VA–DEFINE SUICIDE, PLEASE.

downloadJamie Reno, the biggest little journalist from down south, continues to excavate some good chowder for consumption. His latest here, found in the International Business Times, is a scathing indictment of the VA’s propensity to shoot the whistleblowers-or- if more convenient- ignore them altogether.

The Veterans Health Administration (VHA) the medical arm of the DVA, as we all know, has a propensity to investigate something to death or not at all. A classic example was the  growing epidemic of HCV from its discovery in the early 90s to their eventual abdication of leadership in researching the pneumatic air inoculation devices which were strongly suspected of being the culprit. Rather than provoke more claims for compensation by investigating the cause of HCV, VA opted initially for a wait and see approach. By the late 90s, even the DoD and the CDC  were convinced of the jetgun’s culpability and recalled them from use. Not so the VA. To them, it was merely “plausible” and unproven. This charade continues today in the face of a mounting body of evidence that indisputably puts a fork in their plausibility balloon.

Turning to Chapter two, this same agency has taken the ostrich stance of saying PTSD is a “problem” that bears more examination. We’ve been treated to the assembly line mantra at Madigan Army Hospital where one of the nurses that bought a house from us had a few choice words. Politely paraphrased, it was called PTSD knitting- Deny. Deny. Deny. Grant. Deny. Deny. Deny. Grant. And so on. Worse, the Army honchos under Col. Dallas Homas,  were instructed to crank these out at the rate of 8 a day. Our nurse friend tells us this is impossible. Three bent brains a day is almost rushing it if you seriously want to separate the rare few malingerers from the indisputably disturbed ones.

Two Pinocchios

Two Pinocchios

The VA, now mired hopelessly in their backlog, has had to resort to lies and stretching the truth where medical appointments were made, ignored and lastly erased from the books. Each succeeding insult to Veterans is compounded with interest. VA’s reputation for the truth is no longer salvageable with the silver polish of time or the silver-tongued Under Secretary of Benefits and Excuses Allison Hickey.

We have also known for years that VA litigators on the other side of the sheets, the Veterans Benefits Administration (VBA), have used semantics to obfuscate and deny claims since 1789. When cornered, they have managed to dance away unscathed or promise never to engage in such nefarious behavior ever again. A week or two later , it’s back to business as usual. We have to credit now-disgraced Bob Filner, formerly of San Diego fondling fame, with exposing the perfidy of VA’s system during his Congressional tenure. Having been offered Hooked on Phonics© as a repair order for being “verbally challenged”  at telling the unvarnished truth, VA has insisted they are now trustworthy and the expense is unwarranted. And now we have the new PTSD redux.

When does saying you may have suicidal tendencies actually mean you might be inclined to take take your own life? Or more bluntly, when does a cry, nay, a scream for help warrant further investigation to see if you actually followed through on your thoughts? Considering the large number of Veterans who proceed to Door #2 and and choose the lead lollipop, you would expect VA to perk up and follow this phenomenon with avid interest. Apparently, this is not cause for alarm any more than incredibly large numbers of Veterans dying from HCV and Agent Orange diseases.

The crime is not in failing to document it. VA trespasses on the bounds of propriety and the good will accorded them by Congress when they blatantly try to either cover it up or neglect to mention they didn’t follow up on it. This is the ploy most often used. The “Oh, did we forget to mention that? Sorry. Yes. You are completely correct. 22 Vets are checking out of the Human Life Hotel every day. It distresses us mightily but we are inundated in statistics and this kind of slipped by us.” The excuse fails to hold water when a whistleblower steps forth and reveals he briefed everyone on the subject and they blew him off. The good old days of mowing him down in a crosswalk before he could spill the beans are over. Edward Snowden is living proof of that.

download (1)Mr. Reno does a credible job attempting to raise the American conscience on this. I do too but my forum (and audience) is not nearly as large as his. It’s clear to me the majority of Veterans’ Benefits misfortunes evaporate before ever rising to the level of American awareness. This is in great part due to a concerted effort to pay little more than lip service to the problem and moving on eagerly to find out what Miley Cyrus was wearing (or wasn’t wearing) at her concert last night.

In construction, we had measuring devices to determine error. The most obvious was the human eye or ear. VA at one point chose what we jokingly referred to as the six foot rule. Some unscrupulous builders would keep a six-foot long dowel or stick in the front hall closet and bring it out for buyers at the new home inspection. Their metric was simple. Put the stick on your chin and the other end on the defect. It it was visible at that distance, it warranted repair. We used to say that some really  unscrupulous, disreputable builders used the 5,000 foot ruler. If you could fly over at 5,000 feet and the defect was undetectable, then it passed muster. VA doesn’t even bother to fly over anymore now.

One thing stands out like a lighthouse in the fog. VA continues to insist these things are a fluke. Each time they are caught in a lie or a directed misinformation campaign, it is explained carefully as  not purposeful but merely an oversight which, thanks be to God, Congress or some whistleblower has now brought to their attention. After twenty years of this, I am inured to it.  All I can add is that fortunately for us, Congressional terms are only two years in length so the Jeff Millers of the world are relatively naive and genuinely concerned at revelations of this nature when they surface. Here’s a typical VA whitewash:

 VA did say this week that Coughlin’s charges have led to changes in protocol for dealing with suicidal tendencies among veterans in its studies. Puglisi said that among other things, [VA’s] Office of Public Health leaders participated in “targeted human resources training in dispute resolution, reasonable accommodations, dealing with employee medical information, and supervisory practices and standards.”

Well jez louise. Thank God for that. It surely won’t happen again. Right? Only at the VA can you denigrate the whistleblower in one sentence and praise his acumen and farthinking in the next. As usual, VA is inclined to call in the HR krewe. We live in exciting times, ladies and gentlemen Vets. The internet is like million-candlepower landing lights on a 747. We can expect the VAOIG Whitewash Brigade to show up any month now, investigate this conundrum and eventually make cogent repair order advisories.

Posted in All about Veterans, PTSD, research, VA Health Care, VA Medical Mysteries Explained, vA news | Tagged , , , , , , , , , , , , | Leave a comment

DEATH SENTENCE COMMUTED

sofosbuvir okayIn an  extreme act of compassion, my medical insurance company, Premera Blue Cross elected to grant me access to Sovaldi yesterday. Being a little shy of $180,000 smackeroos, I was definitely wondering how this was going to pan out. With Medicare, there’s always a huge donut hole in pharmaceutical coverage somewhere down the line after you’re already in up to your waist. I was assured this would not be the case.

 

For those of you who are not similarly covered who are worried about how to accomplish this, I have the following link to Gilead Sciences. Anyone who is financially incapable of buying this drug will not be denied. A $5 dollar copay is available so it will not come down to the first-born male child. Here’s what I found:

To learn more about Support Path for Sovaldi, please call, call 1-855-769-7284, Monday through Friday between 9:00 a.m. and 8:00 p.m. (Eastern). – See more at:

http://www.gilead.com/responsibility/us-patient-access/support%20path%20for%20sovaldi

Best of luck on the dragon hunt, fellow warriors.

download

Posted in Medical News, Medicare for VETS, Sofosbuvir, Vietnam Disease Issues | Tagged , , , , , , , , , , , , , , , , | Leave a comment

The COL. SANDERS THEORY

1921939_10152325202534047_529608183_nSenator Bernie is at it again. I love this. How perfectly apt and spot on. 

Posted in FACE HUMOR | Tagged , , , , , , , , | 2 Comments

FDA, CDC, and USDA fail to inform pregnant women and others that HEV infection could be fatal

downloadYesterday I was researching the history of human plasma collection and eventually found myself reading the long transcript of an FDA meeting: 104th Meeting of the Blood Products Advisory Committee on September 20, 2012.

The purpose of the hearing was to see if the experts thought that the blood supply should be tested for HEV.  Big shots on the panel included Robert H. Purcell (NIAID/NIH) who wrote A novel virus in swine is closely related to the human hepatitis E virus in 1997 (free on PUBMED).  At the time, Purcell wrote that HEV is not endemic in the United States; Sixteen years later, a CDC map shows that this epidemic is not just in “developing” countries.  

CDC World Hepatitis E map

Anyone who is immunosuppressed, pregnant, or has liver disease will benefit from reading “Hepatitis E Virus: Waterborne, Foodborne, and Zoonotic Transmission.” in a 2013 report (free on PUBMED).  

(See page 5) Complications for pregnant women: “Complications with concurrent HEV infection during pregnancy include death of both the mother and fetus, abortion, premature birth, and death of the baby shortly after birth. Vertical transmission from the mother to fetus was reported in 33% of cases and HEV RNA was reportedly detected in human colostrum as well. Unfortunately it is not understood why pregnancy resulted in severe hepatitis E manifestation.”

Another recent report estimates 3000 of stillborn babies in yearly in Africa and Asia.

At the FDA meeting referenced above, Dr. Purcell explains cooking risks:

“In saline, HEV is inactivated at 10 degrees Celsius lower temperature than HAV, about 56 degrees versus 66 degrees. When suspended in something like ground meat, which has a protective effect, HEV is not inactivated at temperatures below 72 degrees Celsius, or about 160 degrees Fahrenheit, the temperature that the Department of
Agriculture has long recommended for cooking pork products.”

pink pork

Pink doesn’t kill HEV!

But the USDA promotes pink in the “other white meat.” Dr. Purcell doesn’t know that the USDA dropped their pork-temperature recommendations to 145 degrees.  Is this merely irresponsible or, hmmmm, criminal because they read the research literature.  They know. 

The ancient biblical prohibition to not eat certain foods turns out to be excellent health advice and not merely a spiritual discipline.  Eating pork etc. doesn’t make you a bad person but it might make you feel bad, very sick or even dead if you are at risk. 

Symptoms can be “subclinical” (asymptomatic), acute, chronic, or fulminant hepatitis. Examples of dreadful superinfection combinations: HEV, HCV, HBV, HIV, TB etc..

Is HEV also a blood-borne virus (BBV)?  Yes, there is growing evidence that HEV is associated with transfusions.  And that brings me back to HEV in blood donors, recipients, and the FDA, protectors of our the blood supply in which we are all stakeholders.  I’ll post about that next time.  But I am perplexed at the USDA’s reduction in cooking temps when they know the harm it can cause. Are the fresh salads we love safe? Not if  “undercooked” pig manure compost is used to fertilize fields!

recalled

The approximately 112 million hogs slaughtered in 2013 (table 4) made a lot of HEV-loaded feces so I think it’s fair to guess it’s used extensively.  (Sorry to mention this. Makes greenhouses even more attractive.)

Posted in Guest authors, HCV Health, Medical News | 1 Comment

BVA– NEW 2014 DECISIONS ARE OUT

BVA perpetual motion endeavor

BVA perpetual motion endeavor

As usual, the BVA has released their new, early 2014 decisions without creating a new “2014” category folder for them. They appear in the 2013 box and will be sorted out and segregated later. Additionally, they released some of their last moldy decisions from 2013 along with them. You’ll have to segregate the wheat from the chaff.

I jumped the gun on this back on Feb. 26 when the BVA let out what appeared to be the debut of the 2014 Board decisions.  Turns out it was the leftovers from 2013. However, now it’s official. The new 2014 box is firmly ensconced and a new batch of HCV decisions (102) have been posted. If you’ve been waiting to see yours, it should be there through about February 10th.

These are great tools for research as are the ones published daily during the week at the CAVC. They give us valuable insight on how to win our claims. Remember, this is where I got the idea to write my book from. After reading every decision from 1992 to 2010, I was able to formulate and discern the ploys they use and how they managed to confound us all and get away with it.

Use this as your imprimatur on how not to lose. Use it as your guide when looking for the perfect legal cite to defend your position. It’s like Cliff Notes for Claims and allows you to cut the corner of heavy duty legal research. Not all of us have access to the Veterans Benefits Manual or a subscription to Westlaw at $59.00 a minute. This is the poor Vets guide to kicking ass and taking names. It also is a wonderful manual for observing how they give us short shrift legally. Remember, of all these decisions you will read here this year, approximately 5,800 will be appealed to the CAVC. Of those, over 3,000 will be reversed, vacated, set aside and remanded for error. That’s a pretty miserable statistic to swallow. The reason is simple. A dog likes to please his master. The VASEC signs the BVA Veterans Law Judges’ paychecks as well as those of the Office of General Counsel. One doesn’t bite the hand that feeds him.

Posted in BvA Decisions, BvA HCV decisions, Veterans Law | Tagged , , , , , , , , , , , , , , , , | 4 Comments

HO CHI MINH TRAIL PHOTOS

machine-gun-640x508Here’s a great retrospective at ground level of what we tried to bomb back into the stone age. It seems rather odd forty years later to view these relics and recognize what we were seeing from altitude close up. I personally could go the rest of my life without ever seeing another 37 mm AA gun or the dreaded 12.7 mm DShK pictured here.

Posted in Vietnam War history | Tagged , , , , , , , , | Leave a comment

VHA BACKLOG REPAIR ORDER–DELETE SCHEDULED EXAMS

Well, golly gee willakers. You have to hand it to the VHA. VHA being the highly touted Veterans Health Administration. Every day I hear all manner of kind things about what the VHA has done for Johnny Vet. How he went in to get a cast on a broken leg and walks out without the leg. You know. The run of the mill heartwarming stories like the medical technician sharing his Hepatitis C virus with all those Vets up in New Hampshire. The dentist with HCV who refused to wear gloves in Dayton and shared it with Vets, too. Yep. That VHA.

Seems they’re back in the news again. I hear stories from all of you who tell me you call up for an appointment at your local VA medical Center (VAMC) or Community-based Outpatient Center (CBOC) and discover a three month wait to get an appointment for that funny new heart beat and the tremor/numbness in their left arm. Now we come to find out that if you don’t keep that current, they just push delete and poof- your appointment disappears into thin air. Our member Mark was scheduled to show up for an intake-only appt. to bring him into the VHA system in American Lake last week. It was a Saturday of the three-day weekend. They assured him they’d be there. Mark showed up and the janitor was the only soul about. Seems they do intake Monday to Friday.

I have long held VA in contempt for a wealth of reasons. Outside of the fact the VHA did everything in their power to kill me and failed, they have repeatedly stymied, delayed and obstructed my claims over the last 23 years. Losing a leg is a pretty serious screw up. I guess it could have been worse. At least they amputated the correct leg. But that pales in comparison to this.

The gentleman discussing this points out that VHA get 3,000 appointment requests every month at the LA VAMC but can only accommodate 800. This sounds a lot like the Veterans Benefits Administration, their big brother, who decides who’s broken. Actually, the odds are better on being seen at a VHA eventually than getting a claim approved by the VBA. Living long enough to accomplish either one seems to be the only common denominator otherwise.

I think I would be remiss if I didn’t point out that this practice of “delete and deny” is not a relatively new phenomenon. Like Mark, after calling and making an appointment in June 1993, I attended what I thought was my Agent Orange registry exam on September 21, 1993. It seems there was a little backlog then and it was the earliest they could get me in. After arriving, I discovered I had no appointment. Never did. In fact, the nurse even wrote on my chart “0% chance this Vet had an appointment on this date. Will reschedule doctor’s exam and do labs while he is here today.” I never heard back from them in spite of the fact I never moved or changed my address. In VAland, you will discover that the United States Postal Service, heavily staffed with Veterans, is unreliable and a lot of mail gets lost or stolen. VA cannot prove they mailed something like an exam appointment but the Presumption of Regularity ensures that it did, indeed, occur. Just because you didn’t get it or it showed up at the homeless shelter you lived at in 1979 doesn’t mean they dropped the ball–until now.

How many of you discover via the USPS that VA has scheduled you for a C&P exam which you failed to attend? How many claims were denied where the Vet finds this out in his denial? We are told that this is so rare as to be technically insignificant yet here we have the wholesale slaughter of thousands upon thousands of appointments going back years in order to tidy up the books. Not one word about calling the Vet up and finding out if s/he still desires the appointment. I guess I’d have a hard time finding the right words to use to explain that tardiness. Apparently VA has a stable of able technicians trained in this artifice.

“Hi. This is Shalinda from the West LA VAMC. Am I talking to Johnny B. Vet? Could you give me your last four and your DOB to confirm that?

“4647 and 4/01/1951”.

“Thank you, Mr. Vet, the reason we are calling you is we noticed you made an appointment for a MRI in October of 2006 and we see you still haven’t had that. Is there some reason for that?

“Yeah. I’m waiting for an appointment to be scheduled. The nurse said they’d call when they had an opening. I also asked to be put on a list if anyone canceled on short notice.”

“Mr. Vet, I hope you realize this is a two-way street. You understand these telephones work in both directions. I don’t see anything in the file about you calling back and confirming you still want the MRI. Is that what you are trying to tell me? Can I assume that you do?”

“Yes, ma’m. How soon will that be?”

“We’ll call you back real soon with a date, sir. Thank you.”

Lather, rinse and repeat. A good tech should be able to do about twenty of these an hour for a daily workload of about one hundred or so. One technician could conceivably handle the whole overflow of the 2,200 Veterans per month who did not get an appointment all by themselves if given a suitable bonus. The upside would be if the Vet didn’t answer, it could be inferred as a “no” and thus be stricken from the active list. This would be far more humane and inspire hope in the breasts of many a Vet who would otherwise be crushed to find out he had been summarily deleted without some interaction.

I think the VHA has a long way to go on being proactive in this business. Now that Fox News has identified the problem, the VAOIG can be called and an investigation and tee times can be scheduled for this April before it gets hot and muggy in West LA. Another win-win for Vets everywhere.

P.S. Every good story has a sequel and now we get to hear about it. Oliver Mitchell, a former Marine and now quite possibly a former VA employee, was in the thick of it in all this. As usual, if you notify the VAOIG, eventually they show up. This time it was several years later. They must really be busy with whistleblowers if it takes that long to investigate. Fortunately, by that time, everyone had been promoted or transferred and couldn’t be reached. The MRI records had been deleted and it could not be “substantiated” that any records had been deleted. Here’s the link. And we may want to bookmark Mr. Mitchell’s new blog on this subject.

VAOIG

 YOU REPORT

VAOIG   THE WHITEWASH

IS ON US-FREE

Posted in VA Health Care, VA Medical Mysteries Explained, vA news, VAOIG Watchdogs | Tagged , , , , , , , , , , , | 2 Comments

SHOWDOWN AT THE VARO CORRAL

downloadThings have been “brewing” shall we say, between the VA and their slaves down in the galley at the mighty ship Columbia of South Carolina. This has been going on for quite some time but one would think that quarreling siblings could reach consensus on the proper staffing levels at these venues and spare Veterans further delay in their claims.

If one were to think that, one would be horribly wrong. Indeed, VSR, RVSR and DRO positions go begging  for lack of qualified personnel. . . . . or do they? The VA is divided into two camps, apparently, over this enigma.  The VA seems hell-bent  they are going to shrink Regional Offices down to the bone on personnel and  make it appear they are moving Heaven and Earth to speed up the impenetrable backlog.  The American Federation of Government Employees (AFGE union) boys and girls are aghast at what they are being saddled with and by extension, blamed for.  As usual, there are two sides to a coin. I like the attorneys who say “Jeesh. Those neanderthals down at Fort Fumble can’t locate their derriere with a methane witching stick.” I am coming to believe what I am reading here simply because it resonates with what we are all experiencing with our claims. In any business model, if they are short of widget benders on the production line, they move guys up from the warehouse to fill in until the personnel shortage is resolved. But when the boss is laying off widget benders at the height of widget season for no good reason, you have to start asking very pointed questions. We are all euphemistically labeled “stakeholders” in this process. That means we have a vested interest in what is afoot at the VAROs across the fruited plain. If it is obvious that VA is complaining mightily about how there are a dearth of raters or, in the alternative, a plethora of claims deluging them, then it behooves us to ascertain who’s blowing the smoke rings. Our obligation as stakeholders demands it. When the AFGE folks tasked with the job start producing data extracted via the FOIA that conclusively reveals VA is the the miscreant, then we are really in deep doo-doo. Put another way. We’re being bullshitted along with Congress and VA foolishly thinks the AFGE is never going to reveal the depths of their deception. 

The missive is addressed to the good members of Congress tasked with the responsibility of trying to figure out what in Sam Hill VA does with all it’s time, not to mention its money. Now that the bonus bucks party is over and the annual getaway to Orlando has been scotched (no pun intended to those poor souls at Vermin Ave. NW), things are looking rather glum and grim.  There are really no more excuses left other than to fire up the VBMS and get cooking. One little problem seems to be raising its ugly head though. All this time the attorneys have been making cruel jokes about the raters’ ineptitude and we now find out there ARE no raters or damn few of them-inept, or ept, for that matter to blame for all this. Quite simply, the VA has been allowing them all to retire (or quit) and not filling (or eliminating) the positions. All this in the middle of the largest backlog in the history of the organization. Now, does that sound like sabotage? Fundamentally changing the way they’ve done business for centuries by continuing the same program? Innovation that is cutting edge and the Final Frontier of claims?   

stoningofsinnerAll this time we’ve been hurling stones at the wrong sinners. As with most yarns, there is indubitably more than one culprit to blame. VA has done an admirable job of laying the blame at the foot of massive numbers of Veterans filing and the quirks of a ten-year plus war. I would direct the reader’s attention to the fact that the numbers of Vets, as a measure of population, have remained static for the whole time we are discussing i.e. from 2001. Yep. Statistically, there are no more Vets today that there were ten years ago. If you took a cross-section of America and looked at how many were under arms after 9/11 who suffered a disability  and compared it to today’s statistics, the difference in the numbers is insignificant. How can that be? Well, let’s analyze it.

Vets are created every day by virtue of being retired or separating. Judging by past wars and tables, 22 percent are injured on a scale of 0 to 100% in any war. The numbers are marginally lower in peacetime. After Vietnam, we would naturally have expected to see a discernible bulge in the VHA python but it was notably absent. Growth of Veterans with rated disabilities was absolutely flat. There was no extraneous spike in ratings to encompass the para/quadraplegics or those missing bits and pieces of their anatomy. Gradually, a number of World War One/ Two Vets and their wives expired and the ranks of the Korean and Vietnamese War filled in the gaps. Again, there was no discernible change in the numbers statistically of the TDIU/100%ers. Fast forward to the present and view these statistics. Somehow, 100% disabled (as well as all others) are magically dying at the very same rate as those who VA promotes to the rank of 100%. Nothing has changed. Amazing but true.

If you view the VA ratings game in perspective , it makes perfect sense. Imagine a company that only has so many slots for senior management (100% P&T), a larger group of regional branch managers (TDIU) and last but not least, an immense work force made up of journeymen and apprentices (0% to 50%). There are X slots open for advancement. You essentially have to wait for someone to expire to advance to the next ratings level. VA is adroit at this game. With all the tools available in their repertoire, they can delay and deny at will and advance only the most pressing or egregious cases as necessary out of the normal queue awaiting entry or a ratings increase. Think back to your childhood and play Red light! Green light! in your mind’s eye. Now substitute the Central Office in DC doing the same.

What the article reveals is an artificial brake on the process by virtue of an insufficient number of raters to keep up with the volume-i.e. not enough widget benders. If you have been brainwashed into believing this scenario, it goes without saying that you implicitly trust the folks trotting out the numbers. The problem is that the raters weren’t born at night nor were they birthed the night before last. They are being tarred and feathered as being lazy, inept and uncaring when the truth of the matter is that the poohbahs at the Central Office are concocting this “perfect storm” to impede the ratings progress of the ROs. All the while they are patiently explaining that all is well in Mudville at the bottom of the ninth.

Excuses are like assholes and everyone has one as the saying goes. Murphy’s addendum is that they all stink. Here, the VA is pawning off the stink on the few raters left at the ROs and foisting any and all reason for delay on, of all things, an overwhelming backlog. Millions have been spent ramping up training for the new wave of Lean Six Sigma Kaizen with their shiny new green belts when there are no such animals afoot. Or in the alternative, these new green belts are being assigned to work as lowly “gatherers of evidence” with no authority beyond choosing to put cream in their coffee or not.

The Columbia AFGE boys have not read the VA’s Rodney King “Can’t we all just get along?” email. They see the glaring flaw in the system and are unwilling to be the whipping boy any longer. How many Senators and Congressman can file inquiries asking what the hold up is without someone finally spilling the beans?  According to this document, the rubber band snapped. AFGE is mad as Hell and they aren’t going to take it (the blame) anymore. I concur. It’s a sad day when these gentlemen are forced to employ the same FOIA we use to excavate the damning documents from VA excuse mongers. Facetiousness is somehow lacking as a descriptive adjective for this.

The information gleaned from AFGE’s FOIA hunt is self-evident. VA is laying off raters in Wilmington, Delaware (and elsewhere) and at the same time brokering claims to them from other VAROs in a Mad Hatter tea party of  insanity. When Wilmington cries “Uncle”, the Central Office uses this to buttress their claims of inundation and yet another round of hiring. Pardon me if I ask where all the new hires are going. To Nationwide is on your side?  AFGE  sees no relief on the horizon and only further erosion of desperately needed ratings  hierarchy to keep up with the flood of claims. Promotions within VAROs are also stymied for some unknown reason. All I see is a system of too many chiefs and not nearly enough Indians. To add insult to injury, every Regional Office is allowed to make up new rules refusing to to anoint any new warriors (raters) at their own whim.

The VA hierarchy is being repopulated with a new breed trained by the old. They are staid and unbending. They rebel at the mere suggestion of innovation. They will stop at nothing to sabotage this process and keep us in the dark ages. They have evinced this desire continuously since the first calls went out in 1988 to revamp the process at the dawn of the VJRA. Doesn’t anyone find it incongruous that any process could be so unwieldy and impossible to tame for over two decades in spite of all the newfangled innovations like computers, bar codes, QR codes and the like? How do Geico and Allstate do it? What is the mystery? Remember, we’re talking Insurance Company logic here. Either you rear-ended the insured or you didn’t. Or in the VA vernacular, either you had tinnitus in service or were subjected to it by the requirements of your job. . . . or you were not. VA somehow can take this out to a 270- day investigation with a negative finding entailing 4,000 hours of paperwork and time on the clock. The sum of billable hours to make this determination will far exceed the entitlement of $125.00 per month that the VA claimant will accrue for life and no one blinks an eye. That’s if the claimant doesn’t appeal the denial. If this matriculates to the CAVC, I have no doubt that the sum would be far into the millions before VA acquiesced. Sadly, most claims are legitimate and treated in this very same fashion. Worse yet, we ostracize the ones (AFGE) who are hamstrung and prevented from doing the right and honorable thing. Have any of you read the M-21 or even tried to fathom the intricacies of determining if a dependent child is truly a legitimate entitlement? Seems pretty simple until you find out a RO only has one guy assigned to this and he’s 16 months out because each one requires a day of friggin’ paperwork to input one child into the computer.

Granted, there are no dearth of chowderheads manning the 827-1000 Dial a Prayer phone banks. Have mercy on them. They are FNGs. They work off a menu like a phone bank in a boiler room operation. They really know less than you and are constrained to appear knowledgeable. I’m sure they get a lot of flak from irate Vets who are frustrated and it eventually leaks out. I solved this problem by using the IRIS system and it will help you folks too. It may take 5-10 days but the ordnance will land on target and do far more for you.

Here’s The Senior Raters website. It has a wealth of information about why it takes so long. Interestingly enough, it is not a compendium of excuses as to why they can’t get from A to B. It is, however, a damning  indictment of of how VA runs their insurance company. Having no love for unions, I’d be tempted to vote for India to solve the problem but I’d hate to see all those jobs go offshore. Besides that, their accent throws me. How about we subcontract this out to Our good buddies at “Like a good Neighbor, State Farm is there”? They could hire all the raters and it would be like shovel-ready jobs. If and when they ever got caught up, we could bring the upper management to 810 Yellow Brick Road NW and they’d all rate happily ever after…

Posted in VA BACKLOG, vA news | Tagged , , , , , , , , , , , , , , , | 3 Comments

VETERANS HUMOR

left clic the pic

left clic the pic

You do see what I mean when I say “Veterans Humor” now, right? Robert Duval’s Lt. Col. “Bull” Meechum in The Great Santini couldn’t top what we have planned for this year.  

My sports car just isn’t going to work, though. First, the colors on the sign clash with the red of the Triumph. And the check is all out of proportion to the vehicle. Looks like I’m going to have to bite the bullet and go with Plan B- spring for the White Denali, Escalade or Excursion from Enterprise Rent-A-Car for 4 hours. The helium balloons would have been a problem with the top down, anyway. Getting a good April Fools joke perfect requires planning.

Robert Duvall The Great Santini

Be prepared to be entertained, gentlemen.

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VET CONCERNS ABOUT SVR WITH SOVALDI AND RATINGS

downloadI have been contacted about a gazillion times with worries from a lot of you who are preparing for treatment with Sovaldi. The primary concern voiced is that you may lose your ratings or be reduced. Relax.

First of all, those of you who have been granted service connection have innumerable secondary diseases, muscular or gland/organ dysfunctions in addition to the Hepatitis C. Your liver is not about to regenerate itself so you can’t resume that wild and crazy lifestyle we indulged ourselves in back in the eighties. You can’t claim alcohol abstinence as a disability anyway. Shoot, bubba. I was the first one to file for that one. VA ain’t buying.

Some have lost thyroid glands or kidneys to this monster. Others have suffered horrible depression and the mental diseases that accompany it. Still others have DM2-either from the HCV or Interferon treatment(s). Face it. You were damaged-either directly or indirectly-by your infection with this critter. Anything that is secondary to the original infection is legally compensable.

imagesInterferon, in its own right, is probably far more likely to have zapped your more than the Hep. It has been known to be responsible for the majority of thyroid and Diabetes misfires and is strongly associated with a host of other ailments to include tinnitus and deteriorating vision.

HCV has also been indicted in setting off a panoply of autoimmune disorders such as Crohn’s, ulcerative colitis, cryoglobulinemia, porphyria cutanea tarda (PCT) and pruritis. I could go on but the jury is still busy determining a host of other ills that science is only now putting under the microscope as being suspect.

The long and short of this is that SVR, or remission in DickandJanespeak, is more of a paper term and in no way, shape or form means you are ready for the Boston Marathon. The damage done over decades can not be set aright simply by waving the magic Sovaldi wand over you and incanting the magical words “Rise. You are, like, totally healed dude”. VA knows this but has been known to use it negatively in an attempt to portray your health as peachy keen and dandy.

In fact, our very own member Malcolm in the Middle is caught in this maelstrom. VA insists he is now pure as the driven snow, free of the bug and thus not entitled to any remuneration. This fails to explain the host of ills he suffers-the very least of which is DM2.

If and when VA should approach you and ask for a new C&P to measure what condition your condition is in, you will have to comply. This may set off a new round of litigation if they try to go south on you. Stand fast and report here.  We’ll give you the repair order on an individual case-by-case basis because VA never attacks quite the same way each time. They do have a limited repertoire but it is predictable. You will simply have to pick the correct argument off the rack and type it up.

In summary, Hepatitis C remission is not even considered a done deal for years as the bug is incredibly rugged and tenacious. Some have discovered this to their dismay as much as three years later. Relax. The new regimen of Sovaldi/Ledipasvir/Ribavirin seems to shut this puppy down dead in its tracks. For those of us who do not reach sustained virologic response (SVR), the results are now coming in showing the drug combo sets the bug back on its heels so completely that it is all but in remission. This allows the liver to resume a modicum of normalcy. If you are like me (63 and Genotype 3), even if you do not attain SVR, you will at least die of old age instead of a decompensated liver. The other upside is that it appears to decrease the chances of Hepatocellular Carcinoma or HCC- the Farrah Faucett killer.

The Gilead scientists are also optimistic that SVR with Sovaldi, even in the event of a transplant, grants immunity to the new liver. Hallelujah, Leigh and Paul!

geico1jpgNothing is going to cure a lot of the diseases that attached to you over the progression of your unknown illness. Your missing thyroid is not going to reappear like the Geico lizard’s tail that got amputated in the car door. Your DM2 is not likely to go into remission either. As for the fibromyalgia and rheumatoid arthritis? Hard to say. The damage is done and is difficult to reverse. This is why we strongly advocate you seek service connection for these even if you are rated 100% or TDIU for the hep. Call it insurance. We all know what VA is capable of. Be a cub sprout and be prepared.

Posted in HCV Health, Interferon claims, research, Sofosbuvir, Tips and Tricks, Veterans Law | Tagged , , , , , , , , , , , , , , , , , , , , | 51 Comments