Category Archives: Tips and Tricks

How multi-dose vials (MDVs) and insulin pens can be contaminated with HCV

Patient-to-patient contamination with multi-dose vials This is how I interpret the image above: 1.  Syringe and needle draw fluid from a multi-dose vial (MDV).  A patient with HCV is injected.  Microscopic blood cells can backflow into the syringe. 2.  Needle … Continue reading

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CAPITALIZING ON THE INSULIN PEN

Remember good ol’ boy Rahm “The Rahmrod” Emanuel of Casa Blanca Fame? He was the White House chief of staff in the President’s first administration. He was best remembered for his famous election plaint “Never let a good catastrophe go to waste”. … Continue reading

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Hep C maps: Access BIG data online

For an overview of HCV demographics, register (name, email, password), agree to “personal use only” of the mapping application, and you can explore HCV prevalence and hospitalization data to 2006.   You can drill down by zip code or whatever … Continue reading

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BVA–GENO 2B & KOREA SERVICE

Here’s another classic example of a Vet with service in Korea coming home with HCV genotype 2B. This was very prevalent and one of the signatures of HCV there at that time (pre-1990). Here, it occurred between 1952-54. A February … Continue reading

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BVA–OKAY. I GIVE UP. WHICH HEP WAS/IS IT?

FROM THE FILES OF THE DREW CAREY MEMORIAL VARO   This is one of those priceless “which hep is on first?” decisions that had to end in a remand to keep the room from spinning.  Joebob Vet has a problem here … Continue reading

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BVA–VA SIDES WITH VET’S NEXUS

I have often tried to point out that it takes a number of years for hepatitis to manifest to a degree that the individual notices it. Men are notorious for going to the bitter end before keeling over and admitting something … Continue reading

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BVA–34 CLAIMS TO NOWHERE

Obviously this pro se rocket boy didn’t get the sticky note on filing for just a few claims and then expanding his horizons. Thirty four claims is a boatload of paper to appeal. Several things can be gleaned from this. … Continue reading

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VA AS SANTA CLAUS

Over the years I have had occasion to listen to Vets expound on the theory of all things VA. From VSOs to veteran Veterans, I often hear one common thread. “You’d better watch out. You’d better not pout. You’d better … Continue reading

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CAVC KNOWLEDGE 6–THEORY OF RELATIVITY

When you get to the CAVC and you are preparing your defense, the proper thing do is to express every theory of service connection-anything- no matter how far-fetched. It should only be theories advanced in your BVA appeal which behooves … Continue reading

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BVA– WELL, ACTUALLY IT WAS THE PNEUMONIA

I guess Johnny Alabama wasn’t expecting vA to actually go back and look at his hospitalization records. Surprise! Lookit here. It says that it wasn’t for HCV but actually pneumonia. Can anyone explain this disparity? Johnny finally came clean at the … Continue reading

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