2013 Energy-Efficient Street-Legals

In keeping with our commitment to Vets who hit the Lotto with the VA like Leroy Macklem, we always like to bring you the latest in muscular continental offerings. Yes, if you’ve suddenly got 500K burning a hole in your pocket, you might find an economy version here that fills the bill.Italy, Germany and America still control the market as you can see…

and last but not least,

every man’s dream car

Posted in All about Veterans, General Messages, Humor, Uncategorized | Tagged , , | Leave a comment

Quote For The Day-March 9th

Getting in an argument with

a woman is like being arrested

—–

Anything you say can and

will be used against you

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

Fine-Tuning the PTSD

Once again the Army is “revamping” their personnel so as to make the most possible of experience. In the continuing fallout from the PTSD imbroglio down the pike at Ft. Lewis, I spotted this little blurb hidden on page A4 below the fold.

The Army has a new top medical officer at JBLM. Maj. Gen. Richard Thomas took command Wednesday of the Western Medical Regional Command from Maj. Gen. Philip Volpe, who had led the unit since February 2010. (Tacoma New Tribune)

While this isn’t odd, it is rare to summarily change command without a lot of announcements, hoopla and fanfare.  Volpe’s  transfer to Fort Sam Houston as Commander of the Army Medical Department Center and School is not viewed as a promotion upwards but more a lateral one sideways. This may be in response to the uproar associated with his supervision of the Madigan psychiatric mishap. When things happen on your watch, you get blamed for it in the military. If it happens when you are President, it’s the fault of the prior inhabitant. That’s an important distinction many miss. In the military, when you shitcan a large number of troops for “personality disorders” because they’re depressed and suicidal, you cannot just say “Apparently that’s the way they’ve been doing it for years, so I just followed suit”. The proper way to approach this as a General is to convene a press conference and announce that heads are going to roll because you just found out the shrink dudes are guilty of underdiagnosing deserving enlisted mental midgets. Always seize the high ground early and blame others first. Your career will blossom and you will live long and prosper. Volpe apparently forgot this cardinal precept to his own detriment. Live and learn.

Posted in All about Veterans, PTSD, Uncategorized, vA news | Tagged , , , , , , , | Leave a comment

There Is A God

I won’t get down in the weeds with  this but there must be a God. Everyone worships to the beat of a different drummer. Hunting and gardening to me are very much alike. They just entail shopping in a different venue. With both, you often interact with yourself or your pets as few others have the patience to watch. This gives me ample time for introspection on life and more mundane mental pursuits like why the horse prefers to poop in one particular part of his pasture. His sidekick Wally the Goat feels no such compulsion. This is why I spend a lot of time swamping out the barn.

Suffice it to say that every year about this time I revert into Gardener Man. Recall the 1979 movie “Being There” with Shirley MacLaine and Peter Sellers as the profound  Chance Gardener? I’m not quite that spacey but my love for this art form is bottomless. There is nothing more precious in life as new life. Watching it tenaciously grasp for sun and water in its quest for fruition is nothing short of amazing. It’s an esoteric pastime I have come to enjoy after the VAMC attempted to snuff me. There’s nothing more enervating in life that the prospect of being deprived of it. I’m sure our forefathers felt this motivation when faced with the dictates of King George III.

I planted some of the early birds that require patience last Friday and Saturday and they started making an appearance yesterday. The bib lettuce was first and the tomatoes will soon pop up. This is also a great way to take your mind off the VA problem of eternal waiting.  It’s a sad testimonial that it takes four years worth of  lettuce to get a BVA do over. Maybe I should start a Christmas tree farm?

I wrote about the Italian watermelon fiasco last year. It turned out they were weird looking Italian cucumbers. Being as English is the Language, you’d think those Italian chowderheads would put it on the seed pack. Last Thanksgiving, I planted enough spinach to sink the Titantic . It came up in a very desultory manner and then quit growing entirely. I fertilized and watered it to no avail. I gave up in disgust around New Year’s Day figuring it was too cold and ignored it. My wife ventured out Sunday for her annual pre-spring “How come you didn’t do the…” discussion I always dread. She then opened the cold frame and asked when I was going to start harvesting spinach seeing’s as it was over a foot tall. Sure enough, the stuff had gone berserk without any love or water. Apparently the horse manure kicked in or it warmed up. Naturally I said I was saving it for a surprise but she had now spoiled it.

I’m beginning to feel like Popeye after a long spinach bender. I’m giving it away to total strangers at the gas station now. It takes half an hour to refuel because they slowed the pumps down. People were complaining that the  the  dollar and cent numbers were spinning around so fast that it made them dizzy.  Now we have time to converse, drink coffee and I can hand out spinach. Some must think I’m crazy because they quit pumping,  jump in their cars and leave when I walk over with a bag of fresh leaves. Weird, huh? They did that last summer when I was handing out zucchini too.

The thing I love about this is I’m feeding myself “off the grid”. I don’t find it incongruous that I’m spending more on electricity to keep the romaine ranch in the greenhouse warm. There’s a homeless family of mice who moved in that also benefit from the warmth. They don’t put a dent in the output and drive Ambush kitty batshit.

If the VA ever settles up, I’m going for greenhouse number 2. You can never be too thin, too rich or have enough indoor gardening space.

Posted in General Messages, Humor, Uncategorized | Tagged , , , | 1 Comment

285 to Get PTSD Do Over

In an attempt to get a handle on the Madigan Psyche clinic’s faceplant, the Army announced today that they are “inviting” 285 former troops who were denied PTSD status back for a review of the diagnosis. These soldiers and former ones were culled from a herd of 1,500. The Army strangely made no attempt to elaborate on why these specific Vets were chosen from the group. These are being done here at the Madigan shrinkhaus and should not be confused with any national movement to investigate claims from other areas or Walter Reed.

Col. Rebecca  “Becky” Porter had this to say. “It is important that we make contact with each soldier who we have identified as possibly requiring a second look.” This doesn’t bode well. What Becky didn’t answer is whether this will simply be a do over in name only or if it will actually entail having every one of them come in for a face-to face meet and greet. In the past, the Madigan shrinksters have resorted to a “files review” in which there was frequently no personalized contact between patients and medical personnel. We understand that some Vets may be a little torqued off by their treatment and that the psychiatrists and psychologists are leery of physical violence against their persons. I’m sure there will be amply security screening on hand when and if this review takes place.

Below is an article on the subject:

http://blog.thenewstribune.com/military/2012/03/07/nearly-300-soldiers-getting-new-ptsd-case-reviews-at-madigan/

Interestingly, the Army released this as “nearly 300”. I see it as  “19% of the approximately 1,500 soldiers denied a compensable rating” by the Army Shrinkmeisters. Viewpoint is all about where you are standing while viewing this magnanimity of the Army. It also stands to reason that there were more than 285 of 1500 denied. Army math seems to resemble VA math. More News and Film as we unravel this.

PTSD Coloring Books

Posted in All about Veterans, C&P exams, Gulf War Issues, Nexus Information, PTSD, vA news | Tagged , , , , , , , , | 4 Comments

68% Of Americans With HCV Are VETS?–HUH?

Member Loyal points out some interesting percentages in my last post :

I dispute the logic here:

“Dr. Stevens estimated the current in-service occurrence of hepatitis C at approximately 10%”;

Since this Veteran has a current diagnosis of Hep C, he falls within that 10% group, and is NOT part of the group of 90% of Veteran’s who DID NOT get hep C.

The 10% number does not mean that it is “less likely than not” he got Hep C from service. He is already in the 10% who DID GET hep C, and this eliminates the Veterans, statistically, who do not have hep C.
. About 36,000 people per year get hep C, according to this article:
http://www.idph.state.il.us/public/hb/hbhepc.htm
This suggests that most of them come from military, because 10% of 28 million Vets would be 2.8 million Vets infected with hep C.

Now, consider the CDC site’s statistics:

http://www.cdc.gov/hepatitis/HCV/PDFs/HepCGeneralFactSheet.pdf

This site says a total of 3.2 million people actually have it actively with 17,000 new cases annually. Additionally, 15%–25% of people “clear” the virus without treatment. Might not some of these be Vets who had it during inoculations but did not go on to develop it? If 10% of the Vet population is infected “currently”, does that not imply an active military cohort being actively infected today in 2012? If so, how, in the absence of the pneumatic injection devices since 1997? If unsanitary protocols were the culprit in a reduced cohort (in the sixties), how can there be increasing numbers all the way through to the 21st century? Logic is a non sequitur here.

If 10% of the 28 million-strong Vet population is indeed infected, that would constitute 2.8 millions of Vets out of a total, chronically infected population of 3.2 million. Even using a reduced figure of 2.3 million of the current 3.2 million yields the astronomical figure of 67% of all citizens currently infected with HCV are Vets.

Something is amiss. Could it be Doctor Dennis Stevens, noted head of the VA’s Infectious Diseases Section at the BFE VAMC in Idaho is incorrect? Does anyone think the CDC might find his logic faulty?

I have heard many numbers bandied about. One was that three (3) percent of the Veteran population is currently knowingly  infected. Since large numbers of tested Vets have never been properly notified of their infections, this quoted number is probably low.

Another number universally cited is that Veterans who served in the SEA theatre are 60% more likely to have HCV compared to Vets who did not serve in- theatre (EFTO).

Numbers are very malleable where the VA is concerned. Since the presumption of regularity attaches to their medical experts’ competence, who can argue with this unless… the facts are so out of touch with reality? I would cite this number in my decision if fighting VA. You would not be using the decision per se, but the findings of the VA’s very own expert (Dr. Stevens) now of record.  Sweet. If he’s correct, a clear majority of us must have been infected via jetguns  to reach that percentage. The only commonality among us  is the jetguns.

Think this through:

Further, this Court has held that the Board may assume a VA medical examiner is competent. Cox v. Nicholson, 20 Vet.App. 563, 569 (2007); Hilkert v. West, 12 Vet.App. 145, 151 (1999) (en banc) ( “[T]he Board implicitly accepted [the VA examiner’s] competency by accepting and relying upon the conclusions in her opinion.”), aff’d, 232 F.3d 908 (Fed. Cir. 2000) (table). The presumption of regularity supports this assumption, in that the presumption “‘. . . provides that, in the absence of clear evidence to the contrary, the court will presume that public officers have properly discharged their official duties.’” Rizzo v. Shinseki, 580 F.3d 1288, 1292 (Fed. Cir. 2009) (quoting Miley v. Principi, 366 F.3d 1343, 1347 (Fed. Cir. 2004)). “The presumption of regularity is not absolute; it may be rebutted by the submission of ‘clear evidence to the contrary’.” Ashley v. Derwinski, 2 Vet.App. 307, 309 (1992); see Hilkert, 12 Vet.App. at 151 (an appellant bears the burden of persuasion on appeals to this Court to show that the reliance of the Board on an examiner’s opinion was in error). Whether clear evidence exists to rebut the presumption of regularity is a question of law that the Court reviews de novo. Clarke v. Nicholson, 21 Vet.App. 130, 133 (2007).  Savoy v. Shinseki (2012)

So a smart Vet applying for HCV service connection can wrap this up in a very tidy bundle in short order. VA says this- ergo it follows that it is chiseled in stone because anything that comes from the mouths of these expert medical chuckleheads is Gospel. A=B, B=C, therefore A=C. The presumption of regularity can come back and kiss you like a barn door in a windstorm- or it can kiss the VA. Here is a classic example. Vets everywhere should get a bio on Dr. Stevens as soon as possible to pad their new presumptive claims. A nice barrage of thank you letters on a high-quality vellum would be in order after winning. His address is:

Doctor Dennis Stevens

Boise VA Medical Center

500 Fort Street
Boise, ID 83702

Telephone : 208-422-1000

Here’s Savoy: Go here first . Then type in 10-2748 in the searchbar.

Click on the blue download in the upper left to view normally

 

I’m guessing Dr. Stevens has no clue how famous he’s going to become. This also validates my theory of pie hole diarrhea.

Posted in All about Veterans, CAvC HCV Ruling, HCV Health, Important CAVC/COVA Ruling, Nexus Information, Tips and Tricks, Veterans Law | Tagged , , , , , , , , , | 2 Comments

CAVC–DIBERNARDO V. SHINSEKI–JETGUN INFO

While this is a Single Judge Decision and useless for precedent, look at the encaptured below for your case. The BVA or the VA has finally released the definitive requirements for successful transmission via jetgun. They can’t put this cat back in the bag.

The appellant first contends that the Board clearly erred when it determined that his hepatitis C was not related to service, despite its acknowledgment that transmission of the virus by airgun was a possibility. Appellant’s Brief (Br.) at 8-10; see R. at 10 (“The biological possibility of transmission of the hepatitis C virus by jet airgun injectors has been acknowledged by VA.”). This argument is unavailing. Establishing service connection generally requires medical evidence or, in certain circumstances, lay evidence of (1) a current disability; (2) in-service incurrence or aggravation of a
disease or injury; and (3) a nexus between the claimed in-service disease or injury and the present disability. See Davidson v. Shinseki, 581 F.3d 1313, 1316 (Fed. Cir. 2009); Jandreau v. Nicholson, 492 F.3d 1372, 1376–77 (Fed. Cir. 2007); Hickson v. West, 12 Vet.App. 247, 253 (1999); Caluza v. Brown, 7 Vet.App. 498, 506 (1995), aff’d per curiam, 78 F.3d 604 (Fed. Cir. 1996) (table); 38 C.F.R. § 3.303 (2011).
As noted by Dr. Stevens and relied upon by the Board in its decision, while airgun
transmission of hepatitis C is “biologically possible,” three things must occur:
First, the face of the air gun would have to have blood on the surface[;]

second, there [would have to be] no attempt to remove blood from the device between patients; and[]

third, . . . at least one recruit immunized before [the appellant] would have to
have had an active hepatitis C infection. R. at 31
  Dr. Stevens estimated the current in-service occurrence of hepatitis C at approximately 10%; he further opined that this rate was likely lower at the time of the appellant’s vaccinations. R at 31-32. Based on this, he concluded that it was less likely than not that the appellant contractedhepatitis C while in service. R. at 33. DiBernardo v. Shinseki 2012)

Keep that in mind if you are filing for HCV via the gun.

Dibernardo v Shinseki

 

 

Posted in CAvC HCV Ruling, Nexus Information, Tips and Tricks, Veterans Law | Tagged , , , , , , , , , , , , , , | 7 Comments

CAVC–EVANS (ROCKY) v. SHINSEKI–IVDU?

When all is said and done at the BVA, one appeals up to the CAVC-usually with a good reason. We all know (or should be aware) that proving HCV is often one of the hardest legal hills we will climb. Our facts must be cogent, our reasoning impeccable and our SMRs either supportive or neutral for risk. Obvious evidence of negative events will knock one out of the running and very little, if anything, will avail a Vet in these circumstances. Many Vets similarly situated have won, but had enough evidence of combat blood exposure, a medic MOS or similar risk that gave rise to the benefit of the doubt.  In these cases, you can almost arrive without a nexus and still get sympathy from a VLJ on appeal. If the RO screws it up or ignores evidence, you can still pull it off in D.C.

Rarely, we see a Vet come forward and contest the facts as they were written in his SMRs all those years ago. I have yet to see a successful conspiracy defense.  Even more rare is the appearance of a Vet before the Court unrepresented (pro se) with such a difficult row to hoe. Enter Rocky A. Evans, a Vietnam-era Veteran.

Mr. Evans arrived before Judge Davis with no legal counsel. This is not to say he couldn’t find any. There are numerous leagle beagles who will do this for you, and even put up a spirited defense, fully well knowing your chances of success are less than those of a snowball in a warm locale. Granted, Rocky had a piss poor case with no redeeming features, but every dog must have his day. I often ostracize Vets for wasting valuable judicial resources and I would normally continue that here, but I feel compassion for Mr. Evans. He made some poor choices and will suffer the consequences for the rest of his life. Nothing would be gained from telling him what a ditz he is/was. Let us see what we can salvage from this in case we find ourselves similarly situated.

Rocky served from October 1972 to July 1974. That usually indicates a draftee unless he was booted for unsuitability or other infractions. As the record doesn’t indicate a less than honorable discharge, and the law says one is ineligible for benefits in those circumstances, we can assume he emerged unscathed. As a serving member of the Armed Forces in a time of war, he is eligible for benefits. When defending oneself pro se, one must go to great lengths to familiarize oneself with the law. Judging from the tenor of the record, it appears Rocky is no slouch in that respect. He filed a “informal brief” with the Court and they have to do some “kn-str ing” to figure out what his bitch was:

Mr. Evans argues that the Board failed to consider statements from his “civilian doctor” who reported that he “contracted hep[atitis] C in the service.” Appellant’s Informal Brief at 1. The Court will construe this as an argument that the Board provided an inadequate statement of the reasons or bases for treatment of medical evidence from private treatment providers. Evans supra

The backbone of Rocky’s appeal centers on his contention that he was railroaded by some nasty doctors who entered medical information that was untrue into his SMRs.

Mr. Evans also argues that the Board erred in finding that he used IV drugs in service. He states in his informal brief that he did not use IV drugs during or after his service in the Army, and implies that an Army doctor fabricated this information and inserted it into his records. Evans (Rocky) v. Shinseki (2012)

Those are mighty tall assertions that give pause to most legal proceedings. VA and the Court will go to great lengths to disprove allegations of this nature because they call into question the basic fairness of all jurisprudence.

The Board’s determination that Mr. Evans used IV drugs in service is a factual finding, and must be supported by an adequate statement of reasons or bases. The Board is required to include in its decision a written statement of the reasons or bases for its findings and conclusions on all material issues of fact and law; that statement must be adequate to enable an appellant to understand the precise basis for the Board’s decision, as well as to facilitate informed review in this Court. Evans supra

Vets must understand the import of a “finding”. This is different that finding a twenty dollar bill on the floor of the supermarket while you’re waiting to check out. That finding should surreptitiously be stepped on and acquired via the  retying of one’s shoelaces. A finding at the RO or BVA is arrived at because they are “triers of fact”. They are invested with the authority to determine what happened (via their own tortured reasoning) and announce their decision. The fact that they are wrong 60% of the time should not be held against them. This is why the Court exists- to right these inequities. Failing to avail yourself of this invaluable judicial tool is foolish-unless, of course, your case does not have a legal leg to stand on.

The Board noted that the record contained service treatment records in which Mr. Evans admitted to drug use in service, and that the treatment records were created by three different examiners at three different times and places. For example, the record contains a February 1, 1974, service medical record in which the examiner recorded that Mr. Evans “uses needles sporadically, the last time about 10 days ago” and diagnosed hepatitis A and “[h]istory of drug abuse, intravenous.” R. at 49. The record also contains a December 24, 1973, service medical record in which the examiner recorded: “P[atien]t admits to IV use of drugs.” R. at 56. And an April 18, 1974, service medical record notes that Mr. Evans admitted to using various drugs, including heroin and morphine. R. at 57.

The Board also reasoned that, because two of the statements were made by Mr. Evans for the purpose of seeking medical treatment for a condition that was later diagnosed as hepatitis A, and therefore that it was in his best interest to provide accurate information, they would be ascribed greater weight than later testimony by Mr. Evans that he never used IV drugs in service. The Board adequately explained its reasons and bases for assigning relative weight to the evidence of record, and for its factual finding that Mr. Evans used IV drugs in service. Because this factual finding is supported by the evidence of record, the Court concludes that it is not clearly erroneous.  Evans supra

This is the predicate for Mr. Rocky’s predicament. Diarrhea of the piehole 40 years ago  is often a claim killer. There is nothing that can be done to ameliorate this in Rocky’s case. No protestations of alternate risk theories, no argument that his nexus letters are bogus- nothing.

As Mr. Evans was a little skinny on what, exactly, it was that caused him to come down with this disease, the Board has given him due process. Arguing the Army doctor  had it in for him is still not fulfilling the three Hickson elements. Rocky is arguing the case as if he has checked off on all three requirements. This means Rocky didn’t read the rules on nexus letters very carefully. This small inattention to detail  created a problem which might have been avoided.

A strong defense with several well-written nexus letters taking into account the drug risks as well as jetguns etc. might have survived a Court inspection. Arriving pro se with a conspiracy theory and little else does what we all detest- wasted judicial effort. The one universal truth you can take away from this  is Shakespeare’s immortal line  “Whosoever is his own counsel has a fool for his client.”  One must also complement Judge Robert N. Davis for politely overlooking Rocky’s propensity to stretch the truth about the IVDU. I might have let slip a reference to Mel Gibson. My humor is irrepressible as most know.

http://search.uscourts.cavc.gov/isysquery/4fed8b72-36f5-4ba8-9591-ff331bbe1a68/4/doc/

 

Posted in CAvC HCV Ruling, Frivolous Filings, Veterans Law | Tagged , , , , , , , , , | 3 Comments

PTSD Fallout Continues

Hot off the email. Thank you for your perseverance for Vets, Bob.

New York Times
March 3, 2012
Pg. 18

Calling For An End To Phony Military Discharges

To the Editor:

“Branding a Soldier With ‘Personality Disorder’ ” (front page, Feb. 25) scratched the surface of an important military scandal.

I have been investigating personality disorder discharges for the last six years. In that time, I’ve interviewed dozens of physically wounded soldiers who were booted from the military with a phony “pre-existing personality disorder,” which prevents the soldiers from receiving disability and medical benefits. They even have to give back a chunk of their signing bonus.

Soldiers severely wounded in combat are finding out on their final day in uniform that they will never get disability benefits — and they now owe the military thousands of dollars.

I have also interviewed military doctors about being pressed by their superiors to misdiagnose wounded soldiers. One doctor told me of a soldier who came back with a chunk missing from his leg. His superior pressured him to diagnose that injury as personality disorder.

The numbers in this scandal are staggering. Since 2001, the military has discharged more than 31,000 soldiers with personality disorder, at a savings to the military of over $17.2 billion in disability and medical benefits.

Barack Obama had been at the forefront of this issue. As a senator, he put forward a bill to halt all personality disorder discharges. But as commander in chief, he has done nothing to halt these fraudulent dismissals.

The American people should confront the president and the Republican presidential candidates with this question: As commander in chief, what actions will you take to keep these phony personality disorder discharges from devastating another military family?

JOSHUA KORS, New York, Feb. 26, 2012

The writer is a freelance reporter.

Editor’s Note: The article referred to by James Dao appeared in the Current News Early Bird, Feb. 25, 2012.

Posted in All about Veterans, General Messages, Gulf War Issues, PTSD, vA news, Veterans Law | Tagged , , , , , , , | Leave a comment

Slight Delays at CBOCs

I drove by Bremerton, Washington’s VA Community Based Outpatient Clinic on my way to a doctor’s appointment and noticed this. Apparently there are only four doctors now, so some delays are possible. I suggest calling ahead to confirm any appointments made over a month ago. Parking may be extremely limited so walking is recommended. Unfortunately, if you decide to walk or bike, no travel pay will be forthcoming. FYI.

Posted in All about Veterans, Humor, Uncategorized | Tagged , , | Leave a comment