SFTT Military News: Week Ending Sep 1, 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 at info@sftt.org.

BBC Analyses US Military Options for North Korea
President Trump has said “all options are on the table” after North Korea fired a missile over Japan. So what could military action against Kim Jong-un’s regime actually look like? As a ballistic missile passed over the Japanese island of Hokkaido residents were warned to take cover. The launch was a provocative act, which has been followed by warnings from the North Korean regime that it was just a “first step”. The UN and several nations have imposed sanctions on North Korea, while President Trump said he was considering the next steps. But while the US has unrivalled military strength, the range of options it actually has against the hermit country are limited. Read more . . .

North Korea Kim

US Gives Military Assistance to Pakistan with Strings Attached
The Trump administration notified Congress on Wednesday that it was putting $255 million in military assistance to Pakistan into the equivalent of an escrow account that Islamabad can only access if it does more to crack down on internal terror networks launching attacks on neighboring Afghanistan. The dueling messages sent to Pakistan — promising aid but attaching strings if the country’s counterterror efforts fall short — are part of an increasingly confrontational turn in an alliance that has long been strained.  Read more . . .

Sen. Rand Paul Urges Caution in Transferring Military Equipment to Local Police
Sen. Rand Paul (R-Ky.) is urging President Trump to reconsider his decision to lift Obama-era limits on the transfer of surplus military equipment to local police forces. “To support our local police, we must first realize they aren’t soldiers. But today the line between the two is being eroded,” he wrote. “Given these developments, it’s natural for many Americans — especially minorities, given the racial disparities in policing — to feel like their government is targeting them. Anyone who thinks that race does not still, even if inadvertently, skew the application of criminal justice isn’t paying close enough attention,” Paul added.  Read more . . .

New Law to Stream VA Appeals
Every major veteran service organization except Vietnam Veterans of America (VVA) supported legislation, signed into law last week, to reform a woefully clogged process for deciding appeals of veterans’ disability claims. Even VVA concedes the new “three-lane” option for appealing claims, when implemented via regulation a year or more from now, will produce speedier appeal decisions and begin to reverse what continues to be a steadily rising backlog of appeals, soon to surpass a stunning 500,000.  Every veteran appealing a claim knows something is wrong with a system that, on average, takes three years to get a final decision. The Department of Veterans Affairs (VA) says some veterans are waiting six years or more.  Read more . . .

The Illegal Psychedelic Drug MDMA (aka “Ecstasy”) to Treat PTSD?
The U.S. Food and Drug Administration designated the illegal psychedelic drug MDMA, commonly known to partygoers as Ecstasy, as a “breakthrough therapy” to treat post-traumatic stress disorder. The designation was announced Saturday and provides a fast-track for possible approval of MDMA as a prescription drug. It’s the result of years of trials sponsored by the Multidisciplinary Association for Psychedelic Studies, or MAPS, that have included veterans since 2010. “It doesn’t mean anything is approved or guaranteed, but it does mean this gets special attention from the FDA and allows it to move through the regulatory process more quickly,” said Michael Mithoefer, a clinical investigator who’s involved in the study of MDMA-assisted psychotherapy.  Read more . . .

Is the VA Undermining Marijuana Study?
marijuanaThe first U.S. study to test marijuana as a treatment for posttraumatic stress disorder, which had been in the works since 2009, finally got under way last February and has enrolled 25 subjects since then. But the lead researcher, Phoenix psychiatrist Sue Sisley, says the study, which needs a total of 76 subjects, has been jeopardized by a lack of cooperation from the local Veterans Health Administration hospital. “Despite our best efforts to work with the Phoenix VA hospital and share information about the study,” Sisley writes in a recent letter to Secretary of Veterans Affairs David Shulkin, “they have been unwilling to assist by providing information to their patients and medical staff about a federally legal clinical trial happening right in their backyard that is of crucial importance to the veteran community.” At the current recruitment rate, she says, the study will not be completed within the time required by a $2.2 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.

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Preventing Concussions: Can Help be on the Horizon?

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Concussions and preventing concussions continues to be a hot topic in the media, particularly when parents decide whether to allow their kids to play contact sports.

Treating PTSD and TBI also receives its share of attention, but most of the media coverage seems to be focused on coping with the symptoms of brain injury rather than offer any meaningful long-term solution for Veterans with these conditions.

Far less attention is devoted to preventing concussions in the first place.  Perhaps, we should be moving forward on all fronts simultaneously.

military drugs

Just this week the FDA just approved a series to trials to evaluate ecstasy to help people cope with PTSD.

After successful preliminary trials, the FDA is moving forward with a large scale study for using Ecstasy as a prescription drug to treat post-traumatic stress disorder.

The study approved on Tuesday would be the final measure necessary before the agency could legalize the drug, according to the New York Times. If the results are favorable, the drug also known as MDMA would be available to patients as early as 2021.

While some may view this new FDA initiative with relief, I am not encouraged by yet another new drug that treats the symptoms of PTSD rather than drugs that permanently reverse brain damage itself.   As we have seen with opioids, treating symptoms opens up a pandora’s box of other medical and neurological problems, particularly when these medications are combined with other prescription drugs.

Granted, reversing brain injury is new uncharted territory, but many Veterans seem to have lost hope that permanently improving  brain “wellness”  is considered to be a high priority for either the VA or the FDA.

If this is the case – and I hope it is not – then studies focused on reducing the incidence of concussion certainly take on far more importance.  Found below is a recent Ted Talk  by David Camarillo focused on developing new protective gear to reduce concussions:

Mr. Camarillo takes issue with both the CDC and NFL models of what happens when a concussive-event occurs. Swedish scanning imagery points to something far different occurring within the brain than what is argued by conventional sources.

Could it be that existing helmet designs for the military and the NFL are based on flawed models and questionable scientific research?

I don’t know the answer to that question, but I continue to be disturbed by the conflicting messages sent out by the VA, the FDA, the CDD and the NFL.  Surely, “I don’t know,” is a far more honest answer than continued claims by those in authority that “we are making progress” in helping Veterans with PTSD or protecting NFL players.

If the flawed product were an automobile which caused a fatality, a recall notice would be issued.  How is it possible that the NFL continues to operate with impunity when the evidence strongly suggests that repeated concussions causes chronic traumatic encephalopathy (or ”CTE’)

The recent FDA “Ecstasy” trial isn’t particularly reassuring, particularly knowing that the results will not be available until 2021.

Questions that seem more relevant would be these:

– Will Dr. David Cifu continue to dictate VA protocols in treating concussive events?

– When will military helmet sensor data be released to the scientific community to help provide our brave military personnel with better helmets?

– Can the VA provide any clinical evidence that it has successfully treated and “cured” PTSD and/or TBI?

– Are more drugs the answer to treat PTSD?

I can’t answer these questions, but tens of thousands of brave men and women with PTSD and TBI deserve an answer.

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