in 1904 miley in san francisco wasnamed in his honor.we know that today as san francisco va medical center> as a young man i grew up in south san francisco right next door to the national cemetery so when i became a cub scout we used to go over there in the 50s and decorate the gravesthat were there. when i got out of the service i stepped right back into it . went out with the boy scouts and put up the flags every year and eventually ended up being a scout at golden gate cemetery for many years. one day a gentleman walked upto me with a uniform of colonel retired . he grabbed me, i wasin uniform and says i need your help . from that day on i worked with cardinal sullivan doing military funerals and formed a group called the volunteers of america who brought in other veterans to perform military service and the closing of all the bases we got military personnel to do all the funerals. to this day i've done over 7000 funeral services and with my group we supplement the military, all branches. i'm honoring a fellow comrade was given his or her life in service to this country. and the way ilo

currently chief of disorders clinic at the va medical center in san diego as well as the medical director of the inpatient unit. his heavily involved in education at the university california medical school and the training program. a recipient of teaching awards in both departments. in addition, associate director for the third year medical student psychiatry clerkship and coordinator of the fourth year medical student psychiatry sub internship. give a warm welcome to andrew with david lehman,. >> thank you for the introduction, it is a pleasure to be here. i hadn't realized like that ancient, that's a remarkable accomplishment and i'm pleased we have a bookstore of this quality in our community, very few places these days sad to say, have a place like this. i am pleased to be with you tonight. the book of just completed i first envisioned in the early 1980s. it would have been a different book had i published it back then. i spent the early part of my career looking at the emergence of psychiatry and a silent in victoria, england. before i published that book because i was tired of it,

he is currently chief of cognitive disorders clinic at the va medical center in san diego as well as the medical director of the inpatient unit. dr. lehman is heavily involved in education at the university of california san diego medical school and the residency training program and he is the recipient of teaching affords in both departments. in addition is the associate director for the third year medical student psychiatry clerkship and the coordinator of the fourth-year medical student psychiatry sub internship. please give a very warm autumn to andrew scull with david lehman. [applause] >> thank you very much for that introduction. it's a real pleasure to be here. i hadn't realized that warwick's was quite that ancient and that's a remarkable comp which meant and i'm so pleased that we have a bookstore of this quality in our community. so i'm very pleased to be with you tonight. the book that i just completed i actually envisioned if you can believe it in the early 1980s. it would have been a very different book had i published itn back down. i had my early part of my career firs

talked to all of the va medical centers in every city that we visited, and we talked to the maternity care coordinators within the va, and you know, in some areas it was working pretty effectively, and others, it was very inconsistent i will say. from medical center to medical center. one thing that seemed to be consistent now, and i will say that both oklahoma and texas, if women are the largest growing cohort, they are growing exponentially in oklahoma and texas. in all cases, every place that i visited, these medical care coordinators were handling 2 to 300 cases. it's a huge caseload. some of them were only able to sort of meet with the veterans at the beginning of the pregnancy, and maybe once after the pregnancy. some more doing more than that. i just think that we have to take a hard look at, you know, to make sure that these maternity care coordinators are in a place where they can fully do their job and they can really be a partner to the woman who is going through her pregnancy and can be an advocate, quite frankly with the community care dog who is handling them. i just, yo

i talked to of the va medical centers in every city that we visited. we talk to them eternity care corners within the be a. i think in some areas it was working pretty effectively, and other areas it was very inconsistent, i would say. from medical center to medical center. one thing that seemed to be consistent, and i will say both oklahoma and texas, if women are the largest growing cohort they're growing exponentially. in all cases, every place that i visited, medical care corners were handling 2 to 300 cases. it's a huge caseload. you know, some of them were only able to meet with a veteran at the beginning of the pregnancy and maybe once after their pregnancy. some were doing more than that. i just think we've got to take a hard look to make sure that the maternity care coordinators will be in a place where they can do their job and be a partner to the woman who's going through her pregnancy can be an advocate with a community care dark who is handling it. i bring this up because, with maternity care it is all in the community. we have to have ful

in 1904 miley in san francisco wasnamed in his honor.we know that today as san francisco va medical center . >> as a young man i grew up in south san francisco right next door to the national cemetery so when i became a cub scout we used to go over there in the 50s and decorate the gravesthat were there. when i got out of the service i stepped right back into it . went out with the boy scouts and put up the flags every year and eventually ended up being a scout at golden gate cemetery for many years. one day a gentleman walked upto me with a uniform of colonel retired . he grabbed me, i wasin uniform and says i need your help . from that day on i worked with cardinal sullivan doing military funerals and formed a group called the volunteers of america who brought in other veterans to perform military service and the closing of all the bases we got military personnel to do all the funerals. to this day i've done over 7000 funeral services and with my group we supplement the military, all branches. i'm honoring a fellow comrade was given his or her life in service to this country. and the way

in 1904 miley in san francisco wasnamed in his honor.we know that today as san francisco va medical center . >> as a young man i grew up in south san francisco right next door to the national cemetery so when i became a cub scout we used to go over there in the 50s and decorate the gravesthat were there. when i got out of the service i stepped right back into it . went out with the boy scouts and put up the flags every year and eventually ended up being a scout at golden gate cemetery for many years. one day a gentleman walked upto me with a uniform of colonel retired . he grabbed me, i wasin uniform and says i need your help . from that day on i worked with cardinal sullivan doing military funerals and formed a group called the volunteers of america who brought in other veterans to perform military service and the closing of all the bases we got military personnel to do all the funerals. to this day i've done over 7000 funeral services and with my group we supplement the military, all branches. i'm honoring a fellow comrade was given his or her life in service to this country. and the way

in 1904 miley in san francisco wasnamed in his honor.we know that today as san francisco va medical centeras a young man i grew up in south san francisco right next door to the national cemetery so when i became a cub scout we used to go over there in the 50s and decorate the gravesthat were there. when i got out of the service i stepped right back into it . went out with the boy scouts and put up the flags every year and eventually ended up being a scout at golden gate cemetery for many years. one day a gentleman walked upto me with a uniform of colonel retired . he grabbed me, i wasin uniform and says i need your help . from that day on i worked with cardinal sullivan doing military funerals and formed a group called the volunteers of america who brought in other veterans to perform military service and the closing of all the bases we got military personnel to do all the funerals. to this day i've done over 7000 funeral services and with my group we supplement the military, all branches. i'm honoring a fellow comrade was given his or her life in service to this country. and the way ilook

in 1904 miley in san francisco wasnamed in his honor.we know that today as san francisco va medical center young man i grew up in south san francisco right next door to the national cemetery so when i became a cub scout we used to go over there in the 50s and decorate the gravesthat were there. when i got out of the service i stepped right back into it . went out with the boy scouts and put up the flags every year and eventually ended up being a scout at golden gate cemetery for many years. one day a gentleman walked upto me with a uniform of colonel retired . he grabbed me, i wasin uniform and says i need your help . from that day on i worked with cardinal sullivan doing military funerals and formed a group called the volunteers of america who brought in other veterans to perform military service and the closing of all the bases we got military personnel to do all the funerals. to this day i've done over 7000 funeral services and with my group we supplement the military, all branches. i'm honoring a fellow comrade was given his or her life in service to this country. and the way ilook at

in 1904 miley in san francisco wasnamed in his honor.we know that today as san francisco va medical center >> as a young man i grew up in south san francisco right next door to the national cemetery so when i became a cub scout we used to go over there in the 50s and decorate the gravesthat were there. when i got out of the service i stepped right back into it . went out with the boy scouts and put up the flags every year and eventually ended up being a scout at golden gate cemetery for many years. one day a gentleman walked upto me with a uniform of colonel retired . he grabbed me, i wasin uniform and says i need your help . from that day on i worked with cardinal sullivan doing military funerals and formed a group called the volunteers of america who brought in other veterans to perform military service and the closing of all the bases we got military personnel to do all the funerals. to this day i've done over 7000 funeral services and with my group we supplement the military, all branches. i'm honoring a fellow comrade was given his or her life in service to this country. and the way i

medical provider. connect vet republicans to health care through the va or other facilities and assist in medication remindsers and completing medical paperwork. . this will funds a peer specialist help with the daily operations of the center. enengage with veterans for well being and assist with internal service [inaudible]. the grantee is buildingum [inaudible] to expand space and once completed extended houros week nights and weekends will upon begin. aware of the one time nature the dollars and add haveicate to the board of supervisors [inaudible] and other organizations to secure on going funding. using the data this year to show impact in the community. of course, we will [inaudible] will have communication [inaudible] i seek approval on this modification and open to questions the commissioners may have. >> thank you very much do we have questions from commissioners? i have a question. out of proportion to other funding guess up to not to exceed 863 thousand dollars. can you explain why this is so different from the other allocations? there is a bit of [inaudible] the question why is it allocation 200,000 compared to the others? >> no the i'm not asking about that i'm asking about the 863. the is that the question? [