extensive files on Vietnam variety of subjects, Units, equipment & AO

extensive files on Vietnam variety of subjects, Units, equipment & AO

> Thomas.Pilsch/Vietnam Files one of the largest data files available

Also see this one at TEX Tech

Vietnam files at Texas Tech

maybe this will help some Vietnam veterans or their children

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Gulf War vet faces brighter future

Gulf War vet faces brighter future

EMILY DENNIS
02 January 2009 11:42
http://new.edp24.co.uk/content/news/story.aspx?brand=EDPOnline&category=News&tBrand=edponline&tCategory=news&itemid=NOED02%20Jan%202009%2011%3A42%3A20%3A727

A Gulf war veteran who suffers from Parkinson's Disease is looking forward to a better 2009 with his family after undergoing a potentially life-threatening brain operation in a bid to give him a better quality of life.

Cliff Williams, 38, was the youngest person to have deep brain stimulation surgery at Addenbrooke's Hospital in Cambridge a few weeks ago.

The operation was fraught with risks and Mr Williams, from Attleborough, was delighted after neurosurgeons told him it had been a success.

He is now enjoying spending time with his wife Tracey and their four teenage children over the festive season.

The surgery involves the implanting of a medical device called a brain pacemaker which sends electrical impulses to specific parts of the brain. It does not cure the disease but can help manage some of its symptoms.

Mr Williams was serving in the Gulf as an engineer weapons technician in the RAF when he noticed a tremor in his hand. A year later he was diagnosed with Young Onset Parkinson's Disease, the same illness Hollywood actor Michael J Fox suffers from.

While medical experts are unable to provide answers as to how or why he got the progressive neurological disease, Mr Williams has blamed the anthrax injections and nerve agent pre-treatment he was given before deployment to protect him in the event of biological warfare.

After taking a daily cocktail of drugs to help keep his symptoms under control, he decided to have the operation in a bid for a better quality of life.

“The night before I didn't sleep at all,” he said. “But I am so pleased I went through with it and can now get on with my life.

“When the device was turned on I noticed an improvement immediately. The tremors stopped. It was an incredible and very weird feeling. So far my general, day-to-day handling of things is much easier, and walking is more comfortable now. The device can be adjusted as symptoms get worse and will hopefully give me 15 to 20 years without tremors.

“I was the youngest person to have the operation at Addenbrooke's and the quickest, leaving hospital in 48 hours. The team were fantastic. Now I can pretty much lead a normal life and I am positive about the future.”

Mr Williams has made contact with a man in Scotland called Bryn Williams who also suffers from the disease who is organising a series of sponsored walks to raise money for research. Cliff Williams will be taking part in one in East Anglia in August next year .

For more details visit www.wobblywilliams.com

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Vets fight for benefits

Vets fight for benefits

'We're combating an archaic VA system'

By Susan Morse
smorse@seacoastonline.com
January 04, 2009 6:00 AM
Retired Marine Staff Sgt. Ian LeJeune and others wounded in Iraq say they now are fighting a battle at home for veterans benefits.

The system penalizes veterans who are working and is overwhelmed by the large number of returning wounded, according to LeJeune, 30, of Brentwood.

If he had served in World War II or Korea and been wounded as severely as he was in Iraq, he said, he'd probably be dead. He would have at least undergone an amputation.

"World War I, World War II, Korea, if you got hurt, you got an amputation and that's it," LeJeune said. "Today an amputee gets a prosthetic limb and can be out running a marathon."

The system gives additional benefits to veterans who have lost a limb.

Getting benefits for post-traumatic stress, for losing flexibility, for being in the kind of shape in which you want to work but can't do what you once did — these are the kinds of injuries backlogging the system.

"We're combating an archaic VA system," said LeJeune, who has been in contact with the state's congressional delegation about his concerns.

Congress introduced a bill signed into law in December 2007 that increased veterans' funding to help reduce the 400,0000 backlogged claims and 177-day average wait, according to information from U.S. Rep. Carol Shea-Porter's office.

"It has become an adversarial system," said Shea-Porter. "It certainly isn't supposed to be that way. The frustration we're hearing is accurate. Congress is aware of it. Part of the problem is, we didn't have resources; we were forced to make these terrible unfair decisions."

LeJeune has been fighting to get his disability rating at 100 percent. It is now at 90 percent.

In February 2005, a 9-foot rocket slammed into the barracks where LeJeune was sleeping. The explosion threw him across the room, he said, and burned both legs. He knew he was in trouble, he said, when he saw a priest standing over him, praying.

LeJeune has undergone 18 surgeries. He has gone from using a wheelchair, to a walker and now a cane. His left Achilles tendon is severed, he wears a leg brace, and there are plates inside his left foot and right knee. Doctors put a spinal cord stimulator in his back to help with the pain in his legs. A wire leads to batteries, which he can signal to send a tingling sensation.

Prior to his injuries, LeJeune planned to stay in the Marines. He is instead retired and works full time at Global Relief Technologies at Pease Tradeport. Because he's working, he said, he can't collect 100 percent disabled veteran benefits.

"I wanted to go back to work; it was more of a mental, therapeutic process to keep myself busy. I didn't want to sit home and feel sorry for myself. I could have gotten 100 percent disability."

Even if he got 100 percent, he said, it wouldn't be enough to support his family of five.

A single veteran receiving 100 percent disability pay gets $2,673 a month, according to Sgt. John Worrall, 54, a retired chief petty officer in the Navy and a National Guard sergeant.

That's about $32,000 a year.

"Two-thousand seven hundred dollars a month total disability," Worrall said. "That ain't a lot to live on, (along with) Social Security. I used to make $85,000 a year on the job. I'll be fine because I've planned for retirement. My ability to make that kind of money is gone. What happens to these kids who never had a career? You're going to make them live on three grand a month?"

If a veteran receives a "housebound" rating, the benefit is $2,993, he said.

There are also additional benefits for traumatic injuries, such as amputation or blindness, at about $4,000 a month.

The VA has a combined rating table, so benefits can go to 160 percent.

Worrall, of Brentwood, was activated in the National Guard in 2003.

"While I was there, I was hit by a roadside bomb," he said, "a month after my 50th birthday."

It took him four tries with the VA to get permanent, 100-percent disability pay, he said. An advocate with Disabled America Veterans helped him.

He's now an unpaid but official ambassador for Traumatic Servicemembers Group Life Insurance. He pays $1 a month for the coverage.

"Most people don't even know it's there," he said.

He works as a liaison for disabled veterans.

"I think there's more of a logjam because there's an awful lot of it at one time. There are people putting in for false claims. If you stick with it and honestly believe you deserve them ..."

He is fighting his own battle for retirement pay. The Disabled Veterans Tax forces disabled military retirees to give up one dollar of their pension for every dollar of disability pay they receive.

"I've got 28 years in service, I'm also due a retirement. It's been 27 months and I haven't got it yet. It's a fight every step of the way. ... I do worry about the guys that won't fight."

LeJeune also spoke of the guys who have given up fighting the system. He got help from the VFW in getting his original 70 percent disability rating increased.

"Not just for me," he said. "There are a lot of other veterans out there. Their will may already be broken."

LeJeune is in contact with other disabled veterans. One is Brentwood Police Detective Randal Frotton who served with the National Guard.

Frotton was wounded by a roadside bomb in March 2004, two weeks after arriving in Iraq. He was treated overseas and came home a year later.

"I ended up one of the walking wounded," he said. "I'm like Ian. I'm not going to quit my job so I can sit on the couch and collect disability. That's what's hurting us the most. They look at it as, 'it can't be that bad if you're going to work.' My biggest, biggest problem with VA is, all ratings are done by flexibility."

Frotton was active prior to his injury. He did Tai Kwon Do and kick boxing.

"After injuries, I'm half as good, I can't do karate anymore. (The VA) considers me in range normal."

Frotton is more than 60 percent disabled, he said. He was denied traumatic life insurance.

A veteran who assists veterans with VA claims in Manchester spoke on condition her name not be used.

"I see a lot of them going back with a lot of traumatic brain injuries, post-traumatic stress disorder; those are two major issues with vets coming from Iraq and Afghanistan," she said. "Some are being discharged with personality disorders. These are considered pre-existing into combat. They don't get any benefits for that, for a psychiatric disorder. It's not fair, because they're serving in combat and coming back with a lot of issues."

Among the hardest issues, she said, is the paper trail.

"If not in (the) service medical record, it didn't happen," she said. "Now the veteran is left with coming up with proof of what happened to him."

LeJeune complained of spending much time at the VA Hospital in Manchester rather than using more local health services because he wants to make sure the system has his paper trail.

The Manchester VA hospital is not full service, he said. Veterans are forced to go to Massachusetts or Vermont.

New Hampshire is the only state without a full-service veterans hospital, said Shea-Porter, who said she is working to change that.

LeJeune has been in contact with Shea-Porter and with Sen. Judd Gregg's office. Politicians contacted him, he said, after he wrote an opinion piece for the Nov. 21 Hampton Union in which he spoke of his battle with the Department of Veterans Affairs to get a suitable disability rating.

"Some of them appear to be aggressively trying to help me," he said.

"Our office has been working with Sgt. LeJeune since 2006," said Laena Fallon, press secretary for Gregg. "We are helping him through the process, with case work to try to make sure the lines of communications with Veterans Affairs are clear."

Said LeJeune: "We're going to take care of these folks returning home. If I really, really wanted to push the envelope, I'd be at the hospital every day. How do I keep a full-time job and do that? And the hours, they don't cater to people who work. I've been through so much, why should I have to fight? It would be so nice if my fight were over. There's power in numbers
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"I think there's more of a logjam because there's an awful lot of it at one time. There are people putting in for false claims. If you stick with it and honestly believe you deserve them ..."

Excuse me "false claims" who gave you the idea veterans are putting in for "fake claims" and the idea that the VA is only 400,000 claims behind is ludicrous they are 800,000 behind my claim is in it's 7th year of appeals my first BVA hearing is on Feb 4, 2009, the last time Senator Craig and Congressmen Buyer tried selling "its the fake claims and fraud" about 3-4 years ago they learned the claims that were reviewed were not fraud from veterans the problems were VA employees not properly documenting the files, the "fake claims rates are less than 2%" the problem is the VARO itself, not your fellow veterans, many die waiting for adjudication.

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Tricare deputy gives system ‘C+ or B-’

Tricare deputy gives system ‘C+ or B-’

By Tom Philpott, Special to Stars and Stripes
Pacific edition, Saturday, December 27, 2008
Too many beneficiaries of the military direct-care health system still can’t get timely appointments, or reach doctors after hours, or establish a close family-doctor relationship with a single military physician or group.

For these reasons and more , Army Maj. Gen. (Dr.) Elder Granger, deputy director of TRICARE and a principal advisor within the Department of Defense on health policy and performance, gave the military health system an overall grade of “C plus or B minus” in an interview with Military Update.

In the first half of our 45-minute phone interview, Granger reviewed steps being taken to improve health care and customer satisfaction. In the final half, pressed to explain the overall grade he give the system, Granger expressed frustration over the hurdles many beneficiaries still must clear, particularly to use military treatment facilities versus TRICARE’s expanding network of civilian providers. In fiscal 2008, the number of civilian providers accepting TRICARE patients grew by 115,000 to reach 1.1 million nationwide.

Users of military hospital and clinics, he said, too often face telephone busy signals in trying to make appointments. He wants more consistency in administrative support, from how phones are answered to how appointments are booked, from how providers are reached after hours to how health readiness is tracked and preventive care services are offered.

“How do you get to your primary care provider after hours? That’s a challenge we continue to work,” Granger said. “That’s why I’m being honest about this C+ or B-.”

There is uneven support online in the system, and improvements needed with electronic records, Granger said. He wants more emphasis too on disease prevention and measuring performance among health providers

How does a patient reach a military physician after hours?

“Well, it varies,” Granger explained. “Some places will say ‘Go to the emergency room.’ Some will say, ‘Call this number.’ Some will say ‘Call the hospital and get the administrative officer of the day.’ It’s not a consistent process. Yet our policy says we must take care of you 7-24-365. That’s why I’m being a little hard on us because we’ve got to get that under control.”

Every year more beneficiaries migrate from base hospitals and clinics to networks of civilian physicians under contract to TRICARE. The migration is seen in enrollments figures for TRICARE Prime, the managed care option. Since October 2003, the number of enrollees with civilian doctors has doubled, from 600,000 to 1.2 million while enrollees in military direct care have fallen by roughly 300,000 to stand below 3 million.

Patient workloads show a sharper drop. The number of inpatients in military hospitals in 2008 was 30,000 below the 2003 total, even as the beneficiary population grew, yet the number of military beneficiaries with stays in civilian hospitals rose by 80,000.

Walk-in visits to military facilities in 2008 were a million down from the 30 million reported in 2003. Meanwhile, military patient visits to civilian contract doctor climbed from 24 million in ’03 to nearly 40 million in ’08.

Various reasons are cited for the shift: base closures; downsizing (“right-sizing”) of Air Force facilities; wartime deployments of medical staff; overall growth in number of beneficiaries; a priority for wounded warrior care in military facilities. Granger suggested that more light also must be shed on how beneficiaries judge the performance of their health care system.

“If you look at the [Department of Veterans Affairs], they are very transparent about their quality. We have to be more transparent about our quality and outcomes,” he said.

As deputy director of the TRICARE Management Activity in Falls Church, Va., Granger, 55, leads a staff of 1800 in planning, budgeting and executing an $18 billion-a-year defense health program. He is responsible for ensuring access to quality healthcare for 9.2 million beneficiaries.

Granger said his boss, Dr. S. Ward Casscells, assistant secretary of defense for health affairs, also has been pushing for greater transparency. President Bush has too, signing an August 2006 executive order promoting quality and efficiency in federal health care programs through greater use of information technology and greater transparency on care quality and price.

Every year the Department of Defense conducts a Health Care Survey of DoD Beneficiaries, asking more than 200,000 users to report on the quality of their experience in the military health system. The results haven’t received much public attention but Granger’s staff noted the website where they are posted: http://tricare.mil/survey/hcsurvey/2008/html/index.htm

They show the military system falls below most “benchmarks” of beneficiary satisfaction from surveys of healthcare users across America. As expected the satisfaction gap is wider for military direct care than for users of TRICARE’s civilian networks. For example, the nationwide benchmark is 77 percent satisfaction with getting care quickly. For military beneficiaries who see military doctors, the comparable figure for quick care is 61 percent. It is 74 percent for military patients using TRICARE civilian doctors.

Likewise, the nationwide benchmark is 90 percent satisfaction with how well doctors communicate. For military beneficiaries who see military docs, satisfaction with communication is 83 percent. Patients of TRICARE civilian docs give an average score 89 percent, near to the benchmark.

The steady shift of patients away from military direct care is worrisome, Granger said, “because the backbone of our medical readiness is what we do within our military health care system and [by] sending our providers and nurses to the civilian sector to get training. That is…our go-to-war, support-the-war fighter readiness piece. So yes, I’m concerned.”

To comment, e-mail milupdate@aol.com, write to Military Update, P.O. Box 231111, Centreville, VA, 20120-1111 or visit: militaryupdate.com

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Military Struggles With Response To PTSD

Military Struggles With Response To PTSD

(CBS) The Pentagon says 1 in 5 service members who come home from Iraq or Afghanistan suffer from post-traumatic stress.

Some find their experiences too much to bear. There were 115 military suicides last year, and 93 through just August of this year.

The biggest obstacle to getting those numbers down may be the military culture itself, reports CBS News correspondent Kimberly Dozier.

First Sergeant Jeff McKinney was a model soldier, a newlywed, and a new father.

Now, his family says, he's a casualty of war. Two wars really: the war in Iraq, where he served honorably, and the war within the military over how to deal with post-traumatic stress disorder.

On July 11, 2007, McKinney, serving on his second tour, killed himself in front of his men. He had endured months of sleeplessness, nightmares and guilt over losing so many of the soldiers he commanded.

"I think he felt like he couldn't send one more broken body home, one more dead person home," Jeff McKinney's father, Charles McKinney, said.

McKinney's personal battle mirrors the war within the U.S. Army, between those who call combat stress a killer, and those who call it an excuse.

In McKinney's case, there had been troubling signs, but he hadn't been taking the medication given to help him cope -- and his captain feared taking him off duty would destroy his career.

Commanders like First Sergeant McKinney are often the hardest to convince they need help.

"We've got a rough and tough, sort of macho culture that says none of that soft squishy touchy feely stuff," said Brigadeer General Loree Sutton, director of the military's Center for Psychological Health and Traumatic Brain Injury. "Well, we need to bring the brain out of what has been a black box."

But that's fighting Army tradition.

Commanders at one army base posted a fake "Hurt Feelings Report" -- portraying a crying cartoon face -- to mock soldiers seeking help for combat stress. Selections on the form included: "I am a crybaby," "I want my mommy" and "All of the above." It was tacked on the barracks bulletin board, next to the sign-up sheet, for the mental health clinic.

Sutton says the military's challenge is to teach soldiers - and commanders - that the nightmares or flashbacks aren't signs of weakness.

"It's about starting a different dialogue, giving folks permission to talk," she said.

The military is testing promising pilot programs.

Instructor and former Army ranger Steve Robinson, who runs OneFreedom.org says it's about training the brain to cope with traumatic memories: "Teaching soldiers skills like visualization, event resolution, breath work, quiet time so they can process what happened."

But for First Sergeant McKinney, there were no such tools to cope. His wife says she knows what she'll tell her son.

"He needed help and nobody helped him," Chrissy McKinney said. "And that's the reason why he died."

But, she said, "He died a hero."

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Commanders at one army base posted a fake "Hurt Feelings Report" -- portraying a crying cartoon face -- to mock soldiers seeking help for combat stress. Selections on the form included: "I am a crybaby," "I want my mommy" and "All of the above." It was tacked on the barracks bulletin board, next to the sign-up sheet, for the mental health clinic.

Whichever unit this was done in, I hope the Chain of Command from the Platoon Sergeant, Platoon Leader, the Company 1SG and the Company Commander were all relieved, they should be held accountable, mental health is a very serious problem.

Yes, I am 100% PTSD and I was also a SSG 11B3M and served during Vietnam and Desert Storm and I waited for more than 3 decades before I admitted I HAD a problem, before that I did like the Army taught me "suck it up" "drive on" etc, BS, people need help and they maybe won't destroy their lives they way I did. The only thing about not seeking help, is you are not being a man by hiding your problems, and a bottle and all the pills in the world are not going to stop the demons.

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Wounded veterans battle for treatment at home

Wounded veterans battle for treatment at home

By BYRON HARRIS / WFAA-TV


Video December 31st, 2008Byron Harris reports. View larger E-mail clip More video Search Video:
For tens of thousands of American families, the holidays this year are not the same as they were five years ago.

They are the families of men and women wounded in Iraq and Afghanistan.

For many, when the war ended for their military loved ones, it only began again when they came home.

Painfully, families are learning that it’s up to them to support the former warriors, and to wrestle with the system to get the benefits their loved ones deserve.

Jeffrey Taggart of The Colony fought in Iraq.

Now his parents are fighting the war’s aftermath in their home. Sitting at a kitchen counter with a stack of paperwork in front of her, Jeffrey’s mom sums up her frustration.

“It’s totally, totally wrong,” she says. “I think it’s time that someone woke up and realized the way vets are being treated today. And the harassment that they’re being given.”

Jeffrey is a compact man, now who now sports a red goatee since his discharge from the Army two years ago. His wounds are physical and financial: a traumatic brain injury, a stroke, the consuming terror of post traumatic stress disorder, and just trying to get by.

He says society doesn’t have a clue of what wounded veterans are going through. “They worry more about saving the banks and the big three unions,” he says, “than saving soldiers that are suffering."

Jeffrey was a medic during his six years in the Army. He served a year in Iraq, and potentially more stressful as a medic, nearly two years at Landstuhl Medical Center in Germany, where the most severely injured servicemen and women from Iraq and Afghanistan are brought for treatment.

In Iraq, Taggart was usually the first on the scene after a mortar strike, firefight, or roadside bomb, trying to keep his comrades alive. Tough duty. But Landstuhl, he says, was worse. “The first time I walked into and ICU room and saw one of my former medics as a double amputee with an open head injury, I went weak in the knees and passed out,” he says. “No words can describe how that feels.”

It was a roadside bomb, northeast of Baghdad, that blew Taggart from the hatch of his armored personnel carrier. When he hit the ground a hundred feet away, he suffered a traumatic brain injury, VA doctors say. That led to a small stroke. The post traumatic stress disorder came from all he saw in the war’s aftermath. Thirty per cent of all people who experience combat suffer from PTSD, according to the National Institute of Mental Health.

Taggart experiences survivor’s guilt, fear of crowds, depression and withdrawal. In months past, he’s had bouts of alcohol abuse. At age 29, the paralytic mental state has forced him to move into his parents’ home. He’s been able to hold one job—for three months—since his discharge.

He’s not pleased to have to live with his parents, but with his disability check from the Veterans Administration amounting to just $500 a month, he has little choice. He takes 16 prescription drugs just to function. But in 36 months, the VA will cease supplying them, unless he can convince the VA to increase his disability rating. Although the agency agrees that he has PTSD, it says he must prove that his traumatic head injury and stroke were caused by combat.

All this makes even sleep a chore for Taggart. “I have an honest fear of dreams,” he says.

“It’s been a living hell,” says his dad Jeff. “There have been some mornings that we’ve been afraid to open his bedroom door for fear that he’d hurt himself.”

Mary Taggart, Jeffrey’s mother, helps manage his paperwork. She was just notified by the VA that more paperwork is needed for the case, even though he’s applied four times. “If I’m reading this crap coming in the mail,” she says, "then I know there are many, many others. And it’s just time that somebody spoke up.”

A report by the Government Accountability Office this year says there are 392,000 pending appeals. The average takes 657 days, according to the GAO. Jeffrey Taggart’s has taken more than two years.

The Taggarts don’t expect their war to end soon.

E-mail bharris@wfaa.com.
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The average is 657 days mine will be over 6 years old when I go for my BVA hearing on Feb 4, 2009 I filed my claim in November 2002.

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A Blast from the Past

More Guinea Pigs Time Magazine Aug 4, 1975

Giving LSD to someone without his informed consent opens the door to the "ruthless modification of people's minds," declared Dr. Judd Marmor, president of the American Psychiatric Association, after he heard the circumstances of the suicide of Biochemist Frank Olson (TIME, July 21). Even if done for security reasons, added Marmor, such experiments as those conducted by the CIA are unethical.


America’s Medicated Army

Last week similar experiments, all done on the ground of national security, came to light at a Pentagon news conference held by Dr. Van M. Sim, chief of medical research at Maryland's Edgewood Arsenal. For twelve years beginning in 1955, affirmed Sim, the Army, as part of a chemical-warfare testing program, gave LSD to 585 men. Later in the week the Army revealed that another group of 2,490 volunteers were given other hallucinogens, and in some cases BZ, a temporarily incapacitating gas.

What are the symptoms displayed by someone under the influence of these substances? Would the drugs help break down a person's defenses during interrogation? These were some of the questions the early experimenters sought to answer. As for LSD, the Army found it too "unpredictable" and "unreliable" for wartime use. No conclusions about the other tests have been revealed.

No Suicides. It was no secret that the Army had tested drugs on G.I.s. What interested reporters at the press conference was the clarification of the ground rules for the LSD experiments. After psychological and physical screening, the soldiers, all volunteers, were told they would be given a chemical that might influence their behavior—but not what it was. Said Sim: "You are prejudicing the experiment by leading them into suggestive thoughts about it."

As a reward for their participation in the program, the soldiers were given three-day passes. There had been no suicides after the tests, said Sun, although he admitted that only 10% of the subjects had been given follow-up interviews or questionnaires.

Were the soldiers ever told exactly what they had been exposed to? No, the Army admitted. But anyone who thinks he was involved in the experiments can find out now by phoning the U.S. Army's Medical Research and Development Command. The number, says the Army helpfully, is 202-693-8065.

The Army is still conducting tests with hallucinogenic drugs and with alcohol—but only on animals. It has requested permission from the Surgeon General to do similar experiments again on humans, which Sim defends as "very important" to national security.
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To my knowledge they never again allowed soldiers to be used in these type of experiments, I knew DR Van Sim and Fred Siddell I was at Edgewood Arsenal in the summer of 1974 the last summer of "fun" in 1975. The Department of the Army IG released a report on human experimentation, and the Sec of the Army ordered all human experimentation stopped at all Army facilities, in 1976 President Ford signed laws banning human experimentation by all government agencies and President Carter signed more. Yet to this date the VA is still using veterans in human experiments, yes they get permission, but are they really explaining the possible long term effects, 100 veterans are being used in Ecstacy experiments for the treatment of PTSD in Charleston SC and then the VA is using Chantix for PTSD and to stop smoking, we are always expendable. Nothing ever changes...just the names

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