VA Town Hall Events

First, Happy Thanksgiving to all NODDERS.  

Secretary McDonald has instructed all VISNs to hold Town Halls.  The purpose, according townto this press release(10/4/14) is

“As part of our Road to Veterans Day, VA is taking a hard look at everything we do in order to reorganize the Department around the needs of Veterans. Direct feedback from Veterans, employees and stakeholders is an important component of that Roadmap, and key to improving our services and operations,”

VISN 4 (PA) is taking this seriously with lots of locations and dates.  Fargo and Dakota VAs tag-team to offer only  one NOV meeting held at an AMVET post in Bismark.  That might make sense given the winter weather.  Many VA town halls around the country seem to be scheduled at VA hospitals.

town halls poplar

John J. Pershing VA Medical Center Town Hall Meeting, date unknown.

Poplar Bluff (MO) had good attendance at an earlier town hall but these will fizzle out of people and the media don’t attend. If all veterans were entitled to request that an advocate/social worker assigned to them, someone they could call, perhaps some incidents of medical/social neglect could be avoided.  Here is one happy story about a homeless Korean veteran who received help and SC after VA social workers got involved, treated him as an ill person, and not a case to be filed away and forgotten.

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Meet 71-year old Korean Army Medic, William J. Wilson, and be glad.

Will veteran maltreatment, in particular veteran homelessness, be addressed after VA town halls? Homelessness for all demographics continues to be a major problem in the United States.  I don’t believe that government agencies, subject to political whims such as shutdowns, will get everyone who wants to be housed, housed.  All of us who have some sort of roof over our heads, heat, and food in our stomachs, know that we have a lot to be thankful for.

 

Posted in Guest authors, Medical News, VA BACKLOG, VA Caregivers Act, VA Health Care, VA Medical Mysteries Explained, vA news, VAMC Scheduling Coverup | Tagged , , , , , , , , , , , , , , | 1 Comment

Revisiting CDC’s Bruce Weniger’s jet injector slide presentation, 2004

This slide set (LINK BELOW) may be useful to those who have not seen it before.

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I’ve come across this slide presentation given at a WHO conference before but it’s good to review.  Bruce Weniger provides some background on the unsafe 1st generation jet injectors and compares them with newer models that were being tested for safety.  I wish we had the audio recording but to access the slides, please click below.  The DOD withdraw of jet guns in 1997 is mentioned.  

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The slide above appears to relate to this studyA model to assess the infection potential of jet injectors used in mass immunisation.

(abstract only):

Jet injectors are needleless injectors that penetrate skin with high-pressure fluid. They have potential advantages over needles and syringes in mass immunisation programs, but concerns over their capacity to transfer blood-borne viruses have been a barrier to acceptance. Hepatitis B infection can transmit in 10 pl of blood; detection of such low volumes presents severe difficulties to such assessments. A model to assess jet injector safety was developed using injection of an inert buffer into calves and assaying the next injector discharge, representing the next dose of vaccine, for blood using a highly sensitive ELISA. Four injectors were tested: two with reusable heads and direct skin contact, one with single-use injector heads and one where the injector head discharged at a distance from the skin. All injectors tested transmitted significant (over 10 pl) volumes of blood; the volumes and frequency of contamination varied with injector. The source of the contamination was consistent with contamination by efflux of injected fluid and blood from the pressurised pocket in tissue that is formed during injection. This insight should inform the design of safe jet injectors.

broom

The jet injector designs just keep coming. Bad idea originally; bad idea now.

 

Posted in Guest authors, HCV Health, HCV Risks (documented), Jetgun Claims evidence, Nexus Information, Vietnam Disease Issues | Tagged , , , , , , , , , , , , , , , , , , , , , | 1 Comment

ILP–IT’S ANOTHER TEQUILA SUNRISE

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auxiliary greenhouse (heated)

Another Thanksgiving living in a one-room  non-ADA 4X8 greenhouse while some fine fellow or gal in charge of  VA’s VR&E is getting bonuses for denying us. Brother Mac on the East Coast is starting to feel the chill showing up in the most current ILP statistics at Fort Fumble in Atlanta as well.  

We are well aware of a gradual erosion over a decade of a program (Independent Living) designed to facilitate normal life such as it can be now, for disabled Veterans. With the gradual barbed wire fencing of OGC Precedential opinions and VA gerrymandering, we’ve gradually been corralled outside the Promised Land. Much like the insidious nature of gun control, each individual stricture seemed innocuous enough to pass muster. A death by a thousand small cuts is still a death by definition. Each and every revision gradually diminishes the true prerogative envisioned and enshrined in 38 USC §3120.

Red TapeEach small additional rule such as we now have to prove we need X item rather than a simple request means we almost are forced to hire our own Licensed Vocational Counselor to write a nexus letter proving the need. I just did and even then the gal was mortally terrified VA might harm her fledgling business by badmouthing her. I had hoped she would have had more stamina. She sure acted tough and knowledgeable about what I needed and what to write until the end. Then the  ” I can’t write that! I haven’t studied you long enough or visited your property.” excuse reared its head. $120 out of pocket for a mealy-mouthed say nothing assessment of whether I need a greenhouse to occupy my senior years and protect myself from the elements.

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Dwarf Siberian Winter Kale birthing

Of major concern are the new VA statistics below showing the same flat, static, VA disabled population in spite of the longest war on record. In addition, the ILP statistics show an alarming drop annually in those who require assistance under the ILP. Considering the program has a strict entrance requirement of “severely disabled” coupled with a maximum yearly participation of 2,700 Veterans, we would think every slot would be not only filled but hotly contested. Imagine having a lottery for up to a $65,000 bag of goodies and you couldn’t attract more than 1,544 souls to fill out a free shot at it. I don’t buy it. It says 3,743,248 of us are disabled. It further narrows that down to 395,220 of us who are 100% permanent and total and an additional 317,973 who are TDIU. That boils down to 713,000 plus Veterans who are probably entitled to a piece of this pie who are either abstaining or do not need the freebies.

FY 2013 Compensation and Pension by State

FY 2014 Compensation and Pension by State

VRE IL Case Record Rpt04-14

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Slow-bolting cilantro for winter salsa

Please consult the widget here to see historical records for previous years and how the static nature of VA compensation numbers become inconceivable. How can you have a war and whack 3,000 Americans with about 300,000 missing some appendages and paint and somehow keep your compensation tables flat and level? We’re talking VA here, people.

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Assuming Global warming keeps up, I have foolishly planted winter spinach

Each year VA screams for more money to help the increasing number of Veterans and their medical needs. Included in this is the compensation side of the ledger. Simply put, more war equals more collateral damage and GI Joe and Jane coming back with more dings and dents. Yet the tables indicate the simple truth that X Vet has to die to allow Y Vet to take his place for a net gain of zero Vets. Where, then does the annual increase in largesse go? Where indeed?

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and Pak choy

Each year, we see the swollen belly of VA extend. More and more administrators with more and more bean counters. Statisticians for this and statistics for that. A grand poobah supervisor to supervise the sub supervisors. More tech people. More computers that don’t interface with the existing ones. More tech guys to fix it. More VBMS programs, Haiku interpretive classes, Kaizen training, Six Sigma seminars to teach “togetherness”. Human Resources getaways to interface with the Karaoke machines in Orlando. More. More. More. But strangely, no more additional disabled Veterans in the equation.

head-up-ass-242x300I once had an accountant that promised he could make an elephant disappear right up it’s own derriere. You don’t reckon he got a job at VA VR&E in DC, do you? Just kidding.

Posted in Independent Living Program, VA statistics, VR&E | Tagged , , , , , , , , , , , | 2 Comments

Sit, stay, rappel: Dogs fast rope with their handlers

A few unique images for military working dog lovers to enjoy.  

Who: 3rd Law Enforcement Battalion, III Marine Expeditionary Force Headquarters Group, III;  What: Tomorrow’s veterans training; Where: MEFCAMP HANSEN, OKINAWA, Japan. When: October 14, 2014.

Photos: Lance Cpl. Ryan C. Mains

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1st Lt. Christina Nymeyer shows Cpl. Nicholas Majerus how to properly secure his rope harness.

dog 2

A working dog is secured to harness; The Marines fast roped with their dogs for the first time in preparation for future exercises.

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Cpl. Caleb Owens fast ropes with his dog, Dixie.

dog 3

Lance Cpl. David Hernandez fast ropes with, Benny. “The fast-roping is a lot different because you have a dog strapped to your back, and he is (moving) around,” said Hernandez. “This is an experience that most dog handlers do not get to have.”

black dog

Cpl. Caleb Owens walks Izzi to the rappel tower.

Update:  Turns out that my hubby was at this base pre-Vietnam for orders and post-Vietnam for processing. Two very different experiences.

Posted in Food for the soul, Future Veterans, Guest authors | Tagged , , , , , , , , , , , , , , | Leave a comment

THE MILITARY BAGPIPER–SEMPER FI

1467282_749386868409570_202209553_nThis was sent to me by Brown Water Jim of the Mekong Squids. At this time of year, we give thanks for many things we hold dear and held dear in the past. One is a great respect for traditions. I love warm tales of military camaraderie that reflect richly on service traditions and the respect we accord those who finally punch out. Which is why, today , I wish to share this one.

Time is like a river. You cannot touch the water twice, because the flow that has passed will never pass again. Enjoy every moment of life you can. I’ve personally gone to the edge and peered over. The bright light was the one they use in all operating rooms so don’t let that analogy throw you. Seriously, readers. Life is short so break the candle into four and light all the ends. Don’t die with a bunch of leftover candles. Light ’em up.

188401_556629701033154_1642484524_nAs a lifer military bagpiper, I played many gigs. After I retired, demands were constant for my services in the southeast where I settled.  Recently I was asked by a Veterans Service Organization to play at a graveside service for one of the last of the survivors of the Bataan Death March. He had no family or friends, so the service was to be at a pauper’s cemetery in the Mississippi backcountry. Thaddeus had personally requested this even though a slot at Arlington had been procured far in advance and held open by his Senator.

1453494_758912790790311_188328605_nAs I was not familiar with this neck of the woods, I got lost and, being a typical man, I didn’t stop for directions. I finally arrived an hour late and saw the funeral entourage and flag bearers had evidently bugged out and the hearse was nowhere in sight. There were only the cemetery crew left and they were sitting on the backhoe eating lunch. I felt badly and apologized profusely to them for being late. They nodded but were tightlipped and said nothing. I could see my tardiness was not going to be let go lightly. Veterans of all wars, and especially the War of Northern Aggression, are highly regarded thereabouts. Saying something stupid like the dog ate my music score wasn’t going to placate them so I didn’t try and kept on walking.

I went to the side of the grave and looked down but the vault lid was already in place. I didn’t know what else to do, so I unpacked my gear and started to play. Lilting melodies came from my pipes followed by Souza military marches. After what seemed like hours of that I gradually segued into more funereal dirges.

178978_558751577487633_1405443130_nThe workers put down their lunches and began to gather around. I played out my heart and soul for this man with no family and friends. I played like I’ve never played before for a Veteran whose travails and deprivations, diseases and dismemberments few could ever know or conceive of.

At the sequel as I played “Amazing Grace”, the workers began to weep. They wept, I wept, we all wept together. When I finished, I packed up my bagpipes and started for my car. Though my head was hung low, my heart was full. I might have been selfish with my tardiness but I could hold my head high knowing that this loyal American-this selfless, brave Veteran- had been given the best send off onto his next plane of adventures as I knew how to. At the very least, it could be said he did not set sail on this new adventure alone. In fact, several of the workers who were Vets had saluted as the last refrain subsided. 

As I opened the door to my car, a low voice of wonder from one of the workers carried to me over that hallowed ground, ” Holy Jesus. I never seen nothing like that before, Clem, and I’ve been putting in septic tanks for nigh on twenty years.”

Happy Thanksgiving to you all and thank you for your warm camaraderie over the years. HCVets and their entourage have waited for deliverance for over a score since scientists finally found what was killing us. Veterans, as most know, were 60% more likely to get this than their civilian counterparts. Humor is essential to beat back the depression associated with it. If you suffer Bent Brain Syndrome, this is equally therapeutic as well. And knowing I was born on April Fools would lead to the presumption of regularity that I would have to give this a humorous Veteran’s spin.

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Posted in Food for the soul, Humor, KP Veterans | Tagged , , , , , , , , , , , , | 4 Comments

Bachelor Nation: Was Vietnam really the perfect place to fall in love?

downloadI’ve tuned into two popular “reality” TV shows on ABC for the last several years: The Bachelor and The Bachelorette.   Both star attractive Millennials acting in a highly-scripted and staged winning formula: Contestants are eliminated during Rose Ceremonies by the person seeking a wife or husband; there is drama galore, trips to fabulous vacation spots, until finally, after the mating rituals are concluded, one happy couple is left standing. The videography is top-notch.

But The Bachelor‘s “incredible journey to breathtaking Vietnam” (aired 2/14/14) bothersbachelor me because it’s only been forty years since the Vietnam War ended.

Host Chris Harrison (43) was probably still in diapers then but he had heard or viewed a little about the war. He wrote in his blog:

I have to admit, when I heard we were going to visit Vietnam this season I was a little surprised and more than a little intrigued. Vietnam is a mysterious country that we obviously have a tremendous amount of history with. I was looking forward to seeing for myself what this land and its people had to offer. I’m happy to say that what I found far exceeded any expectations I had. From the moment we landed, the people couldn’t have been more warm and welcoming. Our crew did have a slight problem at the airport trying to bring walkie-talkies into the country, but other than that it was smooth sailing.

A little surprised?  A slight problem? Smooth sailing?  It’s hard to relate to these descriptions of Vietnam when others are etched in my mind forever.  But all is bliss for the young adults in this show.  Juan Pablo says:

  “I am excited. I’ve never been to Vietnam. I can’t wait to see what this country has in store for me…This place is just gorgeous. I have 11 girls left, and it’s been great.”

A female contestant gushes:

“Vietnam, Vietnam, I love Vietnam.

da nang

Photo: Crea TV

Providing tons of material for young bloggers to ridicule, the show is 100% pop culture. Looking at street scenes full of carefree tourists in today’s Hoi An, or Da Nang, how can they imagine what it was like during wartime?  This blogger admits what I suspect is true for Millennials–what they “know” about Vietnam comes from movie cliches.

 

Juan Pablo is excited about the romantic possibilities in one of the most UN-romantic countries in the world: Vietnam. The only things I know about Vietnam are from the movies, so that’s almost a guarantee that at least one of the girls will go crazy and/or turn to prostitution. However, it would actually be funny to see Chelsie walking around some village saying “Me go boom boom long time.” Ratings would skyrocket.

He finds it hilarious that impoverished women had to sell their bodies to survive. I’ve found no mention in the Bachelor Nation blogosphere of the inappropriateness of Vietnam as “the perfect setting to fall in love.”

Why can’t we oldies just lighten up and move on?

The U. S. Department of State has moved on as its recent update informs us on its Fact SheetU.S. Relations With Vietnam (2/14/14).  Congress has moved on. The entertainment industry has moved on. Educators have moved on.  This remarkable number is one reason why I can’t: 58,286; this is the number of American casualties listed on the Vietnam Veterans Memorial.  Another significant number is 1,639, our missing in action from the Vietnam War as of November, 2014 (see more information here.) The number of Vietnamese Ameriasians born during the war is unknown (Smithsonian article).

bachelor viet

“Imagine a US film crew of more than 200 executives, producers, directors, cameramen light and grip, 14 talents and 10 metric tons of equipment in and out of Vietnam for less than a week, supported by a Créa TV team of 50 souls. This must have been the largest foreign TV show ever shot in the country.” Photo: Crea TV

The jolly images younger generations see when watching this episode of The Bachelor (and when viewing lousy movies), are the ones that will be imprinted as reality;  any hints of death and blood-baths will be dismissed as fantasy.

Posted in All about Veterans, AO, Guest authors, Vietnam War history | Tagged , , , , , , , , , , , , , , , , | 5 Comments

A REAL VETERANS DAY MEMORIAL

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Anthem, Az. Veterans Memorial

Seems like those folks down in the Southwestern US have a real grip on what Veterans are all about and what they have contributed to keeping us the supreme power in the world. There’s certainly nothing to be embarrassed about. If you are destined for greatness as a Nation, it pays to have a military force that can enforce the idea of Freedom and project that message abroad. That is what we do and we do it well. 

In spite of a more recent political malaise that has infected the morale of the military and implied we are brutal, overbearing bullies on the international scene, I personally never saw any who were unhappy to see us show up when I served. Well, with the possible exception for San Francisco International Airport in May 1972. In my memory’s chords, the last time I heard that “Yankee go home!” sentiment was Charlie de Gaulle telling us to beat feet in the sixties. Those poor Wogs must be apoplectic now with Sharia Law being all the rage in their home towns. My, what a difference a mere 50 years can make. It gives more import to “Be careful what you ask for.”

Angel Fire Vietnam Veterans Memorial, New Mexico.

Angel Fire Vietnam Veterans Memorial, New Mexico.

Which brought us places like Angel Fire, New Mexico and now Anthem, Arizona. This is cutting edge art with a narrow focus on our plight. I have put both on my bucket list as top priorities now that it appears I may have a new, longer lease on life.

I received this from members Paul and Leigh who are both Vets albeit from two different military branches. How come the Southwest has the corner on this market?

At precisely 11:11 a.m. each Veterans Day (Nov. 11), the sun’s rays pass through the ellipses of the five Armed Services pillars to form a perfect solar spotlight over a mosaic of The Great Seal of the United States .

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The Anthem Veterans Memorial, located in Anthem, Arizona , is a monument dedicated to honoring the service and sacrifice of the United States armed forces. The pillar provides a place of honor and reflection for veterans, their family and friends, and those who want to show their respects to those service men and women who have and continue to courageously serve the United States .

The memorial was designed by Anthem resident Renee Palmer-Jones. The five marble pillars represent the five branches of the United States military. They are staggered in size (from 17 ft to 6 ft) and ordered in accordance with the Department of Defense prescribed precedence, ranging from the United States Army, the United States Marine Corp, the United States Navy, the United States Air Force and the United States Coast Guard.

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Additionally, the brick pavers within the Circle of Honor are inscribed with the names of over 750 U.S. servicemen and women, symbolizing the ‘support’ for the Armed Forces. The pavers are red, the pillars are white, and the sky is blue to represent America’s flag. The circle represents an unbreakable border. Anthem resident and chief engineer, Jim Martin was responsible for aligning the memorial accurately with the sun.

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Veterans Day is an official United States holiday that honors people who have served in the U.S. Armed Forces, also known as Veterans. It is a federal holiday that is observed on November 11. It coincides with other holidays such as Armistice Day and Remembrance Day, which are celebrated in other parts of the world and also mark the anniversary of the end of World War I (major hostilities of World War I were formally ended at the 11th hour of the 11th day of the 11th month of 1918, when the Armistice with Germany went into effect).

Angel Fire Huey exhibit

Angel Fire Huey exhibit

The United States also originally observed Armistice Day; it then evolved into the current Veterans Day holiday in 1954. Veterans Day is not to be confused with Memorial Day; Veterans Day celebrates the service of all U.S. military Veterans, while Memorial Day is a day of remembering the men and women who died while serving.

Without plagiarizing President Washington’s seminal observation, I wish to reiterate that our continued greatness depends on the allure of adventure that military service offers. It’s light years past the the thrill that’ll get you when you get your picture on the cover of the Rolling Stones. I know because I served.

Posted in Food for the soul, Veterans Day | Tagged , , , , , , , , , , , , , , , , | 1 Comment

A THREE-BEER STORY

Roger and Barbara circa 1981

Roger and Barbara circa 1981

About this time every year, I wax prosaic on certain old subjects. Cupcake recently remembered one when I was in the kitchen preparing dinner last night and I would be remiss if I didn’t share it. First, let me introduce you to Roger to get an idea of his persona.

Down in South Carolina where I first discovered adult beverages in 1967, any good story was measured by how many beers it took to recite it. The more  bottles involved, the better the tale. I’m sure this metric is employed to the immediate north as well as Georgia.

Roger was never the brightest bulb on the Christmas tree and was also quite fond of the Wildwood weed- aka the Mexican tomato or what is now Colorado’s and Washington’s Official State flower. Roger was also married to Barb who worked as a nurse. Barb frowned on smoking dope because she felt it reduced you to a giggling, mindless fool-but what did she know? For that reason, Roger was forced to alter his mind when Barb was absent. He liked to get a buzz on right before dinner and coast into the evening. In fact, he wasn’t above getting a buzz on in the morning and coasting into the day. I’m sure Barb wasn’t oblivious to his machinations but she held her tongue in check for several more decades before packing up the kids and leaving him.

One Friday evening when Barb was out of town, several of us were over to help him in his evening ritual before we, too, headed home to our Cupcakes. My friend Willie (a fellow AF Vet- d. 1996) had recently come into possession of some of the new, high-test stuff they were growing indoors. It was light years past what we called pot up until then and reduced you to monosyllabic words and grunts. Having spent two years in Southeast Asia during the Vietnamese Boundary Dispute, I thought I had encountered the best there was. This new stuff was stronger than the Laotian stuff that was soaked in opium. It really rolled your socks down.

DSC01005Roger proceeded to put the veggies on and got out some beef steaks from the ice box. About that time (1978), they had just come out with those absorbent pads to put under the steaks or else we had just realized it for the first time. Apparently Roger hadn’t gotten the briefing on this new development in food preparation yet. We were sitting around the kitchen table having a beer by now and the subtle stench of burning plastic started to fill the room.  Conversation about the Seattle Sonics’ playoff chances slowly ground to a halt and our noses all perked up. We weren’t smelling dope.

DSC01006Roger immediately grabbed the trash can out from under the kitchen sink and ran outside with it. After dumping it out, he came back in and shrugged his shoulders. By now the aroma of plastic was overwhelming with a slight hint of paper. Willie came over to the stove and observed that the smell seemed to be emanating from there.  He grabbed a fork, lifted a steak and busted out laughing.

 

“Dude! You forgot to peel off the steak Kotexes. That’s gonna taste skanky!”

Rog quickly flipped them out onto the chopping block and removed most of it with the fork and a spatula. Without skipping a beat, back in the pan they went. No flies on Roger. His only observation was along the lines of “Sheesh. That’s pretty stupid. Who dreamed up that brain fart? You’d think they’d of put a warning on there so people wouldn’t do that. Huh?”

Last night I noticed they have changed the color of the pads to black. Back in Roger’s day they were still white and easy to see. Well, if you weren’t too stoned, anyway. I wonder if the steak Kotexes in Montana are black now. Roger’s learning curve isn’t that steep.

 

Posted in Humor | Tagged , , , , | 4 Comments

Neo jet injector idea from hell

This one’s for the ladies:

patent jet gun

FIG. 1 is a diagram showing an improved jet injection device for injection of DNA into the human female cervix. The jet propulsion system is similar to that of the well-known Ped-O-Jet system, which is readily adapted to fit the remainder of the device which is shown in FIG. 1. It is connected to the injection nozzle portion by injection tubing.

Purpose? Targeting gene expression to living tissue using jet injection  Patent # US 20040193111 A1

 [0021] The improved jet injection device for injection of the human female cervix consists of a jet injection nozzle which is small enough to position on the human female cervix (which is located within the vagina).

The nozzle is located at the end of a length of injection tubing sufficient to position the injection nozzle on the surface of the cervix, with the jet propulsion system located outside the body. The device is held in position at the cervix by cervical clamps. The nozzle is moved over the entire surface of the cervix by moving a platform which is located outside the body. The movements of the platform are controlled by computer to insure that small movements will be made…and the entire cervical surface is covered with injections. As an alternative, a manually driven device can be substituted for the computer.

 [0061] In summary, DNA can be introduced into differentiated somatic cells by jet injection. Modifications to the technique may improve transfection efficiency. The use of replicating vectors could increase expression levels and enhance integration of the expression vector; (Niwa, H., Yamamura, K., and Mizazaki, J. (1991) Gene 108, 193-200). The technique may be useful for genetic immunization, to deliver somatic gene replacement treatment and to target gene therapy to tumor cells using toxin or apoptosis genes.

hannibal

The doctor can see you now!

Why don’t they study the tens of thousands of veterans who were accidentally infected with the replicating vectors known as HCV during pre-1990 bootcamp mass vaccination events?  Ask them if jet injectors do an efficient job at delivering RNA (and DNA) into living cells?  No need to torture little defenseless critters.  The answer is yes, jet injectors can deliver anticancer agents, genes–and many replicating entities as well.

Posted in Guest authors, HCV Health, HCV Risks (documented) | Tagged , , , , , , , , , , , , , , , , , | Leave a comment

FED. CIR.–O’BRYAN V McDONALD- HOIST ON THEIR OWN VAOPGCPREC’S

downloadHere’s a great decision by  those funny guys up at the Fed. Circus. Prost, Clevenger and Dyk (what a moniker!) got together for cocktails and one said “Hey, let’s take a page from Asknod and get on that Presumption of Everything freight train. Have your people look up some of those antique VA General Counsel Precedents and let’s see if we can give them conniption fits on this O’Bryan Vet. Let’s use their vaunted Presumptions against them and see how the pants fit.” And so they did yesterday.

And sure enough, they trotted out two daisies- VAOGCPRECs 67-90 and 82-90. Either one was lethal to the argument but in tandem, they painted a lovely argument to come down on the exact opposite side of what the OGC was arguing 38 CFR §3.303(c) was trying to preclude- i.e. defects pre-existing service.  Plagiarizing a move in Thun v. Shinseki, 572 F.3d 1366, 1369 (Fed. Cir. 2009), which hinged on Auer v. Robbins, 519 U.S. 452, 461 (1997), Prost et al decided to clothesline the VA and by extension, the miscreants at the CAVC for subscribing to this stupidity.

downloadHagel got this as a simple memorandum decision and felt he could concentrate on other, far more pressing precedents. After O’Bryan lost and petitioned for panel review,  he got a three-judge panel- but of Hagel, Moorman and Davis. He might as well of drawn a 2 to his two 8s. More Hagel Hamburger Helper ensued and it finally reach a boil. Nothing less than a full blown en banc review was going to attain justice for O’Bryan. Unfortunately, even far thinkers can get a bad case of the hornswoggles. The votes weren’t there for an en banc party. Jarvi deferred to Ken Carpenter’s eloquence before the Feds and this is what Marcus won- Monty Hall’s Cookie Jar.

OBryan_14-7027 (Fed. Circus Decision)

This all began in 1977 within that magic one-year window accorded us for everything (or nothing) to go haywire after separation. In Mr. O’Bryan’s case it did. He started going blind and it was diagnosed as being a congenital defect that he would have contracted  (or already harbored within him) regardless of whether he served or not. He filed and lost but he smartly appealed ( and lost again) at the BVA. That was the end of the line back in 1980. If you lost there, you could throw down for some equitable relief but that would be a cold day in Hell if you got it. A chagrined young Marcus wisely retreated and regrouped. In the Army, they call that advancing in a different direction. In 2010, he came forth, now protected by federal judicial review (and a real law doggie) and picked up where he left off in 1980.

Jarvi rightfully theorized that this all hinged on the definition, or better yet, the choice, of characterizing Mr. O’Bryan’s malady as a “defect” rather than a “disease”. VA maintained it was a defect inasmuch as it allowed them to deny under 3.303(c).  Jarvi and O’Bryan maintained it was a disease that began in that golden one-year window and  deteriorated lickitysplit into blindness. If their theory was entertained, then he fell into the Presumption of Soundness at entry (38 USC §1110)- and thus was service connected a la 38 USC §1111.

38 CFR §3.303(c) may be ambiguous but to end the pursuit of knowledge at the base of the CFR mountain without tunneling under to the USC or some defining legal concept/interpretation proffered by the very organization tasked with its delivery defeats the whole idea of judicial review. Rubber stamp denials are never out of order if the claim boat resembles the hull of the Titanic. However, it does not preclude a rudimentary survey of the history of §3.303(c) and how we arrived here. The Feds. wisely began a thorough excavation and turned the tables on David J. Barrans, Deputy Assistant General Counsel, and his sidekick Lara K. Eilhardt, one of the OGC munchkins.

We would do well to look at the Walker v. Shinseki jurisprudence that finally got around to deciphering exactly what §3.303(b), §3.303(c)’s precedent sister clause, meant all this time. Justice in Veterans Affairs is constantly in flux for one reason and one reason alone. VA has enjoyed Senator Alan Cranston’s “splendid isolation” and its concomitant CFR deference for so long, they just assume they are right and any determination of what they mean now, meant forty years ago or at Gettysburg as enunciated by Lincoln is grandfathered in. If they suddenly recover from the vapors and realize their error of 90 years, the legal epiphany is taken in stride and considered to now be well-established and undebatable. It’s the “No flies on me” theory and VA blithely wears it in ignorance.

Each old adjudication like O’Bryan’s-ones that occurred outside the umbrella of the VJRA’s judicial review prior to 1989, is ripe for a reopening with two viable can openers these days. Certainly CUE, or clear and unmistakable error, is the first that comes to mind and what Marcus and Theodore Jarvi used. In addition, we’re beginning to see an increased use of 38 CFR §3.156(c) based on old service department records only now coming to light. Both roads lead to Rome but the former is far more arduous. Do not expect the AOJs to see this point of view at the lowest levels for decades. VA fights every outbreak vociferously like Ebola. If you doubt me, ask Leroy Macklem. CUE reversals or vacates are rare and require the perfect storm. For instance, had Mr. O’Bryan refiled to reopen for bent eyeball syndrome in the interim-say, 1985-and been denied on appeal, his 1977 CUE would be moot as the 1985 BVA appeal would have subsumed it. However, he didn’t and it lay festering like a splinter these thirty seven years.

VA is usually very anal and lists everything but the kitchen sink as diseases or defects which they will not cover. Here, in §3.303(c), they got a bad case of writer’s cramp and fell short of enumerating every foreseeable defect found in Dorland’s. To wit, they pulled up short in thinking the Courts and history would continue to grant them unlimited deference in deciding how to interpret 38 CFR. Here’s the §3.303(c) caboose:

In the field of mental disorders, personality disorders which are characterized by developmental defects or pathological trends in the personality structure manifested by a lifelong pattern of action or behavior, chronic psychoneurosis of long duration or other psychiatric symptomatology shown to have existed prior to service with the same manifestations during service, which were the basis of the service diagnosis, will be accepted as showing preservice origin. Congenital or developmental defects, refractive error of the eye, personality disorders and mental deficiency as such are not diseases or injuries within the meaning of applicable legislation.

By actually listing these items, the VA’s leagle eagles committed the error of omission.  Solely relying on that “refractive error of the eye” as their catchall backstop, they veered off the road of defect and into the bailiwick of disease. Once you get into disease, and even worse, chronic disease, regardless of it’s ebb or flow, you are no longer discussing the merits or applicability of §3.303(c).  You are now discussing its drawbacks. How the CAVC could be so myopic after Jarvi did his stick drawing in the dirt for them up at 625 Wagonburner Lane NW  shows one glaring disparity in Veterans Justice-certain CAVC judges’ noted propensity to just “go along” with the BVA.  What’s more, to go along and buttress Hagel’s Memorandum affirmation via a panel to support it as precedence is unconscionable absent any cogent discussion of the history of the regulation. Wherefore art Thou, Father Justice? Why do we have to go to the Fed. Circus to clarify the butter?

O’BryanM_11-2584 (CAVC Panel Decision)

download (1)One can only wonder if a panel of Schoelen, Bartley and Greenberg might not have come to the same realization of Prost, Clevenger and Dyk.  Perhaps that was merely a rhetorical rumination on my part that answers itself. Regardless, it’s moot now.

Yesterday, another brick in the foundation of Veterans Justice was firmly cemented in to the ruination of the VA. If this continues, we may attain a level playing field in Vet jurisprudence before the 22nd Century. I’d be happy with Hickey’s promised 125-day/98% accuracy come 2015. Won’t that be a hoot.

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