June 2013

Screening Guidelines Needed on Inadequate Bowel Prep

ANN ARBOR, MI — How does less-than-adequate bowel preparation for colonoscopy affect adenoma miss rates and future screening recommendations for average-risk patients? Researchers from the University of Michigan Health System and the Ann Arbor Veterans Affairs Healthcare System sought to… Read More

Study Finds Pain-Related Brain Anomalies in ‘Gulf War Illness’

WASHINGTON — Veterans suffering from “Gulf War Illness” appear to have anomalies in the bundles of nerve fibers that connect brain areas involved in the processing and perception of pain and fatigue — changes not seen in unaffected individuals. Researchers… Read More

Multiple TBIs, Chronic Pain Linked to Increased Risk of Military Suicides

By Brenda L. Mooney SALT LAKE CITY, UT – Two new studies may offer important clues as to why suicide rates are on the increase among military personnel and veterans. Servicemembers who suffer more than one mild traumatic brain injury… Read More

Improved Mental Healthcare Demanded After Four Deaths at Atlanta VAMC

By Annette M. Boyle ATLANTA — Multiple mental health-related deaths at the Atlanta VAMC have led to bipartisan demands from Congress that care and leadership issues be urgently resolved at the facility. In the wake of a patient death and… Read More

Military Sexual Assaults Increasing Despite DoD Efforts to Stem Tide

Alleged Wrongdoing by Assault Prevention Personnel ‘Sickening’ By Sandra Basu WASHINGTON — Despite DoD’s greater emphasis on preventing sexual assault, the prevalence of unwanted sexual contact among active duty troops increased to about 26,000 cases in 2012 compared with an… Read More

There is nothing so annoying as a good example

“There is nothing so annoying as a good example!!” — Mark Twain (1835-1910)I recently returned from my fellowship program’s annual medical mission to Vietnam. These missions are a highlight of our academic year, as they provide unique opportunities to practice… Read More

Advancing Veteran-Centric Diabetes Care in the Patient Aligned Care Team

VHA Innovations in Care By Leonard Pogach, MD, MBA, FACP, National Director of Medicine, Specialty Care Services, VHA, VACO Washington BACKGROUND The prevalence of diabetes in the U.S. population increased from 18.0 million (6.3%) in 2002 to 25.7 million (8.3%)… Read More

Sequestration Takes Toll on IHS Services – Funds Increase Requested for FY 2014

By Sandra Basu WASHINGTON — While the Obama administration recently introduced its proposed Fiscal Year 2014 budget, tribal advocates still have FY 2013 on their minds and are expressing worry about the impact that sequestration is having on healthcare funds… Read More

New Instruction on How DoD Providers Should Care for Sexual-Assault Victims

By Sandra Basu WASHINGTON — DoD has released updated procedures to improve response to sexual-assault and care for victims. The new DoD instruction includes an enclosure that provides guidance on medical management of victims of sexual assault to “ensure standardized,… Read More

Failure to Reassess Veterans’ Temporary Disability Ratings Means Millions in Overpayments by VA

By Sandra Basu WASHINGTON —With a potential billion dollars at stake, the VA is under fire for not addressing overpayments to veterans with temporary disability ratings whose conditions are not re-evaluated in a timely manner. At a hearing earlier this… Read More