Sunday, December 1, 2013

Veterans new dental benefit


VA is partnering with Delta Dental and Metlife to allow eligible Veterans and family members receiving care under Civilian Health and Medical Program (CHAMPVA) to purchase affordable dental insurance beginning November 15. More than 8 million Veterans who are enrolled in  VA health care can choose to purchase one of the offered dental plans.  This is a 3 year pilot program for those with no dental coverage and those who are eligible for VA dental care who would like to purchase additional coverage.  People interested in participating may complete an application online through Delta Dental @ www.deltadentalvadip.org, or MetLife @ www.metlife.com/vadip beginning November 15th. Coverage will begin January 1, 2014 and will be available throughout the US and its territories.  Also eligible for the new benefits are nearly 400,000 spouses and dependent children who are reimbursed for most medical expenses under VA’s CHAMPVA program. CHAMPVA participants are spouses, survivors or dependent children of Veterans officially rated  as “permanently and totally “ disabled by a service –connected condition.  Enrollment in the VA dental plan is voluntary. Participants are responsible for all premiums , which range from $8.65 to $52.90 per month for individual plans. Copayments may apply. For more information on the VA Dental Insurance Plan (VADIP), visit www.va.gov/healthbenefits/vadip or contact Delta dental @ 1-855-370-3303 or MetLife @ 1-888-310-1681. Veterans who are not enrolled in the VA healthcare system can apply at any time by visiting www.va.gov/healthbenefits/enroll , calling 1-877-222-VETS (8387) or visiting their local VA.

Data obtained from VA press release

Friday, November 22, 2013

Va backlog---recommendations for Veterans


The VA backlog—recommendations for Veterans

Backlog history

     In June of 2012, the number of pending claims was at 878,620 with 577,562 older than 125 days.  In 2009, a claim was considered backlogged after 180 days. Secretary of Veterans Affairs, Eric K. Shinseki believed that was too long and shortened the definition of a backlog to claims more than 125 days. Instantly, the backlog grew by nearly 70,000 claims.

     The VA has been improving the standards for disabilities. The VA established the presumptions for Agent Orange and PTSD according to a former director of communications at the VA.  With this change, Veterans who had been exposed to Agent Orange and suffered from Parkinson’s disease, ischemic heart disease or certain forms of leukemia were entitled to disability status.  Another change, was that Veterans of all wars no longer had to prove their PTSD was connected to a particular combat incident. With these changes, about another 250,000 Vietnam Veterans were added to the claims. By October 2012, the pending claims and backlog had doubled.  Other elements that have added to the backlog included the difficult economy that caused financial hardships for the Veterans, aging Veteran population, the number of claims from 2 consecutive wars, and that the claims are now more complex.

     An employee at the Veterans Benefits Administration says that on average, today’s disabled Veterans has 8-10 disabilities, double the Vietnam Veterans.  From June1 – September 7, 2013, the backlog was decreased from 523,356 to 473,373-average 6000 claims a week.  Since June, 97% of claims older than 2 years have been completed. Between 65-70% of claims had benefits assigned. Employee overtime, eBenefits program have helped to streamline the program. Service organization have also worked together to support the VA. It seems that the overwhelming time spent on a claim is spent waiting for other organizations to respond.

 

   The VA encourages Veterans to get help from Service Organizations

     Veterans Service Organizations, help thousands of Veterans each year with their compensation claims, to identify up front all evidence necessary to support a Veteran’s claim. Veterans then certify that they have no additional evidence to submit, and VA can process the claim in half the time it takes for a traditionally filed claim. The VA strongly encourages veterans to work with veterans service organizations to file fully developed claims and providing the VA the information it needs up front. At the same time, it helps reduce the inventory of pending claims by speeding the process.

 

     FDC (Fully developed claim)

 The fastest way to make a claim is by filing an FDC (Fully Developed Claim)    states Garry Augustine, the executive director of the DAV.  He stated that filing an FDC with all necessary evidence is key for the VA to rate the claim.

Retroactive benefits

"Veterans filing an original fully developed claim (FDC) for service-connected disability compensation may be entitled to up to one year of retroactive benefits. The retroactive benefits, which are in effect through Aug. 5, 2015, are designed to help reduce the VA claims backlog. Only veterans who are submitting their first compensation claim as an FDC are potentially eligible for retroactive disability benefits." Claims can only be considered "fully developed," according to information from the VA, "when Veterans submit all available supporting evidence, like private treatment records and notice of federal treatment records, to VA at the time they first file a formal claim and certify they have no more evidence to submit."

VA shrinking backlog

     The American Legion National Commander James E. Koutz stated then that he believed the collaborative effort would allow the process for claims to speed up. The Fully Developed Claims (FDC) program is described as being an optional new initiative that offers Servicemembers, Veterans, and survivors faster decisions from VA on compensation, pension, and survivor benefit claims."

 

Information obtained from USA today-Veterans issue, Vantage Point, and Examiner.com

 

Sunday, September 29, 2013


Poison control announces flesh eating street drug now in US-Krokodil

 

Krokodil

The poison control center in Phoenix, Ariz.  has received calls regarding what is believed to the first two cases of krokodil use in the U.S.  Dr. Frank LoVecchio, the co-medical director at Banner’s Poison Control Center, told CBS affiliate KPHO in Phoenix that his center dealt with two users of the dangerous drug.

Krokodil

Krokodil, real name desomorphine, is an opioid derivative of morphine. Like other opioids such as heroin, krokodil has a sedative and analgesic effect. Not only is it fast-acting, but the drug is eight to 10 times more potent than morphine. A homemade version of the drug is easily made using codine, iodine, gasoline, paint thinner, hydrochloric acid, lighter fluid and red phosphorus. “They extract (the drug) and even though they believe that most of the oil and gasoline is gone, there is still remnants of it.”

Krokodil

It has been gaining attention internationally because of growing use in Russia, in part because it is cheaper than buying heroin. About 1 million people in Russia use  krokodil  and the drug has been found in other European countries as well, according to the New York State Office of Alcoholism and Substance Abuse Services.

Krokodil

The drug got its nickname from the Russian world for crocodile, because users tend to develop scale-like, green skin. Medscape reports that skin can fall off following use, resulting in exposed bones. The drug also causes blood vessels to rupture and death of the surrounding tissue.  It causes multiple rotting sores. Users can also develop abscesses and gangrene. “It eats you from the inside out,” LoVecchio explained. Krokodil has been coined “the drug that eats junkies.”

Krokodil

 

According to a 2011 profile in TIME, the average user does not live longer than two to three years. Irina Pavlova, a user who told her story to the magazine, said at the time she used the drug daily for six years. Though she was still alive, she had a speech impediment and “something of a lobotomy patient’s vacant gaze” in addition to deteriorating motor skills due to brain damage.

Krokodil

The DEA is currently monitoring the drug as it travels through Europe. Acute management seems to be similar to heroin, including naloxone, but significant scientific data is unavailable at this time. The “kitchen laboratory” production of the drug makes effects difficult to predict.[1] The difference between Krokodil and heroin will be evident in the physical evidence of tissue damage at injection sites. It is not unusual for users to present to the emergency department with exposed skeletal anatomy, ligaments and tendons.[2] Clinical management of these patients should also include identification and treatment of infections, as this is a major cause of death in Krokodil users.

Reposted from CBS news, American Academy of Emergency Medicine and Medscape

Become informed, save a life!
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Sunday, September 22, 2013


Hepatitis C from dental equipment

TULSA, Okla. — A Tulsa-area dentist whose practice was shut down because his equipment was rusty and his employees reused needles was responsible for the nation’s first transmission of hepatitis C between patients in a dental office, Oklahoma health officials said Wednesday.

Hepatitis C

Citing genetic testing performed at the Centers for Disease Control and Prevention, Oklahoma’s state epidemiologist said there was at least one instance in which Dr. W. Scott Harrington’s practice spread the infections disease of hepatitis C.

Hepatitis C

“This is the first documented report of patient-to-patient transmission of hepatitis C virus associated with a dental setting in the United States,” Dr. Kristy Bradley said.  It could have been the result of contaminated dental instruments or cross-contamination from reused needles or syringes, among other possibilities.

Hepatitis C

State health inspectors shut down Harrington’s clinic March 28 after finding unsanitary conditions. A 17-count complaint filed by the state called Harrington a “menace to the public health.” The complaint said officials found rusty instruments, potentially contaminated drug vials and improper use of a machine designed to sterilize tools at Harrington’s two Tulsa-area offices.

Hepatitis C

Health officials urged tests for 7,000 of Harrington’s patients to determine whether they had contracted an infectious disease. Of 4,202 tested at state clinics, 89 tested positive for hepatitis C, five for hepatitis B and four for the virus that causes AIDS. In only one instance was it proven that the virus was contracted at a clinic, health officials said.

Hepatitis C

Harrington had been a dentist for 36 years before voluntarily giving up his license March 20. He faces a January hearing before the state’s dental board. Earlier this month, seven of Harrington’s patients filed a class-action lawsuit in Tulsa naming the doctor, his corporation, his medical staff and several pharmaceutical companies as defendants.

Hepatitis C

Five of the seven plaintiffs said in the lawsuit they had been diagnosed with an infectious disease due to the actions of Harrington and the others. The former patients also said they are at risk of contracting blood-borne pathogens. “Plaintiffs are informed and believe that they were exposed to contaminated propofol vials and/or equipment not effectively sterilized by autoclave components, at the dental clinics which resulted in plaintiffs contracting infectious diseases,” the lawsuit stated.

Hepatitis C

The public alert began after a patient of Harrington’s initially tested positive for HIV in a screening at a third-party provider. Once infected with hepatitis C, roughly eight in 10 people remain infected for life, according to the CDC. But it can take many years for symptoms to develop  from hepatitis C, and many of those carrying the virus don’t know they’re infected.


 

Friday, September 20, 2013


CDC announces ‘Superbugs’ are urgent threat

 

The CDC reported urgent health threats from three superbugs: antibiotic-resistant gonorrhea, a diarrhea-causing superbug and a class of fast-growing killer bacteria. All three  were classified as urgent public health threats in the US. The CDC released a new report stating that at least 2 million people in the US develop serious bacterial infections that are resistant to one or more antibiotics each year and at least 23,000 die from the infection. Overprescribing of antibiotics is the main cause of antibiotic resistance.  The urgent threats are resistant gonorrhea, c-diff., and  carbapenem-resistant Enterobacteriaceae, or CRE.

Urgent threat not just in the US

Last March, the chief medical officer for England said antibiotic resistance is a “catastrophic health threat.” Also, last year, the World Health Organization published a report saying that the ‘superbug’ strain of gonorrhea has spread to several European countries.

Urgent threat

According to previous reports, CRE accounts for 9,300 healthcare-associated infections yearly. The two most common types of CRE account for 600 deaths a year. There has been an increase from presence in  1 state to 38 states in the last decade.

Urgent threat

C-diff. which causes life-threatening diarrhea, can spread on hospital equipment or the hands of healthcare workers and visitors. C-diff is not killed by the alcohol gel in the patients rooms,  you must use soap and water. The use of antibiotics kills the protective bacteria in the stomach, allowing c-diff to flourish.  According to reports, c-diff causes 250,000 infections and kills 14,000 people in the US each year and adds $1 billion in excess medical costs a year.

Urgent threat

The drug resistant gonorrhea causes 246,000 US cases each year. Gonorrhea is especially troubling because it is easily spread, and infections are easily missed. In the US, there are approximately 300,000 cases, but because people have no symptoms, the CDC estimates the number closer to 820,000. If left untreated, it can lead to pelvic inflammatory disease, stillbirths, ectopic pregnancy, infertility in men  and women and severe eye infections in babies.

Urgent threat

These infections are believed to be a looming public-health crisis.

 

 


 

Wednesday, September 4, 2013


Molly

Molly, a form of Ecstasy, is being linked to multiple overdoses and deaths. Two deaths were reported due to the use of Molly at a New York City dance festival this weekend, forcing the event to end early.

Molly

The event was shut down after the deaths of two young people. Police are reporting that 20-year-old Olivia Rotondo and 23-year-old Jeffery Russ died after taking Molly. Four others are in critical condition. Molly, short for molecule, is supposed to be the purest form of MDMA, the main ingredient in Ecstasy.

Molly

ABC reports that , “It raises your body temperature, your heart rate goes up, your blood pressure goes up, and so it  make you more prone to heat stroke.”

Molly

Molly has been popping up more frequently , especially in music. At a concert last year, Madonna was caught on tape asking the crowd, “How many of you have seen Molly?” although she later said she was referring to a friend’s song. Additionally, hit songs from artists, including Kanye West and Miley Cyrus, reference the drug.

Molly

Officials warn that despite the innocent sounding name, Molly is a dangerous drug. “It could have other amphetamines in it, which cause the overdose.

Some law enforcement officials also said Molly is so dangerous because the people who take it tend to be recreational users and so they are more naïve about its dangers.

Thursday, August 29, 2013


WW II hero

Delbert “Shorty” Belton,   a World War ll veteran  was beaten to death outside his favorite hangout : the Eagles Lodge in Spokane Washington. He was 88 years old and beaten to death by two black youths.  Belton was found inside his car, unconscious with severe head injuries, according to the LA times.  Belton died Thursday after the beating.

WW ll hero

He was a PURLPE HEART recipient who lived through Okinawa, but was killed in his own neighborhood!    A spokesperson for the police department relates that it “does appear random”. It appears that he was assaulted in the parking lot and there was no indication that he would have known these people prior to the assault.  Mr. Belton loved to play pool at the Eagle Lodge.  He retired after working at Kaiser Aluminum Company for more than 30 years.  Candlelight vigils have been held and many kind words have been spoken about the man nicknamed Shorty.

‘A wonderful angel’

  He was well at home in Washington among his many friends, who affectionately called him “Shorty” because of his diminutive height. His daughter-in-law, Barbara Belton, told CNN’s Alina Machado that she couldn’t fathom the reason for and viciousness of the attack. “He didn’t drive a big fancy car. He didn’t didn’t dress in expensive clothes. He didn’t have a lot of money,” she said. “What did they think they were going to get from this man?”

WWll hero

Meanwhile, the veteran’s family is trying to make sense of his sudden death.

Barbara Belton — who broke the bad news to the victim’s 65-year-old son, William, who is suffering from cancer and happened to be in the hospital — said that “it didn’t seem real.”

She said: “It’s a terrible way to have to die.”

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Fast food workers strike

Workers from McDonalds, Burger King, Wendys and KFC are striking. They  are  wanting their employers to increase their minimum wage to $15/hour and allow them to form unions. Currently the average wage is bout $9/hour which is lower than the poverty level for families.

Strike

This is the largest strike  ever to hit the $200 billion dollar fast-food industry. It is estimated that thousands of workers are involved in the strike across 60 cities.

Strike

Strikes took place in Chicago, Denver, Boston ,  Houston, Los Angeles, Memphis and dozens of other cities.

A number of community leaders and local politicians joined the rally in New York City where  speeches  were given outside a McDonald’s near the Empire State Building.

Strike

The campaign, organized by a coalition of labor, community and clergy groups called Fast Food Forward, has been building momentum since last November. Retail workers from stores such as Macy’s,  Sears ,Walgreens and Victoria’s Secret also joined some of strikers, organizers said.

 

 

 

 

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Sunday, August 18, 2013


A Florida infant died after ingesting a laundry detergent pod.

A Florida infant dies after ingesting a laundry detergent pod. The mother who was staying at a battered women’s shelter “ put them in the laundry basket, on the bed where the child was sleeping.”  She stepped away for a brief moment  to talk to a staff member, and when she came back, the child was eating the laundry detergent packet. 911 was called and the child was rushed to the hospital where he died. The medical examiner said the toxicology report could take up to 12 weeks. It was reported that Florida loses 20 children each year to accidental poisoning.

Detergent pod

Dr. Cynthia Lewis-Younger, medical director of the Florida Poison Information Center of Tampa, said the pods became available in the US last year, and within weeks and months of them becoming available we began to get reports through the poison centers of children ending up in the hospital following exposure to the pods. From January 1- July 31 of this year there have been 5,732 exposures reported. Dy. Young reports that “that does not mean they  were all sick, it means they were exposed. ”

Detergent pods

Dr. Cathleen Clancy, associate medical director of the National Capital Poison Center, explains the dangers of the pods“They are double concentrated,” Clancy reported to ABC News. “They also have a very attractive packaging so the kids see them, touch them to their mouths, the surface coating dissolves as it is supposed to in the machine and then the insides are under a little pressure, especially if your gripping them with little toddler hands. “  “It squirts into your mouth, it’s very concentrated. You take a breath, some of it goes into your lungs, you start to cough, oxygen saturation goes down, you don’t have quite enough oxygen to your brain, you get lethargic, then you don’t breathe, then you throw up.”

Detergent pods

Dr. Lewis-Younger recommends that people not buy them that have children below the age of 5 in their home. However, if you’re going to buy them, “they need to be in a locked location, high.” She said if there is an exposure to call the Poison Control Center—the number is 800-222-1222.

Information received from ABC News

 

 

 

 

 

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Wednesday, August 14, 2013


CDC reports Stomach bug outbreak

Over 500 cases of infection with the cyclospora parasite in 16 states and New York City, with 30 patients hospitalized in five of those states have been reported.  Earlier in the week, the source of the outbreak in at least 2 states were traced to a Mexican farm that supplied salad mix to Olive Garden and Red Lobster restaurants.

The U.S. Food and Drug Administration announced on its website that illnesses in The CDC (Center for Disease Control and Nebraska and Iowa were traced to Taylor Farms de Mexico.  The FDA has been trying to determine whether the prepackaged salad mix was the source of infection in the other states also. It is not clear if all the outbreaks are from the same source at this time.  Taylor Farms CEO relates that their plants have an extensive water-testing program and all of their tests have been negative. Taylor noted that Taylor Farms de Mexico does not supply Olive Garden and Red Lobster in Texas, the state that now has the highest number of illnesses in the outbreak.

According to the CDC, 190 illnesses reports so far were reported in Texas, Iowa has had 153 and Nebraska has had 85. Prior outbreaks have been caused by tainted produce the agency reported.  Cases have now been reported in Arkansas, Connecticut, Florida, Georgia, Illinois, Iowa, Kansas, Louisiana, Minnesota, Missouri, Nebraska, New Jersey, New York, Ohio, Texas and Wisconsin.  An expert cited that even though it makes people very ill, it is not usually life-threatening.

CDC reports symptoms

It is unlikely to be fatal, but can make people miserable. Symptoms include cramping   abdominal pain, watery diarrhea, loss of appetite, bloating, nausea, fatigue, fever, headache, and body aches.  The diarrhea can last for days. It takes about a week for people who are infected to become sick.   cyclosporiasis are caused by a single-celled parasite and cannot be spread from person to person; it has to be ingested via contaminated water or foods such as fruit and vegetables, according to the CDC.

It is believed there are many more cases not reported as people would tend to think that it is just a common stomach bug. The CDC director encourages people who have diarrhea more than a couple of days to be checked for cyclospora. If not treated, symptoms can last from a few days to a month or longer, go away and then return later. It can be treated with the antibiotic Bactrim.

The safest way to protect yourself and family is to always rinse fresh produce under water, and even put vegetables in a cold water bath ahead of time to properly clean them.  Prepackaged salads should also be washed.

 

 

 

 

 

 

 

Monday, August 5, 2013


VA healthcare and the Affordable Care Act

The Affordable Care Act was created to expand affordable health care coverage to all Americans. It is intended to lower cost and improve quality. Under the law, people will have:

·         Health coverage that meets a minimum standard

·         Qualify for an exemption

·         Make a payment when filing their taxes if they have affordable options but remain uninsured

 

VA wants all Veterans to get health care that Improves their health and well-being

·         If you are enrolled in VA health care , you don’t need to take additional steps to meet the health care coverage standards,

·         The health care law does not change VA health benefits or Veterans out-of-pocket costs

·         If you are not enrolled in VA health care, you can apply at anytime

·         If you are enrolled in any VA programs below, you have coverage under the standards of heath care law:

·         Veteran’s health care program

·         Civilian Health and Medical Program (CHAMPVA)

·         Spina bifida health care program

What are the benefits of VA health care programs?

·         Medical care among the best in the U.S.

·         Immediate benefits of health care coverage. Veterans may apply at any time.

·         No enrollment fee, monthly premiums or deductibles. Most Veterans have no out-of-pocket costs. Some Veterans may have to pay small copayments for health care or prescription drugs.

·         More than 1400 places available to get care. This means that your coverage can go with you if you travel.

·         Freedom to use other plan with your VA health care including Medicare, Medicaid, TRICARE, or private insurance

·         You have met the new requirements to have health care coverage

You can apply for healthcare by visiting: www.va.gov/healthbenefits/enroll by calling 1-877-222 (VETS) 8387 or vising your local VA health care center.