Tuesday, June 30, 2009

FDA advisers vote to take Vicodin, Percocet off market

FDA advisers vote to take Vicodin, Percocet off market
Story Highlights
NEW: Panel votes to kill prescription drugs that combine acetaminophen, narcotics
Panel advises lower maximum doses of nonprescription acetaminophen drugs
Those drugs include Tylenol, NyQuil, Pamprin and Allerest

CDC estimates acetaminophen was the likely cause of most acute liver failures

(CNN) -- A government advisory panel voted Tuesday to recommend eliminating prescription drugs that combine acetaminophen with narcotics -- such as Vicodin and Percocet -- because of their risk for overdose and for severe liver injury.


Acetaminophen, found in drugs such as Tylenol, is one of the most commonly used drugs in the United States.

The panel, assembled by the Food and Drug Administration, voted 20 to 17 to advise the FDA to remove such prescription combination drugs from the market.

The group recommended that the FDA "send a clear message that there's a high likelihood of overdose from prescription narcotics and acetaminophen products," Dr. Sandra L. Kweder of the FDA's Office of New Drugs said at a news conference after Tuesday's meeting.
go here for more
http://www.cnn.com/2009/HEALTH/06/30/acetaminophen.fda.hearing/index.html

VA obstacles get in the way of homeless veterans

VA objections slow help for homeless vets
By Sean Rose
POST-DISPATCH WASHINGTON BUREAU
06/30/2009

WASHINGTON — A wing on the fourth floor of the St. Louis Queen of Peace Center for addiction treatment had been renovated, and rooms were ready for five homeless female veterans.

But Connie Neumann, the center's CEO, ran into an unlikely obstacle earlier this year: the Department of Veterans Affairs, which demanded more renovations before funding the project. Neumann, unable to afford what the government wanted, backed out.

"I don't pull out of things, but this was over the top," Neumann said. "It was not in the best interest of my business here to do that. There's too many other homeless people who need housing."

Her complaints are not uncommon among nonprofit groups that see the oversight that comes with VA funding as a hindrance to helping homeless veterans. Veterans Affairs relies on nonprofit groups and faith-based organizations for much of its groundwork, but some are being driven away from seeking funding, organizers say.
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VA objections slow help for homeless vets

Anti-Anxiety Drugs Raise New Fears

Anti-Anxiety Drugs Raise New Fears
By Katie Balestra
Special to The Washington Post
Tuesday, June 30, 2009

Stan Starr, a 54-year-old financial consultant, sat in the back of the room filled with blue chairs, quietly tapping his Converse sneakers on the carpet. The 12 steps to recovery, enshrined by Alcoholics Anonymous, were printed in large black letters on a wall. But Starr was there because of a different drug -- a class of prescription medication called benzodiazepines.

Five years ago, he couldn't sleep at night, his heart raced, he had wrenching stomach pains and felt as if his skin were crawling off his bones. He was in the midst of a 2 1/2 -year battle to withdraw from the drug Klonopin, which his psychiatrist had prescribed to him for anxiety. "I went through sheer living hell," he said. "I didn't know if I was going to make it."

Benzodiazepines, often prescribed to manage anxiety, panic and sleep disorders, include Xanax, Ativan, Valium and Klonopin. Originally pushed as an alternative to barbiturates, their use has grown rapidly in the past 30 years. But critics say their long-term effects have gone largely unaddressed. Health professionals and consumers are increasingly recognizing that taking the drugs for more than a few weeks can lead to physical dependence, often ending with a grueling withdrawal.



The ordeal of withdrawing from benzodiazepines can rival that of kicking a heroin habit, according to some who have had success. Abrupt withdrawal can result in hallucinations, seizures and even death, experts say.

Last year, after jail officials in Cleveland denied R and B singer Sean Levert's repeated requests for his Xanax, he hallucinated for hours and ultimately died from the effects of withdrawal, according to the coroner's report cited in court records. His widow sued the corrections center and medical staff. The suit is pending.

Some seeking to withdraw from the drugs have turned to online support groups. Debra Standiford, a nurse who leads a benzodiazepine support site on the Yahoo Web site, said membership has grown to 3,800 people from 200 in 2000, gaining two to three members each day.

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Anti-Anxiety Drugs Raise New Fears

Students shot at bus stop in Detroit

Seven people hurt in Detroit bus stop shooting
Story Highlights
At least five of the victims are students

Police say gunmen asked for specific person

Two victims are in critical condition

Gunmen covered their faces; no one in custody, police say


(CNN) -- Seven people, at least five of them high-school students, were shot Tuesday at a bus stop in Detroit, Michigan, officials said.


Tuesday's shooting occurred off school property, a Detroit Public Schools spokesman said.

Two of the victims were in critical condition; the others were in serious condition at area hospitals, Police Chief Roderick Grimes said.

"Two perpetrators, possibly three, pulled up in a vehicle, exited their vehicle with weapons, asked for a person by name and then opened fire onto the crowd," he said.
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Seven people hurt in Detroit bus stop shooting

Lung disease of soldier linked to burn pits

Lung disease of soldier linked to burn pits

By Kelly Kennedy - Staff writer
Posted : Tuesday Jun 30, 2009 17:09:31 EDT

Even as military health officials continue to say there are “no known long-term health effects” caused by open-air burn pits in Iraq and Afghanistan, a team of Army doctors says a soldier’s cystic lung disease is “related to the burn pits in Iraq.”

A second set of doctors, trying to determine why 56 soldiers in the 101st Airborne Division came back from Iraq short of breath, found each had bronchiolitis that could be diagnosed only with a biopsy.

That disease normally comes with organ transplantation, infection, rheumatoid arthritis or toxic fume inhalation. Because there was no scarring on the soldiers’ lungs, doctors decided it must have been toxic inhalation and added a fifth cause of bronchiolitis to their list: “Iraq.”

Since Military Times began reporting in October about burn pits in the war zones, 400 troops have contacted Disabled American Veterans to say they have breathing problems or cancers they believe came after exposure to the burn pits.

Many say they have been diagnosed with “asthma-like” or “allergy-like” symptoms when they’ve complained of shortness of breath, but their doctors can’t come up with an exact diagnosis.
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Lung disease of soldier linked to burn pits

Hallelujah! Someone in congress is finally listening!

While I seriously doubt Rep. G.K. Butterfield has any clue what I've been saying all this time, it appears that at least someone is finally listening to the veterans and what this backlog of claims is doing to them. They have been suffering because no one in the government got ready for any of them when they sent them into Afghanistan and Iraq.


Bill: Have VA pay old claims automatically

By Rick Maze - Staff writer
Posted : Tuesday Jun 30, 2009 11:25:16 EDT

A North Carolina lawmaker proposes tackling the backlog of veterans’ disability claims by awarding benefits to veterans after 18 months if their claim hasn’t been processed.

Veterans Affairs Department officials have told Congress they are, on average, processing disability compensation claims within 162 days and have a goal of cutting the average to 120 days. But Rep. G.K. Butterfield, D-N.C., is one of many lawmakers who think there is a limit to how patient veterans could be in waiting for money they are due.

“Backlogs are at the point where veterans must wait an average of six months for a decision on benefits claims and some veterans are waiting as long as four years,” Butterfield said in a statement. “Veterans deserve better than this.”

Butterfield introduced a bill on Friday, HR 3087, that would automatically approve a veteran’s claim if no decision is made by the VA within 18 months. The bill doesn’t say exactly how the VA would do this, but creates a task force to monitor VA to make sure the 18-month deadline isn’t met with an arbitrary denial just before the claim must be paid.

The bill comes as the number of unprocessed veterans claims exceeds 915,000 — a 100,000 jump since the beginning of the year. In testimony two weeks ago before a House committee, VA officials said the current 162 days is 17 days less than one year ago, a sign that they are beginning to make process.
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Bill: Have VA pay old claims automatically

There are over 32 posts on the backlog of claims. This is one of them and Linda Blimes should have been listened to all along.

Monday, February 2, 2009

Potential VA benefits chief has new ideas
No I don't have ESP and I did not go to Harvard. I just pay attention and read about people like Linda Blimes thinking it would be a great idea to take care of the veterans by pushing their claims thru. Ironic as it is this showed up today on Army Times, but hey, anyone paying attention feels the same way.
Potential VA benefits chief has new ideas/
By Rick Maze - Staff writer
Posted : Monday Feb 2, 2009 17:36:26 EST
A Harvard University researcher with some radical ideas about how to reduce the backlog of veterans disability claims appears to be in line to head the Veterans Benefits Administration. Linda Blimes, a public policy lecturer and research at Harvard’s Kennedy School of Government, wants the Department of Veterans Affairs to operate like the Internal Revenue Service — on an honor system that trusts veterans claiming service-connected disabilities.

All veterans claims would be approved as soon as they are filed, with a random audit conducted to “weed out and deter fraudulent claims,” Blimes told the House Veterans’ Affairs Committee in testimony in 2008.Ninety percent of veterans disability claims end up being paid after they make it through the system, she said — proof, she said, that most veterans are asking only for what they deserve.Immediate payment of at least a minimum benefit would help to reduce the average 180-day waiting time for initial benefits claims to be processed and allow VA to redeploy the employees processing those claims to work on more complicated appeals, she said.

Blimes also has talked of a vastly simplified disability rating system that would have just four ratings instead of the current 10 for service-connected disabilities and illnesses.Blimes has not been formally announced as a nominee, but her name is being circulated among lawmakers and congressional staff in what has become a standard procedure to determine whether there is any strong opposition to her taking the key post.Her idea of a streamlined claims process has some prominent supporters, among them Rep. Bob Filner, D-Calif., the House Veterans Affairs Committee chairman who has talked of automatic claims approval as a way to quickly eliminate the claims backlog.
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Sgt. Ben Driftmyer "spent 8 years serving" now feels betrayed

The good news is that Congress is trying to make it easier to file and have a PTSD claim approved now, but it comes too late for people like Sgt. Driftmyer. Why? Because they ended up suffering. To this day I still wonder what happened to the over 22,000 given discharges under "personality disorder" allowing them nothing for their service and no help for PTSD.


'The military didn't want to pay for me for the rest of my life'

By Kim Quintero KVAL News
COTTAGE GROVE, Ore. - A turning point in the Iraq war: Tuesday is the deadline for US combat troops to withdraw from Baghdad and other Iraqi cities after a six year occupation. This is the first phase of a full withdrawal by the end of 2011.

Those returning are facing serious combat related mental health issues. According to a study conducted by RAND Corp. last year, one in three combat veterans will return home with PTSD, traumatic brain injury or major depression requiring treatment.

"I had spent eight years serving the military. I never got in trouble. Never did anything bad. And I got treated like I was a piece of crap because of it," said Ben Driftmyer, discharged U.S. Army Sergeant and Cottage Grove resident.

Driftmyer was diagnosed with post traumatic stress disorder by Eugene doctors after he was chaptered out from the special forces unit in Baghdad. He suffered several mental breakdowns during his service, but his discharge was classified as "other than medical."

"Because the military didn't want to pay for me for the rest of my life," said Driftmyer.
go here for more
http://www.kval.com/news/local/49465117.html

Clearwater VFW Post remodels to be more inviting to younger veterans

Clearwater VFW Post remodels to be more inviting to younger veterans
By Theodora Aggeles, Times Correspondent
In Print: Tuesday, June 30, 2009


CLEARWATER — Ray Riley wanted to forget the horrors of Vietnam.

He lost a brother there. Sgt. William A. Riley has been missing in action for 49 years.

Riley himself escaped the jungles of Vietnam and made it back home with Silver and Bronze Star medals.

But he could not flee from the images that crept into bed with him each night. In dreams, he heard gunfire. Saw bloodshed. Felt the heat and attacked his enemies.

"I was like a lot of older guys who came back and didn't talk about what we'd been through," Riley said. "Years later when I talked, let's just say for years what I pushed down had been eating me up inside."

Now 66, Riley understands post-traumatic stress disorder, a condition that caused him to relive the hell of Vietnam every night for decades.

That's why he and the other 550 or so members of VFW Post No. 2473 are sprucing up the post and starting a post-traumatic stress disorder training program.

It's all part of $75,000 in renovations to make the facility a more comfortable, therapeutic and fun place to come for younger veterans returning from Iraq and Afghanistan.
go here for more
http://www.tampabay.com/news/military/veterans/article1014421.ece

Minn. Court Rules for Democrat Al Franken in Senate Fight

Minn. Court Rules for Democrat Al Franken in Senate Fight

It's about time there were two senators! Congratulations Al Franken!

Veterans Care, all states are not the same

There is confusion between what the states are responsible for and what the federal government is responsible for. This confusion comes from some states cutting back on VA budgets at the same time the federal government is pumping in a lot of money into the VA. This is what the Federal VA is responsible for followed by what the State of Florida is responsible for.



Federal Benefits

Federal Benefits Guide (English) (Spanish)
Cold War Certificate
Combat-Related Special Compensation
Houses for Sale-U.S. Dept. of Veterans' Affairs
Interactive link to Veterans' resources
Requesting Military Records Online
Veteran Benefits Timetable
VA Cemeteries and Military Funeral Honors
Who's Eligible-documentation, filing claims, obtaining forms
The Center for Women Veterans
Dependency and Indemnity Compensation (DIC) Benefits

State of Florida

State Benefits
Certification of Discharge or Separation
Disabled Veteran Identification Card
Veterans' Preference (HTML version)
Download a
copy of "Veterans' Preference"
(500kb

Adobe Acrobat
file)
--->
Education
High School Diploma- Korean War Veterans
High School Diploma- WWII Veterans
Licenses
License Tags
DV License Tag
Homestead Exemption (Permanent &Totally Disabled)
Homestead Exemption (10% to 100% BUT not Permanent in nature)
Permits/Fees (parking, tolls, building improvements)
Tuition
Homeless Veterans



When it comes to the issue of claims, there was already a problem in 2001. A task force was formed to see how bad the problem was and what could be done about it.

Task force issues report on VA claims processing
By Kellie Lunney klunney@govexec.com October 3, 2001
Poor planning and an overall lack of accountability by the Veterans Benefits Administration (VBA) are partly to blame for the agency's dismal claims processing record, according to a VA task force created to study the problem.

The task force, which was launched last spring and included representatives of the VA, industry and veterans organizations, submitted its final report to VA Secretary Anthony J. Principi on Wednesday.

Despite VBA's efforts in recent years to improve the timeliness and accuracy of claims, the agency has failed to provide its 57 regional offices with the proper leadership, guidance and training in handling claims processing, the 14-member task force concluded.

Its report included 34 recommendations for improving VA's claims process, ranging from providing better training to VBA employees to creating specialized regional offices focusing on one part of the overall claims process.

Principi pledged to "study and act" on the task force's recommendations "with urgency." "This report will not sit on a shelf gathering dust," he said.

The agency task force, led by Ret. Navy Vice Adm. Daniel L. Cooper, criticized VBA for failing to provide clear and uniform guidance to regional offices and keep them abreast of changes in VA policy. The confusion has resulted in an inconsistent claims process that varies widely throughout the agency.

"There may be a system, but it is improperly coordinated and less effective than it must be to ensure both fairness to the veteran and efficiency in processing claims," the report said.

On average, it takes VBA 194 days to process a claim, which includes requests by veterans for disability compensation, pensions, and survivors' benefits. There are more than 500,000 cases, excluding appeals, still pending in VBA's backlog. The agency hopes to eventually reduce those figures to 74 days and 250,000 cases, respectively.

The VBA's claims processing system has been repeatedly criticized in recent years as slow and inefficient. The agency has tried to improve its claims processing accuracy by using case management techniques and by reorganizing its field offices into clusters meant to collaborate with one another.

Despite its attempts at reform, VBA still reported errors in 41 percent of the claims it processed in fiscal 2000. The task force called on the VA to hold VBA officials at headquarters and the regional offices accountable for performance, rewarding those offices that reach their goals and cracking down on those that fail.

read more here

http://www.govexec.com/dailyfed/1001/100301m1.htm



As you can see, the problems we see today with the claims is as huge as it is because problems found in 2001 were not corrected. The report last week on Houston Texas, should give you an idea of what we're heading into and it's not good.
Houston, We've got a problem! This time with veterans claims


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