Opioids: Unanimous Bipartisan Incompetence in DC

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Just when one was beginning to wonder whether politicians could agree on anything comes the CBS/Washington Post story that shows that the Senate unanimously passed H.R. 471 – Ensuring Patient Access and Effective Drug Enforcement Act of 2015, which stripped the DEA of any enforcement capability and greatly fueled the opioid epidemic in our country.

Senator Joe Manchin of West Virginia voices his outrage in an interview with MSNBC:

Sadly, the wake up moment for me occurs at about 4 minutes and 20 seconds into the video when Senator Manchin explains the “vetting” process used by Congressmen and Senators to approve legislation.

Basically, the take away from Senator Manchin’s interview (and several others he gave) are the following:

  • U.S. Legislation is written by lobbyists;
  • Politicians don’t read the legislation that is enacted into law unless one of their constituents or a government agency raises a “red flag;”
  • Complex laws are enacted by Congress and the Senate without anyone really understanding the consequences of the proposed legislation;
  • Government enforcement agencies are simply a training ground for future lobbyists who march to a different drummer.

Mind you, I doubt whether anyone (other than a paid lobbyist) has the tenacity to sit through 33,000 pages of regulations covered by the Affordable Care Act (aka Obamacare).

Without getting into the merits of which party has the moral high ground, I think it is fair conclude that our system of government is out of control.

Honesty, how can Congress unanimously pass flawed legislation which directly contributed to the deaths of over 60,000 Americans last year?

Stand for the Troops has long argued that the employment merry-go-round between government and lobbyists destroys the very foundations of our democracy.   Wasn’t it President Eisenhower who warned against the evil of the military industrial complex?

Nowhere is criminal collusion any more evident than the dreadful story which documents The Drug Industry’s Triumph Over the DEA.

Over the years, SFTT has highlighted this lethal yet symbiotic relationship between government officials and lobbyists in the following areas:

  • military body armor;
  • military helmets;
  • psychotic drug testing;
  • agent orange coverup;
  • the Department of Veterans Affairs’ (almost everywhere you turn);
  • opioids and PTSD/TBI programs by the VA

I could list another dozen or so conflictive programs, but the fact remains that no one is likely to be held accountable for his or her actions. Furthermore, our government will merrily provide the culprits that fueled the opioid crisis – or stood on the sidelines watching it evolve – with additional money to “fix the problem.”

This closed loop of collective incompetence and culpable negligence is a self-sustaining blight on the lives of so many brave men and women who have served our country so valiantly.   I would like to tell you that the public is fed up, but who do you turn to?

Most sad!

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SFTT Military News: Week Ending Oct 13, 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.

North Korea Steal Military Documents from South Korea
A South Korean lawmaker says North Korea computer hackers stole hundreds of secret military documents from South Korea. The documents are said to include plans for destroying the North Korean leadership if a war takes place. The South Korean official, Lee Cheol-Hee, is a member of the ruling Democratic Party of Korea and the National Defense Committee. He said on Tuesday that defense officials talked about the stolen documents. Officials believe North Korean hackers were able to see classified military documents stored at a South Korean defense data center. The attackers reportedly gained control of the documents in September 2016.  Read more . . .

Vast Majority of Americans in their 20s Unfit for Military Service
The military is facing a growing recruiting crisis: 71% of Americans between 17 and 24 can’t meet the minimum criteria for service, which places the burden of service on an ever-small and shrinking pool of troops with a family history of joining the military. At an Oct. 12 Heritage Foundation panel in Washington, D.C., Rep. Don Bacon, a Nebraska Republican and former Air Force one-star general told attendees “the single most important ingredient to readiness is the constant flow of willing volunteers.”  Read more . . .

Opioids for Veterans with PTSD

How the VA Contributed to the Prescription Drugs Epidemic
. . . the Department of Veterans Affairs has played a little-discussed role in fueling the opioid epidemic that is killing civilians and veterans alike. In 2011, veterans were twice as likely to die from accidental opioid overdoses as non-veterans. One reason, as an exhaustive Newsweek investigation—based on this reporter’s book, Mental Health, Inc.—found, is that for over a decade, the VA recklessly overprescribed opiates and psychiatric medications. Since mid-2012, though, it has swung dangerously in the other direction, ordering a drastic cutback of opioids for chronic pain patients, but it is bungling that program and again putting veterans at risk. (It has also left untouched one of the riskiest classes of medications, antipsychotics—prescribed overwhelmingly for uses that aren’t approved by the Food and Drug Administration (FDA), such as with post-traumatic stress disorder.)  Read more . . .

Treating PTSD with Artificial Intelligence (AI)
There is a real appeal to shouting into the void: the ubiquity of Google search as confessional, the popularity of PostSecret, the draw of confiding in a trusted friend with the hope verging on understanding that our secrets won’t be shared all point to this. A group of researchers from the University of Southern California, with funding from the DARPA wing of the Department of Defense, believe that desire might drive a preference among veterans with PTSD to anonymously discuss their symptoms with a computerized avatar.  Read more . . .

service dogs for Veterans

Veterans Advocate for Congressional Action on Service Dogs
Veterans’ advocates are urging Congress to make the Department of Veterans Affairs (VA) support organizations that provide service dogs to veterans suffering from post traumatic stress disorder and other conditions. The Association of Service Dog Providers for Military Veterans held a press conference Tuesday with members of Congress to advocate for the Puppies Assisting Wounded Servicemembers Act (PAWS Act), which would provide $25,000 grants for eligible organizations to train and pair service dogs with a veteran. The bill would also prompt the VA to launch a pilot program looking at the links between service dogs and mental health.  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 with PTSD: The VA Way or the Highway

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It is easy to find fault with the Department of Veterans Affairs (“the VA”), particularly when it comes to Veterans with PTSD.

Department of Veterans Affairs

Secretary of Defense, Robert McNamara, tried to employ body count statistics to assess our progress in the war in Vietnam.  Similarly, the VA has erected a statistical house-of-cards to deceive Veterans and their loved that the VA has the answers for Veterans coping with PTSD and TBI.

Like McNamara, the VA “knows what is best for Veterans” and has erected insurmountable statistical barriers to prop up their failed strategies.  In effect, the VA is telling Veterans:  “It is my way or the highway!

Paraphrasing a joke: “The VA uses statistics as a drunk uses a lamppost — For support rather than illumination.”

Sadly, it is no laughing matter when we consider the thousands of combat Veterans suffering from PTSD and TBI.  More importantly, reflect on the often tragic consequences for their families and loved ones.

While Congress and the public continue to be seduced by the steady stream of assurances that the VA provides the best possible care to Veterans with PTSD and TBI, the FACTS tell a far different story.

FAKE NEWS from the VA on Veterans with PTSD

Found below is a video of Dr. David Cifu, Senior TBI Specialist at the VA, testifying before a Congressional Committee:

The VA continues to push a stale and failed agenda that states that the only two effective treatment therapies offered by the VA are:

– Cognitive Behavioral Therapy (“CBT”)and,

– Prolonged Exposure Therapy (“PET”).

As these “therapy” programs have failed miserably according to independent studies (see below), the VA has “coped” with the problem by prescribing a lethal concoction of prescription drugs which treat the symptoms of PTSD rather than deal with the underlying problem.

And we wonder why we have an opioid epidemic in this country?

REALITY CHECK at the VA

While Dr. David Cifu continues to entertain a Congressional Committee on the efficacy of the VA’s protocols, experience for yourself one woman’s harrowing experience with the VA which eventually led to husband’s suicide:

The story of Kimi Bivins is not the exception to the type of treatment Veterans with PTSD receive at the VA. Based on many similar stories, the VA is failing our Veterans and their loved ones.

I encourage readers to read Kimi’s harrowing description of what actually takes place at a VA facility.

While the folks at the VA casually dismiss anecdotal stories, VA claims that Veterans receive the best therapy possible is simply not supported by the evidence.

No less of an authority that the National Academies of Sciences (Medical Division) reported in a 2014 study entitled “Treatment for POSTTRAUMATIC STRESS DISORDER in Military and Veteran Populations,” that CBT and PET barely made a statistical dent in providing Veterans with PTSD any lasting improvement in their condition.

Consider Maj. Ben Richards‘ compelling evidence documenting the failed experiments at the VA in helping Veterans with PTSD.

Standing behind a well-entrenched bureaucracy of statistical inaccuracies and dogma, the VA goes out of its way to discredit other treatment alternatives. Consider this bitter “scientific” debate between Dr. Cifu and Dr. Paul Harch on the efficacy of hyperbaric oxygen therapy or HBOT in treating PTSD and TBI.

Finding a Middle Ground for Veterans with PTSD?

With so little known about the brain and how to treat trauma, it seems absurd for the VA to insist that they have all the answers.  The evidence clearly suggests that the VA doesn’t have a clue.

Nevertheless, the VA argues that “alternative therapies” that do not pass scientific scrutiny and FDA approval will not be endorsed by the VA.  As we have seen countless times – from body armor testing to hyperbaric oxygen studies – the DoD uses test protocols that deviate from accepted standards.

If the tests are flawed, one is likely to draw the wrong conclusions!

For the vast majority of Veterans with limited economic means, the VA is effectively making life and death decisions based on flawed testing and a reluctance to embrace other treatment alternatives.

This is probably done with the intent of protecting Veterans from charlatans and snake oil peddlers, but doesn’t it also block Veterans from receiving promising therapies from legitimate sources?

When dogma or “approved” therapies become the LAW, then it seems unlikely that much progress will be made to help our brave Veterans recover their lives.  The VA would do well to encourage Veterans to seek alternative therapies and provide an interactive sounding board for Veterans to voice their opinions on these programs.

Honesty and transparency and a willingness to accept mistakes is the sign of a responsive institution.   Today, the VA hides behind a dogma based on self-delusion and falsehood.

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SFTT Military News: Highlights for Week Ending Sep 29, 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.

Millions Allegedly Enlist in North Korean Military
Kim Jong Un’s media machine reported this week that 4.7 million people offered to enlist in the North Korean armed forces in the days after President Donald Trump promised to “totally destroy” the rogue state—and the new recruits would more than quadruple the size of the nation’s already mammoth military.  State-run newspaper Rodong Sinmun said the fresh recruits include students and veterans of all genders.  Read more . . .

General Named to Head Puerto Rico Relief Effort
The Pentagon named a senior general to command military relief operations in hurricane-ravaged Puerto Rico on Thursday and the Trump administration sent a Cabinet emissary to the island as U.S. lawmakers called for a more robust response to the crisis. The U.S. territory of 3.4 million people struggled through a ninth day with virtually no electricity, patchy communications and shortages of fuel, clean water and other essentials in the wake of Hurricane Maria, the most powerful storm to hit the island in nearly 90 years.    Read more . . .

Russian Ends Zapad Military Exercises in Belarus
Russia finally concluded its quadrennial Zapad-2017 military exercises last week.  The exercises, which were held in Belarus and western Russia for six days, tested Russia’s defensive capabilities against the fictional country of Veishnoriya which had supposedly been infiltrated by western-backed militias. The games were not, as many eastern European leaders and even some US generals feared, used to occupy Belarus, invade Ukraine or for some other deceitful act.  Read more . . .

U.S. Drones Attack ISIS Militants in Libya
Six U.S. air strikes on an Islamic State desert camp in Libya killed 17 militants and destroyed three vehicles, the U.S. military said on Sunday, the first American strikes in Libya since President Donald Trump took office in January. U.S. Africa Command said in a statement that strikes on Friday targeted a camp 150 miles (240 km) southeast of Sirte, a city that was once the Islamic State stronghold in Libya. The camp was used to move fighters in and out of Libya, plot attacks and store weapons, the statement said.  Read more . . .

VA Cited in Controversial Experiments on Dogs
The Department of Veterans Affairs is tightening oversight of controversial medical experiments on dogs after an investigation found surgery failures and canine deaths in research projects at a VA facility in Virginia — findings that spurred a push in Congress to defund the experiments altogether. Nationwide, invasive experiments at three VA facilities are slated to include roughly 300 dogs, including 6-month-old Beagle puppies, and involve surgeries on their brains, spines and hearts by researchers seeking treatments for heart disease and other ailments. All the dogs will be killed when the research is complete.     Read more . . .

VA Report Suggests VA is Lax in Providing Veterans Medical Support
Internal Department of Veterans Affairs data provided by whistleblowers reveals the agency is only filling about half of its capacity to make medical appointments, even as veterans continue to wait an average of at least 30 days before a medical appointment can be scheduled. The VA documents show that between July and September of 2017, the agency only used 51.44 percent of the appointments available across its healthcare system.  Read more . . .

PTSD and Bacteria Link Suggested
There are several factors that influence whether or not people are more likely to develop PTSD. This includes genetics, epigenetics (factors that influence the way genes are expressed into proteins) and the environments that they are exposed to. Newer evidence is showing there may be another factor at play. Studies show that people who suffer from psychiatric disorders have high levels of inflammation in their bodies. Scientists are still unsure of how this inflammation comes about although some studies on animals have suggested the gut microbiome could play a role. They found that exposure to stress changed the gut microbiome of these animals and also resulted in increased levels of immune molecules and inflammation.  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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New Study Suggests that Blood Test Can Detect PTSD

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According to a recent Dutch study involving military personnel deployed to Afghanistan, there is evidence to suggest that blood-based miRNAs (Micro RiboNucleic Acids) may serve as “candidate biomarkers for symptoms of PTSD.”

Image from Biochemistry for Medics

A research group from the Netherlands collected blood samples Dutch soldiers before, as well as 6 months after deployment.

Author of the study, Dr. Laurence de Nijs (Maastricht University), states the following:

“We discovered that these small molecules, called miRNAs, are present in different amount in the blood of persons suffering from PTSD compared to trauma-exposed and control subjects without PTSD.

“We identified over 900 different types of these small molecules. 40 of them were regulated differently in people who developed PTSD, whereas there were differences in 27 of the miRNAs in trauma-exposed individuals who did not develop PTSD.

“Interestingly, previous studies have found circulating miRNA levels to be not only correlated with different types of cancer, but also with certain psychiatric disorders including major depressive disorders. These preliminary results of our pilot study suggest that miRNAs might indeed be candidates as predictive blood markers (biomarker) to distinguish between persons at high and low risk of developing PTSD. However, several steps need to be performed before such results can really have an impact on the larger field and in clinical practice. In addition to working towards biomarkers, the results may also provide novel information about the biological mechanisms underlying the development of PTSD”.

While more studies are required to confirm the results of this study, it does suggest that blood-testing could help identify risk factors for susceptibility to PTSD for troops scheduled for deployment.

It is difficult to generalize from such a limited test sample but clearly, evidence based markers seem to be a far better way to test the incidence of PTSD and brain trauma than the simplistic PTSD screening questionnaires currently employed by the Department of Veterans Affairs (“the VA”).

There continues to be much promising research into preventing and curing PTSD and TBI, but sadly the VA continues to insist on failed therapy programs while sponsoring research studies than focus on helping Veterans cope with the symptoms of brain trauma rather that provide meaningful solutions.  The cannabis and ecstasy studies suggest that the VA feels far more comfortable dispensing prescription drugs rather than provide Veterans with a meaningful path to full recovery.

While thousands of Veterans continue to suffer from combat-related brain trauma, the VA has done precious little to help these Veterans and their families cope with this debilitating problem.  While the VA insists that they are doing everything possible to help Veterans with PTSD and TBI, the story of Eric Bivins and countless other brave warriors paints a far different picture of what Veterans can really expect at the VA.

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SFTT Military News Highlights: Week Ending Sep 8, 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.

China Sends Military Warning to North Korea
As tensions continue to mount following North Korea’s latest nuclear test, the Chinese military has conducted another drill near the Korean Peninsula. According to the South China Morning Post (SCMP), a Hong Kong-based publication, on Tuesday a Chinese ground unit practiced shooting down simulated low flying missiles over Bohai Bay. Bohai Bay is “ the innermost gulf of the Yellow Sea between China and North Korea,” the report noted. Although few details were given, including which defense systems were used, Chinese websites indicated the test sought to simulate a surprise attack in a realistic, warfighting scenario.  Read more . . .

U.S. “Military Options” for North Korea are all “Terrible”
Despite President Donald Trump’s continued talk of military options in the North Korean standoff, his national security chiefs told lawmakers that they are trying to tighten the diplomatic and economic noose around the Hermit Kingdom, because there are no good offensive military options—and the defensive measures are far from foolproof. “It was a sober discussion,” said one person briefed on the closed-door session of senators with Secretary of State Rex Tillerson, Defense chief Jim Mattis, Director of National Intelligence Daniel Coats, and Joint Chiefs Chairman Gen. Joseph Dunford. “Military options were just described as ‘terrible,’” he said.  Read more . . .

Department of Veterans Affairs

GAO Finds VA Insurance Enrollment Standards Lacking
The Department of Veterans Affairs is one of the largest healthcare organizations that provides health benefits, but their enrollment standards and processes lead to delays and errors, according to a new report from the Government Accountability Office (GAO). GAO analyzed veteran enrollment in VA medical centers (VAMCs) across the country and found that enrollment staff frequently did not process veterans’ enrollment applications within the timeliness standard of 5 business days. These issues were found both at VA’s Health Eligibility Center (HEC), the VA’s central enrollment processing center, and within local VAMCs that also process enrollment applications. The HEC experienced an enrollment error rate of 12 percent. The VAMCs analyzed in the report had a 27 percent error rate.  Read more . . .

Top Military Officials Cite Troubling Problems in Dealing with TBI
Top current and former officials in the U.S. Military are raising the alarm over the disturbing combination of high rates of Traumatic Brain Injury in the armed forces and a lack of public policy solutions to adequately address the problem. Researchers are only now getting their arms around the magnitude of the class of injuries that are difficult to treat and have affected an estimated 400,000 service members since the September 11th attacks in 2001.  Read more . . .

Congress Debates “Exit Oath” to Curb Veteran Suicides
Congress is currently debating a bill that attempts to curb high rates of veteran suicide by giving military members the choice to take an “Oath of Exit.” In this oath, veterans would state that they won’t take their own lives after leaving their post. The Oath of Exit Act is a section of the proposed 2018 version of the National Defense Authorization Act, which has already passed through the House of Representatives. The oath is a voluntary pledge for exiting service members in which the veteran promises to “not bring harm to [themselves] without speaking to [their] fellow veterans first.” Mast believes that because integrity and honor are significant to servicemen and women, if they pledge to do something, they will follow through. However, suicide and military mental health experts like Craig Bryan, an assistant professor in clinical psychology at the University of Utah, think the bill could do just the opposite. In Bryan’s study, “Effect of crisis response planning vs. contracts for safety on suicide risk in U.S. Army Soldiers: A randomized clinical trial,” published in the January 2017 “Journal of Affective Disorders,” he found that “contracts for safety” do not lower suicide risk among U.S. soldiers, but “crisis response plans” do.  Read more . . .

Blood Test Suggests Combat-Related PTSD 
Individuals affected with PTSD (Post-Traumatic Stress Disorder) demonstrate changes in microRNA (miRNA) molecules associated with gene regulation. A controlled study, involving military personnel on deployment to a combat zone in Afghanistan, provided evidence for the role of blood-based miRNAs as candidate biomarkers for symptoms of PTSD. This may offer an approach towards screening for symptoms of PTSD, and holds promise for understanding other trauma-related psychiatric disorders. Limitations of the study are that this was a small pilot study, and the findings need to be validated, extended and confirmed. First results will be presented at the ECNP conference in Paris.  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: Week Ending Aug 18, 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.

North Korea Kim

More Sabre-Rattling from North Korea
North Korea warned Sunday that the upcoming US-South Korea military exercises are “reckless behavior driving the situation into the uncontrollable phase of a nuclear war.” Pyongyang also declared that its army can target the United States anytime, and neither Guam, Hawaii nor the US mainland can “dodge the merciless strike.” The messages in Rodong Sinmun, the official government newspaper, come a day before the US starts the Ulchi Freedom Guardian military exercises with South Korea.  Read more . . .

Trump’s Military Options in Afghanistan
President Trump on Friday will huddle with his national security team at Camp David in Maryland to discuss the country’s strategy in Afghanistan. The president is being presented with a variety of options, including withdrawing all American troops or adding 3,900 more to the current 8,400 total. Here is a look at the options being considered by the Trump administration for what is now being called the South Asia strategy.  Read more . . .

Cyber Security Becomes More Important
President Donald Trump is boosting U.S. Cyber Command’s status in the sprawling military hierarchy in a move intended to bolster its role defending against hacking attacks and in fighting Islamic State militants in cyberspace. Trump elevated Cyber Command to a “unified combatant command” Friday and directed Defense Secretary Jim Mattis to recommend someone to lead the organization. The new command will “strengthen our cyberspace operations and create more opportunities to improve our nation’s defense,” the president said in a statement. The step helps “streamline command and control of time-sensitive cyberspace operations by consolidating them under a single commander” with the requisite authority, Trump said. It also will ensure cyber operations are “adequately funded,” he said.   Read more . . .

Veteran Health Care and Opioid Abuse
This veteran — one of 20 who kill themselves every day, a frightening figure — received medical care from the Department of Veterans Affairs (VA) and a non-VA doctor who prescribed opioids for his chronic pain. While psychological factors were the reasons and drugs were the tools, the suicide was facilitated by a hole in a system designed to give vets the choice, in same cases, to obtain outside medical care at government expense. With Patient 1, “there is no evidence in the medical record that any of his VA providers were aware of the new opioid prescriptions,” according to the inspector general.  Read more . . .

VA Study Recommend Tighter Control on Opioids
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 . . .

Yuval Neria

Equine Therapy for Veterans with PTSD
They are each wary and slow to trust others. They each scan their surroundings constantly. And each stays constantly alert for danger. But while horses depend on those characteristics for survival, veterans with post-traumatic stress disorder can find them debilitating — traits that interfere with family and work life and can result in disturbed sleep, depression and substance abuse.   Now, researchers are hoping that when man and beast find common ground, through a series of guided interactions such as grooming the horse and leading it around a ring, it will help treat PTSD.  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 Account for 20% of U.S. Suicides

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Military suicides, particularly among Veterans, show no signs of abating.  Despite recent efforts by Secretary of Shulkin of the Department of Veterans Affairs (“the VA”), the “silent wounds of war” follow our Veterans into civilian life.

Veteran Suicides

(U.S. Army photo by Stephen Baker)

In a most informative report published by CNN, Veteran suicides account for roughly 20% of all suicides in the United States.

SFTT has reported on this disturbing trend for several years, but little has been done to curb Veteran suicides. Our analysis of this dreadful situation – covered amply in previous articles – may be summarized as follows :

1. PTSD and TBI are the Smoking Guns of Veteran Suicide

Veterans with complex PTSD or PTSD and TBI are more than 25 times more likely to commit suicide than their veteran peers, according the National Center for Biotechnology Information (“NCBI”).

2.  The VA is Currently Not Able to Effectively Treat Veterans with PTSD

Like the NFL’s denial of culpability, the VA continues to insist that Cognitive Process Therapy (“CPT”) and Prolonged Exposure Therapy (“PE”) help reverse the trends of PTSD and TBI.  This is patently untrue as described in more detail below.

The VA’s top-tier Specialized Intensive PTSD treatment Programs (“SIPPs”) failed to achieve clinically significant improvement in PTSD symptoms after an average 46-day program of treatment at an average cost of $23,578 per veteran. Average change in PCL-M scores was 5.7 points and “most program graduates met the criteria for clinically significant PTSD after discharge….” according to Institute of Medicine of the National Academies or IOM 2014 study, p.100.

“However, the outcomes from RCTs suggest that only a minority of veterans can be expected to lose their PTSD diagnosis as a result of getting CPT or PE, arguable administered in an ideal fashion…” (p.49) 2/3s retain PTSD diagnosis.

“In the RCTs conducted to date, with one exception, mean symptom scores at the end of treatment or at the latest follow-up (when available) indicated that PTSD symptoms were still substantial .” (p.49)

“Attaining high end-state functioning may be the exception rather than the rule.” (p.49)

The VA continues to treat the symptoms of PTSD and TBI with potentially lethal prescription drugs rather than use other proven therapy programs.  In fact, many current programs (i.e. cannabis) funded by the VA focus on treating symptoms rather than the underlying causes of PTSD and TBI.

3. The VA has Shown Little Inclination to Understand the Causes of PTSD

The “evidence-based” treatments currently deployed by the VA and DOD have little actual evidence supporting their efficacy in treating combat trauma and the existing evidence shows these treatments are generally ineffective.

The IOD concluded in 2014 that “[N]either department [DoD and VA] knows whether it is providing effective, appropriate, or adequate care for PTSD.

The VA insists that this is not the case, but many other studies have reached similar conclusion regarding the standard therapies used by the VA.

Specifically, in randomized controlled trials of “evidence-based” treatments in military PTSD “. . . mean post-treatment scores for CPT and prolonged exposure therapy remained at or above clinical criteria for PTSD, and approximately two-thirds of patients receiving CPT or prolonged exposure retained their diagnosis after treatment.  Symptom remission was rare.”   (Steenkamp, et. al., p. 489)

4.  SFTT has Assembled a World Class Medical Task Force to Identify and Deploy Effective Treatment for TBI and PTSD

Despite overwhelming evidence to the contrary, the VA continues to march to a drummer of its own choice insisting that Veterans are receiving the best care possible.  As SFTT will demonstrate in the next couple of weeks, support for Veterans diagnosed with PTSD (and their supportive families) is abysmal.

Veterans recognize the limitations of the VA and are seeking alternative therapy programs.  SFTT has assembled a world class Medical Task Force to identify promising new technologies and recommend proven treatment programs.

While some of these therapy programs have been around for years with proven success stories, others are more experimental in nature.  There is no “silver bullet” and each Veteran may respond differently to a specific program.  Nevertheless, it seems far better than the hype rather than substance of VA programs.

Visit the SFTT website for more information on promising new therapies to treat PTSD and TBI and do consider supporting the SFTT mission through a kind DONATION.

Veterans and those who serve our country need a helping hand.

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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.

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SFTT Military News: Highlights for Week Ending Jul 28, 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.

Russia Shows Off Naval Strength in Protest of US Military Exercise with Georgia
US Vice-President Mike Pence will visit this week and is expected to back the plan, which Russia strongly opposes. Georgia and Russia have had fractious relations over two breakaway republics and fought a brief war in 2008. Russia staged its own show of force on Sunday with President Putin joining a naval display in St Petersburg. The US-Georgia military drills, dubbed Noble Partner, involve some 1,600 US and 800 Georgian troops. The US has also deployed M1A2 Abrams main battle tanks and M2 Bradley infantry vehicles for the exercises, which will go on until 12 August.  Read more . .

North Korea ICBM

China Bets the House on US Response toward North Korea
China is betting that U.S. President Donald Trump won’t make good on his threats of a military strike against North Korea, with Beijing continuing to provide a lifeline to Kim Jong Un’s regime. Secretary of State Rex Tillerson singled out China and Russia as “economic enablers” of North Korea after Kim on Friday test-fired an intercontinental ballistic missile for the second time in a matter of weeks. While Tillerson said the U.S. wants a peaceful resolution to the tensions, the top American general called his South Korean counterpart after the launch to discuss a potential military response.  Read more . . .

The “Noise of War Under” Scrutiny by U.S. Military
U.S. military units have long used technology like night vision goggles to enhance their sense of sight. Now they’re trying to get a battlefield edge with their ears, too. The Marine Corps is experimenting with quieted-down weapons and electronic hearing enhancements that could reshape the soundscape of warfare. They want to minimize some sounds and amplify others to get more control over what they and their enemies hear. About 2,000 Marines have been testing carbines fitted with sound suppressors. The devices have long been used by special operations units, and the Marines want to expand their use into the mainstream infantry.  Read more . . .

Fresh Ideas Needed in Afghanistan?
President Trump is frustrated about the lack of progress in Afghanistan and seems to be skeptical about his military advisors’ proposal for the deployment of up to another 4,000 U.S. trainers, advisors and counter-terrorism forces to join the 8,500 now stationed there. “We’ve been there for now close to 17 years, and I want to find out why we’ve been there for 17 years, how it’s going, and what we should do in terms of additional ideas,” he told reporters recently.  Read more . . .

House of Representatives Votes Unanimously to Support Veteran Choice Program
The House overwhelmingly approved a $3.9 billion emergency spending package to address a budget shortfall at the Department of Veterans Affairs that threatens medical care for thousands of veterans. The bill provides $2.1 billion to continue funding the Veterans Choice program, which allows veterans to receive private medical care at government expense. Another $1.8 billion would go to core VA health programs, including 28 leases for new VA medical facilities. The bill was approved 414-0 Friday and now goes to the Senate.  Read more . . .

PTSD Disability Claims Triple in Last Decade
More than one in five veterans receiving federal disability payouts suffers from post-traumatic stress disorder, a figure that has spiked in the last decade. Veterans Affairs officials told lawmakers Tuesday that the number of disability cases related to PTSD has nearly tripled in that time, from around 345,000 cases in fiscal 2008 to more than 940,000 cases today. Service-connected PTSD payouts now make up 22 percent of all veterans receiving compensation benefits from the department. That includes all age groups, not just veterans from the recent wars. But lawmakers still worry that current VA rules may still be excluding thousands more veterans eligible for the disability payouts, which are tied to injuries suffered during military service.  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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