BVA–LONG COOL WOMAN IN A BLACK DRESS

Capture

Jeany Mark Esq.

What could be better than a long cool Veterans Law Judge in a black robe than a red hot Vet’s law dog  on your team named Jeany Mark Esquire. Ms. Mark is one half of the tag team of Lieberman and Mark. The VLJ is no other than Ursula R. Powell. Imagine. An all-woman production with no testosterone involved. Given another day or two, they could probably solve Global Warming. I respect women for what they can accomplish unimpeded. No wasted words during work. Cupcake is a shining example. So is Ms. Powell here.

Several months ago, I had a query about who was a better Veterans Law Judge versus another. With about 78 to pick from, that’s a tall order. The Honorable Ms. Powell’s name came up and she was being cast as a hanging judge. I looked for myself on the BVA site and found her to be remarkably well-grounded when someone representing the Veteran actually shows up with the ingredients (Caluza/Shedden/Hickson) for baking the pie. Sadly, too many walk to the hangman’s noose oblivious to fact that their VSO representatives let this get in front of judge without an IMO. Service reps are taught

Kumbaya §3.102 (a)

Benefit of the doubt will carry the day.

They rhyme it so the reps won’t forget it. Anyway, I ran into this gem which illustrates a couple of really fancy ways to get around not the Hanging Judge but the Hanging RO RVSRs, DROs and VSCM “Judges” who deny this because they are forced to. Roger that. download-13It’s a jetgun decision. You could have the signed and notarized Buddy Letter from Jesus F. Christ. You could have service med recs that said you got Hep while you were in country in 68. If you blame the jetgun, all that flies out the window. 4th and long. Punt to BVA automatically. This is another Whacko RO, Texas decision. Caluza? Never heard of him.

 

About a year into this Johnny Vet figures out the password and the secret handshake and hires Dr.  K. Gutta M.D. to write his IMO. It’s a good one.

In a letter dated in February 2009, K. Gutta, M.D., wrote that the Veteran has been diagnosed with hepatitis C and cirrhosis, and has been stable. Dr. Gutta opined that it is more than likely that the Veteran obtained the Disease in 1971 at Fort Polk, Louisiana. As a rationale for the opinion, Dr. Gutta noted that a number of the Veteran’s colleagues also developed hepatitis C and, hence, there appears to have been cross contamination of a number of soldiers from that time. Furthermore, the Veteran does not have any other obvious sources of acquisition for the infection.

That should have rung the RO’s bell and provoked a grant right there. No. VA dawdles another four years and finally calls for their C&P/VA Examiner to read the tea leaves.

The Veteran was provided a VA examination in August 2013 for hepatitis, cirrhosis, and other liver conditions. The VA examiner interviewed the Veteran, and acknowledged the Veteran’s belief that he contracted hepatitis C through injections administered through air gun injectors during active service. The examiner indicated that the Veteran had “no known risk factors.” The examiner opined that it is as likely as not that the Veteran’s hepatitis C was incurred in or caused by the claimed in-service injury, event, or illness. As a rationale for the opinion, the examiner stated, “it is as likely as not that vet hepatitis c is related to military service in 1971 at Fort Polk, Louisiana, where he received air gun injection, which would be due to possible cross contamination.”

Obviously Nursey Nurse Examiner was new and had not been given the “briefing”- yet. Concerned SESs above telephoned downstairs a week or so later and asked Nursey Nurse to clarify her thinking just in case she had the vapors during the recent full moon.

Later in August 2013, the RO contacted the examiner who conducted the August 2013 VA examination for further rationale for the positive nexus opinion. In an August 2013 VA addendum opinion, the VA examiner stated that the cross-contamination was “due to poorly sterilized equipment causing transmission of hep C virus harboring in liver.”

Now, put this on pause for a moment and go back up to the Introduction. Read that last sentence.

Following issuance of the statement of the case, additional evidence was associated with the record. The Veteran has waived initial consideration of the evidence by the Agency of Original Jurisdiction (AOJ). Accordingly, the Board may proceed with appellate consideration. See 38 C.F.R. § 20.1304(c) (2015).

This is how you play VA Poker. Pry it loose from the VARO and get it to appeal. In the interim, crank out a new nexus letter or refurbish the old. I suspect it was an IMO kicker on the cirrhosis, secondary to the hep C. It’s glaringly obvious that this already had two concurring medical personnel saying it was SC and the RO denied with no nexus/IMO of their own. Pray tell, how? Well, come on, dude. If the legal help is free, you better supervise them a little bit. I’d give my eye teeth to see that denial. $100 says the mention of the word “speculative” was in there somewhere.

VLJ Powell is probably wondering why she has to be King Solomon the Wise to make this decision. Remember, too, that this poor guy began this in 2008-eight long years ago. This is VA poker show and tell finally explained. Vet 2, VA 0. Any Questions? Good. Give him his rating and a secondary on the cirrhosis and be quick about it. You can tell Ursula was brought up right. You didn’t hear a single word about those a–holes back in Waco who didn’t do their jobs.

Eight years, ladies and gentlemen Vets. Eight years. For something a first year law student could figure out in a heartbeat? Nonadversarial?

Next?

12800135_10153817420410700_3029626383682998185_n

 

 

 

 

 

Posted in BvA HCV decisions, C&P exams, HCV Risks (documented), IMOs/IMEs, Jetgun BvA Decisions, KP Veterans, Lawyering Up, Nexus Information, VA Attorneys, vARO Decisions, VARO Misfeasance, VBMS Tricks, Veterans Law, VSOs | Tagged , , , , , , , , , , , , , , , , , , , | 2 Comments

BVA–OPEN MOUTH, SHOOT FOOT

FROM THE DAVID KORESH MEMORIAL  VARO IN WHACKO, TEXAS

635646931319099161-veterans-administration-logo

VA examiners, over the decades I have witnessed the phenomenon, have reached conclusions no one else in the medical field could hope to. With perfect aplomb, they make pronouncements that are far reaching and totally unsupported by fact. I do give them credit for their imagination but the damage it wreaks on Vet’s claims can have serious, long term implications. Considering 85% of all claims are denied, it behooves VA to examine the M21 1MR process that drives such a high error rate. Here is a case in point.

Virginia Girard Brady VA Dragonslayer

Virginia Girard Brady
VA Dragonslayer

I always get a bang out of Virginia Girard-Brady, Vet’s attorney extraordinaire. Her office is prolific and successful in pursuit of claimants’ appeals. She always has tremendous success with HCV claims and here she hits one out of the park. However, her case was made for her, rather than by her,  due to the bumbling VA examiner who couldn’t string two sentences together and come up with a viable denial. The sum of the VA’s attempted denial consisted of 1) a positive nexus at worst and b) a misreading of 38 CFR 3.301(c) (1). While painful and ill-advised, the contraction of a venereal disease will never rise to the level of willful misconduct. Stupidity, yes but always in the Line of Duty!

This sounds like the semantic meanderings of someone far afield who cannot bring themselves to make a clear pronouncement pro or con. In the process, they accidentally give equipoise to the very arguments they set out to demolish.

steel-toed bootThe examiner opined that the “Vet was not treated for hepatitis or had any symptoms of hepatitis in his STR. He denied that he was jaundiced. The air jet vaccine gun is plausible way [sic] of his getting this. However, he has other risk factors, like h/o multiple sexual partners w/ STD. The air jet injector gun is associated with hepatitis B transmission (see http://www.ncbi.nlm.nih.gov/pubmed/17879809). Hep C has similar transmission. The June 29, 2004, VBA Fast Letter (04-13) says that this is plausible. However, the vet also had multiple sexual partners which is also risk factor for developing Hep C. So the airjet gun, may have been the cause of his Hep C. This may be related to his military service, but he has other strong risk factors that make this less likely than not that this is service connected.” The examiner provides no rationale for why the Veteran’s multiple sexual partners is a more likely risk factor. The Board finds this opinion to be contradictory in that the VA examiner found that the air jet gun theory is a plausible basis for the Veteran hepatitis, but he also found that the Veteran’s multiple sexual partners may have been the cause of the hepatitis. The Board finds that this examiner’s opinion places whether the Veteran’s hepatitis B and C were caused by an air jet gun into equipoise as it both supports the theory and also finds another basis for the Veteran’s hepatitis. The question of a nexus now in equipoise, the Board finds that 38 U.S.C.A. § 5107(b) is controlling and that the benefit of the doubt should be provided to the Veteran, and thus service connection for hepatitis B and C is warranted.

(As an aside, I want everyone to take note. I began referring to the “air inoculation device” as a jet gun in my blogs back in 2008. With great pride, I see the term jet  gun  finally catching on.)

Assuming the Whacko’s  VA examiner in this case was also pontificating the same day on other claims from our Texas Johnny Vet, how about a few of these gems.

DVT and/or Peripheral Vascular disease

45-inch-hole-plus-peripheral-traumaIn the Board remand, the examiner was directed to expressly address and reconcile the contemporaneous in service findings of lower extremity pain, tenderness, and swelling documented, the SSA determinations showing that his DVT has rendered him unemployable since February 1995, and the lay statements attesting to a history of “blood clots” and related peripheral vascular disease symptoms persisting since his active service. See August 2013 Appellate Brief, March 2010 Statement from D. McGee. The examiner’s opinion consisted of only this remark “Vet checked no to cramps in his legs on his discharge physical. So his legs did not bother him. He was seen for acute knee and ankle injuries, however, there is no documentation of blood clots in his STR. His knees or ankles didn’t seem to bother him at discharge either. Therefore, the evidence is lacking that his DVT is service connected.” In addressing the DVT issue the VA examiner only wrote “Vet’s STR does not have evidence that his current chronic DVT is related to another service condition. His STR does not have any evidence of peripheral vascular disease.”

The vernacular of the examiner(s) is uniquely the same  again here.

Respiratory Disorder

dorsal aspect showing expansion of projectileIn the 2014 remand, the respiratory examiner was directed to expressly address and reconcile the contemporaneous in service findings of congestion and wheezing, the post service evidence of treatment for chronic bronchitis beginning in the mid-1990s, and the lay evidence regarding a history of recurrent coughing and related respiratory complaints persisting since his active service. The examiner wrote “The vet had one episode of wheezing on 5/24/77 which was attributed to a “cold.” He did not have any other episodes in his STR. He also said he did not have asthma on his discharge physical. The examiner did not note any wheezing either. So the evidence is lacking that his asthma is service connected. The Board notes that the VA examiner did not comment as instructed on the chronic bronchitis beginning in the mid-1990s or address the lay evidence of continuous symptomatology. Therefore, the Board finds that the Board’s remand directive was not fulfilled.

These are the ruminations of Veterans Law Judge Gail E. Strommen. If this is the new standard by which we will be judged, God forbid. We’re heading into a perfect storm of remands in search of coherent VA examiners who can read at a 9th grade level and remember to fetch the pertinent contemporary records before ruminating. Once they analyze each individual’s claims, they will be required to opine and subsequently support their findings or this just becomes another exercise in stupidity. We, who live in trailer parks or under posh, well-furnished overpasses, are required to produce cogent, well-reasoned treatises on why we are afflicted with disease and injury. Further, we are required to tie it to our service. Lastly, we are precluded from making any observations requiring medical expertise in diagnosing our ills.

Apparently, VA is not bound by these same codicils.

Asknod's VA Logo

Posted in BvA HCV decisions, HCV Risks (documented), Jetgun BvA Decisions, Jetgun Claims evidence, KP Veterans, Nexus Information, Tips and Tricks | Tagged , , , , , , , , , , , , , , , , , , | 8 Comments

CAVC–GOPAN V SHINSEKI- LINE OF DUTY FOR DUMMIES

vetcourtappealspromoOver the last eight years I have read law. Lots of it. Line of Duty (LOD) determinations are one of those fuzzy areas where everyone can agree to the same thing for five minutes. Then along comes another LOD appeal and all the existing law flies out the window. Here’s a 2009 Single Judge decision by old Judge Greene that illustrates the propensity of the BVA boards of three back in the early days to deny for no other reason than that they could. 

In 1961, VA instituted Boards of three Veterans Law Judges (VLJs), one of whom was a dual hatter-i.e. a Juris Doctor with a Medical Doctorate as well. I often wondered if s/he was remunerated at a higher rate. If not, s/he was a chump.  These VA Boards (twenty) were entrusted with hearing Veterans claims and deciding their merits. Rather than shuffle the Judges about geographically, each Board was assigned an area of the continental United States or one of the outlying areas such as Manila, Anchorage, Hawaii or Puerto Rico. If you, Joe Veteran, lived in Seattle, you would get the same Board over the life of any claims you appealed. This didn’t change until they reshuffled the deck after the passage of the VJRA in 1988 or the judges kicked the bucket/retired.

Another disagreeable aspect of the Board of Veterans Appeals back in the days of Mr. Joel L. Gopan was the lack of  a mechanism to appeal higher. Quite simply, if you lost at the BVA, that was all she wrote. Given the fact that most Judges realized which side of the bread was buttered, they tended to rule against Veterans. Their paychecks came from the VA and it was just de rigeur that they defend their own institution.

Meet Joel L. Gopan and his amazing 1971 technicolor CUE (clear and unmistakable error). Add in a side of earlier effective date and you just know this is going to be a good read.

Gopan-3553

Also, in conjunction with Line of Duty, I include a newer one by Judge Coral Wong Pietsch on the same subject. They bring two different theories to the table on LOD claims. Mr. Gopan’s is intriguing solely for the proposition that VA refused to recognize a clear LOD determination by the Nasty Guard that his injury occurred as stated and he was subsequently discharged for medical reasons directly attributable to it. On the other hand, Mr. Raymond Alley’s decision was remarkable for VA’s refusal to recognize their own rules and regulations saying they are not bound by the military service’s determination of LOD-in certain circumstances.

AlleyRL_12-691

Early VA justice has always been considered lopsided, slipshod and poorly reasoned. The reason for this philosophy is simple. It was. This is one reason we have so much success opening up the books and getting SC for some who have lost repeatedly. Oddly and fortunately, those of us too dense to appeal to the BVA are somewhat blessed. A BVA decision subsumes a piss-poor Regional Office decision and rarely can be reversed as Mr. Gopan did here. By failing to file an appeal and allowing a decision to expire, it leaves open the possibility or overturning it later on CUE. This is not to say that a reversal of a BVA decision in 1971 based on CUE below at the Regional Office is impossible but the menu of options (read reasons) is far more restrictive.

Joel’s  1971 BVA decision was a whitewash.

Although the service department had assigned a line of duty determination to Mr. Gopan’s disability, the Board concluded that it was “patently inconsistent” with the law administered by VA to hold that Mr. Gopan’s old adhesions and regional entritis (sic) could have been aggravated during his few days of service, especially since there were no new internal injuries found.  Thus, the Board determined that Mr. Gopan had no in-service injury while on active duty for training that would entitle him to benefits.

When Joel finally won thirty years later in 2001, he filed for appeal on two separate counts. Number one was the clear and unmistakable error that 1971 was the correct effective date and two, that he was erroneously denied in 1971 due to a misreading of 38 CFR §3.1(k). The fact that the RO granted his claim in 2001 precisely because the medical evidence from his STRs in 1971 showed it occurred in service made this a no brainer. Nevertheless, the BVA was not going to okay a gazillion dollars in a Fenderson staged rating from 1971 to now without a very big fight to the CAVC.

In line of duty means an injury or disease incurred or aggravated during a period of active military, naval, or air service unless such injury or disease was the result of the veteran’s own willful misconduct. A service department finding that injury, disease or death occurred in line of duty will be binding on the [VA] unless it is patently inconsistent with the requirements of laws administered by [VA].

Mr. Gopan was on firm legal ground in 1971 and got a rotten deal. His CUE hinged on the red above. Mr. Alley’s win hinged on the second half in blue. Thus you can see there is much more to LOD than spotting the acronym in the contemporary service records.

The 1971 BVA Board, as well as the 2007 Board of One Judge, both got it wrong. Granted, VA is loathe to overturn old decisions based on CUE. We saw this phenomenon in Macklem v Shinseki play out all the way to the Fed. Circus and quietly disappear. I have often theorized that the BVA’s refusal to grant my earlier effective date back to 1994 was born of the same rationale. Deny it and force it up to the CAVC. Obviously there are two possible immediate outcomes. The Vet may not appeal and secondly, the CAVC may see it VA’s way.

Mr. Gopan’s tenacity and inherent sense of justice wouldn’t permit him to let this one go. Mr. Alley had nothing to lose. He was headed to the locker room with nothing if he lost. Granted, Alley’s circumstances were arguable to some degree but the bottom line is Chevron deference. VA clearly wrote 3.1 to encompass a benefit of the doubt as to the severity of the crime that would forbid service connection. Judge Coral’s reasoning on it was superb. The codicil of willful misconduct will always be the legal standard rather than a dry parsing of the term “Not in the Line of Duty”. Here’s how it shakes out.

The applicable VA criteria for a negative line of duty finding are different from the military criteria. Specifically, Army regulations in 1962 provided that a negative line of duty determination
required substantial evidence that an injury or disease was “[i]ncurred or contracted during a period of unauthorized absence.” AR 600-140, para. 16 (1962). Army regulations further provided that “a period of unauthorized absence” was established when a service member “voluntarily absented himself from his unit or organization or place of duty without proper authority, or was absent from a scheduled duty or restriction, at the time the injury or disease was incurred.” (emphasis in original). Applicable VA regulations, however, require a finding that the claimant was “absent without leave which materially interfered with the performance of military duty.” 38 C.F.R. § 3.1(m)(1). Thus, the VA regulations applicable in this case, unlike the 1962 military regulations, require a finding that the claimant’s absence materially interfered with the performance of his duty.

The BVA generally is far more likely to deny anything which is not in the line of duty more so than they are to approve. Seeing the word ‘not LOD’ in the STRs virtually ends the discussion as does ‘willful misconduct’. Conversely, VA is loathe to grant when they see anything they believe smacks of willful misconduct even if the military record in question iterates it was LOD. This dichotomy throws off many VA attorneys and they never question it or the possibility the logic/regulation/statute is being transmogrified.

Simply put, a Line Of Duty determination is not determinative until the CAVC has spoken to it. We pretty much know what VA’s take on it is going to be. Considering they deny 85% of all decisions-right or wrong- we would be fools not to tug on the loose thread of this Walmarket® sweater to see if it unravels. Obviously, certain acts such as AWOL (absent without official leave) are inexcusable for the most part. I’ve seen them overturned for compassionate reasons so they, too, are not definitive examples of immutable case law.

Never for a moment think a Not LOD is the last word on the subject. Allow me to show you a glaring hole in Hepatitis C jurisprudence many VA attorneys fail to pursue. Remember, this is perfectly legal.

Imagine:

Johnny Vet is in combat in Vietnam. One of his buddies says “Here, shoot/snort some of this junk. It’ll calm your nerves before the gooks come through the wire tonight. It’s gonna be ugly.” Johnbo does this a few times and decides it’s not his drug du jour. He never does it again and 30 years later he discovers his actions  have caused a raging case of Hep C that’s killing him. Willful misconduct for doing drugs? No. And here’s why.

38 CFR §3.301(c) (3):

(3) Drug usage. The isolated and infrequent use of drugs by itself will not be considered willful misconduct; however, the progressive and frequent use of drugs to the point of addiction will be considered willful misconduct. Where drugs are used to enjoy or experience their effects and the effects result proximately and immediately in disability or death, such disability or death will be considered the result of the person’s willful misconduct. Organic diseases and disabilities which are a secondary result of the chronic use of drugs and infections coinciding with the injection of drugs will not be considered of willful misconduct origin. (See paragraph (d) of this section regarding service connection where disability or death is a result of abuse of drugs.) Where drugs are used for therapeutic purposes or where use of drugs or addiction thereto, results from a service-connected disability, it will not be considered of misconduct origin.

Hepatitis C is an organic disease. The plethora of secondary diseases associated with Hepatitis C is extensive. An infection often takes 30 + years to manifest itself. The clear reading of this regulation can only imply that if you contracted HCV due to using drugs/sharing a needle or straw and were never addicted or a chronic user is that your HCV can legally be service connected.

The mention of paragraph (d) is as follows:

(d) Line of duty; abuse of alcohol or drugs. An injury or disease incurred during active military, naval, or air service shall not be deemed to have been incurred in line of duty if such injury or disease was a result of the abuse of alcohol or drugs by the person on whose service benefits are claimed. For the purpose of this paragraph, alcohol abuse means the use of alcoholic beverages over time, or such excessive use at any one time, sufficient to cause disability to or death of the user; drug abuse means the use of illegal drugs (including prescription drugs that are illegally or illicitly obtained), the intentional use of prescription or non-prescription drugs for a purpose other than the medically intended use, or the use of substances other than alcohol to enjoy their intoxicating effects.

This was my chauffeur-driven Lexus many times. The "O" stood for obsolete. Note the pod with the marker rockets on the outboard pylon

This was my chauffeur-driven Lexus many times. The “O” stood for obsolete. Note the pod with the marker rockets on the outboard pylon

As you can see, paragraph (d) and paragraph (c)(3) seem at odds with one another unless you only focus on the phrase “organic disease” and can, in clear conscience, say you didn’t do it for it’s intoxicating effects.  Most importantly, you must reach the high ground of “I never abused drugs”. Hell, I smoked a joint fairly regularly before I took off to keep my hands from shaking and to get my courage up. Granted, I shared bongs but I doubt I got Hep C from it. I can’t say I did it for its intoxicating effects. I did it to remain sane. The very last thing I wanted to be was ‘intoxicated’ on any drug in a combat setting. You need every ounce of concentration to stay alive. And, no- rest easy, folks. I never shot up drugs. My Hep C was held to be caused by a transfusion subsequent to an errant 7.62 X 39mm projectile.

Before any of you ever just accept conventional wisdom on what a regulation or statute says, read it yourself and carefully parse the usage of each and every word/sentence to see how and why an action such as LOD or willful misconduct is, or can be, arrived at.

I have used the bolded purple above to help Veterans get service connection for hepatitis C, secondary to PTSD a few times. Again, a perfectly viable path to service connection exists if you are shaking like a leaf on a tree and decide a dose of white lady was preferable to desertion or going AWOL. I doubt any of us would have ever indulged in something we thought was going to result in a terminal disease a half century later.

The perfect cockpit seat we were never issued.

12932749_579936718840516_4301679800777096140_n

 

 

Posted in All about Veterans, CAVC Knowledge, CAVC ruling, KP Veterans, LOD and willful misconduct, transfusions and hepatitis, Veterans Law | Tagged , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

ILP–THE LAST SUMMER

635646931319099161-veterans-administration-logoAssuming the VA makes good on its promises, August will be the month construction begins on the greenhouse. Having waited almost five years, five more months seems like a heartbeat away. Tuesday last, I met with my old Vocational Rehabilitation Specialist to go over the program’s objectives. As an aside, I wish to comment on the definition of ‘rehabilitation’ and VA’s interpretation of it. 

To VA, and more explicitly, VR&E, the term ‘rehabilitation’ is a borrowed term from occupational therapy. In their context, it connotes a successful path to a new physical plane of existence. Were you to be granted a riding lawn mower, rehabilitation would mean you had mastered the transmission and throttle and were not in danger of navigating off a steep precipice on your property. You would accomplish this by going through the paces under the watchful eye of your assigned Voc. Rehab. Counselor. It might require as much as sixty days and several visits to confirm you were cutting the grass at the proper height and actually using the machine for the purpose intended. Knowing Veterans’ propensity to drink and imbibe drugs, the Counselor has to make sure you are not using it as a substitute for a ‘mobility device’ to get to the local bar. Apparently VA has caught more than one Vet with a suspended driver’s license doing this. Being easier to ride than say, a bicycle, and more forgiving, it has the potential for applications for which it was never intended. This may be why they are being denied more frequently these days.

When I prevailed with my request for a computer, I was assigned a private voc. rehab specialist in computers. My guru, Jim Moss, was very pleasant and actually planned for my future computer needs. Many may laugh and say “Dude. You got a Dell.” After four years, the machine is still a powerhouse simply because he had the foresight to give me a massive hard drive and a handful of thumbdrives that boost it into the 40 gig range. I have no desire to install Windows 10 and start over on software. It’s taken almost that long to master the intricacies of my Adobe 9 Pro.

In respect to a greenhouse, it appears my current VA-employed Voc rehab guys will want to be my mentors. Even though they are clueless as to which end of a garden hose to attach to the spigot, they know the value of free vegetables. The IL Plan calls for him/them to visit monthly to make sure I’m watering the plants properly. It says as much in the Individual Independent Living Plan (IILP). I have to stand and deliver my fruit and seasonal veggies as well as show I’m planting regularly.

As I mentioned in the Hadit.com radio show yesterday ( April 14th, 2016), the preliminaries are all but over. VA has decided to accept an old (August 1, 2014) occupational therapy assessment (private) as adequate for their requirements. This will speed up the eventual beginning of a construction date. VA is not one to rush into these things. You or I could call Farmtek and have this puppy up and running by late May. VA insists on a medical evaluation, a psychological assessment, a GSA assessment, another whizbang who will make sure the handle on the hosebib is ergonomically agreeable to my wrist strength, et cetera.

I can almost imagine what ensues when these ILP weenies come in to install grab bars and give you can grabbers.

“Okay, Johnny. Can you demonstrate how to properly hold that grab bar to avoid falling? Good. That’s good. Now, would you demonstrate the proper use of your can grabber on the can of Bush’s baked beans up there? Now be careful not to stand directly under it when retrieving the can on the off chance the can parts company with the grabber. Excellent. Now, let’s move on to the socks puller uppers. Shall we?” Keep in mind this takes several visits on a monthly basis to ensure the rehabilitation is successful. In theory, you could master the mysteries of a cordless phone in as little as six months.

My rehabilitation for the computer was several years and I called Jim periodically with questions as necessary. VA paid Jim mass quantities of $ for his services. The computer bill for all the goodies was about $1400. Jim’s bill was about thrice that.

I look forward to being rehabilitated. In fact, I was perfectly frank with Mr. Holloway when I said I didn’t think I could master the intricacies of hydroponics in 60 days. I suggested two years because I didn’t just dock on the USS Mayflower last night. Having learned a painful lesson, I have discovered VA is on the hook for all the peripherals. Thus I missed out on all the printer ink and paper for my printer for several years. In gardening, and more so in a heated greenhouse, VA is required to pick up the tab for the propane heating and the electricity. Two years of propane alone at 3 gallons a day @ $2.30 a gallon from October to early May is a sizable amount of money. You can see VA’s desire to rehabilitate me in as short a period of time as possible. What’s amusing is that they spend almost five years saying my gardening assets were adequate and now are required to don sack cloth and anoint themselves with ashes, all the while agreeing that what I desire is readily obtainable, necessary and long overdue.

still-saving-private-ryan05Cupcake’s dad, who was in the first wave ashore at Omaha Beach in 1944, passed in June 2010. He went from a corporal to a Second Lieutenant in 90 minutes. I was faced with much the same when he passed. I had no knowledge or training in horticulture and had to learn it from scratch that spring. In spite of my relative agnostic religious affiliations, it often felt her dad was guiding my hands. Of course it could have been all that Dilaudid pain medication too. Back then VA was handing it out like Halloween candy in Tomah, Wisconsin. I’ve never had a physician say “Here’s 218 hits a month. If it’s not enough, call me.”  I was having a hard time finding my zipper fast enough to pee after eating two of them puppies.

Nevertheless, I am now a Jedi Knight gardener. With the greenhouse, I will become a Master. The thoughts of all the past years working in dirt will fade. Someday I’ll look back and think of it fondly as the era before plow mules. No one can dispute that there is an inherent fondness among farmers for running your hands through rich loam and composted horseshit. I will keep half the garden in dirt just to do corn as I can never conceive of that as a hydroponic endeavor.

Here’s to the last summer in the sun. I aim to enjoy every moment of it. We have also preserved fond memories of it annually here in posts on ILP

https://asknod.org/category/independent-living-program/

photo 3 (1)

The Tactical Operations Center (TOC)

The old greenhouse

The old greenhouse

photo 1

photo 2

The future greenhouse site

The future greenhouse site. I didn’t think old Shadow (12) would live to see it. Or me, for that matter.

There are so many of you I’d like to thank for your help over the years. Moving dirt is a dicey proposition when you have no abdominal musculature to mention. In addition, to learn far more about all this, please visit our sister site at Hadit.com and check out the podcast we did yesterday on this subject.

http://www.blogtalkradio.com/haditcom/2016/04/14/haditcom-blog-talk-veterans-radio-show-with-jerrel-john-and-alex-ilp-specia

An ILP program in your future is much closer than you think. In 2011, I dreamed big. For five years I cherished that dream and fertilized it with NODs and VA 9s. It will all now come to fruition because I persevered. You can too.

In memory of Paul Burch’s passing recently, we’ll be planting Silver Queen again this year.

 

Posted in Uncategorized | Tagged , , , , , , , , , , , , , , , , , | Leave a comment

HADIT.COM RADIO SHOW AT 1600 HRS ON THE LEFT COAST

haditlogo2007Today we’ll talk about the complete turnaround in attitude, the new VA Rodney King “Can’t we all just get along?” plaint and more. VA VR&E folks are not saddled with this phenomenon more than once in a lifetime. My original “Vocational Rehabilitation Counselor (VRC in VR&Espeak) was the low man on the totem pole and got the “Go deal with the nutjob but make sure the GPS on the vehicle is operational in case we have to come find you.” job.

10639533_10154768542645644_6478576956061279545_nKris arrived with knee pads and proceeded to apologize as only a VA weenie can. It began with”We were trained to ah work on getting you back to ah work… or… We always thought that ah, avocational pursuits were ah  right out… or…. The M 28 is mighty vague on a lot of this and we ah simply had nothing to ah go on…  The only thing besides too many ahhs and mouth breathers that ticks me off are people who use “yuh know” about sixteen times in a sentence. If you hear me use ‘you know’ it’s because you are the subject of the sentence and ‘you know’ is at the beginning.

Here are a few head notes to look at re the show. I present a live, defective Individual Independent Living Plan or IILP. There are several preliminary objectives.

New IILP for 2016 redacted

1) They want a c&p of sorts to make sure I don’t keel over from a myocardial infarct. They wanted me to go to the Bremerton Community Based Outpatient Clinic which they now call the Bremerton VAMC. One large room- two doctors, four nurses, four examining rooms. A lab to draw blood and urine for drug testing. Basically, the usual including about half of the population suffering from what sounds like double pneumonia. I traded and said we’d use my treating Medicare physician-you know, the one with the real nedical degree from an American hospital/Med school.

2) GSA Contractor will survey and build to suit me based on medical/ADA needs. (right!)

3) I promise to continue seeing my physician to make sure I am healthy

4) Lastly, the program will commence as soon as I sign it, not when the greenhouse is built. Worse, it will end in a year in April 2017. This is VA at their finest hour. I get free electricity, free propane and free fertilizer for eight months. I said I wanted a 2-year commitment as most ILP ‘rehabilitations’ run. They agreed 24 hours later without a blink of the eye. That’s a passel of propane, partner.

Next, I want to give you a jolt. The bid from Farmtek is almost eight months old but they promised to honor the price.

greenhouse + install quote redact  As you see, this is already up to $74,544.20 FOB.

Capture.JPG 22

Then there’s the utilities into the new structure. And the slab on grade foundation with a 36″ high foundation walls on the low sides for about $10 K-and of course the 24 X 48 X 4″ thick slab. And the rubber mats in case I fall down. And…

My VRC tells me there are more eyes in Washington’s VA Central Office (VACO) on this than there are eyes in a potato patch. Every comma, every change in the document I attached above requires 500 attorneys to parse it for the potential financial effects. Remember, we cannot go over $180,000.00. Oddly, when Bruce McCartney did this in Georgia back in 2007, he squeaked by on about $35 K. And for a 30 X sixty monster. All I originally asked for was a bigger greenhouse than the 6X8 I was in. VA could have gotten away for a song and a dance with a six by sixteen but they decided to fight. Now we’re talkin’ 1152 ft.². That’s bigger than a lot of houses I’ve built.

And that is what we are going to talk about today. Many of you have fought long and hard to win your VA benefits. Ratings shenanigans are a classic example of the VR&E’s techniques or vice versa.. They ignore the rules, they overlook evidence and then misinterpret the evidence they do have.  I don’t know it it’s on purpose. Who cares? You want to win so there’s nothing gained wondering what went wrong. We’re going to teach you how to do a VR&E nexus. Here’s mine.

ILP Evaluation 8-2014 redact

Here’s the BVA decision.

http://www.index.va.gov/search/va/view.jsp?FV=http://www.va.gov/vetapp15/Files5/1538123.txt

The Show starts a 1600 on the left Coast and 1900 on the (L)east Coast. And yes, I will answer Buck’s question at the beginning.

“say in a case that the vet was awarded a 50% back in 1998 but never received anything until 2001 and then it was just an award letter letting me know I been awarded a 50% increase  dated back to when I filed for the increase which was about a year later…..in my recent ptsd award letter they stated I been 50% since 1998  that is news to me because I seem to on;y have got the 50% award in 2001 or dated back to 2001 and was awarded it in 2002  so they did give me a years worth of retro.”

Remember, the telephone number to dial in and listen is

347-237-4819

ss-call-me

To open mouth and insert foot, press one (1) at any time. We welcome callers.

lightninghadit.com is not responsible for asknod’s comments or loose tongue.

 

 

 

Posted in Independent Living Program, KP Veterans, Vietnam Disease Issues, VR&E | Tagged , , , , , , , , , , , , , , , , , , , , | 1 Comment

OUR OLD FRIEND THE 12.7 DsHk

downloadI can remember flying into  Laotian valleys and suddenly hearing one of these bad boys going off over the sound of our engine. A 12.7 mm DsHk shakes the world only slightly less than a 37 mm. AA gun. They were deadly accurate in the right hands and I remember a few strips of 100 mph tape over the holes in the tail of our PC-6 or O-1E. That you could hear them over the sound of the engine always amazed me.

Our only rejoice was that you couldn’t interchange our .50 cal LMG rounds with their guns.

Doushka_desert

Posted in Vietnam War history | Tagged , , , , , , , , , , , , , , , , , , | 1 Comment

INDIANAPOLIS VAMC NAMES ROBIN PAUL EMPLOYEE OF THE YEAR

VeteransAdministration.12755109_stdTom Mattice, director of the Roudebush Veterans Affairs Medical Center in Native Americanopolis, Indiana announced the latest VAMC Employee of the year yesterday. Citing her amazing work with returning Veterans  suffering PTSD, suicidal tendencies and Xanax withdrawal issues, Mr. Mattice recognized her for her extensive work above and beyond the call of duty in the Transitional Clinic. Said Mr. Mattice “It’s rare that one individual can have such a profound effect on those around her. Ms. Paul is just a natural lightning rod for VA controversy and it’s only fitting she should be recognized for her works.”

22Ms. Paul was instrumental in creating teaching tools for employees to better help them accomplish their day-to-day tasks dealing with troubled Veterans. Included here below are some of her humorous vignettes used to help employees empathize. Ms. Paul prides herself on her openmindedness and her ability to reach out to returning Indiana Veterans and help them make their transition from military service to civilian status as painless as possible. Said Paul “Even a small amount of humor in these stressful times helps ease their transition. We’re always looking for innovative ways to help our Veterans.”

 

 

PTSD Veteran (elf) aspiring to a new calling as a VA caregiver

PTSD Veteran (elf) aspiring to a new calling as a VA caregiver

The agony of running out of your prescribed medications

The agony of running out of your prescribed medications

Figuratively committing suicide by hanging yourself

Figuratively committing suicide by hanging yourself

Ms. Paul’s devotion to her job resulted in her being awarded a handsome $2,000.00 bonus from VA supervisors in 2013 before Congress forbade the practice. Hopefully, this will not dampen her spirits or cause her to feel her efforts are not appreciated. In a separate action, her supervisor gave her an extended administrative leave to come up with some brand new ideas she has in the pipeline.

Robin Paul’s devotion to duty and serving our nation’s Veterans should be an example for all the Veterans Health Administration’s employees and a role model for those who follow in her footsteps.

Posted in Humor, vA news | Tagged , , , , , , , , , , , , , , , , , | 5 Comments

GENTLEMEN, START YOUR GARDENS

VR&E Santa Claus

VR&E Santa Claus

I love that phrase as it applies to Grand Prix racing after they read everyone the rules. It’s the last rejoinder before the action begins. Likewise, when spring awakes, it’s showtime and the sap figuratively rises in us. As I am expecting the VR&E apologists on Tuesday morning, I felt it appropriate to rub rhubarb and romaine in their faces and make them feel insignificant. “Them” being the two agricultural specialists who determined I had a passel of greenhouses and needed no more.

And, with my luck, they’ll announce the bulldozers arrival Wednesday at dawn. In your dreams, jellybean. We’re talking VA. I figure they’ll be here by fall if I’m lucky and that leaves me plenty of time to grow.

 spring1

Lettuceland

spring3

sugar snap peas

spring2

winter lettuce

Spinach

Spinach

rhubarb

rhubarb

Cupcake

Cupcake

Posted in Uncategorized | Tagged , , , , , , , , , , , , , , , | 8 Comments

Cardiac Stress Test HCV outbreak in WVA

Sorry, here’s another hepatitis outbreak…this time from a West Virginia private clinic that is signed up with the Veteran’s Choice Program. There is a large VA Medical Center in Beckley so they may not get many referrals. (Veterans Choice Provider Locator Link).  Or maybe they do because I see only one MD board-certified in Cardiovascular Disease in their “Our Doctors” listing. 

The Associated Press (AP) reported on the recent problem at the Raleigh Heart Clinic in Beckley, WV.  Seems like the staff has been slacking off while administering cardiac stress tests and giving dirty injections.  heart hcv

wva2Image: kiedove

Unfortunately, Health Commissioner Dr. Gupta, has instructed the clinic to switch to modern jet injectors, renamed needless devices (LINK).  Not a good idea.  March 11 Letter (LINK);  TV VIDEO (LINK).

VISN 6 Newsletter (LINK) page 10 acknowledges Choice debt collection problems.

West Virginia has an estimated 116,000 uninsured non-elderly adults–which seems like a lot considering the state expanded Medicaid.  The expansion is 138% of the Federal Poverty Level: $16,242 gross income per year or $1,353 a month. (LINK). For someone who is working full-time, they gross $7.86 per hour.  The Kaiser Family Foundation research states that about 48% of the population are Medicaid eligible and 27% are ACA tax credit eligible; 25% are ineligible for reasons such as citizenship or income. (LINK).  So the state has a lot of work to do to get people signed up for health insurance.  There is no way West Virginians could pay for anti-viral treatments without it.

 

Posted in Food for thought, Guest authors, HCV Health, HCV Risks (documented), medical injections, Medical News, non-va care, Uncategorized | Tagged , , | 10 Comments

ANOTHER ONE BITES THE DUST–THE 3 PERCENTERS

fire5dFrom my neighbor and very good friend brownwater brother Jim, another poignant reminder of our ever-shrinking ranks. Salute with me the three percenters-those who feel that burning need to ensure the peace and prosperity of our amazing country. I’m proud to have made that choice myself in 1969. I’m also glad I survived it.

https://www.youtube.com/embed/eEs4ke7cdNQ?feature=player_detailpage%22

Capture66

As the calendar begins it’s inexorable march towards Memorial Day, I get a lot of hits regarding Band of Brothers Day. For my generation, it will always be May 7th. That is the day our government recognizes the last day we served in the Vietnam War. For others from other conflicts, it may be another significant day in 1945 or 1953. Maybe 2011.

Regardless, Band of Brothers Day, for any Veteran, is every day still alive after surviving a war or, in our case, a boundary misunderstanding in Southeast Asia. Welcome home.

article-2142792-1307E930000005DC-656_964x614

 

Posted in Food for thought, From the footlocker, Vietnam War history | Tagged , , , , , , , , , , , , , , , , , , | 2 Comments