


We had expected glowing reports this Friday after the FDA review of the new HCV Gilead drug Sofosbuvir. What, then, to our utter surprise than to spot this promising FDA blurb today- three days prior to the upcoming FDA discourse. Whooo-doggies. By the way, the stock closed this afternoon at $69.01. Smokin’.
Nod’s suggestion. Ugggh! Buy stock. Nod take protein pill. Nod put helmet on and tighten safety belt. Nod like grape-flavored Sofosbuvir.
I filed in 1994. I was denied. I submitted new and material evidence. Nothing happened. In 2007 I refiled and submitted the same evidence again. I won-but only from 2007 forward. I filed an appeal for my 1994 date. I lost at the BVA. I went to the CAVC in June 2012. On April 3, 2013, VA decided they were in error. The same sawed off runt BVA Judge now has the ugly task of admitting he was wrong in denying me in 2012. It has been nineteen years and some change. My children have grown up, graduated and now have children. My son was one year old when I filed my first claim and lost. Vengeance is a dish best served chilled as they say. I spotted this on eBenefits today:
P.S. If you’re as blind as me, put your cursor on it and click once. Read ’em and weep, Judge.
In what is being remarked on as a new ploy to reduce the VA backlog, many government agencies are looking at the VA’s latest legerdemain as a new tool for reducing their inbasket overload.
Unable to explain why, after several dire predictions of doom, the VA is now touting the shutdown as being instrumental in reducing the claims backlog via various excuses- all the while ignoring the 900,000 Vets on the living room sofa. The graph to the right has two lines-one in blue and the other in red. They comprise two different numbers of Vets- backlogged and pending. If you add the two, you have a better idea of the problem. Viewed separately, they are far more innocuous and the numbers are semi-digestible if you work at the VA. If you were a major insurance corporation CEO, you’d be apoplectic and consider firing the loudmouthed Gecko with the fake Australian accent.
Let’s all retrieve our analog abacus’ and do some real counting without employing the foxes in the henhouse. The hard reality is that when you close the front door and forbid any claimants to enter, your intake is bound to diminish. Add to it during that period, for five long days the raters continued to process claims until some government weenie realized they could furlough the lot and create even more pain for another class of Americans. Added to the closed Veterans Memorials, this was bound to arouse anger among us. Never let a perfectly good catastrophe go to waste.
VA uses computer models. The models are comprised of “Our current projections, based on computer modeling, are …”. If the models showed a gradual decrease due to raters working overtime blindly stamping “DENIED” on forms left and right, any perceived subsidence in the projected model would be fair game for anyone in the VA PR office to attribute to their finnesse. In this case, dire predictions of a new “lump in the python” not only did not manifest but, to the contrary, receded. Speechless at the conflusticating evidence, they had to gin up some measured response such as the timeworn “Our employees were so dedicated, they refused to leave their desks for the duration and peed in old milk cartons so that Vets would get what’s coming to them.”
Computer models at the VA are problematic for any number of reasons. VA has their own stable of computer geeks. Call the them the Veek squad. They have much in common. Most have or had parents who worked there so nepotism is still alive and well regardless of what you think about merit. Their training seems to derive from Time Life Computers-An Introduction. Some actually have a degree from a trade school proving they passed the mandatory tests after their six weeks of training. As for a twelve year background with IBM/Xerox on the resume? VA can’t afford that type. They generally opt for the ones who were caught plagiarizing in college and can be snapped up for a song. Such is VA’s OIT. Of course, absence of any computer software knowledge is not a bar to employment which is painfully obvious. Simply look at the VA’s belated attempts to get the VBMS off the ground. It makes an albatross appear born to flight.
In a more nuanced examination, the actual reasons are glaringly apparent but VA is loathe to draw attention to them. If you cork the funnel, nothing comes in. In the interim, the remaining input in the pipeline subsides. Only at the VA can this set of parameters yield a fantastic result akin to alchemy and turning lead into gold. But then again, only at the VA do you have employees spraying grey, lead bricks gold-colored and proclaiming them as such.
Goldbricking is an art form. Over several score years we have watched the VA backlog as it mimicked the NYSE Dow Jones average. Up and up. In that period, more employees were hired, more money was appropriated and more innovations and programs to arrest the backlog were instituted to no avail. Along comes a government shutdown and voilá! Problem solved. Do nothing and the problem abates of it’s own accord.
How VA intends to spin this will bear watching. Thank you (Pop) Smoke for apprising us of this fortuitous news. What I take away from it is that Veterans need to quit filing claims and the backlog will simply resolve itself. Inertia will succeed where all else before failed. Who woulda thunk it?
Soon private physicians must make basic improvements in their practices. If they deliver haphazard care, they can face penalties. If they follow evidence-based practices, they can be rewarded. Therefore, professional medical associations are creating learning modules, called Practice in Improvement, or PIMs. The Hepatitis C Chart Questions was published by the American Board of Internal Medicine (2011). Some kind soul uploaded it online (read in full screen).
#54 Question Text: Identification of Risk Factors/Transmission Mode
Docs should ask about exposure to #3 Unsafe therapeutic injections (e.g. cross-contamination from reused needles or syringes, multiple-use medication vials)?
Boot camp jet-injector vaccinations have multi-dose vials so the answer is yes. It’s not too late to update your medical records in writing for your private physician, VA doc, C & P examiner ect..,because this is an authoritative source. It’s not “internet junk” as the BVA likes to call submissions.
I’ve had a tough time getting the slides into a printable format but try this: hcv multi-dose vial presentation pdf .
Powerpoint slides for download: HCV Questions Presentation in ppt format. No Office? Download the free Microsoft Powerpoint Viewer and open it within the program after installation.
It appears as if medical consumers will be able to see how VA hospitals stack up against each other and private hospitals in their region on Medicare’s Hospital Compare web tool in the future.
“In November 2001, HHS announced the Quality Initiative to assure quality health care for all Americans through accountability and public disclosure. The Initiative is intended to (a) empower consumers with quality of care information to make more informed decisions about their health care, and (b) encourage providers and clinicians to improve the quality of health care.”
I’ve emailed Medicare to find out why the VA’s data has been “suppressed for one or more quarters by CMS” according to footnotes. Will update this post when I hear back. In the meantime, many private hospitals have selected data online now. (You can also compare physicians, nursing homes, home health and dialysis providers too.)
I spotted this in the AM papers and it crushed me for many reasons. Kimberly Walker had one big love in life-Spongebob. She carried this to the grave after her murder by a fellow soldier in Colorado earlier this year on-of all days- Valentine’s. It gives a whole new meaning to a Saint Valentine’s day massacre.
After a vetting by cemetery personnel, her family’s request to have her interred with her signature Spongebob Squarepants headstone was approved. Suddenly, months later, the same cemetery hierarchy revoked their approval and summarily removed the headstone as well as a similar one planned for her twin sister who still serves in the Navy.
This is a classic example of political correctness run amuck. Obviously some tortured soul who came to mourn his or her relative was incensed that anyone (alive or dead) would inject humor into death and try to uplift fellow mourners’ depression. Hell, I’m just upset that someone planted the flag before I got there. If they’d let me have a Yosemite Sam headstone in ANC, I’d be in high cotton.
All I can take away from this is that some who are on this side of the grass are a humorless cadre or that the cemetery folks in Ohio have absolutely no respect for Veterans. If we can’t take something of ourselves to our ultimate resting spot without raising the ire of those who dictate Groupthink, then perhaps fighting for America’s freedom is a hollow concept and an unworthy endeavour.
My heart goes out to her sister and family. No amount of apology, excuses and remuneration will ever make this one right. The appropriate response would be remorse, sackcloth/ashes on the forehead and rescinding the order posthaste. A prompt return of the icon is in order and to have it reinstalled promptly. I’d give them a bye on full military honors for the reinterment.
This last summer, my wife and I journeyed back to the Hugfest 2013 celebration held at Magnet, Indiana. I had the honor of now knowing where a pilot and friend was buried and made plans to visit his grave site in Winchester, Indiana. We made one error of judgement. We arrived on a Sunday and there was no one available to direct us to his burial site at Fountain Lawn Cemetery. After scrambling for several hours, we finally found the groundskeeper who aided us and located it. In the intervening two or so hours, we scoured thousands of headstones in the cemetery looking futilely for his. During this search, I came across a grieving mother who was sitting on a lawn chair “visiting” her son who had recently perished in Afghanistan. She had his Teddy Bear and a pack of his favorite smokes in front of his headstone. When she discovered what Cupcake and I were looking for, she abruptly dropped her Sunday morning plans and began earnestly searching with us. While this has no direct comparison to what the grieving Walker family is going through, it amply demonstrates the closeness all Veterans families feel for each other and the common bond we share.
This is why I plucked this from the news to share with you. We are an elite 7% of America. It is a club closed to most if they choose not to join it early in life. One cannot put it on the Bucket List to do before one passes. It can not be added to a calendar to do during a summer vacation. It’s not like going back to college and getting that degree you put on hold in 1975. Once the boat sails, it’s gone. All the well-meaning soliloquies later on in life about “You know I came this close to signing up for the Army in 80 but there were more pressing issues I had to address.”, ring hollow.
Kimberly Walker stands tall because she had what I call “Veteran’s humor”-that irrepressible desire to express herself without worries of how others might perceive her. That her family saw fit to fulfill her wishes, and indeed, her sister following suit with a similar headstone, is testimony to why we are unique. The irreverent actions of the cemetery personnel to circumvent her and her family’s wishes is egregious beyond words. To perpetrate this abomination on a Veterans is beyond words.
These news stories are so discouraging. The new HCV cluster in ND may be another possible healthcare associated infection. A Minot nursing home investigation is being studied according to one report.
State Updates Info on Hepatitis C Outbreak
BISMARCK, ND – On October 17, 2013, the North Dakota Department of Health received confirmation from the Centers for Disease Control and Prevention (CDC) that testing had been completed on blood samples from additional individuals in the hepatitis C outbreak investigation in Ward County. The CDC has confirmed that 21 additional cases are related to the seven cases that had previously been identified, bringing the total number of related cases to 28. In addition, as the investigation progresses more people will likely be tested.
According to Tracy Miller, State Epidemiologist with the North Dakota Department of Health, the state is receiving assistance in this investigation from the Centers for Disease Control and Prevention. CDC personnel are in Minot to assist state investigators. As this investigation proceeds, the Department of Health will continue to provide updates to the public as to the course of the investigation.
I’m sure we’ll be hearing more about this in the weeks ahead as further test results are revealed. In 2010, North Dakota had a population of 672,591. Some airman reading this may have been on duty at Minot Air Force Base.
“There were 48 cases of chronic hepatitis B, zero cases of acute hepatitis B, zero cases of acute hepatitis A and 543 cases of hepatitis C reported in North Dakota in 2011.”
The Twitter account is here: https://twitter.com/NDDOH
Member Frank of maple syrup fame sends us this vignette. What a wonderful way to enjoy the National Cemetery if you find yourself on the other side of the country. Lucky me. I have a spot all picked out there by virtue of my father having been interred there, too. It’s about the only benefit I’ve ever received by riding on someone else’s coattails. What the hey. I suppose I get to be planked there by virtue of it being my birthplace, too, but it’s nice to have insurance. One of these days they’re going to put up the ugly sign that says “No Mo’ Vacancy”.
Losing one’s independence due to disability is costly in many ways. No one wants to end up in a nursing home and eating poor quality food. The idea of living with strangers seems unpleasant but many aged are alone in this world when they need more help. Caregiving is hard work. But the pay is decent if caring for the maximum allowed 3 vets. It should attract good people to this private-public partnership.
The VA can pay for nursing home care for service-connected disabilities or partially for Medical Foster Homes. This 2010 Wall Street Journal article, is favorable for reasons the title makes clear: Happier Vets, Lower Costs
The home is one of hundreds across the country that take in veterans who can’t care for themselves, but don’t want to live in an institution. The vets pay the foster family’s expenses, while the VA covers the costs of regular visits from health-care providers, such as nurses, therapists and dietitians. The result is dramatically lower costs—the VA pays just about $52 a day for patients in foster homes, compared with an average of $469 for those in nursing homes.
Slides from Denver put the VA’s cost at around $1,500 per month including health visits. Priorty 1A vets are used in the cost estimates towards the end. I would keep an open mind about this option in case one can no longer age in one’s own home and you want to pay for a private room. (Some vets share a room and use the VA’s telehealth services–NYT.)
VSO’s often get involved. Here is the American Legions fact sheet. The DAV estimates taxpayer savings of 1 million dollars every 12 days. With such huge savings to the taxpayers, I’m sure this program will continue to expand to all 50 states.
The Official VA Handbook 1141.02 is here.