Gateway Veteran Summer Edition

Gateway Veteran VA ST. LOUIS HEALTH CARE SYSTEM

Veterans attend Summer Sports Clinic in San Diego

SUMMER 2023 ISSUE 001

From the Director Welcome to the inaugural issue of the Gateway Veteran! We are excited to highlight our Veterans and the services they have earned. Our dedicated and passionate staff at VA St. Louis Health Care System are happy to serve our Veterans.

Candace Ifabiyi, MHA, MSBA, PMP Medical Center Director I am Candace Ifabiyi, a proud Veteran of the U.S. Army Reserves and equally proud to be your Medical Center Director here at the VA St. Louis Health Care System. The Gateway Veteran is a quarterly publication of your VA medical center and we hope you enjoy reading it. If you have any questions or suggestions for future articles, please feel free to email our public affairs office at STLPAO@va.gov. Relocation of St. Charles Clinic August 28th!

It's official! The St. Charles County VA Clinic will be relocating and opening in a new location on August 28, 2023. At 17,500 square feet, the new clinic will be double the size of the current location and provide the following services: Primary Care, Home Based Primary Care, Pathology & Laboratory Service, Physical & Occupational Therapy, and Whole Health. “I understand the anxiety that can come from travelling for care." said Devin Gates, U.S. Army Veteran, VA Healthcare Engineer. "Once open, this expanded Outpatient Clinic in St. Charles will offer care to many Veterans much closer to their homes.” The new clinic, conveniently located in Regency Plaza at 2845 Veterans Memorial Pkwy, St. Charles, MO 63303, includes 21 Exam rooms, a large open waiting area, and clean modern finishes. We look forward to expanding care in the community and providing improved access for our Veterans throughout this region.

New downtown construction on the horizon to better serve you our Veterans!

The VA St. Louis Health Care System is designing a new Bed Tower for our inpatients. Located downtown on the John Cochran campus, this project will include private rooms for all hospitalized patients, several new parking garages and a new Spinal Cord Injury Center. This graphic is a concept viewing the campus from the west. Construction is expected to start in 2024 or 2025.

The PACT Act is a new law that expands VA health care and benefits for Veterans exposed to burn pits, Agent Orange, and other toxic substances. It is perhaps the largest health care and benefits expansion in VA history. The PACT Act adds to the list of health conditions that we assume (or “presume”) are caused by exposure to these substances. This law helps us provide generations of Veterans—and their survivors—with the care and benefits they’ve earned and deserve! It offers expanded VA health care eligibility for many veterans who were not previously covered by VA care PACT ACT VA IS EXPANDING CARE AND BENEFITS FOR VETERANS AND SURVIVORS. If you, a Veteran, family member, or survivor would like more information about the PACT Act and your VA benefits: • Go to www.va.gov/pact • CALL 1-800-MyVA411 (698-2411) 24/7/365 • VASTLHCS Eligibility Office: 314-652-4100 ext 54165 (Mon - Fri / 8am-4pm) • Talk with a Veterans Service Officer (they’re free!) www.VA.gov/disability/get-help-filing-claim • Attend one of our upcoming PACT Act outreach events • Go to www.facebook.com/VASTLouis for additional information Toxic exposure screenings are available here at VA St. Louis Health Care System and at VA health facilities across the country. Every Veteran enrolled in VA health care will receive an initial screening and a follow-up screening at least once every 5 years. The screening will ask you if you think you were exposed to any of these hazards while serving: • Open burn pits and other airborne hazards • Agent Orange • Radiation • Gulf War-related exposures • Other exposures • Camp Lejeune contaminated water exposure At your screening, we’ll give you information about any benefits, registry exams, and clin- ical resources you may need. Ask about this screening at your next VA health care ap- pointment. If you don’t have an upcoming appointment, or if you want to get a screen- ing sooner, contact your primary care provider through MyHealtheVet and ask to get screened for toxic exposure.

Hello! My name is Deanna McKeller. I am a United States Army Reserves Veteran and your VA St. Louis Regional Office Benefits Specialist located at both John Cochran Hospital and Jefferson Barracks! Some of the services that I offer to Veterans, family members and survivors: • Assistance with filing claims/appeals • Checking claims/appeal status • Changing of personal information (address/banking/phone number/emails) • General benefits questions • Benefits/Awards Letters • Veterans resource information • And much more!!! VBA Regional Office Benefits Specialist now has an office at John Cochran and Jefferson Barracks!

Please stop by and see me at the following days/times: John Cochran VA Hospital

5th floor Rm. A529 Mon/Wed/Friday Hours: 8:00am-4:00pm Jefferson Barracks Division Bldg. 1, 1st Floor Rm. C109 (next to VSO offices) Tues/Thurs Hours: 8:00am-4:00pm

For assistance off campus, please continue to call our main VBA customer service number:1-800-827-1000 7:00am – 8:00pm or visit our website: www.va.gov

Live Whole Health It’s never been easier to take charge of your life and health. VA St. Louis Health Care System’s Whole Health team can help you live your best life. It’s all about what matters to you.

Your VA St. Louis Health Care System is proud to be a Premier Flagship for Whole Health. Out of the 171 VA Medical Centers nationwide, we are honored to be one of 18 designated Whole Health Flagships in the VA health care system and leading the way in helping you take charge of your life and health. Whole Health is about treating you, the person. It’s about you taking charge of your life and health. Whole Health focuses on all aspects of your health, what matters to you, partnering with you and your healthcare team, and not just treating a specific disease or problem. Whether you’re fresh off active duty or have been out of military service for “a while,” Whole Health helps you take control and build positive habits for life. By identifying what’s important, you can choose care that fits with your health and well-being priorities. Each of us has the power to impact our well-being. Whole Health offers health coaching, skills, and the support you need to make the changes you want! Many of our coaches, partners, and peer specialists are Veterans who participate in Whole Health themselves. Wondering where to set your foot on the Whole Health journey (or even restart your Whole Health journey?), start right here at Pathway! Whole Health Pathway includes partners, coaches and peer-support specialists who work with you to guide and support you in discovering your Mission, Aspiration, and Purpose (MAP) in life. When you explore your MAP, you can then start a Personal Health Plan with a Pathway team member and optimize your health and well-being. Pathway team members partner with you in exploring all areas in the Circle of Health, which is a diagram that helps guide the conversation, assess how you are doing in each area, and then decide which area you would like to focus on first. Areas include Moving the Body, Surroundings, Personal Development, Food and Drink, Recharge, Power of the Mind, Spirit & Soul, and Family, Friends & Co-workers. Veterans also have access to our website: www.wellvets.com

Pathway team members can also provide information and help you make those connections to clinical care in Whole Health. Weight Management, Acupuncture, Biofeedback, Healing Touch, and Chiropractic care are among the many options available. A variety of Whole Health Classes and resources are also available to help you on your Whole Health journey. Veterans and their families/caregivers are invited to learn more about Whole Health by attending an orientation, offered Monday-Friday, either in-person, virtually, or over the phone. Contact the Whole Health team directly at 314-289-6583 to start your journey to Whole Health and what matters to you. No referral from your VA primary care doctor required!

Whole Health offers classes or individual sessions for: • Acupuncture • Battlefield Acupuncture (BFA) • Biofeedback • Chiropractic • Health Coaching • Meditation/Mindfulness • Nutrition • • • Tai Chi • • Yoga

Personal Development

Spirit and Soul

Weight Management

And so much more!

Our Veteran Athletes attend National Summer Sports Clinic in San Diego! The National Veterans Summer Sports Clinic promotes rehabilitation of body and spirit by teaching summer sporting activities to Veterans with significant physical or psychological impairments. The clinic features adaptive surfing, sailing, cycling (hand and tandem), adaptive fitness and kayaking. There is no cost for qualified Veterans to attend. This year, Team St. Louis was comprised of Nine Veteran Athletes and five Recreation Therapists. Many of these Veterans also participate in other national atheletic activities like the National Veteran Golden Age Games and National Veteran Wheelchair Games. Interested in participating? Veterans who are receiving care at VA St. Louis Health Care System can contact their primary care provider and ask for a RT Leisure Education Consult JB. During Veteran assessment, your Rec Therapist can discuss the variety of outpatient options available!

"At Summer Sports Clinic, I went surfing for the first time in my life. I couldn't stand up on the board but I got up of my hands and knees. And I was surfing! And we went sailing...first time I'd ever sailed in my life. That was great, you know, to pull on those rings and control those sails was wonderful. We all come from different parts of the world. We meet up in these games and clinics and we all had to be as one team, as one family to make it work. That's the best thing about it. Veterans as family and friends. - Charles Hampton, U.S. Navy Veteran

VA St. Louis Health Care System

Recognized as a Provider of Choice • Increase the number of Veteran Enrollees and Users. • Connect Veterans to the Soonest and Best Care. • Serve Veterans with Military Environmental Exposures. • Create an aesthetic environment that is welcoming, clean, and inviting. • Engage with our Veterans to create a welcoming experience at our care locations. • Support Veteran’s whole health, their caregivers, and survivors. • Accelerate VASTLHCS’ journey to a High Reliability Organization. • Provide exceptional, high-quality healthcare to all Veterans, achieving positive outcomes across all patient populations. Recruit and Retain A World Class Healthcare Team • Hire Faster by creating a competitive hiring and on-boarding timeline, through efficient processes, active communication, creative recruitment strategies, and real time monitoring of productivity. • Develop a comprehensive marketing plan to attract high quality candidates to the VA St Louis Healthcare System. • Develop a comprehensive System wide employee reward and recognition program. • Utilize data to understand drivers for satisfaction, engagement, and burnout (Exit Surveys, Stay Interviews, All Employee Survey). • Develop a workforce plan that incorporates critical organizational needs, gaps, and opportunities. • Invite opportunities for staff to have a voice, through idea sharing, input into decision-making, transparency, and shared governance. • Develop career pathways through deployment of continuous training, mentorship, and deployment of individual development plans. • Enhance employee wellbeing by promoting a healthy work environment that improves satisfaction and work-life balance. • Create an environment that promotes comfort, productivity, and safety.

Establishes FY23 Strategic Priorities "The VA St. Louis Health Care System has recently completed the Strategic Planning Cycle, establishing strategies and priorities for the hospital for the next 1 to 5 years. This is the first published Strategic Plan that VASTLHCS has had in quite some time, and I am excited to share with you the strategic goals and objectives that will serve as a roadmap to move our organization forward with direction and intent." - Candace Ifabiyi, MHA, MSBA, PMP, Medical Center Director. Investing in Today, Resourcing the Future • Optimization of VHA resources. • Enhance clinical and administrative operations and facility, to improve efficiency and scheduling practices which would improve access to services for patients. • Optimizing Financial Resources. • Ensure Data Integrity. • Proactively plan and prepare for an evolution in the Electronic Health Record (EHR). • Design and implement efficient standard business and leadership practices. Advocating for Veterans as a Community Leader • Earn and sustain Veteran trust. • Synergize with our community partners to maximize resources available for Veterans. • Cultivating new connections with community partners. • Serve as a leader in healthcare preparedness through participation in emergency management. • Promote Veterans’ personal and population health by sharing VA Research and Innovation projects widely with the Veterans we serve and with our community partners.

Top Left corner: John Cochran VA Medical Center, Saint Louis. Bottom Right: Birdseye view of Jefferson Barracks Division in South St. Louis County.

Meet Two of our Top Docs

Abigail Ramon, PhD. Dr. Ramon is in a unique position at the VA St. Louis Health Care System, as she works as a Clinical Psychologist in both the Medicine and Primary Care Service lines, while also working as a researcher. She excels at supporting all patients and supports VA’s new ComPACT program. Dr. Ramon is a co-lead on research to implement brief mindfulness practice within Primary Care, along with faculty from the VA’s Center for Integrated Care. She has also worked with her ComPACT team to propose work on sleep and medical care. Dr. Ramon is a co-lead on research to implement brief mindfulness practice within Primary Care, along with faculty from the VA’s Center for Integrated Care. She has also worked with her ComPACT team to propose work on sleep and medical care.

Research for a clinician involves extreme dedication. Dr. Ramon has made that happen at our VA. She is always quick to volunteer to help her colleagues wherever she's needed. Her steadfast dedication to Veterans, her flexibility, consistency, positive attitude, and contributions to the field of psychology truly make her one of our Top Docs! "Working with Veterans and sharing their most difficult and joyous times in their recovery journeys is truly an honor and privilege. I can honestly say I feel like I am making a difference and doing something meaningful every day." - Abigail Ramon, PhD.

For information on all our VA St. Louis Health Care providers, scan the QR CODE on the following page or visit our VA St. Louis website: https:/bit.ly/3PHdrpd

here at VASTLHCS! Ralph Torrence, MD Dr. Torrence exemplifies the qualities of a dedicated servant leader. He joined the St. Louis VA staff in February 2016 as a Staff Urologist with a clinical faculty appointment at Washington University and was selected as the Chief of Urology in January 2018. In recognition of his numerous contributions, collaborative efforts and supportive leadership style, he was appointed VISN 15 Chief Urologist in 2020. With strong faith, effort, and determination of will, he has managed to accommodate a growing population of Veterans in need of urologic care and has been instrumental in expanding the urologic services available at VASTLHCS.

He serves as the VA Site Director for the robust Urology Residency Training program affiliated with Washington University and has consistently received accolades for his teaching and leadership in making the VA rotation a favorite for the trainees at Washington University. Dr. Torrence has earned the trust and confidence of everyone that he interacts with, and works collaboratively to build a strong community that focuses on delivering the best care possible to Veterans. He has always put the needs of patients first.

“Serving those who have served our country so well has been my privilege for over seven years here at VA St. Louis Health Care System. We are dedicated to understanding the needs of Veterans and dedicate OUR service to providing them with the best care available.” - Ralph Torrence, MD

Did you know that the VA St. Louis Health Care System is home to one of the 50 VA Driver Rehab Clinics nationwide? These clinics train Veterans on how to safely operate vehicles on our nation’s roadways. Located at Jefferson Barracks Campus in the basement of Building 52, Occupational Therapists Pat Niewoehner and Tracy Beardsley provide Driver Rehabilitation services to Veterans who travel to JB from across a three state area (Missouri, Illinois, and Kansas). Their job is to evaluate driving safety and ability and make recommendations regarding a person’s ability to drive. An on-road evaluation can determine potential for resuming driving as a safe, independent activity after illness or injury. Assistance is provided to Veterans in making decisions regarding vehicle selection, vehicle modifications and adaptive driving controls specifically required to meet individual needs. Evaluation for proper driving equipment is critical before purchasing a new vehicle or refitting an existing one in order to avoid unnecessary cost. Even if adaptive driving equipment is not required, helpful recommendations can be offered by Driver Rehab Specialists to ensure safe motor vehicle operation.

“Having the opportunity to go through JB drivers rehab program and return to driving will give our family a chance to regain some normalcy and me more independence. To pick up our girls from school or drop them off at a friend’s house will be a blessing I will not take for granted. Adventure awaits and we are so excited.” – Monica Riggs, USAF Veteran.

How does a Veteran get an appointment with Drivers Rehab Clinic? 1. Talk with your Primary Care Provider and ask for a consult. 2. Veteran must have a valid driver’s license or permit. 3. Pre-Driving Screening is performed where Veterans may be asked about: • Driving history • Medical conditions • Daily functioning • Transfers • Type of vehicle currently owned, etc. 4. The following tests will be performed: • A physical exam to look at your functional ability like arm and leg movement, strength, head and neck movement, reaction time, sensation/neuropathy. • Vision screening and a road sign recognition test will be performed. • Cognitive testing for memory and thinking skills. 5. If everything checks out OK, JB Driver Rehab Specialists will provide a road test in a VA vehicle. Regardless of a Veterans funding source, if automobile adapted equipment is recommended by the Driver Rehabilitation Specialist, Veterans will receive the required training sessions to obtain a prescription for adaptive driving equipment, and information on where to get equipment installed and Department of Motor Vehicle re-licensing with the specific adaptive driving equipment. VA funding may be available for drivers who need adaptive equipment and vehicle modifications or for a Veteran passenger who needs equipment or vehicle modifications to travel safely. Eligibility requirements must be met to determine VA funding for adaptive driving equipment and vehicle modifications. Driver Rehabilitation Clinic at Jefferson Barracks Campus Helping Veterans get safely back on the road after illness or injury.

Ready to hit the road again? Contact your VA Primary Care Provider to set up the consult with the JB Driver Rehabilitation Clinic!

A Conversation about Pain Management Chronic Pain is a common condition that affects many individuals in the United States. The Gateway Veteran spent a few moments with Interventional Pain Management Specialist and Anesthesiologist, Dr. Kathleen “Kate” Meacham, MD, PhD., to learn more about what VASTLHCS offers Veterans who suffer from chronic pain. Gateway Veteran : What is Interventional Pain Management? Dr. Meacham : Interventional Pain (IP) Management is the part of Comprehensive Pain Management that involves injections, procedures, and devices for reducing or blocking pain. Usually these procedures are injection-based and can promote healing, reduce inflammation, and/or change the way that pain is felt by the body. We work for and with the Veteran-- based on what is important to them--and what works best for their pain management goals. As our VA’s IP specialist, I work closely with the Veteran’s entire healthcare provider team to ensure that each Veteran has a coordinated and comprehensive plan for meeting their chronic pain needs. Gateway Veteran : Tell us about patients who come to see you for Pain Management. Dr. Meacham : More than 1 in 5 adults * in America experience chronic pain, with numbers being even higher for Veterans. Many suffer in silence, so it’s very rewarding when we get a chance to help. Veterans of every age, race, and gender come to see us for their Pain Management, which means I get to meet (and help) all types of amazing Veterans as part of my job. I can’t express Dr. Meacham : Available treatments for managing chronic pain are growing, both in the field of Pain Management as well as here at our VA. We most recently added a procedure called “Radio Frequency Ablation” that target nerves in the back and knee. So many of my VA colleagues went above and beyond to make sure that I could do this, because they knew it would be of great benefit for our Veterans. With their support and guidance, I will continue to add procedures based on what our Veterans need the most. Let me add that if we don’t offer a specific procedure here, we can connect our Veterans with providers who do. As a field, Pain Management can target every aspect of the chronic pain pathway, including nerves, muscles, joints, bones, spinal cord, and the brain. If we don’t offer a procedure or technique here, we know about what options are available and what evidence exists for their safety and effectiveness. enough what a tremendous privilege that is for me, every day. Gateway Veteran : What types of treatments are available?

* Refs: Yong, R. Jason et al, Prevalence of chronic pain among adults in the United States, Pain 163(2): p e328-e332, February 2022

Gateway Veteran : You mention something called “Radio Frequency Ablation” What is this? Dr. Meacham: Radio Frequency Ablation (also called RF Ablation) involves using small needles to “burn” nerves that are transmitting pain. But we’re not actually burning them: it’s an electrical signal that stuns the nerves into not transmitting the pain. I love talking about the science behind all of what we do and thinking of new ways we might better help our chronic pain patients. There’s so much more for us to learn and do as a field. Gateway Veteran : I’ve got a Pain Management appointment with you. What can I expect? Dr. Meacham : Usually by the time you’re seeing me, you’ve also seen one of my colleagues who has discussed procedures both with you and with me, or I have met and talked with you about your recommended chronic pain treatment options, including procedures. Either way, we base our pain management procedure recommendations on your symptoms, imaging, and what has and hasn’t worked for you in the past. When you meet me for any treatments or proce - dures, we’ll have time to go over any final questions, and then you and I get to focus on getting the procedure done as efficiently and comfortably as possible, alongside my team of excellent nurses and radiology technicians. Gateway Veteran : What should I bring with me to my appointment? Dr. Meacham : For our Veterans in pain, just getting to the appointment can be hard, and is more than enough for us! We’ll work with you on anything else we need, which is most usually records from outside sources. Bringing those with you to the appointment helps us help you faster, but don't fret if you can't get these records right away as there are other options available. Gateway Veteran: Anything else you would like us to know? Dr. Meacham : If you’re a Veteran in pain, the best way to connect with our services is through your primary care provider. Don’t suffer in silence. Please reach out to them, and we will be very glad to work with you to meet your goals.

"Here in Interventional Pain Management, I will do my utmost to cater treatments to you in-house or connect you with a community provider. I'm adding new options in-house regularly, so what I offer here will grow over time. We want our Veterans to be as free from chronic pain as possible. " -Kate Meacham, MD, PhD.

The Chapels located at John Cochran Hospital and Jefferson Barracks Campus are open to all religious preferences and faith practices for prayer, meditation, and contemplation, except during scheduled worship times and other announced activities. For communion, sacraments, or other pastoral care needs, please contact Chaplain Service for support. Call: (314) 894-6566 Jefferson Barracks Chapel Location: Building 54 Room 1B-100

John Cochran Chapel Location: Building 2, Room 15 JC Chapel Worship Service Times PROTESTANT: Wednesday 11:00 AM

Blessed Sacrament Chapel: 1B-100C JB Chapel Worship Service Times PROTESTANT: Weds 3:30PM & Sunday 10:00 AM ROMAN CATHOLIC: Saturday 12:00 PM JB Inpatient Rooms: Tune to Channel 28

ROMAN CATHOLIC: Tuesday 11:00 AM

The Chapels at Jefferson Barracks and John Cochran are OPEN to Veterans, Caregivers, Staff, and Visitors. Need support? An Inpatient Visit? Call our Chaplain Service at 314-894-6566.

Three Reasons you haven’t changed Raise your hand if you made a New Years resolution. Now keep your hand up if you have kept your resolution. Congratulations if your hand is still up! If you have given up on your resolution, you are not alone. Many people with good intentions in January often find themselves back to their old ways long before the calendar flips to a new month. What makes sticking to resolutions difficult? Here are 3 reasons you may be struggling to make healthy changes: You aren’t realistic. Did you swear off chocolate for the rest of your life? There is nothing more tempting than what is forbidden. Instead of telling yourself you will “never” have a sweet again, think about how you could cut back without giving it up completely. You don’t have a supportive environment. A pantry full of potato chips and chocolate and a freezer full of ice cream is not going to help you tackle your weight loss goals. You don’t have a plan . A goal without a plan is just a dream! While losing weight and quitting smoking are great goals that can improve your health, you need to make a plan to achieve goals. Health Promotion & Disease Prevention (HPDP) Programs Can Help You! HPDP specializes in helping people change their health behaviors. We help people make plans to meet their goals with the following weekly group classes: MOVE! Learn how to set goals and change behaviors to help you lose the right amount of weight for you. Smoking Cessation: Get the right medication and learn new behaviors to help you quit smoking for good! Diabetes Self-Management: Let us help you build the skills you need to manage your diabetes and support your health. Coping with Overeating: Learn how to develop a healthy relationship with food. Healthy Teaching Kitchen: Healthy eating starts with learning how to prepare meals at home! Ready to learn more? You do not need a referall from a primary care doctor to talk with us. Call 314-289-6503 to ask questions and to schedule your appointment today!

Ingredients 1 1/2 cups unsweetened frozen berries of choice, divided 1 medium banana

1/2 ripe avocado (pitted and peeled) 1 cup milk (1%, 2%, or plant-based milk) Optional Smoothie Bowl Toppings: 1/2 cup blackberries 2 Tablespoons sliced almonds 1 Tablespoon chia seeds 1 Tablespoon mini chocolate chips Dash of cinnamon Directions 1. Add all smoothie bowl ingredients into a blender. Blend on high until smooth 2. Divide into two bowls and sprinkle toppings, dividing evenly. 3. Enjoy immediately.

Feel free to top your smoothie bowl with alternative toppings of your choice. Some people like to add banana slices, coconut shreds, granola, walnuts, or pecans!

Ingredients 1 medium bell pepper 1 small red onion 2 (15-ounce) cans black-eyed peas 1 (15.25-ounce) can corn kernels, no salt added

3 Tablespoons canola oil 2 Tablespoons vinegar

1 teaspoon cumin 1/4 teaspoon salt 1/2 teaspoon ground black pepper Directions 1. Rinse and dice bell pepper, removing core and seeds. 2. Peel, rinse, and dice onion. 3. In a colander, drain and rinse black-eyed peas and corn. 4. In a large bowl, add pepper, onion, peas, corn, cilantro (if using), and remaining ingredients. Mix well. Recipe Notes • Dried black-eyed peas may be cheaper than canned. If using dried, cook according to package directions until peas are soft but not mushy. Drain, rinse, and add 3 cups cooked peas to salad. • Use any type of vinegar you have on hand. You can use balsamic, apple-cider, or red/white wine vinegar.

Virtual Health Resource Center now Open at JB to assist Veterans and Caregivers! (Walk-ins, emails & phone calls welcomed!)

Join us in the “No judgement zone” where we understand that technology can be confusing at times! If you or Veterans in your care need assistance with MyHealtheVet or any number of other VA related Apps, The Virtual Health Resource Center is OPEN Mon-Fri 8am-3pm at Jefferson Barracks in Bldg 1., Room 1W20. Walk-ins are always welcome, in fact encouraged! Can't make it to JB, but still have questions? Call the VHRC Team at 314-652-4100 ext. 68048 or email STLVHRC@va.gov . We're here to help.

Find your career here with us! For information on VA careers and links to current openings, go to: https://vacareers.va.gov/ Once there, type St. Louis, MO into Location box below "Find your career at VA" then click on Search USAJOBS to see all our opportunities!

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