UNEMPLOYMENT = STDs

Member Mark sends us this daisy. The meat is towards the bottom.

After HPV, in order of magnitude, according to the study, new STIs in the U.S. in 2008 included 2,860,000 new Chlamydia infections; 1,090,000 new Trichomoniasis infections; 820,000 new Gonorrhea infections; 776,000 new Herpes Simplex Virus Type 2 (HSV-2) infections; 55,400 new syphilis infections; 41,400 new HIV infections; and 19,000 new Hepatitis B infections.

Sounds like a VA study, doesn’t it? Ignore the latest holding from the CDC that HCV is now (finally) considered a sexually transmitted disease? A good study encompasses all data that can be assimilated. Perhaps there was no way to discern the path of infection so it was discounted. Were that so, how do we reconcile the HIV data?

Mark, by the way, had his C&P Tuesday for an increase on the initial ratings insult he got when he won his claim. As is VA’s wont, they hired a proctologist for the C&P to probe around where only proctologists like to poke and probe. He did a miserable job trying to pretend any knowledge of gastroenterology.  How this will relate to Mark’s HCV Fenderson staged ratings game is any Vet’s guess. Had he been a podiatrist, he would have examined his feet and toes for signs of HCV. Mark didn’t say but I wonder if they did the wooden stick and say ahhhh thing. I wonder who they’ll hire for his DM2 exam? A  psychiatrist, perhaps.

It took everything I had to not jump over the desk and kick that doctors ass, right away he down played my symptoms… this is the guy that called me a drug addict 10 years ago.

As you can gather, Mark has been fighting in the trenches with VA for a while. We know we’ll get him to 100%. That isn’t in doubt. The question is- will they play chess with him for 5 years before they sacrifice the queen and finally concede checkmate? Stay tuned to Mark TV. He’s one of my oldest “Vets” I’ve worked with in terms of years spent. There certainly isn’t anything finer than the smell of Napalm down at 810 Vermin Ave. NW in the morning.

If proctological poking is what it takes, so be it. The way I figure it, Mark, is after you win, publish his name and VA telephone number in the Gay and Lesbian Weekly in San Francisco. What’s fair in love is fair in war (or shortly thereafter).  It is absolutely essential that you keep your sense of humor intact. Remember, April Fool’s is coming up…

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Cure for depression

Posted in HCV Health, HCV Risks (documented), Uncategorized | Tagged , , , , , , , , , , , , , , | 1 Comment

CAVC–SHEPARD V. SHINSEKI–UNDERSTANDING 3.156(C) FOR FUN AND PROFIT

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When looking for good cases to read these days, one looks for the word reversal.Even then it isn’t always the shiny nugget in the bottom of the pan. In the absence of the dreaded ” vacated and remanded for reasons and bases and proper application of 38 C.F.R. §…”, a reversal can be innocuous and simply direct the BVA to form a better noose because the original one the RO  fashioned was amateurish. The single judge case of Mr. Robert A.  Shepard is one of the former.

The only things more exciting than reversals are CUE claims like Leroy Macklem’s. What the hey. If the ol’ boy is named Leroy, right off the bat you know it’s going to be a good yarn. The Robertmeister served honorably aboard the USS Guardfish, a submarine, from 1972 to 74. In April 73, they had what the Navy would probably characterize as a “fuel spill”. Just for the record, on a nuclear-powered submarine, there isn’t a gas tank. Thus “fuel spill” connotes the spilling of some atoms. How many was never mentioned but that isn’t the crux of the matter.

The repair order was to lock everyone up in a forward compartment for a day and scare the bejesus out of them. They succeeded. Bob was never the same again and eventually was discharged for claustrophobia. Truth be told, if you put me in a paper towel roll and took me underwater in it, I might not be too tightly wrapped afterwards even if they didn’t spill any atoms.

Mr. Shepard realized he had a problem but had no specific name for it. Alas, PTSD wouldn’t be invented for several more years. His VARO gave it the Rubik’s cube treatment but they couldn’t grant. In essence they “couldn’t weave a web” between 1973 and 1980. Basically, Bob lost because he didn’t have a nexus. This was 14 years before Mario began his epic journey to Indiana Ave. NW and judicial fame and posterity. Like most of us, the Bobster didn’t appeal and the claim was put to rest.

In 1999, armed with the sure knowledge that he had been damaged during service, Mr. Shepard correctly filed for PTSD this time. After four-plus years of fighting, he was awarded service connection. As usual, just to be vindictive, VA gave him an effective date of 1999. No effort was made to investigate the manner and content of the new evidence that carried the day. Had they bothered to read the recent Cline precedent, this would never have happened. Hogwash. Of course it would have. VA is not going to sandbag their 2013 Karaoke fund by paying out oodles of money to every Tom, Dick and Harry who got screwed in 1980. When caught, they crank up the post-hoc rationalization generator and fashion a credible smokescreen.

 At some point, three documents at issue in this appeal were added to the claims file: (1) a June 29, 2001, record from the Department of the Army, U.S. Armed Services Center for Research of Unit Records, confirming the incident aboard the U.S.S. Guardfish, and stating that command histories could not be provided due to the U.S.S. Guardfish being a nuclear submarine (see R. at490); (2) a May 18, 2001, letter from the Department of the Navy, confirming the incident aboard the U.S.S. Guardfish; and (3) a 1973 “Record of Occupational Exposure to Ionizing Radiation” recording the amount of radiation detected on Mr. Shepard . VA granted the claim in 2004, effective as of December 1999, on the basis that the “evidence establishe[d] that [Mr. Shepard had] been diagnosed with [PTSD] which is shown to have resulted from a stressful event aboard a submarine in April 1973 which has been confirmed by the service department. . . . Service connection for [PTSD] has been established as directly related to military service.”

This was pre-§ 3.156(c) when the regulation was buried over in § 3.400(q). I doubt that would have made any difference. Bob figured (rightly) that he had filed for this in 1980. The records used to confirm his version were “service department records that have only now been associated with the file and are instrumental in proving the case”.

This arrived at the Court in 2009. The VASEC realized he had a hole in the USS Vermont Ave. and begged for a Joint Motion to Remand it back to the Board. The Court admonished him to make sure they gave § 3.156(c) the hairy eyeball when they did so. Nevertheless, after losing again, Mr. Bob showed up with another denial on his earlier effective date. This time out he missed the boat because he didn’t have the bent brain diagnosis in 1981. Nobody made an effort to ascertain just exactly what was wrong back then other than to say they couldn’t “weave that web”. Sure, the sub had a fuel spill as he said. And yes, everyone got a case of the Willies. Radiation badges were checked but brains weren’t. And that’s why Mr. Shepard was never going to see 1980 on his ratings sheet.

The Board reasoned that “[t]he evidence lacking in 1981 was not evidence that a stressor occurred, but, rather, was evidence that the Veteran had a current psychiatric disorder linked to his service. The Veteran’s account of a stressful incident in service was of record as of 1981, and was not in dispute at that time.” The Board determined that the radiation exposure log was of record in 1981 and that the information provided by the Department of the Army and Navy did not provide the basis for the grant of service connection because in 1981, “the element which was missing was a diagnosis of PTSD or medical opinion that the Veteran had a psychiatric disorder related to his service.”  

The Court is more than aware of the propensity of the VASEC and his honchos at OGC to answer a question with another question or simply just answer another question that was never asked. They are good at it. In my BVA decision, they said “appellant never submitted any new evidence after the SOC was issued therefore the claim was closed.” What they failed to mention is that I supplied this new evidence at the time I filed my NOD a month prior. It was in the record and they knew it. This VA art form allows all manner of lying to occur because they manipulate the calendar to fit their facts. Here, it backfired. The Court has seen this so many times it’s more passé than the homework consumed by Fido.

Here, the Court concludes that, as previously conceded by the Secretary, and as noted by the Court, the 2004 grant of service connection was based, at least in part, on the additional service department records. Even assuming that the Board was free to ignore the Court and Secretary’s prior determinations, for several reasons, the Board’s determination that the 2004 grant of service connection was not based in whole or in part on service department records cannot withstand scrutiny. First, although the Board took great pains to assert that in 1981, the RO conceded that Mr. Shepard’s stressor was confirmed, the 1981 RO decision made no such concession. Even if it had, § 3.156(c) is not predicated on the bases of the previous denial in 1981; rather, its application hinges on whether service department records formed the basis for the ultimate grant of service connection in 2004.

Have you ever watched an old Western where the fancy gambler dude is spinning three cards around like walnuts and saying “keep you eye on the magic card”? You never win this Monte game. When the VASEC deals it up you never do either… unless you have a good attorney or the Court knows of your prior tendencies to strrreeeetchhh the truth.

VA has built the perfect defense around their circled wagons. The only problem is the wagons aren’t circled so much as they are squared up-and poorly at that. VASEC’s krewe  is busy building an elaborate case of §3.156(c) being considered in the context of 1981 when it should be the focus in 2004. PTSD, much like Hepatitis C virus, did not exist in 1973 or 1980, so that avenue of service connection is closed. If you cannot “weave the web” in 1981, how is it that you claim you did in 2004?

To that extent, by 2000, the RO clearly had its doubts as to whether Mr. Shepard’s claimed stressor had occurred. In the 2000 rating decision, the RO expressly stated that the claim was being denied because Mr. Shepard’s stressor could not be confirmed based on the available evidence.  Moreover, the author of a 2001 deferred rating decision hand wrote: “Vet. needs to submit documentation of the alleged in service stressor.”  A March 2001 VA letter to Mr.Shepard provided in accordance with the Veterans Claims Assistance Act of 2000, in a section titled,”What Information or Evidence Do We Still Need From You?” expressly stated: “Need to submit documentation of the alleged in service stressor.” And once service department records were associated with the claims file, the RO decision ultimately granted service connection, stating that the “stressful event aboard a submarine . . . has been confirmed by the service department.”

I think what the new VBMS computer will need to have is a truth scanner to spot these problems before they go to the Court. Think how much money could be saved. The one thing VA is good at is post-hoc rationalization. Because they were (and are) such poor records keepers, they really don’t know exactly what happened in 1981. What they do  have is the sure knowledge of how they would approach it in 2013. They then extrapolate backwards and theorize what should have happened and merrily write it down. This is the new, improved, “will pass the smell test” denial technique. It works every time like a charm unless you appeal. Then, like a cheap WalMart sweater, it unravels and is revealed for what it is- a poorly reasoned untruth. Sadly, you do not need 30 years of jurisprudence to see through this thinly-veiled mistruth. A twenty-something mother of three could figure this out while cooking breakfast and sorting the laundry. What I wouldn’t give to be a fly on the wall up at the Big House.

Alan: Eric just showed up with another one of his faery tales on 3.156(c).

Bruce:  Is that guy dense or what? I thought we had that all sorted out with Cline and Mayhue.

Mary: We did, but he’s in denial. He refuses to take “no” for what it means.

What makes Mr. Shepard’s case noteworthy was his first JMR in 2009. At that point the VA law dogs would have been money ahead to pull the curtain handle above their heads and punch out. Instead, they invited the Veterans law Judge back and had a barbecue and good old-fashioned Texas necktie party all over again. What were they smoking? Eric promised the judges he’d do right by old Bob and he screwed him all over again.  I think what would have been amazing would have been if they tolerated this behavior and merely vacated and remanded it. This has all the hallmarks of “Shut up. Sit down and listen. Read your regulations and quit wasting our time.”

Occasionally these guys find a hole in the fence and escape off the reservation. When that happens all manner of legal shenanigans are liable to ensue. It’s like Greek night at a big University in October-lots of soap suds in the fountain and a toga sheet wrapped around the statue in front of Administration. The urge to go back and “fix” the record to fit the circumstances is almost stronger than Man’s biological urge.

 With regard to the only document at issue that clearly was in existence at the time of the 1981 decision (i.e., the 1973 radiation log), there appears to be some dispute as to when it was associated with the claims file. The Board stated that it was in the record at the time of the 1981 decision, but the Secretary previously stated that it was not. 

OMG! This is exactly not what you want to happen when you get to Court. If it were you, me or our leagle beagle, we’d be in mega-deep doo doo.  Here, the Court coolly makes the observation that it might behoove the actors in this tragi-comedy to start reading from the same script because it spoils the play for the paying audience.

The smart money says Mr. Shepard is going to be driving a really, really nice new car about this time next year. The Las Vegas line on Eric is 70/1 on a no show this summer followed closely by Hickey in place or show.

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Sheppard reversal.

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

TRANSJUGULAR LIVER BIOPSY

Sounds like something out of a Dracula movie. On Tuesday, I went in for the Earl
Schieb $99.95 standard core needle biopsy and discovered that my blood is stuck on stupid. After abstaining from Coumadin blood thinner for a week, my INR had only sunk down to 1.5. The cuttoff for this is 1.3 so I opted to go back yesterday afternoon and do the transjugular version.

While the doctor said it’s much safer, I have to wonder how stuffing a soda pop straw all the way from the neck to the liver and sticking in something that looks like my TR-6 speedometer cable with a needle on the end of it is somehow advisable. In the interest of killing this bug, I’d probably do even more.

After waking up, they made me stay for another three hours. Cupcake and I arrived home about 2000 hrs local PDT. This morning, I had to get up early for a radio show on SVR with the Hadit.com crew. About 1.1 seconds after I woke, my neck informed me about the recent medical procedure.

How many of you remember Jolt Cola? I believe it came out in the early 80s. I had a girlfriend that could (and did) chung an ice-cold one every morning when she got up before even starting the coffee. That’s the 120 volt jolt my body delivered when I awoke. I can safely say I’m going to be turning my whole body around when someone asks me a question today. To add insult, they suggest I not eat anything to kill the pain so that it won’t mask any symptoms of liver leakage.

I will agree with the doctor that this may be safer under my circumstances, but the hole in the side wasn’t this obnoxious back in 2007.

imagesI had occasion to talk to a fellow hepper named Diane Cauchi who had the identical same procedure several weeks ago. This was the first I had heard of it. I bemoaned the fact that they weren’t offering it to me. I got my wish. I feel like Lurch from the Addams Family with an electrode sticking out of my neck.

Posted in HCV Health | Tagged , , , , , , , , , , , , , , , | 3 Comments

FACEPAGE AROUND THE WORLD IN 8 SECONDS

Intriguing shots from all over the world today.

The one that didn't get away

The one that didn’t get away in Sao Paulo , Brazil this afternoon

Fishing this spring in Fargo, North Dakota

Fishing this morning in Fargo, North Dakota

EBE

Several hundred klics from Cairo (EBE)

EBE

Sea World in Nairobi

 Petting Zoo-Sea World  in Nairobi, Kenya  this AM

 Kangaroo trained to do shrimp on the Barby In Canberra. Australia

Trained kangaroo doing shrimp on the Barby In Canberra. Australia yesterday evening

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

THE SWEET SMELL OF VENISON

Member and no doubt former hunter Randy sends me this. I love it.

REDNECK LENT

Each Friday night after work, old  Korean “Misunderstanding” Vet Bubba would fire up his outdoor grill and cook a venison steak. But, all of Bubba’s neighbors were true “Friday” Catholics…and since it was Lent, they were forbidden from eating meat on Friday.The delicious aroma from the grilled venison steaks was causing such a problem for the Catholic faithful that they finally talked to their priest.

The Priest came to visit Bubba, and suggested that he become a Catholic. After several classes and much study, Bubba attended Mass…and as the priest sprinkled holy water over him, he said, “You were born a Baptist, and raised a Baptist, but now you are a Catholic.”

Bubba’s neighbors were greatly relieved, until the first Friday night arrived, and the wonderful aroma of grilled venison filled the neighborhood once again. The neighbors called the Priest immediately, and, as he rushed into Bubba’s yard, clutching a rosary and prepared to scold him, he stopped and watched in amazement.

There stood Bubba, clutching a small bottle of holy water which he carefully sprinkled over the grilling meat and chanted: “You wuz born a deer, you wuz raised a deer, but now you is a catfish.”

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

MAPLE SYRUP FRANK SEZ…

Member and loyal American Vet Frank from the luckiest Vet state (now) in the Union sends us this little bedtime story about the land of the 125-days and nights.

Okay, all together. Click your heels together thrice and say “I believe. I believe. I believe.”

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

STARDUST KISS AND TELL

So, for all you lucky listeners, you now know who’s behind the curtain. Please, I beg of you, do not use my name here. There will be a time and a place for my coming out party but now is most definitely not a propitious  time . I have no desire to queer the deal being fashioned at the CAVC between counsel for the appellant (moi) and the Appellee (Eric the Red)

Thank you very much to the callers who asked us the questions about my parrot Buddy (Budette?) and the interesting one about keeping your hand in at the VAMC.

Mr. Bird

I have a rather jaded view of the medical system there. My Personal Care Physician (PCP) is very dedicated to his job. He moved here from Louisiana and loves the Northwest. Who couldn’t love it? In addition, Dr. Scott Daigle is kind and caring. What he isn’t is able to remember me when he sees me and say, “Yo-bubba. How they hanging?” I get the same glassy-eyed stare with a final recognition several minutes into it with the “Shoot! Now I remember you. Two years in-country. AO Porphyria. GSW right leg. Right? Got it.” Usually that’s followed by ” So what can I do for you today?” Well, seeing’s how the VA asks me to come in every once in a while, piss in a bottle to make sure I’m not a crackhead and takes a few blood samples, my guess is you’re going to tell me, Doctor. He forgets 100% disabled folk like us are entitled -nay- encouraged to come in frequently as the caller stated. It does give VA an eyes-on moment to make sure you’re not going to fly to New York for the 25 K Marathon and Fun run. Make no mistake about it. VA has gone dumpster diving in Veterans’ c-files who are six months away from a truly protected rating (twenty years) and taken back something to prevent them from keeping a 100%er. Vindictive is too mild a word to describe it. Look at all your VISTA Consult notes and at the beginning they start out with W/A (well attired) and NAD (no apparent distress). Some are obnoxious and say things like Veteran appears to be well-tanned and fit. You could look like Cousin Fester and they’d say that.

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Lastly, I wish I’d had a chance to interject this at the end of the hour. When Undersecretary For Excuses Allison Hickey was busy moonwalking the backlog argument past the Congressmen, I had one of those “moments” and busted out laughing. It would be the same if Col. Sanders was giving a speech to a Colosseum full of chickens. I honestly think she expected them to give her a standing ovation at the end, too.

I googled her name on Google Images and came up with every picture ever taken of her from the Academy through to now. I think she looks more authoritarian with the original auburn hair. You just know she’s the brunt of every blonde joke that comes down the pike.

You be the judge:

I wouldn't trust her in my cockpit but at least she looks natural here

I wouldn’t trust her in my cockpit but at least she looks natural here

Workable but we know redheads can be unreasonable

Workable but we know redheads can be unreasonable

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Did you hear the one about the blonde Undersecretary for Benefits…

I’m wondering how I’m going to explain this to Cupcake. Fortunately she’s in her Mediterranean mode (black hair) so I get to dodge that bullet for now. Mark this page. You heard it here. If Brig. Gen. Hickey suddenly goes back to auburn soon, you’ll know she’s reading this. Either that or she’s going to do it to be incognito at the next HVAC barbecue up on Capitol Hill.

 

 

Posted in Stardust Radio | Tagged , , , , , , , , | Leave a comment

HAL–OPEN THE POD BAY DOOR

Of course, when you ask HAL, You have to more specific about which pod bay- especially if you’re talking 296 pod bays. Space, as usual. is at a premium due to VA’s recalcitrance on the ILP front. And yes, there is still no room to sit down and turn around in. I’m working on that.

garden stuff 024

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BVA–ANOTHER TIM POE COMES TO LIGHT

FROM THE JOHN WAYNE

 MEMORIAL VARO IN LA

This is becoming distressingly familiar as Vets grow old and die. The spouse, based on what the Vet has told her, decides to file for the panoply of Agent Orange presumptives and the VA has the unenviable task of telling her he was lying. Mr. Poe had to sit and admit it while alive. This poor lady has to hear he was a cook at Fort Polk during his whole enlistment.

Of course, what he told her was something entirely different…

The appellant submitted her notice of disagreement in November 2007. She said the Veteran told her on many occasions that he was medivaced from Vietnam. She submitted a statement from the Veteran’s sister, B.R., in January 2008. The Veteran’s sister said she remembered when the Veteran left the country and was medivaced home from Vietnam. He was in bad condition and had problems adjusting to a normal life. She did not provide any dates for the Veteran’s service in her statement. She did not say why the Veteran was medivaced back from Vietnam. The appellant submitted her own statement reiterating her belief that the Veteran served in Vietnam and that she should receive benefits.

The appellant perfected her appeal in April 2009. She again maintained that the Veteran’s family said he had served in Vietnam. She also said he died from service-connected causes.

The appellant testified at a Travel Board hearing in January 2011. At that time she asked that the hearing record be kept open for 30 or 60 days to allow her to obtain additional medical evidence and to attempt to obtain the Veteran’s service records if VA was unable to get them. The record was held open for 60 days for the appellant to submit additional medical evidence; however, the appellant did not submit any additional evidence.

In her testimony the appellant said the Veteran told her he was a tunnel rat in Vietnam. He was given the assignment because of his small size. She said he would have nightmares at night and cold sweats. It was acknowledged that the Veteran’s DD 214 did not reflect any foreign service. The Veterans Law Judge agreed that additional military records would be sought in the case to determine if the Veteran did have service in Vietnam. It was also noted that the sister who gave the prior statement was now deceased.  

The Board remanded the case to obtain the Veteran’s military records to show his assignments in service in July 2011. The remand instructed that the Veteran’s military personnel records should be requested. The Appeals Management Center (AMC) conducted the required development.

The Veteran’s DA Form 20, Enlisted Qualification Record, was received in August 2011. The records show the Veteran’s period of service as from June 1972 to June 1974. He received his basic training and training as a cook at Fort Polk and was assigned to that base for the entirety of his military service. This evidence is supportive of the STR record that noted, as of April 1974, the Veteran had been stationed at Fort Polk for 22 months.

I find this sad for all concerned. Everyone would like to think of their loved one as honest and truthful in all things. Occasionally that isn’t enough to satisfy one’s ego and they feel compelled to embellish. That’s okay if the military record can support it. This old boy led his wife to believe he was entitled and thus she was too. She had to find out the hard way that he misrepresented himself.

An ounce of preparation might have prevented this. A perusal of a DD 214 or the military records would have put paid to it before an extended and massive investment of time was squandered. This lady took it upon herself to file in March of 2007 to right a wrong. Six long years later she gets the bitchslap from the grave. Gee. Thanks, guy. I believed you and now this? I hate to think how many of these happen every year.

Son of Tunnel Rat

Son of Tunnel Rat

Trust, but verify. Ask yourself: Where’s the medals? Why no claim while he was alive? What was he waiting for? All these queshuns.

Posted in BvA HCV decisions, Vietnam Disease Issues, Vietnam War history | Tagged , , , , , , , , , , , , , , , , | 2 Comments

BVA– NO HCV IN SERVICE/ GONORRHEA? YOU DIDN’T ASK US TO LOOK AT IT

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Brilliant work on the AMLeg’s part. Here  Johnny Rebel files for hep and claims he had it in service. The records are blank. He also filed for “infertility”  due to a case of the clap in Korea.

AMLEG fails to help him build the hep in service= hep today Shedden#3  connection. And then they leave him hanging on the gonorrhea as an infertility issue. What no one does is connect the gonorrhea to the hepatitis and say “Risk Factor!” The blind leading the blind is an apt metaphor.

Here Johnny is  clearly able to prove he had the clap and no one takes the direct path to connect it. The old Field Of Claims adage I recite is “If you don’t build it, they won’t come.  AmLeg left this one on the table without even looking at the correlation. Smooth move, Mr. Exlax. In an effort to save 20% of his claim from a scurrilous lawyer, he utilized cheapo depot lawhelpdot com and got what he didn’t pay for-no justice.

This is why we use lawdogs if we are not suitably educated on this. Johhny’s failure to make any effort to research exactly what can cause HCV was a mistake of untold financial implications. Hiring the AMLEG chucklehead put paid to any hope of SC for anything here. So close but yet so far. He had it in his hands and managed to put the eggs in two separate baskets. Add no preparation and no doctor; neglect a nexus and shake well. Serve chilled outside the SSI office.

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Posted in BvA HCV decisions | Tagged , , , , , , , , , , , , , , , , , , , , | 2 Comments