BVA–SEX, NOT POLYSUBSTANCE ABUSE = HCV

downloadFrom the Joe Friday/Badge 714 Memorial VARO

Every once and a while we see a really good example of VA bending over backwards using a reverse nexus that flies in the face of anything they have ever held before on HCV. We often get guys Service Connection for HCV based on service medical records showing contraction of a social disease we don’t talk about in polite company.

Hey, life happens when you’re 19 and away from home for the first time in a faraway country with different social constructs. Since it isn’t willful misconduct, it’s a Line Of Duty, or LOD, determination. Humorous yes, but still in the line of duty. I saw patches on hats in-country that said

 

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That’s not necessarily something to brag about but when you’re young, you do strange things you wouldn’t dare do now.

So here we have Army draftee 11 Bravo  Johnny Vet- January 69-August 1970 -who got a raging case of bent brain in-country. It took him and VA a looooong time to figure it out but he won in 2014. He would now like to attribute his “polysubstance abuse disorder” to the PTSD which led him to self-medicate. In the process of self-medicationating, he somehow contracted Hepatitis C. Which brings him to our attention.

http://www.index.va.gov/search/va/view.jsp?FV=http://www.va.gov/vetapp15/Files5/1542065.txt

Seems Johnboy went to DC without that all important nexus letter. Could be that the “free” legal help he hired (DAV) neglected to mention that. The new DBQs VA uses are dandy for the VBMS word search. The only problem is the missing box where your doctor is supposed to insert

36. REASON CLAIMANT HAS HCV

[  ] Wild sex

[  ] Drug  abuse

[  ] Combat Dustoff Medic/Crewchief

[  ] Transfusion

[  ] Shared razors/toothbrushes

[  ] Alien abduction

[  ]  Other (describe)

That certainly covers everything with the most likely at the top. That’s what Johnny Reb’s Joe Friday rater comes up with. Where a history of drugs is indicated,  VA says it is the first and foremost reason every time. Even with any STDs on the record,  willful drug misconduct is dragged out as the etiology and whoosh-down the tubes you go.  So what do you make of this one?

The Veteran claims that his hepatitis C is related to his active service. His STRs, however, are unremarkable for symptoms, treatment or diagnosis of hepatitis C during service. Instead, current medical treatment records confirm that the Veteran has been diagnosed with hepatitis C.

 

Okay, hold the phone. Just the fax, ma’m. Just the fax. Why would you find reports of HCV in the 1969 medrecs? It wasn’t “invented” until 1989 by Dr. Henry Southern. I’m gonna go out on the little branches and bet there’s no evidence of a Polymerase Chain Reaction (PCR) RNA sequencing test to determine viral load in his contemporary STRs either. Time to get one of those computer gizmos and google “origin of HCV”, Sherlock. Here’s where it gets hinkey

As already mentioned above, the Board previously remanded this claim for a VA examination to determine if the Veteran’s hepatitis C is indeed related to his active service, including if it was secondarily due to his polysubstance abuse as self-medication for his psychiatric disability. To this end, the Veteran had a VA examination in April 2015. The Veteran reported that he was diagnosed with hepatitis C in 2000. He stated that he was not taking any medication for his condition. He complained of fatigue and nausea. The examiner confirmed a diagnosis of hepatitis C. The examiner indicated that high sexual activity was a risk factor in the Veteran’s development of hepatitis C.

I can’t make this stuff up. It’s priceless reading for everyone but the Johnster here. Most Psychiatrists would unanimously encorse an Axis III dx of drug abuse secondary to PTSD. Most civilian ones, mind you. VA’s shrinks get the 30 pieces of silver bonus for saying otherwise. I’d also wager the “VA examiner” doesn’t have a PhD. after the RN.

He opined that the Veteran’s hepatitis C was less likely attributable to the Veteran’s long history of polysubstance abuse. The examiner commented that based on physical examination of the Veteran, his history and a review of the claims file, there was insufficient evidence to suggest that the Veteran’s hepatitis C was attributed to the Veteran’s long history of polysubstance abuse. He explained that the Veteran had denied a history of intravenous drug use. Therefore, the Veteran’s hepatitis C was not attributable to his long history of polysubstance abuse.

So, let me see if I have this straight. When a Veteran recites his “history” to a doctor, it is considered just that- the Veteran’s idea of how it all went down. If unsubstantiated by cold hard evidence of record, it is merely hearsay and given little, if any, probative value.  On the other hand, here, what the Veteran describes as “history” is suddenly given combat presumptive  credulity and taken at face value. Gee, when did this all change?

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AVLJ Kelli Kordich

Seems we have a reverse Colvin violation here. The Veteran is now allowed to opine on the cause of his malady and VA will accept his medical acumen. The only thing I find out of place would be the VLJ.  She is none other than Kelli Kordich- the one who blew the whistle on Deputy in charge of Rocket Dockets Laura Eskinazi. Seems she would have more of an investigative bent toward getting it right. Such is the state of the art of HCV jurisprudence. One might note it appears that she has been demoted from VLJ to Acting VLJ.

 

 

 

Posted in BvA HCV decisions, HCV Risks (documented), Jetgun BvA Decisions, Jetgun Claims evidence, KP Veterans, Medical News, Nexus Information, VA Medical Mysteries Explained | Tagged , , , , , , , , , , , , , , , , , , | Leave a comment

VETERANS DAY– 2015

welcome-home-backHoooo doggies. Veterans Day again. It’s like getting two birthdays for a Vet. For others, it’s a day of recognition well-earned. To me personally, it’s confirmation that what I did was appreciated eventually by America. It sure didn’t appear that way May 16th, 1972 when I returned to the Land of the Big PX from two years off-road in the bush. My appreciation for the modern miracle of refrigeration knew no bounds. A cold Tanqueray and tonic with real tonic rather than crushed up quinine pills was an indescribable treat when you’d been drinking them lukewarm with no fizz for several years. I went so far once as to throw in an Alka Seltzer. War is uncivilized.

On a more personal note, I was interviewed last week by our local Key Peninsula newspaper for an article about Veterans. Since it’s only a monthly rag, it won’t be out in time for tomorrow’s celebration. That’s beside the point. The interviewer asked me to tell him my whole story from induction to the present and how, if at all, it had changed me. Where does one start?

When I signed up, I was a hop, skip and a jump ahead of being drafted into the Army. I was set to go to Hartwick College in Oneonta, New York but I had a little run-in with the law four days after I graduated in June 1969. Actually, Virginia considered throwing eggs at a moving cop car a felony in 1969 so it was more than a “little” run in.  I felt a breather from 12 years of education was called for, too.

This definitely set the stage for my future. To be honest, everyone male in my family had gone to wars past and it would have appeared unseemly for me to miss this one. I admit I did put in for England, Spain and Germany. Fat chance. In 1970, everyone was headed to Southeast Asia. In retrospect, I wouldn’t have wished it any other way. Some of us are born with a defective survival gene and run toward the sound of gunfire rather than away. Eau d’ gunpowder is our preferred parfum. We prefer the thrill of victory and the agony of de feet.

In the intervening years since my service, I have evolved as we all do. Children, jobs and opportunities dim one’s memories of that time but never obscure it. With the onset of illness born of that era, it all comes back to me and sometimes consumes many of my waking hours. Giving back to other Veterans comes naturally to me. In fact, I find it to be a passion now rather than a hobby.

I consider it an honor to have served for many reasons. It certainly won’t be why I will be remembered when I pass but that wasn’t the reason I signed up. I don’t have any medals for above and beyond the call of duty.  What I do hope to be remembered for will be my advocacy for Veterans. This was never meant to be about me and my travails with the Veterans Administration. I simply use that as a teaching tool in the fervent hope no Veteran will ever be abused as I was.

24-7-365I took my friend Mark to the airport yesterday morning. He’s off to the Philippines to meet his future bride. On the way to SeaTac, we reminisced about our service as all Veterans do. One thing stands out about us. The first is that we are a very small club consisting of three percent of the population. Most importantly, the membership requirements are extremely stringent. You cannot decide at forty that now is the perfect time to enlist to fluff up your resumé.  The window of opportunity to serve is narrow and fleeting. We give up quite a bit of our lives when young to do this. I don’t measure it in time but in opportunities lost. Veterans can rarely recoup four years of excitement, fast cars and wild women (or men for you gals). They can experience it later in life but not in the same youthful context. Years later, most of us realize it was a worthy investment that teaches responsibility with a capital R. There can be no higher Responsibility than keeping your buddies alive in a fire fight. They depend on you and vice versa. That life skill cannot be taught at Burger King or Albertson’s. Equally stated, it cannot be unlearned to the chagrin of those who suffer the aftereffects such as PTSD.

thVeterans are a unique breed. Some are not role models or particularly well-groomed while some are more like Fred Rogers of Mr. Roger’s Neighborhood. Some are inordinately proud of their contribution and some, like Secretary of State John Kerry, consider it a black stain on their otherwise unblemished record of service to America.  We won’t visit Miriam Webster to define “service” this morning. That’s not what this is about.

What I did in Southeast Asia will remain there.  Many have said it was misguided but I maintain it was an honorable undertaking. We don’t get to choose how or where we served. Worse, we don’t get to choose our commanders. We do not have a choice of serving only in peacetime because that can all change at the drop of a hat- as it did on December 7th, 1941 or on September 11th, 2001. We chose to serve because we were motivated Americans. Nobody ever said you can’t be all you can be at Domino’s Pizza. It’s just less intense compared to watching tracers zip by you in downtown Falujah.

1962746_891360070875378_4846301925831717569_nVeterans of all walks and services are not unique other than being an extremely small percentage of our population. Someone needs to print up some “3%er’s Club” T-shirts with the service logos. What mostly sets us apart is that rare defective gene called patriotism. I pray geneticists never discover how to suppress it. Without patriotism, we will become a second class nation and lose the respect of the world. Being the bastion of Democracy comes with many onerous responsibilities. The vast numbers of our military cemeteries on foreign shores are testament to our commitment to other nations who seek freedom.

Without Veterans, we’d still be using the English currency and affecting  that godawful English accent.

“I say there, old chap. Another spot of Dr. Pepper, eh wot?”

” Aye. Bloody good stuff.”

Happy Veterans Day-even to you John Kerry-

From all of us here at asknod.org

Hug 2015 19

Posted in KP Veterans, Veterans Day | Tagged , , , , , , , , , , , , , , , , , , , , | 3 Comments

In 2008 a Mayo doc answers: ‘Whatever happened to ‘jet injectors?’

Gregory A. Poland, M.D. (LINK) answered this question with the wimpy “possible” word yet then explains plausibility without using the word.

Dear Mayo Clinic,  I remember we used to get vaccines and other shots using an air gun, and lots of people could get shots quickly. I haven’t seen this done for a long time. Why? Were problems discovered with that method? It seems that it would be an efficient way to give flu shots, for instance, in a really short time.

A: Using an air gun — also called a jet injector — is a fast way to deliver vaccines. But jet injectors were discontinued for mass vaccinations about five years ago because of possible health risks.

(So jet injectors weren’t discontinued in the general population until about 2003?)

A jet injector uses high pressure to force a vaccine or other medication through a person’s skin. Their speed made jet injectors very efficient, so many people could be vaccinated quickly. They were often used in the military. Although they weren’t pain-free, jet injectors didn’t involve needles. The result was less discomfort than a needle injection, and they caused less anxiety in people who were afraid of needles.

In some cases, however, jet injectors could bring blood or other body fluids to the surface of the skin while the vaccine was being administered. Those fluids could contaminate the injector, creating the possibility that viruses could be transmitted to another person being vaccinated with the same device.

Of particular concern were viruses transmitted by blood, such as human immunodeficiency virus (HIV), hepatitis B and hepatitis C. HIV can lead to acquired immunodeficiency syndrome (AIDS) — a chronic, life-threatening condition caused by damage to the immune system. Hepatitis can cause chronic inflammation of the liver and lead to serious liver damage.

Veterans born in 1954 had the highest infection rate at 18.4 percent.

image: VA Veterans born in 1954 had the highest infection rate at 18.4 percent.

 

Greater awareness of these diseases and other blood-borne illnesses led to increased scrutiny of ways they might be spread. Although no widespread outbreaks of these diseases were caused by jet injectors,

STOP–he hadn’t heard about the widespread veteran/military outbreaks by 2008?  But he doesn’t claim that NO outbreaks occurred via jet injectors.

the risk of blood and body fluid contamination of the equipment made jet injectors no longer acceptable for vaccinations. Instead, most vaccines now are administered by needle injection, typically in the arm for adults and in the thigh for children.

From his bio: “Dr. Poland’s research has been continuously funded by the National Institutes of Health since 1991.”  He wants to provide information yet not bite the hand that feeds his lab–leaving us to read between the lines. The takeaway is that the risks of jet injectors are “no longer acceptable” but no pointers to actual evidence upon which his opinion is given is provided.

Posted in Guest authors, HCV Health, Jetgun Claims evidence, Medical News, Nexus Information | Tagged , , , , , , , , , , , , , , , , , , , | 3 Comments

CAVC-GAGNE v. McDONALD–JSRRC DUTY TO ASSIST (NOT)

vetcourtappealspromoThe Court hands down precedential decisions on occasion that baffle and are invariably overturned at the Fed. Circus where saner minds prevail. On occasion, when sane minds are assigned to the panel to decide momentous matters in the first instance, there is no need to go higher. Justice can be accomplished in short order by using the computer on your shoulders that you were born with. Here, in spite of two notably anti-Veteran Judges, Friar Greenberg managed to steer them in the right direction.

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Amy Odom

Winning these claims also requires a knowledgeable law dog. Mr. David R. Gagne got the dream team from the National Veterans Legal Services Program (NVLSP). David Sonenshine and Bart Stitchman ostensibly have their fingerprints all over this but Amy Odom was the day-to-day shieldbearer for all intents and purposes. I wrote about her successes in Beraud v. Shinseki a few years back. If anything, her prowess before the Courts has increased in the interim.

Few remember the stone age of the Court and a fellow Veteran named Roger Schafrath. Roger actually is remembered for two concepts. Not only was the duty to assist enunciated clearly so as to clarify the concept to VA but also the inadequacy of a single C&P used to reduce an existing rating. Mr David R. Gagne’s decision will turn on the first Schafrath precept of how the duty to assist in a true, nonadversarial method helps the Veteran rather than pay lip service to 38CFR §3.159 while denying him.

I think back to a local  Gyrine Vet here near me named Tom. Tom had HCV and a pretty good idea that the tattoo @ 0200 on shore leave in Da Nang city, Republic of Vietnam was the culprit. Most Marines never recall getting the tattoo but boy howdy do they when they wake up and notice it in the mirror the next day. Tom’s fellow friend aboard ship, a Navy medic, submitted a buddy letter saying he remembered it well and even recited how they carved a perfectly good tattoo of a well-endowed lady off his arm and stitched it up. Not all at once. They did it in stages. She was extremely well-endowed and occupied a lot of  square inches of upper arm. VA discounted the letter as a) no one can remember back that far with any clarity and b) there was no proof they served together on the CG-9 USS Long Beach. The VA rater’s legendary acumen was disproven when Tom pointed out the DD -214 of his buddy clearly stated his posting to the Long Beach during the time in question.

Here, Mr. Gagne was being gigged for not being able to remember the approximate date (to within two months) of the incident upon which he rested his stressor. VA cannot have it both ways. Similarly , the VA’s nonadversarial posture was blatantly on display when it was pointed out that the M 21 manual arbitrarily shitcanned your claim if you could not narrow the time frame to within the two-month window they requested. If you were off by even a day, the claim would be denied for lack of finding it-not that it didn’t exist.

VA clung to the misguided theory that they were not required to  search any further than within whatever two-month period you specified. Since Congress didn’t write this gem into the statute, it appeared to be a little over the top to the judges. Knowing Judge Greenberg, it must have made his skin crawl.

Parts of 38 CFR § 3.159 pertinent to Mr. Gagne read thus:

§ 3.159 Department of Veterans Affairs assistance in developing claims.

(a) (2) Competent lay evidence means any evidence not requiring that the proponent have specialized education, training, or experience. Lay evidence is competent if it is provided by a person who has knowledge of facts or circumstances and conveys matters that can be observed and described by a lay person.

(b)(1) (2) When VA receives a complete or substantially complete application for benefits, it will notify the claimant of any information and medical or lay evidence that is necessary to substantiate the claim (hereafter in this paragraph referred to as the “notice”). In the notice, VA will inform the claimant which information and evidence, if any, that the claimant is to provide to VA and which information and evidence, if any, that VA will attempt to obtain on behalf of the claimant. The information and evidence that the claimant is informed that the claimant is to provide must be provided within one year of the date of the notice. If the claimant has not responded to the notice within 30 days, VA may decide the claim prior to the expiration of the one-year period based on all the information and evidence contained in the file, including information and evidence it has obtained on behalf of the claimant and any VA medical examinations or medical opinions. If VA does so, however, and the claimant subsequently provides the information and evidence within one year of the date of the notice, VA must readjudicate the claim.

(2) If VA receives an incomplete application for benefits, it will notify the claimant of the information necessary to complete the application and will defer assistance until the claimant submits this information.

(c) VA’s duty to assist claimants in obtaining evidence. Upon receipt of a substantially complete application for benefits, VA will make reasonable efforts to help a claimant obtain evidence necessary to substantiate the claim. In addition, VA will give the assistance described in paragraphs (c)(1), (c)(2), and (c)(3) to an individual attempting to reopen a finally decided claim. VA will not pay any fees charged by a custodian to provide records requested.

(2) Obtaining records in the custody of a Federal department or agency. VA will make as many requests as are necessary to obtain relevant records from a Federal department or agency. These records include but are not limited to military records, including service medical records; medical and other records from VA medical facilities; records from non-VA facilities providing examination or treatment at VA expense; and records from other Federal agencies, such as the Social Security Administration. VA will end its efforts to obtain records from a Federal department or agency only if VA concludes that the records sought do not exist or that further efforts to obtain those records would be futile. Cases in which VA may conclude that no further efforts are required include those in which the Federal department or agency advises VA that the requested records do not exist or the custodian does not have them.

(i) The claimant must cooperate fully with VA’s reasonable efforts to obtain relevant records from non-Federal agency or department custodians. The claimant must provide enough information to identify and locate the existing records

Mr. Gagne lost below at the BVA because he could not narrow the window of his stressor to a two-month period. VA, using the M 21 Manual, an instructional “how-to” on claims adjudications that is nowhere to be found in 38 USC or 38 CFR, denied  him. This was the problem that the VA Secretary finally had to admit was not according to Hoyle.

Granted, Veterans are not (and should not be)  given a ten-year search window to find the stressor. Shrinking it down to two-months, however,  is going too far in the opposite direction. The Gagnemeister had it down to a year and the actual unit he was assigned to. That would be enough to find the event that provoked the bent brain but VA was disinclined to waste that much time on it. Note that they never determined the records didn’t exist. This is what the Courts call “an absurd reading of the law that Congress never intended.”  We in the legal theatre call it par for the course when dealing with these peter puffers.

To get around it, and to let the VA keep their precious M 21 language intact, Judge Greenberg merely ordered the VA to search in two-month increments for all of the year that Mr. Gagne was in Thailand until they found the corpus delecti. If said body was not unearthed then the duty to assist had been afforded him and the denial would be legal.

Another obvious error in this was also glaring. Mr. Gagne had informed the RO that he was waiting for his records from the NPRC to help substantiate this event. VA knew full well there was nothing of substance there that would help. Furthermore, they had the very same records before them and never intimated they possessed them. Had David known this, he could have asked for assistance at the National Archives and succeeded in obtaining what was needed there.

Finally, we are to believe that since there are only 13 full-time employees of the JCRRS, the VA is not obligated to go further afield or be more diligent in their search. Seems to me, the JCRRS needs to follow VA’s lead and hire about 5,000 guys in order to get the same amount of output of 100. Since the majority of JCRRS’ workload is strictly of VA origin, if they are overwhelmed they should ask for more funding before VA initiates insane internal “guidance” abrogating their responsibility in the duty to assist. How else are we to read it?

Of course, five minutes before Judge Greenberg’s staff attorneys began writing up the vacate and remand, the OGC tried to weasel out of the 60-day abortion and say that the M 21 is merely an “Instructional aid to adjudication” and by no means does it order a rater to offer only one 60-day window of search…

The Secretary wishes to clarify that his view of the M-21-1 Manual provisions in question is that they are in fact guidance to adjudicators, and nothing more. Although not well articulated at argument, counsel for the Secretary attempted to explain that the provisions of the M21-1 Manual referencing requests to JSRRC in terms of sixty-day time frames are simply guidance to adjudicators; not a prohibition against multiple requests. See, e.g., Guerra v. Shinseki, 642 F.3d 1046, 1050–51 (Fed. Cir. 2011) (acknowledging the Secretary’s position that the M21-1 Manual is primarily “‘an internal manual used to convey guidance to VA adjudicators [and] not intended to establish substantive rules beyond those contained in statutes and regulations’” (quoting 72 Fed. Reg. 66,218 (Nov. 27, 2007) (alteration in original));

With the advent of the new Fully Developed Claim (FDC), more and more Veterans are collecting their own evidence and taking the onus of the search off VA. If this is the case, logic dictates the workload of the JSRRC must be declining by rights. Try explaining that anomaly to the VA bean counters.

Here’s the Gagne CAVC decision and his BVA hanging. I get the biggest bang out of this when the OGC has to “reexplain” how their oral brief or answer to the Appeal contentions always changes into a “Perhaps we weren’t clear in our arguments, your Honor. We certainly didn’t mean to imply that the rater only had to limit his search to one sixty-day window. That was error on his part and fortunately we caught it after we got here. No harm, no foul.”

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Gagne BVA

Posted in BvA Decisions, CAVC ruling, Duty to Assist | Tagged , , , , , , , , , , , , , , , , , , , , , , , | 2 Comments

VA HUNGRY HIPPOS–TOMAH STYLE

vet pumpkinIt’s the Thorazine-and a lot more. Remember the old Coors commercial? I give  VAMC Tomah high marks for wanting to increase their morale. Très expensive but still cheaper than SES moving costs from DC to Philly. All I have is images of patients futilely pushing their call buttons and being ignored for hours. I experienced that first hand in 2009-10 during my VAMC Seattle staycation.

A big thank you to Ben Krause of DisabledVets.org for his cutting edge journalism. Onward through the blog.

Posted in VA Health Care, VA Medical Mysteries Explained | Tagged , , , , , , , , , , , , , , , | 1 Comment

HADIT.COM’S RADIO SHOW–SMC KNOWLEDGE

haditlogo2007Almost forgot to put this one up. Jerrel and John invited me to do a show last week but I made the mistake of going to Butch Long’s C&P exams. They are at QTC which is a …doctor’s office… where diseases grow. Having a compromised immune system courtesy of AO and hepatitis c, I quickly found myself the proud owner of a fever and a sore throat. Having conquered that, I’m back.

Today we are going to take 38 USC §1114/ 38 CFR §3.350 apart with a razor blade and examine it minutely. Feel free to call in and interrupt me in mid-sentence. I continually hear misinterpretations of the regulation/statute and I worry too many of you may be harmed.

Considering VA hides this in the same back room where they keep the Independent Living Program, it needs a big dose of sunshine to inform you of what it really says. So join me in an hour and seven minutes at:

347-237-4819

ss-call-me

Call me cowboy- I’ll be your huckleberry. Hit #1 when you get me!

Check this one out-SMC S and the 5- year protection rule.  VSO and Vet sit around and do nothing. Rating is reduced. They take it away just before it’s protected and then give it back starting the 5-year clock over. Nonadversarial VA ratings practices. Plenty of time for reductions while the backlog for DRO reviews grows like a metastasizing cancer.

Or this one. DAV jumps in and demands SMC L -up from S +K for just one foot owie. Ain’t gonna happen. Two feet or no dice. DAV tries to use blind + one foot. Ahhh, excusez-moi, he passed the eye chart test….

Don’t make these mistakes.

Here’s the link to Hadit’s blog radio:

Click on the November 4th, 2015 7;00 PM Blogcast.  You’ll enjoy it like A Prairie Home Companion. Jerrel discusses his ILP need for a safe room due to his post-tornado stress syndrome. John is in the hunt for some goodies too. And yes, we did touch on SMC eventually. I think you’ll be entertained and even learn something.

Posted in SMC, Veterans Law | Tagged , , , , , , , , , , , , , , , , , , , , | 2 Comments

HEPATITIS GRAPHIC ON SIDE EFFECTS

CaptureGot the request from Nicole Lascurain of Healthline to put this up for information to pass on to Veterans. As most who we help here are over the hump and at least in our fifties, I feel it may be redundant but your health is far more important than how many times a threat is reiterated. Actually, the graphics are far better than I hoped. As they don’t advocate we buy widgets from them, it passes the commercial test. 

Capture

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LZ CORK–BUTCH FINALLY GETS HIS COMP & PEN EXAMS

ButchI don’t know if you folks heard, but when Butch Long filed with VA back in March of this year, he was careful to give them his new address. He made sure it was very clear where he lived. You don’t want to wait a year to get the c-file and all the STRs from 1969 and then have them mail the C&P info to East Bumfork, Ohio. VA did just that. 

Thanks to Congressman Kilmer and all his magic munchkins, Butch’s new examinations were suddenly rescheduled in record time (for VA). I’m here to report we made them all and even were able to fly a mission over Krispy Kreme for a 20% discount. We can safely say we did our level best to comply with the QTC  protocols.

I got to wheel Butch into all of these and no one tried to slam any doors in my face. Now for a few eye openers. I have told you numerous times these are not the “VA examiners”. In the eye doctor’s case, he was a civilian-contracted  ophthalmologist in Gig Harbor who reported his findings back to the RO. NO claims file was on site.

2015-10-19 12.31.24Same for the Retained Metal Fragments RMF) inspector, Doctor Billingsly here. He was a Vietnam Veteran with boots on the ground as a USAF Flight Surgeon flying back and forth between Camp Zama and Da Nang on medivac flights for a year.  No c-file whatsoever but they did do an extensive x ray series to map all the RMFs. Butch happened to mention at the exam that he had another one in the lower inside thigh of the left leg as well but since we had not listed it in the original inventory, Dr. Billingsly was precluded by VA law from even looking at it or x raying it.

Seems VA would want to do this once thoroughly and get it over with. Seems we were wrong. No tickee, no laundry. We wonder why there is a backlog and we wonder no longer.

That afternoon, we elevatored upstairs to the bent brain ward and got the $99.95 guided tour around the inside of the skull by Dr. Hanorian, PhD.  I recognized the format and he did have the c-file. Hopefully, he’ll realize the magnitude of the stressor and the lifetime effect on the man. Butch is a lot like me. We aren’t parade kind of guys. We don’t talk a lot about what happened because there aren’t a whole lot of others who have actually been in a situation who can relate to it. Having someone shoot at you or try to blow you up changes your whole outlook on mankind for the rest of your life. You learn how to sit like a rattlesnake and wait quietly. Patience is infinite. Retribution is thorough, brutal and final. Fairness is no longer presumed nor offered.

I got to go wait again outside Nurse Ratchet’s headquarters while Butch got the x rays. Some were decked out with Seahawks jerseys and in full Halloween regalia.  I think they put Valium in the water because all the employees were polite as pie and acted like this was more fun than getting paid to pull taffy and eat it. A good time was had by all.

2015-10-19 11.11.14

We’ll keep you posted on the continuing adventures of Bungalow Butch. Happy Veterans Day coming up. I suppose all you selfish Vets will want someone to throw a parade for you, too.

Posted in C&P exams, Congressional Influence, KP Veterans, Medical News, Nexus Information, PTSD, Vietnam Disease Issues, Vietnam War history | Tagged , , , , , , , , , , , , , , , , , , , | Leave a comment

BVA–SQUIDLEYONE JOINS THE P&T CLUB

squidlyoneI’m sorry for being the slow boat on the website. Thank you Kiedove for helping to fill out the page in the interim. I apologize but I’m busy writing the new book. Great news came in from South Dakota last week. Everyone here may remember ol’ SquidleyOne, the Navy Vet who we helped develop a HCV claim for Electromyogram (EMG) needles. Long story short, Harvey fell down a stairway aboard a Navy ship in a nasty storm. They had to transport him ashore to a civvie hospital in Japan where the doctors stuck him with reused EMG needles to test his boogered up neck. They subsequently retired him with a 40% cervical rating. Then they lost his c-file. Smooth move, VA.

Back in the day the Hepatitis Genotype for that neck of the woods was 2A and sometimes 2B. America was solidly 1A. Europe was 1B and my old playground in Southeast Asia was 3A.  With a mobile population and cheap air travel, that can no longer be said. It was no surprise to Harvey, however, when he suddenly was dx’d with Hep C to discover he was 2B. The EMG gig was his only risk factor besides the jetguns and shared razors/toothbrushes. Bleh. I could never share a toothbrush with a GUY. That’s like kissing them. Harvey, tell me you didn’t share toothbrushes, right?

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F-5 Hurricane Katrina

Surprise, Surprise, Surprise. After a loooong battle, Harvey lost the Hep claim at the Sioux Falls Puzzle Palace. They weren’t even going to touch this with a ten foot selfie-stick. This is pretty much the modus operandi with all unique Hep claims. “Unique” includes jetguns, tattoos, STDs and alien abduction to the VA. EMG needles were right out. The list of our alumni who had to go to DC to win is getting pretty long. Off to the BVA Harvey went. I finally convinced him it was advisable to call in the dogs and piss on the fire. This required the expertise of “Hurricane” Katrina Eagle- Vets attorney extraordinaire. Harvey was not disappointed. Harvey was also very ill and needed to focus on his health and a repair order for it.

Squidley won after a long battle but getting any action out of Fort Fumble in South Dakota on the BVA remand was met with earmuffs and the standard “We can’t hear you”. When you win at the BVA, they hang a little codicil on there at the end to “fix” it and be quick about it. The term is “to be handled expeditiously”. To VA goombahs, that means we’ll look at it after dove hunting and deer season are over. After ten months, the raters there, all 20 of them (with nothing to do) finally decided to take a gander at it.  My guess is they aren’t fishermen or he’d still be waiting.  In Ms. Eagle’s vernacular:

“That RO was hell-bent on denying his appeal. Hell, took me nearly 10 months to get those asshats to even pick up his file, even though it was required by law to be handled expeditiously because the Board remanded it.”

Well, duh. Where did you park the squad car, Dick Tracy?  We’re talking VA here. Katrina doesn’t mince words or emotions. “Asshats” has a nice ring to it, too. Harvey just sent me word that he had won and I want to share this one with you all. Few of us realize how fragile life is when we get to the last strands of the rope. Hepatitis C is a vicious disease left untreated.  Harvey, like me, was getting to the end of that rope when they finally gave him the cure. It didn’t take but the disease has abated substantially.  Katrina is miffed because I heard from Harvey before she did after the big win. Hey, I was there first, young lady. Get in line.

Even more emotionally rewarding, if any story like this could be, is the news that our Squid found Mrs. Right and they are going to live happily ever after.  I swear you can’t make this stuff up. He’s permanent and total for 100% now and Katrina is still doing her Wizard of Oz imitation behind the curtain pulling the levers to see if we can arrange a SMC S rating for him.

Ladies and Gentlemen Vets, I give you Mr and Mrs. SquidleyOne- a marriage made in Heaven and consummated in Deadwood, South Dakota. Dang. I may just have to go on a road trip to shake his hand-during bird hunting season, of course. Harvey is one of our 2008 originals from the old Delphi HCVets board before asknod was ever even dreamed of. We’ve been fighting it for that long. A super big thank you goes out to Dr. Ben Cecil for his winning nexus. One small step for HCVets, one giant leap for Vetkind.

SquidleyoneIf this doesn’t give you a wet eye, nothing ever will. Congratulations to you both. Live long and prosper. You earned it a thousand times over. Rarely have I ever been so proud as to be a part of a story like this. Nevertheless, the list continues to grow. Thank you, all of you- Leigh, Mark, Lori, Bill, Susan, Sheri, Carol-everyone of you for allowing me to become involved. At this rate, I might even get a seat outside the kitchen door in Heaven. There’s always hope for asshats like me.

P.S. It’s time to think about an ILP program, too. Surely he needs a computer and some reloading gear for his  .30-06  and 12 ga. to while away those long cold winter months inside? Maybe a greenhouse…

Posted in BvA HCV decisions, HCV Health, HCV Risks (documented), Inspirational Veterans, Lawyering Up, Medical News, Nexus Information, Remanded claims, Tips and Tricks, VA Medical Mysteries Explained, vARO Decisions | Tagged , , , , , , , , , , , , , , , , , , , | 5 Comments

Chantix, Nov. 19th, DoD and VA links

Just a few quick military tobacco cessation links before Nov. 19th, the Great American Smoke-Out.  

GASO_2015_FB_TimelineImage

Click to DoD for campaign materials for FB etc. Filter by service.

DoD: Quit Tobacco. (LINK) This site has a bunch of tools and information including links to Tricare programs and a savings calculator.

Varenicline (Chantix–Pfizer link) is listed in the VA formulary (LINK to VA search tool) as well as nicotine replacement therapies (NRTs) and bupropion.

Smoke Free Vet (LINK) with text messaging video and gov. resources in the left and right sidebars.

Lots of support in the form of chats, text messages, phone calls, classes, workbooks and medication are available for people who want to quit. How words and visuals can change when science trumps politics over time.

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click for dozens of vintage cig ads by decade.

Posted in Food for thought, General Messages, Guest authors, Medical News | Tagged , , , , , , , , , , , , , , , , , , , , , , , | 2 Comments