2015 military holiday images

japan

“Staff Sgt. Andre Hayes, a 374th Civil Engineer Squadron journeyman, holds his daughter during the holiday tree lighting ceremony at Yokota Air Base, Japan, Nov. 24, 2015. The lighting of the tree signals the beginning of the holiday season.” (photo/Airman 1st Class Delano Scott)

air

“Alaska National Guard Santa Claus and Mrs. Claus wave as they exit an Alaska Air National Guard C-130 in St. Mary, Alaska on Dec. 5, 2015. The Claus’ visit was part of Operation Santa Claus, a nonprofit organization partnered with the Alaska National Guard to collect toys, school supplies and food staples, and deliver them to school children in Alaska’s remote communities.” (photo by Capt. John Callahan.)

han

New Jersey National Guard United States Air Force Reserve Maj. Menashe Miller, second from right, a chaplain, watches his sons light the fourth candle on the Menorah — one for each day of Hanukkah during a candle lighting ceremony at the Main Base Chapel, Joint Base McGuire-Dix-Lakehurst, N.J., Dec. 9, 2015. “(photo by Master Sgt. Mark C. Olsen/)

tots

D.C.–“First lady Michelle Obama helps sort toys for the Marine Corps Foundation’s Toys for Tots drive for the sixth straight year at Joint Base Anacostia-Bolling on Dec. 9, 2015.”

arlington

ARLINGTON, Va. (Air Force News Service, Dec. 14, 2015)

Over 200,000 Americans are serving overseas.  Holiday images posted online by the DoD are fewer this year but I’m sure traditions are still being observed globally on bases.  To read the rest of theDoD press release below click (LINK).

“WASHINGTON, December 22, 2015 — Thousands of U.S. service members and Defense Department civilians are serving around the world during the holidays to protect America, its interests and its allies.

Around 9,800 Americans are deployed to Afghanistan. And roughly 3,500 Americans are deployed to Iraq and Syria to assist in the fight against the Islamic State of Iraq and the Levant. The Army’s 82nd Airborne Division forms the nucleus of the deployment there.

All told, there will be roughly 220,000 American service members serving overseas this holiday season. They operate in more than 100 countries, on every continent.”

And then there are those who are super-deployed..

 

 

Peace this holiday season no matter where you are. 

Posted in Food for the soul, Food for thought, Future Veterans, Guest authors, Uncategorized | Tagged , , | Leave a comment

1997 JETGUN STEERING GROUP LETTER

jetgun ejection 1ccThanks to Nurse Silvia Price, we now have the document that categorically sealed the future fate of the jetguns. Oddly, it still took a while longer to pry the jetguns from the cold dead hands of the US Military who insisted they were sterile under all conditions.

Those of you who are preparing to do battle with the VA would be advised to include this in the evidence submitted. VA insists that it was plausible. The wealth of the information we are finding indicates it was far more probable than plausible. In fact, we’ve gone to war over less “plausible” explanations.

4.2.2. Bovine immuno-assay testing

The Public Health Laboratory Service, UK, reported preliminary results from tests carried out during 1997 on the MEDEJET injector with the same nozzle as that implicated in the California outbreak. In this series of tests 200 injections were conducted on calves, each injection being followed by a series of shots into test tubes. Both the ejectate and the swabbed deposits on the injector head were collected separately. All samples were analysed using a bovine albumin immuno-assay developed for the study. 

 

The results, which are to be published, showed systematic contamination of the ejectate, persisting after the first flushing shot. Moreover, the levels of contamination were consistently higher than those which could be explained by the contamination of the nozzle by contact with the calf skin during the injection. A hypothesis was therefore advanced, that the path of contamination may have been reflux within the jet stream. This could possibly have occurred at the end of the shot when the liquid pressure at the nozzle of the injector dies to a level lower than that of the liquid column within the skin and subcutaneous tissue of the animal. 

Here’s the document. Download it and print it for submission in your claims. Don’t forget the other evidence you will find under Nexus Information in Blogs by Subject. The tide is turning in VA jetgun claims. That much is evident. Having the proper ammo to win with is as simple as submitting it along with a good nexus letter.

1997 STEERING GROUP REPORT ON JETGUNS

darlingshot1aaaa

 

Posted in HCV Health, HCV Risks (documented), Jetgun Claims evidence, Medical News | Tagged , , , , , , , , , , , , , , , , , , , , | 8 Comments

BVA–WE DON’T NEED NO STINKIN’ BLOOD LABS

downloadWith the amazing blood tests for liver diseases in this day and age, buttressed by liver biopsy showing age of the infection, there is simply no reason on earth for a BVA decision like the one I describe here. The only logical test to differentiate between Hepatitis A and Hepatitis C is ignored. This evidence is presented and accorded zero probative value. On top of that, the American Legion is not covering Johnny Vet’s back. No nexus of any kind, in spite of the avowed Holy Writ that one cannot win without it, is presented. 

In the last twenty years or more, we have advanced medically such that we can ascertain without any doubt whatsoever, the medical history of all flavors of Hepatitis in any given individual. If you ever had any of the three (A,B or C), blood lab testing can tell you not only if you had one or not, but whether you currently have it. There’s no Voodoo medicine involved. In fact, there is nothing complicated about it. If you have never had Hepatitis A, for instance, doctors tend to vaccinate you against it nowadays before they even consider the newer treatments of Sovaldi or Harvoni. The same applies for Hepatitis B. That test (Australia Antigen) has been around since 1970. Nevertheless, the newer  Immunoglobulins test that encompasses IgA, IgG and IgM  nails it down unequivocally. So why is it not being presented here in more detail and blowing this denial out of the water?

Reading through BVA hepatitis C decisions is not for the light of heart. It will break yours. I see far too many Vets march smartly to their VA claims funeral with a name brand VSO holding their hat and coat while they duel. Here, we have another Johnny Rebel with his VSO in tow. It looks suspiciously like he’s onto the right blood test showing no evidence of ever having been infected by the HAV (formerly called infectious) ever in his life.

In May 2008, the Veteran underwent a VA examination. The examiner noted the Veteran’s history of treatment for a “previous infectious hepatitis, type unknown.” At the time, the Veteran reported hepatitis C was discovered in 1999 on a routine physical examination and lab screening. Blood test results were set forth in the examination report. It was noted that hepatitis A virus IgM Ab was not indicated.

 

CaptureSo VA was puzzled as to why HAV antibodies were not detected if the hepatitis in service was “infectious” as documented. Let’s parse Hep A IgM Ab in the search bar and see what it turns up. Ta-daaaaa! No less an authority than the Mayo Clinic is well aware of the significance of this test so how is it the VA Judge affords it no value?

With respect to the Veteran’s arguments, the Board finds that the specific, reasoned opinion of the medical examiner is more credible and of greater probative weight than the lay assertions of the Veteran that he had hepatitis C, rather than hepatitis A, in service (including the assertion that negative hepatitis A results in 2008 indicate the Veteran did not have hepatitis A in service). This finding is based on the medical examiner’s greater training, knowledge, and expertise than the Veteran in discussing medical etiologies. We also note that the examiner reported that individuals could have antibodies that are not detectable (detectable antibodies have disappeared).

This is disturbing news for any number of reasons. Ignoring the simple fact that the above highlighted in red is patently false, why is it that the finding is allowed to stand? One does not come down with a virus, heal and not obtain life-long immunity to it. This is especially true in Hepatitis A and B infections. If you have never had them, there can be no antibodies to them in the system. Conversely, anyone who has ever been infected carries the antibodies for life as well as immunity to any future infections. This is medical science 101.

VA has adroitly allowed the conversation to degenerate into a he said-she said argument as to whether it was Hepatitis C in 1971. There is no need to make that determination and Johnny Vet is not educated enough to make the call anyway. The simply blood test showing no Hepatitis A infection makes the whole decision an exercise in Bozo medical nexus letters. My apologies for taking Bozo’s name in vain.

http://www.index.va.gov/search/va/view.jsp?FV=http://www.va.gov/vetapp15/Files5/1544544.txt

I only hope this decision can illustrate just how flawed VA law is and how it is allowed to run rampant over legitimate claims. This is also a lovely example of what you get with your “free” legal representation from VSOs.

Here, although the Veteran was hospitalized with “hepatitis, infectious” during service, the July 2008 VA examiner determined that the type of hepatitis was that of hepatitis A. The Board finds the July 2008 VA medical opinion to be highly credible and probative evidence against a finding that the Veteran had hepatitis C in service. The opinion was well reasoned, based on a review of the record, and rendered by a medical doctor with a master’s degree in public health. The medical opinion indicated that one of the more common causes of acute hepatitis is the hepatitis A virus. The examination report also indicated that since the application of accurate serologic investigations in the 1980’s, the epidemiology, clinical manifestations, and natural history of hepatitis A have become apparent. Thus, the Board finds that the Veteran was hospitalized with hepatitis A in service.

So, they said it was HAV in 1971. Since that has already been determined (in the absence of a simple blood test to prove the contrary), there is no need to go any further in this discussion. This is the famous VA bait and switch technique we see quite frequently. You are arguing no Hep A apples and VA is countering with no Hep C coconuts. The arguments are inapposite but that is what you get without proper legal help.

No Bozos

No Bozos

 

Posted in HCV Health, HCV Risks (documented), Jetgun BvA Decisions, Jetgun Claims evidence, Nexus Information, Veterans Law | Tagged , , , , , , , , , , , , , , , , , , | 29 Comments

Experiments: HCV can live in water bottles for up to three weeks

This study title caught my eye: Transmission of Hepatitis C Virus Among People Who Inject Drugs: Viral Stability and Association With Drug Preparation Equipment (LINK). • JID 2013:207 (15 January) • Doerrbecker et al

PDF:  Full Text. hcv in water

“We found that, depending on the viral dose, HCV can survive in water for >3 weeks and might thereby contribute to ongoing transmission of HCV in PWID networks when water is reused or shared. These results are in line with data showing the stability of the virus in serum for 3–4 weeks”  (LINK to footnoted study/doi: 10.1086/652803)

red bull

“The can had probably the highest association with HCV among the evaluated water containers because more of the original HCV-inoculated water remained in the can before it was refilled, owing to the can’s small opening.” Image: viZZZual on Flickr

IDUers help HCV move on to new victims when they prepare their drug works. It clings to plastic, aluminium cans (Red Bull), but not so much, glass (Coca-Cola). It gets on everything; no blood (serum) is needed for it to remain stable and infectious.

It is technical so here is a part of the introductory summary (edited):

Background.

We investigated the risk of HCV transmission by analyzing the direct association of HCV with filters, water to dilute drugs, and water containers.

Methods.

Experiments were designed to replicate practices by people who inject drugs and include routinely used injection equipment. HCV stability in water was assessed by inoculation of bottled water with HCV. Viral association with containers was investigated by filling the containers with water, inoculating the water with HCV, emptying the water, and refilling the container with fresh water. Transmission risk associated with drug preparation filters was determined after drawing virus through a filter and incubating the filter to release infectious particles.

HCV can survive for up to 3 weeks in bottled water. Water containers present a risk for HCV transmission, as infectious virions remained associated with water containers after washing. Physical properties of the water containers determined the degree of HCV contamination after containers were refilled with water. HCV was also associated with filter material, in which around 10% of the viral inoculum was detectable.

In short, it takes a lot of effort to render HCV that “exists” outside of a human body harmless.  It survives high heat, all manner of chemicals, freeze-drying, being left on a wide variety of surfaces and neglected for weeks in the open air.  HCV doesn’t need blood to “live” in hostile environments but it eventually will fizzle out if it can’t hitch a ride into a new human body. In water, blood, powder, it’s all good as far as HCV is concerned.

Not picky outside of human bodies

HCV is not picky about its habitat outside of human bodies while waiting to slip into a new one. And it is patient and can handle extreme environments.

So is it really accurate to think of HCV as a limited blood-borne pathogen when even liquids like drinking water can be an intermediary step between carrier A to carrier B?  It makes the VA’s approved “HCV risk factor” lists,  C & P exams (most) and BVA HCV denial decisions even more ludicrous in the light of all the new information that is being published.  Referencing this study may be useful in the HCV claims process.  

800px-Six_degrees_of_separation.svg

“Six degrees of separation” by Daniel’ (User:Dannie-walker) – Own work. Licensed under CC BY-SA 3.0 via Commons –

The degree of separation (think Kevin Bacon Six Degrees of Separation (BBC video) between any veterans harboring HCV while in-service and those who were not, was very slim. Consider contaminated possessions and it’s slimmer still.  (I suppose learning a bit about network theories should be on our agendas.)

Posted in BvA HCV decisions, Complaints Department, Food for thought, Guest authors, Medical News, research, Uncategorized, Vietnam Disease Issues | Leave a comment

FACEPLACE CHRISTMAS–KEEPERS

521984_10151158220335700_1167099371_nSearching through the mails with an eye for obnoxious is a task for the devoted. Finding just the right off-key emotion, the sarcastic rejoinder or dissatisfaction with the status quo of life is the essence of humor. Of course, being born on April Fool’s day gives you a leg up. For me, everything is humorous-or should be. 

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CBS news report (12/1/15): most veterans denied HCV meds

We have all read news stories about the difficulty veterans with active chronic HCV infection are having getting treated with Sovaldi at the VA. Some articles express a more reality-based report on the service-connected HCV outbreak among Vietnam veterans.   Is there a shift in attitude away from the offensive myth of widespread IVDU in this much maligned veteran population?  

Although we know that IVDU was rare in Vietnam from a 1973 government report, service persons who did engage in this behavior were a health menace to their comrades in combat and during any other events when their blood was transferred on and into another person’s body and blood stream..  (They were a menace to sex workers too.) During a typical tour of duty in Vietnam, exposure to IVDUers bodies, dead or alive, were in fact a service-connected HCV risk factor that should be added to the existing long long list of SC risk factors.  

But the most devastating transmissions of hepatitis occurred during transfusions due to the huge viral loads in the blood bags.  CBS (LINK):  

cbs

“In 2013, Vietnam veteran Zion Yisrael (right, CBS image) was told he had five years to live. He has stage 4 liver disease, caused by hepatitis C — which has infected as many as 230,000 veterans. Most veterans contracted it in Vietnam where it was spread by battlefield blood transfusions and vaccinations.

So far they have treated about 35,000 veterans, that’s just 15 percent of the veterans infected with hepatitis C.”

Gilead’s gouging policy has resulted in even fewer Medicaid HCV patients getting treated–only 3%.  According to the Senate Finance Committee press conference, “…in 2014, Medicaid programs spent $1 billion on Gilead’s Hepatitis C drugs, yet more than 97% of Medicaid patients went untreated.”  Medicare costs were even higher.

The  144-page bipartisan report is a marketing case study. The pdf link is below.

 SFC Sovaldi Report Executive Summary1 The Price of Sovaldi and Its Impact on the U.S. Health Care System (Full Report) 

Recent VA research (Nov. 14, 2015) gives different numbers using 2013 VA databases.

Cascade of Care for Hepatitis C Virus Infection Within the US Veterans Health Administration (Link to abstract on PUBMED).

OBJECTIVES:  We measured the quality of HCV care using a cascade of HCV care model.

METHODS:

We estimated the number of patients diagnosed with chronic HCV, linked to HCV care, treated with HCV antivirals, and having achieved a sustained virologic response (SVR) in the electronic medical record data from the Veterans Health Administration’s Corporate Data Warehouse and the HCV Clinical Case Registry in 2013.

RESULTS:

 Of the estimated 233,898 patients with chronic HCV, 77% (181,168) were diagnosed, 69% (160 794) were linked to HCV care, 17% (39,388) were treated with HCV antivirals, and 7% (15,983) had achieved SVR.

From the SFC’s report, “Prior to the virus’ identification in 1989, HCV was frequently spread through unscreened blood transfusions.”  

Definitions and synonyms for the word “frequently”:  all the time, habitually, very often, commonly, usually, as a rule, , ordinarily, again and again, over and over, repeatedly, regularly, routinely, more often than not and other none precise terms which sometimes can be quantified.   Pick your favorites.  I like “more often than not” and “all the time.”  

The military had been working on the hepatitis-transfusion problem decades before the “Vietnam Misunderstanding” as Nod sometimes puts it.  But the technologies had to be developed before anything could be done to break the chain of transmissions as each hepatitis virus was identified. transfuion korea

 Korean War transfusions.  Image: Walter Reed.

Posted in Blood info, Congressional HCV info, Congressional Influence, Guest authors, HCV Risks (documented), transfusions and hepatitis, VA Health Care, Vietnam Disease Issues | Tagged , , , , , , , , , , , , , , , , , , , , , , | 14 Comments

BLOG TAWK RADIDIO WITH JERREL COOK

haditlogo2007Jerrel has graciously invited me over for another hour of radio chat on his favorite subject (and mine). If VA ever quit stepping on their necktie, we’d be out of subjects to discuss. Unfortunately, that’s about as likely as pigs with a FAA ticket. While I have little endemic knowledge of Social Security issues, I do have a wealth of observing what happens around the VA if you don’t have those SSI records on board in many of the claims we file.

Microphones are cleared in hot in one Hour   (1600 HRS L Seattle)

Park your ear over at Hadit’s Blog Talk Radio number and refuel your brain tomorrow again. Given an hour, there’s no telling what kind of trouble we can get into.

The call in number remains…

347-237-4819

I’m sure they haven’t fired the gal who greets us. Dial one (the digit) when you get there. Never feel you’re interrupting us when we’re flapping our lips. We welcome your questions-even if we can’t answer them.

If posssible, I’d like to discuss the SSI type of thing that occurs more frequently than you can imagine.

http://www.justice.gov/usao-sdfl/pr/department-veterans-affairs-nurse-convicted-falsifying-medical-records-and-computer.

We in the business like to call it a “Cushman violation” named after one of our own, Phil Cushman, who caught them at it…while he was alive. I, too, have one of these stories to tell of one in West LA.

And for your Tuesday morning humor, Law Bob Squarepant’s choice cuts out of Africa

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unnamed (5)unnamed (6)

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FACEPLACE– 2015 WINNERS

1455973_692271310791851_2118973843_nThe usual roundup of 2015’s choice cuts. Politically culled to offend no one. Recognizing the excellence of your submissions this year, I will give credit to those who did. Wait. Scratch that. 

 

 

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HADIT.COM RADIO SHOW ON THURSDAY PM

haditlogo2007Jerrel Cook called me while I was swamping out the stalls this evening and preparing to feed the monsters. This threw everything into a tailspin. Cooper and Kona have food rules and they don’t cotton to me yakking it up on the phone during their perceived Horsey Happy Hour. Beet pulp is served stirred, not shaken- and always on time. For the next 10 minutes I was double teamed with horse lips by the two until I relented and said goodbye. I ended up with three hickies.

Jerrel says we can talk about whatever we want to. Showtime is 1900 hrs Congressional Wasting Disease time (for you on the east coast) and 1600 Hrs on the Left Coast. Please feel free to call in with any questions. We’ll talk about a wide range of subjects and my new book.

The call in number is still the same.

347-237-4819

The gal with the cute British accent will be answering and giving you prompts on getting on to the show. Christmas presents are optional again this year but we do accept donations in small, unmarked bills that are difficult to trace. We’ll give you the  P.O. drop box address tomorrow evening.

ss-call-me

Welcome to Blawg Tawk rädio, ‘andsome.

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ILP-HANG IN THERE. WE NEED GUIDANCE ON THIS. NOBODY EVER WON.

Jack-KammererAfter waiting patiently now for over three months  for my Seattle VR&E minder, Kris Holloway, to push print on my greenhouse, I decided to call him up and rattle the ILP cage. True to form, he let it go onto Voicemail after being informed it was the asknod puke from Gig Harbor. I expected no less. His answer arrived this morning.

HOLLAWAY, KRIS, VBASEAT <kris.hollaway@va.gov>

To

asknod@gmail.com
Today at 11:16 AM
Posted in Independent Living Program | Tagged , , , , , , , , , , , , , , , , , , , | 3 Comments