Is donating plasma still risky for contracting HCV?

bag press

Example of a modern plasma device

I first read about viral infections due to past unsanitary practices in plasmapheresis centers in the Pepin’s book, The Origin of Aids.  

In this 1999 follow-up report about an HCV outbreak in Austria (then called non-A, non-B hepatitis), the cause was believed due to contaminated plastic bags.  They identified the common location, but not the way(s) in which NANB spread inside the centers from donor-to-donor.

In 1977/78 an epidemic outbreak of non-A, non-B hepatitis occurred in a plasmapheresis centre in Salzburg, Austria, involving 30 donors. Epidemiological data suggested spread within the centre. The mode of transmission remained speculative but was believed to be due to contaminated plastic bags used for reinfusing erythrocytes.

However these centers and the industry continued to be suspected/implicated as late as 2001 in the spread of HCV.  In a  letter to the Editor in The Lancet, Mexican medical professionals write:

Sir—Since the 1970s, outbreaks of blood-borne diseases in plasmapheresis centres have been described. These
outbreaks probably arose because of practices associated with human blood injection, reuse of material, and sharing
of syringes or intravenous lines during apheresis. These procedures have made commercial plasmapheresis centres a
high-risk environment for transmission and could explain the high rates of seroconversion for blood-borne diseases reported among paid donors.

Patricia Volkow, M.D. (et. al) inform Lancet’s readers that the main problem is not the donors’ characteristics alone but the centers and/or the plasma broker business.

The high prevalence of different markers for blood-borne diseases in end products of plasma recorded since 1973 cannot be explained by inclusion of high-risk donors.

The authors report that in less-developed countries, plasma is “trafficked through station countries” relabeled and re-exported.  The letter specifically names the problem of HCV in blood products and compares the situation with that experienced with HIV’s spread.

And this is far after the critical years in the early 90’s when testing for HCV became possible.   Volkow has little faith in the veracity of the country-of-origin labels.  I assume that Volkow also did not have much  faith in viral inactivation in 2001 either.  In a 2005 HIV study  Volkow provides a long list of resources about these centers. It appears clear that a history of  being a paid donor should be recognized as a risk factor for HIV (or HCV)–not just being a blood product recipient.  The CDC was not completely silent on these problems, but almost.

A modern device that seals tubing

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

BVA–CALUZA V BROWN 20 YEARS LATER

downloadWas it that long ago that the CAVC (then the COVA) let the cat out of the bag and enumerated the three elements needed to attain the Holy Grail of service connection? April 12th, 1995 will mark the twentieth anniversary of Mario’s Big Adventure in Appealsland. What we at Asknod find frightening is the absolute absence of any recognition of this seminal decision helping Veterans who choose to have Veterans Service Organizations represent them at the BVA. As we know, they aren’t permitted up at 625 Indiana Ave. NW because of that pesky little defect in their law degree-there isn’t one. Absent this qualifier, all you have is Joe Blow Citizen (perhaps a Vet-perhaps not) acting with your Power of Attorney to do as he pleases. No oversight of any consequence. No responsibility for failure. No clue as to what is legally required to prevail. Just the fellow we want at the helm of the claim boat.

After doing some research over the years on just the narrow venue of claims for HCV decided at the BVA, it is apparent as it was in 1992, that the only way to prevail was to collect the Golden Triangle. It just hadn’t been enunciated in COVAspeak and become a steadfast precedent prior to Caluza.

Succeeding Courts have reaffirmed the same sentiments over the intervening decades in virtually identical language (see Hickson, Shedden) so the concept isn’t new nor require a Rosetta Stone to decipher it legally. Veterans everywhere could now breathe a sigh of relief secure in the knowledge that VSOs, who charge nothing for their services, were now armed and dangerous and wise in the ways of VA law. Let’s summarize. The three elements required are

1) an injury/disease or risk factor in service

2) the current injury/disease

3) A doctor’s letter cogently connecting the injury/disease in service to the present condition.

Nothing has changed since Mr. Caluza stepped on his necktie in 1995. No new requirements have been added. This is boilerplate law that needs no further explanation or discussion. With that said, how are we to explain that in 2014, the Big Six of the VSOs are all sitting in front of BVA Veterans Law Judges begging for the Benefit of the Doubt instead of presenting  their three Shedden principles or Hickson Elements? It almost sounds like collusion between the VSO and the VA to ensure that you do not prevail. How else can you explain this? My VSO (MOPH) never told me in 2006 when I filed. When I accidentally discovered it in 2008, his response was a hollow bluff: “Well, duh! Everyone knows about the golden triangle. Where the hell have you been?”

downloadSo… here we go. Let’s look at the Disabled American Veterans first and see how they fared. After all, they profess to be the biggest kid on the block.

http://www.va.gov/vetapp14/Files4/1431781.txt    This one’s a remand back to the RO to be fitted with a brand new shiny VA nexus absolutely free. All Johnny Vet has to do is sit back and let VA do that Duty to Assist thing.

http://www.va.gov/vetapp14/Files4/1431423.txt   This poor guy has a lot of negative events in his life but no DAV nexus. Again, they let this one slip by. Or is there a pattern here?

http://www.va.gov/vetapp14/Files4/1429985.txt    Uh-oh. The dreaded Internet article nexus…

download (2)The Veterans of Foreign Wars, or VFW, should be the go-to guys on this. Hell, they specialize in actual wars and have a ton of guys who were injured in them. Right.

http://www.va.gov/vetapp14/Files4/1430975.txt    Wrong. Lots of paper but no magic paper.

http://www.va.gov/vetapp14/Files4/1429009.txt   Not even an attempt to come up with a nexus letter.

download (3)The Military Order of the Purple Nurple surely can do this. They are in the blood business. You have to bleed to get a PH. Seems they would know everything there is to know about Hep C:

http://www.va.gov/vetapp14/Files4/1429706.txt   Bummer, dude. They forgot the third element, too.

 

download (1)How about the American Legion? A smart, educated bunch if we ever saw one. Surely they make sure you are armed and dangerous before setting out on the big expedition to the BVA. Right?

http://www.va.gov/vetapp14/Files4/1433904.txt   Oops. Forgot to get the opinion.

http://www.va.gov/vetapp14/Files4/1432870.txt   Ditto.

http://www.va.gov/vetapp14/Files4/1430975.txt   Ditto.

http://www.va.gov/vetapp14/Files4/1430167.txt  Ditto.

http://www.va.gov/vetapp14/Files4/1430040.txt   Bummer. Another one.

download (4)How about Vietnam Veterans of America?

http://www.va.gov/vetapp14/Files4/1433658.txt Whoa, there. Seems they got all the way to DC without the magic paper and now are remanding back for VA (not the Vet) to get a new nexus letter.

download (5)How about those enlightened souls on the Left Coast  in California? They have their very own Veterans Outfit to do this professionally. The California Dept. Of Vet Affairs:

http://www.va.gov/vetapp14/Files4/1433652.txt  Negatory on the nexus.

http://www.va.gov/vetapp14/Files4/1432513.txt  Brilliant. Have your Service Officer suddenly turn into House MD at the Travel Board Hearing and opine:

At the appellant’s September 2011 Travel Board hearing, the appellant’s representative argued that the Veteran could have contracted hepatitis C in service due to his in-service diagnoses of gonorrhea and malaria.

Well shucks. How about those folks back in Illinois. They hail from the land of Lincoln and Obama. They must know all about the legal requirements. Even thoughdownload (6) this feller had a lot of negative evidence concerning drug abuse, they never got that far. He simply didn’t have the magic nexus paper.

http://www.va.gov/vetapp14/Files4/1433641.txt

How about Florida. I hear it has the largest contingent of Vets in the nation. Those folks surely got the Caluza fax…or not.

http://www.va.gov/vetapp14/Files4/1433641.txt

 

download (7)And last but not least, nobody told Mr. Pro Se who went in cold. This is the only one I would expect to find at this late date who was clueless.

http://www.va.gov/vetapp14/Files4/1429477.txt

 

 

 

 

vermontApparently they know how to do this in Vermont:

http://www.va.gov/vetapp14/Files4/1428737.txt   Amazing. Almost too easy.

 

That was just the first 50 decisions in the queue at the BVA HCV website of 2014 cases. It is representative of what you will see as a cataclysmic fault in all VA jurisprudence and only the tip of the iceberg. Imagine that there are another two or three thousand that are not even appealed and the volume of claims lacking any semblance of medical nexus becomes glaring. With 29,882 decisions out this year (so far) for appeals of all sorts,  it’s apparent that there’s work to do on getting the word out.

What few of you know is that there are “Appeals Teams” made up of various senior VSOs of all major denominations that collaborate on appeals and try to micromanage them at the BVA.  VA even provides them office space and phones there. With this second level of expertise, these teams further prove a mockery of justice. This is nothing more than leading cattle to slaughter. The VSOs are merely the guys with the cattle prods keeping the Vets moving into the slaughterhouse.

 

 

 

Posted in BvA HCV decisions, Nexus Information | Tagged , , , , , , , , , , , , , , , , , , | 2 Comments

FOOTLOCKER–THE DEER RODEO

downloadEveryone has their deer story and some are better than others. Most are corny and lack staying power. Some resonate because the hunter was an FNG and got the surprise of his life as here. I’m a sucker for the ones where one of my hunting buddies say “Man you gotta come out to Carbonado. The blacktails are so thick that a farmer buddy of mine is  begging for me to come over and thin the herd. Bring Buckwheat Junior and we can bag an extra one on his tag. In fact, bring your 12 ga. and a box of #4s because the honkers come in and hit his cornfields hard every afternoon, too. How about this Saturday?”

canada-geeseFish on. I took off Friday and reloaded some #4s and made sure I had .270s and .243 for Buckwheat. To be safe, I loaded enough 12s to cover about 5 limits just in case. Boy Scouts are always prepared. We picked up Jay Dee and were wheels up by 0400. An irrepressible smile kept creeping across my countenance. Secure in the knowledge that I had a one-ton Dodge B3500 extended Van capable of hauling it all, I mentally calculated where we were going to stack all this largesse. Nobody noticed the drool.

We arrived just before 0700 in the dark and got the stick-in-the-dirt briefing on the free-fire zone.  I was surprised to see our group had now grown by four more. The smoking light was turned on and we dispersed to surround a ten-acre field nearby. By 0830 we still hadn’t seen a twig wiggle. Buckwheat was 12 or 13 and fresh out of Hunter Safety training. This was cutting -edge exciting. With the writeup Jay Dee had given this and the sure wisdom of his 12 years, he was convinced we were in the wrong spot. If the census was accurate, we should be in danger of a stampede. One hundred and fifty yards away  I spotted a three-point and had him ready to take the first shot when three other guys unloaded on it. Bambo dropped like a bag of rocks and never even did the chicken.

axis2-lgWe all walked over to admire the kill and I looked to see where he was wounded. No body hits visible-0/3. The buck did have a stripe of fur missing all the way to the bone from his muzzle up over his right eye but it wasn’t even bleeding. Danny Big White Hunter smartly stepped forward with his deer tag and claimed the kill. As did Ralph and Jared. After the arguments tapered off, each guy wanted his picture taken with ‘his’ kill. This was back in the days of Motorola Brick phones. You know-the ones with 4.5 Watts that gave you brain cancer in 10 years. Danny’s significant other must have been close because she popped in out of thin air and unshouldered her camera about a minute after he called. Twenty (photo) shots later Jared got his turn at the wheel and mugged for the camera with his brand spanking new .270 Weatherby Magnum with 3X9 Variable (rangefinder built in) Leupold tube. And that’s when the deer rodeo began.

You’d figure after twenty minutes that the animal had a major concussion and was ready for the meat wagon. You would have been horribly wrong. Jared was still squatting there with his rifle leaning against the left antler holding up Bambi’s head when this sucker blinked and came to. The only thing missing was a bronco chute, an 8-second timer and an announcer. Jared had a death grip on both antlers and Bambi was furiously trying to stand up on his hind quarters and shake his head. Jared’s fancy Weatherby Mark V was spinning around like a prop on an O-1 starting to make turns. The strap had by now become hung up on the left antler and every time Bambi shook his head the gun would begin a new series of oscillations. By now Jared was beginning to see this ride was short lived. He bailed out off it’s back in a perfectly timed maneuvre and landed on his feet like he planned it. The Weatherby continued to make turns.

The deer, now free and armed to the teeth, took off as most do in kangaroo fashion. Buckwheat and I watched as  four rifles promptly raised in perfect synchronization and started shooting.   Up! Bang! Down! Pow! Up! Bang-pop-bang! Down! Boom! Pow! Boom!. This time it was 0/5. All the while Jared was screaming “It’s a Weatherby you assholes. Quiiiiiit Shooting!” at the top of his lungs trying to effect a cease fire.  Wasn’t gonna happen. By now everyone was deaf as a post and some were even reloading. It looked like a Mexican firing squad with everyone completely out of phase with each other.

Have you ever read one of those stories where ten of Philadelphia’s finest in blue have a guy surrounded and suddenly unload 14 rounds each out of their .40 Glocks when one gets queered? After the smoke clears, the perp has about two less fingers and three torso strikes. You always wonder where the other 135 rounds went. Pretty much the same with Dave/Ralph/Jared’s trophy three by four.  Two hundred years from now the EPA will declare it a lead pollution clean up site. As for the Honkers? What Honkers? It turned out to be a CLAVU day (clear to altitude-visibility unlimited). You’d have needed a 37 mm AA gun to bring them down.

Buckwheat Junior wrote a book report on this and got an A. The teacher was very happy that  the geese all lived happily ever after and Bambi escaped- in spite of the fact that he now owned an eeeeevil high-powered deer assault rifle.

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VACO–EVERYBODY’S GOT SOMETHING TO HIDE EXCEPT FOR ME AND MY MONKEY

download (3)I think Rep. Jeff Miller finally hit it on the head. All these entrepreneurs at VAMCs around the country did not all wake up one day and simultaneously concoct the idea to cook the books on the scheduling imbroglio. Face it. They simply don’t have the intelligence to do so. Therefore, the impetus for all this had to emanate from the VA’s Central Office– to wit: the higher ups in the VHA. I suspect if you poke and dig a little, a Kelli Kordach whistleblower will emerge with all the goods and the dirt on who was naughty. This thing is unraveling faster than a cheap Chinese Wal Mart Sweater after one washing.

Posted in VAMC Scheduling Coverup | Tagged , , , , , , , , , | 5 Comments

CONTEMPORARY VA OUIJA BOARDS

date on back is 1917

date on back is 1917

A friend of mine came across these at a garage sale and made copies for me. The CAVC one is dissimilar from the other two and appears to be of much newer construction. The folks at the Antique Road Show consider them to be curios from at least the late 1930s. Perhaps my gentle readers can contribute their ideas on them as well. They do seem to be the real McCoy at first glance.

BVA OUIJA CFR

BVA Ouija Board

Here’s the one marked BVA. The date on back is illegible.

 

 

 

Lastly , the newest by far is the one marked CAVC:

CAVC USC OUIJA

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CAVC–MARKS V. McDONALD–LINE OF DUTY AND WILLFUL MISCONDUCT

dthumb_d10d7a64-04ab-4462-9561-19cb885ef6d9As most know, I glom onto every reversal that comes across the CAVC and CAFC docket. They teach far more in a short time than years of vacates and set asides. By the same token, you find more ordnance to help Veterans because this is where you find the most egregious VA errors in adjudicating claims. Since 85% of us lose our bid for stardom right out of the gate at the RO, it appears on it’s face that collectively, 25 million of us are ne’er do wells, goldbricks, malingerers and deadbeats. Oddly, that tars and feathers enlisted as well as officers. So much for that ‘officer and a gentleman’ sobriquet.

One thing enlisted folk seem to have in common is an affinity for alcohol. I dare say that fighter pilots must be included in this too, but that is not germane to the discussion here. With that affinity comes an inordinate amount of discussion about what is considered Line of Duty (LOD) and what is not. Once you’ve been shanghai’d into the service, the military actually grants you quite a bit of leeway where true willful misconduct is concerned. You get a pass on getting the clap and often a blind eye is turned towards being excessively trashed or hammered (ETOH). My Uncle Jay went up and down the promotions ladder frequently in the 1930s before signing up for the Bataan 88 Klic Fun Run in April 1942.  Which brings us to Mr. Joe L. Marks.

Before I tell this sad tale, I feel it is imperative to tell you that my personal rainmaker, LawBob Squarepants (Robert P. Walsh, Esq.) has always bemoaned VA’s propensity to cast most of us as miscreants and deserving of our fates. He has repeatedly pointed out that VA legally cannot make a finding of willful misconduct twenty or thirty years down the road without some document or evidence in your military records stating as much. The practice of arbitrarily condemning you ex post facto based on 38 CFR or the M 21 manual language is not sustainable legally. Absent any finding in the military to that effect, you are exonerated. In short, it is VA’s duty to rebut the Presumption of a LOD determination and prove you were incredibly stupid when you did your swan dive off the Ferris wheel at Venice Beach in 1970. Otherwise your stupidity stands as a glorious testament (and LOD) to enlisted men’s drunken arrogance everywhere.  Now to Mr. Marks.

Marks reversal on willful misconduct

Mr. Joe L. Marks (not Joseph) was a groundpounder of the Peacetime persuasion from 1977-85. As such, we can see he was not a three year flash in the pan. In 1980, he arrived by meatwagon at his local Army Base infirmary in a sorry state. .23 on the Richter scale is usually one of the prime ingredients Big Chicken Dinners are made of. Most of us wake up, look around and the question forms on our lips : “Dude. How did I get here? What happened?” This is why we call it the illness for which there is no sympathy.  Joe wasn’t much different. In fact, after the fight that dang near gave him a concussion, he opted to get down and do some serious alcohol abuse. The key word here isn’t ‘after’ nor is it ‘before’. VA tries mightily to make that distinction so as to give wings to their willful misconduct etiology incorporated in the M 21. Fortunately he survived but the deleterious effects of concrete floors on noggins is legend. The doctor did the obligatory X rays and checked his vision. Being young and dumb, he survived for the most part but did discover he had residual injuries in the form of headaches thereafter. Fast forward to August 2004.

Joe filed for headaches as a residual of his 1980 altercation and VA promptly denied him in February 2005. As with most of us, he blew it off and then had a change of heart. He refiled in March 2006 in an attempt to reopen but again the RO refused based this time on no new and material evidence with which to do so. I mention this for good reason. In the VA game, you cannot just endlessly keep on refiling the same claim and get traction eventually. Each time you do this it become harder and harder to reopen simply because you are running out of new and material evidence to present. You want to do it once and do it right.

Joe lucked out and caught a break on appeal to the BVA in 2008 who remanded it based on the feeling he had made a case for a reopening. They put the RO on notice that acquisition of his Service Medical Records (SMRs) would be a good first step when deciding these things-specifically a determination of whether it was LOD or willful misconduct based on too much Kickapoo Joy Juice. In 2012, the RO spoke. It was willful misconduct and that was the end of it.

The RO did ask for a LOD determination from the Army but never got one. That didn’t impede them in the least and Joe got the bum’s rush.The BVA followed suit in May 2013 with the rubber stamp and here we are in DC a year later.

Jedi Master Bartley

Jedi Master Bartley

With the investiture of Meg Bartley to the CAVC, I remarked over a year ago that a new dynamic was going to come into play. With her background at the National Veterans Legal Services Program (NVLSP), business as usual at the CAVC, at least in her courtroom, was going to be of a different calibre. And so it has come to pass. More reversals have issued from her short tenure than in any other Judge’s time there. Judge Greenberg is running a close second but that is a story for another day.

Judge Bartley gives us a lovely education of what is and what isn’t LOD and willful misconduct. Keeping in mind the splendid isolation VA enjoyed all these years screwing Vets out of their due, it is refreshing to see the tables turned in our favor. VA has consistently and arbitrarily tarred and feathered hundreds of thousands of us as untermenschen and the dregs of society  over the centuries since the War of Independence. It’s funny how badly America needs us in times of peril only to find us NOKD (Not our kind, dear) afterwards and deny on a land office scale.

Marks v. McDonald is a casebook primer on how to rebut the trash talk and smack VA will paint you with. Carefully examine his case and you see the art form VA employs to demolish his contentions. By putting his foibles on parade and listing them in the wrong order, it can be made to appear as though he got drunk, got into a fight, lost and was scooped up for the meat wagon run. In that context, it’s hard to feel compassion for his plight. Nevertheless, America has a soft spot for these chuckleheads and the Army doctor didn’t find him a reprobate or dun him for his stupidity. Nowhere will you find a determination of “not LOD” in his records yet this is what VA arrived at by twisting the facts and utilizing their superior inductive reasoning. VA is not the trier of fact in LOD determinations. That is a contemporary decision arrived at during your service-not 30 years later by a wet-behind-the-ears Rating Ranger. VA has been doing this so long they’ve convinced themselves that it is in their purvey and their purvey alone . Meg Bartley succinctly put paid to that misapprehension with her resounding reversal.

Good legal fodder is to be had here. To wit,

Holton v. Shinseki F3d. 2009

Thomas v. Nicholson F3d 2005

Myore v. Brown  9 Vet App. 1996

Once again, VA has been bridled and a sterner bit has been inserted in their mouth. This may not curb their appetite for abusing the LOD philosophy but it will remind them that splendid isolation has its limits in the new Internet world. We can’t so much as fart- let alone rearrange the VA scheduling records in Phoenix- without someone whistling loudly and pointing it out.

Many of you with Hepatitis C have been unfairly branded as drug abusers or persons of ill repute. VA is fond of pointing out a proclivity to imbibe is a harbinger of contracting HCV. How that is so is still a matter of conjecture. Does one become inebriated and fall into a puddle of HCV-contaminated blood? Can it be transmitted by sharing the same Jack Daniels Bottle without sterilizing the business end? We examined this several years ago when a Vet’s lay testimony that he smoked crack cocaine was used to arrive at a similar determination of willful misconduct and being a risk factor for contraction of the disease. VA went down in flames on that one and granted the claim but it is important to note the methodology of the denial process. Snorting cocaine in its powdered form may or may not be a risk factor but including smoking crack cocaine as a risk factor can never rise to the same level.

Hopefully, this type of kangaroo justice will abate as BVA judges become more educated. Perhaps that is an oxymoron more fitting to the RO adjudication arena but the error rate discloses they are both equally at fault. The flaw is endemic as it is clear from the M 21 where all this crap emanates from. VA utilizes the manual as the Bible of ‘how-to’ and ignores  individual, unique instances where a more nuanced approach is required. Even Allstate and GEICO utilize an individual approach to their claims process instead of a one-size-fits- all cattle drive to justice.

From the M 21 IMR on willful misconduct:

“Willful misconduct in alcohol consumption cases is the willingness to achieve a drunken state, and, while in this condition, to undertake tasks for which the person is unqualified, physically and mentally, because of alcohol.

(M21 1MR,  Part III, Subpart v, Chapter 1, Section D.16.A)

The M21 version, to me, has one glaring mistake.  Besides describing what most of us have done at one time or another (including me) VA is attempting a post hoc rationalization of what constitutes willful misconduct wholly outside of any contemporary military or medical records that may purport to show the incident was deemed LOD. This is the incipient problem with all VA justice. This second-guessing thirty or forty years later and a “readjudication of the facts”  (of which they know nothing of) has hung more Vets that we can possibly count. Meg Bartley wisely called bullshit on the practice and reversed  VA’s shoddy rationale for his willful misconduct determination. He’ll get another bite of the apple at the RO on this and I  severely doubt we’re going to see him back at 625 Wagonburner Lane NW.

Robert "V for Valor" Chisholm

Robert “V for Valor” Chisholm

Kudos for Robert V. Chisholm who did a bang up job on his Table of Authorities. I guess Mr. Marks can also thank his lucky stars he didn’t end up in front of Judge Bruce “Affirmed” Kasold. Finding the legal ammo for these outings doesn’t seem to be the bugaboo. Finding a sympathetic ear at the Court is the roadblock. Considering the thumb of justice weighs heavily on the scale in the Veterans’ favor, something is amiss when this would have to float up to the Fed Circus to obtain real justice. When you say your prayers tonight, include one for Judge Bartley’s continued good health in them.

 

Posted in CAVC Knowledge, CAVC ruling, LOD and willful misconduct | Tagged , , , , , , , , , , , , , , , , | Leave a comment

VAOIG–WE DON’T DO VA CRIME

oigDoesn’t anyone on Capitol Hill (i.e. Rep. Miller et al) find it intriguing that if you or I so much as filed a phony travel pay report and tried to take these folks for $40 dollars, we’d be hounded to the ends of the earth by VA’s Inspector Gadget krewe and their counterparts at the US Marshal’s service ad nauseum? They wouldn’t sleep until they had uncovered all the miscreants and sentenced them to five years of hard time with an ankle bracelet at home. Five years of Drew Carey and Susan Lucci is cruel and unusual punishment.

Think about that in the context today as crime abounds at the VA. No, not just the brouhaha in Phoenix  but the systemic crime of doing this at 93 other VAMCs as well. No one has been indicted, demoted, sent to an EBE VARO in Ft. Harrison or Sioux Falls or come down with a really, really bad  case of sudden retirement. The total focus has been redirected like a three-card Monte game onto whether anyone died from it. Apparently 293 of our brethren took an early out in the interim from what we now know has been conclusively proven-not 40.  Too bad they didn’t file their records with VAOIG because now there’s no record of them in the system-ergo no crime. How convenient.

2 Aflac Duck ListofBills

AFRAQ! What’s the matter with these people? AFRAQ!

If you waited and waited for a new appointment for a mental health consult at VA following separation, it can be assumed that three tours in Afraq would be a biiiig qualifier to someone at the scheduling desk. I’d give up my place in line for him/her in a heartbeat. If a guy opted to suck on a lead lollipop in the interim in desperation, I’d say it was probably because his cry for help went unheeded. In my book, there’s a flashing red arrow pointing at these Vets with neon words beneath saying “Help!” If the VAOIG can’t connect the dots conclusively without the shadow of a doubt, perhaps the question was misphrased by Rep. Miller. Seriously? No flies on me? You congressfolk didn’t phrase the question properly?

VA is so ham handed they can’t even come up with a viable defence. How many VARO denials have we read where the evidence was not found in equipoise so the benefit of the doubt is not for application? Perhaps millions. Much like the Colvin decision back in 1991, the VAOIG is inadvertently playing Dr. Ben Casey and strapping on the stethoscope. They are not allowed to make a decision on whether anyone died. They are supposed to be trying to determine if it might have had a deleterious effect on anyone who was denied treatment. They are also tasked with rooting out lying sacks of shit who work there and make flunkies lie for them to get their VA bonuses.  None of this has transpired and the silence is deafening.

download

Call me Bob. His name is Legion for he is many.

Ronald McDonald has been set a horrific task. Round up the little VAMC Hamburglars and either indict them, keel haul them or send them packing with a bill for the fraudulent VA bonuses-with interest. The legislation has been passed, signed into law and now the pregnant pause. Sharon Helman  is out of sight but not out of mind. Shoot. She’s still pulling in her paycheck while she gets her handicap down to a nine over at Andrews. Why is that? Was it impossible to conclusively prove she purposefully ordered the VA schedulers to lie and commit fraud? VA would have us characterize this as “Well, no one died from it near as we can tell so why get down on the VA employees here? No harm, no foul. Can’t we all get along like Rodney King wanted us to? We promise never to do it again. Okay?”

A crime has been committed. The VAOIG is charged with investigating and coming down on these people like white on rice. This is how they did it to Keith Roberts back in 2004.  VAOIG is the name. Cops and robbers is the game. I fail to see a difference. Who cares how many died (besides us)? They were irreparably harmed by virtue of lack of care. Duh. Where did you park the squad car, Dick Tracy?

It’s now time for the hangman’s gallows to be erected and the guilty to be hung. Pronto.

download (1)

Make it so, OIG. Questions? You can reach me at 513-509-8454.

P.S.  Apparently, they (OIG) Chieu Hoi’d today and admitted perfidy. Long overdue game of semantics is finally over. Now we need to find out who put the grip on Griffin and made him change the “findings”. There be the smoking gun to all this.

Posted in VAMC Scheduling Coverup | Tagged , , , , , , , , , , , , , , , , , , , , , | 1 Comment

HOW REAL VETS GET RID OF MOLES

Win Or Die LogoReal Vets-as opposed to girlymen Vets- are renowned for having the gitterdone gene. We also are endowed with a desire to live life vicariously. We are easy to spot due to large numbers of scars and being on a first-name basis with most folks down at our local hospital emergency room. You know who you are. You’re the guy/gal whose arms look like junkies from so many tetanus shots.

What I’m about to show you is not widely known or practiced but is virtually guaranteed to rid you of these pesky critters in short order. The ingredients are elementary for most of us. Please check with local codes so as not to be arrested for utilizing explosive devices in controlled areas such as playgrounds.

1) Heavy duty wet/dry vacuum cleaner

2) Propane bottle and associated hose paraphernalia

3) Flamethrower or similar device such as a roofing torchdown tool or weed burner. In lieu of this we advocate a 5-foot long ignition device over a simple Bic lighter.

Let us proceed.

2014-09-16 09.03.27Step 1)  Self explanatory. Locate an active thoroughfare.

Step 2) Vacuum out the pile of dirt to expose the tunnel in the incoming direction. Make sure it’s clean and open enough to insert the propane hose.

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Step 3) Insert the propane hose about 6-10 inches into the hole

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Step 3) Backfill carefully to prevent backflow and tamp down firmly.

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Step 4) Turn on propane tank at about 1/3 gallon an hour to flood the entire length of the tunnel(s). Propane gas is heavier than air and will naturally sink to the lowest chambers first. Since the moles are not too highly evolved, they do not recognize that stinky smell of Mercaptan nor the gradual loss of oxygen being supplanted with the propane.

Step 5) (Optional) Using the vacuum cleaner after a suitable period, remove the excess dirt around the entry again. Hook up your ignition device and stand on the back side of the hole facing away from the entry so as not to be in a direct line when ignition occurs. Safety glasses and ear protection are suggested. Protect windows and cars in a direct path from the hole with suitable protection such as a sheet of plywood. Small rocks launched with great velocity and broke things the first time I did this. Knowledge is power and saves on repair bills.

Step 6)  Approach mole hole cautiously with lit ignition device. Hold lit flamethrower near entrance to hole until propane gas ignites. We suggest turning on the No Smoking light prior to this step.

Step 7) Repeat as necessary until mole infestation abates.

I use a weed burner that throws a flame approximately 8 feet. I have still experienced singed arm and eyebrow hair hence my suggestion to stand behind the hole’s entrance.

Bon chance with your hunting endeavours.

P.S. I forgot to add this. If your equipment is in good order, you can turn the propane bottle upside down and inject liquid propane directly in much faster and with far more interesting results. See below.

2014-09-16 11.46.19 2014-09-16 11.48.01

Posted in Humor | Tagged , , , , , | 7 Comments

DECLASSIFIED CAS DOCUMENTS

Sorry for the mixup. I published this as a post and then moved it up to the widgets in black above.

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FED. CIRCUS–BERAUD V McDONALD–JUSTICE INTERUPTUS II

downloadWe sure can’t blame Call Me Bob (513-509-8454) McDonald for this one. If Ric Shinseki had been minding the store and given Mr. Leonard NMI Beraud, a former squid, his due recompense, we wouldn’t have to reiterate 38 CFR 3.156 (b) again. By now, I’m sure the boys and girls over at the Office of General Counsel (OGC 027) have finally awoken to a new day and are all suffering the illness for which there is no sympathy (a hangover). It takes a lot of Scotch to drown your sorrows after a defeat of this magnitude. 

Judge Meg Bartley had this dialed in sixteen months ago and the Feds just followed her script to a T. What could they do? We talked of the reinvention of the Bright Line rule after the VCAA as to what New and Material Evidence means in the new, enlightened age of VA jurisprudence. The standard was relaxed inasmuch as it became much easier to reopen a prior denied claim.  We’ve discussed the duty to assist in Schafrath  such that there could be no doubt what the duty to assist a Veteran consisted of. We examined Bond v. Shinseki and Young v. Shinseki thinking every permutation of 38 CFR § 3.156 (b) had been minutely examined. In spite of all this, the OGC and the BVA continue to commit the very same mistakes again and again like ADD-addled children.

Jedi Master Bartley

Jedi Master Bartley

What should disturb rainmakers and Judges alike is the myopic legal vision employed by Judges Alan Lance and Coral Wong Pietsch. So engrossed were they in the minutiae of a follow-on decision (by an AOJ no less) in 1990 subsuming Mr. Beraud’s original claim in 1985 that they missed the forest by only seeing the tree in front of them. It became an egregious error when Judge Meg Bartley dissented based on sound legal grounds and the dynamic duo ignored her. God, you’d think they’d have a Kumbaya Kouncil in chambers and at least look at the “big picture”. I could almost see it if it had been “Bruce Almighty” Kasold and Lance stepping on their dicks. Men do that. It has something to do with testosterone and a firm belief that women can’t chew gum, talk and ovulate simultaneously. How Coral Wong Pietsch fell down this rabbit hole is anyone’s guess. I gave her more credit for being a farthinker.

A Record Before the Agency ( aka RBA or the entire history of your claims- or your c-file) is a compendium of evidence including dates. Many attorneys will have you- a VA claimant- construct a timeline of your life  from birth and list everything, including every action taken by VA by date, relating to your claim(s). This allows him/her to see the orderly flow of events and make sure everything is above board.  Alan and Coral would have been well-advised to do the same or have had their ”little people” do so. It would have revealed the discrepancy of promising Leonard one thing and then denying him before he even had a chance to provide the new NM&E needed to rebut the denial. You can forgive the VLJs and their staff attorneys who got their Juris Doctorate degrees out of a Crackerjack™ box or online at a prestigious University no one has ever heard of in Nicaragua. No one expects them to get it right. The ABA keeps a tally on Judges at the appellate level in the real world. A reversal rate in excess of 8% is cause for alarm. It implies you are ignorant, have poor posture and upbringing and are most definitely NOKD (Not Our Kind, Dear) judicially. Now go one step further and add in the VA rainmakers. Imagine a reversal rate of 22-39 percent and you have the makings of kangaroo justice. Jez. Why not just hire all of America’s village idiots and call them VLJs. It would probably be far cheaper and save VA a boatload of money.

No judge anywhere -hell, no self respecting attorney- would feel comfortable coming to court with an inverted Win/Loss ratio on appeal. Except at the BVA level. Indifference and a culture of “who cares about these trailer trash Vets” is par for the course there as evidenced by Judge Laura Eskenazi’s monkeyshines now coming to light at 810 Vermin Ave. NW. So let’s take a gander at where this all went south for Mr. Beraud.

Beraud_13-7125

downloadLeonard chose the Military Order of the Purple Nurple as his VSO. I did too in 2006 and felt very smug doing so. They came with glowing recommendations. I won’t go into the IQ of VSO service officers. Suffice it to say none are going to qualify for Mensa. We (MOPH and I) parted company the day the SO informed me that tattoos were willful misconduct. I don’t have any tattoos but even if this were so, it would seem every man-jack in the Navy and Marines would be the proud recipient of a Big Chicken Dinner  and  still be in Ft. Leavenworth making little ones out of big ones. Leonard would have been better off if he’d called Kenny Carpenter early on. Perhaps he’d have been on Bucks Boulevard a whole lot sooner.

The BVA’s esteemed Veterans Law Judge (VLJ) Kathleen K. Gallagher was assigned this case. It’s apparent from the lead-in verbiage that Leonard’s Service Officer had the IQ of a goat. He flubbed the Form 9 and forgot to appeal some of the other contentions which were denied. He brought up rather late in the day the idea that CUE was involved in the 1985 decision. With the sure knowledge of Fenderson at his back, the chowderhead VSO chose to fight a battle with no bullets. When you prevail, the whole history of the claim is laid open and the VA is obligated to examine it in a new light. Could be with the Excessive Awards Program in place at the time (2007) that this had a snowball’s chance in hell of ever panning out anyway but you still cover your bases. There was no need to look at 1985 as CUE. It needed to be examined in the light of 3.156(b). Unfortunately for Leonard, the SO was unacquainted with VA law and thus never even advanced this argument. A good attorney would have in a heartbeat. This is where that timeline would have exposed the error.

Looking at the BVA decision (Beraud BVA Decision), nowhere is there any discussion of 38 CFR § 3.156(b). It’s AWOL. The Conclusions of Law were all off base. Poor Leonard had been denied based on CUE and a brief gloss over of his “SMR”s being of record in the c-file. He and his representative were arguing apples while Kathleen was nodding sagely and saying “Roger that. I copy Oranges, over.”

In retrospect, considering no one was defending Leonard here, it’s a miracle he found his way to Amy Odom over at NSVLP. She’s an up and comer and some day may be hanging her hat over a 625 Indiana Ave. NW with her sidekick Meg Bartley.  Offering praise where it is due, we also compliment Mary Hoefer on shepherding this through the CAVC and presenting it in a cogent manner for future appeal.

You can’t help but think of that old ditty “For want of a horse the battle was lost.” Fortunately, Mr. Beraud survived and finally got his 1985 effective date. But that is not the end of the matter.  Beraud is soon going to become a household name around the VA and in law dog circles right up there with Walker, Colvin and Gilbert. With each examination of 38 CFR §3.156, be it (a), (b) or (c), one thing is becoming apparent. It is one of the least understood regulations in Part 3 for VA adjudicators to absorb. How they can continue to torture new meanings out of each after being excoriated for their intransigence is becoming legend.

In the short period of a decade, we have witnessed 3.156(c) finally emerge as a cutting edge tool to revise past denials. This in spite of VA’s attempted subterfuge and semantics to argue that a heretofore unseen service department record, in and of itself, should certainly not be the sole predicate for a revision of a prior denial. Prepare to see a plethora of new cases that will mirror Mr. Beraud’s. Why attempt CUE to overturn a decision in 1985 for lack of the Duty to Assist? You can’t win. Mr. Caffrey went down on that ship. The sick jurisprudence set in stone on that brain fart was that “an incomplete record was not an incorrect record.”

I predict 3.156(b) will come into it’s own soon. If you can prove you gave them the GPS coordinates in Florida where your records were stashed at a Reserve base and they deny with no attempt to retrieve them as they did here, the claim is still open. Words mean something. Written correspondence in the evidence pile supported this reversal and it was right there in front of them-all of them. Why did it take a panel of three at the Fed Circus to recognize the implications of the regulation, the timeline clearly showing the BVA and the CAVC clotheslined him and ten years to restore equilibrium to Mr. Beraud’s world? Meghan didn’t have any problem seeing it.

The immortal words from King v. Shinseki (2010) will always ring loudly here:

It would also create the possibility that VA, by not considering evidence submitted during the one-year appeal period following the RO decision and simply waiting for the RO decision to become final, deprived the appellant of the earlier effective date associated with his December 1995 claim.  This would be antithetical to the nonadversarial, claimant-friendly nature of VA proceedings.

I guess we could say we’re still waiting for that  fabled nonadversarial, claimant-friendly VA justice a la King to materialize but it makes for a nice faery tale. We would hope that each Beraud decision builds on the presumption we are to be judged by a more liberal standard.  Few offer their lives up for their nation to do with as they will. That we end up being accorded an inferior brand of justice in light of (or in spite of) that sticks in my craw. Boy howdy. It sure stuck In Meg’s, huh?

download (1)I wonder if Muskogee, Oklahoma has a Ferrari dealership? Ol’ Leonard is sure in the market for a new ride.

 

Posted in 38 CFR § 3.156(b), CAVC Knowledge, CAVC ruling | Tagged , , , , , , , , , , , | Leave a comment