ࡱ>     { 3bjbjzz V*%nn<<<PPPPL<PUUU$J?-<UUUUU?>lMWMWMWUR<MWUMWMWIt"aPiV^0F,MW,a,<aUUMWUUUUU??MWUUUUUUU,UUUUUUUUUn : Patient Education Information Sheet North Florida/South Georgia Veterans Health System (NF/SGVHS) Medical Service; Cardiology Cardiac Catheterization Introduction This brochure is designed to help you understand your cardiac catheterization. After you read it you will know what to expect. Your doctor has done many of these tests. Discuss any questions you have with your doctor. Understanding Your Heart The heart has four parts, called chambers. Between the chambers are valves that direct the flow of blood in the heart. The heart is an important muscle, and has its own blood supply. This blood is supplied through the coronary arteries that are on the surface of the heart. Sometimes these arteries are blocked or the valves do not work right. These problems can cause chest pain and/or shortness of breath. If you are having these symptoms, your doctor may recommend that you have a cardiac catheterization. Cardiac Catheterization A cardiac catheterization (heart cath for short) is a common, relatively painless, non-surgical procedure. It will help your doctor to see if you have heart disease. During a cardiac catheterization long narrow tubes called catheters are passed into a blood vessel in your arm or leg. The catheter is gently guided to the heart where pressures are measured. Contrast (dye) is put into the coronary arteries and x-ray pictures are taken. The test takes about one hour. Before Cardiac Catheterization: Your cardiology provider will tell you about the test and its risks and benefits to you. A video on the procedure is available for your viewing. After your questions are answered and you agree to the procedure you will be given instructions and a date for your test will be given. On the day of your procedure a doctor from the cardiac catheterization team will explain the procedure in detail and its risks and benefits to you. After your questions are answered and you understand the procedure you will be asked to sign a consent form. Then you will be given instructions and a date for your test. If you have any chest pain while you wait for your catheterization, put one nitroglycerin tablet under your tongue or use your nitroglycerin spray. If after five minutes your chest pain or angina does not go away repeat the nitroglycerin dose. Repeat again in five more minutes if your pain is still there. If you have used three nitroglycerin doses and the pain is still severe, chew one aspirin tablet, call 911 and go to the nearest emergency room. If your chest pain or angina is gone with up to three nitroglycerin doses it is not necessary to go to the emergency room. DO call your primary care doctor or nurse as soon as possible. Tell them of any change in your heart symptoms DO let the doctor know if you are allergic to any medicines or IV dye. DO NOT eat or drink anything after midnight before your cardiac catheterization (except for sips of water with your medicine). Diabetics on Insulin: DO NOT take your insulin or any oral agents the morning of your test, unless otherwise directed. If you are taking Metformin, DO NOT take it the morning of your procedure and one day after your procedure. If you are taking a medicine called Coumadin or Warfarin, STOP taking it 4 days before your test. If you have a prosthetic valve, DO NOT stop your Coumadin. Call Cardiology or ask the nurse for instructions. (1-800-324-8387 ext. 6052) DO take your usual medicines the morning of the procedure. If you receive medications outside the VA, DO bring a list. DO bring someone to drive you home if you are an outpatient. Your test will be rescheduled if you do not have a driver with you. The Procedure Day If your cardiac catheterization is done on an outpatient basis, you will report to the Cardiology Day Stay Unit waiting room on the 3rd floor Room A356. After you check-in the staff will get you ready for the test. You will undress and put on a hospital gown. You may wear eyeglasses, a watch, rings, hearing aides and dentures to the lab. If you wear dentures, let a cath lab staff know. An intravenous (IV) line will be placed in your arm or hand. This will let us give you fluids and medicine during and after the test. The Nurse will give you some medicine and ask you to empty your bladder. You will be taken to the cardiac cath lab on a stretcher. You will be asked your age, height and weight. You will be asked if you have any allergies or diabetes. The pulses in your groin, feet or wrists will be checked. Please let the staff know if you have any special problems, such as arthritis, difficulty breathing, difficulty laying flat, spontaneous bleeding (blood in stool, urine, or sputum, coughing up blood or vomiting blood) or difficulty hearing. Please let the staff know if you have a surgery or an invasive procedure such as colonoscopy or biopsy in the near future. We will let your family and friends know where they can wait for you. A "time-out" will be done where we ask you to verify your name, complete social security number and for you to explain in your own words what procedure you are having done. The hair in the area where the catheters are to be put will be clipped. You will then move to a narrow and flat x-ray table that may be uncomfortable. The catheterization site will be scrubbed with an antiseptic soap. Intravenous fluids will be started. You will have wires attached to monitoring equipment so your heart beat and breathing can be watched. A cardiac catheterization is a sterile test. The doctor will wear a mask, gloves and a gown. Your body will be covered with a sterile drape. As you look around the room, you will see cameras, monitors and instruments used during the test. First the doctor will inject numbing medicine where the catheters are to be put in. This may feel like a bee sting, and you may feel some burning as the numbing medicine is injected. After this you should only feel pressure at the site. If you feel sharp pain let us know. During the test you will receive several injections of dye. When dye is put into the main pumping chamber of the heart most people feel a warm feeling that spreads through the body. Sometimes slight nausea or dizziness may occur at the same time. This will pass in a few seconds. During the test you will be asked to turn your head from side-to-side, take a deep breath and hold it, or cough. This helps the doctor get clear pictures of your coronary arteries. DO tell the staff immediately, if you have any chest pain, trouble breathing or any other problem. After Your Cardiac Catheterization When the test is over you may go back to the Cardiology Day Stay Unit or the inpatient ward. A cath lab staff member will take out the tube in your groin. He/She will hold firm pressure over the site until you stop bleeding. Sometimes, a suture or plug can be used to stop bleeding instead. This is at the cardiologists discretion. When a suture or plug is used, you will be able to sit up much sooner.. The Band-Aid that is placed over the site can be removed the morning after your procedure. You will be given written and verbal aftercare instructions. YOU MAY NEED TO LIE FLAT FOR 3-4 HOURS! This lowers your risk of bleeding from the site we used to put in the catheters. DO NOT bend the leg used for the test. A Nurse will check your cath site, pulses, heart rate and blood pressure often. This is normal and should not cause you concern. DO drink plenty of fluids after the test. This helps to flush the dye from your body. DO call the Nurse immediately if you begin to bleed or feel swelling at your cath site. The doctor may come by to speak with you and your family about your test results. At this time you will have a chance to talk about treatment options. Going Home Following your cardiac catheterization, you will be able to go back to your regular activities. You will be given a list of instructions to take home. DO NOT lift anything that weighs more than ten pounds and avoid heavy exertion for 1 week after the test. DO keep the site clean and dry. Shower is OK but do not soak the catheterization site in water for 1 week. Here are a few suggestions on how to lower your risk for heart disease: Quit Smoking Lower Blood Pressure (take medications as prescribed by your doctor) Keep a normal body weight Eat less saturated fat and cholesterol; eat more fruits and vegetables Exercise more Reduce tension and stress If you have diabetes, keep your glucose well controlled. If you are taking Metformin, DO NOT take it the morning of your procedure and one day after your procedure. HOPTEL Program If you qualify for the Hoptel program you may be able to stay in a nearby motel the night before your procedure as our guest. This must be pre-arranged. The clinician or clinical team that is requesting the procedure should complete the request form for Hoptel services. Hoptel guests should receive a letter or telephone call from the Hoptel coordinator providing information on guest hotel accommodations. Veterans do not need any paperwork to check-in. Upon arrival, present the hotel desk with a picture I.D. Guests are responsible for any changes other than the cost of the room, such as telephone calls, pet fees, etc. Veterans are responsible for all transportation. If you will not use these reservations call the Social Work office as soon as possible! Pre-Procedure Checklist You must go to: Q' Lab (first floor, new tower) Q' X-ray (first floor) Q' EKG (Heart Station) Your procedure will be done at the Gainesville VA Medical Center on: ______________________________________________________________________________ You must report to the Cardiology Day Stay Unit waiting room the 3rd Floor room A356 at 7:00 am. If you are not able to keep this appointment for any reason please call the cardiology office. SPECIAL INSTRUCTIONS:____________________________________________________ Important Gainesville Telephone Numbers Main Hospital: Local (352) 376-1611 Long distance 1 (800) 324-8387 Cardiology Office: Local (352) 376-1611 ext 4465 Long distance 1 (800) 324-8387 Extension 4465 Social Work Office: Extension 6066 Pharmacy: Prescription refills by phone Local (352) 374-6196 Long distance 1 (800) 349-9457 TelCare: A Patients Advice Line Local (352) 379-4142 Long distance 1 (800) 988-5641 Scheduling: (to verify or change an appointment) Extension 6173 NOTES:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Address: 1601 SW Archer Road Cardiology Section, 111-D Gainesville, Florida 32608 Visit your NF/SGVHS Internet site at:  HYPERLINK "http://www.northflorida.va.gov/" \o "http://www.northflorida.va.gov/" http://www.northflorida.va.gov Cardiac Catheterization JULY 2013 d = @ v f x ºtdYYQYIYhB*ph# h=B*ph# h$F5B*\ph# h'$h'$5CJ aJ mH sH h$F5CJ aJ mH sH h%ch%cB*ph h$F5h$FB*ph# #h'$h<5B*CJ \aJ phh$F5CJ \aJ mH sH h<B* phh<5B* CJ0aJ0phI}h$F5B* CJ0aJ0phI}h<h$FB*phh<B*phjh(UmHnHu&d  7$8$H$gdd% 7$8$H$gd6ggd6g 7$8$H$gd$Fgd'$gd$F7$8$H$gd5gd&H X 169CĹ~vnvfvTvIvIvIvhd%5B*\ph# "h6ghd%5CJ \aJ mH sH h=B*ph# hB*ph# hd%B*ph# h'$5CJ \aJ mH sH "h'$h'$5CJ \aJ mH sH hd%5CJ \aJ mH sH h%ch6gmH sH h6gh6gB*ph# hd%h6gB*ph# h6gB*ph# "h'$h6g5CJ \aJ mH sH h6g5CJ \aJ mH sH h%cmH sH CF &-7;<CEH=>Pļ촼짙umh{xB*ph# hd%5CJ \aJ mH sH )h OX5B*OJQJ\^JmHphsHh{[hd%5B*\ph# h{[hd%5B*ph# hB*ph# h[XB*ph# h'ZB*ph# hd%5B*\ph# )h%c5B*OJQJ\^JmHphsHhd%B*ph# hd%5B*\ph(wZE=>P678JK 7$8$H$gd{[ 7$8$H$gdd%gdd% 7$8$H$gd & F$7$8$H$gdd%\e5678!!.!9!!!!!!!"" # ###8#9#####O$V$W$$$$ɾܫܣܜܑ܌ɣɣɣɣɣɣɇ|ܜqܜqhd%5B*\phhd%5B*\ph hd%5 h{[5hd%5B*\ph# hd%5\hB*ph# h'ZB*ph# hh[XB*ph# hh{[B*ph# h{[B*ph# hhd%B*ph# hd%B*ph# h[Xh[X5B*H*\ph# h[X5B*\ph# ,K:;LMe f !!!!!####O$P$$N%%%>&?& & F*7$8$H$gdd% 7$8$H$gd 7$8$H$gd{[gd{[gdd% 7$8$H$gdd%$N%Q%>&J&&&&L'O'l''')1)8)))))*+**-\-|-~-------ƾvkv\hhd%B*PJQJphhhcJAB*ph# hhd%B*ph# hd%B*phhd%B*PJQJphhd%5B*\ph hd%5jh(UmHnHuhd%hd%B*ph# hB*ph# h5B*\ph# h{[5B*\ph h{[5\h{[B*ph# h{[5 hd%5\hd%B*ph# ?&J&&&L'l'''( (R(l(((())))**gdd% h7$8$H$^hgd & F$7$8$H$gd & F,7$8$H$gdd% 7$8$H$gdd% & F+7$8$H$gd{[ 7$8$H$gd{[gd{[***-+.+++,,x,z,*-,-\-|--- ....^///// 7$8$H$gdegdd% 7$8$H$gdd%-----. .M.Z..........^/f/g/s/t////Ǽuj_jTOJE hd%5 hd%>* hV>*he5B*\phhH5B*\phhd%5B*\phh[Xh[X5B*H*\ph# h[X5B*\ph# h5B*\ph# hd%>*B*\ph# hV>*B*\ph# he5B*\ph# hd%5B*\ph# hd%B*ph# hhcJAB*ph# hhd%B*PJQJphhhd%B*ph# hhd%B*ph//000(040G0q0u0v0w00000011O1[1111222222ǹꔉ~uq\Njh(UmHnHu)h5B*OJQJ\^JmHphsHhd%hd%0J5>*hV>*B*\phhe5B*\phhd%5B*\phhd%B*CJaJph# hd%B*CJ\aJphhcJAB*CJ\aJph# hcJAB*ph# hB*ph# hcJAhcJAB*ph# hVB*ph# hd%B*ph# hd%B*CJ\aJph# //00(0H0g0v0w000000000101O11112 7$8$H$`gdV 7$8$H$gdcJA 7$8$H$gdd% 7$8$H$`gdcJA 7$8$H$`gdd%2222233F3G33333333$a$gd$a$gdZgd 7$8$H$gdH 7$8$H$gdgdd%22223333D3E3F3G3H3I3333ymaSKGK:hOCh 0JCJaJhNjhNUjh(UmHnHuhHB* CJaJphhB* CJaJphheB* CJaJphh<B* CJaJphhZB*mHnHphuhHB*OJQJ^Jph&hB*OJQJ\^JmHphsH&hVB*OJQJ\^JmHphsH)hd%5B*OJQJ\^JmHphsH)hV5B*OJQJ\^JmHphsH333333333333ÿhcvh;LB*phh[XB*phh*uB*phhZB*phhN h&Hh;L5B*CJ,aJ,phh$F5B*CJ,aJ,phhfh B* CJaJphjhN0JCJUaJ 21h:p,/ =!"#8$8% F.?CkwΦJJFIF``C    $ &%# #"(-90(*6+"#2D26;=@@@&0FKE>J9?@=C  =)#)==================================================4" }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?MaM [h4AH<?Yh-a2 5} c+#qA /O9Xf) ?0yj.~KkϞ=_0JduX c9hE!ۃ>c95|S?6k~.x*;B|AG9 \V8<rs^NOU14}]DҺf-ͿZkƅkjv(k_)rfY'?|_Kơ AMw8|>T jշԚm;mI|UP2z5JoϢFXR])Xx\dO°`:]V SI1$ko^O:hMފBRiy~+Tiv׸l5)g?љUK0#!p3fhֱZ6cBaFe}3v\cyl~&yN,rs:ewot9~]>]Ik64_j^0uG'GUSK+h󳽻ߡb7ncmu>LxyI=>_»_5Y$NT**餯&u~f蕾A'tJZtV7%tN6գ@0N3F;Ư-ԴK摞`[*>b28;kX)Ծ[\#j śz=qZ^"k VI{ӯGO%c[؏[]aX_-W Y ':m3Ok-pPYWX~q'۟El-vtؼ9 {bT*ӼSbowy7vFͬƕ6:_-Đľ^u?xB:]!R yγ>߮xjAPiK#`'qw}4kdz8P5Y<@"ԔK^I<Q7GZ zDiǟ1FT /tIRD%IN;7M;EFB?ws<*f֋KSof7#[_'{ӡye.6R1g#w=HmW[ Ԯ/^\h"W{:͌q eiqq-1̠;[RƛunpsG\cIKvWԮ% USn XINGj*S>)rGL=()ɻXx] Q׾"^ťڽ̑2hxOz6P.դ|xOқR{OW2[M$/FO@zpU<3+YM+maM!rzg5tӊVwc}o|VԣO]Ei GUrz?\~0#_ξѝ:sErG9>:Ɲk OoC}h 27_2sq4Z];-ѷ2]MOZҴX4Y{f[pе/CkolfMB7\{׬BVmtַYm78zQBVo^.аN\c̻^߉wAɺӵ#ܯpT@5Q|g[U]7V̞Yq3+r4b[ph#Qp#ګֿ5=6 O\ij x3/O3ú{\j̍oMg >2G?$q0wl7Z_ 熣?GݞA7s?Z|O6[wu-I6vc1R.A03?bQᘣSKwq12\b9SBn'uÿ /#zcuAeuVvzn Kb_}w?`?Ŀ ؛NT L< 8U/g L}5xn~.nZ9|NAP qy.<(#$H)S&1YoNc{"]8"[f5έm%`q1'pcR1J֡Ͷְ6O]՝m4Q㌎PTcviC)SS+ jHecl6 cT"x[?Z-xgRO/o,D{A |i"{tV9._̘{zy_x7ZvnE";!ݲ dul~%ZCso-1Dad^ w7Fdp!b`1s=7[om|m;ߵcǖbM!$2@U(q[3o[Ьʒ'(']q4iuY>#~%bWrڂM0=3}qyn*s*Mݰ+r[fӭ݄b9Sg xS&{>ub"7|Q\=L5YR%G, ˚{'|\]_ qUN[K+8'0KxŐF9D$_WΕ#ŲxG[EdE)<(@;gp2aa-W˕n^~#ՅuI~?{ߟJwG?%Z͕Yt3mGQõe|RHd©u)IE2qZXWQj܋^6O-ơlonbk bLc -m")=̄8oj]-beUD94Vo.Ue=y?qF5TXIߚvzZޅ6ŧ[Vd/̶?C:{niqqkI^=|H_ dF{k6Ю.kxޥ!|P g1&L]n)MZ[beQ-|as[ [/ly}s׵s;eȴEԓPɋp;8k GOxV -2K${$tVteMIӄ붹[j6+GxC ː:vo_h>WSv|pWp d$qZ>%H{([ 6|B+r V{Ş[=ZO,8"!'^eR-I[T=NJƷZE44;U^}=*_Zψ<w#F%!E%I=~+"/|QǧIScf̧O7|;4DX$V2z/3z~o,|涞̹#΁۫XʖIsewsv5ڴs)m8?,HB?XK ⨢+~.XV>B?XK ⨢'a __/G+ !UQW9c?XK c//>,{+ !U|%@TQG__0`c//_*(+~|%@T±QE_OÖ=_*V>B(/ rDZ{Li69{vlc?14QEsNrʵ٠F>8[NW=kJFIF``C    #%$""!&+7/&)4)!"0A149;>>>%.DIC;C  ;("(;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;>7" }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?j( ( ()^pY2U ߇axMkMA ҇OdS@c$}?JӠ Wi{j'F:*d8uvp,coǡ+W"*-yNGO`=C_%DHB?'=&Vqo1ݳZy}uģv??S EIg039 ?P5[{a@7Vt[5"e $}Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@Q@u[SqkD̄oqSXGgGgj!|4qw6A2E*+-dЯ["f'l]t5YZֈ ٷArAҀ5k= ՙ5f!'J-Z2) Dx%E;mƃ _=Ko*6p5yҫiv"q&z7j7#9IrV,@  u +]h#Mիo0f^q֭VջId3X\aoB+FA(-? B|19[{:P?9#ր=Y\nV =A:_вr7Uw>!3OǷwTQEQEQEQEQEd3@ e;^3|\]MbUݘdXE0$({ TVn&a 0= _a>€!IkDH .X9'Wŷ7,TlrIqkk:=G%>{T\=Яl\\J79zq6-#F?:n ;-#re`=8?ӷzz% [خc+i@#ϥv.g[4ͶHYao#nH>-Mê0ki-.ZHo h(&=VhcC"e=5xBIt=vw.|G, DֽkcVwMo2J}\i&n2AY^78*FwWz 7mD fFۃ|ӿ-+iJWӭ$1My |۟Ŗw8#!ԴFV^`>~lb_^ŽzTfIT7XHrA 1:g}M?mryi-2H9,s{峹໘ p6OPX^"I d&%1<:^YO :Is vDnUP-<|ZzmDq+u\QEQEQEQE!ehjt!v6vbv:5qi 9-WK@yw{5GX9#5n.ϓ`=4$EX# 3+I*ܩ܎=>ú$p*q7.1nQLN ? [Zů.o5IJm=>պ3x^W7W)ԯ^[5b~\^m_–tŮɂbK)MtD=v=v˨7O0?*}O2"IG0 8=4 sSi΍#du=Iףkzj< ⼇^FnaSa IeS#zSZ-uAqGû]L 8U~QvQ]QEQE }YcImxzeGAkfH1 XEƏ|&lmaɹ QA$,Ĉ- dyyS}Pܓ k$e R28o\ R@Mq,szu#W^ ҢS- Nm uV 8@#_SPpb8cTA RZOq Q9Nu%}CRVvo=95{@7C=z (RzyyykH$zzTڄ ,MR` nArzֺZ)`Y@=Ph<; = Mn-ӵH$4r82y (wv,b30]Asekx#VM8?1CmaЌ4]o\pр F}+OPž[%wo/+T}涓NF#DP>>A8{RY6V[N Q^(&97~k 0R }r\q5,b[ZY$ &ila$pDP2[¦1%^ي&(’3q@((((B# "6#[^ZFCo6Bz0qߪZew }$wD_Ot.#9g`X%YIg}K3Jm%\9k zi K}pq^qxTZ8%r9 R 0 ּsXhlbJ ti==(+ѼԄkeZHD29xV !qJ^.)ȚoҴ+|#1鮼7ZNVwQ2.gҽ2.-fIe]A ({ /.'q}u]:ZIm[\M?:$B dՒ5y,Ns?5v[?SQ53E"2}(v?fB0 ?uoN.Yifd.U3VQEsiD`)F Q ?3`=&#[Ү/lmųܩ) n!>3-RhR3\mڻ)뎀Qn-E%lPf!H*Kgዸ,Z ny [ FXmߑxsPh[1tRp;` MH˳k0<ɼmsߥQݠ^ರ9m;9NyP: kꗦx T3nIoRxND\`~}zP'j{!Й.~aA59(,T&p/{ZzFyeqh."Nh8{NMuo0 Q\@7{x mpayK0lH89"! 2#uAM' fC'aNVHpye<:Vrt,meU+1^ǁ1x8O*\N>Qn!qJw$b;Ӣ[gH}*' tsiA!|Fp=/<5u-="!l{~1E6ZO$}bWIL1C[Ir?ѓ,J%˴ʤr{qgnK,L)fMk~,>dҬ繓q͏ u$([@nm";_F$i1 sZUKG}7E"f^U((lF;DW-jWIc"] dI"V90smoma8hV9R ^O 4V}WEEiМ.tHb=9oZ{ P3*ܹ-/Hnt逖>CϘt:ks׋i{?8'c $jKkđJчB5-r a'`@ΟxqVd 1VkVsxfJʩS99[4QEQE` {KI sI&dp>q@WSqa ӟ22I';A<k+Y]zİ gsڀ;Zk8u'L8 {RjscP&/6+1&Dw؉F1k RH ǽlJMU9p-W`0h((((gzt.5]Fd, #i9f@2k ulyR 1mЀ#fQQD`-a=RSXQ #'=>VtMV/b:{Edq:޻Mm䌑@#Ѧh55SJ6É{ O/JҭB[^\w$2)Xq<8ocE)u9W-oMm%hGscǃPSgi 6vɲ#0*zM{HǨ4*2\HxdFlu@VU4+o[zokP Њd"IERMpu,E=>ۦ}⺏ ? j3V݀>`W)^M𶝩iѵNG+d`zsN_څOf;[-?f^sPEPP]Zj{Xna$чRGN=Y 'wim!RяN8(N[y,JUH 4P ei*F PˣsȲKH)!?:{U(;SN{->pNX }yC4F.FPTB=*J(Vj}*2U @ ?m+MY}>QrCL>i drGlպ(m)kxQ/;@01Ȩt[_CG9:p:zW?E(V0N־yȴv k|Ջ UK"#Ɂ|N=x+Ԧ6MH"cMsB)s$1+ּA4M24k{آs\{:z(Q^BqY]K8]%n?zr$dpXt 5)sERztuQ "Q޺Kk{YhCF A_xvҎd~X#5r2Mԗ*j)ʓ“FE t }QQEQEQEQEQEQEQEQEQEQEeS:fZ1v;p?ƀ+H5m~s6[KI]7Mz˟1ήEPECuu\ʱă,k>;2NA@zԹ(˅9W:[I`$ jᄎWZ CjVs(?ixCA'l2)XofŵRI-rKgVBbEpQ@!dPHѵ&/nKiGg#ڮxcĐ16 6#'Ҵ"ii}l d¹? Z7O1B#qn8N[3|y 4Z42M!O"E\ʤ;k6v=O?AZ_ V+-L!vq|#{3"DqMsiDD*Qٴ?ma+Ķ}tx~}6K;LW ݏCLS<)ͻi3mģџ]ggE((((((((+\c>7[if:ۿ[->1B)bl||ԻPQ@V~ 3Nl0ݨnIds>.M:|#9'o˚Ӳv,oѮ&?3}5CkG Y~?y#ץY[[H$A"7'u׽8qۯ_ʹgr.#"ł}(0(((FA ydj7HaV`1zer5 cshs WVdIsDDЏEn]FvLrTWůmwt?QHF\ec!#Z]#*F?ttXb{ v^%Y99$0c<95GLM:%x& ~Gb:= .lՃe 2KX>[aqܳ4{m$G8?Jު3 (K]ҤܴBTqR@4hGQڅ͑ҵ{-#`VXԌn=j^4Ү/H^#-hl tV>{gkm,j?hz-Ϊӽ6gmwVH[Er_kZKmjb-FK'8?FJkՉ"p ݀2:QEc(Ӵ}WNn̟h\A@!}۞n3Qk.nx//o%R6@@W)?]-W+˘:E @ʲt#iE7&f:@sh#.eo?Q@uzĺDzsG ( ПZtQE6'873E3[82J-L~ (OkQVXaʧI]Eu3A-g6zv3;LoEQd5C\3yv)+C:X|n?GO_W_Qͬ]Ej4 ǥ{b@Gy[Km^u\6#["ԛMҞH%hOU iMTϘz&.w^QVdQEQHJ`\cxh >sc{qxEBroÞ MzG0'9QЏ•cbe'Ǐ ܮWžknj'O`rjg3ڝUFND {R+OOG¶ ܯq皓Mm< {zEk:wڀ-XJxQ9TVw6cjym#u_N_x4 }4H^}fzΞ682g{^iً+qlz"]1SE0B!$%j.[KN"K:$+Ǩ޸ gXA\e OۏC^aocos$DT>x9sC|h6n+ D.0:ϯkھia}vqHm.- MnrG#./#U5-6ܳ¯.מj9!Nw٢OOֻj ]6s,cR/"a^ Ⱦ5XGYnNG lP%U=OSl@8U{r?O{R'rf q&3Ck8HwE+ѺUK* :W)ؖźr?Fu^ʚPED;^T~.}1Ǫ:|Gu-ִa36ux\u 0\ ^E80y=(rI]!)$r.C1*U]nknh`yY6֐66Q,1WC|5E")^ϐnϧ=\T#7h6(Pod],^I4˝U=n.u "yhK(WWkgmc1(1\> H}NEt(rpNN*).\!-vw\i<ȿ. kP),紖X{Xoc!ad* n VHǿR909c[ިeWRrr3+KC֮5[ӏ.;Ei4nzM&{7A0%waq7}tUz($3 ( ( (e*z\׃\Zih=C7ܚ髙c-|C6ПM\qKlO"yAq`2 8U^A)u~2ҝghbzD}ɹ%LdyvRl;l;SiTE :V :bi IjBE ̲nC kG8iBG|\A>h#i>(5\*/88?C]dxB^ӄ'h&!c7PƷ5 yYE$ē\JIIR:z3lmiokQ>P:I-_\ ؗe=}*[mh<5uf x-YH{~~ПKq%IPA==P$qUQO A (ӊ9ש+x9DG-":0AcQ] ySW_Tn_.Qh{PάoUk!{l$'f1Y~95^n_ʤo NùVg dŞ!e}2h +7 {WWal䳎M=%!n8; v [B:5I/.קKڤgd *>"[S31,bm,$mw9dXܓ,.@⹔/hu JKs:uv61ZU]/<'Hv ߖ?좕f%BJ\piT(`REPEPEPEPT5{ٺ7@ĪFsWi*/'}M@vi??÷Xx~Rڨ%~GC[4RȌ0 j / mGZ~4)뱭&_W{M6"IK. 3ˏ~+Fo;D 韔7]gTѿw* y*/fdCv T=d,4^%9#FŪXKi7 :Eqf{Fxdrn_P}:]ںF A4٠6OJu ?ZM8} !*؟X凶Tֻ{ ;AkH!qaL!GPz(ݎb.eܹxhۺօp:-fMD?uHbE(+;Z,u#k}pQ6AkF-[Ed\[͑Ҏufiw5 9 #Z_uUFɊ6Lv=~$ʴm<f=-"Oy9\ͩcU%Y_b{=o@5ڌ6=G24loDĨzc1^ lɌoPq)KTsץZPwLArw5;^D/||{O=p3\Qo G@7]݉dGu+SQE ( ( ( ( ( ( ( ( ( Xb3ѬXdoKc3M޵NMRx`-\7IO8ڊ{x.1\BU:z:Hу+ SiMm3WvDO?*;iaErc9h!R&l^g@5,>7Lq RJW {[ SO֭K[J6e ~h:L;i|rRjcgOw ;AW_E^[W:j!6EOQKe4짂1__oMKQZ a6TZۙ;>"ϴ3ӂ?i׺kڌ~Km+g"ueY2 ٘u.? KűnfkaH5QK)U}R/8}#w7kT[a>ڻzZ)**șݜO\jp['!cX봍q>.-oڙ0U8km_CPn|m?y}sS 9IMB ff[AA]MexkH& ;9grZ ( ( ( ( ( ( ( ( ( ( ( ( (25:E4WQчyygǫگ cՐW_E`h6еXgS= hg"uo &NүÚO I·, /wQ@5akk sF'=rMgI_O>żU/vEBt;~7h$ȡEe=9@$@ IU+̗Wp£sc ėl:-L>(ι]=wFI6u+П|f<Eq_˻lE! F5Y]{KgPFys1c޺HV͙_>åE+)ړ4袊(((((((((((((((+:F?4yIPg*(ᮊ%ơfOl+>~nO5Q@ݏ|;dC}?][[A b8tUPh(((((((((٠FE*,<ћl^lfJFIF``C    $ &%# #"(-90(*6+"#2D26;=@@@&0FKE>J9?@=C  =)#)==================================================?" }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?M6QMb BGP2\Ÿ;ÿ VdbsS?n[jֵqAO ?n?97ZPO-5?ŸkQ@?طAuEdbsS?n-nljU(̣ҺYwNؽ(d U?Jfqm&?Jbk?&,5^Ar xD?naެޑ`?޾o7@|OWW֣ir'\/j7^2ftW >gr_'\(1*A)ũաwTiBTE&xiiす:\]KyC%"MEBJJ=G8n1!O _[j֭-dbsS?n[jֵqAO ?n?97ZPO-5?ŸkQ@?ط6m]C2K'uGʾLro[+/ÿ VQEQEQEQE%szܳl^-n ߒOn+5!ϊb^|q?v5i^8@P8>pjl-?N<Byو ¨$W+himuiT vp-€4W^z-0k0gJn#- *Qƃh0Xq4`;Oj-X/EQJnP6H͎m Kq YBH߭Sxb1HW`}B|\ݴl{ݟ"/.4y3#J9h$(Xm D7r3#?TًP7Z8K-=X3XpXEe ī0 BJIʟ/EC$g(ր6Eγg^?]Vn-f[Y, H@( $ SzV~}#mulbX7FF ?U=hK\J/V^4m/5~eoXޭqyj2EHFB/_]Icc]-]䃎@FVQ b})ɨj'! ǂY6:Qh#`R-~kʤރJоͣ$D[]Gq X=AlIZ'mI}I5ʞZ+)ji-QEQEQE}#kV`?ܛ-/sJ|@S[=zZռOm]-rj2}Kp ek3^ p?5V:2Wm!fh*ůq >],wyqfs]"pH 9R31Y5VGިxdDY/h~(=k|V+x ZsP ')͗Vȉ?t:jͷT3F7,-㸚C(,<8;]eWӠbÕji@4d%-FMVo88k%ݿ!ug֭%GETnu;B܏ [t sd:/H覬O?sBAN/-|+O q*A Fb ^pq l&u"F XYIya}i׍]b$q-d/ N: %39.\XKPYF9X;˹>%u.dSsxjlJ:K0 _j|H?%:kTY{s~ *,2OyR Z(((+*F 3ɿ֭e_7Z_-GZ}+R CKEs.9Ŧ ?etoK]cLпE X})4=BMCKK1G3".\@oц2:q\ι<](|978kvXԳUN~eqkf.,򴏱=>ڀ7uу# jvZi<@"?pq3+F ÖT, \7`GӜݪ7C:d:kPܮgfT1_3yTOeNC9l׺IqX]H\Y$|/#.A@gЊeEt C ic 5Ut{XԧG?z&hL 4j 9?)nRgu@89隊^W/솙B'1sֺM.GEK? qՉ?lZxtmmGPfO/i#q.v\V؛S3e Belq?\WM$k,l# ro4c]IUO<<ƀ:եFrA(((4&KZ}#h|; %jV_sJ(J+uasA?D<qa] SPَnÕ# RMM0+,'Oڴ&xX|1ogj.X%w6}E&WyV#H=@M麶3kVP^\4j4fGa /aIcdVvAj9Xg,-s0hJvEto(\32-շ 9֯j6ˮ,u$ 7cH@I$4` =O'$6l^hOrYHc'cҬEsqWq./ T+ =x;_H^"#1:^avronoڕgzڌlu*)Ţ~Wi@ IMH0ZŸE=M΄á7 ?B~:k_c?gh:MqUkD RFB耟{ c4fAư-mS >]oNzh6J:`? 8৅#?J/|LħN_\޷?ixic?(g4}O/O%OA<T)A*;T( ?Ѭ߾3C i^]m1F G99ϥC &LhbNTzz=2z)VKiv g? S⾹q@'A"Ȫdr\nޕaKY9#0r hƥhkt99 {u^Kro]$`(3<eON{!/ɿwAo_w?>JԬ-GZQEWRmtA?Ҹ%Ҵ FH~tͿnٶJrAV.:Q0͸lHRP~^=-Ӄ"ONh sus4C>G%=gG\jJ o-ĭc[`I䌀O=GOIOWk 3(8w޳uۛ{m5BHi*I* o)4|yޥqVsE.ouPJ% -Ϧ㌜qZkK&+m.E3mX;w1pEik^ {{i%ޭ"DO~Czs:SOKgQb%r1Qi965[8+]J\H;8hn!wOO\g²ΧHhUaEc[[[3N\+tm~{ێ/ siY7ZCqtç@{ ۢ((((('4#L`n=x,.aKdP Q (~*[lA⸛˦Ɠh3L(E!OB;cl1;svuc٤Ż8$}yU }FRYTrO7L׭keu! {nd# ڀ:{ -Ckvp=ؓ›Y3fmM#D?V^g._YLVKhf.8?kt%!+4eWo(pXր& x:l H#;3vpQhn߈H&ݝ-c$'bMOZ>n}RN;"^/ӮZYQUPW=+ hS] ~Ji K >H48 4w,Ȓ#ttlQEQEQEQE!FXI5EGdB%x>JrG_4K)KV B$Lzft[ #;I#v$n((8*( >tՂlp rUT=11z {I {h[cZDCJ[ NEq{iîYX\qFcv ꧳ o|+bLI$6,ēxja S?6O=C 'Y]h;ԏPI!l}rĆ4;޽sV6#[d m>%A}2?Zk@iM6..c1srd\ԓ"剺sk9=K/~+4NӭtE!z*.?SSO2AI+E$iv,R7w?vE h.| $Q}.mܤsGk]jjZWx%yv"!G\$֦>h56\ɨa+e!`0:z=kVVnntG=o`X#EGw8rGJaPI5 .IxG,t$8lvZCP\0Iۿ & dBCys5*ͪ qpN`?_r[]v[hzlvv&K3fvioI! qY2 LlyӞךET/ ƿzF=P]Smͮo1TzgZj hllxoQ6Edzj_X!ybhV(((Jډs ?%W?o Fgľo4F jёb(VY4:1XoW`H vHKJvncwE$QtL$GOjÆB;ʺKS(9\|^kY ;HV,c'*sґHc4ܛk i_Ƨoq)%c@C[+w%!}$}H[<.)2 MYڤj pȌ}3 b^/eKEydv~F@cQ#9ڬ63 ߥb[lmMqIl?tp4r2lX#4<^Ō(-C~'j;Qq/IގuM7;?hV?=췰}Vdx( P4&KZe7Z_-GW!hHmdaG[([#OԵ;O>bE`@ҚI]Z?k$ \a閫mcp@v8UKEQE#p+G[,,2#pgbѰasO%HxQ[[oY1Ps$X&GQTȵY/Vp͒=pV]g%AYw0iMÿ VewAo_w?>JԠ(((5E EIErWZ?u,,:R {g+"#8B쨠 Mz?FtClyBAKEQEQEQEKR"ӭZiD\ Z4gv 2I+L[Źy#&+P'v 1Ns@"bq3Ʈ v}c]_kX!`\NONe:li(E2e DZqۉkUeٴ#@mv 22ys+yB(#Oҹk:M4['d|Be1.O3kjZni$hK@w(Xbd-jsj^(m>\Ţ6u!S\,jfԭe?xO]ۑ8+V\/XSpyk[{"|SwyX;NN8 -t{1(D#9_HaheNL dwګY{VHtHC6ۆS828y!(QIB %NalFfpr"]UO=55n+mcYfZ5-CЭ+BytyiՏs@ 9AqJfb: ?(4ZH]ß)?}j)S%gRvV?܉F\~5iG`BÊf||YVo]X4&KZ}#h|; %jV_sJ(((SS:ʳ"!"' `5Q~q5̃rF  =Xv4W6cY HRrnj'0ԼMIFH3@-jXow[Nd ֠@ EPEfJӛeiuPߖjE6BsI\:.Ai$Àܑ>TiwW&F$ܘ/l {!y%(eFڠ{Y_vbL#^KmP;犻d)ʼA‰tM6yImw;|a>Ev/Um% wBC*/Et=,r@}}hKiZ}OuG& xm&K~+Y6% -.?}p7CWiiX1k;zT*CS4\pBr@:t& h}s#Y$ x"A夅9PWM5=BPOGpnnV=3~U[gڧ"3 CB L 7P֌ >]kycjrܜpH^=^X5̰]ZE¶2Vӵh{)%u i>=Vf$C)VK7JYT\xzS- 220]`xҍn`qS"0f)PմmV4Goc %tQDyV&!S'|ح>ok,#?֤#h$ (j${#A<])@Q#o* ЧiG Z-#Om-V %VϨy5ݎva|:r־K&skj|sxb%YjPe_7Z=!"\%9?ΡO/]Ҕ7?,y-GZ}+R ( JZi鷯q]ByvbC PC z]}r^H>kvkt~p0s܎3E.iYɬ휽 U83T&i"n-$%`rAiTǨqַ^5C#vh}+k6.ocEҶɂz-oԻ{"QRG[AZ׹IR6 /OQ|U\,^^3Ѥ\ԟA@ xMncvk?Bh[ک>ӏYXrO =A>&ډl.d)$19;A<Ki-;4cw7A$("yāv"#-R8 b}J{*\*։`[D ;/8Ag8Ep3ҔPEQEQE![DŽ`o5(a'5Ԋ5(NHY?( +QEGqXe#go?Y <&Sh7:v67-ʌFNG9\dg}G4k4M{x 7tC1_[xӵH5;$~z((+*F 3ɿ֭e_7Z_-GZ}+R (=׷ZiZ@ @}=qOjWoI%ZyFV<ϊi66ۏVys՘$?Zwr'[]bNwm5}aod n[P* KEQ5 k08 }VR+#׾SݟzX>]$gO?=@s\Ν02<Qg%B9eQBOJmswdy,xx<:rGӮhiOgf/3Drϻ{M{-&,`]sYWZ]ZyoRaX?d{7q@%"".[%OIoK$@QchЃ= .;쯰:܍qug3gvĖE{PK).dDLzg%IiB1)h\xV )^$A7%sћqC-܉1ʞQU2%5w %dŇ$\ttT]-İın=qP%ۀm. zNoQM[%O+n ]=*I1뚑dBX?@ Ȥ3ȩ1PHOQN )קa_s^|Gv+QE#}\*MQ3%Uv812uNBgߡ(4x,2^#5i6*U\ng(uQEQEVUg%ZʾLro[+/ÿ VQE`xNso\9e ?~3]Vێ$׉/cP[$0CIoC7b`Z0x7bhFNѻ3ﴁTqJ6#riDZoQ5E:!&{K7$#Ğ.}FtV += &}PYE!L2Ƴ,ew$C%d@r4() -!gѬZ׉B~]5`x|(ּCoZ( PWG|zfhm!KHhQԀ:髑|Qx`𮶀((`?ܛ-jUg%|Y~[(4EXlȋW][c@8f|WjqsOma3Y uK'MHU޵ݵJ:a }yQb:p[YxX-oÑ;ML:V*xyI9H@krFZEzrS}9gߠYhzʶ贿 bc]'ċhzls |:= *v V0mm,(4;m?]!|Pr?PP- zngҵ}FkbIC . ac.}hfA"nBCîG Elˡ@Ai2zoxLWZ-Q>?nr:{ $a"+xdUyFBߏOAL.,`9XQBZXHMO9E,&ZBaXxɫD9+iAc 7Jf F<=}}2Xd)*S@ Z6PI:Ġ\Goa">#eH-!gBs|Ilz3Cp?IW6>"T쾰 7m, JZJZ(z6VP2F@s\oFż3 ?:9P\ss6$BX&xIfߌ t@@K@Ɵ!j忴/HJЊ*K3xRF9"e?+R((`?ܛ-jUg% VȷW$g P {;/EH疣۟7G$v_QmOI,疣۟7G$_Qm?$Z nY-G?n(yj?-tIe<(K/ %[s袀I,疣۟7M62F8`Am{;}I$BgynGe<(;/ [s袀H疣۟7G$v_Qm?#Z n-G?n(yj?-tY-G?n()u6i$$c?j_H疣۟"(#Z n-G?n(yj?-tY-G?n(#Z n-G?n(?$Z n/$_Qm?#Z n-G?n(yj?-tGe<(K/o~y8K.v٠F*\ s zJFIF``C    $ &%# #"(-90(*6+"#2D26;=@@@&0FKE>J9?@=C  =)#)==================================================K" }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?j(eW8$HI8 5xH-o(dH@Gp["?Q켤brJ)ݔ9hqkUtW!Wˏ*HD>ܑ|ݩ_oݢ&zū8(؃69)Y\HpRkB+h!ټ'_SkffvTp \p@$:s]m3{_qzoRQ3Hȷ R2pz֯شv7)b @yE\:wסKBY#Mf{X2EʰŸ9sV)X((((((^]@Cm7Kc+I71$ƃzIׯ$ \l =<;S>ۈ[۔>eԣOQc!i6 8ջQe$W4'ʵvd"G`>pʙ$9"]htv 6I |ii@؁.tM s߯"+;S>c}0 9+WIDKwr~n!$ $5_kbPQDΥ6G$d;`WxƷ#ʈ-?,3''42~_DpwRVϪ"DHII +lؕfpY >>]Yjf0]A1%7Q  bULXRFsz$qz; *g7tIpc#c**m+9Wл}^kfu BvMli-U&5SH$'#g!$.E#`}?7&spNI>\$l_w o'a1 yHnW7^Y+ч|/i|q ujx%}vO4ޢ" W#Oop׷'ضY:Vsiń{u6޿*cT,e$s9s/k՝?e(-2;Iv i%_YhwtPs $ !:uRz+.4&SKV_'}LjkAլ!?2z2yu.sFeZ NPApzίis5`Wz\!Fd$DNOi#99_B0spvv9WL_ jqt[3G8=xOZmg'yX*" 'z%l^-&aBBrvnQɭ~KhdxLCA'瞛NW9?h_ks+&##(N]$d '/-ݦszKI<7ݒFby#OW_f=3DYL))TFϗkMYC 6@=6AǵvIjy[Kk<,N }!=#ȯ tV:нp3Zd|—$1t86_S삊+5oC<^ak쑮K#}޼4} [O:2V7Fʖ;d{VοQn>,~y˫6Lu2\z{FןQD# {ڧ?f\x+-;Hf.7ElʹWFg?SL׷3˼d9Y×}6ֳVa r>Z^q G]@{\~^zuo 7Fzp=% |NtՎKZԳj1xVp9Vv3g^qWA_SYÈIaY8 NwkStj߂n>\xx{ORPma Oj>5ihaaux!i3U_kxNIX]20Oӭt)y]NWicum)TZK>sǠr$U_' u}MSW '>b\҅įwͥ喙onىhNB.}x[Hoj ֭.԰*ۿ#pr㠭"Rzsz"ǀ>χ"|@(GU qIόZ5{OӢ1Z%T,XcjxĞƉf8BI0߉MxBbKa D7(\w>bۻkhx.>*OqjC{B4F竑=?T]]fƵ^k[5#=KK5x7cQ#Pni`9RV{g}ץX:/>=|k9LJ5 Id6[D`#j:?5hrc 1YNv j\7?Xmvvfc *O$:lBKCu$fVU𖥫ԖPPB/(sߥn}G mYLcX(loJ~/]6J֭>xړ>{? EU;6a#Eqy{$>b2'%=~&O<7kdeC,q/$d`u$xfgo%ov:uNzdB9EMjgz]Z/."Yds3R;T) =J>(iW;is*IbYsZ~"xdVKdG"]p3:S/<_v-u Xvc܏¦UQ魵khtEƻ9nw.G,G\W/д:B4lЁ⸱qFPU*F= xg?}JM"ڧVmSݷ;OstOuu51㾀0Ir ;*A]nR}:z]ĖRJ$':?2ΏuG9l!G " l44$ꐓ,JFv9z-_9+r]B?2ש9ÅHU^Z5*m16HlAtVC 2VQMm<iD3[#&$P7+mOG1:NK8hf*}eW u̩a?܆@Rc:k,0$f-@ @mU ϓp a[tci򥵱2 v%q$^q[޽A 7O4yhlNq$zj^Ξt"ҭ%9[ᏇMQY6de INs1 קUm;OҴlv'ܓܓOrI5P*rwa^jDFsCٻLWԯxźƅuY#YIܮ6(c`E\վ%]W:6bYH+EuNJ4χýBGj0ܜX:,RHB-lxKESZcQvO[K1=na[QsI[wzS+Jom8D_+Kd`0׬UiiS4YyMrvSg^qW Ui迯'fU89cV+-ټu\}i! DT29q5xcJFu =^9ueB9 *I 2_·7FL2$dTg$F%H#'%}XW*jiMiʋ,v dS\3\zWl.?gۺ2cБiEW=V%]WF} #kw ؃YHfct7)%7;`O~a{j[K͵ȹ:t)߷nY:$mZ0֦migcbGBgBܤ{1MҬf_ER 0[1d7(UJ78`CǦzh@ 8:s"M;Q]FC4 0)HǾy?M|@fFHUB9qAJ9?@=C  =)#)==================================================i" }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?j( ( ( ( ( *iDy2Ǹ}G,}SKZK_U(.I;W-ZD"II2yƖdA;?T?_}ZK/m#p+}j8"hrΛ$^(((((((((s 9bmJ8yP}233UBQ`&uW xoܺl-f^gzo'ȼvoȐO[:CAƸ漺ETXٮ\f(MH77~'43Z]Imkfjާ+,H"XaQGpTMWZ"[nn\ʾhmRK`w^AoI';%;Le7fI:AUh O:o,}tB=y=H+ڟtY\2?Q3R@Fzՙ$H1\n-[MQUﭯ2Z̒(b ҫզleCc+ծ5Nn\jhQPY{YDej:Z@- (U"pTQMii{m}瑁ʩ͊?\nrՓ=~Q\"[C@Np?ZҵZP3hF⠁xXʔ1oS@(\dZ+񇉛lW)j. y`9S;#YIAs=G\> "5???5zoC61"=23PU- :DDW'r:ƈK%wwsʴ~%-jShc&]KrU@XjWkrY¶OkK[Q#Wɲm gXw .bYLH%?^7!-EL//Cy]?MK{)IQ,N=8{ֱVm^2PIǑCyr_]Rw|fl-j1`_X\61?Jiu#[?zx3tpOxA7VJST&N{w9%C-sDr\'?lxfH[Q$RX% RYWxm?VmatjVѵo iE}7JVIIuz1k>zЎ]HKSo*ȃu=`R4Xvyz.??Wc\ރmkD  9{vEE.inyv#9ӗ$vkW_5t֎ - P囂9;-Ȼg_c@jK stST "a>lotDw[bB euc<;sZxsKӵY54 " ?:^j&HHDk@;ǨdsV X]CIyFMevG tAK4:ƕ&U$l r;r3ڶrg58{iw[WzΤj9#`F3YzλkmbVNL `k[CK}B[Ѽ5. #c3Ҹ6ao}fg2=zc֜Tyn”VYy^^ӵëݷp? wNz\$B=29{T7:u+㰹gy uw;`:&k<9m *z-%DM35ͅ+O])9aRk3š=fCD#+)9Ķ%ݖ~<; gcwyyQuNܹY7c5NK23b_ł Mb[Ů3YU ?QҬi ڍ3K >过VŭǼ-;8.G8mq_EjoϿ^t\3j09]K[|MGmrk]FcG?( zjɧ?eN*9'Z:kzžoU'@O ;b^Iyq~Z"6L 1ʒSЌc>*۟j>V,e3NnCַ<8ei(cw*czVgNj5H/tFYqgJM%a\shD();+2d9RG EUKzk<{3mDtF` =p3N>bJm"H zZ}GHT.BXzV]jk{qBf@sk\\D%)QZ8-Q8vc˜8O:nc*\zv$+3`(lR6eR!A}U=#Pe~ 0Bsr5rGQԿO$CcfA9>vwkmӳ(Š(('./s?M@Q@Q@٩VYb]Jmz4DŽnm:VfXn`"ps=kg]1-4v?[IR7{1eM%a_LV lȄ_W:{֫ȯF$S&bG'>.->[˹bI!wW՗q<VsQk ^$If"%Զӷ؞sZB=kΖq<ҍ={n6.QZ+HS^Y/.F6E*>NPR]Z]Diڷ$ AU =FA{YI#%b")'j ܤT3 kvR u<)U4hmYC.aj%aQXC(^& Soi Ӿqs7O6wjCg(Ա $'ަaER((((((((((((((^ 2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontRiR 0 Table Normal4 l4a (k ( 0No List H@H  Balloon TextCJOJQJ^JaJror '$ msobodytext4$dh<a$-B*CJKHOJQJ_HaJmH phsH tH 6U`6 OC Hyperlink >*B*phj #j OC Table Grid7:V0:o1: d%A056B*CJ\]aJph2eB'`AB 6gComment ReferenceCJaJ<@R< 6g Comment TextCJaJ:a: 6gComment Text CharLj@QRL 6gComment Subject5\mHsHtHFoF 6gComment Subject Char5\PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3N)cbJ uV4(Tn 7_?m-ٛ{UBwznʜ"Z xJZp; {/<P;,)''KQk5qpN8KGbe Sd̛\17 pa>SR! 3K4'+rzQ TTIIvt]Kc⫲K#v5+|D~O@%\w_nN[L9KqgVhn R!y+Un;*&/HrT >>\ t=.Tġ S; Z~!P9giCڧ!# B,;X=ۻ,I2UWV9$lk=Aj;{AP79|s*Y;̠[MCۿhf]o{oY=1kyVV5E8Vk+֜\80X4D)!!?*|fv u"xA@T_q64)kڬuV7 t '%;i9s9x,ڎ-45xd8?ǘd/Y|t &LILJ`& -Gt/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!0C)theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] $*$'*#T C$-/233!$%()K?&*/23 "#&'H****XH   _R$.?CkwΦJ4TR$8[NW=k>iR$*,<ћl^lf E R$*\ s zR$l&b܂|5! c $6_I}@< X<(    6_I}?,"Text Box 2Cardiac Catherization#"öPK!8[Content_Types].xmlAN0EH%N@%邴K@`dOdlyLhoDX3'AL:*/@X*eRp208J妾)G,R}Q)=HiҺ0BL):T뢸WQDY;d]6O&8* VCLj"󃒝 yJ.;[wIC_ :{IOA !>Ø4 p;fɑ3׶Vc.ӵn(&poPK!8! _rels/.relsj0 }qN/k؊c[F232zQLZ%R6zPT]( LJ[ۑ̱j,Z˫fLV:*f"N.]m@= 7LuP[i?T;GI4Ew=}3b9`5YCƵkρؖ9#ۄo~e?zrPK!"Gsdrs/e2oDoc.xmlTn0 }:1]  IɒG)%ma/ &uxxHj ;(ٚg3ΔNj͛ |+8j(ױx9\$t8@yghc ;r xf,j,rf\ ӁJ_ *tt'uM"q;R`w)nzZRijXV|=|Ԙe>%IƼ\dg{+ZG!r60־Gk)4 ]S;~v$Op¸:vzXPK!)~drs/downrev.xmlLJ@Da/nآ17EP5ލm>3̜֓i@k,#,+j-9XJyKW"KB}JʚrsF J^ܴ24Pk*A¾f`O~J&3~@<0쉵-lxx lAUr 2/PK-!8[Content_Types].xmlPK-!8! /_rels/.relsPK-!"Gs.drs/e2oDoc.xmlPK-!)~drs/downrev.xmlPK T,!  4 H   N||"Group 3Logo - The North Florida/South Georgia Patient Education Commitee APPROVED logo with the most recent month and year of approval."ðPK!? [Content_Types].xmlN0 HC+jj:x(q@Dq(ۓv@Iف8"/8TN*}8(Q!T|WU{ h1{!H`%J낕1C'T,[F)e"C8ͪS\1(vbD}fD=O7I_0U~J}ps=MBtS̵Q763ur-[O 07I t1jPK!8! _rels/.relsj0 }qN/k؊c[F232zQLZ%R6zPT]( LJ[ۑ̱j,Z˫fLV:*f"N.]m@= 7LuP[i?T;GI4Ew=}3b9`5YCƵkρؖ9#ۄo~e?zrPK!ʫ drs/e2oDoc.xmlWn8}_`лbIS8]ȶFwZ,%b}P%l 9p. dB^u2YoޟK1cyRb= }]3*T `6]3 kIgBT\FPJWb7LWe/ Aoth c0;o޵"_ʩ߬{M߽+>h2ơGSsn9jT%SEs  g|j۸X6ݦ9 }wM??4ԋjk6Q7wJxos=7b2ŷVs] dP{RLh4 :!dh[dZ$mRS;[;tcJ ^o4 (r)ծ<34M}j .eeI%#$\ l)dc<'Z CB@X:HO48~q0\qARVb-bΜl,[,)(Qh еW9F3zSv̞Z":`.7jL+f^[ζvĽ~@ÕRH9n~q=l=~wOJwZeVh"~/@(S)?8c,n)LM=Hbb1–mI-j5 0B9y~A '0ݯzʟݪoPK!X`"drs/_rels/e2oDoc.xml.rels 0EfoӺnDp+dFI(.^9Lډ=(&㝀^\j ,et 'HL rўi\Fi4!BqIsqHS >Z匚7uxR ~H:xy7 ,2HZYPK!$XJ drs/downrev.xmlLN0 HCd$n,VN&$6$kZTMvo9ߟ'ӊz8 E ȖN7Ryx}XYRp%&L~а3TPeR&~:|;`౯qpy`cCmk*Q6y_~]LJMgï>CNGwڋVAF VOK^L"+?PK ! drs/media/image1.jpegJFIF``C    $ &%# #"(-90(*6+"#2D26;=@@@&0FKE>J9?@=C  =)#)==================================================4" }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?MaM [h4AH<?Yh-a2 5} c+#qA /O9Xf) ?0yj.~KkϞ=_0JduX c9hE!ۃ>c95|S?6k~.x*;B|AG9 \V8<rs^NOU14}]DҺf-ͿZkƅkjv(k_)rfY'?|_Kơ AMw8|>T jշԚm;mI|UP2z5JoϢFXR])Xx\dO°`:]V SI1$ko^O:hMފBRiy~+Tiv׸l5)g?љUK0#!p3fhֱZ6cBaFe}3v\cyl~&yN,rs:ewot9~]>]Ik64_j^0uG'GUSK+h󳽻ߡb7ncmu>LxyI=>_»_5Y$NT**餯&u~f蕾A'tJZtV7%tN6գ@0N3F;Ư-ԴK摞`[*>b28;kX)Ծ[\#j śz=qZ^"k VI{ӯGO%c[؏[]aX_-W Y ':m3Ok-pPYWX~q'۟El-vtؼ9 {bT*ӼSbowy7vFͬƕ6:_-Đľ^u?xB:]!R yγ>߮xjAPiK#`'qw}4kdz8P5Y<@"ԔK^I<Q7GZ zDiǟ1FT /tIRD%IN;7M;EFB?ws<*f֋KSof7#[_'{ӡye.6R1g#w=HmW[ Ԯ/^\h"W{:͌q eiqq-1̠;[RƛunpsG\cIKvWԮ% USn XINGj*S>)rGL=()ɻXx] Q׾"^ťڽ̑2hxOz6P.դ|xOқR{OW2[M$/FO@zpU<3+YM+maM!rzg5tӊVwc}o|VԣO]Ei GUrz?\~0#_ξѝ:sErG9>:Ɲk OoC}h 27_2sq4Z];-ѷ2]MOZҴX4Y{f[pе/CkolfMB7\{׬BVmtַYm78zQBVo^.аN\c̻^߉wAɺӵ#ܯpT@5Q|g[U]7V̞Yq3+r4b[ph#Qp#ګֿ5=6 O\ij x3/O3ú{\j̍oMg >2G?$q0wl7Z_ 熣?GݞA7s?Z|O6[wu-I6vc1R.A03?bQᘣSKwq12\b9SBn'uÿ /#zcuAeuVvzn Kb_}w?`?Ŀ ؛NT L< 8U/g L}5xn~.nZ9|NAP qy.<(#$H)S&1YoNc{"]8"[f5έm%`q1'pcR1J֡Ͷְ6O]՝m4Q㌎PTcviC)SS+ jHecl6 cT"x[?Z-xgRO/o,D{A |i"{tV9._̘{zy_x7ZvnE";!ݲ dul~%ZCso-1Dad^ w7Fdp!b`1s=7[om|m;ߵcǖbM!$2@U(q[3o[Ьʒ'(']q4iuY>#~%bWrڂM0=3}qyn*s*Mݰ+r[fӭ݄b9Sg xS&{>ub"7|Q\=L5YR%G, ˚{'|\]_ qUN[K+8'0KxŐF9D$_WΕ#ŲxG[EdE)<(@;gp2aa-W˕n^~#ՅuI~?{ߟJwG?%Z͕Yt3mGQõe|RHd©u)IE2qZXWQj܋^6O-ơlonbk bLc -m")=̄8oj]-beUD94Vo.Ue=y?qF5TXIߚvzZޅ6ŧ[Vd/̶?C:{niqqkI^=|H_ dF{k6Ю.kxޥ!|P g1&L]n)MZ[beQ-|as[ [/ly}s׵s;eȴEԓPɋp;8k GOxV -2K${$tVteMIӄ붹[j6+GxC ː:vo_h>WSv|pWp d$qZ>%H{([ 6|B+r V{Ş[=ZO,8"!'^eR-I[T=NJƷZE44;U^}=*_Zψ<w#F%!E%I=~+"/|QǧIScf̧O7|;4DX$V2z/3z~o,|涞̹#΁۫XʖIsewsv5ڴs)m8?,HB?XK ⨢+~.XV>B?XK ⨢'a __/G+ !UQW9c?XK c//>,{+ !U|%@TQG__0`c//_*(+~|%@T±QE_OÖ=_*V>B(/ rDZ{Li69{vlc?14QEsNrʵPK-!? [Content_Types].xmlPK-!8! =_rels/.relsPK-!ʫ <drs/e2oDoc.xmlPK-!X`""drs/_rels/e2oDoc.xml.relsPK-!$XJ drs/downrev.xmlPK- ! ! drs/media/image1.jpegPK}s  A??xPEC logo clrPicture 4xPEC logo clr#"ÛPK!9^[Content_Types].xmlAN0EH%NY tA*T0'E2 JMN vi{ɖz$cȢ*%2鉣-uAg>zӶ/3[0߀:r5a8>GT8Wr>wOo?aΫǮUv_PK!3/A9drs/picturexml.xmlQ(K-*ϳU23PRHKOKU qӵPR(.IKIKUL-VPK!d9drs/downrev.xmlDn0HH( ( 6^x.o_#U8o47eqR deRKpTz)*BhS)}QA?-q QRj7&B9.TҦr1 k_3vkӨϗ oj3_7@PK-!9^[Content_Types].xmlPK-! 1_rels/.relsPK-!3/A9.drs/picturexml.xmlPK-!d9drs/downrev.xmlPK 4 @3  F?Text Box 5#"ÑPK![Content_Types].xmlJ0*miG]`Hm6 Xwt?. g#Wi3E).+7 >ON ޑ1ˋz "+R RhB.} /<^ITխ%rHK4uK~I0xM e`|X}đ I`߽N4aG2$RKIZ)4(M9`ctB{m:f@`3n|O,ܗr޾jxR0T ,0@}WBLǬ5vPK!3/A9drs/shapexml.xmlQ(K-*ϳU23PRHKOKU qӵPR(.IKIKUL-VPK!6drs/downrev.xmlDO0!<&["'ͳ-6/7q0ukK5 qLy?`4Ybb\GzB&"}DJd]E-(L+5 9V)V3Q_NƵJZ{f"PWhJrPK-![Content_Types].xmlPK-!1_a ._rels/.relsPK-!3/A9)drs/shapexml.xmlPK-!6drs/downrev.xmlPKH  z  <A? "Image of the heart showing catheter inserted through the larger aorta and into the smaller coronary artery to find blockagePicture 7Image of the heart showing catheter inserted through the larger aorta and into the smaller coronary artery to find blockage."  A? "Illustration (line drawing) of a patient in a procedure room undergoing a cardiac catheterizationPicture 8Illustration (line drawing) of a patient in a procedure room undergoing a cardiac catheterization."   FA?"Department of Veterans Affairs, United States of America Logo- reading VA Health Care- Defining Excellence in the 21st CenturyPicture 9Department of Veterans Affairs, United States of America Logo- reading VA Health Care- Defining Excellence in the 21st Century"  A?n"wwwPicture 9My healthevet logo: reading http://www.myhealth.va.gov"B S  ?!)G** $(T 2T)@`'@d &T) %T>D!!!!""""""''))G*H**** $  8:W[L!T!!!r&t&))G*H****33333333,=tl;*$o>#Hl/`llTr}˰s|zl|BU'8^8`OJPJQJ^Jo(" ^`OJQJ^Jo(o  ^ `OJ QJ o(  ^ `OJQJo(x^x`OJQJ^Jo(o H^H`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o pp^p`OJ QJ o( @ @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o PP^P`OJ QJ o(^`OJPJQJ^Jo(" ^`OJQJ^Jo(o p^p`OJ QJ o( @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o P^P`OJ QJ o(^`OJPJQJ^Jo(" ^`OJQJ^Jo(o p^p`OJ QJ o( @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o P^P`OJ QJ o(88^8`o(.^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L.8^8`OJPJQJ^Jo(" ^`OJQJ^Jo(o  ^ `OJ QJ o(  ^ `OJQJo(x^x`OJQJ^Jo(o H^H`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( 8^8`OJ QJ o(^`OJQJ^Jo(o  ^ `OJ QJ o(  ^ `OJQJo(x^x`OJQJ^Jo(o H^H`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o p^p`OJ QJ o( @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o P^P`OJ QJ o(^`OJPJQJ^Jo(" ^`OJQJ^Jo(o p^p`OJ QJ o( @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o P^P`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o p^p`OJ QJ o( @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o P^P`OJ QJ o(8^8`OJPJQJ^Jo(" ^`OJQJ^Jo(o  ^ `OJ QJ o(  ^ `OJQJo(x^x`OJQJ^Jo(o H^H`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( 8^8`OJ QJ o(^`OJQJ^Jo(o  ^ `OJ QJ o(  ^ `OJQJo(x^x`OJQJ^Jo(o H^H`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o pp^p`OJ QJ o( @ @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o PP^P`OJ QJ o(^`OJPJQJ^Jo(" ^`OJQJ^Jo(o pp^p`OJ QJ o( @ @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o PP^P`OJ QJ o(8^8`OJPJQJ^Jo(" ^`OJQJ^Jo(o  ^ `OJ QJ o(  ^ `OJQJo(x^x`OJQJ^Jo(o H^H`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o ^`OJ QJ o(88^8`o(.^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L. ^`OJQJo(p^p`OJQJ^Jo(o @ ^@ `OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(P^P`OJQJ^Jo(o  ^ `OJ QJ o(^`OJPJQJ^Jo(" p^p`OJQJ^Jo(o @ ^@ `OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(P^P`OJQJ^Jo(o  ^ `OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o pp^p`OJ QJ o( @ @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o PP^P`OJ QJ o(^`OJPJQJ^Jo(" ^`OJPJQJ^Jo("  p^p`OJ QJ o( @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o P^P`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o pp^p`OJ QJ o( @ @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o PP^P`OJ QJ o(^`OJPJQJ^Jo(" ^`OJQJ^Jo(o p^p`OJ QJ o( @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o P^P`OJ QJ o( 88^8`OJ QJ o(^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L.88^8`o(.^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L. ^`OJQJo(^`OJQJ^Jo(o pp^p`OJ QJ o( @ @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o PP^P`OJ QJ o( ^`OJQJo( ^ `OJQJ^Jo(o  ^ `OJ QJ o( x^x`OJQJo(H^H`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o p^p`OJ QJ o( @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o P^P`OJ QJ o( 88^8`OJ QJ o(^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L.88^8`B*OJ QJ o(ph^`OJQJ^Jo(o   ^ `OJ QJ o(   ^ `OJQJo(xx^x`OJQJ^Jo(o HH^H`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o ^`OJ QJ o(^`OJPJQJ^Jo(" ^`OJQJ^Jo(o p^p`OJ QJ o( @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o P^P`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o p^p`OJ QJ o( @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o P^P`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o p^p`OJ QJ o( @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o P^P`OJ QJ o(8^8`OJPJQJ^Jo(" ^`OJQJ^Jo(o  ^ `OJ QJ o(  ^ `OJQJo(x^x`OJQJ^Jo(o H^H`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o pp^p`OJ QJ o( @ @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o PP^P`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o p^p`OJ QJ o( @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o P^P`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o pp^p`OJ QJ o( @ @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o PP^P`OJ QJ o(88^8`B*OJ QJ o(ph^`OJQJ^Jo(o   ^ `OJ QJ o(   ^ `OJQJo(xx^x`OJQJ^Jo(o HH^H`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o ^`OJ QJ o(^`OJPJQJ^Jo(" ^`OJQJ^Jo(o p^p`OJ QJ o( @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o P^P`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o pp^p`OJ QJ o( @ @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o PP^P`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o pp^p`OJ QJ o( @ @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o PP^P`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o p^p`OJ QJ o( @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o P^P`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o pp^p`OJ QJ o( @ @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o PP^P`OJ QJ o(^`OJPJQJ^Jo(" ^`OJQJ^Jo(o p^p`OJ QJ o( @ ^@ `OJQJo(^`OJQJ^Jo(o ^`OJ QJ o( ^`OJQJo(^`OJQJ^Jo(o P^P`OJ QJ o(88^8`o(.^`. L ^ `L.  ^ `.xx^x`.HLH^H`L.^`.^`.L^`L.,C;/`lLzQ6UNNNZ046\hF A(e1]qI1s;nuzDhl;WC0an{@tU2$#R>|X=T}M e aR:l-i%@d#j'"}R9ywc|zQK|JViS;g,,g\S                 g\S        g\S        g\S                          g\S                 g\S                          g\S        g\S                         g\S                 g\Sg\S                g\S                 vV                                                     g\S                          g\S                                            g\S                                            g\S        c- 0 r VghV H'$3'(I*)+hA3547M`:< ?e1@cJAC2D$FFTF>G#G&H+I;L\N=U OX[X1Z"^_/`%cRf6g!mg#rLt*ucvZ@v:s{[@n0Z ep0>OCz7:'Zd%K!eL=2,b" NG4Y;\tfrLS}:Zry;{x&3sts61**@($%*@,\@Unknown G*Ax Times New Roman5Symbol3. *Cx Ariala GillSansMT-BoldGill Sans MTI. ??Arial Unicode MS= GillSansMT5. .[`)TahomaQ. Franklin Gothic Book?= *Cx Courier New;WingdingsA$BCambria Math"1hL!'L!' &#z#z!8x0B*B*BHX ?<2! xx 'Your Cardiac Catheterization (NF/SGVHS)Your Cardiac Catheterizationcardiology, heart, catheterization, appointment, clinic, malcom randall, medical center, visit, wait time, special needs, procedure, checklist, hoptelDepartment of Veterans Affairs;Veterans Health Administration;Deputy Under Secretary for Operations and Management;Veterans Integrated Network Office 8;North Florida/South Georgia Veterans Health System;Medical Service;Cardiology DepartmentVeal, Karen (NF/SG),                           ! " # $ % & ' ( ) * + Oh+'0Xl     (Your Cardiac Catheterization (NF/SGVHS) Your Cardiac CatheterizationDepartment of Veterans Affairs;Veterans Health Administration;Deputy Under Secretary for Operations and Management;Veterans Integrated Network Office 8;North Florida/South Georgia Veterans Health System;Medical Service;Cardiology Departmentcardiology, heart, catheterization, appointment, clinic, malcom randall, medical center, visit, wait time, special needs, procedure, checklist, hoptelThis patient education handout provides basic information about cardiac catheterization. After you read it you will know what to expect. Discuss any questions you have with your doctor. Normal.dotmVeal, Karen (NF/SG)2Microsoft Office Word@@v@8i@8i#՜.+,D՜.+,D px  $Patient education handout NF/SGVHSzB* (Your Cardiac Catheterization (NF/SGVHS) Title pT\0D ` t    _PID_HLINKS LanguageDate reviewedDate completedType ContentType Category Web Posting Priority DatePublishedWeb Comments PAO ApprovalAx}{ http://www.northflorida.va.gov/English 20140127 20140127General information DocumentTesting/Procedures (1) High Approved  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~ " !#Root Entry F= i 1TableWordDocumentVSummaryInformation(DocumentSummaryInformation8MsoDataStore *iPiVR4BTKIS0==2*i0ciItem PropertiesSI0GISL0KXALQ==2  *i0ciItem  Properties OILUEOHVZJKMN==2 *iPiItem PropertiesACompObj$r  !"#% DocumentLibraryFormDocumentLibraryFormDocumentLibraryForm This value indicates the number of saves or revisions. The application is responsible for updating this value after each revision. metaAttributes"/>  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q