NW HABITAT FOR HUMIDITY

While the rest of the world swelters, we in the Northwest seem destined to rust. With all the rain and cloudy days here, our temperatures have plummeted into the high 50s to the low sixties. Cupcake had to knit little wool coats for all the corn starts. 14 rows X 43 starts was a lot of  little coats. Well, would you believe I used  8″ X 12″ clear plastic  containers that Costco sells veggies in. I call them mini-greenhouses.

Where the tomato crop is concerned, I was hoping for deliverance from the VA’s ILP program. That hasn’t happened yet but I never throw in the towel on this puppy. The program runs for a year so I have plenty of time to work it in. In the interim, I’m stuck with a globally abnormal predicament which is anathema to tomatoes. What to do?

Why, ne problemo.  Ask Cupcake if I can borrow one. When you are the former owner of a construction company, you simply ask the new owner if you can requisition some scaffolding and planks and erect a “Habitat for Humidity”. This structure holds back the elements yet permits the passage of the meager sunlight available. It’s a poor substitute for the real thing and is not impervious to temperature extremes. Nevertheless, it prevents the dreaded mold everyone else at the nursery is bemoaning. Behold what Nod hath wrought.

50 very dry happy tomatoes.

Posted in Food for the soul, Independent Living Program | Tagged , , , , , | 1 Comment

CATCH 23–TOUGH LUCK

Nashville, Tennessee

Imagine reporting for your colonoscopy at the VA. Sanitary protocols are in place now, right? We’re talking 2008 and forward. In RO and BVA decisions , they constantly dredge up the fact that while there may have been “suspect sanitary conditions” prior to the 90s, these are all a thing of the past and unheard of now.

Mr. Carl Huddleson, rightfully assuming  this, showed up for his procedure along with thousands of others based on this premise. VAMCs tout themselves as the cutting edge of medicine and being light years ahead of regular medical facilities. What he and his fellow Veterans weren’t told about was the sloppy endoscopic cleaning procedures and the requirements that were ignored. When he received a notice to get checked for HBV, HCV and HIV years after his procedure, he promptly did so. He discovered he’d been infected with HBV. He was one of the lucky ones in that respect.

In addition to Carl, more than 10,000  fellow Veterans were notified in 2009 that they needed to be tested due to  unsanitary cleaning procedures at the Murfreesboro, Tenn.,  Atlanta, Ga. and the Miami, Florida VAMCs . Later, the vA revealed that 13 Vets had tested positive for HBV. Worse by far, 34 Vets were diagnosed with HCV and six with HIV. Oops!  Bummer, dude. Sorry.

When you sue the government (or vA) in these circumstances, you utilize the Federal Tort Claims Act (FTCA). You must file within 2 (two) years of the alleged incident. This time limit is as inviolate as the year you are given for a denial at the RO, the 60 days for the F-9, etc. Mr. Huddleson promptly filed within months of being informed of the compromised sanitary protocols. In fact, he filed virtually as soon as the tests came back positive. The problem was that he filed after more than three years. Bummer, Carl.

The Federal Appeals Court’s holding was simple-“Carl. You ignorant slut. You filed too late so we don’t have to pay you.” Never mind that he didn’t have the requisite knowledge to file sooner due to the delay in informing him of the danger. Ignore, too, the damning evidence of what ensued. The time violation became the focal point of the decision.

If anyone needed more evidence that the game is rigged and winning is impossible, Mr. Huddleson’s case is a classic example. At some point, equitable tolling has to arise.  The law cannot be so rigid as to not foresee this eventuality. We pray he files an Appeal because, if allowed to stand, this precedent bodes ill for all the others following in his footsteps. As an aside, I tried filing a FTCA for what the VHA did to my abdomen but discovered few takers. Most of the rainmakers wanted me to pony up $30K of my own money for a professional witness before they’d even consider it.

An important precept in law is that the government should not be allowed to profit from its errors as they appear to have done here. A verifiable injury has occurred and the government has resorted to a tortured reading of law that ignores several precepts. By lulling Mr. Huddleson into believing the colonoscopy was sanitary, they essentially estopped him from getting tested to be sure he hadn’t been infected. I doubt vA would have acquiesced to any testing  absent symptoms though. Similarly, equitable tolling would logically ensue from the date of notification-not the day of the procedure. As Mr. Huddleson is assumed to be ignorant of medical science, he would not be motivated to investigate his health sooner. This decision begs to be appealed higher. It’s almost classic proof, too, of our legal system’s indifference to the plight of Veterans.

We are constantly reminded that we inhabit a special legal system within the normal one where we are accorded special dispensations such as the benefit of the doubt and laches. A veteran friendly environment is the hallmark of the ex parte procedure. However, the moment we set foot into the real world of jurisprudence all these supposed special dispensations evaporate.

Apparently the Doctrine of laches  attaches outside the confines of vA  jurisprudence.  More’s the pity. This must be in keeping with the seminal Nehmer decision whereby the vA decided to give us presumptive service connection for Porphyrea Cutanea Tarda and Chloracne in 1991. The Catch 23 with that one was you had to manifest the disease at 10% or more within one year of leaving the Republic of Vietnam and it had to be in the SMRs. My kingdom for a DeLorean with a Hyperdrive motivator and a flux capacitor.

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VETS IN SANTA BARBARA

I received this from member Emo, one of my most favorite HCVets friends. She and I have a bond of being AF brats and know TAC intimately. TAC stands for Tactical Air Command and encompasses fighter aircraft, not the B-52 milk trucks.

Here are some poignant pictures of the beach next to the pier in Santa Barbara. That’s in California (not Mexico) for all you geographically challenged Chicagoans. Apparently a cadre of Vets sets this up every weekend and takes it down too.  One or more Vets stand guard overnight to prevent anyone from vandalizing it. It definitely left a lump in my throat.

Even though we were treated like scum and called all number of names when we came home from Vietnam, it does my heart good to see we are finally getting the respect that should come with the territory. Never have so many done so much for so little remuneration or accolades.

It makes me wish I lived in Santa Barbara so I could either help with the logistics or at least visit it and see it with my own eyes. It’s a very powerful visual-of that no one can deny.

George Washington had this to say in 1789.

The willingness with which our young people are likely to serve in any war, no matter how justified, shall be directly proportional to as to how they see Veterans of earlier wars were treated and appreciated by this country.

If we continue to break that trust and abrogate the promises made by prior administrations, one day we will wake up to find no one willing to defend our shores. I expect Canada will simultaneously experience a tremendous population explosion.

America is great for one reason and one reason only. We’re the biggest kid on the block. When other nations perceive an unwillingness on our part to be the biggest and the strongest force for good, then we will find ourselves in deep doo-doo.

AMEN

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CONGRESS PASSES VETS BILL

This was almost a foregone conclusion. No one was going to commit political hari kiri and fall on their sword. It shows they have the stomach to do the right thing. Never before have we used troops like paper towels to wipe up the waste of the world and then thrown them away. Wait. What about that little boundary dispute on the Indochinese peninsula about 50 years ago?  I guess that one didn’t count because America wasn’t”behind it”.

I hope these Vets coming out of Southwest Asia don’t start getting the lip service and the “We simply don’t have the assets to provide for them” in about 20 years when most start coming down with even more problems. We’ve never sent troops into harm’s way three, four and even five times back to back -ever. The fallout from this one is going to be felt for several score years. Look at all of us from the 60’s for affirmation of this theory.

Our finances are in disarray. Our credit is dubious. The one thing we can ill afford is to diss the guys who protect us. Passing this bill was a duh. Watch and see all the teeth-gnashing that ensues when it get up to the Senate. This might cut into funding for the Bridges to Nowhere and Welfare entitlements. We probably won’t recognize it when it is finally signed by the Big O. Look for medical packages with RFID thermometers in them near the front doors of VAMCs. Triage will be self-administered soon.

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VHA–CURED AT LAST

Here’s an interesting take on the HCV population among Veterans. Being viewed through rose-colored spectacles as always, it seems we’re either healing ourselves via IFN SVR or God is busy curing us.

It’s not until you get to the end of the article that you discover how they are now counting us. On page 56 (of 61 pages), we see this:

Table A.1 and A.2 show the number of Veterans with chronic HCV in VHA care by VISN and local healthcare system, respectively, in three recent years. To be counted in a given year, a Veteran must:

Exist in the Clinical Case Registry for HCV and

Have a history of measurable HCV viral load and

Have a hospitalization, outpatient visit, or prescription filled in the VISN ( healthcare system) during the calendar year of interest. A Veteran was counted in each VISN (healthcare system) providing him or her care during the year.

Notice the use of the word “and” rather than “or”. This means all the requirements must be met for a Vet to be counted. Failure to meet even one means you are not

Since there have been no more studies since this one in 2010, it is outdated. Additionally, they use some of the most archaic techniques to measure infection and populations. As a whole, the study is grossly flawed. I’m sure they paid good money for this but it tells us nothing new about the disease process and tries to downplay the long term effects and numbers of the infected. About the only statistic that has validity was the observation that Vietnam Veterans seem to be the ones with the most infections. Duh.

How about this?

Although the total number of Veterans with chronic HCV in VHA care changed little from 2005 to 2008, there was a geographic shift in their distribution toward VISNs in the Southeast. Comparing 2005 to 2008, VISNs with increases of at least 200 Veterans with chronic HCV included VISNs 7 (+455), 6 (+453), and 8 (+270). In contrast, VISNs 3 (-523), 22 (-465), 16 (-386), and 11 (-351) each decreased by more than 300 patients. The shift in geographic distribution may be due in part to Veterans transferring care within VHA and expanded screening and testing for hepatitis C; however additional investigation is required to further understand this geographic shift.

That’s it. They moved to Mississippi but we need to spend about another $2 million studying it to be sure. Those drug-addled Veterans are pretty slippery. It would be just like them to pick up and move or quit coming in for care and screw up our statistics. Mo’ money, honey. Not for the Vets. For us statisticians.

Posted in HCV Health, vA news, Vietnam Disease Issues | Tagged , , , , | Leave a comment

GOOD NEWS

Member Chase got his new liver yesterday evening. We won’t go into all the reasons why this was unnecessary. The operation took 8 hours and CDNEH tells me he’s doing well and the new machine has already turned over and is idling nicely. She asks me to thank all of you who said prayers for him. Now for service connection for this horrible medical misadventure( Vertex, IFN + Ribavirin).

I have to interject that I’d be looking at this doctor and saying “You’re kidding me, right? This is the sperm that won?” Most kids say when they grow up they want to be a fireman or an astronaut. Did this guy decide he wanted to be a vA doctor and kill people? Seems a lot of us have some bad experiences when we depend on their judgement. 

P.S. Flowers–The next best thing to being there. These are an incredible blue-perfect for hospitals to contrast with that ungodly green they paint everything. Bleh.

My daughter brought this for Mother’s day. If Lexus ever painted a car this color of pink, every Mary Kay regional supervisor would opt for one.

Posted in All about Veterans, Food for the soul, HCV Health | Tagged , , , | 3 Comments

VA ID CARDS

Interesting. I get a hit every three or four days on the search engine where someone asks (I don’t know who) what “service connected” means on their VA identification card. As an example, I will include mine here. If you are rated over 30% by the vA, they put the Service connected on the card. That means you can get your discount at Home Depot and Krispy Kreme. vA knows exactly how much you’re rated at when you go in to a VAMC. 

I think that’s a really great picture of me on mine.

Here’s the full sized one. Click on it to magnify and look at the happy little faces on the capsule. Now, if anyone recognizes me, please don’t mention my name on this site. I’m incognito until I win at the CAVC.

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VAOIG– Semiannual Report to Congress

vA’s Inspector General, George  J. Opfer ( you know-the guy with the adorable comb over) just released the latest Veterans crime report/Dog and Pony exercise to Congress in a vain attempt to distance themselves from the backlog storm. They found numerous remedial actions that could solve all the problems and gave themselves several attaboys in the process. The artwork is superb as always and accolades are in order along with some bonuses in the next few paychecks. A small sampling of their sleuthing:

During this reporting period, OIG audits, investigations, inspections, evaluations, and other reviews identified over $1.5 billion in monetary benefits for a return of $32 for every dollar invested in OIG oversight. OIG issued 140 reports on VA programs and operations and OIG investigations led to 268 arrests and 292 administrative sanctions and corrective actions.

We are eternally grateful to this fine bunch of concerned personnel who tirelessly work to unearth miscreants like Keith Roberts and others of his ilk who lie and cheat and steal from our beloved vA. Dick Tracy has nothing on these guys.

This picture doesn’t do his comb over justice. You simply have to meet him in person. He makes Donald Trump positively jealous. I was going to put this under Frivolous Filings but Congress will probably swallow it hook, line and sinker.

Oh and I almost forgot. Here, too,  the VAOIG is the proud author of this Audit of the VAROs’ Appeals Management Processes. This is priceless. I think they’ve discovered there’s a backlog issue amounting to  several hundred cases-maybe.

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Found– One Liver

Member Chase’ wife emailed this morning and they have a liver donor. It’s always sad to hear this because it means someone passed. It’s also enervating in that it gives life to another when all hope has been lost.  They are off to Vanderbuilt today at 1900 hrs. If all systems are go, Chase will be sporting a new liverbox tomorrow. Not a moment too soon. Thank you goes out from all of us here at AN for your prayers.

Posted in General Messages, HCV Health | Tagged , , , , | 2 Comments

HCV INFO FOR VIETNAM VETS

Here’s a great article  from HCV Advocate written by a VHA researcher. It touches on important facts that can be used in a general context to bolster your claim if you are an in-country Vet. Regardless, it’s good info and deserves to be in your arsenal. See the bottom of the article for more books, papers and peer reviews.

Posted in HCV Health, Nexus Information, Vietnam Disease Issues | Tagged , , , , , , , , , , , , | 1 Comment