Re: External Veteran Survey
Steve Sterry
I understand that some members of this group have complained that audiology medical records are being excluded from our online medical records. I can tell you that is not the case in our Los Angeles area VA facilities. I have a premium account in MyHealtheVet, and I was able to select VA Notes in the VA Blue Button Report section. I was able to find notes going back to the year 2013. The following is an example that I read from my 2013 report: "Audiological Evaluation
(view Audiogram under Tools menu)
Purpose of visit: re-evaluation
Primary complaint: Pt. perceives decrease in hearing sensitivity
History:
Situation(s) of greatest difficulty:
Background noise
History of middle ear disease/surgery: denied
Tinnitus: both ears constant
Dizziness/vertigo: present
occasionally when leaning head back
Aural Fullness: No
Otalgia: No
Hearing aid use: both ears VA issued; removal wire has broken off aid. Unable to replace wire in clinic. Pt. did not want to send aids in at this time.
Cleaned and checked both aids. Both aids functioning properly.
Results:
Otoscopy: Right ear: clear view of eardrum
Left ear: clear view of eardrum
Tympanometry: Right ear: normal
Left ear: normal
Earphones used: supra-aural earphones
Test reliability: good
Impressions:
AD: Mild to profound sensorineural hearing loss.
Word recognition for amplified speech was fair-to-poor (45-59%).
52% @ 85 dbHL
AS: Mild to profound sensorineural hearing loss.
Word recognition for amplified speech was good (80-100%).
80% @ 90 dbHL
AU: Hearing essentially unchanged.
Patient education: Communication strategies for difficult listening situations,
Realistic expectations from hearing aid use
Recommendations:
The results of the hearing test were explained to the patient.
RTC if hearing changes.
Pt. is interested in new amplification. Spoke with patient about new hearing
aids coming on contract in May. Pt. will contact audiologist after May 1." Yes, my audiogram is missing. However, its evaluation is still there. The reason that the audiogram is not there has to do with the fact that the VA report system (including all test results) is a text based system. It is not capable of being presented graphically. Maybe this is a regional issue, rather than a national issue. Or maybe some people are looking in the wrong section of their Blue Ribbon reports. I hope this might shed some light to this issue.
Steven C. Sterry, M.A./M.B.A. 10149 Grayling AV. – Whittier, CA 90603-2608 Phone (562) 947-2258 Email: steve.sterry@...
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