CATHOLIC PRIESTS

Be all you can be Tom has this winner:

 A priest was invited to attend a house party.
Naturally, he was properly dressed and wearing his Priest’s Collar.

A little boy kept staring at him the entire evening.

Finally, the priest asked the little boy what he was staring at.
The little boy pointed to the priest’s neck.

When the priest finally realized what the boy was pointing at, he asked him

“Do you know why I am wearing that?”

The boy tentatively nodded his head yes, and asked
“Because it kills fleas and ticks for up to three months?” 

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TWO OLD ARMY BUDDIES

From the joke king in south Pierce County who knows where all the good tattoo parlors are in Da Nang (Tombo)…

Russ and Sam, two older Vietnam survivors, met in the park every day to feed the pigeons, watch the squirrels and discuss the world’s problems.

One day Russ didn’t show up. Sam didn’t think much about it and figured maybe he had a cold or something. But after Russ hadn’t shown up for a week or so, Sam really became worried. However, since the only time they ever got together was at the park, Sam didn’t know where Russ lived, so he was unable to find out what had happened to him.

A month or more passed, and Sam figured he had seen the last of Russ. There had been no mention in the obituaries either. Sam approached the park that morning and — lo and behold — there sat Russ in perfect health!

Sam was very excited and happy to see him and told him  as much.  Nevertheless, he couldn’t refrain from expressing his concern.

“For crying out loud Russ, what in the world happened to you?”

Russ confessed that he’d been in jail.

“Jail? For what? Old parking tickets?”

“Well,” Russ said, “you know Candy, that cute little blonde waitress at the coffee shop where we sometimes go?”

“Sam allowed as how he knew “Eye-Candy” as they called her.

“Well,  last month she filed rape charges against me. Being 89 years old and a ground pounder, I was so proud that when I got into court, I pled guilty”.

“It backfired on me. The judge wasn’t buying it and gave me 30 days for perjury.” 

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CAVC–RICKETT v. SHINSEKI–EQUITABLE TOLLING

thumb_d10d7a64-04ab-4462-9561-19cb885ef6d9Every decade, it seems the Court has to restate their position on some facet of VA law. Here, it’s the confusing tapestry of decisions coming down from the Fed. Circuit that seems to confuse the Court again and again. Each time they rule, the Court has to revamp their jurisprudence to comport with the new interpretation. From reading this decision, you can see the long, tortured path we have traveled to get where we are today.

The VA, in the past, has been anything but forthcoming about handling grammatically and verbally challenged pro se Vets who, for whatever reason, sent their appeals off to the wrong address and were summarily prevented from pursuing an appeal. This went on for years after the inception of the VJRA in 1988. Most Vets might be excused as they have no legal training. VA didn’t agree. If you mailed your Form 9 to the BVA, it might end up just about anywhere. If you mailed your Notice of Appeal for CAVC review to the BVA or the RO, it would languish there for a magic number of days and only then be sent to the proper place. Of course this meant that your claim was dead in the water.

This happened for years until the Court started to see it was unjust to expect us to be lawyers. If you could prove you mailed it to a VA entity within the legal time limit, you suddenly were given a reprieve. This list of unique circumstances grew slowly. VA continued to send legitimate appeals to just about anywhere you can imagine but the CAVC. Sometimes a belated appeal arrived 125 days (five days late) to the Courts and they would unceremoniously drop it in the circular file under dismissed for tardiness.

You would think these folks would start reading the correspondence and get out the chicken bones to construe what it was you were trying to do. William Rickett here  arrived on the scene after a lot of this jurisprudence cleared up the proper procedure to follow when a pleading ended up at the wrong desk. The rocket boys at the BVA nevertheless shipped off what could only be construed as a legitimate (and timely) attempt to appeal his recent BVA denial back to his RO. There it was carefully wrapped in plastic to hide the stink and allowed to rot.

The facts:

 On November 5, 2008, the Board mailed to Mr. Rickett its decision and a standard Notice of Appellate Rights (NAR). As reflected by a U.S. Postal Service (USPS) postmark, on January 8, 2009, Mr. Rickett mailed to the “Office of General Counsel (022D)” a document that states:

Refer to (014A4)
William C. Rickett
[Social Security Number]
This is to inform you that I wish to appeal this to the Courts
Thank you
[signed William C. Rickett]

Pretty straight forward, huh? No big mystery here. Wrong address but not something that could not be corrected with a 44¢ stamp and a helping hand. But nooooooooooo, the legally trained bozos down at Vermin Ave. saw a golden opportunity to file this under  Return to  VARO- Intentions unknown.

The document reflects a VA date stamp of January 26, 2009, and at some point it was forwarded to the VA regional office(RO) in Waco, Texas, which received the document on February 19, 2009. See PR at 3. The RO stamped it “appeals” and placed it in a locked cabinet where Board decision files are held – to maintain their integrity pending possible appeal – for 150 days following a Board decision. PR at 1; see also April 26, 2012, Oral Argument Transcript at 33:30. On March 6, 2009, the 120-day period to file an appeal expired. See 38 U.S.C. § 7266(a). Upon receiving no response with regard to his appeal, on April 14, 2009, Mr. Rickett contacted the Court and recognized his error in sending his intent to appeal to OGC (022D). That day, he also mailed an NOA to the Court, attached a copy of his letter to OGC (022D), and explained his error. On July 28, 2009, the Secretary filed a motion to dismiss for untimely filing.  Rickett v. Shinseki 2013

Stop for a moment and think. VASEC and his minions have sandbagged Mr. Rickett on this and then they file to dismiss based on their mailing back to his RO and filing it in the  refrigerator that isn’t plugged in. Knowing spoilage would occur, they bided their time waiting. Nope. Nothing adversarial here. Just that good ol’ claimant-friendly environment in which to present our claims.

A bit of history now. We have been kicked off the bus for decades on this legal requirement. We are no longer in a nonadversarial process when we leave the VA reservation. The CAVC and the Fed.Circus are adversarial venues. You have dissed the VASEC and appealed. He takes off the gloves (if he was ever wearing any to begin with) and proceeds to demolish the legal reasoning for your claim. When the filing time limit has been involved, the CAVC always sided with him. It was 120 sunrises and sunsets and if you were calendar-challenged, that was all she wrote. Santana-Venegas  v. Principi 314 F.3d 1293, 1295 (Fed. Cir. 2002) , in some respects, was the first good case to reflect what Mr. Rickett was going through.

Santana-Venegas v. Principi, 314 F.3d 1293, 1295 (Fed. Cir. 2002), involved an NOA that was timely, yet misfiled at the RO from which the claim originated. Twenty days after the 120-day period expired, the RO informed the appellant that he had to file his NOA with the Court, and the appellant thereafter filed his NOA with the Court 21 days later. A single-judge order of this Court dismissed his appeal as untimely. Id. at 1295-96. In reversing, the Federal Circuit, inter alia, (1) reiterated that the due diligence requirement for equitable tolling was more relaxed when a pro se, prospective appellant timely misfiled a pleading, (2) again noted that internal VA policies governed the forwarding or return of misdirected mail, (3) held that a prospective appellant’s misfiling of an NOA with the RO from which the claim originated showed an intent to seek redress of the Secretary’s action and was not a garden variety claim of excusable neglect, and (4) further held, as a matter of law, that the misfiling of an NOA at the RO from which the claim originated constituted due diligence. Of note, the Federal Circuit’s decision is devoid of any implication or charge that the appellant had not filed with the Court promptly after learning he had misfiled his NOA.    Rickett supra

This seems pretty clear. Vet loses. Vet screws up and mails appeal to wrong address. VA promptly buries it. Court refuses to grant equitable tolling of the 120 day filing rule. Fed. Circus overrules and gives the Vet a break. Precedence is set, right? Well, not exactly. The Court was not going to take this bitch slap lightly. They proceeded to keep moving the goal posts.

Following Jaquay and Santana-Venegas, this Court was faced with a situation in Reed that involved a prospective appellant who mailed his NOA to “General Counsel (027)” approximately one month before the expiration of the 120-day appeal period, although (apparently as a result of mailing delays related to an anthrax scare) it was not received by the OGC until 9 days after the appeal period had expired, and was not forwarded by OGC and received by the Court for another 4 days. 17 Vet.App. at 381. The Court acknowledged that equitable tolling was permitted for NOA misfilings at the RO within the 120-day appeal period pursuant to Santana-Venegas, but held that Mr. Reed’s filing of an NOA at the OGC did not warrant similar treatment. The Court based that distinction on essentially four factors: (1) The OGC – unlike the RO – was an office”with which [the prospective appellant] had no familiarity,” (2) prospective appellants filing NOAs have moved from the nonadversarial VA administrative system to a Federal court with adversarial process, (3) the OGC had acted promptly in forwarding Mr. Reed’s NOA to the Court, and (4) Mr. Reed was warned in the NAR that filing with the OGC would not protect the right to appeal to the Court.   Rickett supra

Okay, I’ll bite on the anthrax scare. What is obvious is that our savior, the CAVC, is working hand-in-glove with the VASEC to read this in the light least favorable to a Vet  and especially Mr. Reed.  Gee, buddy. What were you thinking? You got this far and now you mailed it (accidentally) to the Office of General Counsel (OGC). Newsflash. The OGC has a fax machine. Next newsflash. The CAVC also has a fax machine. This isn’t 1876 and the Pony Express. Sadly, Mr. Reed didn’t appeal. Three days later,  the Feds decided Bailey (Edward) 351 F.3d at 1385.

The appellant in Bailey (Edward), through his state veterans service representative, mailed his NOA to the RO from which his claim originated within  the 120-day appeal period. Id. at 1383. After receiving no response from the RO for almost six months, the appellant submitted an NOA to the Court. Id. Although a single-judge decision of this Court found that the appellant – by using the wrong form and sending it to the wrong location – had not exercised due diligence to warrant equitable tolling, the Federal Circuit again found that filing the NOA with the RO from which the claim originated satisfied the due diligence requirement as a matter of law. Id. at 1385.

More specifically, the Federal Circuit found the errors in form and location of filing inapposite, stating that [a]s long as the veteran’s intention is clear and [VA] is put on notice of his intention to seek further review of his claim, an error in the form or in the office to which it is sent, or both, is not sufficient to render the filing ineligible for consideration under the equitable tolling doctrine.

Well, so much for knowledgeable VSOs knowing what to do. You can see the battle lines being drawn between the Feds and the Court. Each new bitchslap was met with a “Yeah, but Mr. Bailey was different. He filed at the RO– BUT his VSO should have known better about where to file it.” Reed, on the other hand, was crucified on the “If you’re knowledgeable enough to know about the OGC, then you should have known how.” cross.

A few minutes later (in judicial time) Brandenburg ” 371 F.3d at 1364 was handed down by the Feds. Once again, the RO / BVA error had occurred and the Court myopically viewed it as they had Reed and Bailey. The Feds took them to task once again.

In Brandenburg, a single-judge decision of this Court held that equitable tolling was unwarranted under Santana-Venegas because the appellant filed his NOA at the Board, rather than the RO from which the claim originated. Id. Applying the principles enunciated in Bailey (Edward), however, the Federal Circuit found that “there is no meaningful difference between the [RO] and the[B]oard,” and held that equitable tolling “may apply when an appellant timely misfiles [an NOA]with the Board.” Id. at 1364. Of note, the Federal Circuit specifically recognized that past cases involved misfilings at the RO from which the claim originated, but further noted that “whether equitable tolling applied in each case did not hinge on that particularity.”

Once again, the Court tried mightily to enforce it’s ideas of how to run its railroad. The Feds had to step in to try and right the applecart. The Court absolutely resisted the idea that anyone (but them) was going to interpret what the meaning of 120 days was.

Finally we got some guidance from the Henderson imbroglio. Mr. Henderson ran afoul of this sticky wicket under VASEC Peake and lost. He appealed to the Feds and lost again. Fortunately for him (and all Vets) the Supreme Court granted him an audience and overturned the foolishness of 120 days being chiseled in stone.

The Court, duly admonished, had to admit they had been a little overbearing all these decades and their intransigence was unwarranted. Mr. Rickett’s predicament was the perfect vehicle to enunciate all they had learned and express it in DickandJanespeak for the law dogs. It basically summarizes, as I have, the history of equitable tolling and how it stands today.

The Court continues to pick at this scab. They have to anally recite it for themselves just in case they (or the VASEC) is confused. The rule is still strict in that you have to file within the 120 day window. If you are really sofa king stupid and file at the local 7-11, you do not get this dispensation. However, if you have a mental time out and do it at the RO or the BVA, no more will you get the short straw. Ego te absolvo, as they say in Rome.

What remains unclear is whether there will be a FAST Letter issued that explains to the   BVA personnel that they are not permitted to secret you appeal in their underwear and smuggle it out to the RO. The RO, in turn, is not to misconstrue it as a DRO review and let it sit on someone’s desk for a year before the  “Aha!” moment of revelation. For this reason, we award the en banc panel of the Court of Veterans Appeals our shiny Dick Tracy Award for figuring out the obvious and explaining it in only 26 pages. Trees everywhere thank your Honors for your attempt at brevity. Global warming has been abated.

dicktracy

Posted in CAVC Knowledge, CAVC ruling, Equitable tolling, Veterans Law | Tagged , , , , , , , , , , | Leave a comment

Carrier air traffic control image

USS John C. Stennis conducts flight operations
Official Navy

A positive high-tech image for the weekend.

U.S. 5TH FLEET AREA OF RESPONSIBILITY (March 1, 2013) Sailors control the recovery and departure of aircraft in the carrier air traffic control center aboard the aircraft carrier USS John C. Stennis (CVN 74). John C. Stennis is deployed to the U.S. 5th Fleet area of responsibility conducting maritime security operations, theater security cooperation efforts and support missions for Operation Enduring Freedom. (U.S. Navy Photo by Mass Communication Specialist Seaman Apprentice Ignacio D. Perez)

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VBMS–THE GOOD, THE BAD AND THE UGLY

USB Hickey: ” But the very last thing I do want to just tell you is I leave today at this hearing and I go do what I have been doing for the last four months. I get on a call down to all bargaining unit employees who are on VBMS today in all of our Regional Offices and  I just tell them to tell me-  give me the good, the bad and the ugly.”

USB Allison "Chipmunk" Hickey

USB Allison “Chipmunk” Hickey

This is a wonderful faery tale for bedtime reading. The Senate Veterans Affairs committee has invited the Under Secretary of Excuses Brig. General (ret.) Allison “Chipmunk” Hickey to Capitol Hill to assuage their fears that maybe someone is pulling their leg. After a number of years of planning (2010), the VBMS is now up and running. Here’s the video.

Senator Richard Burr went over to 810 Vermin Ave. NW for a demonstration of the new computer last week. Unfortunately the computer was having a bad hair day and “running at a lower level environment-not at the production level where claims were actually processed.” according to Alan Bozeman, Director, Veterans Benefits Management System Program Office. When queried further by Burr on how reliable the new computer was, he received a convoluted answer than headed into the weeds faster than a North Carolina black snake. Nobody asked what a “lower-level environment” actually is.  Apparently everything is super smiley and VSRs across the nation are happily humming along at 78 rpm: ” Field users in production VBMS have sustained very little outage time in VBMS over the course of…since generation one software was available. There will be isolated pockets that affect certain users with certain roles from time to time; those are reported on our help desk and we isolate those issues and resolve those issues as expeditiously as possible.” said Mr. “IT” Warren.

I have talked with members of AFGE, the Veterans Affairs union whose rank and file are saddled with  this albatross. Their take on VBMS reliability is a resounding “What reliability?” Most would prefer to go back to the analog version and actually process our claims rather than try to fly a kite with no tail and little aerodynamic stability. When asked if the VA keeps track of the outages, Sen. Burr was assured they do but there were no statistics available at the hearing. Mr. Bozeman promised to keep the committee abreast of the outages. How frequently was also not clarified.

Sen. Burr also asked the Under Secretary if she was willing to provide new metrics above and beyond the stale, Monday morning reports that continue to mislead Congress on their progress (44:32 on the tape). After obfuscating repeatedly following three requests, Sen. Burr said ” I’ll take that as a ‘No’.”

It is apparent that the hierarchy at VBA is reciting old facts as fast as they can in an effort to drown out the drum roll of questions on their continuing failures. At one point, USB Hickey launched into a diatribe about how they were rapidly instructing VSOs in the new techniques of fast-tracking claims and the “fully developed claims” process-currently booming along at 3.8%. VA expects this to be at 20% soon. Sen. Burr tried to figure out how she picked this number out of thin air as opposed to, say 40%.  If she is to be believed, the VA is now not only training it’s own personnel but has branched out into the VSO theatre and is making great strides there as well. What does this imply? Very clearly, it enunciates the inability to the VA to do their assigned task-processing our claims. If VA has to foist this off on VSOs and teach them, it implies that VA is unwilling or unable to accomplish it themselves. Why would you need more money and more personnel (and more bonuses) if you are outsourcing this to VSOs who do it for free? By rights, there should be no backlog, or if there is, it should be outside the front doors of all the VSOs rather than down at 810 Vermont Avenue NW. Sadly, that conversation never arose.

Another interesting statistic bubbled up out of Hickey’s color-coded “facts tables” in front of her.  According to her, 60% of veterans are represented by VSOs. Ruh-oh, Rorge. That means 40% are self-represented (pro se). If the VSO model is such a win-win proposition for Vets, we have to wonder why so many are striking out on their own. Judging by the very dark circles under her eyes, she must have burned the midnight oil practicing her spiel in front of a mirror trying to make all this sound credible. I’ve listened to her numerous times talking to congressmen at these venues. Each time the conversation seems to slide off into all the new, unforeseen whammys that materialized out of thin air (AO, war, numerous claims, etc.). The large, new number of Agent Orange claims was not a surprise. The NIH has been formulating a correlation between Parkinson’s, hairy (b) cell leukemia and other diseases for years. It’s an ongoing process as science and medicine recognize the link. To foist this off as something unexpected is an outright lie. They anticipated it as early as 2007 and acknowledged it in regulations in 2010. It’s now 2013 and they are trying to blame Vietnam Vets for upsetting the apple cart with a host of unforeseen claims. In fact, the only one who wasn’t blamed this time out was George W. Bush.

Best of all is the rock-and-a-hard-place moment when Mr. Stephen Warren of the VA’s IT office opined about the wondrous new alliance developed between the Department of Defense (DoD) and the VA to integrate their computer networks into a seamless tapestry to facilitate claims processing. Excuse me? What tapestry? The DoD has said the exact opposite.  When apprised by the honorable Mr. Burr that no such agreement existed and that the DoD was headed towards a totally separate system  that was not  going to be integrated, there was no rebuttal.  Hickey indicated that she has a private (as in: written on the back of a cocktail napkin) promise and everything is hunky dory.

Sen. Johnny Isakson, the esteemed senator from Georgia, slipped in a question that caught the Under Secretary for Excuses off-guard. Here we are in this brave new world of VBMS electrons flying around awash in an “oxygen-rich environment” and out pops this revelation:

Sen. Isakson:”Last question on the transfer of records from the DoD to the Veterans Administration-that is done electronically now?”

Chipmunk: ” It’s…Today’s.. ah… medical records we receive in paper.”

Isakson: “When you’re fully installed with VBMS, will DoD be able to transfer information electronically?”

Chipmunk:” So, Sen. Isakson. That’s a great question-that’s exactly how… what we’re planning for with the new HAMES system the DoD is building that will be delivered in December of this year…”

Thus we see that the paper game is still in full sway. We also see VA is at the mercy of DoD to produce new software to guarantee the viability on VBMS and hence the target date of 2015 for high-speed claims with 98% accuracy.

Which brings us back to statistics. The NVLSP  in their Lexus Nexus Veterans Benefits Manual states in no uncertain terms that the error rate on VA claims is in the neighborhood of 60% or greater. So who is fooling whom? Why bat about statistics of 84 to 87% accuracy when they are patently false? If these are suspect, what does it say about anything else that issues forth from the crew  VA Secretary Shinseki sent to Capitol Hill yesterday to beg for more time and money? Face it. You’re going to need more than blonde hair and make-up to moonwalk this past those irritating Senators. Senator Burr seemed especially unimpressed with the Dog and Pony Show.

About the only new thing under the sun was the plethora of new terms, acronyms and colorful catchphrases that peppered the presentation of the Gang of Three. Interavailability and interoperability were priceless. Are those transitive verbs or descriptive adjectives, Mr. Warren? The Veterans’ world sits with parted lips, bated breath, and straining eyes for a timely adjudication. Some wise person once theorized that if you could not impress them with your intelligence, baffling them with bullshit was a good fallback position. Unfortunately, neither ploy was availing yesterday. They have been employed so frequently that crying “Wolf” again fell on deaf ears.

The good news? Veterans everywhere will be overjoyed to know that SSI and the IRS are now on board to send over info on a weekly basis. The fact is, they always have been on board. The bottleneck was getting VA to ask for it. The delay in not asking for six long months is the problem-not compliance in a timely manner. Look at BVA decisions for 2012 and note how many are remanded for lack of SSI or SSD files. VA knows it is imperative to make a decision yet they regularly certify your claims and ship them off with the sure knowledge they will return like a boomerang in a year for lack of same. Yes ma’m. The good, the bad, and the ugly truth is out there.

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A scientist with guts: VA Whistle-blower testimony

In December 2012, Dr. Steven Coughlin quit his job as a VA epidemiologist in disgust with his supervisors and VA policies that hurt veterans.  He is working as a professor now.  He  testified before the House Committee on Veterans Affairs on 3/13/13.  The hearing topic was “Gulf War: What Kind of Care are Veterans Receiving 20-years Later.”

The hearing webcast links are here but the first one isn’t working right.

Update:  The hearing was delayed and starts in the first video about 1 hour & 28 minutes into the video! So click forward until about that time.

http://www.ustream.tv/recorded/29951306

http://www.ustream.tv/recorded/29953374

Excerpts from U. S. A. Today

“…If the studies produce results that do not support the office of public health’s unwritten policy, they do not release them,” “There was no one to present the opposing side – that it’s neurological,” Coughlin said. “Science is self-correcting, but if people don’t publish data that doesn’t support an opposing hypothesis, then it’s a huge problem.”

From The Hartford Courant:

“In his testimony, Coughlin, now an adjunct professor of epidemiology at Emory University, claimed:

• His supervisor told him not to look at data on hospitalizations and doctors’ visits for veterans of Iraq and Afghanistan when studying the relationship of their health problems to exposure to burn pits and other inhalation hazards.

•VA officials at first refused to set up a system to offer intervention for veterans who told surveyors that they had suicidal feelings.

• VA officials arranged for five speakers to brief the medical panel studying Gulf War illnesses with views that Gulf War syndrome is psychiatric “although science long ago discredited that position,” Coughlin said.

•When Coughlin tried to make changes recommended by experts to a study of Gulf War veterans, his supervisors killed the idea by falsely claiming it would cost $1 million to do so, he said.

•VA needs a better system for safeguarding study data and making it more widely available to researchers. One database of Gulf War veterans’ family members that was mandated by Congress was lost forever by a computer in Texas, he said.

Other articles: Air Force TimesForbes article

 

Posted in Guest authors, Gulf War Issues, PTSD | Tagged , , , , , , , , , , , , , , | 3 Comments

CYANIDE PRESCRIPTION

This just in from Tombo of the Few and the Proud and the Still Alive to talk about it:

Sue, a calm, respectable and understanding lady went into the pharmacy,  walked up to the pharmacist, looked straight into his eyes, and said, “I would like to buy some cyanide.”

The pharmacist asked, “Why in the world do you need cyanide?”

Sue replied, “I need it to poison my husband Phil.”

The pharmacist’s eyes got big and he explained, “Lord have mercy! I can’t give you cyanide to kill your husband, That’s against the law!   I’ll lose my license! They’ll throw both of us in jail! All kinds of bad things  will happen. Absolutely  not! You CANNOT have any cyanide!”

 Sue reached into her purse and pulled out a picture of Phil in bed with the  pharmacist’s wife.

 The pharmacist looked at the picture and replied, “Oh, you didn’t  tell me you had a prescription.”

images
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FEINSTEIN SAYS VETS HAVE BENT BRAINS

Member Paul sends us this juicy tidbit from Capitol Hill. It kind of makes you wonder what’s in the water in California. Perhaps Timothy Leary polluted the groundwater back in 68. That might explain why Diane thinks PTSD originated during the Iraqi War. Whoooooooo, doggies. She might have been one of ones (besides the Hari Krishnas) who greeted me at the airport when I got back.

Lower than whale shit.

Posted in Gulf War Issues, PTSD, Vietnam Disease Issues | Tagged , , , , , , , , , , , , , , , | Leave a comment

Tattooing and HCV: A study that is actually useful

Although I can only access the abstract, this study in Hepatology (1/13) was reported by Fox News and other news outlets.  The researchers excluded IDUs and those who had blood-transfusions (pre-1992).  The CDC writes,”Fritz Francois, MD, a researcher from New York University Langone Medical Center, reports that people with hepatitis C are four times more likely to have tattoos, regardless of other risk factors.”

Association of tattooing and hepatitis C virus infection: A multicenter case-control study   

“…Although injection drug use (IDU) and blood transfusions prior to 1992 are well-accepted risk factors for hepatitis C virus (HCV) infection, many prior studies that have evaluated tattooing as a risk factor for HCV infection did not control for a history of IDU or transfusion prior to 1992. In this large, multicenter case-control study we analyzed demographic and HCV risk factor exposure history data from 3,871 patients, including 1,930 with chronic HCV infection (HCV RNA positive) and 1,941 HCV negative (HCV antibody negative) controls…

Conclusion: Tattooing is associated with HCV infection, even among those without traditional HCV risk factors such as injection drug use and blood transfusion prior to 1992.”

Thank you Dr. Francois.  You proved that there is a significant relationship between tattooing and HCV without complicating the issue with  some other known risk factors, therefore ending the “controversy” about this important route of transmission.

This study will help veterans with HCV–who received tattoos in service but never were IDUs or received transfusions–when they deal with the VA.  HCVets recommends (older post) that you get stamped copies of studies you use from a librarian so they aren’t labeled Internet junk. 

Information and images like this one from the FDA may convince the young people we care about to “Think Before They Ink.”

Why Tattoo Inks Go Bad - (JPG 02v2)

Tattoo infected with a nontuberculous Mycobacteria (NTM) bacteria.
Not so cute now…
Source: FDA

Posted in Guest authors, HCV Risks (documented) | Tagged , , , , , , , , , , , , , , , , | 5 Comments

SIZE 38, PLEASE–IN BLACK

Only in America. From Tombo.

securedownloadA Chinese guy goes into a Jewish-owned establishment to buy black bras, size 38.

The Jewish store keeper, known for his skills as a businessman, says that black bras are rare and that he is finding it very difficult to buy them from his suppliers. Therefore he has to charge $50.00 for them.

The Chinese guy buys twenty five.

He returns a few days later and this time orders fifty.

The Jewish owner tells him that they have become even harder to get and charges him $60.00 each.

The Chinese guy returns a month later and buys the store’s remaining stock of 50, and this time for $75.00 each.

The Jewish owner is somewhat puzzled by the large demand for black size 38 bras and asks the Chinese guy, “…please tell me – What do you do with all these black bras?”

The Chinese guy answers: “I cut them in half and sell them as skull caps to Jewish men for $200.00 each.”

securedownload (1)

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