1 Ekim 2012 Pazartesi

9/24: VA Rejects C-123 Veteran's Agent Orange Claims!

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The Big VA Smack-Down!

In one of the first formal rejections of a C-123 veteran's Agent Orange exposure claim, the VA's Tom Murphy (Director VA Compensation Service) himself authored a four-page, detailed denial of each expert cited in the veteran's application. Mr. Murphy, in the April 2012 meeting hosted by Senator Richard Burr's office, had promised no C-123 veterans would get approved...and he certainly meant it!

Of course, Mr. Murphy had to reach deep. Very deep, in structuring his denial. He had to flat-out deny professional toxicologists and epidemiologists who'd supported our veterans. He even had to deny the professional qualifications of Dr. Tom Sinks, Deputy Director of the CDC's Agency for Toxic Substances and Disease Regisry! Dr. Sinks is the government expert who opined who told the AF and the VA"Given the available information, I believe that aircrews operating in this, and similar, environments were exposed to TCDD."

Murphy's basic objection to the multitude of experts who weighed in to support C-123 veterans was that they were not physicians. He feels only physicians could offer reasonably informed expert opinions. Of course, one is left certain that if instead four gallant physicians had investigated the situation and provided their input, it would be rejected because they're physicians and not scientists.

Amazing, because what the VA initially argued was a scientific question, not a medical one. VA argued that no aircrew exposure to dioxin in our contaminated airplanes could occur. Congress and the IOM already resolved the question about a medical nexus between exposure and Agent Orange-associated illnesses, yet here VA twists logic into an enigma wrapped in confusion and surrounded by mystery and obfuscation. Anything to deny a veteran's claim, right, Mr. Murphy?

Oh, well. This just means more work ahead. More windmills at which to tilt until, in that Great Glory Day Coming, someone at 1600 Pennsylvania Avenue or at 810 Vermont Avenue can see both justice and common sense with the same pair of eyes! The application which Murphy trashed is my own, submitted early-on in our struggle. I'm saddened that this means the VA's rubber stamp is ready to smash DENIED on all our veterans' applications.

As for you, dear reader: Know any physicians who will weigh in on this? We could sure use their help1





VA Reevaluates Peripheral Neuropathy & Agent Orange Links

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VA to Re-characterize Chronic Peripheral Neuropathy as Presumptive to Agent Orange Exposure (from NSN Today)

Posted August 24th, 2012 by LtCol Eugene B Richardson, USA (Retired) BA, MDiv, EdM, MS (from 
Causes of Peripheral Neuropathy
By Eugene B. Richardson, M.Div., EdM, MSPresident of the Network for Neuropathy Support, Inc.
The Federal Register dated August 10, 2012, notes that the Veterans Affairs Administration (VA) proposed substituting early-onset peripheral neuropathy for acute and subacute neuropathy (est. 2004) on its list of diseases presumed to be related to Agent Orange (AO) exposure.  The public comment period on the proposal is open until October 9th.
I encourage and plead with everyone reading this article to PLEASE go to the Federal Register link and comment for the government record.
This means that the veteran exposed to Agent Orange, who can prove that they were stationed in Vietnam or Korea, who had symptoms at least 10% disabling as defined by the VA within one year after exposure, would be approved for service connected compensation and treatment without having to prove the connection between Agent Orange and Chronic Peripheral Neuropathy.

One in Five Spine Surgery Patients Face PTSD!

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Study: One-fifth of spine surgery patients develop PTSD symptoms

09/27/12  Portland, Ore.Nearly 20 percent of people who underwent low back fusion surgery developed post-traumatic stress disorder symptoms associated with that surgery, according to a recent Oregon Health & Science University study published in the journal Spine.Past studies have noted PTSD symptoms in some trauma, cancer and organ transplant patients. But this is the first study, its authors believe, to monitor for PTSD symptoms in patients undergoing an elective medical procedure."It is maybe not surprising that significant surgical interventions have psychological as well as physical impacts," said Robert Hart, M.D., an orthopedic surgeon, professor of orthopedics and rehabilitation at OHSU and senior author of the study. "I think it means that we in the medical community need to monitor for these effects in our patients and to manage them when they occur.”The study found that the strongest factor in determining whether a spine surgery patient suffered PTSD symptoms after the surgery was whether the patient had a psychiatric disturbance — depression or anxiety disorders, for example — before the surgery. But some patients who had no such pre-surgery diagnoses also suffered PTSD symptoms after the spine surgery, the study found.The OHSU study involved 73 of Hart’s surgical patients who underwent lumbar spinal fusion surgery, a procedure in which two or more lumbar vertebrae in the back are fused together, usually including implantation of metal screws and rods as part of the procedure.Surgeons at the OHSU Spine Center always look for other ways to deal with back pain before surgery. But sometimes, surgery is the only option. And spinal fusion is often major surgery that may involve complications and often involves a long recuperation period. The majority of patients in the study reported a good experience and had substantial relief of their pre-operative pain.Hart said the study results might offer guidance to doctors and surgeons in advising potential spine surgery patients about the surgery. For patients at higher risk, the results suggest doctors and surgeons might offer treatment for them prior to surgery, Hart said."At the end of the day, I hope this will make changes in the way we prepare people for surgery, to reduce these psychological impacts. This is analogous to how we currently optimize patients’ physical condition before major surgery," Hart said.Hart said he wants to study that issue next — and measure which pre-surgery interventions might work best to reduce or eliminate any PTSD effects.

VA C-123 Agent Orange Denial - Physicians' Opinions Only?

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The VA's Public Health folks, and especially Mr. Tom Murphy who is their Director of Compensation, have aggressively countered every argument we've put forward about our Agent Orange exposure aboard our C-123 aircraft. With their most recent action, denying my own Agent Orange application, the VA dismissed the opinions of noted scientists because these experts weren't physicians.

Interesting. Particularly so, because the VA's position where they've twisted the acknowledged contamination of the C-123 into a hypothesis that exposure to aircrew was unlikely, they turned to a scientist, and not a physician, do develop their position. Dr. T. Iron, a very recent University of North Carolina grad (where our daughter graduated also!). While very hard to locate in Google Scholar, Dr. Irons's specialty seems to be fish toxicology and she hasn't published much since receiving the doctorate in 2011. 

So the VA relied on Dr. Irons to, one would hope, examine with an open mind the issue of C-123 dioxin contamination and aircrew exposure. And Dr. Irons concluded it was an unlikely situation so the VA has decided to prevent access by exposed veterans based on the literature Dr. Irons reviewed.

I sure hope we can trust Dr. Irons to have gained a comprehensive grasp of dioxin-related health issues in this first year with the VA. 


Secret Journal of the VA's Public Health Service :)
But amazing that the VA denies the expertise of four other PdDs whose research confirms aircrew exposure...denies the exposure because these PhDs aren't physicians. 

But neither is Dr. Irons! Clearly, then, the VA accepts VA PhD judgements only if the PdD works for the VA and opposes veterans issues!

Please try Google Scholar for a search on Dr. T. Irons who is barely a blip on the toxicology radar. Then,  compare it to a search for Dr. Jeanne Stellman, for whom Scholar reports hundreds upon hundreds of publications, references, authorities. Dr. Stellman, who has for decades been the go-to expert scholar sought out by the National Academy of Sciences, the US Congress, the Federal courts, government agencies such as the National Institutes of Health, the National Academy of Sciences, the Canadian government and even the USAF.

Dr. Jeanne Stellman, Professor Emerita Columbia
University Mailman School of Public Health
...suddenly famous toxicologist Dr. Stellman (PhD) lacks the credentials to have her judgement accepted as readily as recently-graduated toxicologist Dr. Irons (PhD)?

It is interesting to note that Dr. Irons, in preparing the poster presentation at the 2011 Society of Toxicology conference, cited authors who asked that their studies not be used regarding aircrew exposure. Interesting that Irons ignored the already published findings by Dr. Stellman, Dr. Fred Berman at Oregon Health Sciences University, and Dr. Tom Sinks, deputy director of the CDC's Agency for Toxic Substances and Disease Registry...ignored them because only materials supporting the VA's position were to be used! One wonders why the SOT accepted such a poster presentation!

We are also left wondering why the VA develops a toxicology-based argument against aircrew exposure, and then twists it to rule invalid the opinions of the best scientists in the field of toxicology and accepts instead a literature by a recent graduate just settling into the responsibilities of the new VA job.

C-123 Veterans Statement of Finances

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Wes
I don't know if it is interesting to anyone, but maybe we'd better set forth our financial picture.

There ain't no finances. We have no dues, no fundraising, no collections, no money flow at all. Those of us who've spend some money have spent our own, and we've been pretty agressive about NOT collecting funds, even from each other, but instead as some occasion arises just paying our own way.

What has been spent? I don't know the total, but we have spent our own money, individually, for airfare, travel expenses, printing and postage, some small office equipment such as staplers and binders, a handful of C-123 models (useful to explain the aircraft features), and Internet costs such as our several web sites.

Eventual success with the VA (not against the VA!) will mean that our qualified veterans with Agent Orange illnesses can turn to the VA for medical care. The value of that for those of us already retired from the military or already disabled and covered by the VA, is not a single penny. For those not retired from the military or VA-disability rated, it can mean life itself to get vital medical care, now denied.

For all, it means recognition of having done our duty aboard a particularly uncomfortable, particularly hazardous weapon system despite the dangers. It will mean the injustice of being cast aside for purposes of VA budget control will be made right.


30 Eylül 2012 Pazar

History of the League's POW/MIA Flag

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In 1971, Mrs. Michael Hoff, an MIA wife and member of the National League of Families, recognized the need for a symbol of our POW/MIAs. Prompted by an article in the Jacksonville, Florida Times-Union, Mrs. Hoff contacted Norman Rivkees, Vice President of Annin & Company which had made a banner for the newest member of the United Nations, the People’s Republic of China, as a part of their policy to provide flags to all United Nations members states. Mrs. Hoff found Mr. Rivkees very sympathetic to the POW/MIA issue, and he, along with Annin’s advertising agency, designed a flag to represent our missing men. Following League approval, the flags were manufactured for distribution.

On March 9, 1989, an official League flag, which flew over the White House on 1988 National POW/MIA Recognition Day, was installed in the U.S. Capitol Rotunda as a result of legislation passed overwhelmingly during the 100th Congress. In a demonstration of bipartisan Congressional support, the leadership of both Houses hosted the installation ceremony.

The League’s POW/MIA flag is the only flag ever displayed in the U.S. Capitol Rotunda where it will stand as a powerful symbol of national commitment to America’s POW/MIAs until the fullest possible accounting has been achieved for U.S. personnel still missing and unaccounted for from the Vietnam War.
On August 10, 1990, the 101st Congress passed U.S. Public Law 101-355, which recognized the League’s POW/MIA flag and designated it "as the symbol of our Nation’s concern and commitment to resolving as fully as possible the fates of Americans still prisoner, missing and unaccounted for in Southeast Asia, thus ending the uncertainty for their families and the Nation".

The importance of the League’s POW/MIA flag lies in its continued visibility, a constant reminder of the plight of America’s POW/MIAs. Other than "Old Glory", the League’s POW/MIA flag is the only flag ever to fly over the White House, having been displayed in this place of honor on National POW/MIA Recognition Day since 1982. Passage by the 105th Congress of Section 1082 of the 1998 Defense Authorization Act requires that the League’s POW/MIA flag fly six days each year: Armed Forces Day, Memorial Day, Flag Day, Independence Day, National POW/MIA Recognition Day and Veterans Day. It must be displayed at the White House, the U.S. Capitol, the Departments of State, Defense and Veterans Affairs, headquarters of the Selective Service System, major military installations as designated by the Secretary of the Defense, all Federal cemeteries and all offices of the U.S. Postal Service. By law passed in 2002, it must fly year-round at the National Vietnam Veterans Memorial, the Korean War Veterans Memorial and the World War II Memorial.

Freedom Flight's POW / MIA Message From Above

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Jim Tuorila’s most memorable hot air balloon flight comes with a small bit of irony attached to one of its more prominent elements—altitude. The veteran balloon pilot and co-founder of Freedom Flight, Inc., a non-profit organization that raises awareness as well as hot air balloons, had flown hundreds of times. But when one of his passengers requested that he take his distinctive black balloon with the easily recognizable POW/MIA logo to 5,000 feet, Tuorila acquiesced with little enthusiasm.

“I don’t like to fly high,” he said, laughing. “I’m afraid of heights. I can’t lean over the side of a tall building and feel comfortable. I probably wouldn’t be flying this balloon if it weren’t for the issue.”

But the POW/MIA issue and the balloon are inseparable. The striking black craft with its three 30-foot high POW/MIA logos is like no other and is easily spotted even in a sky like Albuquerque’s in October, when mass ascensions at the Albuquerque International Hot Air Balloon Fiesta might number more than a thousand colorful balloons in all shapes and sizes gliding over the city.

Tuorila’s three guests that day came with special significance. So he opened up the balloon’s gas burners and the black craft rose into the air. His passengers were women married to men still listed as MIA from the Vietnam War. He doesn’t remember which one asked that he fly to 5,000 feet, but Tuorila has been a psychologist at a VA Medical Center in Minnesota for 20 years; he was curious to see what would happen when they reached that altitude. Balloon flights generally skim the earth, the better to see and be seen. At 5,000 feet, people on the ground are barely able to see the balloon. He couldn’t imagine why his passenger wanted to climb that high.

He said that the moment they reached the requested altitude will stay with him forever.

“We get up there and she says this is the altitude the military said her husband was at when he ejected from his plane over Vietnam,” he said. “She wanted to see what the world looked like when he ejected. It touched me so deeply that I’ll never forget that flight with those women.”

Freedom Flight, the POW/MIA Hot Air Balloon Team, has flown in more than seven hundred events since its first flight in November 1989. The non-profit now has three balloons that attend 35 to 45 events a year, staffed entirely by volunteers. The organization grew out of Tuorila’s vocation—psychology—and his avocation—hot air balloons.

In 1981, while attending graduate school at Texas Tech University in Lubbock, he worked with a group of World War II ex-POWs called the “Lost Battalion,” all of them survivors of more than three years in Japanese prison camps. That work inspired Tuorila to write his doctoral dissertation on the effects of captivity, especially regarding the work of Victor Frankl and his famous writings following his own imprisonment in Nazi concentration camps.

While doing his doctoral internship at the Topeka, Kansas, VA Medical Center, Tuorila and his wife volunteered to crew for a hot air balloon. When he went to work in Minnesota, they saw a balloon in flight one day and decided to volunteer again.

In 1987, he appeared on a local TV program to talk about the emotional difficulties families face when a loved one returns after years of captivity. On the program he met the daughter of a Navy pilot shot down and declared MIA. The daughter told him that the government story of her father’s disappearance was very much at odds with the story told by her father’s wingman, who made a point of finding the pilot’s family to tell them the true story of the incident.

By then, Tuorila and his wife were crewing on a balloon flown by a Vietnam veteran who had been encouraging him to set up a non-profit with an eye toward calling attention to the POW/MIA issue.

Then one day at work, his professional life and his weekend life coalesced.

“I told my co-therapist, ‘You know, I’ve been flying and working with balloons for five years now. What about a black POW/MIA balloon? What kind of attention would that get?’ “

The co-therapist and co-founder of Freedom Flight, Vietnam veteran Bill Nohner, thought it was a great idea. A year later, Freedom Flight, Inc., obtained status as a non-profit educational organization.

In 1989, the first flight went up. Its first passenger was Henry Sha, a World War II veteran and ex-POW who happened to stop his car when the balloon landed nearby. Invited onboard, he didn’t hesitate.

Now in its sixteenth year, Freedom Flight continues to attract attention, sometimes through a little luck. At the 2005 Albuquerque International Balloon Fiesta, Tuorila volunteered to give rides to the media. A Voice of America camera crew making a documentary on the balloon fiesta accepted his offer. When the crew members found out who they were flying with, a new angle for the documentary emerged.

“When they found out what we were doing with the balloon, I think the program changed to include Freedom Flight and everything we were doing,” Tuorila said.

The change was in keeping with how Tuorila describes the past sixteen years. “The reception we’ve gotten over the years make the hair on the back of my neck stand up,” Tuorila said. “It’s been incredible. I’ve had what I assume to be a Vietnam veteran come up, put $100 in my pocket and say, ‘Keep it up,’ then walk away. I’ve had family members of the missing come up to me with tears in their eyes. I’ve had ex-POWs come up and thank us. Everywhere we go, the reception has been positive and overwhelming, and that keeps us flying.”

For more information on Freedom Flight go to www.freedomflight.org or call Jim Tuorila at 320-252-7208.