VA’s message to vets with HCV

It’s a little late for this advice but here it is:  The VA advises veterans that people with HCV should  use a condom every time one has sex.

pointing finger

“Protect others

“If you have hepatitis C, you can give the virus to other people. This is true even if you are feeling perfectly fine.

To protect others from getting hepatitis C, follow these rules:

  • Do not donate blood, body organs, tissues, or sperm.
  • Do not let anyone else use your razor, toothbrush, or other personal care items.
  • Cover open cuts or sores on your skin with a bandage until they have healed.
  • Don’t inject drugs. If you are currently injecting drugs, talk with your VA doctor about trying to stop. If you can’t stop, don’t ever share your needles or works with anyone else.
  • Practice safer sex. Use a latex barrier, such as a condom (or rubber) every time you have sex. Using condoms also reduces your chances of getting sexually transmitted diseases.

Following the above suggestions also can help protect you from other diseases, such as HIV or AIDS and hepatitis B. Talk with your doctor if you would like more information about these conditions.”

Can an infected female pass HCV via her blood (menses, vaginal mucous membrane tears) to a male during intercourse.  Yes.  Can an infected male pass HCV via passive blood in sperm during anal intercourse to a male of female.  Yes.

Men who have sex with men (MSM) get more explicit messages from public health campaigns in other countries.  This Australian link, with its S&M leather imagery may be offensive to some readers but is tame compared to the following information.

The CDC considers sadomasochism a disease (page 68) but doesn’t mention it again on their website to educate its high-risk practitioners about blood-borne pathogen transmission.   The Dept. of Health and Human Services is also silent.  The government of Canada has tackled BDSM by producing a very graphic online booklet.   I’m providing the link below this warning but heed the warning if you don’t want to read and view very disturbing stuff. 

BDSM Safer Kinky Sex

This booklet contains practical guidelines and advice on the prevention of Human Immunodeficiency Virus (HIV), Hepatitis C (HCV), and other sexually transmitted infections (STIs) within bondage and discipline, dominance and submission, and sadomasochism (BDSM) play. It is an introduction to safer BDSM play and is designed to provide you with information to help reduce your risks.

If sexually explicit information about BDSM activities might offend you, then this information is not for you.

Download page: http://www.catie.ca/en/resources/bdsm-safer-kinky-sex

Go right to the booklet: http://library.catie.ca/pdf/ATI-20000s/26131.pdf

It’s hard to conceive of people thinking of SM blood sports like cutting and piercing with needles, scalpels, and knives as play instead of abuse.   I have no clue how big this sub-culture is but there is no doubt that this is an extremely high-risk group for HCV and other viral injections.   Sorry for offending anyone but we’re all adults and this is a public health issue.

Posted in HCV Health, HCV Risks (documented) | Tagged , , , , , , , , , , , , , , , | 4 Comments

CAVC–DISSSSSMISSSSED!

Bad idea, Norman.

 

IN THE UNITED STATES COURT OF
APPEALS FOR VETERANS CLAIMS
NORMAN R. LINDO )
)
Apellant, )
)
v. ) Vet. App. No. 12-1832
)
ERIC K. SHINSEKI )
)
Appellee. )
PRELIMINARY REBUTTAL RECORD
Pursuant to the Court’s February 8, 2013, order, and the Honorable Eric K.
Shinseki, Secretary of Veterans Affairs, Priliminary Record of Transmittal dated
March 11, 2013,

I NORMAN Roberto LINDO, Disabled American Veteran,
who’s Permanently Disabled with a 100% Rating for Brain Syndrome, and 100%
Permanently Disabled for Heart Condition, and because of my Chronic Type II
Diabetes Mellitus, which cause me to have a Heart Attack that led to me having
Two (2) stents placed in my heart arteries due to severe blockage with one more
Blockaged remaining without treatment.

I was admitted to the Wilkes-Barre VAMC
Through the Emergency Room on December 18, 2012 and was discharged on
December 22, 2012 for the above condition due to my severe and chronic Diabetes
Mellitus Type II.
Also enclosed here are concrete eVidence that once again the Philadelphia Regional
Office have lied to the Office of the Secretary of Veterans Affairs Attorney’s, in which they’ll stop of nothing in trying to discredit me, by lying once again to the
Court. The VA is saying that I only had about five (5) Psychiatry Visits.
Here, again I am accusing Counsel for the Secretary Attorney Mark M. McNabb and
The Philadelphia VA Regional Office for not telling the United States Court of
Appeals for Veterans Claims that I only had five (5) Psychiatry Entries in my
VA Medical Records, and the Official VA E-Vista Files which keeps all Disabled
Veterans Permanent Accessible Medical Records at their finger tips.

Honorable Judge of the United States Court of Appeals for Veterans Claims, I
Hereby vehemently rebutt all of the information that was filed on March 11, 2013
To Court that Attorney McNabb submitted due to the fact that those information are
Extremely erroneous based on the information they received was from the
Philadelphia VA Regional Office.
Your Honor enclosed please find some partial dates that I am going to list which are
Psychiatry entry that you can find in the VA Medical Records via E-Vista Files (whch
Are kept in the Computers at the Medical Hospitals). These dates are partial
because I started seeing a Psychiatrist at the Allentown VA Outpatient Clinic located
At 3110 Hamilton Blvd, Allentown, PA 18102. I started seeing a Psychiatrist on
August 6, 2002, August 21, 2002, 2002, February OS, 2003, March
28, 2003, March 28, 2003, May OS, 2003, June 04, 2003, May 14, 2012, August 02,
2012. All of the dates including the starting and last date that I had a Psychiatry
Doctor’s Visit at the Allentown Outpatient Clinic in Allentown was August 06, 2002 To August 02, 2012. I was supposed to have appointment back in December 2012,
But due to my Heart Attack and Hospitalization at the Wilkes-Barre, VAMC
December 18, through December 22, 2012 I missed that appointment which would
Have being in December 2012.
Your Honor if you give me the benefit of the doubt to prove to you beyond the
Untruthfulness of the Philadelphia VA Regional Office, you need to grant me the
Opportunity to bring these allegations and proof to you and to the Secretary of the
Veterans Administration, Honorable Eric K. Shinseki, the President of the USA, the
Inspector’s General Office, and the Senate Committee on Veterans Affairs so that
They can pass legislation to correct these cruel, unusual and mistreatments of the
People who works at the Department of Veterans Affairs Offices. I trust that you
Can have a credible person from the Judge’s Office who can access the E-Vista Files
On the Computer and prove that those Psychiatry Medical notes beginning on
August 06, 2002 through August 02, 2012, which are more than 25 times that I
Did have visits with the VA Medical Staff Psychiatry Doctor at the Allentown OutpaTient Clinic in Allentown on all those dates, which would prove that the VA AdminisTration is trying to stop from surfacing which will bring a lot of questions to be
Answered by the Philadelphia Regional Office. It is time that we Disabled Veterans
Get the proper and honest ratings and commitment by these VA Regional Offices
Service Center Managers to start doing their jobs, and stop being the ENEMIES of
DISABLED AMERICAN VETERANS, who have fought and preserve the FREEDOM, 100% Disabled American Veteran
100% Disabled Social Security
That all of us is living through their daily sacrifice.

If you should need anymore information concerning these allegation or need more

Proof, please feel free to contact me, via telephone (484) 347-xxxx. Thanking

You in anticipation, I am, always!

Honestly Sincere!
Respectfully submitted:
Mark M. McNabb
Senior Appellate Attorney
Office of the General Counsel (027C)
U. S. Dept. of Veterans Affairs
810 Vermont Avenue, N.W.
Washington, D.C. 20420
(202) 639-4843/4800
Attorney for Appelle,
Secretary of Veterans Affairs
D. H. Meyers
Esq., CDR, JAGC, USN (Ret.)
Director of Case Evaluation and
Placement Component
Veterans Consortium
Pro Bono Program
2101 L. Street NW, Suite 420
Washington, DC 20037
Pending Attorney Group for
Appellant if United States Court
of Appeals for Veterans Claims
Hearing for APPELLANT
CERTIFICATE OF SERVICE
On March 21, 2013 a copy of the foregoing was mailed postage prepaid to,
ALL of the above listed.
I certify under penalty of perjury under the laws of the United States of
America that the foregoing is true and correct.
lsI Norman R. Lindo
NORMAN R. LINDO
Disabled American Veteran

Posted in CAVC Knowledge, Uncategorized | Tagged , , , , , , , , , , , | 1 Comment

LET THEM EAT MREs

MREs. Meals, Ready to Eat. Three lies in one phrase. Better than C-rations. Way better than K rations. A vast improvement over 18th century fare aboard a ship with its attendant  scurvy.

I was apprised this morning by Pen Lutt Astronutt that our illustrious Commander-in-Chief has declared that Sequestration demands a reduction to two square meals a day from the usual three. In addition, some may not be hot-as in heated. That’s what Sterno is for. Vets have become complacent while fighting in Afghanistan and for some inexplicable reason seem to be laboring under the misconception that they are somehow entitled to food while serving. They better check their enlistment contract. Apparently that was not part of the bargain. You will love this from a “Indie” news source. It’s true but the language it’s couched in is priceless. I like the analogy to the inaugural dinner.

What’s next on the horizon? Well, rumor has it that indiscriminate shooting at attackers will be curtailed. Wasteful expenditures of ammunition are to be avoided. Henceforth, if you cannot see the whites of their eyes, then they are not in a designated free-fire zone yet. Good luck.

Lobster bisque. It's what's for dinner, guys.

Lobster bisque. It’s what’s for dinner, guys.

Posted in Humor | Tagged , , , , , , , , , , , , | Leave a comment

TODAY’S FACEMOON

Please, ladies and gentlemen. Think twice when you don your undergarments in the morning. Only you can prevent this visual hari-kiri. I have Trish Valleyly to thank for this on my socially mediated site. I could not bring myself to hide it. It’s not for the weak of heart, either.

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Posted in Humor | Tagged , , , , , , , | 2 Comments

NOW SERVING #37…#37?

images

Arkhick50, one of our fellow members (and fellow Vietnam Veteran) claims another win. Having mastered the art of  “Win or Die”, it seems he has the Little Rock VARO teetering back on their heels. If you recall, he finally hit the jackpot back in September of 2012 at his RO without the dreaded appeal to DC. Following up on that with a carefully orchestrated attack, he was able to convert on Point After Touchdown and turn his 90% into a TDIU for 100%. This will be retroactive to his filing in March of 2011. All according to plan.

The VA has turned him down for his HCV claim which simply sets the stage for a later fight. A well-written letter by Dr. Cecil should be all that is necessary to produce a win in that column as well. Mr. Arkhick has two excellent risk factors of STD documented in service as well as a more than probable transfusion in the very last days of his enlistment following a severe automobile accident. Between the two, his chances are somewhere between good and great.

As with most Vets, that ingrained feeling of the retribution so many Vets hear about the VA still lingers in his mind. To go for the HCV or to leave well enough alone? I suggested two things. If he dies of HCV unrated within the next ten years it’s sayonara DIC to his significant other. I do not see the danger. His claim is legitimate and without fraud. I believe he should pursue it for any number of reasons-SMC being the big second one. Mostly, I counsel him to pursue it because it is his due. He earned it and he shouldn’t have to beg and grovel for it. More appropriately, he shouldn’t have to quail at  the idea  of losing one claim for having the intestinal fortitude to pursue another.

Few realize Ark has been at this far longer than most. He spent a lot of time researching it before he pushed print at my old site. He was computer ignorant when he started and was armed with little more than a typewriter. His knowledge of the process has blossomed like an algae bloom in a lake and is suffocating the VA. With his TDIU in the bag, he got the Permanent and Total rating  up front. VA is not disputing he’s eligible. Usually this would entail a two year wait and a follow-on C&P to make sure he wasn’t faking it. His preparation was total and his reasoning  so flawless they put up no resistance. This is the essence of the theme of the asknod book. This is his take on it in his own words:

The value to them of seeing another success story, even if it isn’t a Hep victory, should give hope to many guys like me who see that 85% turndown stat you often remark about, and perhaps receive a jolt of inspiration and say to themselves-“if this guy can do it by himself and if he says he learned practically everything he needed from AskNod, I can do it too”-then when month after month stacks up with no response from the VARO, he sees this and looks over his claim again, goes back out to your site with a new commitment to research every posting again to see if he’s missed anything, because that’s what I did and I taught myself the medical terminology necessary to prosecute my claim to the finish (still some left to do).  They really need to “Believe” that the hours spent night after night researching are well-spent in order to develop the attitude necessary to be successful. Those were agonizing days going up the long lane to the mailbox everyday at my buddy’s place, only to find it empty or filled with stuff for Larry. There has to be hope to keep doing this in the dark days and that’s why I think a story about a guy going from 0% to permanent and total TDIU in 25 months, might reach a few veterans who are on the precipice of giving up, who have put their claims in an envelope and put in on the top shelf of the closet and haven’t thought about it since.

       Without you arkhick50 would still exist and it would never have been necessary to unveil kanhick50, so with each of these victories you should take an internal bow and do an “aw shucks, I was just doing what came natural to me”.  

Trust me, kandohick50. I take an internal bow and congratulate all of you for your steely resolve. I might inspire you and others but you carry the water. The victory is wholly yours.

Seems like something is afoot in the backlog department. Perhaps this is the new VA where everyone’s a winner. Of course if you believe that, I’d like to invite you to join my local chapter of the Flat Earth Society. We meet monthly right on the edge of the known Earth down near Chehalis, Washington. The view is stupendous.  You can see China if you hold  a mirror under the edge. Now, without further ado, meet March Madness- Arkhick  Kanhick for all the marbles:

2013-04-12 2215582013-04-12 221558_22013-04-12 221558_32013-04-12 221558_4

I know a  lot of you by now are beginning to think this is disgustingly easy. I assure you it is not. Every one of the ladies and gentlemen who grace these pages has prepared long and hard. Ploughshares were abandoned. Spears and swords were sharpened. Long letters were written. Many hours were spent searching for the Holy Grail of winning claims. Here at asknod, it seems, more have found success than failure. Why that is becomes a study in perseverance. Every last one of you had the fire in your belly and none lost the zest for pursuing that which was your due. I’d call it anally compulsive disorder.  My electric and phone bills bear the scars as well. Between them and the book, it seems like money well-spent.

Nothing gives me more joy than getting these letters. Well, nothing other than the flush of victory that comes with the defeat of a common foe. Remember Janis Joplin’s famous Me and Bobbie McGee written by Kris Kristofferson?  Part of my inspiration for Win or Die comes from the seminal lyric “Freedom’s just another word for nothing left to lose.”  It neatly sums up the situation we face with a VA claim. With little or nothing left to lose, we, too, have only one option. Sadly 53 of our fraternity pass away every day before they attain it. 22 take their own lives daily in frustration-in no small measure due to the interminable delay they face waiting for meaningful help. None of this sways the hierarchy at the VA. Were I the VASEC, I would be mortified to be calling cadence  on this  march to the charnel house.

Arkhick50 represents the 36th in a line of padewans who have graduated to become Jedi Knights. I pray I live to see a hundred more prevail. I secretly hope I kill this bug and live to teach a thousand. I would hope that some of you will hear the calling and pay it forward for others less fortunate. Trust me when I say it is food for the soul the likes of which there is no other.

Some day, after the cure for HCV has quelled the spread and healed us all, this facet of the battle will cease. Unfortunately the injustice will still fester like gangrene until a sea change occurs in the thinking down in DC. Vets will get justice when our system reaches parity with the SSI model-and not before.

P.S. Small error here. I miscounted. Randy was #35, Robert #36 and Arkhick #37. Brainfog is a terrible thing to comprehend. I apologize. Too many wins in to short a period of time. I’m not accustomed to it.

1085169429-00

Do you have what it takes?

Posted in PTSD, Vietnam Disease Issues | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , | 6 Comments

HOW DO YOU FIX IT? MO’ MONEY, HONEY.

vt

Member Shawn emailed me this one. Priceless. How do you fix an intractable backlog that refuses to be tamed? Universal approval now with an audit later? No way, Jose. Mo’ money  for them suckers. About $27 billion more to be more precise. Man, if that don’t bring in 125-day, 98% on target by 2015, nothing will. What’s that? We said that in 09?  Well, we’re doubling down. We mean business.

Posted in VA BACKLOG, vA news | Tagged , , , , , , , | 5 Comments

GREEN vs. SHINSEKI–IT AIN’T ON “THE LIST”

For years we Vietnam Vets have been spanked on different cancers that were not on the list of approved Agent Orange diseases [38 CFR § 3.309(e)]. You could come down with it but somehow it always wasn’t on the magic list. Here, Gerald D. Green has come down with cancers of the upper throat and tonsil region. If you were inhaling AO into your lungs, this would be the first mucus lining to be struck. Next, the esophagus , the lungs ad nauseum. Apparently, according to VA, it only lodges in the lungs (if you were a non-smoker).

VA has “the List” and if you aren’t on it, you don’t get a seat in this restaurant. Period. Vets have fought this presumption for years with mixed success. Depending on which way the wind was blowing, you might win- but only on appeal with a dynamite nexus or two. No one has ever won where there was a clear finding that the National Academy of Sciences has stated there is a “negative correlation” meaning, of course that clinical data  (measured) had found no relationship. This is a medical “finding” and one that would be nigh on to impossible to overcome with just a simple nexus letter. Likewise, failing a favorable nod from the Institutes of Medicine that agrees with the disease as being listed, you claim is doomed.

I try to impress on you, as Vets, what a “holding” or “finding” is legally with the VA. It is a determination, pro or con, on any given piece of evidence and the conclusion arrived at by taking all the assembled evidence and recreating it like a plane crash. You’ve seen the TV shows about Pan Am’s Flight 800 where they reconstructed it, piece by piece in the empty hanger? Imagine your claim from Vietnam being built like this. If you don’t have enough pieces of airplane, you aren’t going to get the answer. Apparently, this happens to about 85% of you unlucky Vets. Once a finding or holding is arrived at, nothing short of  another legal expedition proving it is clearly and unmistakably erroneous will dislodge it. Nothing. Ever. Period. Forever. This is why you have to be so anally perfect in how you construct a claim.  There can’t be any “Oh, don’t worry about that. I’ll come back and fix it up later if they call me on it.” Bingo. You’re done.

As with any decision by the VARO or the BVA, you have to take the component pieces and view them independently as the Court did here. If the rear aileron is mounted on the  wing  and it is painfully obvious it doesn’t belong there, VA will nevertheless take the position that you are unqualified to make that assessment or “it cannot be said that it does or does not  belong there. Any conjecture would be speculative”. What the Court discovered  on close inspection was what  Mr, Green’s new mouthpiece was now parroting for the Jerrymeister. The NAS study the BVA cited to rebut and refute four nexuses by two doctors (treating) did not come to the conclusion they insisted it did.

Initially, the Secretary retorts that “such misstatements were the product of a benign misuse of terminology.”  Yet, these misstatements are not equivalent to inattentive spelling errors or misplaced adverbs as the Secretary’s argument seems to suggest. The Board clearly was under the impression, as it stated  twice, that the NAS reported that there is “no relationship” and that tonsil cancer is “not associated with” herbicide exposure. This impression is clearly erroneous because the  NAS actually determined there was not enough evidence to determine whether an  association existed, as explained in Appellant’s brief.

Appellant’s brief by Bryan Anderson. You have to love the ascerbic, dripping humor of “misplaced adverbs”.

According to the Board decision, Update 2008 “specifically opined that there is no relationship between a veteran’s exposure to herbicides, including Agent Orange, in the Republic of Vietnam and that veteran’s later developing, cancers of the tonsils.” R. at 16. However, as the Secretary concedes, the NAS actually found that cancers of the pharynx should be placed in the “Inadequate or Insufficient Evidence to Determine an Association” category because “available epidemiologic studies are of insufficient quality, consistency, or statistical power to permit a conclusion regarding the presence or absence of an association.” Update 2008, at 7;  see also Update 2008, at 211 (explaining that tonsil cancer is “grouped in the more general category of oral, nasal, and pharyngeal cancers” because of “the small number of [tonsil-cancer] cases diagnosed in the general population,” and noting that the three studies separately providing for tonsil-cancer cases “did not provide sufficient evidence to determine whether an association existed between exposure to the chemicals of interest and tonsil cancer”). Update 2008 also “strongly reiterate[d]” that VA “develop a strategy for evaluating tonsil cancer in Vietnam-era veterans” due to evidence that “suggests a potential association between the exposures in Vietnam and tonsil cancer.” Update 2008,  Accordingly, the Court finds that the Board clearly erred in finding that Update 2008 “specifically opined” that no nexus exists between tonsil cancer and exposure to Agent Orange

Judge Davis‘ brief- the one that counts. Now, I want you all to read the next sentence below. It sums up the essence of VA OGC jurisprudence. This is what purports to pass for cogent, reasoned thinking followed by putting the  legal mouth in gear and letting out the clutch in one smooth move like Exlax®:

The Secretary argues that this error is inconsequential because the Board used the report only to undermine the foundation of the doctors’s opinions–and thus their credibility–and did not use the report to outweigh the probative value of their conclusions.

Appellee’s brief

Out of the mouths of babes. As this happened at the Court and not down at Vermin Avenue NW, one has to wonder if someone forgot to proofread it. Perhaps Adobe 1.5 wasn’t up to the task. Allow me to paraphrase the above in case it’s meaning is camouflaged to any of you. I’ll write it in OGCspeak.

“I don’t see a problem here. So what if the Board and the RO purposefully misread the NAS article? He (the VLJ) was under orders to deny. We do whatever is necessary to denigrate perfectly good nexuses. Here, there were four and we were clearly in trouble. We tried to suborn a VA doctor into saying it was ‘less likely as not’ but we couldn’t get anyone to bite. Therefore we inflated the “finding” in the NAS gizmo and told the judge to run with it. He wasn’t trying to destroy the good doctors’ standing in the medical community- just their bogus, unfounded AO assertions. It’s not like he said they were wife-beaters or drunks. No harm, no foul. Right?”

Ronen Morris (appellee attorney for the OGC holding this bag)

Yep. That pretty much sums it up. I had a long talk this morning with our Maple syrup-swilling member Frank. He is utterly taken aback at the idea that VA would induce him into not filing in 2005 saying he was ineligible. He belatedly found out at a VA Anonymous meeting . You know. The one where each Vet stands up and says “Hi. I’m _____. I’ve been filing and losing now for 19 years (sober) with the DAV.” He was even more consumed with the perfidy of one of his physicians who actually opined for all of posterity to read that he (the doctor) was alarmed that old Frank might file against VA for wrongdoing and that he wasn’t going to say nuthin’ to nobody. Open mouth. Shoot foot. And it’s in writing in his VISTA records, no less.

Gerald got a good shake from Judge Davis here. He reversed rather than remanded because once again the VA couldn’t play fair. If they were so dead set against giving Mr. Greenski any boulevard bucks they should have found someone for thirty pieces of silver. Surely there was some down-on-his-luck proctologist willing to become an instant otolaryngologist with a minor in toxicology? Considering they had spent untold quantities of taxpayer dollars defending the VA’s good name up to this point, it was a given they were going to need a fallback position if things went south. It did and they didn’t. The rest will be history.

Let this be a lesson every time they tout their 86% accuracy rating in claims. This wasn’t just a “misplaced adverb”  as Jerry’s rainmaker Bryan Anderson put it. This was some serious misconstruing. I see with interest that Judge Davis chose Caluza to enunciate the Golden Triangle rather than Shedden or Hickson. Good form.

Because this is a new decision, you can reach it now by going here. Click on the last little blue doomoflotchie at the bottom where it says Memorandum decision. Great reading.

In the future, after this is archived, you will only be able to reach it by going to search for decisions and enter 11-2053. It will be Green (Gerald D.)v. Shinseki 2011

imagesDa Judge.

Reversals are so much fun to read and you know the ending without having to watch the movie.

Posted in AO, CAVC Knowledge, CAVC ruling | Tagged , , , , , , , , , , , | 2 Comments

Early HCV detection in airmen’s stored blood (1948-1955) from a Wyoming AFB 1948-1955

Gina Kolata’s 1993 article in the NYT, Mysterious Epidemic Of Furtive Liver Virus, reports on work by Dr. Leonard Seeff, a VA (DC) doctor at that time. That led me to a 1999 article http://www.hepatitis-central.com/hcv/vets/1948.html Pubmed Abstract.  Full free article: http://annals.org/article.aspx?articleid=713225 45-Year Follow-up of Hepatitis C Virus Infection in Healthy Young Adults

We found that 0.2% of the 8568 participants were confirmed by RIBA 3.0 as being positive for HCV.

To our knowledge, we describe the earliest confirmed detection of HCV infection in the United States. Because the recruits were obviously not interviewed for potential risk factors, the sources of infection cannot be determined. Our results suggest that a low rate of HCV infection has been present in the United States for the past five decades, especially in military populations. Presumably, the rate in the general population began to increase in the 1960s along with parenteral drug abuse; this may account for the higher prevalence of HCV infection found in NHANES III. It is unknown why more African-American Air Force trainees than white Air Force trainees in our study were positive for HCV; however, this trend has also been seen in the recent NHANES III study. Also of note, all but 1 of the 11 persons in whom HCV RNA was detected were characterized as having genotype 1b; the remaining person could not be genotyped. This frequency of genotype 1b is higher than that currently found in the United States and other western countries (34). Although the reason for this prevalence is unknown, presumably genotype 1b was the predominant genotype when the original studies were conducted.

Gina Kolata followed up with Dr. Seeff (now at NIH) in a 2000 NYT article about the Wyoming HCV AF survivors.  http://www.nytimes.com/2000/04/11/science/old-blood-samples-offer-new-clues-to-a-medical-mystery.html?pagewanted=all&src=pm

From what I’ve been reading, HCV probably entered the Caribbean and US during the slave trade but it was transmitted inefficiently.

Posted in Guest authors, HCV Health, HCV Risks (documented), Interferon claims, Jetgun Claims evidence | Tagged , , , , , , , , , , , , , , , , | 2 Comments

HANOI JANE TO AMERICAN VETERANS: “GET A LIFE”

Ewwww. It makes you want to go wash your hands. I’m sorry, folks. Janebo is never going to float my boat unless I launch it in a urinal. Considering the stellar reputation her father enjoyed, how or why she would choose communism and being a traitor over good deeds and an illustrious career in Hollywood is unfathomable. So much talent wasted on self-indulgence and narcissistic pursuit of the camera lens. Too bad it was in downtown Hanoi, Janebo. You missed your calling. I guess I will “get a life” by foregoing The Butler.

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Posted in Complaints Department | Tagged , , , , , , , , , , , | 5 Comments

VA TENNIS: GAME, SET, …

This is one of those stories I have been itching to write. I have been waiting exactly six thousand nine hundred and thirty nine days. Due to the backlog in 1994, somehow this one got overlooked. I am fond of the Shakespearean verse from Richard III where he shouts “A horse! A horse!. My kingdom for a horse!” and the verse it spawned (or vice versa)

For want of a nail the shoe was lost.
For want of a shoe the horse was lost.
For want of a horse the rider was lost.
For want of a rider the message was lost.
For want of a message the battle was lost.
For want of a battle the kingdom was lost.
And all for the want of a horseshoe nail.

The modern day appendage to this is my 1994 claim for what I thought was Porphyria Cutanea Tarda (PCT), secondary to Hepatitis in service or from Agent Orange. For lack of a lawyer, the claim was lost.  VA can’t leave these things alone and immediately turned it into a claim for hepatitis and a claim for porphyria due strictly to AO. In relatively short order (seven months and seven days), they denied because there were no records in my SMRs of hepatitis and that I was never in Vietnam. At some point they had mailed me a C&P for a tinnitus exam and I missed it.

I dutifully filed my NOD and sent them evidence to rebut both the above. They received it and also issued a Statement Of the Case (SOC)  January 9th, 1995 admitting as much. I was chastised for missing my last C&P for tinnitus and rescheduled for February 8th. I attended that and sat back to wait. I became ill and gradually forgot about it. These matters take time. My AMVET told me so. Apparently there was a backlog in 1995- or not.

When I became far too ill to work any more in 2006, I refiled for the same three claims. My shiny new Military Order of the Purple Heart (MOPH) SO chose to use exactly what the VA had used so it would be a “reopening” of the 1994 claim. Thank You Bruce. Within three months VA had approved me for tinnitus but paid me back to 1994. Being stupid, I thought that was perfectly normal. That’s when they screwed up. If they’d just given me my new date of 2007, I’d be dumb and happy and wouldn’t be typing this.

When I prevailed on the hepatitis in 2008, I found it odd that I had won on the exact same 1994 evidence I resubmitted in the reopening. VA had not acknowledged I was in Vietnam until April of 2007 even though I sent them those very same records on December 2nd, 1994. I decided to fight. If they paid the tinnitus back to 1994, something was going on.

Just because you hold the winning cards and no one can dispute it, you still don’t own the gambling hall where you’re playing. The VA dealer can say “Sorry, bud. That’s a losing hand. You didn’t file your Form 9.” In order to verify it’s a losing hand, you have to know what the dealer is holding. You can’t just take his word for it. I requested my C-file to see who was funning whom. There, in black and white was the new and horribly material evidence I submitted that they admitted receiving and dated stamped December 7th, 1994- a day that will live in infamy. It was also the evidence they were now denying existed until 2007.

VA has no operations plan to describe what happened in 1994-95. The evidence in the file, called the EOR (evidence of record), is a record of what transpired-not what was supposed to have transpired. However, VA attempted to reconstruct the 1994 decision based on what should have happened if it had been done according to Hoyle. They looked at the SOC as having a cutoff date sixty days from the receipt of the SOC or, in the alternative, within one year of the initial denial. VA  looked through the file and saw no further correspondence or activity after my tinnitus C&P in February and simply forgot about it. Case closed. Claimant forgot to perfect appeal. This was explanation number one. If you ignore the evidence prior to the SOC, you can come to this conclusion. Since VA said the decision was based on all the EOR, something was amiss.

When I was finally granted my PCT claim five months later, VA short sheeted me once again and refused to revisit 1994. This time the Decision Review Officer (DRO) freely admitted (and contradicted the denial rationale of the hepatitis claim) they had indeed received the new evidence of duty in Vietnam. No mention of any hepatitis records submitted, mind you. That was another subject. Stay with us, Mr. Nod. This is very confusing.  This evidence did not prove I had PCT according to them. It merely proved I was there.  Explanation #2  was to say that if… IF…I had sent in my Form 9 in time, they would have mailed me a Supplemental SOC continuing the denial even though my service in Vietnam (and presumptive exposure)was conceded. This lovely explanation failed to take into account that they never acknowledged I was there (in Vietnam) until April 2007.  

Last but not least,  a third explanation was proffered. Yes we paid you back to 1994 for tinnitus because your claim was still open and there was some “disagreement” about the terms. However, do not confuse the Tinnitus claim with the Hepatitis or PCT claim because Tinnitus was a separate claim and had nothing to do with the other two. This explanation, too, fell flat because it doesn’t explain why they didn’t pay me the $85/month for another thirteen years. When you lie, you have to have a perfect timeline. You need to have the same rater doing the claim so his excuse or lie is going to dovetail in with the prior tale he was weaving. Here, you have three different authors with three different stories as to how 1994 went down. The dichotomy is so glaring that the proper procedure is to bring out the bowl and wash your hands of the whole affair like Pontius Pilate.

The die was cast. VA refused to budge. Since they controlled the RO and the wallet, there was no more argument. I went the extra mile on a DRO review to boot on all three claims thinking this was the ticket to a rational, intelligent individual who could sort it out. Wrong. No one could see or admit the presence of the submitted evidence in 1994. Or, if they did, it was to say it was not probative. What was never discussed was that by the act of submitting the evidence, a new decision was required as mentioned in the 1995 SOC.  If you anally pursue the lack of a Form 9, you can divert attention to the want of that horseshoe nail. Eventually someone has to acknowledge that the shoe was never nailed on in the first place.

Fully confident in my verbal abilities, I had a Board hearing face-to-face for  an hour and forty minutes and felt I had finally removed the cobwebs and resolved the confusion. The Veterans Law Judge merely rubber-stamped the RO decision and carefully avoided the tarbaby of the  Pearl Harbor Day evidence. How long they thought they could skirt this issue and refuse to discuss it and the pertinence to 38 CFR §3.156(b) and/or (c) was predicated on their assumption that I would abandon it. VA counts on this. VA depends on this. This is why you have to keep that Win or Die mentality about you. Hold your cards and don’t fold. Call the pit boss over to look at your hand again. Have him tell you the dealer is right. Get it on paper.

VA is loathe to pay out old, large settlements. How much is a large one? Probably over $25,000 dollars these days. Ever since they were forced by the MOPH to rescind the Exorbitant Awards Program in 2008, VA has been communicating these on back channels to avoid appearances of impropriety. My settlement, based on medical evidence well-documented, is on the order of 20% for Hepatitis under the older, more permissible Diagnostic Code 7345, 40% for Porphyria and 10% for tinnitus. I have a CUE claim in for  PCT scarring (10%) which VA rescinded to 0% after issuing the 40% Porphyria grant. 40%+20%+10%+10% in VA math is 60%. Multiply that for 237 months and VA gets green around the gills. This, then is the crux of the problem. It was what prevented them from striking a bargain earlier. Had I folded, this crossroads would never have been reached.

VA was not even inclined to even meet my attorney halfway in October. They ignored our appellant’s brief and opposed a motion for oral briefing. Suddenly,  four years into my appeal, they had a change of heart. After a month of trying to find a politically correct way of telling the VLJ he made an error, we have progressed to this.

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So, after six years from filing, the hamster wheel is still spinning merrily along. I estimate  several months to get any response out of the VLJ. After that, another six month delay in finding suitable mailing arrangements to get the eight-volume C- file back to Seattle. Then we begin the much anticipated Fenderson rating where VA will attempt to claim they have no records whatsoever of my health in 1994 and  give me the 0%  ice creme cone with no ice creme in, on, or near it. After a suitable number of years , we’ll probably be back at the BVA or the Court to argue the correct percentages all over again.

I know many of you do not have Tiger blood in you. The HCV saps it out of you. That’s why I took point on this one. VA kindled a fire in me that cannot be quenched. They gave me the Tim Poe/Dr. Phil treatment. They said I was never there. They said I was a liar.

You do not know how hurtful those words are. You cannot know that I had to curb my words over my 1989 filing because I had signed non-disclosure agreements after my service in Laos. I kept my pledge in 1994 as well by only filing the records needed to substantiate my claim. VA chose not to recognize it or ignored it. They did finally acknowledge it in 2007 but abruptly changed their story yet again in 2009. Perhaps you can see some of my anger when I write of someone who engages in stolen valour. I can’t even get my legitimate service acknowledged and here are bozos running around with upside down medals getting free meals at Mickey D’s. I don’t want fame. I don’t want medals. I want compensation I filed for.

Now, with not the least hesitation, VA has reversed course. No “We regret we made a mistake in 1994, sir.” is forthcoming.  No “The miscreants at the RO will be drawn and quartered and fed to the dogs at first light.” will ever pass their lips. There is no rhyme or reason for this on its face. It’s akin to that old Neil Young song The Last Trip to Tulsa during his LSD days:

Well, I used to be asleep
you know
With blankets on my bed.
I stayed there for a while
‘Til they discovered I was dead.
The coroner was friendly
And I liked him quite a lot.
If I hadn’t ‘ve been a woman
I guess I’d never have been caught.
They gave me back my house and car
And nothing more was said.

And that, inevitably, is what will happen here. The question is how much longer will they  continue and will they tire of this game? Given the statistics, I’m liable to be dead before this is completed.

Currently, fifty three Veterans perish every day while waiting for benefits earned and due.

That pencils out to slightly more than two Veterans per hour. If more Americans were aware of this horrible statistic, it would create an uproar. Or would it?

YOU REPORT

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