HCVets June 9-16, 2013 gathering in Indiana

HCVets is such a wonderful resource.  They are organizing a (non-profit) net-working retreat for veterans called “HugFest 2013.”   Housing is in private rooms in two large riverfront cabins.   There is a food fund but I don’t know if meals are included.

Nightly rates are available for those who can’t spend the week.  There are  “pay-it-forward” and sponsor a vet opportunities too.

http://www.hcvets.com/hugfest2013.htm

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Combat casualty research a poor excuse for DoD upscale vacations

Apparently, the Secretary of Defense approves DoD sponsored conferences like the 2012 Military Health System Research Symposium.   The attendees of this beachfront party at  Marriot Beach Resort and Spa in Fort Lauderdale must be hoping the 2013 conference will be a go too.

“The four-day symposium, sponsored by the Assistant Secretary of Defense for Health Affairs, and organized by the U.S. Army Medical Research and Materiel Command, is a joint effort supported by the U.S. Army, Navy, and Air Force, and brings together scientific leaders and researchers from throughout the world.”

While our soldiers overseas were being maimed, burned, blown up, and killed, these arrogant people enjoyed a 4-day fabulous holiday with some talking heads and corporate exhibits thrown in.  I think it’s disgusting to hold this event in an ultra-luxury resort (see Frommer’s review).

rooms with patios

rooms with patios

Magical nights after all that research

Magical nights after all that research

Talk, talk, but then...

Talk, talk, but then…

time for a swim

time for a swim and massage

“This is the first time that we are combining three previously separate conferences into one joint conference by the Army, Navy, and Air Force,” said Col. Dallas Hack, chair of the MHSRS. “We now have a broader range of topics. Before it was primarily trauma care, and now it is this plus infectious disease, operational medicine, medical simulation and training, and force health protection. The interest thus far has been truly amazing.”

I bet the tab to the taxpayer for this rich R & R scheme is pretty amazing too Col. Hack.

Posted in Complaints Department, Guest authors, research | Tagged , , , , , , | 3 Comments

WORKING AROUND COBRAS

Along about August of 1971, A buddy and I were tasked with cleaning out the ICS warehouse at T-11 upcountry (where we called home). ICS was the Intercontinental Communications System or something like that. It’s been too long to remember. To make a boring story short,  in 1969, someone decided we were in a really cool spot to electronically eavesdrop on a lot of Laos and North Vietnam. They proceeded to start building and planning this ICS site with its large antennas on a mountain that already had a VIP resident during summer- the King of Thailand.

imagesShortly after pouring  a lot of concrete up on the Mountain, all the King’s men came calling. They pointed out to the Controlled American Source that building antennas that stuck up higher than the King’s head was a Bozo No-No of the highest order. America was forced to change its plans. By now, we had a million invested into the generators and that building, not to mention the ICS building (both alongside our runway in the valley several miles below).

By 1971, it made a nifty storage area for all of our communications crap. Anyway, Wayne and I were busy cleaning up our mess and everyone else’s when out from under a pallet slithers a long black snake.  I was raised in Virginia almost all my life so folks thereabouts are more than familiar with the non-poisonous Black Snake. They can get pretty big but are harmless. Mindlessly ignoring my geographical whereabouts, I stepped on its neck, pinched it behind the head and picked it up. We used to scare girls with them so this was about as natural as farting.  I made a feint towards C.W. with it jokingly.

images (1)

Any semblance to a Virginia Black snake evaporated in short order. This thing had teeth. Big long curvy teeth. Waynebo suggested it might be a really wise idea to take it outside and perform the “catch and release” technique we were taught as young anglers. To possibly deter its desire to attack, I threw it down on the gravel in the parking lot outside as hard as I could. Apparently, they bounce somewhat like a basketball when you do this. I had no idea. None whatsoever. The learning curve on the care and handling of “large black snakes in Indochina” is pretty steep on this subject as I was coming to find out.  My new acquaintance, wanting a more personal meet and greet, was now heading towards me.

The Waynester yelled for me to get back as if I needed any inducements. I was already tripping backwards at about 186,000 feet per second and the snake was doing 186,001. I felt like I was having an epileptic seizure. My feet weren’t working in a coordinated fashion. At that point I noticed he had metamorphosed into something different. The head was no longer uniform but had an interesting hooded shape. Instead of being all black, this hood had an intriguing white pattern that translated roughly as “You are now in very deep doo-doo” on it. In fact, if I was not mistaken, this thing was beginning to look a lot like what some called a black King Cobra. Since I’d never seen one, I wasn’t sure. I was just basing it on photos and Wayne’s high-pitched little girl’s scream as he swung at it viciously with a piece of 2X4.

My life passed before my eyes next. Here was a very, very upset reptile with large teeth falling towards me in a strike and my best friend at the time was accelerating his striking distance exponentially with the 2X4 in my direction. The King landed hard inches away and immediately refocused on me.  I redoubled my efforts to moonwalk faster and finally put some distance between us. The cobra was dispatched and pictures were taken. The underwear was changed and no bad words were traded. The story grew in the telling over Singha later that evening. By closing time, the whole bar was aware of the tales of Brave Ulysses.

From that point forward I never picked up another snake in-country -alive or dead. Today I received this and it brought back old memories. This fellow apparently does it for a living and his charges must be acclimated to what he is doing.  I might point out that these guys are big and have no fear of anything. They aren’t quite as obnoxious as Cottonmouths but they’re close. They don’t retreat. They remind me of VA DROs.

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CANOE CLUB DENIED PRESUMPTIVE AO COVERAGE

Isn’t it amazing how a “tactical herbicide” (Agent Orange, Blue, Pink, White, Green, Purple) can miraculously fall to the ground at the water’s edge and not enter the Gulf of Tonkin? Or in the alternative, that it can run off during the monsoon into the tributaries of streams and rivers but never flow downhill to the ocean? Yes, this amazing chemical is so knowledgeable that it knew not to infest the South China Sea. How considerate. This spared all those souls aboard US Naval vessels out off the coast. And due to the latest extensive scientific research on that subject by the wizards at IOM, we now know with certainty that blue water sailors were never exposed.

In fact, these “blue water” Navy personnel never had to worry that their single-stage, water purification systems would ever ingest the dioxins and picloram byproducts associated with the rainbow defoliants. Calling them tactical herbicides in 2012 is a wonderful attempt to characterize them as some kind of military version of Roundup®. Nothing could be further from the truth. I’ve used Roundup many times. It has never made vegetation dead as a door nail in less than 24 hours.

After I was no longer exposed on a regular basis to Orange and Blue, I quit coughing up blood. It was never sprayed on me. It was kicked up in the red clay by the rotor wash of choppers taking off and landing. It was blown galley west by the prop wash of C-123s and Porters. In a word, it was in everything, on everything and everywhere I was. I finally got the presumptive exposure in 2008. Lucky me. It only took me 18 years to get VA to recognize and grant it.

On the other hand, the gentlemen of the Navy are not accorded this assumed exposure. The military conveniently “disremembers” that every one of us was given a three day R&R or rest and relaxation break during our one year in country. I hate to be the first one to pop this idyllic balloon but most personnel did not spend it aboard ship nor did their vessel weigh anchor and sail merrily down to Australia for this R&R. Most went ashore and took the 130 klong flight down to Clark AB and thence on to Sydney. The klong flight was a daily milk run originating in Da Nang and went to Cam Ranh Bay, Bien Hoa, and made a u turn at Tan Son Nhut. While it might be argued that only minor amounts of AO were used at Tan Son Nhut, it cannot be said that no one was exposed to this. Every chopper that came in stirred it up. Every F-4 that kicked in afterburner on takeoff blew it about.

Agent Orange, once sprayed or distributed on the ground, whether mixed with diesel or straight out of the drum, still was a heavy molecule that resisted percolation. If stirred up, it jumped right back into the air. Now, what on earth makes the scientists think this insidious substance magically pulled up short when it arrived at the water’s edge? Brown water Vets are accorded this presumptive nicety. They undoubtedly were just as exposed as any of us were. We who were on land can be granted this presumption even if we landed for thirty minutes to refuel before going on to Don Muang for further deployment up north.

This is another nasty truth that the VA overlooks. Every flight from Travis AFB carrying the majority of us over there was on the illustrious World Airways. They were a no-frills contract airline much like my alma mater Air America. No liquor but smoking permitted. Coffee, tea and water. World Airways 707s landed at Hickam AFB in Hawaii to refuel. They then proceeded to Anderson AFB in Guam for their next stop. The flight next landed at Tan Son Nhut AB in-ta da- Saigon, Republic of Vietnam. Most of you will be disenfranchised from this presumption because you didn’t have any orders with a PCS saying RVN. You landed there and deplaned for thirty minutes. You were exposed but you will have the devil’s own time establishing that because VA refuses to acknowledge it. Some have proved this enigma but they are a small minority.

So it is almost incongruous to assume that you went there but somehow magically hovered several feet off the ground and your boots never “set foot in-country”.  Maybe, six months later, you zipped down to Vung Tau on R&R, did your 3 day/100 missions over Suzy Wong and were only shot down once (VD). Yet you still managed to do this without actually coming in contact with the eeeevil red clay. By the same token, while aboard ship, you never ingested any liquids that had aspirated through a water purification plant that obtained drinking water via reverse osmosis. After 365 wakeups, you departed by reporting for your return World Airways flight back to the World from TSN. Somehow, you did this by tiptoeing  above the red clay without actually coming in contact with it again.  Magic? you betcha.

I will grant that there were some on larger vessels who arrived and departed via same. I will not grant that every Tom, Dick and Harry sailed across the Pacific in a minesweeper or missile frigate. VA insists this is so unless you can prove otherwise. At present, there are documents that state 2.3 million of us actually got our boots dirty. Of those, only 867,000 are still vertical and currently exerting a carbon footprint on the planet. Our numbers continue to erode far faster than any other group of Veterans. The list of diseases recognized has expanded by about 10 since they even admitted there might be a problem in 1991. Several Vets I know are now coming down with insidious forms of autoimmune diseases even though there is no family history of this. I have Crohn’s disease that isn’t Crohn’s. All the symptoms and indeed the pathology of all the small bowel (currently 82 cm)they have been cutting out of me since 1996 scream Crohn’s but the cell structure is subtly different. My son suffers from the large bowel version called Ulcerative Colitis. Coincidence? You betcha. I have more iron in my liver than a magnet. The alarms go off at the airport when I go through the detector (just joking). Nevertheless, for years VA insisted this Porphyria is inherited, or, perhaps from drinking too much. It couldn’t possibly be from two years of AO exposure because I didn’t manifest it to a “compensable” degree within one year of leaving Vietnam. It couldn’t be from hepatitis because hepatitis is not listed in my “military” SMRs but rather in my private “civilian” records that just happened to be dated at about the same time I was serving.

Let’s be frank here. Does anyone with a scientific medical background honestly believe that every disease exhibits the exact same pathology in all subjects 100% of the time? If no one knew to look at a skin disease they suffered since 1972 or the blood they were coughing up until someone mentioned AO, they wouldn’t attribute it to this. Monsanto knew in 1957 that there were BIG problems. The Air Force knew by the early sixties that there were going to be “issues” and scaled back use of  Agents Pink, Green, White and Purple.  Once the genie was out of the bottle, it did not sink down in the soil as most would imagine. Certainly it did so over time but we are not arguing that. The extensive use of it day in and day out created a large amount for a finite time but it was omnipresent. For the VA to downplay your exposure due to being several miles offshore is patently ridiculous if you even went ashore once. That’s their familiar “just a little bit pregnant” version. VA’s Adobe Acrobat (2) word program describes this as “stepped foot in Vietnam” as in “We went down to Tijuana last weekend and I stepped foot in Mexico for the first time.” For those of us with real TDY or PCS orders assigning us in-country, we got the presumption for being there- even if for just 30 minutes. Why not three days on R&R?

I would ask each and every one of you reading this to remember how you got there. Did you sail over? If not, then you were exposed. Just because the VA says you cannot prove it is immaterial. The process of elimination is useful here. We can safely rule out swimming over. Once it has been ascertained you flew there, the presumption kicks in. There is no other explanation other than FM- with the latter letter standing for Magic, of course. Since VA doesn’t recognize FM, or many other logical explanations, anyone filing might want to submit a Mercator projection of the earth’s surface and the fuel tank specifications/range of Boeing 707s.

Mercator

One day, when all of us are long gone, there will be a gnashing of teeth, a beating of breasts and ululations of grief that the scientists were so dense as not to realize AO had matriculated into the Gulf of Tonkin. Letters of apology will be sent out but-due to death-no remunerations will be forthcoming. That will be the enduring legacy to Mr. Haas and his blue water compatriots. FM? You betcha.

images

Posted in AO, Porphyria Cutanea Tarda, Vietnam Disease Issues | Tagged , , , , , , , , , , , , , , | 1 Comment

How to deactivate freeze-dried HCV

What does it take to kill HCV in freeze-dried “coagulaion factor concentrates” like Factor VIII (for Hemophilia A).

Unfortunately, the freeze-drying process itself doesn’t do the job. (In a machine, freeze it to perhaps −50 °C/-58 F; lower pressure; water vaporizes; secondary drying:  heat to remove unfrozen water molecules; seal in a vial for years.)

It takes great effort, knowledge, time, materials, and the right mix of conditions to kill HCV. 

World Health Organization writes:

HCV is inactivated by
– exposure to lipid solvents or detergents
– heating at 60°C for 10 h or 100°C for 2 min in aqueous solution
– formaldehyde (1:2000) at 37°C for 72 h
– ß-propriolactone
– UV irradiation

In a 1995 book, Modern Transfusion Medicine: A Practical Approach (edited by Derwood H. Pamphilon) page 38, found in Google Books, these deactivation methods are noted: 

Dry heat:  72 hours at 80 C (80 degree Celsius = 176 degree Fahrenheit)
Steam heat: 10 hours 60 C (60 degree Celsius = 140 degree Fahrenheit)
Solvent detergent combos: treat 6 hours then remove.

If HCV can still be potent in untreated freeze-dried blood components reconstituted with water, think how potent it is when living in warm whole blood, clinging to the surface of a wet jet-jun nozzle.  Or a razor.  Or hairclippers.  Or dental implements.  Or hands.

When VA examiners report to BVA judges that there is “scant” evidence regarding the link between jet-guns and HCV, they are concealing other facts that could tip the scale in favor of the veteran in many if not most HCV claims.

Today, to help keep us safe, scientists freeze-dry virus specimens, including HCV, store them for years and run tests on them.

 hcv factor 8

Posted in Guest authors, HCV Health, Jetgun Claims evidence, Nexus Information | Tagged , , , , , , , , , , , , , , , | 2 Comments

PRICELESS FACEBOOK

This is why I get up in the morning. My kind of humor.

12-21-12

 

Mayan joke

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Instant HCV?

There’s always something new to learn about HCV transmission routes.  There are various reports about how long HCV can remain infectious on surfaces–wet or dry.

When I think about blood, I think about it in its liquid state first.  But it can be freeze-dried (lyophilisation).  Freeze-drying gives blood parts (and its viruses) a long shelf life.

Freeze-dried blood was sent to Europe in WWII, instead of whole blood.  In the 1970s and 1980s freeze-dried blood protein powder concentrates from the US (for clotting) were reconstituted with water and thousands of unlucky recipients with hemophilia were infected with HCV and HIV.

…In the late 1960s it was discovered that if cryoprecipitate was dissolved, treated chemically and subjected to a centrifugal process, it produced a crystalline powder, which had ten times the clotting power of cryoprecipitate, and when dissolved in sterile water, could be injected at home.  This became known as Factor VIII concentrate.  The disadvantage was that to be processed economically it required a substantial amount of plasma, pooled from a large number of donors, thus increasing risk of transmission of infection from any one donor.

…The next step really was miraculous, when we came across Factor VIII concentrate because that did away with the clumsiness of extracting it all from the cryoprecipitate bags. It was just….put in solution into a syringe.

Update:  PDF. The Lord Archer Inquiry, chapter 1 (2009)

The Archer Report provides an important historical perspective. 

Here is a current description from the Blood Index (Dead LINK):  “Factor VIII concentrates are a commercially prepared, lyophilized powder purified from human plasma to treat patients with hemophilia A or von Willebrand’s disease. Alternatively, recombinant (synthetic) protein is purified from genetically engineered non-human cells grown in tissue culture.”

In 2004, victims in the United Kingdom could receive no fault (ex gratia: “out of kindness”) compensation payments from the Skipton Fund if they were treated with blood, blood products, or tissues by the National Health Service (NHS) and became infected with HCV.  This is a good U. K. resource about the crisis: http://www.taintedblood.info/index.php

They’ve uploaded many videos on their You Tube Channel.  I’ve watched the Scotland Frontline Blood and Tears and the 1985 Bad Blood videos for background information. http://www.youtube.com/user/CampaignTB?feature=watch

What information do we have about the actual infectivity and survival rate of HCV in ordinary dried blood?  Can answers can be found in (non-deactivated) HCV in freeze-dried clotting factor products and other freeze-dried blood products?

A lethal and potent recipe for HCV infections: Take some untreated freeze-dried blood products like Factor VIII (from a pool of thousands of donors per batch); stir in some water, get it into a victims blood stream (optimal: inject it) and instant HCV infection?

Updated 12/20/15 on UK situation

BBC article :  2009 Contaminated blood cases ‘tragic’

Guardian article 2009  ‘A horrific human tragedy’: report criticises response to blood scandal

Some 4,670 haemophiliacs were given blood contaminated with the hepatitis C virus and 1,200 were later unwittingly infected with HIV in the 1970s and 80s. The blood products came from commercial organisations in the US, whose paid donors included injecting drug users and prison inmates. More than 2,000 haemophiliacs who received the tainted blood are now dead.

Posted in Guest authors, HCV Health, Jetgun Claims evidence, Medical News, Nexus Information | Tagged , , , , , , , , , , , , , , , | Leave a comment

TENNESSEE BREATHALIZER

Member Cal spotted this one. I was pulled over twice this way and both times managed to convince the cop not to haul me in. It was back in the era just prior to breathalyzers, of course. This true story below just demonstrates that Veterans are a higher life form with more innovative, problem-solving capabilities than their civilian counterparts. The Vet automatically gets a three-point, home field advantage because it occurred in Tennessee.

Recently a routine police patrol parked outside a bar in Bristol, TN . After last call, the officer noticed a Vet leaving the VFW bar apparently so intoxicated that he could barely walk. The ex-soldier stumbled around the parking lot for a few minutes, with the officer quietly observing.

After what seemed an eternity in which he tried his keys on five different vehicles, the man managed to find his car and fall into it. He sat there for a few minutes as a number of other  patrons left the bar and drove off. Finally he started the car, switched the wipers on and off–it was a fine, dry summer night–, flicked the blinkers on and off a couple of times, honked the horn, and then switched on the lights.  After revving the engine repeatedly, he moved the vehicle forward a few inches, reversed a little and then remained still for a few more minutes as some more of the other patrons’ vehicles left.

At last, when his was the only car left in the parking lot, he pulled out and drove slowly down the road. The police officer, having waited patiently all this time, now started up his patrol car, put on the flashing lights, promptly pulled the Vet over and administered a breathalyzer test.

 To his amazement, the breathalyzer indicated no evidence that the  Vet had consumed any alcohol at all! Dumbfounded, the officer said,”I’ll have to ask you to accompany me to the police station. This breathalyzer equipment must be broken.”

”I doubt it,” said the Marine.”Tonight I’m the designated decoy”.

                     

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CHRISTMAS ON THE MALL

Great shot of the east leg to the Washington Monument. I found it on my facepage

15600_10151314513918606_470682699_nFew things affect me like this wall.

 

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BVA–THE DAV REP TOLD ME I’D WIN

FROM THE CITY OF

BROTHERLY LOVE

VARO

Imagine going in, filing with the VSO, losing and going up on appeal. Imagine doing this without a shred of medical evidence. Imagine that the “skin disease ” you’re claiming is the same thing you entered service with. Imagine leaving service with a BP of 108/70. In short, imagine being a fit as a fiddle after thirteen months of service stateside during the Vietnam era. No AO exposure wipes out the presumptive for the DM2 and prostate cancer. No history of any hep or gastric upset in the STRs. Nevertheless, the Vet is convinced that the VA is remiss. The DAV does nothing to dissuade him. In the end they are left grasping for something-anything- to hang this suit on.

Neither the Veteran nor his representative have offered any explanation as to why they believe the current hypertension, Hepatitis C, diabetes mellitus, prostate disability, and skin disease are related to service. In his July 2008 VA Form 9, the Veteran provided a statement to the effect that he was entitled to compensation for injury due to alleged negligence of military medical personnel. He has not, however, explained how the current disabilities at issue are related to service, nor has he offered or reported lay or clinical evidence that relates the claimed disabilities to service. The record contains no indications that the disabilities are related to service.

So, three and one half years down the road, the Vet and the DAV dude look at each other and go “Ruh-oh, Rorge?” That’s a lot of carbon footprint with nothing to show for it. You don’t get a gold star after your name for saving the planet when you cut that many trees down and forget the nexus letters, et cetera.

Filing claims is no more complicated than chopping wood. Everything has a technique. When you seek out the services of an organization that advertises their expertise in this field, you expect the best. When said organization has the imprimatur of the VA on it as being acceptable, you should feel extremely at ease. What happened here, in the real world, is unfortunately all too common. This was the Merry Christmas our Philadelphia Phil got from his DAV rep.

images

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