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In 2010 2010, every VA clinical facility audiology clinic received copies of the PTM medical handbook, counseling guideline and a huge selection of patient-education workbooks. The amount of Veterans that comprehensive the group education stage of PTM and continue to need individualized help is very small. Therefore PTM's hierarchical tactic provides VA medical amenities with efficient means to educate Veterans and teach them self-management methods. "We're always evolving, consequently PTM isn't a static plan," explained Dr. Henry. The patient-education workbook is already in its third edition and Dr. Henry offers more clinical reports underway to expand PTM's availability and performance. "We can't stop it and nobody could cure it, so the next best thing would be to learn self management methods."