External Veteran Survey


Jim Rau
 

I have InnoCaption, Ava, Cardzilla, and Sorensen Buzz Cards. 

The InnoCaption I was referring to on Tuesday night was “Desk View” which can be displayed side-by-side with a video conferencing platform by using their phone in number. Good work-around for platforms which do not have captions. 


On Apr 21, 2022, at 2:44 PM, Ronald Drach via hlaagroups.hearingloss.org <consultrwd=yahoo.com@...> wrote:


Jim!

What speech to text apps do you have on your phone?

I have used Innocaption phone app and it works pretty good.



On Thursday, March 24, 2022, 12:09:12 PM EDT, Jim Rau <jimrau@...> wrote:


Black87........... , sorry to hear of you difficulties with VA. I certainly can't answer your questions about why audiology records are not viewable on "MyhealtheVet". VA needs to answer that. Personally I request a copy of my audiogram before I walk out of the office. Otherwise getting it later is a hassle. 

VA is not required to comply with ADA. BUT they are required to comply with Section 503 of the Rehabilitation act (the Federal version of ADA). So they are required to provide accommodations for deaf and HoH. I agree there should be more accommodations in place now. But we have a duty to REQUEST accommodations that we need. We have not done a god job of requesting. We were trained by the military to "get in line and shut up". 

Personally I take my remote mic and phone to my medical appointments. I ask the doctor to wear the mic so I can understand. They are very willing to do that. I also use my phone which has speech-to-text apps on it. It displays the voice of a person to text that I can read. 

Also, as a person who is deaf or HoH, you are entitled to use InnoCaption. It is a phone service you can get for free on your mobil phone which displays text. You can then have the VA call you at that number and be able to read the text of the caller's voice

Consider joining us at the next meeting of the Veterans Across America Virtual Chapter meeting. We meet on the third Tuesday of each month on Zoom.  


Ronald Drach
 

Jim!

What speech to text apps do you have on your phone?

I have used Innocaption phone app and it works pretty good.



On Thursday, March 24, 2022, 12:09:12 PM EDT, Jim Rau <jimrau@...> wrote:


Black87........... , sorry to hear of you difficulties with VA. I certainly can't answer your questions about why audiology records are not viewable on "MyhealtheVet". VA needs to answer that. Personally I request a copy of my audiogram before I walk out of the office. Otherwise getting it later is a hassle. 

VA is not required to comply with ADA. BUT they are required to comply with Section 503 of the Rehabilitation act (the Federal version of ADA). So they are required to provide accommodations for deaf and HoH. I agree there should be more accommodations in place now. But we have a duty to REQUEST accommodations that we need. We have not done a god job of requesting. We were trained by the military to "get in line and shut up". 

Personally I take my remote mic and phone to my medical appointments. I ask the doctor to wear the mic so I can understand. They are very willing to do that. I also use my phone which has speech-to-text apps on it. It displays the voice of a person to text that I can read. 

Also, as a person who is deaf or HoH, you are entitled to use InnoCaption. It is a phone service you can get for free on your mobil phone which displays text. You can then have the VA call you at that number and be able to read the text of the caller's voice

Consider joining us at the next meeting of the Veterans Across America Virtual Chapter meeting. We meet on the third Tuesday of each month on Zoom.  


Steve Sterry
 

Good luck.

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Sat, Mar 26, 2022 at 10:41 AM N Y Business <black8765309.8765309@...> wrote:
It's been two years on some issues and the hearing issue is nearing 6 months.
The VA is just self serving nowadays as far as I can tell.  I'm waiting for a civil right attorney to respond..
Of Course contacting anyone by email gets little responses.

On Sat, Mar 26, 2022 at 12:37 PM Steve Sterry <steve.sterry@...> wrote:
It shouldn't be.  However, if they keep ignoring you, it may be your only option.

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Sat, Mar 26, 2022 at 7:00 AM N Y Business <black8765309.8765309@...> wrote:
Why would one be required to file a formal request to ask the VA to follow federal law?

On Fri, Mar 25, 2022 at 8:45 PM N Y Business via hlaagroups.hearingloss.org <black8765309.8765309=gmail.com@...> wrote:

On Fri, Mar 25, 2022 at 8:08 PM Steve Sterry <steve.sterry@...> wrote:
Have you requested reasonable accommodation in writing?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 6:00 PM N Y Business <black8765309.8765309@...> wrote:

On Fri, Mar 25, 2022 at 7:50 PM Steve Sterry <steve.sterry@...> wrote:
I don't disagree with you.  However, unless you are ready to file a formal complaint under the Rehabilitation Act, you may get nowhere.

One other  suggestion, however, comes to mind.  I believe that each VA Medical Center has an Equal Opportunity Office.  When I wanted to file a complaint because my local VA Dental Department decided to declare its examining rooms as operatories and, therefore off limits to both pets and service dogs, I contacted their EO Officer, and within six months, my service dog was, once again, able to accompany me to my dental exams.  In the meantime, before the settlement was reached, she volunteered to puppy-sit my service dog while I attended my dental appointments.  

Finally, you cannot dictate what action the VA has to take.  All you can do is ask for reasonable accommodation, and it is then up to them to offer you something reasonable if they feel that there is some other viable solution that they can propose.  

Good luck,

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 5:26 PM N Y Business <black8765309.8765309@...> wrote:
Sorry. I don't work there . I'm the Veteran using the Blue dot website. I'm using the Blue Dot web site because the VA is 90 miles away. It was designed for this reason. for veterans to use when they need access to their records.

On Fri, Mar 25, 2022 at 2:16 PM Steve Sterry <steve.sterry@...> wrote:
You can't find the "tools" menu because you are looking at a printout of the record, not the record itself.  The record can only be accessed on the VA computers.  On the other hand, if the VA is willing to print the values of the plot points of your audiogram, that should take care of your problem.

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 2:53 AM N Y Business <black8765309.8765309@...> wrote:
The issue is that what is put in the records should be usable by other audiologists.
I'm looking for the " Tools Menu " . Can't find that .

Virus-free. www.avast.com

On Fri, Mar 25, 2022 at 2:53 AM Steve Sterry <steve.sterry@...> wrote:
That's too bad.  All of the notes that I found in my record were very professional and very detailed.  Maybe you should contact your Audiology Department head and explain your specific needs to him or her.  In the meantime, maybe we can get a general letter from HLAA to the National VA to suggest that audiologists notes be held to the same standards and detail of the other medical practitioners that we veterans see. 

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 9:48 PM N Y Business <black8765309.8765309@...> wrote:
I'm searching for the records now .  There are some comments about how good of a job the audiologist did according to the audiologist in regards to fit and was I happy to get them. Nothing another audiologist can use. The audoligist was covering his azz his all I can find so far.

On Thu, Mar 24, 2022 at 11:36 PM Steve Sterry <steve.sterry@...> wrote:
Understood.  Perhaps one temporary solution to the problem would be to ask your audiologist to document the measurements at each normal plot point on the audiogram chart in his or her comments.  As I understand, the normal plot points are 125, 250, 500. 1k, 2k, 4k, and 8kHZ.  That is the only additional information that outside audiologists would really need.  Perhaps the HLAA could draft and send a letter to Washington with a request that this be standardized for the whole VA system.

I think that part of the problem here is that the VA is trying to shift from its old archaic system into a new one and is having enough problems generating the necessary data to create reliable medical records.  I think that the resistance that you are getting is based upon their plans to activate the new system and deactivate the old one.  They don't want to spend money enhancing a computer system that will shortly (as they hope) go away.

What do you think?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 7:24 PM N Y Business <black8765309.8765309@...> wrote:
I am also a premium member and have searched the Blue Dot. The graph is what is needed when you are going to an outside audiologist to avoid retaking the test at a cost. . Now I can get images of MRI and CAT scans and colonoscopy from the Blue Dot info sharing download etc. . But not a scanned document of the hearing test which is what outside audiologist and need to make adjustments to hearing aids. 

Virus-free. www.avast.com

On Thu, Mar 24, 2022 at 8:24 PM Steve Sterry <steve.sterry@...> wrote:
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@...

 


Ronald Drach
 

Reasonable accommodations are for individuals and must be requested. They are designed for individuals and not the general population. 

Contrast that with what is required and if an entity is in violation of the ADA a complaint must be filed by, or on behalf, of an individual or class of individuals. Such complaint needs to be filed with the appropriate investigative body, e.g. DOJ or EEOC

Ron

http://www.conceptscommunications.com/team/ronald-drach/



On Mar 26, 2022, at 1:37 PM, Steve Sterry <steve.sterry@...> wrote:


It shouldn't be.  However, if they keep ignoring you, it may be your only option.

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Sat, Mar 26, 2022 at 7:00 AM N Y Business <black8765309.8765309@...> wrote:
Why would one be required to file a formal request to ask the VA to follow federal law?

On Fri, Mar 25, 2022 at 8:45 PM N Y Business via hlaagroups.hearingloss.org <black8765309.8765309=gmail.com@...> wrote:

On Fri, Mar 25, 2022 at 8:08 PM Steve Sterry <steve.sterry@...> wrote:
Have you requested reasonable accommodation in writing?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 6:00 PM N Y Business <black8765309.8765309@...> wrote:

On Fri, Mar 25, 2022 at 7:50 PM Steve Sterry <steve.sterry@...> wrote:
I don't disagree with you.  However, unless you are ready to file a formal complaint under the Rehabilitation Act, you may get nowhere.

One other  suggestion, however, comes to mind.  I believe that each VA Medical Center has an Equal Opportunity Office.  When I wanted to file a complaint because my local VA Dental Department decided to declare its examining rooms as operatories and, therefore off limits to both pets and service dogs, I contacted their EO Officer, and within six months, my service dog was, once again, able to accompany me to my dental exams.  In the meantime, before the settlement was reached, she volunteered to puppy-sit my service dog while I attended my dental appointments.  

Finally, you cannot dictate what action the VA has to take.  All you can do is ask for reasonable accommodation, and it is then up to them to offer you something reasonable if they feel that there is some other viable solution that they can propose.  

Good luck,

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 5:26 PM N Y Business <black8765309.8765309@...> wrote:
Sorry. I don't work there . I'm the Veteran using the Blue dot website. I'm using the Blue Dot web site because the VA is 90 miles away. It was designed for this reason. for veterans to use when they need access to their records.

On Fri, Mar 25, 2022 at 2:16 PM Steve Sterry <steve.sterry@...> wrote:
You can't find the "tools" menu because you are looking at a printout of the record, not the record itself.  The record can only be accessed on the VA computers.  On the other hand, if the VA is willing to print the values of the plot points of your audiogram, that should take care of your problem.

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 2:53 AM N Y Business <black8765309.8765309@...> wrote:
The issue is that what is put in the records should be usable by other audiologists.
I'm looking for the " Tools Menu " . Can't find that .

Virus-free. www.avast.com

On Fri, Mar 25, 2022 at 2:53 AM Steve Sterry <steve.sterry@...> wrote:
That's too bad.  All of the notes that I found in my record were very professional and very detailed.  Maybe you should contact your Audiology Department head and explain your specific needs to him or her.  In the meantime, maybe we can get a general letter from HLAA to the National VA to suggest that audiologists notes be held to the same standards and detail of the other medical practitioners that we veterans see. 

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 9:48 PM N Y Business <black8765309.8765309@...> wrote:
I'm searching for the records now .  There are some comments about how good of a job the audiologist did according to the audiologist in regards to fit and was I happy to get them. Nothing another audiologist can use. The audoligist was covering his azz his all I can find so far.

On Thu, Mar 24, 2022 at 11:36 PM Steve Sterry <steve.sterry@...> wrote:
Understood.  Perhaps one temporary solution to the problem would be to ask your audiologist to document the measurements at each normal plot point on the audiogram chart in his or her comments.  As I understand, the normal plot points are 125, 250, 500. 1k, 2k, 4k, and 8kHZ.  That is the only additional information that outside audiologists would really need.  Perhaps the HLAA could draft and send a letter to Washington with a request that this be standardized for the whole VA system.

I think that part of the problem here is that the VA is trying to shift from its old archaic system into a new one and is having enough problems generating the necessary data to create reliable medical records.  I think that the resistance that you are getting is based upon their plans to activate the new system and deactivate the old one.  They don't want to spend money enhancing a computer system that will shortly (as they hope) go away.

What do you think?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 7:24 PM N Y Business <black8765309.8765309@...> wrote:
I am also a premium member and have searched the Blue Dot. The graph is what is needed when you are going to an outside audiologist to avoid retaking the test at a cost. . Now I can get images of MRI and CAT scans and colonoscopy from the Blue Dot info sharing download etc. . But not a scanned document of the hearing test which is what outside audiologist and need to make adjustments to hearing aids. 

Virus-free. www.avast.com

On Thu, Mar 24, 2022 at 8:24 PM Steve Sterry <steve.sterry@...> wrote:
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@...

 


N Y Business
 

It's been two years on some issues and the hearing issue is nearing 6 months.
The VA is just self serving nowadays as far as I can tell.  I'm waiting for a civil right attorney to respond..
Of Course contacting anyone by email gets little responses.


On Sat, Mar 26, 2022 at 12:37 PM Steve Sterry <steve.sterry@...> wrote:
It shouldn't be.  However, if they keep ignoring you, it may be your only option.

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Sat, Mar 26, 2022 at 7:00 AM N Y Business <black8765309.8765309@...> wrote:
Why would one be required to file a formal request to ask the VA to follow federal law?

On Fri, Mar 25, 2022 at 8:45 PM N Y Business via hlaagroups.hearingloss.org <black8765309.8765309=gmail.com@...> wrote:

On Fri, Mar 25, 2022 at 8:08 PM Steve Sterry <steve.sterry@...> wrote:
Have you requested reasonable accommodation in writing?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 6:00 PM N Y Business <black8765309.8765309@...> wrote:

On Fri, Mar 25, 2022 at 7:50 PM Steve Sterry <steve.sterry@...> wrote:
I don't disagree with you.  However, unless you are ready to file a formal complaint under the Rehabilitation Act, you may get nowhere.

One other  suggestion, however, comes to mind.  I believe that each VA Medical Center has an Equal Opportunity Office.  When I wanted to file a complaint because my local VA Dental Department decided to declare its examining rooms as operatories and, therefore off limits to both pets and service dogs, I contacted their EO Officer, and within six months, my service dog was, once again, able to accompany me to my dental exams.  In the meantime, before the settlement was reached, she volunteered to puppy-sit my service dog while I attended my dental appointments.  

Finally, you cannot dictate what action the VA has to take.  All you can do is ask for reasonable accommodation, and it is then up to them to offer you something reasonable if they feel that there is some other viable solution that they can propose.  

Good luck,

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 5:26 PM N Y Business <black8765309.8765309@...> wrote:
Sorry. I don't work there . I'm the Veteran using the Blue dot website. I'm using the Blue Dot web site because the VA is 90 miles away. It was designed for this reason. for veterans to use when they need access to their records.

On Fri, Mar 25, 2022 at 2:16 PM Steve Sterry <steve.sterry@...> wrote:
You can't find the "tools" menu because you are looking at a printout of the record, not the record itself.  The record can only be accessed on the VA computers.  On the other hand, if the VA is willing to print the values of the plot points of your audiogram, that should take care of your problem.

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 2:53 AM N Y Business <black8765309.8765309@...> wrote:
The issue is that what is put in the records should be usable by other audiologists.
I'm looking for the " Tools Menu " . Can't find that .

Virus-free. www.avast.com

On Fri, Mar 25, 2022 at 2:53 AM Steve Sterry <steve.sterry@...> wrote:
That's too bad.  All of the notes that I found in my record were very professional and very detailed.  Maybe you should contact your Audiology Department head and explain your specific needs to him or her.  In the meantime, maybe we can get a general letter from HLAA to the National VA to suggest that audiologists notes be held to the same standards and detail of the other medical practitioners that we veterans see. 

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 9:48 PM N Y Business <black8765309.8765309@...> wrote:
I'm searching for the records now .  There are some comments about how good of a job the audiologist did according to the audiologist in regards to fit and was I happy to get them. Nothing another audiologist can use. The audoligist was covering his azz his all I can find so far.

On Thu, Mar 24, 2022 at 11:36 PM Steve Sterry <steve.sterry@...> wrote:
Understood.  Perhaps one temporary solution to the problem would be to ask your audiologist to document the measurements at each normal plot point on the audiogram chart in his or her comments.  As I understand, the normal plot points are 125, 250, 500. 1k, 2k, 4k, and 8kHZ.  That is the only additional information that outside audiologists would really need.  Perhaps the HLAA could draft and send a letter to Washington with a request that this be standardized for the whole VA system.

I think that part of the problem here is that the VA is trying to shift from its old archaic system into a new one and is having enough problems generating the necessary data to create reliable medical records.  I think that the resistance that you are getting is based upon their plans to activate the new system and deactivate the old one.  They don't want to spend money enhancing a computer system that will shortly (as they hope) go away.

What do you think?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 7:24 PM N Y Business <black8765309.8765309@...> wrote:
I am also a premium member and have searched the Blue Dot. The graph is what is needed when you are going to an outside audiologist to avoid retaking the test at a cost. . Now I can get images of MRI and CAT scans and colonoscopy from the Blue Dot info sharing download etc. . But not a scanned document of the hearing test which is what outside audiologist and need to make adjustments to hearing aids. 

Virus-free. www.avast.com

On Thu, Mar 24, 2022 at 8:24 PM Steve Sterry <steve.sterry@...> wrote:
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@...

 


Steve Sterry
 

It shouldn't be.  However, if they keep ignoring you, it may be your only option.

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Sat, Mar 26, 2022 at 7:00 AM N Y Business <black8765309.8765309@...> wrote:
Why would one be required to file a formal request to ask the VA to follow federal law?

On Fri, Mar 25, 2022 at 8:45 PM N Y Business via hlaagroups.hearingloss.org <black8765309.8765309=gmail.com@...> wrote:

On Fri, Mar 25, 2022 at 8:08 PM Steve Sterry <steve.sterry@...> wrote:
Have you requested reasonable accommodation in writing?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 6:00 PM N Y Business <black8765309.8765309@...> wrote:

On Fri, Mar 25, 2022 at 7:50 PM Steve Sterry <steve.sterry@...> wrote:
I don't disagree with you.  However, unless you are ready to file a formal complaint under the Rehabilitation Act, you may get nowhere.

One other  suggestion, however, comes to mind.  I believe that each VA Medical Center has an Equal Opportunity Office.  When I wanted to file a complaint because my local VA Dental Department decided to declare its examining rooms as operatories and, therefore off limits to both pets and service dogs, I contacted their EO Officer, and within six months, my service dog was, once again, able to accompany me to my dental exams.  In the meantime, before the settlement was reached, she volunteered to puppy-sit my service dog while I attended my dental appointments.  

Finally, you cannot dictate what action the VA has to take.  All you can do is ask for reasonable accommodation, and it is then up to them to offer you something reasonable if they feel that there is some other viable solution that they can propose.  

Good luck,

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 5:26 PM N Y Business <black8765309.8765309@...> wrote:
Sorry. I don't work there . I'm the Veteran using the Blue dot website. I'm using the Blue Dot web site because the VA is 90 miles away. It was designed for this reason. for veterans to use when they need access to their records.

On Fri, Mar 25, 2022 at 2:16 PM Steve Sterry <steve.sterry@...> wrote:
You can't find the "tools" menu because you are looking at a printout of the record, not the record itself.  The record can only be accessed on the VA computers.  On the other hand, if the VA is willing to print the values of the plot points of your audiogram, that should take care of your problem.

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 2:53 AM N Y Business <black8765309.8765309@...> wrote:
The issue is that what is put in the records should be usable by other audiologists.
I'm looking for the " Tools Menu " . Can't find that .

Virus-free. www.avast.com

On Fri, Mar 25, 2022 at 2:53 AM Steve Sterry <steve.sterry@...> wrote:
That's too bad.  All of the notes that I found in my record were very professional and very detailed.  Maybe you should contact your Audiology Department head and explain your specific needs to him or her.  In the meantime, maybe we can get a general letter from HLAA to the National VA to suggest that audiologists notes be held to the same standards and detail of the other medical practitioners that we veterans see. 

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 9:48 PM N Y Business <black8765309.8765309@...> wrote:
I'm searching for the records now .  There are some comments about how good of a job the audiologist did according to the audiologist in regards to fit and was I happy to get them. Nothing another audiologist can use. The audoligist was covering his azz his all I can find so far.

On Thu, Mar 24, 2022 at 11:36 PM Steve Sterry <steve.sterry@...> wrote:
Understood.  Perhaps one temporary solution to the problem would be to ask your audiologist to document the measurements at each normal plot point on the audiogram chart in his or her comments.  As I understand, the normal plot points are 125, 250, 500. 1k, 2k, 4k, and 8kHZ.  That is the only additional information that outside audiologists would really need.  Perhaps the HLAA could draft and send a letter to Washington with a request that this be standardized for the whole VA system.

I think that part of the problem here is that the VA is trying to shift from its old archaic system into a new one and is having enough problems generating the necessary data to create reliable medical records.  I think that the resistance that you are getting is based upon their plans to activate the new system and deactivate the old one.  They don't want to spend money enhancing a computer system that will shortly (as they hope) go away.

What do you think?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 7:24 PM N Y Business <black8765309.8765309@...> wrote:
I am also a premium member and have searched the Blue Dot. The graph is what is needed when you are going to an outside audiologist to avoid retaking the test at a cost. . Now I can get images of MRI and CAT scans and colonoscopy from the Blue Dot info sharing download etc. . But not a scanned document of the hearing test which is what outside audiologist and need to make adjustments to hearing aids. 

Virus-free. www.avast.com

On Thu, Mar 24, 2022 at 8:24 PM Steve Sterry <steve.sterry@...> wrote:
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@...

 


N Y Business
 

Why would one be required to file a formal request to ask the VA to follow federal law?

On Fri, Mar 25, 2022 at 8:45 PM N Y Business via hlaagroups.hearingloss.org <black8765309.8765309=gmail.com@...> wrote:


On Fri, Mar 25, 2022 at 8:08 PM Steve Sterry <steve.sterry@...> wrote:
Have you requested reasonable accommodation in writing?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 6:00 PM N Y Business <black8765309.8765309@...> wrote:

On Fri, Mar 25, 2022 at 7:50 PM Steve Sterry <steve.sterry@...> wrote:
I don't disagree with you.  However, unless you are ready to file a formal complaint under the Rehabilitation Act, you may get nowhere.

One other  suggestion, however, comes to mind.  I believe that each VA Medical Center has an Equal Opportunity Office.  When I wanted to file a complaint because my local VA Dental Department decided to declare its examining rooms as operatories and, therefore off limits to both pets and service dogs, I contacted their EO Officer, and within six months, my service dog was, once again, able to accompany me to my dental exams.  In the meantime, before the settlement was reached, she volunteered to puppy-sit my service dog while I attended my dental appointments.  

Finally, you cannot dictate what action the VA has to take.  All you can do is ask for reasonable accommodation, and it is then up to them to offer you something reasonable if they feel that there is some other viable solution that they can propose.  

Good luck,

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 5:26 PM N Y Business <black8765309.8765309@...> wrote:
Sorry. I don't work there . I'm the Veteran using the Blue dot website. I'm using the Blue Dot web site because the VA is 90 miles away. It was designed for this reason. for veterans to use when they need access to their records.

On Fri, Mar 25, 2022 at 2:16 PM Steve Sterry <steve.sterry@...> wrote:
You can't find the "tools" menu because you are looking at a printout of the record, not the record itself.  The record can only be accessed on the VA computers.  On the other hand, if the VA is willing to print the values of the plot points of your audiogram, that should take care of your problem.

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 2:53 AM N Y Business <black8765309.8765309@...> wrote:
The issue is that what is put in the records should be usable by other audiologists.
I'm looking for the " Tools Menu " . Can't find that .

Virus-free. www.avast.com

On Fri, Mar 25, 2022 at 2:53 AM Steve Sterry <steve.sterry@...> wrote:
That's too bad.  All of the notes that I found in my record were very professional and very detailed.  Maybe you should contact your Audiology Department head and explain your specific needs to him or her.  In the meantime, maybe we can get a general letter from HLAA to the National VA to suggest that audiologists notes be held to the same standards and detail of the other medical practitioners that we veterans see. 

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 9:48 PM N Y Business <black8765309.8765309@...> wrote:
I'm searching for the records now .  There are some comments about how good of a job the audiologist did according to the audiologist in regards to fit and was I happy to get them. Nothing another audiologist can use. The audoligist was covering his azz his all I can find so far.

On Thu, Mar 24, 2022 at 11:36 PM Steve Sterry <steve.sterry@...> wrote:
Understood.  Perhaps one temporary solution to the problem would be to ask your audiologist to document the measurements at each normal plot point on the audiogram chart in his or her comments.  As I understand, the normal plot points are 125, 250, 500. 1k, 2k, 4k, and 8kHZ.  That is the only additional information that outside audiologists would really need.  Perhaps the HLAA could draft and send a letter to Washington with a request that this be standardized for the whole VA system.

I think that part of the problem here is that the VA is trying to shift from its old archaic system into a new one and is having enough problems generating the necessary data to create reliable medical records.  I think that the resistance that you are getting is based upon their plans to activate the new system and deactivate the old one.  They don't want to spend money enhancing a computer system that will shortly (as they hope) go away.

What do you think?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 7:24 PM N Y Business <black8765309.8765309@...> wrote:
I am also a premium member and have searched the Blue Dot. The graph is what is needed when you are going to an outside audiologist to avoid retaking the test at a cost. . Now I can get images of MRI and CAT scans and colonoscopy from the Blue Dot info sharing download etc. . But not a scanned document of the hearing test which is what outside audiologist and need to make adjustments to hearing aids. 

Virus-free. www.avast.com

On Thu, Mar 24, 2022 at 8:24 PM Steve Sterry <steve.sterry@...> wrote:
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@...

 


N Y Business
 

On Fri, Mar 25, 2022 at 8:08 PM Steve Sterry <steve.sterry@...> wrote:
Have you requested reasonable accommodation in writing?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 6:00 PM N Y Business <black8765309.8765309@...> wrote:

On Fri, Mar 25, 2022 at 7:50 PM Steve Sterry <steve.sterry@...> wrote:
I don't disagree with you.  However, unless you are ready to file a formal complaint under the Rehabilitation Act, you may get nowhere.

One other  suggestion, however, comes to mind.  I believe that each VA Medical Center has an Equal Opportunity Office.  When I wanted to file a complaint because my local VA Dental Department decided to declare its examining rooms as operatories and, therefore off limits to both pets and service dogs, I contacted their EO Officer, and within six months, my service dog was, once again, able to accompany me to my dental exams.  In the meantime, before the settlement was reached, she volunteered to puppy-sit my service dog while I attended my dental appointments.  

Finally, you cannot dictate what action the VA has to take.  All you can do is ask for reasonable accommodation, and it is then up to them to offer you something reasonable if they feel that there is some other viable solution that they can propose.  

Good luck,

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 5:26 PM N Y Business <black8765309.8765309@...> wrote:
Sorry. I don't work there . I'm the Veteran using the Blue dot website. I'm using the Blue Dot web site because the VA is 90 miles away. It was designed for this reason. for veterans to use when they need access to their records.

On Fri, Mar 25, 2022 at 2:16 PM Steve Sterry <steve.sterry@...> wrote:
You can't find the "tools" menu because you are looking at a printout of the record, not the record itself.  The record can only be accessed on the VA computers.  On the other hand, if the VA is willing to print the values of the plot points of your audiogram, that should take care of your problem.

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 2:53 AM N Y Business <black8765309.8765309@...> wrote:
The issue is that what is put in the records should be usable by other audiologists.
I'm looking for the " Tools Menu " . Can't find that .

Virus-free. www.avast.com

On Fri, Mar 25, 2022 at 2:53 AM Steve Sterry <steve.sterry@...> wrote:
That's too bad.  All of the notes that I found in my record were very professional and very detailed.  Maybe you should contact your Audiology Department head and explain your specific needs to him or her.  In the meantime, maybe we can get a general letter from HLAA to the National VA to suggest that audiologists notes be held to the same standards and detail of the other medical practitioners that we veterans see. 

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 9:48 PM N Y Business <black8765309.8765309@...> wrote:
I'm searching for the records now .  There are some comments about how good of a job the audiologist did according to the audiologist in regards to fit and was I happy to get them. Nothing another audiologist can use. The audoligist was covering his azz his all I can find so far.

On Thu, Mar 24, 2022 at 11:36 PM Steve Sterry <steve.sterry@...> wrote:
Understood.  Perhaps one temporary solution to the problem would be to ask your audiologist to document the measurements at each normal plot point on the audiogram chart in his or her comments.  As I understand, the normal plot points are 125, 250, 500. 1k, 2k, 4k, and 8kHZ.  That is the only additional information that outside audiologists would really need.  Perhaps the HLAA could draft and send a letter to Washington with a request that this be standardized for the whole VA system.

I think that part of the problem here is that the VA is trying to shift from its old archaic system into a new one and is having enough problems generating the necessary data to create reliable medical records.  I think that the resistance that you are getting is based upon their plans to activate the new system and deactivate the old one.  They don't want to spend money enhancing a computer system that will shortly (as they hope) go away.

What do you think?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 7:24 PM N Y Business <black8765309.8765309@...> wrote:
I am also a premium member and have searched the Blue Dot. The graph is what is needed when you are going to an outside audiologist to avoid retaking the test at a cost. . Now I can get images of MRI and CAT scans and colonoscopy from the Blue Dot info sharing download etc. . But not a scanned document of the hearing test which is what outside audiologist and need to make adjustments to hearing aids. 

Virus-free. www.avast.com

On Thu, Mar 24, 2022 at 8:24 PM Steve Sterry <steve.sterry@...> wrote:
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@...

 


N Y Business
 

Secure messaging and the state senator Jerry Moran office is helping but they haven't been able to resolve it either. Or.. they don't understand the problem. I have downloaded ADA form. I have repeatedly asked everyone possible. to help and nope. gaslighting from everyone. There are 3.5 million hearing inpaired veterans. 2.7 million of them are service connected. And our audiology records are not available to us like the medical records for all other medical conditions. 

Virus-free. www.avast.com


On Fri, Mar 25, 2022 at 8:08 PM Steve Sterry <steve.sterry@...> wrote:
Have you requested reasonable accommodation in writing?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 6:00 PM N Y Business <black8765309.8765309@...> wrote:

On Fri, Mar 25, 2022 at 7:50 PM Steve Sterry <steve.sterry@...> wrote:
I don't disagree with you.  However, unless you are ready to file a formal complaint under the Rehabilitation Act, you may get nowhere.

One other  suggestion, however, comes to mind.  I believe that each VA Medical Center has an Equal Opportunity Office.  When I wanted to file a complaint because my local VA Dental Department decided to declare its examining rooms as operatories and, therefore off limits to both pets and service dogs, I contacted their EO Officer, and within six months, my service dog was, once again, able to accompany me to my dental exams.  In the meantime, before the settlement was reached, she volunteered to puppy-sit my service dog while I attended my dental appointments.  

Finally, you cannot dictate what action the VA has to take.  All you can do is ask for reasonable accommodation, and it is then up to them to offer you something reasonable if they feel that there is some other viable solution that they can propose.  

Good luck,

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 5:26 PM N Y Business <black8765309.8765309@...> wrote:
Sorry. I don't work there . I'm the Veteran using the Blue dot website. I'm using the Blue Dot web site because the VA is 90 miles away. It was designed for this reason. for veterans to use when they need access to their records.

On Fri, Mar 25, 2022 at 2:16 PM Steve Sterry <steve.sterry@...> wrote:
You can't find the "tools" menu because you are looking at a printout of the record, not the record itself.  The record can only be accessed on the VA computers.  On the other hand, if the VA is willing to print the values of the plot points of your audiogram, that should take care of your problem.

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 2:53 AM N Y Business <black8765309.8765309@...> wrote:
The issue is that what is put in the records should be usable by other audiologists.
I'm looking for the " Tools Menu " . Can't find that .

Virus-free. www.avast.com

On Fri, Mar 25, 2022 at 2:53 AM Steve Sterry <steve.sterry@...> wrote:
That's too bad.  All of the notes that I found in my record were very professional and very detailed.  Maybe you should contact your Audiology Department head and explain your specific needs to him or her.  In the meantime, maybe we can get a general letter from HLAA to the National VA to suggest that audiologists notes be held to the same standards and detail of the other medical practitioners that we veterans see. 

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 9:48 PM N Y Business <black8765309.8765309@...> wrote:
I'm searching for the records now .  There are some comments about how good of a job the audiologist did according to the audiologist in regards to fit and was I happy to get them. Nothing another audiologist can use. The audoligist was covering his azz his all I can find so far.

On Thu, Mar 24, 2022 at 11:36 PM Steve Sterry <steve.sterry@...> wrote:
Understood.  Perhaps one temporary solution to the problem would be to ask your audiologist to document the measurements at each normal plot point on the audiogram chart in his or her comments.  As I understand, the normal plot points are 125, 250, 500. 1k, 2k, 4k, and 8kHZ.  That is the only additional information that outside audiologists would really need.  Perhaps the HLAA could draft and send a letter to Washington with a request that this be standardized for the whole VA system.

I think that part of the problem here is that the VA is trying to shift from its old archaic system into a new one and is having enough problems generating the necessary data to create reliable medical records.  I think that the resistance that you are getting is based upon their plans to activate the new system and deactivate the old one.  They don't want to spend money enhancing a computer system that will shortly (as they hope) go away.

What do you think?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 7:24 PM N Y Business <black8765309.8765309@...> wrote:
I am also a premium member and have searched the Blue Dot. The graph is what is needed when you are going to an outside audiologist to avoid retaking the test at a cost. . Now I can get images of MRI and CAT scans and colonoscopy from the Blue Dot info sharing download etc. . But not a scanned document of the hearing test which is what outside audiologist and need to make adjustments to hearing aids. 

Virus-free. www.avast.com

On Thu, Mar 24, 2022 at 8:24 PM Steve Sterry <steve.sterry@...> wrote:
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@...

 


Steve Sterry
 

Have you requested reasonable accommodation in writing?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 6:00 PM N Y Business <black8765309.8765309@...> wrote:

On Fri, Mar 25, 2022 at 7:50 PM Steve Sterry <steve.sterry@...> wrote:
I don't disagree with you.  However, unless you are ready to file a formal complaint under the Rehabilitation Act, you may get nowhere.

One other  suggestion, however, comes to mind.  I believe that each VA Medical Center has an Equal Opportunity Office.  When I wanted to file a complaint because my local VA Dental Department decided to declare its examining rooms as operatories and, therefore off limits to both pets and service dogs, I contacted their EO Officer, and within six months, my service dog was, once again, able to accompany me to my dental exams.  In the meantime, before the settlement was reached, she volunteered to puppy-sit my service dog while I attended my dental appointments.  

Finally, you cannot dictate what action the VA has to take.  All you can do is ask for reasonable accommodation, and it is then up to them to offer you something reasonable if they feel that there is some other viable solution that they can propose.  

Good luck,

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 5:26 PM N Y Business <black8765309.8765309@...> wrote:
Sorry. I don't work there . I'm the Veteran using the Blue dot website. I'm using the Blue Dot web site because the VA is 90 miles away. It was designed for this reason. for veterans to use when they need access to their records.

On Fri, Mar 25, 2022 at 2:16 PM Steve Sterry <steve.sterry@...> wrote:
You can't find the "tools" menu because you are looking at a printout of the record, not the record itself.  The record can only be accessed on the VA computers.  On the other hand, if the VA is willing to print the values of the plot points of your audiogram, that should take care of your problem.

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 2:53 AM N Y Business <black8765309.8765309@...> wrote:
The issue is that what is put in the records should be usable by other audiologists.
I'm looking for the " Tools Menu " . Can't find that .

Virus-free. www.avast.com

On Fri, Mar 25, 2022 at 2:53 AM Steve Sterry <steve.sterry@...> wrote:
That's too bad.  All of the notes that I found in my record were very professional and very detailed.  Maybe you should contact your Audiology Department head and explain your specific needs to him or her.  In the meantime, maybe we can get a general letter from HLAA to the National VA to suggest that audiologists notes be held to the same standards and detail of the other medical practitioners that we veterans see. 

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 9:48 PM N Y Business <black8765309.8765309@...> wrote:
I'm searching for the records now .  There are some comments about how good of a job the audiologist did according to the audiologist in regards to fit and was I happy to get them. Nothing another audiologist can use. The audoligist was covering his azz his all I can find so far.

On Thu, Mar 24, 2022 at 11:36 PM Steve Sterry <steve.sterry@...> wrote:
Understood.  Perhaps one temporary solution to the problem would be to ask your audiologist to document the measurements at each normal plot point on the audiogram chart in his or her comments.  As I understand, the normal plot points are 125, 250, 500. 1k, 2k, 4k, and 8kHZ.  That is the only additional information that outside audiologists would really need.  Perhaps the HLAA could draft and send a letter to Washington with a request that this be standardized for the whole VA system.

I think that part of the problem here is that the VA is trying to shift from its old archaic system into a new one and is having enough problems generating the necessary data to create reliable medical records.  I think that the resistance that you are getting is based upon their plans to activate the new system and deactivate the old one.  They don't want to spend money enhancing a computer system that will shortly (as they hope) go away.

What do you think?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 7:24 PM N Y Business <black8765309.8765309@...> wrote:
I am also a premium member and have searched the Blue Dot. The graph is what is needed when you are going to an outside audiologist to avoid retaking the test at a cost. . Now I can get images of MRI and CAT scans and colonoscopy from the Blue Dot info sharing download etc. . But not a scanned document of the hearing test which is what outside audiologist and need to make adjustments to hearing aids. 

Virus-free. www.avast.com

On Thu, Mar 24, 2022 at 8:24 PM Steve Sterry <steve.sterry@...> wrote:
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@...

 


N Y Business
 

On Fri, Mar 25, 2022 at 7:50 PM Steve Sterry <steve.sterry@...> wrote:
I don't disagree with you.  However, unless you are ready to file a formal complaint under the Rehabilitation Act, you may get nowhere.

One other  suggestion, however, comes to mind.  I believe that each VA Medical Center has an Equal Opportunity Office.  When I wanted to file a complaint because my local VA Dental Department decided to declare its examining rooms as operatories and, therefore off limits to both pets and service dogs, I contacted their EO Officer, and within six months, my service dog was, once again, able to accompany me to my dental exams.  In the meantime, before the settlement was reached, she volunteered to puppy-sit my service dog while I attended my dental appointments.  

Finally, you cannot dictate what action the VA has to take.  All you can do is ask for reasonable accommodation, and it is then up to them to offer you something reasonable if they feel that there is some other viable solution that they can propose.  

Good luck,

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 5:26 PM N Y Business <black8765309.8765309@...> wrote:
Sorry. I don't work there . I'm the Veteran using the Blue dot website. I'm using the Blue Dot web site because the VA is 90 miles away. It was designed for this reason. for veterans to use when they need access to their records.

On Fri, Mar 25, 2022 at 2:16 PM Steve Sterry <steve.sterry@...> wrote:
You can't find the "tools" menu because you are looking at a printout of the record, not the record itself.  The record can only be accessed on the VA computers.  On the other hand, if the VA is willing to print the values of the plot points of your audiogram, that should take care of your problem.

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 2:53 AM N Y Business <black8765309.8765309@...> wrote:
The issue is that what is put in the records should be usable by other audiologists.
I'm looking for the " Tools Menu " . Can't find that .

Virus-free. www.avast.com

On Fri, Mar 25, 2022 at 2:53 AM Steve Sterry <steve.sterry@...> wrote:
That's too bad.  All of the notes that I found in my record were very professional and very detailed.  Maybe you should contact your Audiology Department head and explain your specific needs to him or her.  In the meantime, maybe we can get a general letter from HLAA to the National VA to suggest that audiologists notes be held to the same standards and detail of the other medical practitioners that we veterans see. 

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 9:48 PM N Y Business <black8765309.8765309@...> wrote:
I'm searching for the records now .  There are some comments about how good of a job the audiologist did according to the audiologist in regards to fit and was I happy to get them. Nothing another audiologist can use. The audoligist was covering his azz his all I can find so far.

On Thu, Mar 24, 2022 at 11:36 PM Steve Sterry <steve.sterry@...> wrote:
Understood.  Perhaps one temporary solution to the problem would be to ask your audiologist to document the measurements at each normal plot point on the audiogram chart in his or her comments.  As I understand, the normal plot points are 125, 250, 500. 1k, 2k, 4k, and 8kHZ.  That is the only additional information that outside audiologists would really need.  Perhaps the HLAA could draft and send a letter to Washington with a request that this be standardized for the whole VA system.

I think that part of the problem here is that the VA is trying to shift from its old archaic system into a new one and is having enough problems generating the necessary data to create reliable medical records.  I think that the resistance that you are getting is based upon their plans to activate the new system and deactivate the old one.  They don't want to spend money enhancing a computer system that will shortly (as they hope) go away.

What do you think?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 7:24 PM N Y Business <black8765309.8765309@...> wrote:
I am also a premium member and have searched the Blue Dot. The graph is what is needed when you are going to an outside audiologist to avoid retaking the test at a cost. . Now I can get images of MRI and CAT scans and colonoscopy from the Blue Dot info sharing download etc. . But not a scanned document of the hearing test which is what outside audiologist and need to make adjustments to hearing aids. 

Virus-free. www.avast.com

On Thu, Mar 24, 2022 at 8:24 PM Steve Sterry <steve.sterry@...> wrote:
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@...

 


Steve Sterry
 

I don't disagree with you.  However, unless you are ready to file a formal complaint under the Rehabilitation Act, you may get nowhere.

One other  suggestion, however, comes to mind.  I believe that each VA Medical Center has an Equal Opportunity Office.  When I wanted to file a complaint because my local VA Dental Department decided to declare its examining rooms as operatories and, therefore off limits to both pets and service dogs, I contacted their EO Officer, and within six months, my service dog was, once again, able to accompany me to my dental exams.  In the meantime, before the settlement was reached, she volunteered to puppy-sit my service dog while I attended my dental appointments.  

Finally, you cannot dictate what action the VA has to take.  All you can do is ask for reasonable accommodation, and it is then up to them to offer you something reasonable if they feel that there is some other viable solution that they can propose.  

Good luck,

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 5:26 PM N Y Business <black8765309.8765309@...> wrote:
Sorry. I don't work there . I'm the Veteran using the Blue dot website. I'm using the Blue Dot web site because the VA is 90 miles away. It was designed for this reason. for veterans to use when they need access to their records.

On Fri, Mar 25, 2022 at 2:16 PM Steve Sterry <steve.sterry@...> wrote:
You can't find the "tools" menu because you are looking at a printout of the record, not the record itself.  The record can only be accessed on the VA computers.  On the other hand, if the VA is willing to print the values of the plot points of your audiogram, that should take care of your problem.

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 2:53 AM N Y Business <black8765309.8765309@...> wrote:
The issue is that what is put in the records should be usable by other audiologists.
I'm looking for the " Tools Menu " . Can't find that .

Virus-free. www.avast.com

On Fri, Mar 25, 2022 at 2:53 AM Steve Sterry <steve.sterry@...> wrote:
That's too bad.  All of the notes that I found in my record were very professional and very detailed.  Maybe you should contact your Audiology Department head and explain your specific needs to him or her.  In the meantime, maybe we can get a general letter from HLAA to the National VA to suggest that audiologists notes be held to the same standards and detail of the other medical practitioners that we veterans see. 

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 9:48 PM N Y Business <black8765309.8765309@...> wrote:
I'm searching for the records now .  There are some comments about how good of a job the audiologist did according to the audiologist in regards to fit and was I happy to get them. Nothing another audiologist can use. The audoligist was covering his azz his all I can find so far.

On Thu, Mar 24, 2022 at 11:36 PM Steve Sterry <steve.sterry@...> wrote:
Understood.  Perhaps one temporary solution to the problem would be to ask your audiologist to document the measurements at each normal plot point on the audiogram chart in his or her comments.  As I understand, the normal plot points are 125, 250, 500. 1k, 2k, 4k, and 8kHZ.  That is the only additional information that outside audiologists would really need.  Perhaps the HLAA could draft and send a letter to Washington with a request that this be standardized for the whole VA system.

I think that part of the problem here is that the VA is trying to shift from its old archaic system into a new one and is having enough problems generating the necessary data to create reliable medical records.  I think that the resistance that you are getting is based upon their plans to activate the new system and deactivate the old one.  They don't want to spend money enhancing a computer system that will shortly (as they hope) go away.

What do you think?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 7:24 PM N Y Business <black8765309.8765309@...> wrote:
I am also a premium member and have searched the Blue Dot. The graph is what is needed when you are going to an outside audiologist to avoid retaking the test at a cost. . Now I can get images of MRI and CAT scans and colonoscopy from the Blue Dot info sharing download etc. . But not a scanned document of the hearing test which is what outside audiologist and need to make adjustments to hearing aids. 

Virus-free. www.avast.com

On Thu, Mar 24, 2022 at 8:24 PM Steve Sterry <steve.sterry@...> wrote:
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@...

 


N Y Business
 

Sorry. I don't work there . I'm the Veteran using the Blue dot website. I'm using the Blue Dot web site because the VA is 90 miles away. It was designed for this reason. for veterans to use when they need access to their records.


On Fri, Mar 25, 2022 at 2:16 PM Steve Sterry <steve.sterry@...> wrote:
You can't find the "tools" menu because you are looking at a printout of the record, not the record itself.  The record can only be accessed on the VA computers.  On the other hand, if the VA is willing to print the values of the plot points of your audiogram, that should take care of your problem.

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 2:53 AM N Y Business <black8765309.8765309@...> wrote:
The issue is that what is put in the records should be usable by other audiologists.
I'm looking for the " Tools Menu " . Can't find that .

Virus-free. www.avast.com

On Fri, Mar 25, 2022 at 2:53 AM Steve Sterry <steve.sterry@...> wrote:
That's too bad.  All of the notes that I found in my record were very professional and very detailed.  Maybe you should contact your Audiology Department head and explain your specific needs to him or her.  In the meantime, maybe we can get a general letter from HLAA to the National VA to suggest that audiologists notes be held to the same standards and detail of the other medical practitioners that we veterans see. 

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 9:48 PM N Y Business <black8765309.8765309@...> wrote:
I'm searching for the records now .  There are some comments about how good of a job the audiologist did according to the audiologist in regards to fit and was I happy to get them. Nothing another audiologist can use. The audoligist was covering his azz his all I can find so far.

On Thu, Mar 24, 2022 at 11:36 PM Steve Sterry <steve.sterry@...> wrote:
Understood.  Perhaps one temporary solution to the problem would be to ask your audiologist to document the measurements at each normal plot point on the audiogram chart in his or her comments.  As I understand, the normal plot points are 125, 250, 500. 1k, 2k, 4k, and 8kHZ.  That is the only additional information that outside audiologists would really need.  Perhaps the HLAA could draft and send a letter to Washington with a request that this be standardized for the whole VA system.

I think that part of the problem here is that the VA is trying to shift from its old archaic system into a new one and is having enough problems generating the necessary data to create reliable medical records.  I think that the resistance that you are getting is based upon their plans to activate the new system and deactivate the old one.  They don't want to spend money enhancing a computer system that will shortly (as they hope) go away.

What do you think?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 7:24 PM N Y Business <black8765309.8765309@...> wrote:
I am also a premium member and have searched the Blue Dot. The graph is what is needed when you are going to an outside audiologist to avoid retaking the test at a cost. . Now I can get images of MRI and CAT scans and colonoscopy from the Blue Dot info sharing download etc. . But not a scanned document of the hearing test which is what outside audiologist and need to make adjustments to hearing aids. 

Virus-free. www.avast.com

On Thu, Mar 24, 2022 at 8:24 PM Steve Sterry <steve.sterry@...> wrote:
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@...

 


Steve Sterry
 

You can't find the "tools" menu because you are looking at a printout of the record, not the record itself.  The record can only be accessed on the VA computers.  On the other hand, if the VA is willing to print the values of the plot points of your audiogram, that should take care of your problem.

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Fri, Mar 25, 2022 at 2:53 AM N Y Business <black8765309.8765309@...> wrote:
The issue is that what is put in the records should be usable by other audiologists.
I'm looking for the " Tools Menu " . Can't find that .

Virus-free. www.avast.com

On Fri, Mar 25, 2022 at 2:53 AM Steve Sterry <steve.sterry@...> wrote:
That's too bad.  All of the notes that I found in my record were very professional and very detailed.  Maybe you should contact your Audiology Department head and explain your specific needs to him or her.  In the meantime, maybe we can get a general letter from HLAA to the National VA to suggest that audiologists notes be held to the same standards and detail of the other medical practitioners that we veterans see. 

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 9:48 PM N Y Business <black8765309.8765309@...> wrote:
I'm searching for the records now .  There are some comments about how good of a job the audiologist did according to the audiologist in regards to fit and was I happy to get them. Nothing another audiologist can use. The audoligist was covering his azz his all I can find so far.

On Thu, Mar 24, 2022 at 11:36 PM Steve Sterry <steve.sterry@...> wrote:
Understood.  Perhaps one temporary solution to the problem would be to ask your audiologist to document the measurements at each normal plot point on the audiogram chart in his or her comments.  As I understand, the normal plot points are 125, 250, 500. 1k, 2k, 4k, and 8kHZ.  That is the only additional information that outside audiologists would really need.  Perhaps the HLAA could draft and send a letter to Washington with a request that this be standardized for the whole VA system.

I think that part of the problem here is that the VA is trying to shift from its old archaic system into a new one and is having enough problems generating the necessary data to create reliable medical records.  I think that the resistance that you are getting is based upon their plans to activate the new system and deactivate the old one.  They don't want to spend money enhancing a computer system that will shortly (as they hope) go away.

What do you think?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 7:24 PM N Y Business <black8765309.8765309@...> wrote:
I am also a premium member and have searched the Blue Dot. The graph is what is needed when you are going to an outside audiologist to avoid retaking the test at a cost. . Now I can get images of MRI and CAT scans and colonoscopy from the Blue Dot info sharing download etc. . But not a scanned document of the hearing test which is what outside audiologist and need to make adjustments to hearing aids. 

Virus-free. www.avast.com

On Thu, Mar 24, 2022 at 8:24 PM Steve Sterry <steve.sterry@...> wrote:
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@...

 


N Y Business
 

The issue is that what is put in the records should be usable by other audiologists.
I'm looking for the " Tools Menu " . Can't find that .

Virus-free. www.avast.com


On Fri, Mar 25, 2022 at 2:53 AM Steve Sterry <steve.sterry@...> wrote:
That's too bad.  All of the notes that I found in my record were very professional and very detailed.  Maybe you should contact your Audiology Department head and explain your specific needs to him or her.  In the meantime, maybe we can get a general letter from HLAA to the National VA to suggest that audiologists notes be held to the same standards and detail of the other medical practitioners that we veterans see. 

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 9:48 PM N Y Business <black8765309.8765309@...> wrote:
I'm searching for the records now .  There are some comments about how good of a job the audiologist did according to the audiologist in regards to fit and was I happy to get them. Nothing another audiologist can use. The audoligist was covering his azz his all I can find so far.

On Thu, Mar 24, 2022 at 11:36 PM Steve Sterry <steve.sterry@...> wrote:
Understood.  Perhaps one temporary solution to the problem would be to ask your audiologist to document the measurements at each normal plot point on the audiogram chart in his or her comments.  As I understand, the normal plot points are 125, 250, 500. 1k, 2k, 4k, and 8kHZ.  That is the only additional information that outside audiologists would really need.  Perhaps the HLAA could draft and send a letter to Washington with a request that this be standardized for the whole VA system.

I think that part of the problem here is that the VA is trying to shift from its old archaic system into a new one and is having enough problems generating the necessary data to create reliable medical records.  I think that the resistance that you are getting is based upon their plans to activate the new system and deactivate the old one.  They don't want to spend money enhancing a computer system that will shortly (as they hope) go away.

What do you think?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 7:24 PM N Y Business <black8765309.8765309@...> wrote:
I am also a premium member and have searched the Blue Dot. The graph is what is needed when you are going to an outside audiologist to avoid retaking the test at a cost. . Now I can get images of MRI and CAT scans and colonoscopy from the Blue Dot info sharing download etc. . But not a scanned document of the hearing test which is what outside audiologist and need to make adjustments to hearing aids. 

Virus-free. www.avast.com

On Thu, Mar 24, 2022 at 8:24 PM Steve Sterry <steve.sterry@...> wrote:
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@...

 


Steve Sterry
 

That's too bad.  All of the notes that I found in my record were very professional and very detailed.  Maybe you should contact your Audiology Department head and explain your specific needs to him or her.  In the meantime, maybe we can get a general letter from HLAA to the National VA to suggest that audiologists notes be held to the same standards and detail of the other medical practitioners that we veterans see. 

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 9:48 PM N Y Business <black8765309.8765309@...> wrote:
I'm searching for the records now .  There are some comments about how good of a job the audiologist did according to the audiologist in regards to fit and was I happy to get them. Nothing another audiologist can use. The audoligist was covering his azz his all I can find so far.

On Thu, Mar 24, 2022 at 11:36 PM Steve Sterry <steve.sterry@...> wrote:
Understood.  Perhaps one temporary solution to the problem would be to ask your audiologist to document the measurements at each normal plot point on the audiogram chart in his or her comments.  As I understand, the normal plot points are 125, 250, 500. 1k, 2k, 4k, and 8kHZ.  That is the only additional information that outside audiologists would really need.  Perhaps the HLAA could draft and send a letter to Washington with a request that this be standardized for the whole VA system.

I think that part of the problem here is that the VA is trying to shift from its old archaic system into a new one and is having enough problems generating the necessary data to create reliable medical records.  I think that the resistance that you are getting is based upon their plans to activate the new system and deactivate the old one.  They don't want to spend money enhancing a computer system that will shortly (as they hope) go away.

What do you think?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 7:24 PM N Y Business <black8765309.8765309@...> wrote:
I am also a premium member and have searched the Blue Dot. The graph is what is needed when you are going to an outside audiologist to avoid retaking the test at a cost. . Now I can get images of MRI and CAT scans and colonoscopy from the Blue Dot info sharing download etc. . But not a scanned document of the hearing test which is what outside audiologist and need to make adjustments to hearing aids. 

Virus-free. www.avast.com

On Thu, Mar 24, 2022 at 8:24 PM Steve Sterry <steve.sterry@...> wrote:
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@...

 


N Y Business
 

I'm searching for the records now .  There are some comments about how good of a job the audiologist did according to the audiologist in regards to fit and was I happy to get them. Nothing another audiologist can use. The audoligist was covering his azz his all I can find so far.


On Thu, Mar 24, 2022 at 11:36 PM Steve Sterry <steve.sterry@...> wrote:
Understood.  Perhaps one temporary solution to the problem would be to ask your audiologist to document the measurements at each normal plot point on the audiogram chart in his or her comments.  As I understand, the normal plot points are 125, 250, 500. 1k, 2k, 4k, and 8kHZ.  That is the only additional information that outside audiologists would really need.  Perhaps the HLAA could draft and send a letter to Washington with a request that this be standardized for the whole VA system.

I think that part of the problem here is that the VA is trying to shift from its old archaic system into a new one and is having enough problems generating the necessary data to create reliable medical records.  I think that the resistance that you are getting is based upon their plans to activate the new system and deactivate the old one.  They don't want to spend money enhancing a computer system that will shortly (as they hope) go away.

What do you think?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 7:24 PM N Y Business <black8765309.8765309@...> wrote:
I am also a premium member and have searched the Blue Dot. The graph is what is needed when you are going to an outside audiologist to avoid retaking the test at a cost. . Now I can get images of MRI and CAT scans and colonoscopy from the Blue Dot info sharing download etc. . But not a scanned document of the hearing test which is what outside audiologist and need to make adjustments to hearing aids. 

Virus-free. www.avast.com

On Thu, Mar 24, 2022 at 8:24 PM Steve Sterry <steve.sterry@...> wrote:
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@...

 


Steve Sterry
 

Understood.  Perhaps one temporary solution to the problem would be to ask your audiologist to document the measurements at each normal plot point on the audiogram chart in his or her comments.  As I understand, the normal plot points are 125, 250, 500. 1k, 2k, 4k, and 8kHZ.  That is the only additional information that outside audiologists would really need.  Perhaps the HLAA could draft and send a letter to Washington with a request that this be standardized for the whole VA system.

I think that part of the problem here is that the VA is trying to shift from its old archaic system into a new one and is having enough problems generating the necessary data to create reliable medical records.  I think that the resistance that you are getting is based upon their plans to activate the new system and deactivate the old one.  They don't want to spend money enhancing a computer system that will shortly (as they hope) go away.

What do you think?

 

Steven C. Sterry, M.A./M.B.A.

10149 Grayling AV. – Whittier, CA  90603-2608

Phone (562) 947-2258

Email: steve.sterry@...

 



On Thu, Mar 24, 2022 at 7:24 PM N Y Business <black8765309.8765309@...> wrote:
I am also a premium member and have searched the Blue Dot. The graph is what is needed when you are going to an outside audiologist to avoid retaking the test at a cost. . Now I can get images of MRI and CAT scans and colonoscopy from the Blue Dot info sharing download etc. . But not a scanned document of the hearing test which is what outside audiologist and need to make adjustments to hearing aids. 

Virus-free. www.avast.com

On Thu, Mar 24, 2022 at 8:24 PM Steve Sterry <steve.sterry@...> wrote:
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@...

 


N Y Business
 

I am also a premium member and have searched the Blue Dot. The graph is what is needed when you are going to an outside audiologist to avoid retaking the test at a cost. . Now I can get images of MRI and CAT scans and colonoscopy from the Blue Dot info sharing download etc. . But not a scanned document of the hearing test which is what outside audiologist and need to make adjustments to hearing aids. 

Virus-free. www.avast.com


On Thu, Mar 24, 2022 at 8:24 PM Steve Sterry <steve.sterry@...> wrote:
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@...

 


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@...