Why Veterans with PTSD are Seeking Alternative Therapy

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It is becoming increasingly clear that the Department of Veterans Affairs (the VA) is no longer able to provide the care or therapy that Veterans with PTSD demand.  Increasingly, Veterans are seeking alternative therapy outside the VA.

Department of Veterans Affairs

According to New England Public Radio, a large percentage of Veterans seek alternative therapies for PTSD despite explicit warnings by the VA that many of these therapies are “untested.”

The Department of Veterans Affairs estimates up to 30 percent of former service members — from the Vietnam war to Iraq and Afghanistan — have Post Traumatic Stress Disorder. They don’t all seek treatment, but among those who do, the VA says 20 to 40 percent don’t get better with the standard regimen of therapy, medication, or both. Increasingly veterans are seeking out alternative mental health care — and much of it untested.

Implicitly, the VA is telling Veterans that seek alternative therapies to treat PTSD that they they do so at their own risk.  

In fact, the VA is arguing that treatments not endorsed by the VA are probably a hoax.    This is the same FEAR SYNDROME used by the Roman Catholic Church during the Medieval ages to maintain discipline among parishioners.

As I have suggested earlier, the VA is broken and its $180 billion annual budget is clearly not addressing the needs of its constituents.

Ask yourself these simple questions:

  1. If prescribed VA therapies were effective, why would Veterans need to seek alternative forms of treatment?
  2. If prescribed VA therapies are “tested,” why don’t these therapies seem to be effective?
  3. Is treating the symptoms of PTSD (for instance, pain and depression) with “tested” prescription drugs the same as treating the core problem?

Sadly, the VA has become more of a gate-keeper of self-serving in-house solutions than a caregiver to the many brave men and women who have served our country so valiantly.

Spokespersons for the VA like Dr. Xavier Cifu ridicule other forms of therapy while vigorously defending their own “tested” but seriously flawed version of the truth.

As an outside observer, one can only shake one’s head when therapies such as Hyperbaric Oxygen and acupuncture are summarily dismissed by the VA despite decades of use in many parts of the world, including our own.

I guess those in Congress will argue that the VA is simply too big to fail.   Nevertheless, the VA fails many of its constituents on a daily basis.   For instance, Brandon Ketchum, a former Marine and Army National Guardsman who served 3 tours of duty in Iraq and Afghanistan, committed suicide recently after he was turned away by the VA in Iowa City.

How much longer do we need to see promised reforms within the VA?   Sadly, many Veterans are expressing their despair by turning away from “tested” VA prescriptions to embrace other forms of therapy.  Their message seems loud and clear to anyone listening.

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Congress Passes Drug Abuse Bill

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With broad bipartisan support, the Senate passed a compromise legislative bill aimed at curbing prescription drug abuse.

While this comes as relief to many, one must simply scratch their head and wonder why it has taken so long to curb prescription drug abuse.  This horrible addiction problem didn’t emerge yesterday.

Could it have anything to do with lobbyists?

Drug Abuse

Not surprisingly, one political party blamed the other for a lack of action on a bill to curb prescription drug abuse:

White House press secretary Josh Earnest said in a statement Wednesday night that President Obama will sign the bill even though it “falls far short.”

“Every day that Republicans stand in the way of action to fund opioid treatment means more missed opportunities to save lives: 78 Americans die every day from opioid overdose,” Earnest said.

The spokesman said Mr. Obama “won’t stop fighting to secure the resources this public health crisis demands. Congressional Republicans have not done their jobs until they provide the funding for treatment that communities need to combat this epidemic.”

Taking money from pharmaceutical lobbyists continues to enjoy wide bipartisan support, so to blame one party or the other for Congressional inaction is simply outrageous hypocrisy.

You need to look no further than the Department of Veteran Affairs, (the “VA”) to see the widespread abuse of using prescription drugs in treating PTSD and other ailments.   Masking pain has been Standard Operation Procedure (“SOP”) at the VA for many years rather than providing curative treatments.

Will more government funding in addition to their $180 billion a year budget help the VA do the right thing?  I think not. 

Veterans have long been aware of the dangerous side-effects of the drugs commonly prescribed by the VA.  One military Drug Abuse specialist informed me that some Veterans would often sell Purdue Pharma’s wildly successful OxyContin on the black market to supplement their income or – in many cases – to simply make ends meet.

Purdue Pharma:  A Description of Hell?

In a recent investigation into Purdue Pharma,  Los Angeles Times authors Harriet Ryan, Lisa Girion and Scott Glover suggest that the company’s shameless promotion of “OxyContin’s 12 Hour Problem” is little more than a “description of hell.”

After reviewing thousands of confidential internal documents, the LA Times reporters concluded that:

√ Purdue has known about the problem for decades. Even before OxyContin went on the market, clinical trials showed many patients weren’t getting 12 hours of relief. Since the drug’s debut in 1996, the company has been confronted with additional evidence, including complaints from doctors, reports from its own sales reps and independent research.

√ The company has held fast to the claim of 12-hour relief, in part to protect its revenue. OxyContin’s  market dominance and its high price — up to hundreds of dollars per bottle — hinge on its 12-hour duration. Without that, it offers little advantage over less expensive painkillers.

√ When many doctors began prescribing OxyContin at shorter intervals in the late 1990s, Purdue executives mobilized hundreds of sales reps to “refocus” physicians on 12-hour dosing. Anything shorter “needs to be nipped in the bud. NOW!!” one manager wrote to her staff.

√ Purdue tells doctors to prescribe stronger doses, not more frequent ones, when patients complain that OxyContin doesn’t last 12 hours. That approach creates risks of its own. Research shows that the more potent the dose of an opioid such as OxyContin, the greater the possibility of overdose and death.

More than half of long-term OxyContin users are on doses that public health officials consider dangerously high, according to an analysis of nationwide prescription data conducted for The Times.

Needless to say, a spokesperson for Purdue Pharma vigorously disputes the allegations in the LA Times investigation, but others suggest that  . . .

. . . more Americans die from opioid overdose than from car accidents. And this (sic LA Times) article gives only a partial tally of Purdue Pharma’s predatory conduct. The drugmaker targeted overly-busy, not very well trained general practitioners in communities which were likely to have high incidence of pain (think communities with a lot of jobs that involved manual labor). In other words, it’s no accident that OxyContin has become a plague in rural America.

Sadly, this bipartisan Congressional bill comes far too late for many Veterans and others who have been deceived by the predatory practices of Big Pharma and their enablers in the FDA and VA.  Is it asking too much for those in a position “to know” the effects of potentially lethal drugs to take action far sooner to protect the safety of our brave warriors and our citizens?

While some Senators are urging an investigation into Purdue Pharma’s predatory practices, it is unlikely that much will come of it.   Big money trumps ethics and common sense.

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The Fragility of the VA

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I just started reading Antifragile:  Things That Gain With Disorder by Nassim Taleb.   For those who may not be familiar with Mr. Taleb, he is Professor of Risk Engineering at New York University’s Polytechnic Institute and the author of the highly acclaimed The Black Swan.

Now it may seem a bit incongruous to examine the Department of Veteran Affairs (the “VA”) through the eyes of Nassim Taleb, but there are a number of clear signs that the VA is a BIG and IMPORTANT institution that has lost its way.  In effect, the VA is FRAGILE.

Found below is a superficial but effective video summary of Antifragile, which describes the process to analyze the fragility, robustness or antifragility of “almost everything about our world.”

In Mr. Taleb’s remarkable book, he joyfully examines the human body, science, biological and economic systems, business, medicine, regulation and even psychiatric well-being from the three types of exposure: fragile, robust and antifragile.

Without belaboring the point, there are many examples which clearly demonstrate that the VA is “fragile” if not broken. In fact, one could argue that the system is already in terminal decline propped up by self-serving bureaucrats to effectively deny proper medical care to our Veterans.

Fragility of the VA

While this conclusion is seen through the lens of Nassim Taleb in Antifragile, all one needs to do to reach a similar conclusion is to scan the countless unheeded GAO reports citing the failings of the VA or pour over the numerous Congressional hearings on the VA.   True reform of the VA has simply become a platform to promote self-serving sound-bites by politicians and VA bureaucrats.

I will focus on just a few observations from Mr. Taleb’s book which – in my opinion – makes the case:

SFTT has long argued that prescribing potentially lethal prescription drugs to Veterans with PTSD is both ineffective and dangerous. Consider this position under the optics of Mr. Taleb:

” . . . only resort to medical techniques when the health payoff is very large (say, saving a life) and visibly exceeds its potential harm . . . Otherwise, in situations in which the benefits of a particular medicine, procedure, or nutritional or lifestyle modification appear small – say aiming for comfort – we have a large potential sucker problem.”

Sadly, our brave Veterans and Jane and John Doe Public have been suckered big time by the VA.

Mr. Taleb effectively describes the propensity of the VA to prescribe drugs rather than promote other alternative therapy programs.  He goes on to say that “. . . pharmaceutical companies are under financial pressures to find diseases and . . .  and are looking for disease among healthier and healthier people, lobbying for reclassification of conditions, and fine-tuning sales tricks to get doctors to overprescribe.”

Doesn’t Dr. David Xavier Cifu fit the bill as an effective lobbyist for the pharmaceutical industry?  Unless I misunderstand, Dr. Cifu is suggesting that we should treat military personnel with concussions (or worse) with drugs and get them back to duty as quickly as possible.  His argument is based on his own personal experiences of having six concussions and that this is the treatment he prescribes to his family.

Despite being shunned by others in the medical profession, Dr. Cifu could be right.   The real question we should all ask is this:  What if Dr. Cifu is wrong?  In effect, Dr. David Cifu – as a proxy for the VA – is effectively condemning thousands of Veterans to the same flawed treatment procedure.

One might ask what treating PTSD by the VA has to do Nassim Taleb’s theory about Antifragility or Incerto?  Actually, a great deal.  Mr. Taleb would argue that fragile government bureaucracies like the VA are highly susceptible to arrogance and the inability to distance themselves from the predictive but flawed models they so vigorously defend.

Mr. Taleb would no doubt argue that it is better to have many “small” therapy programs that can fail rather than expose ourselves – and the lives Veterans they claim to support – to a potentially catastrophic mis-diagnosis.

With its $180 billion budget, it is now time to unravel this bureaucratic behemoth in the hope that more robust and, hopefully, antifragile therapy can emerge from a decentralized health management approach for our Veterans.   If we don’t move in this direction soon, the lives of hundreds of thousands of brave Veterans and their loved ones could be negatively affected.

Sure, there will be mistakes, but we won’t have all our eggs in one basket.  Are you listening, Dr. Cifu?  Let’s spare the VA and the brave Veterans that rely on its services the Black Swan effect.

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SFTT News: Week Ending July 8, 2016

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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 our readers to click on the embedded links to read more on subjects that may be of interest to them.

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

President Obama Says 8400 Troops to Remain in Afghanistan
President Barack Obama gave up Wednesday on ending the war in Afghanistan during his term in office and said that at least 8.400 U.S. troops will still be on the ground for the next occupant of the White House to command.  With the Taliban resurgent under a new leader, and the Afghan army struggling to make headway, Obama bowed to the recommendations of his generals to shore up the Kabul government with a continuing U.S. and NATO presence along with billions in additional funding.  Read more . . .

President Barack Obama

 Veteran Daily Suicide Rate Now at 20
On average, 20 veterans a day committed suicide in 2014, a slight decrease from the previous government estimate, but federal health officials are cautious about concluding the suicide problem is getting better.  Rather, they say the Department of Veterans Affairs is relying on a more comprehensive database than ever before, making comparisons to prior studies difficult and possibly offering a truer snapshot than what was captured in the past.  Read more . . .

VA Secretary Corrects Statement on VA Wait Times
Veteran Affairs Secretary Bob McDonald on Tuesday took an “opportunity to correct” a comparison he made of the long wait for medical care at his agency’s facilities to lines at Disneyland. “If I was misunderstood, if I said the wrong thing, I’m glad that I have the opportunity to correct it,” he told MSNBC’s Andrea Mitchell. “I’m only focused on one thing, and that’s better caring for veterans. That’s my job, that’s why I’m here.”  Read more . . .

Nato Repercussions from Brexit
The dominant vibe in Warsaw is all about unity. The results are mostly pre-cooked. And there should be few surprises. With little dissent to speak of, in the next couple days NATO is expected to beef up its forces in its vulnerable frontline states in the east; forge closer ties with traditionally neutral Finland and Sweden; and upgrade the importance of cyber defense.  Read more . . .

Anemia Negatively Affects TBI Recovery
Approximately half of patients hospitalized with traumatic brain injuries are anemic, according to recent studies, but anemia’s effects on the recovery of these patients is not clear. Now, researchers from the University of Missouri School of Medicine have found evidence that anemia can negatively influence the outcomes of patients with traumatic brain injuries.  Read more . . .

Genetic Factors for Treating PTSD?
Individuals with trauma- and stress-related disorders can manifest symptoms of these conditions in a variety of ways. Genetic risk factors for these and other psychiatric disorders have been established but do not explain the diversity of symptoms seen in the clinic — why are some individuals affected more severely than others and why do some respond better than others to the same treatment?

DNA Research

“People often experience stress and anxiety symptoms, yet they don’t usually manifest to the degree that results in a clinical diagnosis,” says Allison T. Knoll, PhD, post-doctoral fellow at The Saban Research Institute of Children’s Hospital Los Angeles. “We felt that if we could understand differences in the severity of symptoms in a typical population, it might provide clues about clinical heterogeneity in patients.”   Read more . . .

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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SFTT News: Week Ending July 1, 2016

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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 our readers to click on the embedded links to read more on subjects that may be of interest to them.

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

Lawmakers work on legislation to protect Reservist jobs 
The new bill, called the Justice for Servicemembers Act, would make it clear that Congress never intended that the old one, Uniformed Services Employment and Reemployment Rights Act, or USERRA, which dates to 1994, was voluntary — or something an employer coguarduld challenge in the courts, lawmakers and veterans groups said during a press conference on Wednesday.  Read more . . .

Abram A1 Tank

US Army turns to Foreign Suppliers to Protect Combat Vehicles
The US Army is turning to foreign systems for an interim solution for advanced protection for its combat vehicles against rocket-propelled grenades, anti-tank guided missiles and other threats.The service’s effort to rapidly integrate already developed solutions is heating up this summer as the Army tests out what will likely be four different solutions on M1 Abrams tanks, Bradley Fighting Vehicles and Stryker combat vehicles.   Read more . . .

Afghan Police Convoy Attacked
A twin suicide attack on a convoy of buses carrying police cadets killed 37 people and wounded 40 others on Thursday, an Afghan official said. The attack took place in Paghman district, some 20 kilometers west of the Afghan capital, Kabul, according to Mousa Rahmati, the district governor of Paghman. The first suicide attacker struck two buses carrying trainee policemen, and a second attacker targeted those who rushed to the scene to help and hit a third bus, Rahmati said. He said that four civilians were among those killed.  Read more . . .

VA Promises to do More to Prevent Veteran Suicides
According to a Veterans Affairs study released last month, nearly 14 percent of veterans reported suicidal thinking at one or both phases of the two-year study. Compared to a 2011 Centers for Disease Control and Prevention study that found 3.7 percent of U.S. adults reported have suicidal thoughts in the year prior, the rates in the VA study are high.   Read more . . .

PTSDcanna

Marijuana Provision Stripped from VA Funding Bill
A provision that would have made it legal for Veterans Affairs doctors to discuss medical marijuana with their patients in some states disappeared mysteriously from the final VA funding bill last week, just before the House approved the legislation by a 239-171 vote. But the measure is not completely dead, as a failure by the Senate on Tuesday to forward the Military Construction and Veterans Affairs funding bill for a vote provides an opportunity for the marijuana provision to be put back in.  Read more . . .

Military Ban on Transgenders Ends
Transgender people will be allowed to serve openly in the U.S. military, the Pentagon announced Thursday, ending one of the last bans on service in the armed forces. Saying it’s the right thing to do, Defense Secretary Ash Carter laid out a yearlong implementation plan declaring that “Americans who want to serve and can meet our standards should be afforded the opportunity to compete to do so.”  Under the new policy, by Oct. 1, transgender troops already serving should be able to receive medical care and begin formally changing their gender identifications in the Pentagon’s personnel system.  Read more . . .

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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PTSD: More Drugs on the Way?

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In yet another example of how the Department of Veteran Affairs (“VA”) and DoD try to reinvent the wheel in search of a miracle drug to treat PTSD, Fox News reports that “TNX-102 SL, which contains the same chemical property as Flexeril” may soon be used in treating Veterans with PTSD:

An already-approved muscle relaxant may offer relief for U.S. military veterans and first responders suffering from combat-related post-traumatic stress disorder (PTSD). The Phase 2 trials of the drug, TNX-102 SL, which contains the same chemical property as Flexeril, identified a dose and administration method that statistically improved participants’ PTSD symptoms among several mental health indices.

The findings were announced this month at the American Society of Clinical Psychopharmacology Annual Meeting (ASCP), and could eventually lead doctors to unroll the first PTSD drug in more than a decade, said Dr. Harry Croft, Chief of CNS Studies at Clinical Trials of Texas. Croft, who has also headed the investigation of 60 similar clinical trials over the last 25 years, said current PTSD treatments either don’t address every individual’s range of PTSD symptoms, pose unwanted side effects, or have poor adherence rates. Thus, scientists have continued searching for new PTSD treatments.

According to the article, “no new PTSD drug has been approved by the Food and Drug Administration (FDA) since Paxil in 2001, and before that, Zoloft in 1999.”

the VA and drugs

While the VA has been dismissive of other proven old-fashioned therapy programs such as Hyperbaric Oxygen (“HBOT”), it appears that the VA has an unlimited research budget for new experimental drugs.  The pharmaceutical companies must be thrilled.

For many, especially Veterans seeking to reclaim their lives, it is difficult to fathom the “logic” of the folks at the VA, but it is hard to argue with a program administrator who places his or her interest ahead of the Veterans they should be serving.  It is difficult – read impossible – to have a discussion with someone who has all the answers.  Particularly so, if they are the wrong answers.

At a time when Congress is trying to determine whether the monolithic VA is the best way to provide help to Veterans,  it would appear that VA bureaucrats will continue to determine what drugs or therapy works best for Veterans.

In effect, Veterans – particularly those suffering from PTSD and/or TBI – will be denied access to alternative therapies in the private sector because the VA gatekeepers “know best.”

How many more Veteran suicides and disrupted lives do we need to say that this may not be the right approach?

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SFTT News: Week of June 17, 2016

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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 our readers to click on the embedded links to read more on subjects that may be of interest to them.

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

Protests to U.S. Military Presence in Okinawa
Tens of thousands of people on Okinawa protested Sunday against the presence of U.S. military bases on the Japanese island, many wearing black to mourn the rape and killing of a local woman in which an American contractor is a suspect.  Read more . . .

VA from SFTT

VA Gets Third Benefits Chief in Less than a Year
The acting head of the Veterans Benefits Administration is retiring, leaving the position he has held since his predecessor left under a cloud in 2015. Danny Pummill, a retired Army colonel who joined the Department of Veterans Affairs in 2010, had planned to retire in 2015 but stayed on as acting undersecretary of benefits after his predecessor resigned last October, VA said in a statement. Allison Hickey called it quits after a long period of criticism from lawmakers and veterans organizations, most recently for allowing VA senior executives to move into jobs that they reportedly coerced others leave.  Read more . . .

Iraqi Forces Reportedly Retake Fallujah
Iraqi special forces swept into Fallujah on Friday, recapturing most of the city as the Islamic State group’s grip crumbled after weeks of fighting. Thousands of trapped residents took advantage of the militants’ retreat to flee, some swimming across the Euphrates River to safety.   Read more . . .

Shrinking US Military is Here
Every year at this time, we see the same kind of headlines: “U.S. biggest military spender in the world.” They’re are all based on the release of the global military spending database, an annual report compiled by the Stockholm International Peace Research Institute (SIPRI).  What the headlines usually miss is that U.S. defense spending is going down while global military spending is going up. The fact that the U.S. spends more on defense than any other individual nation dramatically misses the point.  Read more . . .

Syrian President Assad Discusses Military Support with Russia
Russian Defence Minister Sergei Shoigu has met Syrian President Bashar al-Assad in Damascus to discuss “military cooperation” in Syria’s conflict, a bone of contention between Moscow and Washington.  Shoigu was sent by President Vladimir Putin for the unannounced meeting with Moscow’s long-time ally Assad on Saturday, the Syrian state news agency SANA said.  Read more . . .

Post Traumatic Stress on Veterans
Here’s a frightening statistic: Every day, some 22 American heroes take their own lives because of the stresses they experienced on the battlefield. Many more don’t seek treatment and find their lives spiraling out of control.  “60 Minutes” correspondent Steve Kroft will host “Combat Stress: Finding the Way Home,” a special radio hour exploring the impact of post-traumatic stress disorder on our nation’s veterans to be broadcast during Memorial Day weekend.  Read more . . .

Sebastian Junger Draft Proposal:  Non-combat options
Junger avoids proposing a comprehensive solution to the problem he presents in “Tribe.” But he told Military.com in an interview this month that one possible way to build a more cohesive society might be to create a different kind of draft: one in which some form of national service is mandatory for all eligible citizens, but the military is only one of several service choices, along with options like the Peace Corps and urban improvement projects.  Read more . . .

PTSDcanna

New Jersey Assembly Passes Legislation on Treating PTSD with Marijuana
The Assembly on Thursday passed legislation to allow qualified New Jersey residents with post-traumatic stress disorder to get medical marijuana treatment. The Democrat-led Assembly voted 55-14, with seven abstentions, sending the bill to the Senate for consideration.  Read more . . .

 

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Meet Dr. David Cifu: VA Gatekeeper for PTSD & TBI

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A reader of the SFTT Blog suggested that we “take a look” at Dr. David Cifu, Senior TBI Specialist in the Department of Veterans Affairs’ (“VA”) Veterans Health Administration. Found below is a short video clip of Dr. Cifu testifying at a U.S. Congressional Hearing on concussions in March, 2016.

For Veterans living with the effects of PTSD and/or TBI, I would find his testimony quite disturbing.

While it is unwise to draw conclusions from an edited video clip without the benefit of a full transcript of the proceedings, it is evident that Dr. Cifu has clear and strong convictions on how to deal with concussions. Furthermore, it was clear from the proceedings, that not every expert at the Hearing shared Dr. Cifu’s opinion on how to treat concussions.

A biographic extract from Virginia Commonwealth University states the following about Dr. Cifu:

In his 20 years as an academic physiatrist, he has been funded on more than 30 research grants and is the principal or co-principal investigator on eight current grants. He has delivered more than 425 regional, national and international lectures, published more than 165 articles and 65 abstracts and co-authored 20 books and book chapters. He has recently co-authored the patient and family focused self-help book, “Overcoming Post-Deployment Syndrome: A Six-Step Mission to Health.”

Now, I do not claim to be anything close to being an “expert” in analyzing  brain injury, but it strikes me that Dr. Cifu’s strong convictions on how to treat PTSD and TBI do not reflect the latest findings in brain-related trauma that SFTT reported last week based on new research by Dr. Perl.

In fact, with Dr. Cifu admitting to experiencing 6 concussions might – in itself – be considered a disqualifying event to hold such an important role within the VA.

While I have no reason to doubt Dr. Cifu’s integrity or sincerity, I have seen little evidence that Dr. David Cifu’s opinions on treating traumatic brain injury and PTSD have provided significant long-term benefits to Veterans to help them reclaim their lives.   In fact, many of the substance abuse problems affecting Veterans can be directly attributed to the VA for prescribing opioids and other pain-killers.

While it is all good and well to hold strong opinions, if those beliefs are wrong or even incomplete, many Veterans living daily with PTSD and TBI are at risk.  Does this make sense?

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Hyperbaric Oxygen: What the VA Doesn’t Want You To Know

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The gatekeepers at the Department of Veteran Affairs (the “VA”) remain intransigent in providing urgently need care to Veterans suffering from PTSD and/or TBI. Standard Operating Procedure (“SOP”) at the VA is to argue that FDA-approved clinical studies are needed to sanction treatment methods – regardless if these treatment alternatives have been used with success in many other countries for decades and, in some cases, hundreds of years.  

hyperbaric oxygen and the VA

Instead, the VA serves our Veterans a cocktail of potentially lethal prescription drugs that do carry the FDA’s “Good Housekeeping Seal of Approval.”   How is this possible when the Centers for Disease Control and Prevention (“CDC”) reports  an epidemic in addiction to prescription drugs?

Unfortunately, the VA’s SOP in prescribing these opioids to Veterans with PTSD and TBI hasn’t changed in many years.   Why?  Could it be that the benefits to Big Pharma outweigh the benefits of providing our Veterans with the treatment they merit?   I am most hesitant to ask this question, but I can think of no other explanation.

For instance, treating head injuries with Hyperbaric Oxygen Therapy (“HBOT”) has been around for decades.  It is the standard procedure provided to wounded soldiers and civilians with head injuries by the Israeli medical profession for decades.

This short video below is in Hebrew with English subtitles, but it provides a very compelling argument why our Veterans should have access NOW to HBOT while the bureaucrats and FDA twiddle their thumbs and continue to ingratiate themselves with Big Pharma lobbyists.

Gordon Brown  of Team Veteran argues that  “We need this type treatment in our VA and military hospitals instead of the DRUG therapy they are now using. Most TBI cases have been misdiagnosed as PTSD and drug treatment cause further complications for our veterans.”   Gordon’s views reflect my own and those of hundreds if not thousands of Veterans.

In fact, some hospitals in the private sector are taking radical steps to curtail the use of opioids in treating pain.  In an recent New York Times article, St. Joe’s hospital is implementing wide-ranging changes to comply with CDC recommendations:

“St. Joe’s is on the leading edge,” said Dr. Lewis S. Nelson, a professor of emergency medicine at New York University School of Medicine, who sat on a panel that recommended recent opioid guidelines for the Centers for Disease Control and Prevention. “But that involved a commitment to changing their entire culture.”

In doing so, St. Joe’s is taking on a challenge that is even more daunting than teaching new protocols to 79 doctors and 150 nurses. It must shake loose a longstanding conviction that opioids are the fastest, most surefire response to pain, an attitude held tightly not only by emergency department personnel, but by patients, too.

Is it too much for that lumbering behemoth VA to show the same sense of urgency?

I suppose we can continue to get distracted with the many other “big” issues facing our country, but providing our Veterans with proper therapy is one issue where Americans can easily unite.  Let’s not let the bottom line of Big Pharma distract us from that mission.  The brave men and women who have served our country deserve no less.

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Veteran Charities in Context

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Active Duty military personnel that I know generally despise being used as “poster-boys (or girls)” for political campaigns.  In fact, anyone who has served in the Armed Forces is well aware of DoD Directive 1344.10 which prohibits members of the Armed Forces from engaging in “partisan political” fundraising or actively campaigning on behalf of a political party, candidate or political cause.

While these regulations do not apply to Veterans, it has been my experience that most Veterans tend to avoid the limelight of partisan politics and, instead, pursue causes to support fellow Veterans that do not tend to attract much media attention.   Like Active Duty personnel, Veterans tend to avoid serving as “props” for political campaigns.

Donald Trump Veterans

As SFTT and others reported earlier when a Donald Trump fundraising event was announced during the Republican primaries:

. . .several Veteran groups accused Donald Trump of using Veterans like political pawns in his dispute with Fox News over the moderators of the last debate.    In many respects, I agree with Veterans that don’t want to be used as pawns in contentious posturing by politicians.  Sadly, every four years or so, most politicians tend to embrace Veteran causes as they might disingenuously cuddle a puppy dog to encourage voters to look favorably on them.

While it is completely understandable that some, many or all Veterans may not wish to be seen to embrace the policies of Donald Trump, it is most disingenuous – read dishonest – for the media to skew fund-raising efforts by anyone (including Donald Trump) to support Veterans.  

Yet, that is precisely what happened.  In a ridiculous article published on June 2 in the New Times entitled “Putting Donald Trump’s $1 Million to Veterans in Context,”  the author, Peter Eavis, argues that Mr. Trump’s contribution “to veterans’ charities is small compared with those of some fellow billionaires . . .” and that, “Mr. Trump’s $1 million gift to veterans not only came later than some expected, but it is also small for the plutocrat class.”

How silly to judge the merit of candidates on the amount of money they donate to charitable causes, but this is the insane world of partisan politics that dominates media channels rather than constructive solutions to the many issues faced by Veterans.

Last week, I noted Sebastian Junger‘s hope that we have a more united country to deal with  this nation’s many problems.   Even though SFTT has no political affiliation, it is very discouraging to see both the media and our politicians engage is such polarizing propaganda.  Mr. Junger clearly has his finger on the pulse of a huge adjustment problem facing returning Veterans when they see such a dysfunctional society.  It is certainly not comforting.

ZVets

Should the VA be Privatized?

With its colossal $180 billion annual budget, the Department of Veteran Affairs (the “VA”) is in the focus of those who say this giant institution should be privatized.  Everyone knows the VA is not functioning properly and there have been countless GAO studies suggesting that something be done to address these problems.

When issues like the privatization of the VA surface during an election year, it immediately becomes politicized.  SFTT doesn’t have an answer let alone a position on this issue; however, SFTT has seen enough to know that the VA does not provide adequate care to a large number of its constituents on a timely basis.

The Libertarian Party and several others are suggesting that the VA should be privatized.    Why not take off our partisan political armbands and have a look at the implications.  Maybe some elements now administered by the VA could be handled more competently in the private sector.  If so, it could be a major benefit for underserved Veterans?

If charitable contributions to Veterans can become politicized, imagine the outcry in entrenched political sectors when the VA comes under serious scrutiny.   From the perspective of the SFTT, if it ain’t working properly we might as well look at different approaches; however unappealing they may be to certain entrenched interests.  After all, it is the Veteran who is the focus of our attention and these brave warriors deserve better than what they are receiving

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