SFTT Military Highlights: Week Ending Aug 11, 2017

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Found below are a few military news items that caught my attention this past week. I am hopeful that the titles and short commentary will encourage SFTT readers to click on the embedded links to read more on subjects that may be of interest to them.

If you have subjects of topical interest, please do not hesitate to reach out. Contact SFTT.

Tensions High over North Korea
“Military solutions are now fully in place, locked and loaded, should North Korea act unwisely,” President Trump said on Friday, in his latest salvo in the exchange of rhetoric with the isolated regime. “Hopefully Kim Jong Un will find another path!”  The statement, made via Twitter, comes one day after Trump wondered whether he had been stern enough in talking about North Korea earlier this week, when he promised to meet Pyongyang’s threats with “fire and fury.”  Read more . . .

Military Food Rations Amazon

Food Rations May Become a Military Profit Center
Amazon is using everything at its disposal to take on the grocery and food delivery business. The online retailer purchased Whole Foods Market in June for $13.7 billion, announced new meal-prep boxes that challenge Blue Apron in July, and now it’s turning to the military for its next move. According to a CNBC report, Amazon wants to use military food technology to create prepared meals that don’t need to be refrigerated. This would allow the company to store and ship more food more efficiently and to offer ready-to-eat, (hopefully) tasty meals at a lower price.  Read more . .

Is the VA Planning to Close Incomplete Healthcare Applications?
A well-known whistleblower in the Department of Veterans Affairs warned Wednesday that the VA appears to be getting ready to close tens of thousands of incomplete healthcare applications, even though it’s been clear for more than a year that the VA was failing to give veterans a chance to complete these applications. Scott Davis is a public affairs officer for the VA’s Member Services in Atlanta who has testified before Congress about problems within the VA.  Read more . . .

Deja Vu All Over Again at the VA
The Department of Veterans Affairs (VA) has been forced to employ the former Washington, D.C., medical center director for the time being after the employee was fired for failing “to provide effective leadership at the medical center.” Brian Hawkins was fired in July after it was revealed he had sent sensitive information to his wife’s personal email account. However, Hawkins appealed the termination and the federal Merit Systems Protection Board issued a stay on the decision on Aug. 2, allowing Hawkins to build a defense that he was wrongfully let go. VA Secretary David Shulkin pushed back against the stay and has prohibited Hawkins from working around patients.   Read more . . .

Opioids for Veterans with PTSD

Tighter Controls Over Opioid Prescriptions at the VA?
The U.S. Department Veterans Affairs Office of the Inspector General released a report Aug. 1 that recommended non-VA health care providers being paid by the VA to provide services to veterans be required to submit opiate prescriptions directly to VA pharmacies. According to the report, veterans are one of the highest risk pools of people to become addicted to opiates and that veterans could receive treatment in the form of opiates from non-VA doctors without regard for the possibility of co-occurring mental health problems. “Veterans receiving opioid prescriptions from VA-referred clinical settings may be at greater risk for overdose and other harm because medication information is not being consistently shared,” said U.S. Department of Veterans Affairs Inspector General Michael J. Missal. “That has to change. Health care providers serving veterans should be following consistent guidelines for prescribing opioids and sharing information that ensures quality care for high-risk veterans.”  Read more . . .

Link Between PTSD and Alzheimer’s Disease and Dementia?
More and more evidence is suggesting that developing post-traumatic stress disorder early in life can raise the risk of dementia in old age. New research finds a molecular link between the two conditions, which paves the way for new therapies. An increasing number of epidemiological studies have suggested that people who develop a neuropsychiatric condition such as post-traumatic stress disorder (PTSD) in childhood are also likely to develop Alzheimer’s disease later in life.  Read more . . .

How Combat Vet’s PTSD Affects Families
Soldiers who experience the horror and terror of conflict often return home far different people than they were when they left. Many are angry, suffer from depression, harbour suicidal thoughts or attempt to isolate themselves from the world, hoping to avoid triggers that can instantly force them to relive their experiences. While increasing attention has been paid in recent years to helping armed forces members cope with post-traumatic stress syndrome (PTSD), not as much attention has been paid to the experience and grief of intimate partners and families who experience trauma in trying to deal with the changes a loved one, coping with PTSD, goes through.  Read more . . .

Drop me an email at info@sftt.org if you believe that there are other subjects that are newsworthy.

Feel you should do more to help our brave men and women who wear the uniform or our Veterans? Consider donating to Stand For The Troops

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SFTT Military News: Highlights for Week Ending August 4, 2017

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Found below are a few military news items that caught my attention this past week. I am hopeful that the titles and short commentary will encourage SFTT readers to click on the embedded links to read more on subjects that may be of interest to them.

If you have subjects of topical interest, please do not hesitate to reach out. Contact SFTT.

With Eye on Russia, US Military Focuses on Global Exercises
The U.S. military is moving toward more global exercises to better prepare for a more assertive Russia and other worldwide threats, a senior officer said in an interview with Reuters. Air Force Brigadier General John Healy, who directs exercises for U.S. forces in Europe, said officials realized they needed to better prepare for increasingly complex threats across all domains of war – land, sea, air, space and cyber. Some smaller-scale war games with a global focus had already occurred, but the goal was to carry out more challenging exercises by fiscal year 2020 that involved forces from all nine U.S. combatant commands – instead of focusing on specific regions or one military service, such as the Marines.  Read more . . .

Secretary of State Tillerson Seeks Talks with North Korea
In the Trump administration’s first serious attempt at a diplomatic opening to North Korea, Secretary of State Rex W. Tillerson has offered to open negotiations with Pyongyang by assuring “the security they seek” and a new chance at economic prosperity if the North surrenders its nuclear weapons.Mr. Tillerson’s comments came just hours before the United States on Wednesday tested an unarmed Minuteman III intercontinental ballistic missile, sending it 4,200 miles to a target in the Marshall Islands. The Pentagon said the test was not intended as a response to the North’s launch on Friday of a missile that appeared capable of reaching Los Angeles and beyond.But military officials said the test demonstrated that the American nuclear arsenal was ready “to deter, detect and defend against attacks on the United States and its allies.”  Read more . . .

Telehealth for Veterans Rolls Out To General Acclaim
American Telemedicine Association (“ATA”) has long supported the VA’s vision of expanding veterans’ access to telehealth services, facilitating high-quality encounters between veterans and providers, and ensuring that veterans are equipped with the best tools to monitor their health. This includes innovative models that facilitate cross-state practice and enable consumer choice such as the VETS Act (S. 295 and H.R. 2123). “We applaud Dr. Shulkin for demonstrating the value of telehealth today at the White House.” said Gary Capistrant, Chief Policy Officer, ATA. “We encourage President Trump to issue an Executive Order to eliminate the state-by-state licensure model for all federal and private-sector health professional employees servicing federal government programs—notably agencies (such as the VA and the Department of Health and Human Services), health benefit programs (such as Medicare and TRICARE), federally-funded health sites (such as community health centers and rural clinics), and during federally-declared emergencies or disasters.  Read more . . .

Veteran Choice Options Expanded
Thank bipartisan support for helping veterans, or lingering anger over the previous scandals at the Department of Veterans Affairs, but whatever the reason, Congress is managing to get legislation passed addressing veterans’ needs. First, Congress finally worked out a deal on funding for Veterans Choice. If you believe that veterans should be able to seek out and get the best care wherever they prefer, whether it’s within the VA or from a private health care provider, Veterans Choice is a nice half-step, but hardly a sweeping change. (The booming demand for treatment through the program can be interpreted in veterans’ interest in exploring other treatment options.)  Read more . . .

Brain and PTSD Studies

No Surprise Here:  PTSD May Be More Physical than Psychological
The part of the brain that helps control emotion may be larger in people who develop post-traumatic stress disorder (PTSD) after brain injury compared to those with a brain injury without PTSD, according to a study released today that will be presented at the American Academy of Neurology’s Sports Concussion Conference in Jacksonville, Fla., July 14 to 16, 2017. “Many consider PTSD to be a psychological disorder, but our study found a key physical difference in the brains of military-trained individuals with brain injury and PTSD, specifically the size of the right amygdala,” said Joel Pieper, MD, MS, of University of California, San Diego. “These findings have the potential to change the way we approach PTSD diagnosis and treatment.” In the brain there is a right and left amygdala. Together, they help control emotion, memories, and behavior. Research suggests the right amygdala controls fear and aversion to unpleasant stimuli.  Read more . . .

Drop me an email at info@sftt.org if you believe that there are other subjects that are newsworthy.

Feel you should do more to help our brave men and women who wear the uniform or our Veterans? Consider donating to Stand For The Troops

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Military News Highlights: Week Ending Jul 21, 2017

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Found below are a few military news items that caught my attention this past week. I am hopeful that the titles and short commentary will encourage SFTT readers to click on the embedded links to read more on subjects that may be of interest to them.

If you have subjects of topical interest, please do not hesitate to reach out. Contact SFTT.

Turkey Releases Secret Sites of US Troops in Syria
In the latest display of Turkish anger at U.S. policy in Syria, the state news agency has divulged the locations of 10 U.S. military bases and outposts in northern Syria where the U.S. is leading an operation to destroy the so-called Islamic State in its self-styled capital of Raqqa. The list published by the Anadolu news agency points to a U.S. presence from one end to the other of the Kurdish self-administration region—a distance of more than 200 miles. The Anadolu news agency even listed the number of U.S. troops in several locations and in two instances stipulated the presence of French special forces.  Read more . . .

South Korea Proposes Military Talks with the North
South Korea on Monday proposed holding military and humanitarian talks with North Korea, its first visible split with the Trump administration, which has said it will deal with North Korea’s continued missile tests by stepping up sanctions and military pressure on the country. If the talks take place, they will be the first military-to-military dialogue since 2014. It is an attempt to ease tensions along a heavily armed border, and perhaps to arrange the resumption of reunions of families divided decades ago by the Korean War. But North Korea did not immediately respond, and such conversations have a dismal history since military officials on both sides are usually not empowered to negotiate significant agreements.  Read more . . .

French Military Chief Resigns Over Defense Cuts
A public fight between President Emmanuel Macron and France’s chief military officer over proposed cuts in military spending led Wednesday to the first high-profile resignation of a public servant since Mr. Macron was elected in May. In an unusual move, the military chief, Gen. Pierre de Villiers, offered his resignation after Mr. Macron said publicly that he would be the one to determine military policy and implicitly criticized General de Villiers for questioning the government’s proposed budget cuts. The president’s seemingly unshakable confidence in his judgment, and his reluctance to brook any dissent, could signal potential difficulties ahead as Mr. Macron tries to shrink government spending.  Read more . . .

Major IT Contract at Department of Veterans Affairs in Danger of “Catastrophic Failure”
Internal documents obtained by the American-Statesman show that last year, even as government overseers were taking the VA to task for failures in other high-profile IT projects, VA officials worried that the department’s $543 million contract with Hewlett-Packard Enterprise Services to implement a real-time locating system, or RTLS, was careening off the rails. The system, which consists of tagging and wirelessly tracking everything from catheters to hospital beds, has been hailed as a way to potentially save millions of dollars in lost or misplaced equipment.  Read more . . .

PTSD Brain Details

New PTSD Study Points Way to Future Treatment
A study of post-traumatic stress disorder (PTSD)—conducted by the VA National Center for PTSD (NCPTSD), National PTSD Brain Bank, and Yale University—has identified a new potential mechanism contributing to the biology of the disorder that may be targeted by future treatments.  The study, led by NCPTSD and Yale psychiatrist Irina Esterlis, is the first to implicate a specific alteration in brain glutamate signaling in PTSD. Glutamate is a chemical messenger of brain signals, and alterations in glutamate levels in PTSD were described previously. The new study reports that positron emission tomography (PET) scans show increased levels of a subtype of glutamate receptor in the brain, metabotropic glutamate receptor-5 (mGluR5), in patients with PTSD. In animals, overstimulation of mGluR5 is associated with fear and stress-related behaviors; drugs that reduce mGluR5 function may reduce these symptoms. Thus, the current study may have implications for the treatment of PTSD, said the researchers.  Read more . . .

Welsh Study on Treating PTSD
Funded by the Forces in Mind Trust (FiMT) and supported by Health and Care Research Wales, the study is seeking to help veterans who have not responded to current PTSD treatments. The two-year study is investigating the effectiveness of a new therapy known as 3MDR, where patients walk on a treadmill whilst interacting with a series of self-selected images that are related to their trauma, and displayed on a large screen. The aim of this therapy is to help patients learn how to move through their avoidance by, literally, approaching their traumatic memories.   Read more . . .

Drop me an email at info@sftt.org if you believe that there are other subjects that are newsworthy.

Feel you should do more to help our brave men and women who wear the uniform or our Veterans? Consider donating to Stand For The Troops

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Meet Maj. Ben Richards and Bronco, his Service Dog

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I had a delightful lunch yesterday with Maj. Ben Richards and Bronco, his service dog.  Also joining us for lunch were Eilhys England, Chairperson of Stand for the Troops (“SFTT”) and Dr. Yuval Neria, Director of the PTSD Research Program at Columbia Presbyterian.

Maj Ben Richards and Service Dog Bronco

I hadn’t seen Bronco (a labradoodle) before and was interested in learning how service dogs are trained.

After the dogs reach maturity – normally 6 months – they begin an intensive 5 month training program designed to familiarize the service dog with elements of supporting a human being. For instance, the dog has to learn to navigate elevators and escalators and to respond to potential danger signals which could cause panic in the dog’s human companion.

A well-trained service dog is not distracted by peripheral events like the presence of other dogs or animals and will avoid eating food that has been dropped on the floor.

After the service dog has successfully completed his training, the certified service dog is then introduced to his/her human companion.  Ben spent seven weeks in intensive training with Bronco.  According to Ben, it was about 4 hours of training a day (generally in the morning) and a few weekend sessions.

Ben and Bronco have been constant companions for almost a year.  Ben mentioned that it is the first time in 9 years he has been able to sleep without facing the door of his bedroom.  Bronco will also wake him up if he has nightmares or if thunder is approaching which might threaten sleep and trigger an anxiety attack.

Bronco has allowed Ben to feel comfortable enough to attend movies and, in fact, he went to a museum in D.C. by himself for the first time in several years.   The museum visit brought a small to Ben’s face as he recalled that it was the first time he didn’t feel like he had to process potential threats without the attendant anxiety of not being able to do so fast enough.

Ben looked great and it was wonderful to re-establish personal contact with him again.  Ben is a brave warrior who has suffered his own particular demons and is intent on helping others recover their lives from the silent wounds of wars.

Ben’s service dog has brought much needed comfort, safety and stability to his life.

Sadly, the VA is “studying” the efficacy of service dogs in helping other Veterans with PTSD.  This study will not be available until 2019.

What the VA should actually be studying are its own failed programs of Prolonged Exposure (PE), and Cognitive Processing Therapy (CPT) which the VA continues to tout as being so successful in helping Veterans with PTSD.

While VA administrators and consultants like Dr. David Cifu can continue to hoodwink Congressional committees with their disingenuous sales pitch, most Veterans have given up on the VA with their substandard and largely ineffectual services.

Many Veterans like Ben are gradually taking matters into their own hands despite threats by the VA to withdraw benefits.  Fortunately, many States, private hospitals and charitable institutions are rushing in to fill the void left by the VA.

Is it too much to expect that the VA step up to the plate and truly support Veterans rather than hand grants to people and institutions who are prepared to parrot a pollyanna party-line based on half-truths and downright lies?

Our brave men and women in uniform deserve better.

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Did the VA Hook Veterans on Opioids?

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Recent information suggests that 68,000 Veterans are addicted to some form of opioid (hydrocodone, oxycodone, methadone and morphine).  The VA argues that “more than 50 percent of all veterans enrolled and receiving care at the Veterans Health Administration are affected by chronic pain, which is a much higher rate than in the general population.”

Oxycontin and PTSD

According to the Center for Investigative Reporting obtained under the Freedom of Information Act,

. . . prescriptions for opioids surged by 270 percent between 2000 and 2012, leading to addictions and a fatal overdose rate that was twice the national average.

Citing a VA Office of Inspector General’s report, the Center for Ethics and the Rule of Law (CERL) said: “Between 2010 and 2015, the number of veterans addicted to opioids rose 55 percent to a total of roughly 68,000. This figure represents about 13 percent of all veterans currently prescribed opioids.”

The American Society for Addiction Medicine reports these startling facts on the opioid epidemic currently sweeping the U.S.

– Drug overdose is the leading cause of accidental death in the US, with 52,404 lethal drug overdoses in 2015. Opioid addiction is driving this epidemic, with 20,101 overdose deaths related to prescription pain relievers, and 12,990 overdose deaths related to heroin in 2015.

– From 1999 to 2008, overdose death rates, sales and substance use disorder treatment admissions related to prescription pain relievers increased in parallel. The overdose death rate in 2008 was nearly four times the 1999 rate; sales of prescription pain relievers in 2010 were four times those in 1999; and the substance use disorder treatment admission rate in 2009 was six times the 1999 rate.

While evidence provided by the Center for Controlled Disease and Prevention (CDC) suggests that the use prescription opioid painkillers has fallen some 41% since its peak in 2010, some 33,000 Americans died last year from addiction to opioids.  The addiction to prescription painkillers like Vicodin (hydrocodone) and Percocet (oxycodone) are rampant in the U.S.

The VA and Prescription Drugs for PTSD

For well over 5 years, Stand for the Troops (“SFTT”) has been reporting on the Department of Veterans Affairs (“the VA”) fascination with potent prescription drugs to treat Veterans with PTSD.

Despite the VA’s dismal record in effecting any meaningful change in patient outcomes, a cocktail of prescription drugs (generally opioids) are often the last resort since the VA’s Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT) treatment programs have proved largely unsuccessful.

In what continues to be standard SOP, the VA perseveres in treating the symptoms of PTSD without offering any compelling life-changing treatment alternatives.  In effect, the VA is tacitly admitting “we don’t have a clue,” while arguing that they are providing the best therapy available and to seek funding for new “clinical” studies that address symptoms and not causes (i.e. cannabis, for instance) of PTSD and TBI.

In our research (mostly anecdotal but with those “in the know”), SFTT discovered that many Veterans treated with prescription opioids for PTSD would become violent and often suicidal.  In fact, they would often either discard these potent drugs (“flush them down the toilet”) or sell them on the black market to civilians.

One former Veteran explained that his colleagues would often grind up oxycontin pills into a powder and sell it on the black market for approximately $500 a month.  So prevalent was this behavior, that the government forced a large pharmaceutical company to produce oxycontin only in gel.  The result:  sales at the pharmaceutical company dropped 60% once the black market disappeared.

Personally, I think the FDA and the pharmaceutical industry effectively colluded into turning many Veterans and a large percentage of our population into junkies.

The Rationale?:  The level of addiction in the U.S. and easy access by the public to potent prescription drugs is simply unprecedented if compared to other countries.

How to Fix the VA’s Opioid Credibility Problem

It is sad to read the daily stories of spouses and loved ones deal with ravages of PTSD.  A few days of reading the Facebook page of “Wives of PTSD Vets and Military” will give you some idea of the ravages of the silent wounds of war.

Sure, we can continue to medicate these Veterans and military personnel with prescription drugs to deal with the symptoms, but I would far rather see an attempt to reverse the causes of debilitating brain injury rather than mask the symptoms.

There are several noninvasive solutions used by other countries.  First and foremost is hyperbaric oxygen therapy or HBOT that is widely used by the IDF.  For reasons that seem incomprehensible, the DoD claims that there is no scientific evidence to suggest that HBOT is effective.

Gosh, there doesn’t seem to be much evidence that suggests that prescription opioids, Prolonged Exposure (PE), and Cognitive Processing Therapy (CPT) are effective either.  Yet, the VA continues to push it’s stale and misleading agenda that it is providing our Veterans with the best available treatment programs.

Surely, we can do better than “talk the talk.”  Let’s look for real solutions.  If it can’t be found in the VA, let’s give the private sector an opportunity to help our brave Veterans.

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SFTT News: Highlights for Week Ending Jul 7, 2017

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Found below are a few military news items that caught my attention this past week. I am hopeful that the titles and short commentary will encourage SFTT readers to click on the embedded links to read more on subjects that may be of interest to them.

If you have subjects of topical interest, please do not hesitate to reach out. Contact SFTT.

New Russian AK-12 Assault Weapon Passes Field Tests
The AK-12 assault rifle has passed military field tests and meets all of the Russian armed forces’ design and operational standards, gunmaker Kalashnikov Concern says, according to Jane’s 360. The AK-12’s success in military trials sets it up to become the standard weapon for soldiers in Russia’s Ratnik — or Warrior — future weapon system. Work on the AK-12 began in 2011 with the AK-200 as a base model. Kalashnikov Concern presented prototypes in early 2012, and the first generation of the weapon was also successful in military tests.  Read more . . .

AK-12 Kalashnikov

Russia May Deploy Military in Syria Buffer Zones
Russia may deploy its military to police the borders of planned de-escalation zones in Syria within two to three weeks after finalizing an agreement with Turkey and Iran, Russian negotiator Alexander Lavrentyev said on Tuesday. Moscow hopes to sign the final documents with Ankara and Tehran on Wednesday, he told reporters after a series of meetings in the Kazakh capital, Astana.  Read more . . .

DIA Analysis on Russian Military Capabilities
The Pentagon’s Defense Intelligence Agency has released a new assessment of Russian military power—reviving a Cold War-era practice. The agency concludes that the modern Russian military builds upon its Soviet heritage but has modernized its capabilities and doctrine for the present day. “The Russian military has built on the military doctrine, structure, and capabilities of the former Soviet Union, and although still dependent on many of the older Soviet platforms, the Russians have modernized their military strategy, doctrine, and tactics to include use of asymmetric weapons like cyber and indirect action such as was observed in Ukraine,” the DIA report states.  Read more . . .

VA “Choice Funding” Requires Congressional Action
When they return from legislative recess next week, lawmakers will have only a few days to address financial problems with the Veterans Affairs Choice program before users start to see significant problems.  Last month, in testimony before the Senate, VA Secretary David Shulkin warned lawmakers that money in the Choice program funds was being spent at a faster rate than officials expected, threatening to bankrupt the program before the end of the fiscal year. Available funds dropped from about $2 billion to less than $850 million in three months.  Read more . . .

VA “TBI Model” to Determine Long Term Care Policy
“The VA TBI Model System is uniquely positioned to inform policy about the health, mental health, socioeconomic, rehabilitation, and caregiver needs following TBI,” write Guest Editors Risa Nakase-Richardson, PhD, of James A. Haley Veterans’ Hospital, Tampa, Fla., and Lillian Stevens, PhD, of Hunter Holmes McGuire Veterans Affairs Medical Center, Richmond, Va. The special issue presents initial reports from a Department of Veterans Affairs (VA)-specific database of patients representing all traumatic brain injury (TBI) severity levels. The findings will play a critical role in VA’s efforts to meet the long-term needs of veterans with TBI.  Read more . . .

5 Common Misconceptions about PTSD
June 27 is National PTSD Awareness Day, an opportunity to bring to light a disorder that affects millions of Americans every day. The distinction of this day was granted by the United States Senate in 2010. In 2014, the Senate upgraded the cause by designating the full month of June toward raising awareness for PTSD. These efforts are critical to providing opportunities to educate the public about PTSD and how it affects those with the disorder.  Read more . . .

Electromagnetic Brain Pulse Study Underway for PTSD
A study by the Consortium to Alleviate PTSD will test whether PTSD can be treated with electromagnetic pulses to the brain. The study, beginning this summer, will treat 100 military members and veterans with PTSD at the Laurel Ridge Treatment Center in San Antonio. There, a robot will guide an electromagnet pulse across each subject’s scalp during 20 days of treatment. If it seems like science fiction, the therapy, known as transcranial magnetic stimulation (TMS), has a genealogy going back all the way to Galvani’s frogs, said Peter Fox of UT Health, the study’s primary investigator.  Read more . . .

Drop me an email at info@sftt.org if you believe that there are other subjects that are newsworthy.

Feel you should do more to help our brave men and women who wear the uniform or our Veterans? Consider donating to Stand For The Troops

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Veterans Affairs On The Fence for Service Dogs

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Almost every day one hears a moving story of how Veterans with PTSD and other debilitating injuries are provided comfort and support by service dogs.

Service Dogs for PTSD

Photo via Pixabay by Skeeze

Nevertheless, the Department of Veterans Affairs (“the VA”) continues to argue that there is little  scientific or clinical evidence to confirm that service dogs benefit Veterans in a meaningful way.

“I would say there are a lot of heartwarming stories that service dogs help, but scientific basis for that claim is lacking,” said Michael Fallon, the VA’s chief veterinary medical officer. “The VA is based on evidence based medicine. We want people to use therapy that has proven value.”

The argument is a brief synopsis of Dr. Fallon’s testimony to the House Subcommittee and Government Reform provided in April, 2016.

In his written testimony, Dr. Fallon goes on to state the following:

The VA/Department of Defense Clinical Practice Guideline recommends trauma-focused cognitive behavioral therapy [such as Prolonged Exposure (PE), and Cognitive Processing Therapy (CPT)], Eye Movement Desensitization and Reprocessing, stress inoculation, selective serotonin reuptake inhibitors, and venlafaxine, a serotonin norepinephrine reuptake inhibitor, as primary treatments for PTSD. PE and CPT are among the most widely studied types of trauma-focused cognitive behavioral therapy. Evidence demonstrating their effectiveness is particularly strong.

As SFTT has reported on numerous occasions, Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT) have been largely ineffective in reversing brain damage to Veterans suffering from PTSD and TBI.

Specifically, the VA has very little evidence to show that PE and CPT therapy programs have done much to reduce the incidence of PTSD symptoms among Veterans against the “gold-standard” standardized PCL-M tests currently used by the VA.   The chart below illustrates the point (50 is considered base level):

Veterans Affairs Fails at PTSD

Aside from being very expensive to administer, the “evidence based medicine” supporting the effectiveness of PE and CPT programs currently administered by the VA is SADLY LACKING.

It is not unusual in the scientific community that promotes the effectiveness of the VA to apply fuzzy logic to alternative treatment programs.   In fact, there is a propensity among advocates to search for pharmacological solutions rather than embrace alternative therapy programs.

As one who has watched this charade play itself out on the big stage of public opinion, it is difficult for me to accept the argument that new pharmacology alternatives outcomes will be any different than the VA’s embrace of OxyContin to deal with the symptoms of PTSD.

Whether it is dog or equine therapy or hyperbaric oxygen therapy (“HBOT”), Veterans are seeking out alternatives that are largely discredited by the VA.   In fact, one NIH researcher suggests argues that

Research also suggests further opportunities for the VA and other health care systems to develop new and innovative ways to overcome barriers to treating veterans with PTSD. With veterans and their families increasingly seeking care outside of the VA system, community providers play a key role in helping to address these challenges. It is critical they receive the education, training, and tools to improve their understanding of and skills for addressing the needs of this unique population.

It is difficult to understand that it should take 10 years to test the efficacy of using service dogs to help Veterans with PTSD.  Similarly, I recently learned that suspect test conditions used by the DoD to evaluate HBOT several years ago have prevented the VA from offering Veterans this life-changing service.

The VA continues to be its own worst enemy in helping provide Veterans with a lasting solution to their brain injuries.

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SFTT News: Highlights for Week Ending June 30, 2017

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Found below are a few military news items that caught my attention this past week. I am hopeful that the titles and short commentary will encourage SFTT readers to click on the embedded links to read more on subjects that may be of interest to them.

If you have subjects of topical interest, please do not hesitate to reach out. Contact SFTT.

How Much of a Threat Does Russia Pose?
Nato defence ministers are reviewing progress in what’s known as the alliance’s “enhanced forward presence” – its deployment of troops eastwards to reassure worried allies, and deter any Russian move west. “Russia would like us to think that its current militarization and preparations for conflict are a response to Nato doing the same, but it’s simply not true.”That’s the view of Keir Giles, director of the Conflict Studies Research Centre, and probably Britain’s leading watcher of Russian military matters. “Russia’s enormously expensive reorganization and rearmament program,” he told me, “was already in full swing well before the crisis over Ukraine, while Nato nations were still winding down their militaries.  Read more . . .

Kim - North Korea

President Trump Provided Military Options for North Korea
President Donald Trump has been given revised options on how to handle the growing threat of North Korea, at least one of which includes a military response in the event of a nuclear or ballistic strike against the U.S., two military experts told CNN.  U.S. National Security Adviser HR McMaster confirmed that the U.S. military was ready and said the threat from North Korea was far more urgent than in the past. “What we have to do is prepare all options because the President has made clear to us that he will not accept a nuclear power in North Korea and a threat that can target the United States and target the American population,” McMaster said Wednesday, CNN reported.  Read more . . .

“Bad Paper” Veterans to Receive Mental Health Support from the VA
The Department of Veterans Affairs announced Thursday that it would begin offering emergency mental health services starting July 5 to veterans with other-than-honorable discharges – following through on a departmental change that VA Secretary David Shulkin promised in March. The change acknowledges the population of veterans has been denied needed care, but it doesn’t go far enough, according to a report released last week from Brown University and a statement from Vietnam Veterans of America, which has advocated for years on behalf of “bad paper” veterans.  Read more . . .

Service Dogs and Veterans

VA Policy on Service Dogs Remains a Study in Process
“I would say there are a lot of heartwarming stories that service dogs help, but scientific basis for that claim is lacking,” said Michael Fallon, the VA’s chief veterinary medical officer. “The VA is based on evidence based medicine. We want people to use therapy that has proven value.” Yet the VA’s efforts to study the possible benefits of service animals have been plagued with problems. Congress mandated a study in 2010, but the VA suspended it just months after it began, when two of the dogs in the study bit the children of veterans. The study restarted in 2012 but was again stopped because of issues with the dog’s health and training. A new study is underway and the VA is now recruiting veterans to participate. But it isn’t expected to be finished before 2019.  Read more . . .

Objective Test to Diagnose PTSD?
Australia’s Medibio, which is working on an objective test for the diagnosis of mental health disorders, reported promising results for a noninvasive diagnostic tool for post-traumatic stress disorder. PTSD affects 3.5% of the U.S. adult population, according to the National Institute of Mental Health. But this figure jumps dramatically in veterans, to anywhere between 11% and 30%, according to the Department of Veterans Affairs. PTSD diagnosis, like that of other mental health disorders, depends on patient-reported and physician-observed symptoms. In order to be diagnosed with PTSD, a patient must experience four different types of symptoms for at least one month. Medibio seeks to “revolutionize” the diagnosis and treatment of mental health with noninvasive, quick, and objective diagnostic tests for PTSD and other disorders.  Read more . .

Drop me an email at info@sftt.org if you believe that there are other subjects that are newsworthy.

Feel you should do more to help our brave men and women who wear the uniform or our Veterans? Consider donating to Stand For The Troops

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Hyperbaric Oxygen Therapy (HBOT) by Grady Birdsong

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Hyperbaric Oxygen Therapy HBOT Grady BirdsongGrady Birdsong, a USMC Veteran from Vietnam, has co-authored a book with Col. Robert Fisher (USMC – Ret) that deals with hyperbaric oxygen therapy (“HBOT”) entitled “The Miracle Workers of South Boulder Road:  Healing the Signature Wounds of War.”

The book is a 2016 Best Book Awards finalist and details how HBOT helps reverse the damage of traumatic brain injury.   In a must-hear interview, Grady Birdsong explains his experience with HBOT (and now his advocacy)  to Jerry Fabyanic on his “Rabbithole” program at KYGT in the Idaho Springs/Denver area.

Grady Birdsong spikes up interest in hyperbaric oxygen therapy with a down-to-earth radio interview with KYGT Radio with the following introduction:

In our advocacy campaign to make this clinic and treatment known, I had the good fortune of being interviewed on KYGT Radio over the weekend by Jerry Fabyanic on his “Rabbithole” program in a mountain town close to Denver. He has so graciously provided me with a link to that interview about our book. We most gratefully appreciate his voice and his audience at KYGT in the Idaho Springs/Denver area. Likewise my close friend and veteran Marine, David T. “Red Dog” Roberts, 1st Bn, 4th Marines, Delta Company in Vietnam and his Doc, Corpsman, Kenneth R. Walker produced two songs that are complementary to this advocacy of healing the signature wounds of war. You will hear them in the interview.

CLICK HERE for the entire and very educational 50+ minute podcast.

SFTT has long recommended the use of hyperbaric oxygen therapy or HBOT to treat Veterans with the symptoms of PTSD and TBI.  There are many studies that prove conclusively that the supervised application of HBOT helps improve brain function and restores cognitive abilities.

While Mr. Birdsong points out the many restorative benefits of HBOT, follow-up supervision is recommended to help deal with some of the symptoms of PTSD.

Sadly, in many online forums dealing with the ravages of PTSD, most military families are unaware of the benefits of regular supervised “dives” in HBOT chambers.  I would argue that the Department of Veterans Affairs has purposely discredited the use of HBOT in treating PTSD and TBI to promote their own failed agenda and the prevalent use of addictive prescription drugs.

One only needs to listen to the likes of Dr. David Cifu, Senior TBI Advisor to the Department of Veterans Affairs, to see the cynicism and blatant disregard for clinical evidence adopted by the VA against HBOT.   One can only speculate why, but HBOT seems to offer Veterans a far better solution than the cocktail of drugs served up by the VA.

Found below is a very moving and instructional video by Grady Birdsong of a young woman who “recovered her life” from the “signature wounds of war” with the use of HBOT:

Thanks to the effort of Grady and many other dedicated Veterans, we can all join together and help Veterans reclaim their lives. It is simply the right thing to do!

Nevertheless, the benefits of HBOT will not be widespread until the restrictive and self-serving barriers to this treatment are adopted and encouraged by the VA. Secretary Shulkin of the VA wants change to occur at the VA.  What better way to demonstrate his commitment to reducing Veteran suicides than by embracing HBOT to treat PTSD?

If you want to learn more about how HBOT can be used in treating PTSD and TBI, I suggest that you purchase The Miracle Workers of South Boulder Road:  Healing the Signature Wounds of War.  Share it with family and friends to encourage them not to give up hope on our brave Veterans.

For those tired of watching the lives of loved one end in pain, depression and hopelessness; write Dr. Shulkin and members of Congress and ask for action.  Don’t allow naysayers and self-serving bureaucrats like Dr. Cifu block Veteran access to HBOT.

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