*Lie*
To Qualify as a Lie, a Statement must:
> be copied from this Sailor's VA Medical Record or Vet's Bill of Rights
> be demonstrably WRONG
> be Reported as WRONG
> be unresolved by VA
such as;
"We will provide you with personalized, patient-driven, compassionate, state-of-the-art care. Our goal is to make your experience as positive and pleasant as we can. "
Contents:
Receipt Acknowledged By:
01/31/2020 09:17 /es/ TODD QUIER
Physician
01/31/2020 ADDENDUM STATUS: COMPLETED
Unfortunately, he is not empanelled with the VA clinic and he has not been fee'ed out to an outside clinic in two years.
He will need to connect with eligibility to re-establish care/request care
outside the VA.
As for changed in his problem list, that too will necessitate a medical
appointment and evaluation/etc
/es/ TODD QUIER
Physician
Signed: 01/31/2020 09:30
Receipt Acknowledged By:
03/02/2020 08:00 /es/ TODD QUIER Physician
Veteran is smoking cannabis during the phone and takes frequent breaks to inhale/hold/exhale.
Reiterated to call 911,
Veteran continued to refuse. States
"I just want to make sure this note gets put into my chart!"
This RN stated this note will be placed in his chart and forwarded to his PCP to view. Veteran ended the call.
Chief Complaint: Shortness Of Breath (wheezing)
Customer here,
Jan 2018 to Feb 2020, in this’ Customer’s Medical Record, least 61Tax$
squandering times, is found your Signiture CHERIE A FONSECA
Samples follow. below the $
PhysicianTodd Quire made this same Tax$ squandering claim as well dear Reader,
31Jan20 09:30Friday
TODD QUIER Physician
“. . .Unfortunately, he is not empanelled with the VA clinic and he has not
been fee’ed out to an outside clinic in two years. . . “
Snip by Customer<
=========================================================================
Date/Time: 30 Jun 2020 @ 1328
Note Title: SECURE MESSAGING
Location: VA Roseburg Health Care System
Signed By: FONSECA,CHERIE A
Co-signed By: FONSECA,CHERIE A
Date/Time Signed: 30 Jun 2020 @ 1128
-------------------------------------------------------------------------
LOCAL TITLE: SECURE MESSAGING
STANDARD TITLE: MHV DIALOG NOTE
DATE OF NOTE: JUN 30, 2020@13:28 ENTRY DATE: JUN 30, 2020@11:28:58
AUTHOR: FONSECA,CHERIE A EXP COSIGNER:
URGENCY: STATUS: COMPLETED
------Original Message------------------------
Sent: 06/30/2020 10:46 AM
From: PARKISON, VICTOR A
To: **CalapooiaRiver_FeldhoffPrimCareEug RVAHCS
Subject: not empanelled with VA clinic in 2 years VS MR =
Word Search of this Medical backwards 2 years
Record: FOUND
"Chief Complaint: Not applicable to call" 72 times
"Soul Sickness" 20
"^ ^ ^ ^ ^ ^ ^ ^" found in Problem List ZERO TIMES
"Insomnia" 57
"^ ^ ^ ^ ^ ^" found in Problem List ZERO TIMES
SLEEP 123
"VA Induced SLEEP Problems ZERO TIMES
"VA Induced Stress" 20
"^ ^ ^ ^ ^ ^ ^ ^ ^" found in Problem List ZERO TIMES
VA Induced"Moral Injury" 28
^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ found in Problem List ZERO TIMES
"Chief Complaint: Not applicable to call" 72 times
Word Search of this Medical Record backwards 2 years from:
Jan/31/2020 ADDENDUM STATUS: COMPLETED
Unfortunately, he is not empanelled with the VA clinic and he has not been
fee'ed out to an outside clinic in two years.
NONVA Note 14 times
He will need to connect with eligibility to re-establish care/request care
outside the VA.
As for changed in his problem list, that too will necessitate a medical
appointment and evaluation/etc
FOUND
RE: "he is not empanelled with the VA clinic"
VA clinic Electronic Signatures "/es/" 350 times
^^^^^^"AWAITING SIGNATURE" 8 times
^^^^^^"STATUS: COMPLETED" 231 times
^^^^^^"Care Manager" Mattingly,Taryn R 28
^^^^^^"Calls to call Center 150+" 150+
^^^^^^"Lynda Mayson " 59
^^^^^^" "Provider" Starke,Susan S " 15
^^^^^^"Daud_Primary Care " 62
^^^^^^"Calapooia " 82
^^^^^^"records 69"
^^^^^^"Suicide Season " 50
INACTIVATED PROBLEM: "Soul sickness"
Comments:
Veteran requested to terminate psychotherapy early.
Date Inactivated: 12/08/2017 (by RODRIGUEZ,STEPHANIE R)
INACTIVATED GOAL: "Find peace, come home."
Comments:
Inactivated by inactivating problem. "Soul sickness"
31Jan20 09:30Friday
TODD QUIER Physician
". . .Unfortunately, he is not empanelled with the VA clinic and he has not
been fee'ed out to an outside clinic in two years. . . "
>Snip by Customer<
VA File #28149 404 Rating Decision 06/06/2015
Decisions:
D# 1 Service Connection for Asbestos is Denied
VS
This Sailor's VA Medical Record: "MAR 03, 2016 Report Status: Verified
This is to inform you of the following results:
Test performed: to asbestos in military
Date Verified: MAR 03, 2016 Verifier E-Sig:TON J PARK MD"
Re: 3/2016 see pulm econsult
That's the MAI Infection NO ONE at Calipoia has yet to find.
When one w AIDS has MAI, well that pretty much signals "The End".
16 Mar 2015 @ 0849
PC - FOLLOW UP PRIMARY CARE OUTPATIENT NOTE
Portland OR VAMC
by OBLEY,ADAM J GENERAL MEDICINE CLINIC
rather extensive asbestos exposure on 2 WWII era submarines during her timein the service; around 2005 developed severe cough; around that time also had weight loss and night sweats, though these resolved after a few months;the cough continued, though not as bad; still has daily copious sputum production
particularly in the mornings; describes sputum as thick and tenacious--"like gummy bears"; cough seems to have some seasonal variation usually worse in summer; interestingly, outdoor activities like gardening tend to make things better; seen by pulm in '10 and given dx of asthma->didn't tolerate Albuterol
Re Asthma.
DO YOUR OWN HOMEWORK Doctor!!!
You won't take my word for the FACT', that DR. Obley said what i'm doing that
works to clear the so called Asthma, is inconsistent with Asthma, and
curiously, as noted by other Health Care pros, most certainly IS consistent
with COPD.
To each and every one of you fine VA Pros who say i have Asthma, i repeat this
challenge which each and every one of you folk have failed to take me up on.
Wanna try and keep up w me on a walk around Campus?
I dare ya!
I have also told you repeatedly, and you DO NOT INTEGRATE the FACT that there
is, in fact, significant conversation being attempted and Pulmonology has NOT
RESPONDED.
Do i need to send Matthew a Registered Letter?
Thank you for this wonderful exercise in stress reduction.
I'm on it.
Sarah
CARLA M PHARIS
LPN
06/24/2016 13:58
Receipt Acknowledged By:
06/24/2016 14:50 Leslie E. STRICKLAND MD
WOMEN'S HEALTH PHYSICIAN
ailor Addendum13Apr19 RE: Veteran reports he was told by the nurse”
Veteran reports he was told by the Nurse Taren Matternly, Calipoia PACT Care Manager on 4/27/18 to take the med twice daily.
------Original Message------------------------
Sent: 07/19/2021 05:41 PM
From: Customer
To: **CalapooiaRiver_FeldhoffPrimCareEug RVAHCS
Subject: Please use MHV. Thank you Sarah -Customer-
RE 06/22/2020 ADDENDUM
Veteran is sending multiple SM about various concerns. RN is unable to call
veteran due to causing anxiety in the veteran.
Nov 23 2009
Preliminary Computerized Interpretation
"There is a minimal obstructive lung defect.
The airway obstruction is confirmed by the decrease in flow rate at peak flow
and flow at 50% and 75% of the flow volume curve."NURSE TELEHEALTH AFTER HOURS
PC - RESULTS LETTER
PHYSICIAN LETTERS
MAR 03, 2016@09:08 MAR 03, 2016@09:08:24
STRICKLAND,LESLIE E
Impression:
1. Mild bibasilar tree-in-bud with some mucus plugging. This is
probably a small airways infection.
MAR 09, 2016
PULMONARY - E-CONSULT
These findings are consistent with the reported history of worsening and
productive cough.
Tree-in-bud opacities in the setting of chronic cough raise concern for MAI
infection,
From MATTINGLY, TARYN (**CalapooiaRiver SUSAN S STARKE, NP_Primary Care_Eug RVAHCS) 27 Apr 2018 @ 13:10 ET “I have requested records from White Bird concerning the, per the notes of your last visit they did not order any labs. If you could bring me paperwork that states they wanted you to get that lab done
I will be able to enter it. Sarah here, Concerning the what Taren? Are you TRYING to provoke a suicide. or is this just what is to be expected.
27Jun18 Re“. . .Nurse Taren to Sailor“I have requested records from White Bird concerning the lab for MAI markers,
Patient Note:
WhiteBird Clinic says there was no such conversation
per the notes of your last visit they did not order any labs. . . .”
If you could bring me paperwork that states they wanted you to get that lab done
I will be able to enter it.”
They know and you know and i know that White Bird DID NOT ORDER those Labs
As i told you MAR 05, 2018 _ See below: PDXVA Dr. Strictland did. The Lab Test > > > inflammatory markers crp and esr, for the MAI Infection < < < was NOT Ordered BY, but was to be FOR my upcoming and now past Appointment w Dr. Wendy at White Bird Clinic. Dr. Wendy does not yet know about VAPOR Dr Strictland, who Ordered the Lab Test in July of 2016: -Strickland L_Women’s Health_Portland_WMS – > > > inflammatory markers crp and esr, for the MAI Infection < < < <br> the MAI Infection which was revealed in the CAT Scan where, on a gurney they lost me and the implement in my arm on the way to ICU -because ICU was NOT involved- the MAI Infection to which Pulmonary Fellow Matthew Champion failed to respond; See below the MAI Infection causing the coughing with which i Presented in <code>09 that was incessantly mis-diagnosed by numerousVA Pulmonologist at$ub$tantial Co$t to our Government myself and Family.until July 2016 by VAPOR Dr. Strictland and then the Urgent Care Doctor after i was blowing out ribs. “We don’t do ribs”, said TeleNurse the MAI Infection which caused the odd Lung Vomit, “I’ve never seen anything like that” said the Urgent Care Doctor. Like Glue.
Sailor Addendum
it is clear to me that, contrary to Patients Right to “receive care in a safe environment”, NO! Sadly the environment is NOT’ safe. Against Veteran Activities are constant and often memorialized in the uncorrectable Record. Obfuscating useless blame is conjured up
31Jan20 09:30Friday
TODD QUIER Physician
". . .Unfortunately, he is not empanelled with the VA clinic and he has not
been fee'ed out to an outside clinic in two years. . . "
>Snip by Customer<
she has not been seen in clinic since 2017.
/es/ TARYN R MATTINGLY
28FEB20@18:40:34
AUTHOR: NAUDASCHER,PAIGE A
Receipt Acknowledged By:
02Mar20 08:00 $ TODD QUIER
Physician
Comments:
Veteran called concerning severe SOB. Triage recommended 911 VA ER.
>SNIP<Veteran refused to call 911.
States "I just want to make sure this note gets put into
my chart!" This RN stated this note will be placed in his chart and forwarded
to his PCP to view. Veteran ended the call.
Veteran is smoking cannabis during the phone and takes
frequent breaks to inhale/hold/exhale.
CHERIE A FONSECA
06/08/2020 ADDENDUM
". . .she not seen our group for over 2 years and . . . "
Customer here,
From Jan 2018 to Feb 2020, in this' Customer's Medical Record, at least 61Tax$
squandering times, is found your /es/ CHERIE A FONSECA .
------Original Message------------------------
Sent: 06/23/2020 02:55 PM
From: Customer A
To: **CalapooiaRiver_FeldhoffPrimCareEug RVAHCS
Subject: Re Tarren 06/22/20, Calipoia not the Issue=YOU are the Issue.
27 Apr 2018 @ 13:10 ET
"I have requested records from White Bird concerning the,
per the notes of your last visit they did not order any labs.
If you could bring me paperwork that states they wanted you
to get that lab done I will be able to enter it.
Sarah here,
Concerning the what Taren?
Are you TRYING to provoke a suicide.
or is this just what is to be expected.
You just may pull it off. Year
3. asthma, suspected copd, however per pulm in the past she has asthma, we discussed ct scan findings and there appears to be asthma with overlying infectious process causing cough with sputum which is blurring the diagnosis
ASSESSMENT & PLAN:
1. cough-astham and infectious process on CT scan, needs pulm f/u, will work
with MH on preparing for the visit, discussed need to be concise and have
realistic expectations about outcome of visit. check sputum sample.
26May15 ADDENDUM STATUS: COMPLETED
pt refused next available. she states she will be seeing her naturopath on 5/28
and will not be seeing pulmonologist unless they state that they have miss dx
asbestosis for the past 6 years.
Medication: GUAIFENESIN 400MG TAB
Instructions: TAKE ONE TABLET BY MOUTH THREE TIMES A DAY AS NEEDED FOR COUGH.
Initially Ordered On: 06 Apr 2016 Prescription Number: 12378796
Quantity: 90 Days Supply: 30
Pharmacy: PORTLAND PHARMACY
Medication: BENZONATATE 100MG CAP
Instructions: TAKE ONE CAPSULE BY MOUTH THREE TIMES A DAY AS NEEDED FOR COUGH
Last Filled On: 07 Apr 2016
Initially Ordered On: 06 Apr 2016 Prescription Number: 12378794
Quantity: 90 Days Supply: 30
Pharmacy: PORTLAND PHARMACY
Medication: GUAIFENESIN 100MG/5ML (AF) LIQUID
Instructions: TAKE 2 TEASPOONFULS (=10 ML) BY MOUTH EVERY 4 HOURS AS NEEDED FOR
COUGH.
Initially Ordered On: 09 Mar 2016 Prescription Number: 1234827
Pharmacy: PORTLAND PHARMACY
Sent: 06/25/2015 04:49 PM
From: MEYERS, CONNIE LPN
To: PARKISON, VICTOR
Message ID#: 503087900
Subject:
i know ms parkison has expressed skepticism about the va's ability/interest in diagnosing asbestosis related lung disease; we have had several conversations about this validating her legitimate worries based on her exposure history;
please encourage her to keep the pulm appt scheduled for august recognizing that if she is not in agreement with the dx and plan outlined by our pulm clinic that she can continue receiving treatments from her naturopathic provider.
13 Jun 2016 @ 0625
NURSE - TELEHEALTH AFTER HOURS
Portland OR VAMC
CURTIS,SHERYL J
Co- CURTIS,SHERYL J
13 Jun 2016 @ 0718
-------------------------------------------------------------------------
NURSE - TELEHEALTH AFTER HOURS
NURSING TELEHEALTH NOTE
DATE OF NOTE: JUN 13, 2016@06:25:13 ENTRY DATE: JUN 13, 2016@07:18:27
AUTHOR: CURTIS,SHERYL J Type of call: DTN CLINICAL INFORMATION.
Facility Appointed PCP: STRICKLAND,LESLIE E
No Associate Provider Identified
Team: COMP *WH* WHITE
The patient, called the call
center.
Caller Area: V20 648-PORTLAND
Caller Response: *OTHER
Comments:
Client called this morning stating he placed a letter in the mail on Thursday
06/09/16 and the VA should be receiving the letter today. He is placing the
call as he stated he would like to continue the conversation through My
HEALTHVET.
THE STRESS that the VA PULMONOLOGIST appointments has cause him to
usually sleep one day before and two day after just to be able to deal with the
appointment .He also stated. See below.Thanks.
Dear Matthew,
Your oversight of my COPD has cause a bit of a hiccup with is Glaucoma of which
the VA Ophthalmologist is completely oblivious.
Chief Complaint: Not applicable to call.Chief Complaint: Not applicable to call.Chief Complaint: Not applicable to call.
Identified problem: Counseling, unspecified.
Evaluation/Management Code: HC PRO PHONE CALL 21-30 MIN (98968).
Starting at: 06/13/2016 @ 6:25:13 AM
Ending at: 06/13/2016 @ 7:00:36 AM
Length: 35 minutes.
Author: CURTIS,SHERYL
SHERYL CURTIS RN/BSN
06/13/2016 07:18
Receipt Acknowledged By:
06/20/2016 10:08 MATTHEW CHAMPION
Pulmonary & Critical Care Fellow
07/17/2016 ADDENDUM STATUS: COMPLETED
fever is not a sign of copd, it is a sign of infection
she has had abnormal ct scan and needs pulomonolgy visit and has refused to go
she needs to go to ED for evaluation
Leslie E. STRICKLAND MD
WOMEN'S HEALTH PHYSICIAN
07/17/2016 19:29
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~``
Jul20’21 PRIMARY CARE PROVIDER
@ 1322
VA Roseburg Health Care System
By: FELDHOFF,WENDY
Appointment was conducted via Clinical Video Teleconferencing / VA
Video Connect (CVT/VVC)
GENERAL APPEARANCE: Well nourished, well groomed, in no acute distress
MENTAL STATUS: Alert, oriented, speech is fluent and appropriate
ASSESSMENT and PLAN:
1) eligibility--patient fixed and perseverating on need for primary care in
the community
------Original Message------------------------
Sent: 01/27/2021 03:28 PM
From: PARKISON, VICTOR A
To: **CalapooiaRiver_FeldhoffPrimCareEug RVAHCS
Subject: looking for Dr.'s thoughts on following new path
I've been mulling over Sarah's health history. I know that she has expressed
issues around panic attacks, digestive discomfort, stress and broken sleep
patterns since at least 2015 yet they've never made it on to any medical
'problems list'.
We work hard on eating 'right', she exercises and meditates, she has seen a
number of psyche practitioners and counselors and continues to look for ones
that are a good fit. I'm sure there's more we can do work on stress management.
Meanwhile, her body is paying the price for years of distress. Dr. Lonergan, of
Willamette Valley Cancer Institute, who diagnosed agent orange connected CLL,
told us that WBC (the cancer cells in particular) is directly affected by high
stress levels and indeed, when we charted numbers from many years worth of test
results, there is a clear pattern (stress spikes are almost always related to
interactions with the VA).
What I'd like to see at this point is deep look at the systems undermined by
chronic stress.
It has been suggested that we look at the adrenals. what other systems should
be focused on?
These are the persistent issues:
? Sleep problems? broken, short spurts
? Anxiety
? Depression? NOT suicidal
? Digestive problems ? frequent nausea and a consistent, specific belly
pain
? Weight loss
? Impaired concentration? both ways hyper-focused and unable to focus
thank you,
Karen Hill
Caregiver/spouse
BP down to 139/93/78 at 0630ish yesterday evening -10June-
continuing back down this am 126/76 P73
It usually takes a week to 10 daze to recover. 30ish to recover fully.
The VAInduced ANXIETY Stress Depression despair disgust has started to cost
Caretaker Karen Hill
money-making, Social Security making work daze.
She's quite fed up w MY obsession to get my care at the VA.
Nevertheless, my obsession is looking more like my 'Destiny . . . .'.
Welcome to it.
Must rest now.
more soon and thank you Dr Feldhoff
Sarah
CHERIE A FONSECA
06/17/2020 07:57
Receipt Acknowledged By:
06/22/2020 08:23 TARYN R MATTINGLY
01/29/2021 ADDENDUM
I am in complete agreement that stress can cause physiologic repercussions. And working on stress management and psychiatric care is an important component that will assist Ms. Parkison in improving.
Care through the cancer Institute and as needed through primary care will be provided.
Tracking impact of stress would be very difficult, however management of stress/anxiety will likely demonstrate
improvements in overall health.
As discussed prior, if stress is directly related with interactions with the VA system consideration of limiting stressors
could be beneficial.
I encourage Ms. Parkison to pursue what is best for her overall health. Please continue self-care and stress management, any referrals needed for supportive psychiatric/therapeutic care I am happy to assist.
by WENDY FELDHOFF, MD PRIMARY CARE PROVIDER
01/29/2021 06:16
=============================
Jan23’21 @ 1514
COMMUNITY CARE COORDINATION PLAN
Portland OR VAMC
By: SOARES,TRULENA L
Veteran self-presented to community emergency facility
Emergency Notification Intake
Date Presenting to the Facility: Jan 23,2021
Chief complaint:
DIZZINESS, FEVER, BLOOD PRESSURE SPIKE
01/25/2021 15:17
=============================
22 Jan 2021 @ 1759
SECURE MESSAGING
VA Roseburg Health Care System
By: SLATER,ALISA A
------Original Message------------------------
Sent: 01/22/2021 05:31 PM
From: PARKISON, VICTOR A
To: **CalapooiaRiver_FeldhoffPrimCareEug RVAHCS
Subject: feeling poorly fyi
correction, it was a bowel movement that was greenish & stinky. no to antibiotics, yes, i think, to urine culture (i wasn't allowed in and sarah's sick & deaf) those labs should be available to you, though i don't know that
timeframe
by ALISA A SLATER LPN
01/22/2021 14:59
Receipt Acknowledged By:
01/22/2021 15:21 byMARGO OTT RN
============================
------Original Message------------------------
Sent: 01/22/2021 05:02 PM
From: PARKISON, VICTOR A
To: **CalapooiaRiver_FeldhoffPrimCareEug RVAHCS
Subject: feeling poorly fyi
RN recommended Sarah go to ER (Legacy Health, Siverton) where she was treated for dehydration. they did a lot of tests. the rise in wbc was notable. she's keeping food down today. urine output is up, really stinky and greenish
by ALISA A SLATER LPN
01/22/2021 14:22
byWENDY FELDHOFF, MD PRIMARY CARE PROVIDER
=============================
------Original Message------------------------
Sent: 01/21/2021 12:58 PM
From: PARKISON, VICTOR A
To: **CalapooiaRiver_FeldhoffPrimCareEug RVAHCS
Subject: feeling poorly fyi
as of 7 am, Sarah hasn't eaten anything more than a cracker or 2 and had maybe
30 oz of water for 40 hours. she feels dizzy and has a low fever. she had pain
in her belly/abdomen yesterday but seems to have subsided this morning. she's
been resting but not really sleeping for 40 hrs. she hasn't taken
acetaminophen cuz she doesn't think she'll keep it down, though it looks like
the Levothyroxine with a full cup of water is staying put. i'll be checking her
BP in a little while.
9:45 am still dizzy/nauseous when upright, some sweats. still a low fever, she
has kept down a home-canned pear & 8 oz water. yesterdays bp was 148/78 60,
this am started at 144/81 58 and has come down to 133/78 57.
=============================
21 Jan 2021 @ 1201
TELEPHONE CONTACT NOTE
VA Roseburg Health Care System
By: OTT,MARGO
*** TELEPHONE CONTACT NOTE Has ADDENDA ***
CHIEF COMPLAINT/REASON FOR CALL:
abd pain, foul smelling Stool, dizziness
28 Feb 2020 @ 1840
Note Title: NURSE TELEHEALTH AFTER HOURS
By: NAUDASCHER,PAIGE A
Co- By: NAUDASCHER,PAIGE A
Type of call: DTN SYMPTOM.
Caller Response: OTHER
Comments:
Veteran called concerning severe SOB.
Triage recommended 911 VA ER. Veteran
refused to call 911. States "all they will do is hit me with albuterol, and
that shit makes me crazy." "I've bee miss diagnosed by so many doctors with asthma, COPD, MIA, and panic attacks." Further reports, "what I have is asbestos exposure!"
Veteran is smoking cannabis during the phone and takes frequent breaks to inhale/hold/exhale.
Reiterated to call 911, Veteran
continued to refuse. States "I just want to make sure this note gets put into
my chart!" This RN stated this note will be placed in his chart and forwarded to his PCP to view. Veteran ended the call.
Chief Complaint: Shortness Of Breath (wheezing)
Results
CC: Shortness Of Breath (wheezing)
Nurse Recommendation: Now, 911
TEDP Suggestion: Now, 911
Nurse Recommended Follow-up Location: Emergency department, VA
TEDP Suggested Follow-up Location: Emergency department, VA
Values and Measures
Pain scale: 3
Duration of CC: 1 Days
Positive Responses
HPI: dyspnea, severe
HPI: dyspnea, struggling to breathe
HPI: wheezing, within past hour
PMH: COPD
Negative Responses
Denies: PMH: asthma
Class Code: Other specified counseling.
Veteran Verbalizes Understanding
Patient/Caller disagrees with plan: Veteran refused to call 911.
Evaluation/Management Code: HC PRO PHONE CALL 21-30 MIN
Starting at: 2/28/2020 @ 6:40:34 PM
Ending at: 2/28/2020 @ 7:23:06 PM
Length: 42 minutes.
by PAIGE A NAUDASCHER BSN,RN
02/28/2020 19:25
Receipt Acknowledged By:
03/02/2020 08:00 byTODD QUIER
Physician
JUN 21`18,@05:13:40 NURSE - TELEHEALTH AFTER HOURS
JONES,RACHEL R
Caller Area: V20 648-PORTLAND
Caller Response: *OTHER
Comments:
Veteran is crying and upset that lab work which identifies the markers for MAI infection have yet to be ordered. Veteran reports this has been going on for a couple of years. Reports the stress of this causes his blood pressure to raise and he ends up in the ER due to this stress. Veteran reports he was told about the infection in 3/2016 by Dr. Matthew Champion.
Apr27`18
From: MATTINGLY, TARYN
Subject: General Inquiry
Ms. Parkison,
Good morning. You were correct, your thyroid levels are elevated.
Sailor Response: Not important that i am correct. You were wrong and you need to own it<
The provider has increased your dose by adding a day that you take the levothyroxine twice daily.
Sailor Response: There are no days that i , take the levothyroxine twice daily.<
Please start taking it twice daily on Monday, Wednesday, and Fridays.
Sailor Response: NO
Some apologies are in order Taren.
I expect you'll just blow this off as per typical VA Paradigm _Paradigm
n. A System of Systems_
We need you to take responsibility for your Data fumbling please
You owe White Bird an apology .
You owe me an apology.
This looks like a game to me.
This game raises blood pressure.
ReRN Taren” they did not order any labs.
If you could bring me paperwork that states they wanted you
to get that lab done "
They know and you know and i know that White Bird DID NOT ORDER those Labs
As i told you MAR 05, 2018 _ See below:
PDXVA Dr. Strictland did.
*** SECURE MESSAGING Has ADDENDA ***
*2 lies propagated outside the VA to a NON VA ER
dizzy & nauseous on & off since 1/19, sleeping a lot but in broken patterns.
bp 1/20: 150/72 62 & 148/78 60.
bp 1/21: 144/81 58 & 133/78 57.
1/19, 2 hr after video appointment w/ VA pc; began nausea,
extreme dizziness and appetite loss. no dinner. 1 very smelly
watery vomit when moving. sleepless night.
Sailor Note:
Lost count of sleepless hours at 96 hours.
It was probably another 10 sleepless hrs.
1/20 woke with nausea, sweating, low fever, dizzy, pee dark
and odorous, not keeping down food & little fluid. resting but
not sleeping, flatulent but no bowel movement. brain fog all day.
1/21 drank about 1 1/2 liter of water overnight & kept it down,
Started ‘practicing’ getting up at 3 am. First one resulted in dizzy
cold sweats, next one less dizzy, less sweat. 7 am, up with no
sweat, lightly dizzy. have kept canned pear and 6 oz of
squash soup down. temp consistantly 1-1 1/2 degrees above
norm which is 97.2. clearer mind today
Aug31 `17
RISK ASSESSMENT (DANGER TO SELF AND OTHERS):
Chronic suicidal thoughts
Dr Rodregieuz EugeneVAClinical Psychologist
Diagnosis and Justification:
Major Depressive Disorder- as evidenced by depressed mood most days,
little interest or pleasure, issues with sleep and appetite, and
chronic SI.
>SNIP< There may be issues
with moral injury. More information needed.
Jul21`16@ 0628
NURSE - TELEHEALTH AFTER HOURS
Aug23`17
Patient calling
Has just started Pharmaceutical
simultaneously experiencing
"serious stomach pains that radiate from under feft rib cage.
Then completely overwhelms my gut and disturbs my breathing and evokes a need
to vomit that never comes
Much more serious than usual.
knocked me down for 2 1/2 daze.
Patient Wondering if the problem is VA induced STRESS killing me
Comments:
Pt calling with some issues that he believes are "stress induced". He state he
is having "stomach pains that radiate left rib cage. Then completely
overwhelms my gut and disturbs my breathing".
Also,excess urination during the
night.
by SCOTTRINA D HILLARD
CALL CENTER MSA
Receipt Acknowledged By:
08/14/2017 09:33 byELIZABETH A ELDREDGE
RN, NCM
Sailor Note
Oh yes i did notice that the writer of this note translated
"the problem is VA induced STRESS killing me"
into "some issues".
Type of call: DTN SYMPTOM .
Facility Appointed PCP: STRICKLAND,LESLIE E
No Associate Provider Identified
Team: COMP *WH* WHITE
Chief Complaint: Chest Pain
System Concern: Heart Attack; Pulmonary Embolism
System Recommendation: Emergency
Nurse Recommendation: Emergency
Recommended Follow-up location: Emergency room, VA
Patient agreement: No
NURSE COMMENTS
Veteran calling stating that he is having cough, back/chest pain and coughing up "glue like sputum" He states he was at outside UC yesterday where he was given antibiotics for symptoms. He states this morning he woke "in cold sweat and temp was 98.7 and 99.1"
July 2016
Blowing out ribs Lower l side
Blowing them back in by coughing into a door jamb as i again collapse
VA Telenurse…we don’t do ribs
WhiteBird Nurse Text; “Get to ER NOW!”
07/21/2016 ADDENDUM
called Veteran
"has dislocated ribs from coughing"-i explained that we do not have good
treatment for this
RN advised Veteran to go to VA ER and he states "I will never set foot in that place again"
RN advised Veteran that I will ask the clinic to call for follow
up, he stated thank you and proceeded to end phone call.
Risk education provided. If pt delays or does not seek care, they could have irreversible damage, loss of function, or potential for death.
POSITIVE RESPONSES
+ HPI: chest pain, crushing quality
+ HPI: chest pain, duration longer than 10 minutes
+ HPI: discomfort, neck or jaw or shoulder or armPain level: 10
I told Sara that i could not do much over the phone and i did not know what to do to help her because she has a lung infection/mucous in her lungs as seen on CT scan and this needs evaluation by a pulmonologist and cannot be treated in UC with typical abx for typical duration.
i told them i am leaving the VA and i asked if could put in another consult to pulmonology
Sarah reiterated she will not see VA pulmonology, Sarah's partner confirmed this and they will be taking care of the issue outside the VA, they will not go to the VA ED
As per the last encounter w Pulmonary, i have now nearly 7 years of, "WE aren't the least bit interested in what's coming out of her lungs".
No where have i found it noted that Veteran consistently states that, "CDC and all Asbestos Forms & other participants in my healing seem to agree that, given my history and Symptoms, it's hard to see how i wouldn't be experiencing Asbestosis"
No where have i found it noted that Veteran "request exam and advice re Sputum".
HISTORY: transgender male to female, hx UTI
03/11/2022 ADDENDUM
CORRECTION: Hx of UTI's is retracted and should read, ***Hx of urinary
incontinence. Please disregard, (hx of UTI's).
Assessment: Veteran states she has L side(just under the rib area)pain, nausea,
dizziness, denies diarrhea or bloody/black stool. C/o foul smelling urine, low
grade fever, fatigue, no appetite. Last BM, soft but normal, this a.m.
PLAN:Veteran agrees to go to a local urgent care today, states she will go to
Legacy in Silverton. She is given the VHA # to call to report ER/urgent care
visits within 72 hrs. Will f/u with PCP if needed.
07 Sep 2021 @ 1300
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
26MAY15 ADDENDUM
". . . .He states this confirmers his feeling of abandonment because he is not
being treated for his inability to sleep at night.
Veteran wanted to debate about not being treated for his not sleeping
at night which he states has been going on for four years.
He does not wish to address his urinary frequency. Veteran was made
aware he needs to decide what he wants to do able his care. The conversation
was ended."
Customer Parkison here.
Subject:
"states has been going on for four years"
"The conversation was ended."
Oh how i wish it had.
But no.
No it hasn't has it Mr Webber.
There it was again yesterday.
An emergency appt w Legacy Silverton.
Re: A back fulla, "Raised Welts".
$ $ $ $$ $$$ $
Yes the Urologist and Assistant Did Sexually Violate.
They and I were the only ones in the room.
the person who wrote the Report was not in the room .
The Diagnosis are Wrong>
IC Request R3
The Diagnosises
Painful Urination and Incontance
are Wrong.
I have never had them.
as were the Prescriptions.
Never needed them.
Never took them.
FEB 28, 2020@19:25:46
AUTHOR: NAUDASCHER,PAIGE A
Receipt Acknowledged By:
03/02/2020 08:00 TODD QUIER
Physician
Comments:
Veteran called concerning severe SOB.
Correction Fri 1136 19June22 by Customer Veteran
Customer called concerning the series of Calipoia PACT induced Panic Attacks
that began with a call from Calapoia PACT Nov 14 2018.
The previous night i had awoken into one.
My throat closes off.
i can't inhale or swallow.
IT"S FRIGHTENING
They seem to be happening when i'm trying to ignore that i'm wasting my breath
and Squandering Tax$.
There's more, but i can feel that recalling the incident is spiking BP.
End Customer Correction
Triage recommended 911 VA ER.
Veteran refused to call 911.
Correction Fri 1136 19June22 by Customer
Customer advised for the gazillionth time since 2013,
"No one i know would take me. All would dis-allow it.
Both VA ERs are ore then an hour away.
I will work this Panic Atack back out as i've done soooo many times.
End Customer Correction
States "all they will do is hit me with albuterol, and that shit makes me
crazy."
"I've bee miss diagnosed by so many doctors with asthma, COPD, MIA, and panic
attacks." Further reports, "what I have is asbestos exposure!" <<<WRONG =
"Difficult Historian" enlarge to see
Veteran is smoking cannabis during the phone and takes
frequent breaks to inhale/hold/exhale.
Suggestion Fri 1136 19June22 by Customer
Purrrhaps this is a good time to listen to that "Recording for Educational
Any of my Counselors or Caretaker might think it sounded a lot like they all
advise some version of; Inhale DEEP, Hold for 7 Second sloooow exhale.
End Customer Suggestion
Reiterated to call 911, Veteran
continued to refuse. States "I just want to make sure this note gets put in
to
my chart!" This RN stated this note will be placed in his chart and forwarded
to his PCP to view. Veteran ended the call.
Chief Complaint: Shortness Of Breath (wheezing)
Triage Note
Phone Triage
Fri Feb 28 2020 21:46:00 GMT-0500 (Eastern Standard Time)
Results
CC: Shortness Of Breath (wheezing)
Nurse Recommendation: Now, 911
TEDP Suggestion: Now, 911
Nurse Recommended Follow-up Emergency department, VA
TEDP Suggested Follow-up Emergency department, VA
Values and Measures
Pain scale: 3
Duration of CC: 1 Days
Positive Responses
HPI: dyspnea, severe
HPI: dyspnea, struggling to breathe
HPI: wheezing, within past hour
PMH: COPD
Negative Responses
Denies: PMH: asthma
Length: 42 minutes.
Author: NAUDASCHER,PAIGE A BSN,R
02/28/2020 19:25
KIMBERLY GILL
Social Worker
11/09/2018 16:32
Veteran stated that she told RN that she never wanted her to contact her again
previously and finds this situation stressful.
Veteran stated that she feels RN lied regarding contact with White Bird and
previous records.
Veteran declined change in PACT at this time however noted that this is
available.
Veteran reported that her lung infection "is gone... glaucoma is gone...
asbestos
is gone... " Veteran noted "I am so freaking [physically] healthy." Veteran
stated that she will continuing to work on "suicide season" however does not
feel that
At Eugene HCC
David Strain stated that I agreed to take any VA Prescribed Medication.
Nope, I did NOT, would NOT, and Won't accept any VA Prescribed Medication
unless approved by those to whom
We Pay Outta Pocket for our Medication Management.
We DO continue appreciate the Supplies & Meds provided by VA Pharmacy;
Headgear and Scriptts such the VitD, -currently on hold due to Labs-
I would expect that to change as Vegie Varieties die off to Winter.
22 Jan 2021 @ 1722
Note Title: SECURE MESSAGING
VA Roseburg Health Care System
By: SLATER,ALISA A
v vvv
Problem: Cough (SCT 49727002)
Entered: 06 Apr 2016 @ 1200
Portland OR VAMC
Status: ACTIVE
Provider: STRICKLAND,LESLIE E
Comments: cannot tolerate tiotropium
normal spirometry 3/2015, 3/2016 see pulm econsult
$ ^ $ ^$ ^$
The "Lower urinary tract symptoms" are still and always have been cover-up of
the oft Reported Sexual Violation.
Receipt Acknowledged By:
06/08/2020 09:15 WENDY FELDHOFF, MD
PRIMARY CARE PROVIDER
06/08/2020 ADDENDUM STATUS: COMPLETED
Received this note 6/8/2020, seems that it was not sent until 6/7/2020 2311.
I spoke to this pt on the phone last week, and offered a PCP visit,
she not seen our group for over 2 years
Correction Fri 1136 19June22 by Customer
Reviewing my MR backwards 2 years from:
>$ TODD QUIER
>Physician>
>"Jan/31/2020 ADDENDUM STATUS: COMPLETED
>Unfortunately, he is not empanelled with the VA clinic and he has not been
>fee'ed out to an outside clinic in two years."
Word Search of this Medical Record finds
NONVA Note 14 times
"Chief Complaint: Not applicable to call" 72 times
"Soul Sickness" 20
"^ ^ ^ ^ ^ ^ ^ ^" found in Problem List ZERO TIMES
"Insomnia" 57
"^ ^ ^ ^ ^ ^" found in Problem List ZERO TIMES
SLEEP 123
"VA Induced SLEEP Problems ZERO TIMES
"VA Induced Stress" 20
"^ ^ ^ ^ ^ ^ ^ ^ ^" found in Problem List ZERO TIMES
VA Induced"Moral Injury" 28
^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ found in Problem List ZERO TIMES
"Chief Complaint: Not applicable to call" 72 times
VA clinic Electronic Signatures "" 350 times
^^^^^^"AWAITING SIGNATURE" 8 times
^^^^^^"STATUS: COMPLETED" 231 times
^^^^^^"Care Manager" Mattingly,Taryn R 28
^^^^^^"Calls to call Center 150+" 150+
^^^^^^"Lynda Mayson " 59
^^^^^^" "Provider" Starke,Susan S " 15
^^^^^^"Daud_Primary Care " 62
^^^^^^"Calapooia " 82
^^^^^^"records 69"
^^^^^^"Suicide Season " 50
Inactivated by inactivating problem. "Soul sickness" 1
Date Inactivated: 12/08/2017 (by RODRIGUEZ,STEPHANIE R)
INACTIVATED GOAL: "Find peace, come home."
Comments:
04/25/2018
SUSAN S STARKE, NURSE PRACTITIONER
TSH was 4.8, 0.6 above normal range. >SNIP<
It seems that increasing to 0.33 would be too rapid an increase for this veteran who is very sensative to medications.
Will increase to 0.025Mg daily with two tablets Monday Wednesday and Friday and re-check in 6 weeks.
04/27/2018 10:05 Receipt Acknowledged
By: TARYN R MATTINGLY
Sent: 04/27/2018 01:10 PM
From: MATTINGLY, TARYN
Ms. Parkison, {Sailor}
Good morning. You were correct, your thyroid levels are elevated. The provider has increased your dose by adding a day that you take the
levothyroxine twice daily. Please start taking it twice daily
on Monday, Wednesday, and Fridays.
Sailor NOTE: Not important that i am correct.
You were wrong and you need to own it .
*The provider has increased your dose by adding a day that you take the
levothyroxine twice daily.*
Sailor NOTE:
There are no days that i , take the levothyroxine twice
daily.
*Please start taking it twice daily on Monday, Wednesday, and Fridays.*
Sailor NOTE: NO
08/01/2017 10:32
- Veteran agrees to take medications as prescribed and >SNIP<
DAVID STRAIN, LCSW
Social worker Supervisor
02/29/2016 08:07 /es/ Leslie E. STRICKLAND
I'm so glad your sleep is improved, that is great, i will hold off on the
sleep referral but please let me know anytime you want to or need to proceed.
(please don't worry about tax$, the benefit of the sleep clinic and good
treatment is cost saving in the long run and you are worth it, deserve it, and
earned it)
2. Regarding the decrease in night time urination, I'm not sure the reason for
the improvement, it may be the herbs of course but I'm sure you are right that
stress/improvement in stress can play a role.
3. Regarding the cough, the question to suppress is a good one, suppressing
controlling the cough to the extent that it can improve your quality of life
should be balanced with the need to get moisture out of the lungs, so continue
what you are doing in that regard.
VA Pulmonology got it wrong and squandered massive Tax$$$
Dr Strictland got it right and they ran her out!
White Bird Dr. Leigh -a VA doctor before' they ran HER out-
got it right
Calapooia Team continues to be intentionally oblivious ><
26MAY15 ADDENDUM STATUS: COMPLETED
pt refused next available. she states she will be seeing her naturopath on 5/28
and will not be seeing pulmonologist unless they state that they have miss dx
asbestosis for the past 6 years.
Sara very concerned that "the letter that she wrote to Dr. Obley" is not in her
chart and that none of her concerns have been addressed.
Per pt wife, Sara was on the phone to the suicide hotline this am and was hung-
up on a couple times. When NCM asked pt if she had thoughts of hurting herself
she denied, she only stated that she gets very frustrated when she feels like
she is getting the run around from the VA.
NURSE COMMENTS
Veteran called this morning c/o having to get up during the night 4-5 times a
night to dribble urine. He states he discussed it with his PCP who suggested
that he stop drinking water at least two hours before going to bed. He is not
sleeping at night very well. He states he has been researching this and he has
learned that he has sleep deprivation.
Veteran was made aware of the need to be evaluated by his physican in the next
1-2 weeks. He states he has already been seen by his doctors and the
recommendation is that he stop drinking fluids before bedtime. He states this
confirmers his feeling of abandonment because he is not being treated for his
inability to sleep at night. Veteran wanted to debate about not being treated
for his not sleeping at night which he states has been going on for four
years. He does not wish to address his urinary frequency. Veteran was made
aware he needs to decide what he wants to do able his care. The conversation
was ended.
Follow up narrative:
Phone call to Veteran. She describes considerable distress over being
misdiagnosed only by the VA of asbestosis, which reportedly has been diagnosed
by outside providers. She feels the VA has been dismissive of pertinent
information that she's offered, including supporting documentation from outside
providers to substantiate her diagnosis. She also feels that VA providers have
misattributed her asbestosis symptoms and concerns to other ailments.
21Dec15 05:33 he is having insomnia related to things not being
handled properly. ><Snip by patient
Chief Complaint: Not applicable to call.
Identified problem: Counseling, unspecified.
From
MATTINGLY, TARYN (**CalapooiaRiver SUSAN S STARKE, NP_Primary Care_Eug RVAHCS)
27 Apr 2018 @ 13:10 ET
"I have requested records from White Bird concerning the,
per the notes of your last visit they did not order any labs.
If you could bring me paperwork that states they wanted you
to get that lab done I will be able to enter it.
Sarah here,
Concerning the what Taren?
Are you TRYING to provoke a suicide.
or is this just what is to be expected.
You just may pull it off. Year 50 here, since i stupidly Volunteered for Viet
Nam War Crimes.
As per Silverton ER, i have not inherited my Dad's Heart Valve Problem, so the
Hypertension you
paradigmicly produce -in the 145/97 to 176/107 range- is likely not gonna take
me.
Likely there is more unforeseen aspects of VASIADDH that i've not yet
discovered.
_VA Induced ANXIETY Depression Despair Hypertension_
The Despair has proven to be much more manageable than the ANXIETY side of
Depression.
Now i expect you to screw up so there just is no anxiety to it.
Some apologies are in order Taren.
I expect you'll just blow this off as per typical VA Paradigm _Paradigm
n. A System of Systems_
We need you to take responsibility for your Data fumbling please
You owe White Bird an apology .
You owe me an apology.
This looks like a game to me.
This game raises blood pressure.
" they did not order any labs.
If you could bring me paperwork that states they wanted you
to get that lab done "
They know and you know and i know that White Bird DID NOT ORDER those Labs
As i told you MAR 05, 2018 _ See below:
PDXVA Dr. Strictland did.
VA Victims 