
190421 -
190422 -
190423 -
190424 -
190425 -
190426 -
1905 -