SFTT News: Week of Feb 24, 2017

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Found below are a few 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.

Federal Hiring Freeze Confuses Military Parents
On Wednesday, the base commander informed parents that all part-day Child and Youth Services (CYS) programs at the garrison would end March 1 because they couldn’t replenish employees. That night, the Pentagon granted exemptions from the freeze, according to a Defense Department spokesman. But the exemptions come with disruptions. “This closure is a result of staff shortages due to the Federal Hiring Freeze,” said the Wiesbaden memo from Col. Todd J. Fish. “This hiring freeze prevents CYS from replacing staff who depart for any reason to include normal rotation.”  Read more . . .

Grow the Military the Smart Way
There are real demands for resources across the military, and many personnel and readiness challenges that need fundamental fixes — indeed, these challenges would be masked or even exacerbated by the infusion of more money, people, and platforms. The political debate is focused on quantity but more uniformed personnel is not a solution in and of itself, and lack of money isn’t the only obstacle to smart growth. Troop numbers make for easy talking points, but advocates for rebuilding the military must be able to explain why, what choices come first, and how to sustain it over time.  Update to personnel and readiness practice ought to come as part of this investment — otherwise, we could end up with a large force that isn’t formed to tackle America’s real threats, and undercut needed reforms.  Read more . . .

VA to Scrap Veteran Applications?
A whistleblower in the Atlanta office of the Department of Veterans Affairs warned President Trump on Tuesday that the VA is preparing to throw out hundreds of thousands of benefit applications due to an error the VA itself made during the Obama administration. Scott Davis, a well-known whistleblower who has testified before Congress, wrote an open letter to Trump saying that more than 500,000 of these applications might be scuttled in March unless he intervenes. “I am sending this whistleblower disclosure to your office due to the urgent need for executive intervention,” he wrote. “VA is planning on declaring over 500,000 Veteran applications for VA health care as incomplete and abandoned at the end of March 2017.”  Read more . . .

Dr. David Shulkin, VA Secretary

Dr. David Shulkin Pledges to Rid VA of Abuse
Dr. David Shulkin used his first public statement as the new Veterans Affairs Department secretary on Thursday to pledge management reforms that would remove the VA from a government agency’s “high risk list” for waste, fraud and abuse. “We will implement a plan that directly addresses these risks by building on the progress we have already made,” Shulkin said in response to a Government Accountability Office report naming the VA as a “high risk” agency in its treatment of veterans, handling of claims and efforts to lower wait times.  Read more . . .

Opioid Addiction a Problem for Many Veterans
Former Secretary of Veterans Affairs Robert McDonald said veterans are 10 times more likely to abuse opioids than the civilian population, which likely drives Fayetteville’s numbers up. Jacksonville, another military city in North Carolina, ranks 12th on Castlight’s list of worst locales for opioid abuse. While the military is taking steps now to attack addiction, many veterans question why the military took so long to address a problem the veterans say it created.  Read more . . .

Marijuana PTSD

Clinical Trial for Marijuana to Treat PTSD
The first participant in a clinical trial designed to evaluate the effectiveness of smoking marijuana to treat PTSD in veterans was given cannabis on Monday, according to the organization conducting the study.  The study is the first such trial to evaluate the safety and effectiveness of using marijuana to manage symptoms of post traumatic stress disorder in U.S. veterans, officials with the Multidisciplinary Association for Psychedelic Studies said in a release on Tuesday.  MAPS is a California-based non-profit research organization focused on “the careful uses” of marijuana, according to its website. The study is funded by a $2 million grant from the Colorado Department of Public Health and Environment.  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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Partner Support Resources for Veterans with PTSD

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While Stand For The Troops (“SFTT”) primarily focuses on making sure Veterans with PTSD receive the therapy and support they deserve, we would be remiss in not acknowledging that Veteran families also suffer grievously from the “silent wounds of war.”

Caregiver for Veteran with PTSD

Indeed,  social media is inundated with heart-wrenching stories of partners of Veterans seeking advice and support of other Veteran partners on coping with the day-to-day problems of Veterans with PTSD and TBI.   In many cases, these partners (primarily wives) have benefitted from support groups in which they exchange advice and provide comfort to others as their husbands combat the demons of PTSD.

In fact, the Department of Veteran’s Affairs (“the VA”) has a “caregiver support line for partners of Veterans with PTSD.    That caregiver support line is 1-855-260-3274.

Indeed, the VA provides some useful advice on the advantages of joining a “peer support group” and how to locate them:

Joining a peer support group can help you to feel better in any number of ways, such as:

– Knowing that others are going through something similar

– Learning tips on how to handle day-to-day challenges

– Meeting new friends or connecting to others who understand you

– Learning how to talk about things that bother you or how to ask for help

– Learning to trust other people

– Hearing about helpful new perspectives from others

Peer support groups can be an important part of dealing with PTSD, but they are not a substitute for effective treatment for PTSD. If you have problems after a trauma that last more than a short time, you should get professional help.

Aside from the VA recommendations, many other independent organizations have sprung up to support partners who feel the need to exchange ideas and support one another during a particularly difficult period in their relationship.

Found below in no particular order are online support resources that may help provide a peer support forum to exchange ideas and advice:

Wives of PTSD Vets (Facebook Page)

A useful Facebook Page of engaged partners who seek to provide useful resources to others on helping wives of military Veterans with PTSD

Hidden Heroes

Established by Senator Elizabeth Dole, Hidden Heroes has as its mission to:

– Raise awareness of the issues military caregivers confront every day

– Inspire individuals, businesses, communities, and civic, faith and government leaders to take action in supporting military caregivers in their communities

– Establish a national registry, encouraging military caregivers to register at HiddenHeroes.org to better connect them to helpful resources and support

Family of a Vet

A practical guide, gleaned from contributions by its many members, on how to cope with PTSD and TBI.  More practical and common sense advice than clinical evidence, but certainly a recommended resource for those who require guidance and a helping hand.

PTSD Support Group

Essentially, a forum to exchange ideas and vent.  Clearinghouse for frustrations that emanate from being a caregiver for a Veteran coping with PTSD

Army Reservist Wife (Blog)

Authentic – pulls no punches – blog featuring genuine stories of how caregivers cope with the difficulties of sustaining a relationship with Veterans suffering from PTSD and TBI.

While there are many other notable online resources, local support groups that meet in person are probably far more effective than online advice.  Most base facilities provide programs for spouses of active duty personnel.

Veterans discharged from the military or reservists may find active support groups at religious centers or outreach programs supported by local community activists or charitable organizations.

Veterans suffering from PTSD and/or TBI value companionship.  While it may seem difficult to provide them the support they are seeking, it is a battle worth fighting valiantly.  Support groups may well provide the necessary resources one needs to persevere.

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SFTT News: Highlights for Week Ending Feb 17, 2017

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Found below are a few 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.

Theater Saves Lives for Military Veterans
For military veterans, theatre has the potential to be much more than just a pastime or a profession, it can help heal, and even save lives. Acting, Victor Almanzar says, has saved his life on more than one occasion. He gravitated towards the drama program at his high school, and later found a sense of belonging with a local theatre group. In 2000, Almanzar signed up for the Marines to work with heavy artillery—handling shells that were two-feet tall and weighed about 100 pounds each. Serving was tough, both physically and emotionally, but he was thriving. “I was able to swing in those waters, amongst men,” he says. “It gave me a sense of importance and confidence.”    Read more . . .

President Donald Trump

President Trump’s Military Problem
Despite the historically isolationist “America First” theme, President Trump is sticking to his campaign position that the U.S. military has become “depleted,” “obsolete” and too small to protect U.S. interests. The president is planning a “historic” military build-up, adding 80 more Navy ships, 100 more Air Force combat aircraft, and substantially enlarged Army and Marine forces. The price tag, in the hundreds of billions of dollars, may not go down well with the House Freedom Caucus. But squeezing a few hundred billion dollars out of the deficit hawks may prove easier for Defense Secretary James Mattis than dealing with the human side of the build-up.  Read more . . .

One Person’s Argument to Reinstate the Draft 
Our military loses the value of our service, the investment of our families and even social relevance. We ourselves lose the chance to perform one of the highest acts of patriotism and the chance to share the experience of that service with others of our generation. More importantly, the military feels alien to us, irrelevant and unimportant. Disastrously, we have ceded all authority and accountability over it. In light of these problems, and in the spirit of civic engagement, I propose we reinstitute the draft.  Read more . . .

Status of VA Disability Claims Backlog
Officials from the Veterans Affairs Department were pressed Tuesday to explain how the paperless fix to the disability claims process has initially resulted in growing backlogs. The claims backlog stood at about 76,000 last May before the VA solution called the National Work Queue was fully implemented, but the backlog last week was at 101,000 cases, said Rep. Mike Bost, an Illinois Republican and chairman of the House Veterans Affairs Subcommittee on Disability Assistance and Memorial Affairs. At a hearing of the panel, Ronald S. Burke Jr., the VA assistant deputy secretary for Field Operations National Work Queue, didn’t dispute Bost’s numbers but said one of the problems is that “this is a relatively new initiative.”  Read more . . .

List of U.S. States that Permit Marijuana for PTSD
More than 20 states — plus Washington, D.C., and two U.S. territories — have an allowance for medical marijuana to be used in treating PTSD. Efforts are underway to add Colorado to that list this year. The state has not amended its list of qualifying conditions since the program was implemented in 2001, and over the years has rejected petitions that sought to include post-traumatic stress disorder — most recently in 2015. The Colorado Board of Health cited a lack of credible scientific evidence.  Read more . . .

PTSD:  A Cause for Cancer and Cardiovascular Disease?
In the first study, researchers outline the evidence supporting the role of PTSD as a potentially causative factor as well as a consequential factor in cardiovascular disease. “We conclude that post-traumatic stress disorder is a risk factor for incident cardiovascular disease, and a common psychiatric consequence of cardiovascular disease events that might worsen the prognosis of the cardiovascular disease,” the authors, led by Donald Edmondson, PhD, MPH, director of the Center for Behavioral Cardiovascular Health at Columbia University Medical Center, New York City, write.  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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Gun Control and Veteran Suicides: Is Research Lacking?

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Like most everyone, the gun control debate is front and center on both sides of the political spectrum.  Sadly, very few – if any – of proposed changes to existing gun control laws would have a major impact on Veteran suicides.

ptsd

I recently came across an interesting article published in the Washington Post entitled “The reasons we don’t study gun violence the same way we study infections.”    The gist of the article is that well over half (actually 62%) of gun-related deaths in the United States reported by CDC are suicides.  Sadly, very little money is allocated to the study of suicides.  Some of these reasons stem from restrictions on gun research, but a chronic lack of funding suggests that other topics receive the lion’s share of research money.

The article, written by Carolyn Johnson,  states the following:

There are a few reasons for the gun violence research disparity. First, there are legislative restrictions on gun research. For two decades, the Centers for Disease Control and Prevention has been prevented from allocating funding that could be used to advocate for or promote gun control. Although that doesn’t explicitly exclude all research on gun violence, it is said to have had a chilling effect on funding.

Aside from political pressure, there is a more philosophical one in which injuries are treated differently than disease. Injuries are a public health issue, but the debate over gun research often becomes mired in a debate over whether a person who intentionally wants to hurt himself or another person will do so, with or without a firearm. Research is also often driven by where researchers see the biggest scientific opportunity to come up with a cure or therapy, and infections or cancer may simply be easier to study than gun violence using traditional tools.

One of the complications of a study like this is that it uses broad categories to look at spending trends. For example, if the majority of gun violence is suicides, it might make more sense to study suicide, regardless of whether it involves a firearm. But suicide, too, has been chronically underfunded compared with its health burden. The number of deaths annually from breast cancer are now about the same as suicide. But breast cancer research received $699 million in NIH research funding in 2016; suicide and suicide prevention received $73 million.

While it is difficulty to draw too many conclusions from Ms. Johnson’s article, it would appear that cure or therapy-related research “may simply be easier to study than gun violence using traditional tools.”   In other words, simple evidence-based studies seem to attract more funding rather than complex studies, such as suicide prevention.

Using Ms. Johnson’s analysis, it is not surprising that the VA feels more comfortable funding marijuana studies which help Veterans cope with the symptoms of PTSD rather than treat brain injury.  In fact, over the last 15 years, the VA has done little – if anything – to treat Veterans with PTSD.

Citing a National Institute of Health 2014 study of the VA, Maj. Ben Richards points out that despite the most sophisticated therapy provided by the VA the average PCL-M score to assess Post Traumatic Stress has fallen only 5 points.  In fact, PCL-M scores for “treated” Veterans is still well above the 50 benchmark considered adequate by the military.

Ben Richard's PTSD VA Study

For more of Maj. Ben Richard’s analysis of the Department of Veteran’s Affairs costly and rather futile effort to help Veterans with PTSD, please CLICK HERE.

While the VA embarks on yet another study to combat the symptoms of PTSD, tens of thousands of needy Veterans are deprived of necessary research to help them reclaim their lives rather than simply cope with their problems.

A well-tested program, Hyperbaric Oxygen therapy (“HBOT”) has allowed Maj. Ben Richards to recover much of his cognitive function.  Yet, Dr. David Cifu and others at the VA still refuse to fund HBOT for Veterans with PTSD.

Veteran suicide rates are currently 22% than the normal population.  Doesn’t it make sense to provide workable therapy programs to Veterans rather than embark yet again on studies that treat symptoms rather than the problem?  Our Veterans deserve much more.

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Will Much Change at the VA with David Shulkin as Secretary?

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Much was made during the election campaign over the failings of the Department of Veterans Affairs (“the VA”) to serve our Veterans effectively.  While President-elect Trump had vowed to overhaul the VA, his selection of Dr. David Shulkin, an Obama administration holdover, as his nominee raises questions over what may change within the VA.

Dr. David Shulkin, VA Secretary

Indeed, the initial Senate confirmation hearings suggest a “love fest” according to Quil Lawrence of NPR.  Found below is the complete Senate confirmation hearing of the VA secretary-nominee’s testimony to the Senate committee:

Personally, I would like to think that Dr. Shulkin is the right person for the job – and he may well be – but I find it curious that not one of the questions at the confirmation hearing directly addressed the implementation of the Commission on Care recommendations. While some of these issues were addressed obliquely at the hearing, it seems to me that there should be a regular status report to the respective Congressional committees on how (or whether) these programs are currently being implemented.

While a good deal of the confirmation hearing was an opportunity for Senators to showcase their “genuine” concern for Veterans and pontificate on the silly rumors of “privatizing the VA,”  the hearing covered many of the same issues that continue to plague the VA.

Nevertheless, I am encouraged by some of the remarks by Dr. Shulkin at his confirmation hearing which are summarized below:

– Commitment to moving care into the community were it makes sense for the Veteran.  Currently, some 31% of health services are provided by local communities compared to 21% when Dr. Shulkin joined the VA.

– Expand Choice Program to ensure that Veterans are able to seek care in their community.

– Work to eliminate disability claims backlog (already significantly reduced) and seek legislation to reform the “outdated appeals process.”

– Need to address “infrastructure issues” . . . and explore expansion of public/private partnerships rather that build medical centers that have “large cost overruns and take too long to build.”

The Veteran’s Choice Program (“the VCP”) is the result of the Veteran’s Choice Act that was enacted to address chronic wait times for Veterans seeking care at VA facilities.  To a large extent, “the VCP” is the brainchild of Dr. Shulkin.

During the confirmation hearings, Dr. Shulkin agreed that the “mileage” requirement to access private medical services (currently 40 miles from a VA facility) shouldn’t be a deciding factor.  In Dr. Shulkin’s opinion, wait times should be the determining criteria.  Couldn’t agree more.

Furthermore, Dr. Shulkin acknowledged that there was far “too much bureaucratic” red tape involved when a Veteran received the green light to seek private care and the required VA approvals to actually receive it.

While praising the work ethic and dedication of nearly all VA employees, he admitted that he was frustrated by current legal constraints to shed the VA of a few bad apples.  Perhaps, he should enlist the support of government labor leader, David Fox, to join him in helping streamline the VA for the benefit of Veterans.

With 314,000 employees and a VA budget of $180 billion (of which only $76 billion is discretionary), SFTT has long believed that the VA is “too big” to succeed in its mission to provide adequate and responsive care to Veterans in need.

The issue is not the “quality of care” provided by the VA, which according to a recent Rand Corporation study compares favorably with private institutions.   The question remains, who gets access to these quality VA services and when?

During his confirmation hearing, Dr. Shulkin stated that only 61% of interviewed Veterans “trust” the VA (up from 41%).   I am quite sure that as the new VA Secretary, Dr. Shulkin, will seek to improve trust levels among Veterans, but ease of access to urgent medical services – whether at the VA or private facilities – is critical.

Furthermore, Veterans should be provided with a wider range of choices in determining the type of treatment they feel is appropriate for their medical condition.  Specifically, it is simply not acceptable that “gatekeepers” at the VA should determine ALL “eligible” treatment procedures.

Certainly, Dr. Shulkin appears to have the “right” temperament for the job, but in my opinion, far more is needed to turn around this largely non-responsive ship that is currently adrift and aloof from meeting the needs of Veterans.

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SFTT News: Week of Jan 27, 1917

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Found below are a few 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.

Strong Military Higher Priority than Budget Deficit to President Trump
President Donald Trump said Thursday night that he is willing to subordinate balancing the federal budget in favor of strengthening the military, possibly putting him on a path to clashing with his own pick for budget director. “Our military is more important to me than a balanced budget,” the president declared in an interview with commentator Sean Hannity on Fox News Channel. Prioritizing the military over balancing the budget isn’t at odds with positions Trump expressed during the campaign. While he said on the campaign trail that he did want to balance the budget, he also said that he knew it would take time and that rebuilding the military and America’s industrial infrastructure were equally as or even more important.  Read more . . .

North Korean Missile Threat
The U.S. Army’s top commander in the Pacific region said Wednesday his biggest worry is the missile threat from North Korea but sees his growing relationship with the Chinese military and other countries as a sign that stability is slowly spreading across the region. “The thing I worry the most about is North Korea, the most likely threat to all of us,” Gen. Robert Brown, commander of U.S. Army Pacific Command, told an audience at Asia Forecast 2017, hosted by the Center for Strategic & International Studies. Brown said North Korean leader Kim Jong-un continues to display a “belligerent aggressiveness” with his efforts to arm long-range missiles with nuclear weapons.  Read more . . .

Federal Hiring Freeze Could Hurt Vets
Veterans already in the pipeline for job openings in the federal workforce could have their employment opportunities scrapped under the hiring freeze announced Monday by President Donald Trump. “There’s no preference if there’s no job,” said Lawrence Korb, an assistant secretary of defense for personnel in the administration of President Ronald Reagan. Veterans make up about 30 percent of the more than 2.8 million employees in the federal workforce — many of them at the Defense Department. Vets have traditionally received preferences in testing and hiring and also in retention during reductions of the workforce, according to the White House Office of Personnel Management.  Read more . . .

Department of Veterans Affairs

ISIS Drone Capability May Constitute New Threat
In a new threat to the West, the Islamic State on Tuesday debuted on social media a commercially available drone dropping small bombs with pinpoint accuracy onto Iraqi targets in and around Mosul. The new capability raises the specter that the Islamic State one day could attack urban areas from the air, not just on the ground. The U.S. military is alarmed by the terrorist army’s quick technological advances and is evaluating more than 20 systems to detect and destroy its drone air force. Other systems already have been rushed to the war. The attacks were depicted in a lengthy Islamic State propaganda video showing its terrorists in intense street battles to hold the city of Mosul. Included is aerial footage of a Chinese Skywalker X8 drone, which is available on Amazon, striking clusters of Iraqi soldiers, tanks and buildings.  Read more . . .

Link Found between PTSD and Cancer and Cardiovascular Disease
Increasing evidence shows a bidirectional relationship between psychological stress and physical disease, as underscored in studies linking posttraumatic stress disorder (PTSD) to cancer as well as acute cardiovascular disease and stroke, according to two articles published in the Lancet. In the first study, researchers outline the evidence supporting the role of PTSD as a potentially causative factor as well as a consequential factor in cardiovascular disease.  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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Service Dogs: Helping Some Veterans Cope with PTSD

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Service Dogs for PTSD

Photo via Pixabay by Skeeze

Soldiers returning from deployment sometimes bring the trauma of war home with them. Being injured themselves or witnessing others injured or dying, can have lasting physical and emotional effects on our military men and women. Symptoms of Post Traumatic Stress Disorder, or PTSD, can surface immediately or take years to appear. These symptoms can include sleeplessness, recurring nightmares or memories, anger, fear, feeling numb, and suicidal thoughts. These symptoms can be alleviated with medications and/or by the use of service dogs.

Service Dogs for Veterans and What They Do

A service dog is one that is trained to specifically perform tasks for the benefit of an individual with a physical, mental, sensory, psychiatric, or intellectual disability. Service dogs meant specifically for PTSD therapy, provide many benefits to their veteran companions. These dogs provide emotional support, unconditional love, and a partner that has the veteran’s back. Panic attacks, flashbacks, depression, and stress subside. Many vets get better sleep knowing their dog is standing watch through the night for them.

Taking an active role in training and giving the dog positive feedback can help the veteran have purpose and goals. They see that they are having a positive impact and receiving unconditional love from the dog in return. The dog can also be the veteran’s reason to move around, get some exercise, or leave the house.

Bonding with the dogs has been found to have biological effects elevating levels of oxytocin, which helps overcome paranoia, improves trust, and other important social abilities to alleviate some PTSD symptoms. When the dogs help vets feel safe and protected, anxiety levels, feelings of depression, drug use, violence, and suicidal thoughts decrease.

Service dogs can also reduce medical and psychiatric costs when used as an alternative to drug therapy. Reducing bills will reduce stress on the veteran and their family.

Impact of Service Dogs on Veterans with PTSD

These dogs offer non-stop unconditional love. When military personnel return to civilian life adjustment can be difficult, and sometimes the skills that they have acquired in the field are not the skills they can put toward a career back home. A dog will show them the same respect no matter what job they do, and that can be extremely comforting.

Service dogs can also foster a feeling of safety and trust in veterans. After going through particular experiences overseas, it may be difficult for veterans to trust their environment and feel completely safe. Dogs can offer a stable routine, be vigilant through the night (so the vet doesn’t have to), and be ever faithful and trustworthy.

Veterans sometimes have difficulty with relationships after departing the military because they are accustomed to giving and receiving orders. Dogs respond well to authority and don’t mind taking orders. The flip side is that by taking care of the dog’s needs, the veteran can also get used to recognizing and responding to the needs of others.

Service Dogs are also protective. They will be by the veteran’s side whenever needed and have their back like their buddies did on the battlefield. They will provide security and calm without judgment. The dog will not mind if you’ve had a bad day and be there to help heal emotional wounds. For this reason, PTSD service dogs are also a great help to veterans suffering from substance abuse disorders.

In an article by Mark Thompson called “What a Dog Can Do for PTSD”, an Army vet named Luis Carlos Montalvan was quoted as saying, “But for all veterans, I think, the companionship and unwavering support mean the most. So many veterans are isolated and withdrawn when they return. A dog is a way to reconnect, without fear of judgment or misunderstanding.

Check out the Department of Veteran’s Affairs for information on the VA’s service dog program by CLICKING HERE.

Here are a few of the dozens of programs to help if you are a vet or know one who could benefit from a service dog:

PawsandStripes.org

OperationWeAreHere.com

PawsForVeterans.com

SoldiersBestFriend.org

TenderLovingCanines.org

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Drs. Paul Harch and David Cifu Spar over Hyperbaric Oxygen Therapy

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Well over a year ago, Dr. Paul Harch, one of the leading experts in Hyperbaric Oxygen Therapy (“HBOT”) published an authoritative report entitled “Hyperbaric oxygen in chronic traumatic brain injury:  oxygen, pressure and gene therapy” for the U.S. National Library of Medicine (Medical Gas Research).

Brain Function after HBOT

In this report (a lengthy extract is printed below), Dr. Harch argues persuasively over the many benefits of using HBOT in treating brain injury:

Hyperbaric oxygen therapy is a treatment for wounds in any location and of any duration that has been misunderstood for 353 years. Since 2008 it has been applied to the persistent post-concussion syndrome of mild traumatic brain injury by civilian and later military researchers with apparent conflicting results. The civilian studies are positive and the military-funded studies are a mixture of misinterpreted positive data, indeterminate data, and negative data. This has confused the medical, academic, and lay communities. The source of the confusion is a fundamental misunderstanding of the definition, principles, and mechanisms of action of hyperbaric oxygen therapy. This article argues that the traditional definition of hyperbaric oxygen therapy is arbitrary. The article establishes a scientific definition of hyperbaric oxygen therapy as a wound-healing therapy of combined increased atmospheric pressure and pressure of oxygen over ambient atmospheric pressure and pressure of oxygen whose main mechanisms of action are gene-mediated. Hyperbaric oxygen therapy exerts its wound-healing effects by expression and suppression of thousands of genes. The dominant gene actions are upregulation of trophic and anti-inflammatory genes and down-regulation of pro-inflammatory and apoptotic genes. The combination of genes affected depends on the different combinations of total pressure and pressure of oxygen. Understanding that hyperbaric oxygen therapy is a pressure and oxygen dose-dependent gene therapy allows for reconciliation of the conflicting TBI study results as outcomes of different doses of pressure and oxygen.

Not surprisingly, Dr. David Cifu, Senior TBI Specialist in the Department of Veterans Affairs’ Veterans Health Administration, gave the standard stock answer from the spin doctors at the VA that:

There is no reason to believe that an intervention like HBOT that purports to decrease inflammation would have any meaningful effect on the persistence of symptoms after concussion. Three well-controlled, independent studies (funded by the Department of Defense and published in a range of peer reviewed journals) involving more than 200 active duty servicemen subjects have demonstrated no durable or clinically meaningful effects of HBOT on the persistent (>3 months) symptoms of individuals who have sustained one or more concussions. Despite these scientifically rigorous studies, the clinicians and lobbyists who make their livings using HBOT for a wide range of neurologic disorders (without scientific support) have continued to advocate the use of HBOT for concussion.

To Dr. David Cifu’s stock VA response, Dr. Harch responded as follows:

The charge is inconsistent with nearly three decades of basic science and clinical research and more consistent with the conflict of interest of VA researchers.  A final point: in no publication has the claim regarding effectiveness of HBOT in mTBI PPCS been predicated on an exclusive or even dominant anti-inflammatory effect of HBOT. Rather, the argument is based on the known micro-wounding of brain white matter in mTBI, and the known gene-modulatory, trophic wound-healing effects of HBOT in chronic wounding.  The preponderance of literature in HBOT-treated chronic wound conditions, is contrary to Dr. Cifu’s statement of HBOT as a “useless technology.”

As a layman, Dr. Harch’s detailed rebuttal (see FULL RESPONSE HERE) completely destroys Dr. Cifu’s “non-responsive” comment to the scientific points raised in Dr. Harch’s report.  In my view, it goes beyond the traditional “professional respect” shown by peers:  Dr. Harch was pissed off and, in my opinion, had every right to be.

Not surprisingly, Dr. Cifu has not responded to the irrefutable arguments presented by Dr. Harch.

The discussion of HBOT is not a subject of mild academic interest.  Specifically,  Veterans are being deprived of hyperbaric oxygen therapy because Dr. David Cifu and his cronies at the VA are misrepresenting the overwhelming evidence that suggests that HBOT restores brain function.

Why?  Indeed, that is the $64 question.  

It is difficult to forecast how this academic drama will play out.  Nevertheless, I suspect that David Ciful will eventually be viewed by Veterans as performing a similar role within the VA as Alvin Young, aka “Dr. Orange.”

I hope and pray this is not the case.  On behalf of tens of thousands of Veterans who are denied HBOT treatment for PTSD and TBI by the clumsy and sloppy claims of Dr. Cifu and others within the VA, please “do the right thing” and lend your support to HBOT as a recommended VA therapy for treating brain injury.

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SFTT Military News: Highlights of Week Ending Jan 13, 2017

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Found below are a few 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.

Marines Going Back to Old Battlefield in Helmand
When about 300 Marines deploy to Helmand this spring, they will be returning to a province where hundreds of U.S. servicemembers died in more than a decade of war to subdue the Taliban. Now the situation has deteriorated so significantly, there are fears the province could fall to the same enemy. The Taliban nearly overran Helmand’s capital, Lashkar Gah, several times over the last two years, including twice last summer and fall. Afghan forces have repeatedly dispatched elite fighting units and NATO and Afghan airstrikes to keep the Taliban at bay.  Read more . . .

China Reacts to Rex Tillerson’s Comments on China
China escalated its war of words against the incoming Trump administration Friday, declaring in state media that Secretary of State nominee Rex Tillerson’s warning over Beijing’s military buildup in the South China Sea could signal the first shots of “a military clash.”  Read more . . .

Dr. David Shulkin Selected as New VA Secretary
President-elect Donald Trump on Wednesday named the Department of Veterans Affairs top health official his pick to run the entire veterans bureaucracy, a surprise move that puts a non-veteran in line for the David Shulkin, VA Secretarypost for the first time. Dr. David Shulkin, who has served as VA Under Secretary for Health since June 2015, is the first nominee held over from President Barack Obama’s administration. Trump made the announcement at his first press conference since the November election, and after a lengthy search which included dozens of potential candidates.  Read more . . .

More Troops and Newer Equipment for U.S. Army?
The U.S. Army’s chief of staff said Thursday he is prepared to brief the incoming Trump administration on plans to increase modernization and add more soldiers to the ranks. “We do want to be bigger,” Gen Mark Milley told an audience at an Association of the United States Army breakfast. “We, the Army, think our capacity needs to increase … we think our capability — the technical capability of our systems and formations — needs to increase, and we think our readiness needs to increase.” The Army, like the rest of the U.S. military, is poised to reverse a persistent trend of deep cuts to end strength and modernization under the Obama administration with the inauguration of President-elect Donald Trump next week.  Read more . . .

Scientist “Go to War” to Answer Questions about  PTSD
But there is so much we still don’t know. Why do some people who are exposed to stress hormones suffer psycho­logical scarring while others don’t? How do the effects accumulate? How many days of intense stress are too many? Is the constant fear of an insidious, unseen danger worse than episodic battles? Does it make a difference if you feel there’s something you can do to try to stay alive?   Read more . . .

New Hampshire Looks to Help Veterans with PTSD/TBI
Post Traumatic Stress Disorder and Traumatic Brain Injury have become the signature ailments among veterans of the wars in Iraq and Afghanistan. The New Hampshire Legislative Commission on PTSD and TBI released a report in 2014 that looked at how many veterans in the state had these injuries and whether they felt they were getting the help they needed. Colonel Richard Oberman recently became the chairman of the Legislative Commission on PTSD and TBI. He’s also Deputy State Surgeon and Commander of Clinical Services with the New Hampshire Army National Guard.  Read more . . .

The Pros and Cons of Marijuana in Medicinal Applications
A new report from the National Academies of Sciences, Engineering, and Medicine offers a rigorous review of scientific research published since 1999 about what is known about the health impacts of cannabis and cannabis-derived products – such as marijuana and active chemical compounds known as cannabinoids – ranging from their therapeutic effects to their risks for causing certain cancers, diseases, mental health disorders, and injuries.  The committee that carried out the study and wrote the report considered more than 10,000 scientific abstracts to reach its nearly 100 conclusions.  The committee also proposed ways to expand and improve the quality of cannabis research efforts, enhance data collection efforts to support the advancement of research, and address the current barriers to cannabis research.  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 becoming a member of Stand For The Troops

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Will Vincent Viola as Army Secretary Help Veterans with PTSD and TBI?

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By all accounts, the selection of Vincent Viola for Army Secretary by President-Elect Donald Trump has received widespread bipartisan support.  Hopefully, a man of his military record and impressive private-sector track record can bring about competent leadership within the Army.

Vincent Viola

Vincent Viola, Forbes Photo

SFTT certainly hopes so, but is concerned that certain National Hockey League (“NHL”) Florida Panther business connections may cloud his judgement regarding Veterans and active duty personnel that have symptoms of PTSD and/or TBI.

Mr. Viola is a West Point graduate and the owner of the Virtu Financial.  In Sep 2013, Mr. Viola and minority shareholder, Douglas Cifu purchased the NHL Florida Panthers.   “Douglas A. Cifu is the Vice Chairman, Partner and Alternate Governor of Sunrise Sports & Entertainment, the Florida Panthers Hockey Club, BB&T Center, and SSE’s additional operating entities.”

Like the NFL, the NHL is also under the gun for its approach in treating concussions:

As has been the case in the NFL, repeated hits to the head in hockey can cause brain injuries, like chronic traumatic encephalopathy (CTE), a degenerative disease that leads to suicidal thoughts and erratic behavior. But unlike the NFL, which has been heavily criticized for its handling of concussions on the field, the NHL won’t acknowledge the risk of CTE.

Dr. David Cifu (the brother of Doug) is Senior TBI Specialist in the Department of Veterans Affairs (the “VA”).  In recent Congressional testimony (see video excerpt below) Dr. Cifu claims that he has treated “twenty thousand” brain injuries and “provides care for an NHL team” in treating concussions.  Could it be the Florida Panthers?

 

Clearly, Dr. Cifu is out of touch with the majority of physicians who treat PTSD and TBI. In fact, Dr. Cifu is largely responsible for blocking less expensive and far more effective therapy for Veterans suffering from PTSD. Will Dr. David Cifu’s toxic legacy continue after Mr. Viola is appointed Secretary of the Army?

As a counterpoint to Dr. Cifu’s grandstanding at the Congressional hearings, I recommend West Point graduate Maj. Ben Richard’s stunning analysis of how the VA treats Veterans with PTSD and TBI. How sad!

 

Rather than simply point fingers, SFTT has proposed a number of alternative treatment therapies.  One existing therapy, Hyperbaric Oxygen (“HBOT”) has been used around the world for some 50 years and many hospitals currently use HBOT to treat a variety of brain-related traumas.  More specifically, it is the go-to option for the Israel Defense Forces (“IDF”) for soldiers suffering a head injury in combat.

Nevertheless, the VA continues to avoid endorsing HBOT for lack of sufficient clinical evidence.  As SFTT reported last week, Xavier A. Figueroa, Ph.D. has written extensively in a well-researched article entitled “What the <#$*&!> Is Wrong with the DoD/VA HBOT Studies?!!” which refutes many of the “convenient” studies by the VA.

HBOT in chronic TBI

While other new therapies may emerge, HBOT currently provides tangible improvement in brain function.  Furthermore, it can be provided at a fraction of the cost of currently administered VA programs.    Best of all, it is available at hundreds of hospitals around the United States (SFTT highly recommends that all HBOT treatment protocols be reviewed to insure proper application).

On behalf of our men and women in uniform and the tens of thousands of Veterans currently suffering from some form of brain injury, we are hopeful that Secretary Vincent Viola can put an end to current dysfunctional leadership within the VA.

Please, no more time for glib lobbyists like Dr. David Xavier Cifu.    Secretary-elect Viola, our brave heroes need you to act NOW!

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