Lyla Vermeer was a necessity to be able to keep my Grandpa at home. She focuses on his current health issues and helps him find a resolution if needed. Recently she talked him into going to be seen because he had been taking nitros more than previously. She recommended he go in to be seen, which resulted in a triple bypass. Without her stellar nursing skills and excellence in care he may not be here today. Thank you for being a true asset to the VA and its mission.