MARINE VET’S HUMOR

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I wonder if Marines have an identity crisis. I mean  which is it? Are you an inferior member of the Navy or a stand alone? Marines, as a group, are not who I’d want to get into a disagreement with after waaay too many adult beverages. Comparatively speaking, I’d far rather go up against a bunch of inebriated,  pantywaist, motion sickness-disabled Navy guys. Marine humor follows in the same vein. Tombo’s take on various subjects…

SCOTTISH WEDDING

At the Scottish wedding reception the D.J. yelled…

“Would all married men please stand next to the one person who has made your life worth living.”

The bartender was almost crushed to death.

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SEX

Condoms don’t guarantee safe sex anymore …       

A friend of mine was wearing one when he was shot by the woman’s husband.

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Poor Lance Armstrong –

I think it is just terrible and disgusting how everyone has treated Lance Armstrong, especially after what he achieved, winning 7 Tour de France races, while on drugs. When I was on drugs, I couldn’t even find my *-!-#-%-ing bike. I say we cut him some slack.

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SCAM Alert

Just got scammed out of $25. Bought Tiger Woods DVD entitled “My Favorite 18 Holes”. Turns out it’s about golf.  Absolute waste of money! Pass this on so others don’t get scammed.

Regards

Charlie Sheen

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Pregnant Prostitute:

A Doctor asks a lady of the evening, “Do you know who the father is?”  

Her jaded response: “For goodness’ sake, if you ate a can of beans would you know which one made you fart?”

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AIR FLORIDA

A prospective passenger calls to book a reservation. The agent inquires:

“And how many people will be flying with you?”

“Damn good question. You own the plane. Perhaps you could enlighten me?”

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KC’S MOST EXCELLENT WIN (#38)

VA Secret Handshake Award

VA Secret Handshake Award

As promised several weeks ago, here is KC’s win. He and I have been in touch for several years and soon discovered we’re nigh on to being related by marriage. His ancestral haunts are less than 20 miles from Casa Nod. He moved to West Virginia to work and find a VARO that is more equitable. In both respects, he succeeded beyond his wildest dreams.

Kel has been fighting VA off and on for as long or longer than even me which is unique. After attending the NOD Aspire Academy, he began his Odyssey in earnest. He had no idea how well the system works or, alternatively, how convincing he is with his evidence. Suffice it to say he was fluent enough to come away with what I consider one of the hardest ratings of all to attain-as well as the highest rating.

I have worked with many of you over the last five years and rarely, if ever, have any of you had the initial success I did in receiving a 100% rating for Hepatitis C right out of the gate. Kel is now the second recipient of this prestigious award. Many get sandbagged by VA late in the progress of their disease and VA purposefully drags in the Diagnostic Code for cirrhosis (7312). When this happens, as it did to Rob down in Salt Lick City, you end up in a netherworld stuck between HCV and the cirrhosis. Since many of the symptoms are duplicative, it is virtually impossible to advance to a meaningful (100%) rating without VA invoking the dreaded pyramiding regulation (38 CFR 4.14). Thus you end up    with 30% for cirrhosis:

Portal hypertension and splenomegaly, with weakness, anorexia, abdominal pain, malaise, and at least minor weight loss (DC 7312)

and 20% for the hep:

Daily fatigue, malaise, and anorexia (without weight loss or hepatomegaly), requiring dietary restriction or continuous medication, or; incapacitating episodes (with symptoms such as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and right upper quadrant pain) having a total duration of at least two weeks, but less than four weeks, during the past 12-month period (DC 7354)

You could be sailing your sofa around the world daily with near constant debilitating symptoms and get no closer to the big banana because that would be “cheating”. Meanwhile, you are stuck in a special limbo trying to beg them to throw the cirrhosis rating on the ash heap and just focus on what caused the cirrhosis. Member Mark is now pursuing this conundrum. Imagine being so ill that you spend most of your waking hours with an upchuck bucket close at hand. Imagine VA insisting this is only worth 20%. Off to work Mark, and don’t forget to pack a barf bag with your lunch.

In my book I stressed this. Steer clear of any mention of cirrhosis. In Rob’s case they glommed onto it because there was such extensive discussion of it in his medical records. That’s pretty much what happens when you’ve had hep for 40 + years. VA graciously granted both ratings and then gleefully refused to give him a meaningful rating for either one.

Kel, on the other hand, carefully railroaded this onto the HCV siding and refused to let VA wander off subject. Granted, his condition has not graduated to the verge of decompensated cirrhosis yet, but the near constant debilitating symptoms are the signature hallmark of advanced, untreated disease. Kel was careful to emphasize this and induce his caregivers to say as much. In that regard, he wins early on and completely. He also garnered his Permanent and Total simultaneously and the kids will get their VA-financed college educations that come with Chapter 35 benefits.

Additionally, he skipped ahead a few chapters in my book and also graduated Magna Cum Laude by nailing down his Special Monthly Compensation “S” along with all the other accomplishments. I would say this was akin to a Cub Scout getting his Bear badge, a gold arrow point for his Wolf and a gold plus two silvers on the newly minted Bear.

One of my first projects in 2008 that carried over into my prolonged hospital stay was John Bisig (1958-2011). With some help, he advanced from 10% in 2008 to 280% following the same protracted hepatitis/cirrhosis quandary. He was able to get his civilian doctor to opine that the cirrhosis was secondary to the HCV which allowed VA to view the hep as the primary rating. Once that was accomplished he swiftly bumped up to the 100% and followed it with a trainload of secondaries leading to the huge rating. Unfortunately, he only lived several more years and was unable to reap the fruit of his labor. Of note, he did all this at the Houston VARO without having to appeal. That’s how well he dialed in on this process. I just channeled his energy in the right direction with pointers and advice. He, like Kel, was responsible for all the heavy lifting.

Kel now becomes the 38th recipient of the Win or Die Award for persistence.  As we are fond of doing here for your education, we publish Kel’s victory ( with his permission, of course) redacted to keep credit card fraud down to a dull roar. Unbeknownst to him, Cupcake and I will be putting a down payment on our new Mexican condo with his brand new American Express Platinum Card. We had no idea he had such a high credit rating. When we discovered this, we opted to upgrade from a one bedroom to two and get an ocean view instead of the mountains. A warm thank you is in order. We also purchased a Lifelock® policy in his name to protect him against fraud.

Attached here, in .PDF format, is his rating. While he didn’t get everything he wanted, I pointed out that is what the new, Form 21-0958 NOD is for. It keeps them hopping down at the RO and out of the bars. It’s a great read. The few. The proud. The persistent.

Decision2

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ASK NOD INVITES YOU TO PLAY VIRTUAL GARDENER

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Welcome to Virtual Gardener. You’ll be happy to be here soon. The rewards program is very liberal. Plant the whole back forty and we’ll even throw in a virtual tractor to rototill the weeds down. 

Silver Queen virtually ready to plant

Silver Queen virtually ready to plant

Corn as far as the eye can see will soon be at your fingertips

Virtual corn just waiting to bee planted

Virtual corn just waiting to be planted

Yes, and now you, too can grow your virtual food in your temperature-controlled greenhouse year-round! Simply click on the request and I’ll get you started with your virtual Farm as well. You’ll get to raise virtual corn, carrots and peas. Don’t forget those important greens and dill as well. Celery is a must and there’s plenty of room in this baby for more. In fact, with my virtual garden, you have unlimited space to grow all manner of veggies. Pak Choy? Ne problemo. Lime Basil? Got you covered.

Call or text in the next 15 minutes and you also get this virtual gardener's assistant absolutely FREE.

Call or text in the next 15 minutes and you also get this virtual gardener’s assistant absolutely FREE.

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No muss, no fuss and you never get your hands dirty.

You also get a starter kit with one virtual horse and goat. You can name them yourself! Just imagine the fun you’ll have virtually feeding them twice a day. Click on the animal sounds icon and they’ll wake you up in the morning at whatever time you set them for.

Feed bill won't put a hole in your wallet with these guys

Feed bills won’t put a hole in your wallet with these guys

I'm virtually!

I’m virtual!

Don’t be fooled by cheap substitutes and cardboard cutouts. We can put you into this baby for just pennies a day. Imagine waking up to the gentle Naaaaaaaaaaaaah of your brand new goat. If you bend over to pick something up, he’ll virtually butt you in the butt. Think of the fun you’ll have showing pictures of him to your friends.  Get started now.

 

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HCV testing results in Exeter (NH) one year into the crisis

david

The country became aware of  the drug diversion case against David Kwiatkowski (DK) in New Hampshire last year.  The investigation then spread to seven other states because he was a traveling technician.  About 43 cases of HCV nationwide have been attributed to DK but Exeter Hospital is the center of the HCV outbreak.  (The trial is delayed.)

Kwiatkowski, who pleaded not guilty to 14 drug charges in December, is accused of stealing painkiller syringes from Exeter Hospital’s cardiac catheterization lab and replacing them with saline-filled syringes tainted with his own blood.

The good news is that 135 people, who presumably didn’t know they had been infected with HCV (active or cleared), prior to the revelations about Kwiatkowski, now know their HCV status.   And the 79 with newly discovered active HCV cases can get help.  The State of New Hampshire has billed Exeter Hospital for $42,000 for testing clinics that were held around the state.  

NH HEPATITIS C VIRUS (HCV) OUTBREAK INVESTIGATION
TESTING SUMMARY
May 15, 2012 to February 1, 2013

Tested thus far:  3,838; still to be tested: 667

People with active HCV infection matching outbreak: 32 plus 1 employee (D.K.) =33

People with active HCV infection unrelated to outbreak: 47

People with past HCV infection (cleared infection): 56

Maryland’s report (3/13) is shows that hospital drug diversion resulting in clusters of HCV infections are not a new phenomenon (pages 17-19).  See: http://www.concordmonitor.com/news/4220717-95/story.html

The Baltimore VA, which also employed DK,  has not issued a new update since 8/12.

But in Exeter, about 3.5% of the 3,838 have been infected with HCV.  If you take DK’s  32 victims out of the picture, about 2.4% have been infected with HCV in their past. This is  higher than the 1.9% the government estimates HCV exposure to be.

My first grandchild (now 7) was born in this modern hospital and I was impressed with the facility and I see several morals to the still developing NH story.  Even excellent hospitals have problems with infection control procedures.   If the rates of HCV are this high in this small sample,even  sans the drug diversion case, the CDC is probably underestimating HCV prevalence rates in the U.S.. It would be a lot cheaper to test everyone for HCV as part routine care, rather than in crisis mode.  If HCV-infection rates are high in Exeter, an affluent and quintessential New England town, a town where gifted children go for the best private education, they are probably high (or higher) elsewhere.

HCV: a mari usque ad mare (from sea to sea)

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THE ELITE 7% CLUB

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Every year on this auspicious holiday for our fallen, I hear the lament of how commercialized it has become. Lost in the shuffle of countless sales events nationwide, is the concept of serving one’s country. Memorial Day is confused with Veterans Day and the dichotomy vexes me. This is a day to celebrate and remember our fallen warriors-not the survivors.

We have now essentially extricated ourselves from one of the longest, most protracted engagements in the history of our nation. We have experienced almost continuous warfare since 2001 and fortunately escaped relatively unscathed when measured against the only other similar time span during the Vietnam Boundary Dispute of the sixties and seventies.

Americans who choose to serve their country are an eclectic bunch and come from all walks of life. Those who survive often return to their prior pursuits and put this chapter in their lives behind them. Some find the calling alluring and make a career of it. And then we have the group who, for whatever reason, give their all for the concept of true freedom.

The seven percent who hear the siren call and find it irresistible are what makes this country the international bulwark of democracy. That sounds rather archaic in this day and age but the concept of putting one’s country before one’s own desires is rare. Too often we hear in the news the incessant drumbeat of perceived slights, racial discord and dissatisfaction with the status quo. Imagine voluntarily laying one’s own rights down and fighting for the right of others to enjoy what you have forsworn.  It sounds insane on its face but hundreds of thousands of altruistic souls join this elite club with no apparent motive other than to protect our nation.

These seven percent sign up in war and peace alike knowing full well the danger and the ultimate price they risk when doing so. My family seems to be similarly afflicted. This list began in the War of Independence when one of my forbears felt the compulsion to fight the British. This certainly wasn’t motivated by money in 1776. It was purely a desire to live free.

The War of Northern Aggression brought out ancestors on both sides with many casualties. I don’t think the family tree ever recovered as my extended family was truncated for decades afterwards. Recriminations continued for a century. The death of the disenfranchised has buried that hatchet for the most part.

Following America’s entry into World War I, my stepgrandfather and namesake came back from Australia to serve in combat in Europe. He certainly wasn’t obligated but that is the flaw in the makeup of our family genes. The smell of gunpowder is the eau de parfum of our family. It is the common thread that knits and weaves my clan to America.  Its aroma draws otherwise sane people into putting their lives in danger to preserve a nation and a way of life.

Prior to World War II, my Uncle Jay induced old Grandpa to sign for him in 1933. Being seventeen and having no prospects for advancement in Oildale, California, the world looked like a better adventure. Jay went up and down through the ranks like the musical scales. His proclivity for drinking was the culprit. Nevertheless, he never broke faith with the Army and endured the privations of innumerable Article 15s and lost wages. This continued right up until he found himself with a bullet in his ankle and an involuntarily participant of the 128 kilometer Bataan Fun Run. He survived and was repatriated in 1945 after over three years as a prisoner of war. In spite of this, he still maintained he’d do it all over given the chance. Such is the defective gene in my family.

My father felt the tug a short time later following his graduation from college. He was commissioned in 1941 and was assigned, to his chagrin, to teaching aerial fighter pilot gunnery to the Tuskegee airmen. He endured this for several years until the yearning for combat overwhelmed his common sense. He proceeded to buzz a few sailboats in the Gulf of Mexico and do a loop around the Apalachicola Bridge in a P-51 Mustang –twice. That was the last straw. His punishment? Why, transfer to England in August 1944 and the 355th Fighter Group at Steeple Morden. At home in this element, he proceeded to bag 16 and a half aircraft in the ensuing nine months.

He decided to make it a career which was an eventual deal breaker for my mother. He moved from one theater of war to the next and fought in Korea as well as Vietnam. He was happiest when above 20,000 feet with the sun at his back.

And then there was me. In 1969, I could see the writing on the wall. If I attended college, this shindig was going to be over before I graduated. After a minor altercation involving beer, flying eggs, and reckless driving four days after my graduation from high school, the Hampton, Va. Draft Board determined wrongly that I was 1A. I promptly enlisted in the Air Force and dreamed of gunpowder, too. Mick Jagger’s Wild Horses couldn’t drag me away from it.

I spent two years in Southeast Asia. That’s all I’m going to say about that. My son was wooed by the military when he graduated in 2006 but unfortunately inherited an autoimmune disorder from me due to my exposure to Agent Orange. The VA does not recognize Crohn’s disease or Ulcerative Colitis as being proximately due to AO, but that is beside the point.  They will come to this realization shortly after the last one exposed is laid to rest-along with a host of other ailments. I am not disheartened to see him avoid this. Were he healthy, I would still counsel him to avoid service after what I endured. My family have paid our dues many times over. It’s time to skip a generation or two.

I have watched one of my son’s best friends who chose this path. Joshua joined the Army, and being a gung ho type, immediately signed up for Ranger School. He recently departed for his fourth deployment and already has two Bronze Stars. The toll on his mind is telling. He’s unable, as we all were after Vietnam, to relate to the land of the big PX. After returning from each deployment, he sits on the sofa waiting for the next. Like an addictive drug, he won’t be satisfied until something bad happens. I know. It’s the same perfume sometimes called eau d’ stress and is quite the panacea for wanderlust. Joshua’s new bride is not so enamored of his proclivities but is supporting nevertheless.

In closing, let us pray for all the souls who are not here to celebrate America’s greatness this weekend. The seven percent are a unique club with no unifying membership. We do not ask for more than what was promised in our compact with our country to defend it. Unfortunately, the promises that were made and the gifts that were exchanged gradually become yesterday’s compacts-null and void. America moves on and the Vets get left behind.

Let us never forget that we owe so much to so few of our citizens that cannot be repaid monetarily. Veterans are unique. In no other society can we become soldiers yet melt back into the ranks of citizenry as if we had never left. Would that America would honor its promises to us for our service. We ask for no more- nor less.

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Kudos for the New Jersey Vietnam Veterans’ Memorial Foundation

As another Memorial Day approaches, I am glad to see that this group is again including deceased Vietnam Veterans who died as a result of the war from AO, HCV and other physical and emotional wounds.  (Last year’s post..) If you agree with these acknowledgments and memorial actions, please email this post to anyone in your state who might be interested.  Many families will be comforted if this is repeated nationwide in the future.

http://www.njvvmf.org/memorial-day-ceremony.pdf

During the ceremony, the Foundation will induct five Vietnam Veterans into its “In Memory” Program. “In Memory” honors New Jerseyans who served and died as a result of the war in Vietnam but whose names are not on the Memorial.  Some of these deaths are due to Agent Orange exposure, Hepatitis C and the physical or emotional wounds received in Vietnam. The inductees’ names will be placed on an engraved stone inside the Memorial so that all who visit will know that they are with their honored comrades.
As part of the ceremony, family members will say a few words about their loved one and light a candle in their memory. A book of biographical information, complied by the family, is also placed in the Vietnam Era Museum & Educational Center’s Resource Room.
The five “In Memory” inductees are:

Specialist 4th Class William D. Buist of Belleville, NJ
Sergeant Michael J. Green of Harrison, NJ
Specialist 4th Class Alan A. Howardell of Rahway, NJ
Sergeant Daniel L. O’Connell of Atlantic City, NJ
Sergeant First Class Daniel R. Shea of Lambertville, NJ

Rest in peace.

Image source: 2005 New Jersey Veterans’ Journal
Remembering the heroes

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15 DAYS TO HEPFEST

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NOT SO FAST ON THE FAST LETTER, ALLISON

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Be careful with your brand new provisional rating after VA gives it to you. If it’s a denial or defective in any way, you can speed it up immeasurably instead of waiting around for them to do something for a year.

Under Decision Notification Criteria on page 4 of the April 19, 2013 FAST Letter 20-13-05, please note that it says:

If you want to receive a final decision with appeal rights before the one-year provisional
period ends, send VA a signed statement as follows:

“All necessary evidence was considered by VA. I request that this provisional
decision be made final.

This will allow you to appeal sooner. FYI, Veterans.

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NYMPHOMANIAC CONVENTION

Mark sends us this one. He’s been cleaning out the email humor file lately. This is absolutely priceless. Please refrain from drinking coffee or co-cola when reading this as it hurts to aspirate them through your sinus passages while laughing.

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A young Veteran recently separated from a Ranger outfit boarded an airplane and took his seat. As he settled in, he glanced up and saw the most beautiful woman boarding the plane.

He soon realized she was heading straight towards his seat. As fate would have it, she took the seat right beside his. Eager to strike up a conversation he blurted out, “Business trip or pleasure?”

She turned, smiled and said, “Why, Business. I’m going to the Annual Nymphomaniacs of America Convention in Boston “.

He swallowed hard. Here was the most gorgeous woman he had ever seen sitting next to him, and she was going to a meeting of nymphomaniacs. Struggling to maintain his composure and not say something stupid, he calmly asked “What’s your business role at this convention?”

“Lecturer,” she responded. “I use information that I have learned from my personal experiences to debunk some of the popular myths about sexuality.”

“Really?” he said. “And what kind of myths are out there?”

“Well,” she explained, “one popular myth is that African-American men are the most well-endowed of all men, when in fact it is the Native American Indian who is most likely to possess that trait. Another popular myth is that Frenchmen are the best lovers, when actually it is men of Jewish descent who are the best. I have also discovered that the lover with absolutely the best stamina is the Southern Redneck.”

Suddenly the woman became a little uncomfortable and blushed. “I’m sorry,’ she said, “I shouldn’t really be discussing all of this with you. I don’t even know your name.”

“Tonto,” the Vet said, shaking her hand  “Tonto Goldstein, but my friends just call me Bubba.”

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Former Ranger Tonto
“Big Bubba” Goldstein

 

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HUGFEST 2013–16 WAKEUPS

Dang I’m so short I have to climb up on top of my tennis shoes to tie my shoelaces.

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