KIDNEY STONES

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5 mm diameter

Sorry if it appears I went on vacation. I actually did. Just got out of the hospital this morning. I crumped last Wednesday and was in the ER by Friday morning. It felt like the ugly return of the small bowel obstruction. The pain and agony was worse than giving birth. The urologist even confirmed that. Women have said they’d rather give birth than have one.

No food since Wednesday night and of course, no sleep. I only lost 8 lbs. Maybe I should publish my new miracle five-day kidney calculus and water only diet guaranteed to whack 8 lbs. off or your money cheerfully refunded. That and idiot lab technicians to come in at all hours wanting to take your vitals and more blood. Thank goodness it was a real hospital this time. Going to the VA after you’ve been to real hospitals is such a let down. It’s like Marlboros. Once you come back, you’ll never switch brands again.

I’m now roaming the house eating anything in reach. Call me Hansel. There’s a trail of bread and cookie crumbs behind me because I’m so sleepy. Sorry I let you all down. Will get back in the saddle tomorrow. My kingdom for my extendo-grabber to look at the upper shelves. This must be what it feels like to have the munchies.

Posted in ASKNOD BOOK, Humor | Tagged , , , , , , , , | 10 Comments

DRV REQUESTS REMUNERATIONS FOR BENZENE CANCER

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Government officials in Ho Chi Minh city, Democratic Republic of Vietnam, today formally announced they will be seeking remunerations from the United States for Benzene pollution and the concomitant resulting cancers associated with it in numerous Northern Vietnamese fishermen. Apparently, cancer rates among the indigenous fishermen along the Mekong is grossly out of proportion to world statistics. The incidence of Acute Myelogenous Leukemia (AML), Myelodysplastic Syndrome (MDS) and Non Hodgkins Lymphoma exceeds what scientists could rationally explain were it strictly a function of diet. Researchers have analyzed all the metrics and remain baffled as to the source of the Benzene.  Meanwhile, in Damascus this morning…

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VETS OVER THE HILL

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Some of you guys still want to play macho tough guy and prove you still have your six pack abs like Ranger school. In order to help you, member WGM has spotted this new Texas technique guaranteed to take you back to your old, former days of tough-as-nails physique.

Posted in All about Veterans, Humor | Tagged , , , , , , , | 1 Comment

VA–RELAX, IT’S A BLIND STUDY

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Blind study QR code

I’ve never been one for conspiracy theories or wiping my fingerprints off guns I handle. But… the other day an obvious piece of junk mail arrived from the VA. This one was labeled the Million Veteran Baseline Survey. Now, keep in mind that we couldn’t even induce VA to study the correlation between jetguns and HCV transmission other than to get one of those idiotic “It’s plausible-just like getting hit by lightning.” responses out of them for the last decade. Therefore anytime VA gets into the business of “collecting” data on us and it’s purported to be “confidential and secure”, I start by examining the premise for it. And just so we aren’t confused here, the Veterans Health Administration computer is fully accessible by Veterans Benefits Administration raters and VA examiners. 

Let us begin. Each document has a QR code. That in itself is of no concern to me. What raises the hair on the back of my neck is reporting to the VAMC and having them do a friendly sit down, review your metrics and have you submit a blood sample. Somewhere along the line, you will be asked to produce your VA ID card. They are not going to simply let a horde of self-proclaimed Vets through the front door and start drawing blood without determining whether you were in the military. I’m sorry. It just doesn’t work that way at the VA. VA will know who you are long before the blood is drawn. Again, so much for anonymity.

On the introduction page, the questionnaire says by responding, you are doing this voluntarily by “consenting to participate and agreeing to have a one time MVP study visit scheduled”. Seems innocuous on its face. The cover letter addressed to you has the same QR code on it as the survey. But in the cover letter, the commitment is more nuanced. They ask that you “allow ongoing access to medical records by authorized MVP staff”. And in true mission creep, they also tell you by signing up, you “agree to future contact by MVP staff“. Nowhere on the baseline survey does it suggest or imply this is anything more than a one-time shot in the dark.

Some of you will remember that our august institution that watches out for us has a propensity to draw blood and be less than forthcoming about what’s swimming around in the test tube. Witness the large numbers of Vets who discovered in 2012 that they had been tested for HCV (and found positive) as early as 2006 and were never told. Do any of you believe that this is a research tool to better the lives of Vets? This is the same outfit that fought tooth and nail to avoid complying with the Nehmer Agent Orange class action suit and to this day still is recalcitrant and obdurate about complying with the rules and regulations relating to the “herbicide”.

The last sentence on the cover letter says “If we do not hear from you within the next few weeks, we may contact you again”. And again. And again until you comply.

So, what is in this little survey? First of all, let’s analyze this from the Mel Gibson standpoint to satisfy the criteria for a good conspiracy. Read through the questionnaire and you see the tenor of the questions is focused almost exclusively on Vets from the early sixties to the present. There are no questions about Lewisite which is prominently mentioned as a risk for military members in the latter part of WW2 or Korea. No talk of radiation exposure from Hiroshima or SHAD testing.  The brunt of the inquiry seems focused on Vietnam-era diseases rather than Southwest Asia ones. HCV, Parkinson’s, ALS, MS, Crohn’s, Peripheral neuropathy, IHD, mental disorders and prostate cancer. No questions about Camp Le Jeune and how many glasses of water a day you drank there…

Were the questionnaire more general and have more varied choices, I wouldn’t feel it was narrowly focused on one era of Vets. Obviously, the thing that stands out is harvesting all this info when we have never been able to persuade them to do a baseline study on HCV. I have watched with consternation the increasing numbers of claims and filings for HCV as more of you fall ill. It takes a long time for dense-minded men to acknowledge something is amiss. When they do, they go in expressing bravado to a doctor making his job infinitely more difficult. They also fail to link some of their ills to longstanding issues. I felt I just worked hard and this was the cause of my aches and general malaise. I’m not a doctor. Framing houses is not for the weak of heart. You don’t need to be muscular but it helps. Thus if you become inordinately tired from doing it day in and day out, it could be confused with simply being tired- even at 35. Vets are not a complaining bunch for the most part. The “gitterdone” Force is strong in us. We don’t go see a doctor until parts start falling off.

The questionnaire is framed such that a computer could digest this and come up with your name, rank, airspeed and tail number without a lot of conjecture. The second question is “What is your DOB?”  Add in that you are going to sit down with “MVP staff” and discuss your answers one-on-one with them and it adds up to an interesting fishing expedition. Mental health, income, queries about ethnicity, marital status, et cetera are disconcerting to say the least. An example is the query about your education. Were this to be disseminated (hell, any of this) by the VBA, a decision on your application for TDIU could easily be denied based on what you state as an income or how you view your current health. Your answers might somehow conflict with some you have submitted as evidence for a current claim. Without being forthcoming on where they get their information, VA can deny you based on what you have provided. So much for a double blind study where you remain anonymous. Ain’t going to happen, GI. For the record, there is no such thing as double-blind at the VA unless you are -quite literally-blind in both eyes. If your doctor calls you for a telephonic consultation, it’s recorded. Every visit to the VAMC is meticulously documented. I went to the Dental clinic for a teeth cleaning and at the end asked the lady not to put the flouride goop on my teeth as it wreaks havoc on my liver. Sure enough, in the VISTA records Colleen annotated “Pt. states he does not want fluoride prophylaxis. Says ‘it wrecks my liver’.” Why would they even bother to enter your exact comment?

Looking clearly at my biometrics asked for in this query, I would have no problem identifying myself based on the questions asked were I to have complete, unfettered access to the VHA computers. And who is asking for this information? Well, duh.

Lastly, the questionnaire proposes to query one million Vets. Last time I checked, there were 27 million of us. What about the other twenty six? For the record, there are less than one million of us genuine, red-clay-between-the-toes Vietnam Veterans left alive (670,000) so the aimpoint of this seems transparent. I know the 2010 census revealed that thirteen million of you red-blooded warmongers were there in Cu Chi and Qui Nhon raping and pillaging the villagers. Seems Stolen Valor is alive and well at the VFW now after three drinks and that it’s finally”okay” to be a Vietnam Veteran (Welcome Home, Bro). Perhaps this study was to designed to ascertain just exactly how many of you are are pulling the census takers’ leg.

The innocuous questionnaire:

2013-09-18 0902512013-09-18 090251_22013-09-18 090251_32013-09-18 090251_42013-09-18 090251_52013-09-18 090251_62013-09-18 090251_72013-09-18 090251_82013-09-18 090251_92013-09-18 090251_102013-09-18 090251_112013-09-18 090251_12

I find it interesting that I received this. I would ask any of you who receive it to comment here as to what era you served in. If you do not mind terribly, please add if you served in country. I don’t see this as our nonadversarial, good old Veteran-friendly VAMC striving to provide a more pleasurable visit. Anything VA does anymore is suspect in my book.

P.S. Here’s the attached letter. Note the circled sentences.Million Vet q&A

Posted in All about Veterans, HCV Health, HCV Risks (documented), research, Vietnam Disease Issues | Tagged , , , , , , , , , , , , , | 16 Comments

SYRIAN AIR OPS PATCHES OUT

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Preliminary Air Force Search and Rescue teams are gearing up for duty picking up downed airmen in the event of an air/ground war with Syria. In conjunction with the French, we’ve agreed in principle to provide all the Pave Low rescue choppers and extrication of pilots shot down. 

Towards that end, the good ol’ boys down at the patch factory are busy grinding out something suitable for the flight suits because nothing perks up morale and unit cohesion more than a shiny new patch that very few personnel are issued.

Note the fine detail paid to the “marital aid” device clutched by the eagle’s talons. This patch will become a keeper and much sought after in coming decades. Stock up on them and horde them. Patch collectors have put out a B1 rating on these to buy immediately due to their high resale value and expected scarcity.

A warm thank you goes out to LawBob Legalpants for sending us this. We always like to be the “first responders” for important info on Vets and the military.

Posted in Future Veterans, Humor | Tagged , , , , , , , , | 1 Comment

DENNIS THE MENACE’ FACE HUMOR

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This just in from Pop Smoke

Posted in FACE HUMOR | Tagged , , , , , , | 3 Comments

VA FACEPAGE?

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Posted in FACE HUMOR, VA Bonuses | Tagged , , , , , , , | 8 Comments

CAVC–RATLIFF V. SHINSEKI–OH. THAT NOA.

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After over two decades of hide and seek, we finally have an equitable tolling doctrine in place. Now that we’d found out it’s not jurisdictional, all manner of former misfeasance by those unmentionable souls at the RO and BVA can no longer be perpetrated on unwitting VA claimants. After finally swallowing the “nonadversarial” pill yet again, the OGC (Office of General Counsel) has to acknowledge that if they keep hiding (or misconstruing) NOAs (Notice Of Appeal) at ROs or wherever they get mismailed to, that it is a valid reason for tolling the time limit.

This has long been a bone of contention for address-challenged Vets. Some of you who populate this site have more than a passing knowledge of how the system works. For the novitiate, this can be daunting. If you had not read up on it, wanted to do it the old fashioned way with pen and paper, eschew a computer and write it out, you might be confused. If you lose at the RO and are appealing to the BVA, wouldn’t it seem logical to mail it to the BVA in the first place to speed things up? Likewise, if you file an appeal to the next higher court (BVA) at the RO, wouldn’t that imply you’d file a Notice of Appeal to the CAVC at the BVA where you lost?

Miz Joyce Ratliff  accidentally filed a NOA with the North Little Rock, Arkansas Regional office on  August 29th, 2008 from a July 24th, 2008 BVA denial for DIC and accrued benefits. Seems like an honest mistake. She was probably bumbling along on pro se speed working in a wonderful veteran friendly, non adversarial environment where every benefit due is paid. This is where the story goes awry–every time.

The RO guys knew her NOA was time sensitive. Hell, the suspense date was 120 days so October 24, 2008 was Bingo day. It’s already August 29th or say after Labor day and this thing is in the wrong  mail room. All they had to do was what they and their compadres have been doing since the inception of the Court of Veterans Appeals (COVA) in 1988. That is, bury it until October 25th and the claim would die for failure to appeal in a timely manner. Much rending of clothing and rubbing of ashes on the head would ensue afterwards as the RO personnel apologized profusely to the widow woman and allowed as how, if they had only known what it was she was seeking, they could have mailed it to the CAVC themselves and saved her the postage. But for this untimely and unforeseen complication, the NOA was set aside until someone in authority could rule on it. By then, alas, time had expired. Tempus fugit as they were wont to say in Rome.

Anyway, the action picked up again on October 29th, 2011 when Joyce refiled her misplaced NOA with the Court (properly this time). The Secretary moved to dismiss as it was untimely filed-here-almost exactly three years and some change after the Bingo day. This is where the “Be careful what you wish for” moment happens any time after they fundamentally change the ground rules. The first thing that happened was the Court’s V-8 kicked in the rear two barrels on the carburetor. They took it up a notch to a panel to create some precedence. Ruh-oh, Eric.

Whereas before this was going to be a simple “Get lost, lady” scenario, it suddenly became a case where the Court was asking the Secretary if he thought it was okay to hold Miz Ratliff’s NOA (if it indeed was one) hostage until it was moot. Will Gunn and the Eskinazi gang immediately retreated and filed to withdraw their Motion to Dismiss and, in fact, also filed a Joint Motion to Stay proceedings to investigate just exactly what the poor word-challenged widow woman was trying to convey on that day long ago in 2008.

Like a 3 lb. bass who just swallowed your #2 Mepps into the depths of his mouth,  Kasold, Davis and Meg  had this treble hook equally buried and were not about to get rolled out of a decision. Motion to stay proceedings my ass.

[t]he Court granted the Secretary’s motion to withdraw his motion to dismiss, and denied the joint motion to stay. The Court further noted that “‘the 120-day time period in which to file an NOA is not a matter subject to waiver or forfeiture by the Secretary,‘” and ordered that the parties file additional briefing in accordance with its March 27, 2013, order.

Smooth move, Will. Now what. Start up the Adobe X acrobat and start moon-dancing. They came up with the plausible denial that “well, shoot – let’s flesh this out for the Court. Maybe what Miz Joyce was trying to say was she wanted a Motion for Reconsideration? Surely anyone could see that a plea for help in the night could be misunderstood. The only problem with all these mock up scenarios was that they required the RO bozos to notify her post haste or send it back to her with instructions on the correct place to file. Or, in the alternative, to quickly pass it on to some responsible individual at the BVA who would know what to do (or where to hide it). The bozos did nothing of the sort. In fact, they did nothing at all. That’s not an option.

As they say at the corner pizza parlor “It’ll cost ya. ”

Although the Secretary’s policy concerning possible motions for reconsideration is not statutory and was not promulgated as a regulation, it is the Secretary’s self-imposed policy governing the processing of his internal mail, and we do not find it inconsistent with statute and regulation; indeed, given the lack of clarity in many pro se filings, we appreciate the basis for this policy. We additionally note that the Secretary’s policy has been extant for many years but has not been addressed until now due to its inclusion for the first time in the Secretary’s response to our March 2013 order.

Ah here we have the lovely Senator Alan Cranston moment where he said in 1988 ” The VA has been living in splendid isolation for over a hundred years”. This was during the debate over the VJRA and the creation of the CAVC.  Since this is an Order rather than an Opinion, the authorship is per curium- meaning it is the dictum of all three judges with no identified author. As such the “we” of the panel seems to have the heavy imprimatur of Meghan Bartley. The following, paraphrased, could read ” Okay. Fine. Since you continue to cling to your myopic interpretations of what constitutes a Motion for Reconsideration and will give no thought to a misfiled NOA at a RO, we are forced to change what we will accept as legitimate NOAs. From now on, if a Vet accidentally files an appeal at the RO, we get to decide if it will be equitably tolled or not and whether it is a Motion for Reconsideration of a BVA decision or if it is, indeed, a valid NOA. Questions?”

As a practical matter, and because the Secretary has formulated and has the authority to formulate guidelines as to what constitutes a motion for Board reconsideration, see 38 C.F.R.
§ 20.1001(a), we find that the Secretary’s policy of treating every expression of disagreement with a Board decision as a possible motion for Board reconsideration should have the same effect – as to the running of the time in which to file an appeal with this Court – as the filing of a document that is undisputedly a motion for Board reconsideration. Accordingly, given the Secretary’s policy, we hold that when a written expression of disagreement with a Board decision is filed at the RO during the 120-day period to file an NOA, the filing abates finality of the Board decision for purposes of appealing to the Court until one of the following actions is taken: (1) The Secretary determines the written disagreement is an NOA and returns it to the claimant with information concerning the proper location to file an appeal or forwards it to the Court and so notifies the claimant; (2) the Board Chairman determines the status of the document, that is, whether it is a motion for Board reconsideration, and notifies the claimant of his determination; or (3) the claimant files an NOA with the Court and, assuming the Court becomes aware that before the NOA was filed a written disagreement was filed with the RO within the Court’s appeal period, the Court determines that the written disagreement was a misfiled NOA and not a motion for Board reconsideration. Cf. Posey and Boone, both supra; cf. Wachter v. Brown, 7 Vet.App. 396, 397 (1995) (per curiam order)(holding that a premature NOA became effective upon the Chairman’s denial of a motion for Board reconsideration).

And finally, the bitchslap.

As noted above, we do not read the Secretary’s policy as preventing the RO from promptly forwarding to the Court or returning to the claimant, with proper notice as outlined above, a misfiled yet clearly marked or identified NOA. Moreover, nothing prevents a claimant from filing an NOA with the Court at any time; and, whenever a purported NOA is filed with the Court, the Court has jurisdiction to determine its own jurisdiction. See Smith (Irma) v. Brown, 10 Vet.App. 3330, 332 (1997). This is the situation we face here. There is no dispute that Mrs. Ratliff’s August 29, 2008, letter reflects disagreement with the July 24, 2008, Board decision, or that it was filed with the RO within the 120-day appeal period. Thus, per our holding today, the filing of the letter at the RO abated the finality of the Board decision for purposes of appealing to the Court until one of the actions noted above is taken.

Gone are the good old days. No more hide and seek. No more “We were confused. We didn’t understand.” No more “The M21 was unclear on that so we have instituted remedial training and will be holding briefings to be sure to keep a look out for these kinds of things should they pop up in VA mailrooms.”  Nope.  The Court has said you can do whatever you want, gentlemen. However, if you sit on it, they’ll still call it a Notice of Appeal. The jig’s up.

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Posted in CAVC ruling, CAVC/COVA Decision, Veterans Law | Tagged , , , , , , , , , , | 2 Comments

FROM THE FOOTLOCKER–FLECHETTES

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While picking up oats and a new saltlick the other day, I noticed Jerry (a Vietnam Vet) had what appeared to be a lapel pin made  out of small dart we knew as a flechette. When loaded into a 40mm M-79 grenade launcher, they were less than formidable. There were 45 of these ten grain flechettes in each round. If they’d all gone straight, they might have been more effective. The other downside I remember was that they didn’t arm until they’d traveled 30 feet which screwed you close in.

Well, sure enough. It was a flechette as I figured. He gave it to me and said he had plenty. Where does one get “plenty of 10 grain flechettes from? I’d like to load some 12 gauge with them. For your entertainment, click on the pictures twice to magnify.

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Posted in From the footlocker, Vietnam War history | Tagged , , , , , , , , , | 2 Comments

SOFOSBUVIR FDA PANEL REVIEW OCTOBER 25TH

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Hooooo doggies. Something all us Autoimmune-challenged Hepatitis C sufferers have bemoaned is our inability to get into the Sofosbuvir GS-7977 trials. The date of our salvation is nearer. Here’s the link. A warm thank you to Patty Beigel for posting that on my facepage. 

For what feels like aeons to those of us who are stage 4 and have autoimmune hepatitis on top of the big C, we have awaited the “official” release of the Sofosbuvir/ Daclatasvir/ family of nucleotide analogue inhibitors. See http://en.wikipedia.org/wiki/Sofosbuvir. People with autoimmune-compromised systems suffer a body out of control-attacking it’s own organs. Add Interferon to this already overheated mix and its like an airstrike with Napalm on a fully engulfed house fire. Once excited, it is also like Pandora out of her box-free to roam about the body causing mischief. And, like Pandora, the body’s now-emboldened immune system defenses suddenly feel no urge to slow down and return to a more quiescent state.

An equal number of failed responders of several bouts with the bug juice are just now coming to hear of this new wonder drug. The feeling of deliverance from what was guaranteed to be an ugly descent into hell before must be indescribable.

Gilead Sciences, the company behind the drug, has been trying to obtain advance release due to the almost 96% cure rate with few or no side effects. Contrast this with the pegylated Interferon, ribavirin and Telaprevir cocktail (VERTEX, Victrelis, etc.) that leaves you blind, with DM2 and thyroid cancer and an 85% cure rate. Kind of a no brainer why we’re overjoyed. All we have to do is look around us at the Interferon casualties to thank our lucky stars we were forced to wait a while longer. I do not gloat. I tried the bug juice one time because my vaunted hepatologist didn’t notice my Antinuclear Antibody numbers were 1:160. That was the Napalm moment. April 14th, 2007. The fire still hasn’t subsided. This was why none of us were allowed in the GS-7977 study. Had we failed to clear the virus and stay infected (or be unable to stay on due to an allergic reaction), we would have pulled the success rate down from its current 96%. I get that. I want the drug as much as the next person but I will await my place on the lifeboat politely without a lot of fuss. The biological imperative to stay alive is so strong that you will do anything to attain it- even having to wait another year.

Absent a family history of a panoply of diseases involving the digestive tract, and if significantly exposed to some horrible pesticide for a period of time, a lot of my fellow Vietnam Veterans seem to have an inordinately higher level of autoimmune disorders. VA is as baffled as we are as to what could possibly be responsible for bending DNA that grotesquely.  They promised to look into it but now are bowing out gracefully in 2016 because “there’s simply nothing there that merits scientific study or shows any correlation between dioxins and autoimmune disorders other than the ones the Secretary has already conceded”.

Posted in AO, Medical News, research | Tagged , , , , , , , , , , , , , , | 2 Comments