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Jeffrey Whittle MD

Jeffrey Whittle MD

Professor

Institution: Medical College of Wisconsin
Department: Medicine
Division: General Internal Medicine
Program: Veterans Administration

Member of the MCW Cancer Center

I am willing to mentor a junior faculty member.


Publications

  • Cisplatin versus carboplatin-based regimens for the treatment of patients with metastatic lung cancer. an analysis of Veterans Health Administration data. (Santana-Davila R, Szabo A, Arce-Lara C, Williams CD, Kelley MJ, Whittle J) J Thorac Oncol 2014 May;9(5):702-9 PMID 24662458
  • Self-reported subjective workload of on-call interns. (Fletcher KE, Visotcky AM, Slagle JM, Tarima S, Whittle J, Weinger MB, Schapira MM) J Grad Med Educ 2013 Sep;5(3):427-32 PMID 24404306
  • Implementing programs to improve hypertension management in typical practice settings: not as easy as it sounds. (Whittle J) Am J Hypertens 2014 Mar;27(3):291-3 PMID 24363277
  • Risk of hospitalized gastrointestinal bleeding in persons randomized to diuretic, ACE-inhibitor, or calcium-channel blocker in ALLHAT. (Phillips W, Piller LB, Williamson JD, Whittle J, Jafri SZ, Ford CE, Einhorn PT, Oparil S, Furberg CD, Grimm RH Jr, Alderman MH, Davis BR, Probstfield JL, ALLHAT Collaborative Research Group) J Clin Hypertens (Greenwich) 2013 Nov;15(11):825-32 PMID 24283598
  • The association of lacking insurance with outcomes of severe sepsis: retrospective analysis of an administrative database*. (Kumar G, Taneja A, Majumdar T, Jacobs ER, Whittle J, Nanchal R, Milwaukee Initiative in Critical Care Outcomes Research (MICCOR) Group of Investigators) Crit Care Med 2014 Mar;42(3):583-91 PMID 24152590
  • Utilization of mechanical ventilation for asthma exacerbations: analysis of a national database. (Nanchal R, Kumar G, Majumdar T, Taneja A, Patel J, Dagar G, Jacobs ER, Whittle J) Respir Care 2014 May;59(5):644-53 PMID 24106317
  • Patterns of arthritis medication use in a community sample. (Rosenwald K, Ertl K, Fletcher KE, Whittle J) J Prim Care Community Health 2012 Oct 1;3(4):272-7 PMID 23804172
  • Does providing care for uninsured patients decrease emergency room visits and hospitalizations? (Mackinney T, Visotcky AM, Tarima S, Whittle J) J Prim Care Community Health 2013 Apr 1;4(2):135-42 PMID 23799722
  • Fracture risk in nursing home residents initiating antipsychotic medications. (Rigler SK, Shireman TI, Cook-Wiens GJ, Ellerbeck EF, Whittle JC, Mehr DR, Mahnken JD) J Am Geriatr Soc 2013 May;61(5):715-22 PMID 23590366
  • Evaluation of a peer-led hypertension intervention for veterans: impact on peer leaders. (Mosack KE, Patterson L, Brouwer AM, Wendorf AR, Ertl K, Eastwood D, Morzinski J, Fletcher K, Whittle J) Health Educ Res 2013 Jun;28(3):426-36 PMID 23406721
  • Response. (Nanchal R, Whittle J, Kumar G) Chest 2013 Jan;143(1):276 PMID 23276865
  • Why Residents Consider Working Beyond the Duty Hour Limits: Implications of the ACGME 2011 Duty Hour Standards. (Fletcher KE, Nickoloff S, Whittle J, Jackson JL, Frank M, Schapira MM) J Grad Med Educ 2011 Dec;3(4):571-3 PMID 23205212
  • Pulmonary embolism in patients with CKD and ESRD. (Kumar G, Sakhuja A, Taneja A, Majumdar T, Patel J, Whittle J, Nanchal R, Milwaukee Initiative in Critical Care Outcomes Research (MICCOR) Group of Investigators) Clin J Am Soc Nephrol 2012 Oct;7(10):1584-90 PMID 22837271
  • Location and organizational features: what type of veteran communities participate in health programs? (Patterson L, McGinley E, Ertl K, Morzinski J, Fyfe R, Whittle J) Prog Community Health Partnersh 2012;6(2):141-52 PMID 22820224
  • The development and validation of the hypertension evaluation of lifestyle and management knowledge scale. (Schapira MM, Fletcher KE, Hayes A, Eastwood D, Patterson L, Ertl K, Whittle J) J Clin Hypertens (Greenwich) 2012 Jul;14(7):461-6 PMID 22747619
  • The relationship between perceived discrimination and coronary artery obstruction. (Ayotte BJ, Hausmann LR, Whittle J, Kressin NR) Am Heart J 2012 Apr;163(4):677-83 PMID 22520534
  • Pulmonary embolism: the weekend effect. (Nanchal R, Kumar G, Taneja A, Patel J, Deshmukh A, Tarima S, Jacobs ER, Whittle J, Milwaukee Initiative in Critical Care Outcomes Research (MICCOR) Group of Investigators) Chest 2012 Sep;142(3):690-6 PMID 22459777
  • Veterans service organization engagement in 'POWER,' a peer-led hypertension intervention. (Mosack KE, Wendorf AR, Brouwer AM, Patterson L, Ertl K, Whittle J, Morzinski J, Fletcher K) Chronic Illn 2012 Dec;8(4):252-64 PMID 22318208
  • Engaging community-based veterans' organizations in health promotion programs. (Patterson L, Morzinski J, Ertl K, Wurm C, Hayes A, Whittle J) Fam Community Health 2011 Oct-Dec;34(4):311-8 PMID 21881418
  • Nationwide trends of severe sepsis in the 21st century (2000-2007). (Kumar G, Kumar N, Taneja A, Kaleekal T, Tarima S, McGinley E, Jimenez E, Mohan A, Khan RA, Whittle J, Jacobs E, Nanchal R, Milwaukee Initiative in Critical Care Outcomes Research Group of Investigators) Chest 2011 Nov;140(5):1223-31 PMID 21852297
  • Electrodiagnostic consultation and identification of neuromuscular conditions in persons with diabetes. (Sohn MW, Whittle J, Pezzin LE, Miao H, Dillingham TR) Muscle Nerve 2011 Jun;43(6):812-7 PMID 21607966
  • A comparison of outcomes of general medical inpatient care provided by a hospitalist-physician assistant model vs a traditional resident-based model. (Singh S, Fletcher KE, Schapira MM, Conti M, Tarima S, Biblo LA, Whittle J) J Hosp Med 2011 Mar;6(3):122-30 PMID 21387547
  • Ethical challenges in a randomized controlled trial of peer education among veterans service organizations. (Whittle J, Fletcher KE, Morzinski J, Ertl K, Patterson L, Jensen W, Schapira MM) J Empir Res Hum Res Ethics 2010 Dec;5(4):43-51 PMID 21133786
  • It's the writing on the wall: Whiteboards improve inpatient satisfaction with provider communication. (Singh S, Fletcher KE, Pandl GJ, Schapira MM, Nattinger AB, Biblo LA, Whittle J) Am J Med Qual 2011 Mar-Apr;26(2):127-31 PMID 20870743
  • Comparing methods to identify hip fracture in a nursing home population using Medicare claims. (Rigler SK, Ellerbeck E, Whittle J, Mahnken J, Cook-Wiens G, Shireman TI) Osteoporos Int 2011 Jan;22(1):57-61 PMID 20503037
  • Preliminary description of the feasibility of using peer leaders to encourage hypertension self-management. (Hayes A, Morzinski J, Ertl K, Wurm C, Patterson L, Wilke N, Whittle J) WMJ 2010 Apr;109(2):85-90 PMID 20443327
  • How can rates of prostate-specific antigen screening be reduced in men aged 80 and older? (Whittle J, Zablocki CJ) J Am Geriatr Soc 2010 Apr;58(4):757-9 PMID 20398158
  • What can the VA teach us about implementing proven advances into routine clinical practice? (Whittle J, Segal JB) J Gen Intern Med 2010 Jan;25 Suppl 1:77-8 PMID 20077157
  • Ambulatory training since duty hour regulations: a survey of program directors. (Zebrack JR, Fletcher KE, Beasley BW, Whittle J) Am J Med 2010 Jan;123(1):89-94 PMID 20103000
  • Reasons why emergency department providers do not rely on the pneumonia severity index to determine the initial site of treatment for patients with pneumonia. (Aujesky D, McCausland JB, Whittle J, Obrosky DS, Yealy DM, Fine MJ) Clin Infect Dis 2009 Nov 15;49(10):e100-8 PMID 19842971
  • Physician certification and implantable cardioverter-defibrillators. (Whittle J) JAMA 2009 Sep 2;302(9):942; author reply 942-3 PMID 19724038
  • Conflicts of interest need to be reported reliably. (Whittle J) Arch Intern Med 2009 Jun 8;169(11):1078-9; author reply 1079 PMID 19506185
  • Relationship of scheduling interval to missed and cancelled clinic appointments. (Whittle J, Schectman G, Lu N, Baar B, Mayo-Smith MF) J Ambul Care Manage 2008 Oct-Dec;31(4):290-302 PMID 18806590
  • Informed decision-making and colorectal cancer screening: is it occurring in primary care? (Ling BS, Trauth JM, Fine MJ, Mor MK, Resnick A, Braddock CH, Bereknyei S, Weissfeld JL, Schoen RE, Ricci EM, Whittle J) Med Care 2008 Sep;46(9 Suppl 1):S23-9 PMID 18725829
  • Prescription drug samples: making decisions with imperfect data. (Whittle J, Good CB) J Gen Intern Med 2008 Jun;23(6):890-2 PMID 18461406
  • Studying complexity is complex. (Whittle J, Bosworth H) J Gen Intern Med 2007 Dec;22 Suppl 3:379-81 PMID 18026805
  • Chronic kidney disease is associated with angiographic coronary artery disease. (Chonchol M, Whittle J, Desbien A, Orner MB, Petersen LA, Kressin NR) Am J Nephrol 2008;28(2):354-60 PMID 18046083
  • Understanding of the benefits of coronary revascularization procedures among patients who are offered such procedures. (Whittle J, Conigliaro J, Good CB, Kelley ME, Skanderson M) Am Heart J 2007 Oct;154(4):662-8 PMID 17892988
  • Not your typical pneumonia: a case of exogenous lipoid pneumonia. (Simmons A, Rouf E, Whittle J) J Gen Intern Med 2007 Nov;22(11):1613-6 PMID 17846847
  • Computers in the exam room: differences in physician-patient interaction may be due to physician experience. (Rouf E, Whittle J, Lu N, Schwartz MD) J Gen Intern Med 2007 Jan;22(1):43-8 PMID 17351838
  • Symptom expression in coronary heart disease and revascularization recommendations for black and white patients. (Hravnak M, Whittle J, Kelley ME, Sereika S, Good CB, Ibrahim SA, Conigliaro J) Am J Public Health 2007 Sep;97(9):1701-8 PMID 17329655
  • Functional status outcomes among white and African-American cardiac patients in an equal access system. (Kressin NR, Glickman ME, Peterson ED, Whittle J, Orner MB, Petersen LA) Am Heart J 2007 Mar;153(3):418-25 PMID 17307422
  • Racial differences in prevalence of coronary obstructions among men with positive nuclear imaging studies. (Whittle J, Kressin NR, Peterson ED, Orner MB, Glickman M, Mazzella M, Petersen LA) J Am Coll Cardiol 2006 May 16;47(10):2034-41 PMID 16697322
  • Effect of increasing the intensity of implementing pneumonia guidelines: a randomized, controlled trial. (Yealy DM, Auble TE, Stone RA, Lave JR, Meehan TP, Graff LG, Fine JM, Obrosky DS, Mor MK, Whittle J, Fine MJ) Ann Intern Med 2005 Dec 20;143(12):881-94 PMID 16365469
  • Differing patterns of antiresorptive pharmacotherapy in nursing facility residents and community dwellers. (Jachna CM, Shireman TI, Whittle J, Ellerbeck EF, Rigler SK) J Am Geriatr Soc 2005 Aug;53(8):1275-81 PMID 16078951
  • Effect of both elevated troponin-I and peripheral white blood cell count on prognosis in patients with suspected myocardial injury. (Zahid M, Sonel AF, Kelley ME, Wall L, Whittle J, Fine MJ, Good CB) Am J Cardiol 2005 Apr 15;95(8):970-2 PMID 15820165
  • The community initiative on depression: report from a multiphase work site depression intervention. (Charbonneau A, Bruning W, Titus-Howard T, Ellerbeck E, Whittle J, Hall S, Campbell J, Lewis SC, Munro S) J Occup Environ Med 2005 Jan;47(1):60-7 PMID 15643160
  • The relationship of system-level quality improvement with quality of depression care. (Charbonneau A, Parker V, Meterko M, Rosen AK, Kader B, Owen RR, Ash AS, Whittle J, Berlowitz DR) Am J Manag Care 2004 Nov;10(11 Pt 2):846-51 PMID 15609738
  • Racial differences in cardiac catheterization as a function of patients' beliefs. (Kressin NR, Chang BH, Whittle J, Peterson ED, Clark JA, Rosen AK, Orner M, Collins TC, Alley LG, Petersen LA) Am J Public Health 2004 Dec;94(12):2091-7 PMID 15569959
  • Racial variations in processes of care for patients with community-acquired pneumonia. (Mortensen EM, Cornell J, Whittle J) BMC Health Serv Res 2004 Aug 10;4(1):20 PMID 15304197
  • Relevance of carotid stenosis progression as a predictor of ischemic neurological outcomes. (Bertges DJ, Muluk V, Whittle J, Kelley M, MacPherson DS, Muluk SC) Arch Intern Med 2003 Oct 27;163(19):2285-9 PMID 14581246
  • Racial/ethnic variations in physician recommendations for cardiac revascularization. (Ibrahim SA, Whittle J, Bean-Mayberry B, Kelley ME, Good C, Conigliaro J) Am J Public Health 2003 Oct;93(10):1689-93 PMID 14534223
  • Effect of hospitalist consultation on treatment of osteoporosis in hip fracture patients. (Jachna CM, Whittle J, Lukert B, Graves L, Bhargava T) Osteoporos Int 2003 Aug;14(8):665-71 PMID 12879218
  • Quality of life and dialysis decisions in critically ill patients with acute renal failure. (Maynard SE, Whittle J, Chelluri L, Arnold R) Intensive Care Med 2003 Sep;29(9):1589-93 PMID 12819880
  • Racial differences in adherence to cardiac medications. (Charles H, Good CB, Hanusa BH, Chang CC, Whittle J) J Natl Med Assoc 2003 Jan;95(1):17-27 PMID 12656446
  • Patient satisfaction in women's clinics versus traditional primary care clinics in the Veterans Administration. (Bean-Mayberry BA, Chang CC, McNeil MA, Whittle J, Hayes PM, Scholle SH) J Gen Intern Med 2003 Mar;18(3):175-81 PMID 12648248
  • Carotid endarterectomy and race: do clinical indications and patient preferences account for differences? (Oddone EZ, Horner RD, Johnston DC, Stechuchak K, McIntyre L, Ward A, Alley LG, Whittle J, Kroupa L, Taylor J) Stroke 2002 Dec;33(12):2936-43 PMID 12468794
  • Black-white differences in severity of coronary artery disease among individuals with acute coronary syndromes. (Whittle J, Conigliaro J, Good CB, Hanusa BH, Macpherson DS) J Gen Intern Med 2002 Nov;17(11):867-73 PMID 12406359
  • Clinical importance of HIV and depressive symptoms among veterans with HIV infection. (Kilbourne AM, Justice AC, Rollman BL, McGinnis KA, Rabeneck L, Weissman S, Smola S, Schultz R, Whittle J, Rodriguez-Barradas M) J Gen Intern Med 2002 Jul;17(7):512-20 PMID 12133141
  • Improving adverse-drug-reaction reporting in ambulatory care clinics at a Veterans Affairs hospital. (Aspinall MB, Whittle J, Aspinall SL, Maher RL Jr, Good CB) Am J Health Syst Pharm 2002 May 1;59(9):841-5 PMID 12004462
  • Racial differences in coronary artery calcification in older adults. (Newman AB, Naydeck BL, Whittle J, Sutton-Tyrrell K, Edmundowicz D, Kuller LH) Arterioscler Thromb Vasc Biol 2002 Mar 1;22(3):424-30 PMID 11884285
  • Racial differences in health-related beliefs, attitudes, and experiences of VA cardiac patients: scale development and application. (Kressin NR, Clark JA, Whittle J, East M, Peterson ED, Chang BH, Rosen AK, Ren XS, Alley LG, Kroupa L, Collins TC, Petersen LA) Med Care 2002 Jan;40(1 Suppl):I72-85 PMID 11789634
  • Delay in presentation for cardiac care by race, age, and site of care. (Conigliaro J, Whittle J, Good CB, Skanderson M, Kelley M, Goldberg K) Med Care 2002 Jan;40(1 Suppl):I97-105 PMID 11789636
  • Natural history of claudication: long-term serial follow-up study of 1244 claudicants. (Aquino R, Johnnides C, Makaroun M, Whittle JC, Muluk VS, Kelley ME, Muluk SC) J Vasc Surg 2001 Dec;34(6):962-70 PMID 11743546
  • Is warfarin really underused in patients with atrial fibrillation? (Weisbord SD, Whittle J, Brooks RC) J Gen Intern Med 2001 Nov;16(11):743-9 PMID 11722687
  • Outcome events in patients with claudication: a 15-year study in 2777 patients. (Muluk SC, Muluk VS, Kelley ME, Whittle JC, Tierney JA, Webster MW, Makaroun MS) J Vasc Surg 2001 Feb;33(2):251-7; discussion 257-8 PMID 11174775
  • Treatment for atrial fibrillation complications. (Whittle J) Pa Med 2000 Jan;103(1):16 PMID 10932915
  • Understanding racial variation in the use of coronary revascularization procedures: the role of clinical factors. (Conigliaro J, Whittle J, Good CB, Hanusa BH, Passman LJ, Lofgren RP, Allman R, Ubel PA, O'Connor M, Macpherson DS) Arch Intern Med 2000 May 8;160(9):1329-35 PMID 10809037
  • Race, presenting signs and symptoms, use of carotid artery imaging, and appropriateness of carotid endarterectomy. (Oddone EZ, Horner RD, Sloane R, McIntyre L, Ward A, Whittle J, Passman LJ, Kroupa L, Heaney R, Diem S, Matchar D) Stroke 1999 Jul;30(7):1350-6 PMID 10390306
  • Relationship of provider characteristics to outcomes, process, and costs of care for community-acquired pneumonia. (Whittle J, Lin CJ, Lave JR, Fine MJ, Delaney KM, Joyce DZ, Young WW, Kapoor WN) Med Care 1998 Jul;36(7):977-87 PMID 9674616
  • Anticoagulation therapy in patients with venous thromboembolic disease. (Whittle J, Johnson P, Localio AR) J Gen Intern Med 1998 Jun;13(6):373-8 PMID 9669566
  • Vancomycin-resistant enterococci: an emerging health problem. (Whittle J, Queenan E) Pa Med 1997 Oct;100(10):30-2 PMID 9509872
  • Vancomycin-resistant enterococci: improving treatments. (Whittle J, Queenan E) Pa Med 1997 Nov;100(11):24-6 PMID 9509876
  • Understanding racial variation in the use of carotid endarterectomy: the role of aversion to surgery. (Oddone EZ, Horner RD, Diers T, Lipscomb J, McIntyre L, Cauffman C, Whittle J, Passman LJ, Kroupa L, Heaney R, Matchar D) J Natl Med Assoc 1998 Jan;90(1):25-33 PMID 9473926
  • Do patient preferences contribute to racial differences in cardiovascular procedure use? (Whittle J, Conigliaro J, Good CB, Joswiak M) J Gen Intern Med 1997 May;12(5):267-73 PMID 9159695
  • Is warfarin underused in the treatment of elderly persons with atrial fibrillation? (Whittle J, Wickenheiser L, Venditti LN) Arch Intern Med 1997 Feb 24;157(4):441-5 PMID 9046896
  • Community-acquired pneumonia: can it be defined with claims data? (Whittle J, Fine MJ, Joyce DZ, Lave JR, Young WW, Hough LJ, Kapoor WN) Am J Med Qual 1997;12(4):187-93 PMID 9385729
  • Accuracy of coding for cardiac catheterization and percutaneous transluminal coronary angioplasty at a Department of Veterans Affairs Medical Center. (Mendelsohn AB, Whittle J) J AHIMA 1996 Feb;67(2):64-70 PMID 10154219
  • KePRO project sheds light on anticoagulation in atrial fibrillation. (Whittle J) Pa Med 1995 Dec;98(12):30-1 PMID 8545133
  • Mortality after elective total hip arthroplasty in elderly Americans. Age, gender, and indication for surgery predict survival. (Whittle J, Steinberg EP, Anderson GF, Herbert R, Hochberg MC) Clin Orthop Relat Res 1993 Oct(295):119-26 PMID 8403635
  • Racial differences in the use of invasive cardiovascular procedures in the Department of Veterans Affairs medical system. (Whittle J, Conigliaro J, Good CB, Lofgren RP) N Engl J Med 1993 Aug 26;329(9):621-7 PMID 8341338
  • Epidemiologic analysis of existing data to investigate hypertensive renal disease: an example from the Maryland End-Stage Renal Disease Registry. (Brancati FL, Whelton PK, Whittle JC, Klag MJ) Am J Kidney Dis 1993 Apr;21(4 Suppl 1):15-24 PMID 8465831
  • The excess incidence of diabetic end-stage renal disease among blacks. A population-based study of potential explanatory factors. (Brancati FL, Whittle JC, Whelton PK, Seidler AJ, Klag MJ) JAMA 1992 Dec 2;268(21):3079-84 PMID 1433738
  • Results of colectomy in elderly patients with colon cancer, based on Medicare claims data. (Whittle J, Steinberg EP, Anderson GF, Herbert R) Am J Surg 1992 Jun;163(6):572-6 PMID 1308654
  • Accuracy of Medicare claims data for estimation of cancer incidence and resection rates among elderly Americans. (Whittle J, Steinberg EP, Anderson GF, Herbert R) Med Care 1991 Dec;29(12):1226-36 PMID 1745080
  • Use of Medicare claims data to evaluate outcomes in elderly patients undergoing lung resection for lung cancer. (Whittle J, Steinberg EP, Anderson GF, Herbert R) Chest 1991 Sep;100(3):729-34 PMID 1889265
  • Does racial variation in risk factors explain black-white differences in the incidence of hypertensive end-stage renal disease? (Whittle JC, Whelton PK, Seidler AJ, Klag MJ) Arch Intern Med 1991 Jul;151(7):1359-64 PMID 2064486
  • Statistical power and polyvalent immunoglobulin. (Whittle J) Arch Intern Med 1990 Aug;150(8):1760 PMID 2166492
  • Development of clinical and economic prognoses from Medicare claims data. (Anderson G, Steinberg EP, Whittle J, Powe NR, Antebi S, Herbert R) JAMA 1990 Feb 16;263(7):967-72 PMID 2105404
  • Impact of claims data research on clinical practice. (Steinberg EP, Whittle J, Anderson GF) Int J Technol Assess Health Care 1990;6(2):282-7 PMID 2394561
  • Screening for pheochromocytoma. (Whittle J) J Gen Intern Med 1990 Jan-Feb;5(1):93 PMID 2299433
  • Setting payment rates for capitated systems: a comparison of various alternatives. (Anderson GF, Steinberg EP, Powe NR, Antebi S, Whittle J, Horn S, Herbert R) Inquiry 1990;27(3):225-33 PMID 2145223
  • Dietary supplementation with omega-3 polyunsaturated fatty acids in patients with stable coronary heart disease. (Whittle JC) Am J Med 1988 Jun;84(6):1095-6 PMID 3376983
  • Correction: article on diagnosis in jaundice. (Whittle J) Ann Intern Med 1983 Oct;99(4):574 PMID 6625406
  • Grants and Awards

  • Visit-to-visit variability of blood pressure and CVD and renal outcomes (#9207729 05/01/2012 - 04/30/2015) Sponsor: University of Alabama at Birmingham
  • Current Antipsychotics and Fractures in Nursing Homes (#9204523 04/01/2007 - 03/31/2008) Sponsor: University of Kansas
  • Million Veteran Program (MVP) (#9207189 09/01/2011 - 08/31/2016) Sponsor: Zablocki Veterans Affairs Medical Center
  • SPRINT - Systolic Blood Pressure Intervention Trial (#9208270 09/09/2013 - 09/08/2014) Sponsor: Wisconsin Corporation for Biomedical Research
  • MOVE OUT: A Partnership with Veterans Groups to Enhance Weight Management in VHA (#9207154 09/01/2011 - 08/31/2015) Sponsor: Zablocki Veterans Affairs Medical Center