Each VAMC is treating the delivery of Radicava a little differently. KC put a PICC line in my upper arm and trained my wife to do the infusions. Leavenworth put a PICC line in a friends arm, but were requiring him to come to VAMC for his infusions. It looks like Iowa City put in a port and is requiring the vet to come in. If you have a PICC and given your wife's experience it should not be a problem continuing at home. If you have a port, I would think they would at lease have home health come out to access the port and allow your wife to continue. I had home health for the weekly PICC bandage change, but the nurses they sent had no idea how to manage the PICC, much less change the bandage so I stopped them and go to the infusion clinic once a week for the change.