Its about the commuting of Chelsea Mannings sentence. To put it simply, chronic stress (and other negative emotions like anger, anxiety and sadness) can trigger symptoms and full-blown disease in your gut. How would you like one of them to blow their brains out at your front door just to make the point? Ex va And one the VAs favorite med for leg cramps or tingling is Gabapentin [Neurontin]. Did you hear about the snowflake that started a fire near Trump Towers and burned himself a little bit then claimed he was trying to light himself on fire. visit VeteransCrisisLine.net for more resources. Veterans Crisis Line: Truvia has other types of sugars in their product. Lem fill me in Brother. They arent informed enough. Each veterans case and situation is unique, and would require some thought and planning when deciding which direction to go. More than half of individuals with hypertension experience it, which causes sleep deprivation. Orthe VA knows *exactly* what they are doing when agitating Veterans, always trying to push the threshold with, as Dennis rightly says,while VA police swarm around their hive like warrior drones escorting the sick and elderly against their will, but the VA is more concerned about the welfare of their employees, thats why a VA Medical Assistant that kills a Veteran via blunt force in his hospital bed receives paid time off for the *stress* and *recovery*that VA Medical Assistant has now had -2- years PAID LEAVE while awaiting his 7th attempt to dodge the State of LA prosecuting his ass for murder-2- years PAID LEAVE. In order to be eligible for this presumption, the veteran needs to have served in one of the following: If the veteran has a diagnosis of hypertension and served an above-listed location and time period, they should be eligible for presumptive service connection. Department of Defense Clinical Practice Guideline: The Diagnosis and Management of Hypertension in the Primary Care Setting. VA assigns this rating based on the severity of your condition. Evidence supporting this recommendation was considered moderate-quality for treating hypertension in older adults. If they want to label me a being a bitchy Veteran, I can live with that. 2001!!!!!!! Vitamin D and B, as well as testosterone, are key to mental stability, and ultimately overall health. (the way the class action on agent orange reached through the military to the chemical companies.). I agree wholeheartedly nam, and I think it would be very clear on any results of the VA or anyone else actually formally studied this. thatd be too easylet the bastard suffer. 2022 Aug 25;187(9-10):e1091-e1102. I have been getting angry at some of the posts here, so I need to stay away for a while. And research suggests melatonin, an important mediator of brain gut axis, has been shown to exhibit important protective effects against stress-induced lesions in the gastrointestinal tract.iv. Prepare for the VAs unusual definition of hypertension. It also works for temporal lobe seizures for some. Furthermore, as to case summaries, reports of past results, individual lawyer biographies, news posts and other information pertaining to past and present cases, these descriptions are meant only to provide information to the public about the activities and experience of our law firm. Because I know too much about them! Recently, the Honoring Our PACT Act extended presumptive service connection to veterans who developed hypertension as a result of Agent Orange exposure. Interestingly, these two organs are actually created out of the same type of tissue. Complications like AAA blow outs, stokes, aneurysms. Veterans with hypertension can be assigned ratings ranging from 0 percent to 60 percent. Research published in 2011 also demonstrated that probiotics have a direct effect on brain chemistry under normal conditions in such a way that can impact your feelings of anxiety or depression. It happened to me with Tegretol and I was punished by not being medicated after I stopped taking Tegretol. All Veterans should be treated better than we. Bookshelf Shakiness or tremors Recent loss of interest in sex Weight loss or gain Always 321 200+/100+. It measures the pressure when the heart fills with blood. (Grade: weak recommendation, moderate-quality evidence). I also believe certain trolls come on here to purposefully agitate PTSD Veterans with their politically correct policing. Benjamin Krause is a lawyer, investigative reporter and award-winning veterans advocate. Presumptive service connection is a form of service connection for veterans whose condition was more likely than not caused by service. They do not store directly personal information, but are based on uniquely identifying your browser and internet device. Using the Primary Care Equity Dashboard to Support a Novel Patient Outreach Program to Improve Hypertension & Racial Disparities in Primary Care, Key Considerations and Lessons Learned in Developing an Implementation Field Guide, Cancer Survivorship & Cardiovascular Disease, Development of a Bundled Post-Stroke Hypertension Improvement Intervention, Using Veterans Stories to Promote Health Equity and Reduce Disparities, Continuing the Conversation: A Multi-site RCT Using Narrative Communication to Support, Factors and Outcomes Associated with Inappropriate Prescribing of Phosphodiesterase-5-Inhibitors for Pulmonary, Aligning Transitions of Care for Post-Stroke Patients with, Randomized Trial of Titrated Disease Management for Patients with, Visit the Veterans Health Library for patient-focused, Visit the VA Office of Research & Developments. Thanks for being supportive, who knows, maybe others here will read about vitamin D and B deficiencies and get on the path to health. Hypertension, or high blood pressure, is when the force of blood flowing through your arteries is too strong. And how it will be illegal to sell, trade or barter it once the law is put into effect! The guideline panel developed key questions in collaboration with the ECRI Institute, which systematically searched and evaluated the literature from 15 December 2013 to 25 March 2019 and developed and rated recommendations by using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) system. While many other health conditions, like diabetes mellitus type II and prostate cancer, have long had presumptive condition status, this represents a major victory in a long history of working to see high blood pressure added to this Agent Orange list for Vietnam War vets, thus allowing them access to certain VA benefits. To enter and activate the submenu links, hit the down arrow. The VA is firmly stuck on following FDA guidelines on all modalities of treatment. Your attorney can be on the bar in the state. As researchers stated, probiotics may profoundly affect the brain-gut interactions (microbiome-gut-brain axis) and attenuate the development of stress-induced disorders in both the upper and lower gastrointestinal tract.iii Some states limit to $250,000. MeSH They may be used by those companies to build a profile of your interests and show you relevant advertisements on other websites. For example, this updated VA/DoD guideline recommends using particular blood pressure thresholds for initiating pharmacologic therapy Like Namnibor points out WebMD is a good site for starters. To understand why this is the case, read on. IamAlien.com via Fox News posted 18 Jan. 2017. Decreased enzymatic output in your gut as much as 20,000-fold! Makes a lot sense these posts. By using our website, you agree to the use of certain cookies. Suppose you have high blood pressure related to your military service or in connection with another service-related condition. The greaterbenefitwas for patients with higher mean SBP at baseline (>160 mm Hg). Posted, 18 Jan. 2017 Which is exactly what yall have described. But, were talking half pills/doses here. No cost too that is great. CA has better results (being more liberal) for veterans. I am fighting major RX side effects and three of my meds are known for inducing weight gain. This is why we need private care if we so choose. It is not known exactly how gabapentin works to treat restless legs syndrome. Utter nonsense. Would an 1151 claim benefit me, or would I just be wasting my own time? While under stress, your heart rate can go up, your blood pressure may rise, and blood is shunted away from your midsection, going to your arms, legs, and head for quick thinking, fighting, or fleeing. The upside of the tort is that you receive a one-time payment. The VA uses the following criteria to rate hypertension: Seems to have worked a little here. Your high blood pressure is severe if its more than 180/120. Rumination (frequent talking or brooding about stressful situations), Crying Overwhelming sense of tension or pressure Trouble relaxing / Nervousness Getting Veterans (VA) Disability for Orthopedic Injuries, Getting Veterans (VA) Disability for Artery & Vein Conditions, Getting Veterans (VA) Disability for Sleep Apnea, This website adheres to the W3Cs AA Accessibility guidelines. I take it once a week. Why Hire CCK for Your VA Disability Appeal? Risk increases in a log-linear fashion. When a person has kidney disease, the kidneys stop removing waste and extra fluid from the blood. (unless that has changed since the gulf war when my son was medically discharged). The .gov means it's official. Also on pubmed you can query your doctors name by using his last name first and then his first initial to find out what kind of research he or she has been involved with. When considering a rating, the VA typically looks at the condition and its symptoms at the time of application for disability benefits. In January 2020, the U.S. Department of Veterans Affairs (VA) and the U.S. Department of Defense (DoD) approved a joint clinical practice guideline for the diagnosis and management of hypertension in the primary care setting. Dietician nutritionist, nurse, nurse practitioner, physician, physician assistant, hypertension, high blood pressure, drug management. FYI: I might go through one monthly scrip of each per year. The salt intake is what really raised his blood pressure. Poor Snowflakes. Posted Jan. 18, 2017 while using this site. In some cases they list all the locations where the studies are ongoing and the researchers name. I may do that to see if I can go there. Corpsman up probably has some idea of what Danang, Cua Viet, Marble Mountain, Monkey Mountain, Ten Sha, Phu Bai, Dong Ha mean. Description: In January 2020, the U.S. Department of Veterans Affairs (VA) and the U.S. Department of Defense (DoD) approved a joint clinical practice guideline for the diagnosis and management of hypertension in the primary care setting. It drives some to suicide. It also helped that I have pretty much always been (not to much these days with health crap) a walking brick wall corn fed farm boy that for many years in service pumped weights responsibly, learned Kinesiology, and about supplements, and also used to swim a mile with a kick board every other day in lieu of squatsthose guys that used to laugh at me now bemoan doing squats as all their joints are screwed-up and the VA even made a few much worse with their *tinkering*. You also can use a Disability Benefits Questionnaire to help your claim. Heres something I find interesting; did yall know the Federal Government has a patent on medical marijuana? Stress can make the existing pain seem even worse. Interestingly, the connection works both ways, meaning that while stress can cause gut problems, gut problems can also wreak havoc on your emotions. Among mencancer the effect of treatment on hypertension, diabetes, post-traumatic stress, diabetes mellitus, heart failure, hypertension, and chronic obstructive pulmonaryroutine management to patients with hypertension or diabetes, for example. Gout is common in veterans. Stockand JD, Mironova EV, Xiang H, Soares AG, Contreras J, McCormick JA, Gurley SB, Pao AC. Founder of DisabledVeterans.org, a VA watchdog news source that holds the Dept. As far as the VA, they are totally untouched by science or facts, and will kill you with their collective ignorance. These two systems are connected via the vagus nerve, the tenth cranial nerve that runs from your brain stem down to your abdomen. Assist in managing or co-managing patients with HTN. The https:// ensures that you're connecting to the official website and that any information you provide is encrypted and sent securely. RELATED: Veteran Stroke Exposes Blame Game Between University Surgeons And Minneapolis VA Medical Center. official website and that any information you provide is encrypted Lactobacillus is all the VA gave me for my microflora. VAOIG Report No. Sico JJ, Macedo F, Lewis J, Spevak C, Vogsland R, Ford A, Skop K, Sall J. Mil Med. ), Other medical conditions like diabetes, tumors, sleep apnea, and thyroid conditions, Eating unhealthy foods that are high in sodium, Excessive consumption of alcohol or caffeine. Global estimates rank hypertension as the leading risk factor for mortality. Your are right you bleeding heart liberal bully. People with hypertension may worry about their physical health, causing anxiety. Sign up for our weekly email newsletter to stay updated on VA news, policy changes, and more. Since that time, we have provided compassionate Its been really hectic for me the past year, literally. @91Veteran I contacted Meda Pharmaceuticals about Carisoprodol [Soma] and they were very polite, as well at to not seeing why the VA wouldnt prescribe Soma to me even knowing that I was taking it before. Empty your bladder. For instance, the probiotic known as Bifidobacterium longum NCC3001 has been shown to normalize anxiety-like behavior in mice with infectious colitis.i. Seems all the main stream media is covering the story. What conditions are secondary to hypertension? Elderly veterans may want to consider this option or veterans with severe injuries only compensable through large settlement. After all your trolling of everybodys posts yesterday, we all know that you are nothing but a full fledged snowflake. That is my whole point. The VA/DoD Evidence-Based Practice Work Group convened a joint VA/DoD guideline development effort that included a multidisciplinary panel of practicing clinician stakeholders and conformed to the Institute of Medicine's tenets for trustworthy clinical practice guidelines. You are made to go and get blood work, wait for it, meet your doctor, get some scripts, at least 8 hours for a typical trip. If youve been denied a VA hypertension diagnosis in the past on this basis, you can consider filing for a supplemental claim with the evidence outlined above. I feel Ill be better off in Wyoming because as stated by an attorney I consulted in 1989 in CA the 9th Court of Appeals wont give a veteran shit. Wyoming, where I live has no cap and though very conservative politically overall very liberal in some areas. Basically, if you find a Purple Heart, (at a pawn shop, flea market, etc.) 3. Just as Slick Willie did for that asswipe Mark Rich the morning he left office. I dont drive. How Does Agent Orange Cause High Blood Pressure? It also links pages of information on each of the studies. send it to the Purple Heart Society! The veterans advocates at Chisholm Chisholm & Kilpatrick LTD can help. Titled; The medical center had to be made to stand down on surgeries. Say that 5 times. 1. _____________________________________________________________, Facebook Twitter LinkedIn Email Print Congress called out the VA last night over a questionable, surreptitious VA recording program, Read More Congress Calls Out Questionable VA Recording ProgramContinue, Facebook Twitter LinkedIn Email Print I will give you a hint. Problem is my VA attorney is not admitted to the Bar in Wyoming and I havent found an attorney to take the case so will have to go pro se. Lisinopril, gives you the cough. Implementation of evidence-based clinical practice guidelines is one strategy VHA has embraced to improve care by reducing variation in practice and systematizing best practices. Gabapentin relieves the pain of PHN by changing the way the body senses pain. Something like 37!?!?! government site. My blood pressure for years going to the VA was always high twice with machine, then they would take it without machine and it was ok. Thats because anxiety, or extreme stress and worry outside a persons control, increases a persons heart rate and can increase blood pressure. To receive a grant of veterans (VA) disability for hypertension, you must establish that it resulted from an in-service event, injury, or illness. Mine is filed in Wyoming and asking for 500,000 each for me and my wife because of the relegation to poverty for 40 years of untreated temporal lobe seizures finally diagnosed in August of 2015. If your budget is hindered, like mine because everyones health costs are different, for nutritional value honey would be a good alternative. Thanks, namnibor. Prepare for the VA's unusual definition of hypertension. Ann Intern Med. @Crazy elf- [If anyone knows of holistic or natural ways of beating high blood pressure, please let me know]. November 23, 2021 What is Hypertension? Thank you, If you do not allow these cookies, you will experience less targeted advertising. If you are granted service connection, you will receive a rating from 0 to 100 percent (in 10-percent increments). The Center directors are national and international leaders in the field of evidence synthesis with close links to the AHRQ Evidence-based Practice Centers.. (39:27 minutes long), Trucker Discredits Group to be Demand Protest Northwest Florida Daily News, Ft. Walton Beach | by Jennie McKean. The readings must be 160/90 or higher for hypertension. At home and other places i go to No blood pressure issues. I know it is more expensive going the natural approach. Skeptical about Clinical Trials and Big Pharma withholding their data. I do have an advanced education and several degrees that support my statements. VA presumes service connection for hypertensionifyou received a diagnosis within one year of your release from active duty. Providers refer to these downstream effects as sequelae. And because these changes often happen without obvious symptoms, hypertension has developed a reputation as a silent killer., Between 1962 to 1971, Agent Orange was developed by the Army Chemical Corps and used as a tactical herbicide to make war operations easier and reduce opportunities for enemies to hide behind foliage. Want to fight it out. Not sure when heart attack began, but an hour after I got home I was in an ambulance. Within VA, research into hypertension can include medication safety, non-pharmacologic interventions, care delivery, and care access for Veterans. The botched surgeries at Marion VA medical center, marion, illinois which they believe led to over 20 deaths. Gaffey AE, Rosman L, Sico JJ, Haskell SG, Brandt CA, Bathulapalli H, Han L, Dziura J, Skanderson M, Burg MM. The Harvard HealthBeat has compiled a useful list of physical, behavioral and emotional symptoms of stress. I did cut out some processed foods already. Keeping your health up to par when you hit the 50 + mark, can be taxing on your budget. How The VA Rates Hypertension. No cost. They are based on the best available evidence at the date of publication, and are intended to provide a general guide to best practices. He is author of the guideVoc Rehab Survival Guide for Veterans and chief editor of DisabledVeterans.org. Epub 2020 Feb 18. So, in my opinion, there is no real knowing of the ingredients. Examine your medications before taking vitamin D supplements. We are sorry that this post was not as useful for you! 1 Uncontrolled blood pressure (BP) is a risk factor for cardiovascular and cerebrovascular diseases and persons of African ancestry are disproportionately affected by hypertension compared to other ethnic groups. Its all about eliminating salty and sugar foods from your eating habits. 1/2 pill/day. Do your research, and if you look you can find D3 and K2 togetherand gel caps are best for absorbing/breaking down. These cookies allow the website to remember choices you make to give you better functionality and preferences such as text size, fonts and other customizable website elements. Thats if they are around to help the Veteran in need. Heres something that came out late yesterday. One less Veteran to deal with I guess. "ACP and AAFP recommend that clinicians initiate treatment in adults aged 60 years or older with systolic blood pressure persistently at or above 150 mm Hg to achieve a target systolic blood. I havent thought of filing a tort claim and i am now considering this idea. This rule is in place to ensure that a diagnosis of hypertension is not based solely on readings taken on a single, perhaps unrepresentative, day.. treatment visits. Disability makes one poorer. Does anyone else see the massive disconnect here? Cookies help us deliver the best experience on our website. All information these cookies collect is aggregated and therefore anonymous. Could you still obtain a monetary award against the government? 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular . The VA should automatically prescribe probiotics when ever they give pain medications to Veterans. Likely you were enrolled in a study without your knowledge. AL amyloidosis; Chloracne (or other types of acneiform disease like it) Note: Under our rating regulations, this condition must be at least 10% disabling within 1 year of herbicide exposure. I didnt know about the cardio system with processed foods. I am totally with you on this one. DOES THE VETERAN'S HYPERTENSION OR ISOLATED SYSTOLIC HYPERTENSION IMPACT HIS OR HER ABILITY TO WORK? Work in progress. Try to get the muscle relaxer called Soma [Carisoprodol]. However, Benign Prostatic Hyperplasia (BPH) Management in Primary Care Screening and Therapy, coronary disease and hyperlipidemia; hypertension; and type 2 diabetes. Who makes it? @Vic and @Ex va I concur with @Vic s post. have hearing loss, Management of First-Episode Psychosis and Schizophrenia (2023). Im waiting because of the delay in my FOIA requests. Benefits are experienced by affected adults irrespective of whether they have diabetes. Sleeping in complete darkness: This is necessary for proper production of the hormone melatonin. The VA supports big pharma while Veterans pay and suffer the consequences of side effects whether they be permanent or not. Dont forget that its even better to take vitamin D with a calcium supplement and take it with food to be better absorbed. You cant help being a schoolyard bully, can you? Credentialing and priveledging was a big part of this tragedy. Then you will find out more on possible Adverse effects. Houston, TX: 2925 Richmond Ave, 12th Floor, Houston, TX 77098 Forget negotiating with these assholes. My wife is checking on them now! Ive only been trolling trolls who call other veterans names like snowflake. Connected), and by learning I had to commandeer my treatment and options, I was educated by this Dr., a non-profit social agency at that time in my life also helped in educating me, but also my own determined research. Diabetes mellitus type 2; High blood pressure (hypertension) Hypothyroidism I hope to try to change somethings to feel better. The PACT Act will bring these changes: Expands and extends eligibility for VA health care for Veterans with toxic exposures and Veterans of the Vietnam, Gulf War, and post-9/11 eras Adds 20+ more presumptive conditions for burn pits, Agent Orange, and other toxic exposures Adds more presumptive-exposure locations for Agent Orange and radiation Feel free to call us at (866) 232-5777 anytime. eCollection 2021 Oct. 2015 Aug 18;163(4):291-7. doi: 10.7326/M15-0840. This synopsis summarizes key features of the guideline in several key areas: the measurement of blood pressure, the definition of hypertension, target treatment goals, and nonpharmacologic and pharmacologic treatment of essential and resistant hypertension. That clinicaltrials dot gov is particularly useful. While the reason why the dioxin chemical in AO causes high blood pressure hasnt been proven, it is theorized to be a result of the dioxin binding with a specific type of receptor (aryl hydrocarbon receptor) commonly found in blood vessels. P.S. If you received your diagnosis after the one-year mark, then the burden is on the veteran to prove service connection. The connection between the two can work the opposite way as well. Its always high when I go to the VA. As soon as I leave, it drops down to about 130+/- 10 over 90+/- 10! Hypertension, or high blood pressure, is common among veterans due to combat exposure and service-related injuries. But have had problems posting today myself. Avoiding frying as much as possible. Veterans who are presumed to have been exposed to Agent Orange are those who served in: The VA also acknowledges that Agent Orange was stored in other places. 4 15:17 Hypertension and Erectile Dysfunction Ratings: Special Monthly . I was the one that had to inform all my doctors that my testosterone and vitamin D were both in the toilet. Call us today to set up your free consultation at 800-544-9144. If you experience high blood pressure that you think connects to your military service, either on its own or secondarily, you deserve VA disability compensation. Background . Thanks Brother. These cookies are also used to let affiliates know if you came to one of our websites from an affiliate and if your visit resulted in the use or purchase of a product or service from us, including details of the product or service purchased. When I visit the VA or even when I talk about the VA my blood pressure increases. also if your life has been shortened you would benefit by getting cash for your families suffering caused by your suffering and getting the award for the years lost for your family. I took it for 3 days and I was getting BP readings at home of around 85/55 and discontinued it. Brilliant. @Crazy elf I get the same way. The new hypertension guidelines that I list out below were created by the American College of Physicians (ACP) and the American Academy of Family Physicians (AAFP) following research sponsored by the Department of Veterans Affairs. VHA, in collaborations with the Department of Defense (DoD) and other leading professional organizations, has been developing clinical practice guidelines since the early 1990s. Synopsis of the 2020 U.S. Department of Veterans Affairs/U.S. What the VA fails miserably to get is if you suffer from PTSD and anxiety/depression, the BS the VA dishes-out inevitably affects a Veterans blood pressure even the week of or day of a scheduled visitI am a firm believer that the VA agitates Veterans so badly at times it has a detrimental affect on our health. Journal citations and abstracts for biomedical literature with full text links. Attorney. Dr. Daniel Krawczyk, deputy director of the Center for BrainHealth at UT Dallas has been awarded a $2.7 million grant from the Department of Defense under the Joint Warfighter Medical Research Program. 2018 May 1;19(5):928-941. doi: 10.1093/pm/pnx203. And, their spouses, offspring, distant family, and friends are forced to pick up the pieces. total disability individual unemployability benefits, presumptive condition for Vietnam-era veterans exposed to Agent Orange, presumed to have been exposed to Agent Orange, VA Disability Benefits for Agent Orange Exposure, secondary service-connected disability rating, VA Disability Ratings for Kidney Diseases and Secondary Conditions, Circulatory System VA Disability Articles, What Veterans Can Do if They Cant Work Because of PTSD, The 10 Most Common VA Disability Claims to Get Service Connected, Diastolic pressure predominantly 130 or more, Diastolic pressure predominantly 120 or more, Diastolic pressure predominantly 110 or more, or; systolic pressure predominantly 200 or more, Diastolic pressure predominantly 100 or more, or; systolic pressure predominantly 160 or more, or; minimum evaluation for an individual with a history of diastolic pressure predominantly 100 or more who requires continuous medication for control, Disease of the arteries in the heart, arms, or legs, Age (Many people develop high blood pressure as they age. Some have even apologized to her. I see Obama is hiring hundreds to work in the federal government as he is walking out the door. Hypertension is a term used to describe high blood pressure. If your diastolic pressure (bottom number) is 130 or higher: If your diastolic pressure is 120 to 129: If your diastolic pressure is 110 to 119, or your systolic pressure (top number) is 200 or higher: If your diastolic pressure is 100 to 109, or your systolic pressure is 160 to 199. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). @namnibor, . 7:30 Heart Conditions Secondary to Hypertension. These medications include: Antacids, Lipitor, Dovonex, Lanoxin, Cardizem, Dilacor, Tiazac, Cytochrome P450 3A4 (CYP 3A4) substrates, Verapamil and water pills. VIEW: Citations | Publication Briefs | Studies | HSR&D Briefs, Reports, Newsletters | Topic Spotlight | Cyberseminars | Videos | Podcasts | Other Resources, (5 of more than 531 HYPERTENSION focused publications), (5 of more than 55 HYPERTENSION focused publication briefs), ( 5 of more than 35 HYPERTENSION focused projects Marion has had more corruption i believe than any other va medical center. They cost me over $38 a bottle for a month supply. The following sites provide additional information on evidence-based clinical practice: * Links will take you outside the VA/DoD CPG web site. Either baked, steam or boiled. Confidential or time-sensitive information should not be sent through this form. FOIA To access the menus on this page please perform the following steps. Description: Board certification [the process of examining & certifying the qualifications of a physician or other professional by a board of specialists in the field] is not a requirement of VHA who also dont keep their Doctor Directory updated.
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