10/24/2018 06:00 
Comments:
Patient called in with complaints of abdominal pain. The patient was very  
tearful, and she kept talking about her nurse some and lies in her medical  
records. RN was unable to triage the patient because she was hyper focused on  the other nurse and her medical records. Patient also made reference of being  suicidal but then she changed the subject. Patient then stated I have to hang  up now, and she ended the call.


Definition
“. . .moral injury emphasizes the psychological, social, cultural, and spiritual aspects of trauma.[1] 
Distinct from psychopathology, moral injury is a normal human response to an abnormal traumatic event. 
According to the U.S. Department of Veterans Affairs, 
*that transgressed their deeply held moral beliefs and expectations.
From Wiki

DATE OF NOTE: DEC 14, 2021 @07:34:14 
TELEHEALTH AFTER HOURS  NURSE                     FRAZIER,JANICE 
 TELEHEALTH NOTE                                 
     Type of call: DTN SYMPTOM.

PCMM Provider Info: 
LOCAL - EUGENE, OR CBOC (653BY)
 PACT: EUG/CALAPOOIA *WH* 
  Feldhoff,Wendy || PHONE:27787
 Care Manager:  Alsabrook,Melinda A
 Clinical Associate:        
Lockhart,Diane G || PHONE:45300
 Administrative Associate:  Baggitt,Vicki L
REMOTE - PORTLAND VA MEDICAL CENTER (648)
 PACT: No Local PACT Assigned.
 MH: BHIP P2 GREEN TEAM
  (MHTC) Social Worker || Prine,Janyce Anne || PHONE:53088 || PAGER:*41 3521

Caller Response: OTHER

Comments by :Nurse FRAZIER,JANICE
Veteran starts off by asking is this writer familiar with Adrenal fatigue and 
Moral injury? 
Triage deferred/ 
when as if Veteran having worsening s/s, he reports how to you fuc..ng, have worsening s/s this gave me leukemia etc.  
Veteran says I do not want to waste your time if you cannot discuss these two things. 
Veteran informed nurses at triage do not diagnose but his s/s can be 
assessed. 
Advised if worsening or life threatening s/s ER/911 or condition could worsen.  

Chief Complaint: Not applicable to call.Chief Complaint: Not applicable to call.Chief Complaint: Not applicable to call.

Class Code: Other specified counseling.
 PHONE CALL 
Length: 11 minutes.
JANICE FRAZIER, MSN-ED, RN
 12/14/2021 07:53
Receipt Acknowledged By:
12/16/2021 12:36         WENDY FELDHOFF, MD                                
                             PRIMARY CARE PROVIDER 

My Healthy Vet Secure Message to Roseburg Region
“Veteran’s Experience Officer” Sarah Cranston, who is also
Veteran’s “Advocate Supervisor” 
= already responsible for betrayals by Advocate collaborating w
White House so called; “specially trained” “Veteran’s Hot Line”, who, like the “specially trained” Suicide Hotline=
Catch22 faux in the vethouse.

* Moral Injury/Adrenal Fatigue/CLL
Hopefully, the Record of my TELEHEALTH AFTER HOURS call, 14 Dec 2021 @ 0734
will be SOON Corrected:
STATUS: COMPLETED it says in the Record.     Actually; No it is not.
“…as if Veteran having worsening s/s,         What does this mean?
“… his s/s can be assessed. …”            What does this mean?
“etc.”                            What is “etc.”
Caller Response: OTHER                ?OTHER?
Chief Complaint: Not applicable to call.…         Please explain
Length: 11 minutes

Comments by TELEHEALTH AFTERHOURS NURSE
Nurse FRAZIER,JANICE:
“Veteran starts off by asking is this writer familiar with Moral injury and Adrenal fatigue?”

NOTE by Veteran
This is true.
Also true;

Now for the, “Length: 11 minutes” of “etc.”, “Not applicable to call.…”
Please be mindful that, as per my recollection of that 11 minutes; as proved to be true; it seemed immediately clear;
Nurse JANICE FRAZIER, MSN-ED, RN was not versed in or going to be helpful with MY Chief Complaint:
Moral injury and the recent recurrence of Adrenal Fatigue Characteristics;
often precursor to another VA Induced ER Episode, & more VA Induced Stress, ANXIETY Depression Despair … facing the wholly unsupported Caretaker at the Kitchen Table.
= a waste of Tax$  and Nurse Frazier’s time at best.
As per my recollection,
Nurse Frazier chose to instead, vigorously’ in my view, perpetuate their perpetually perpetrated Suicidal Ideation
“s/s can be assessed”
 instead of confronting MY Chief Complaint: Moral Injury/Adrenal Fatigue perpetrated by this very Catch22 VA Paradigm .
= They refuse to see it so they can’t address it = Betrayal
= Moral Injury = Adrenal Fatigue
Re Nurse Frazier’s Catch22 smere of VA Perpetrated DerelictionsDenials into non-exastant “?…thoughts about suicide…” i answered as i have for a decade now,
the evidently unacceptable “we’re talking about it aren’t we!?.
Both, “MHTC) Social Worker || Prine, Janyce Anne || PHONE:53088 ||
PAGER:*41 3521
[in 2015] and Roseburg Clinical Psychologist Dr Rodreguez [in 2018]
have stated,
*Moral Injury; more info needed*

Furthermore, “Without Commander in chief Biden’s Rescue $$$, i would be Dead”
i asserted, because i would not have been able to Purchase the Indicated Military Grade Health Care from the Naturopathic private sector.

By now i was attempting to exit the Call.
Four ER Visits, numerous Lab Test, my bodily sensations & hostile language suggest;
this Paradigm is again triggering the Adrenal Fatigue and exacerbating
the CLL.

Enough said.
Sarah Patient