February 2014

Building the VA Healthcare System of the Future

By Robert A. Petzel, M.D., Under Secretary for Health, Department of Veterans Affairs The Affordable Care Act has ushered in a new era of choice in healthcare coverage for many Americans, including the men and women who’ve served our nation… Read More

VHA Seeks to Expand Telepharmacy’s Reach in 2014

By Sandra Calenda, PharmD, CACP; Chasitie Levesque, PharmD; Julie Groppi PharmD, CDE; Helen Kasimatis, PharmD; Donna Leslie, PharmD History of Telepharmacy The Veterans Health Administration (VHA), the largest integrated healthcare system in the United States, focuses on patient centered &… Read More

Military Sexual Assault Reforms Stop Short of Bypassing Command Structure

Military Sexual Assault Reforms Stop Short of Bypassing Command Structure

WASHINGTON — Signaling their disapproval of the state of sexual-assault prevention and prosecution in the military, lawmakers approved legislation containing more than 30 provisions or reforms to the Uniform Code of Military Justice aimed at addressing sexual assault in the military.

With New Apps, Counseling Clients Can Use Smartphones to Help Themselves

With New Apps, Counseling Clients Can Use Smartphones to Help Themselves

By Sandra Basu WASHINGTON —Helping patients learn to do diaphragmatic breathing as a way to control anxiety and anxious symptoms is much easier, thanks to technology. A mobile application, Breathe2Relax, has a self-contained tool to teach diaphragmatic breathing, David C.… Read More

Military Sleep Disorders Raise Diabetes Risk

SEATTLE — Insomnia and other sleep disorders plaguing military servicemembers and veterans could be an independent risk factor for developing diabetes, not just a symptom of depression or post-traumatic stress disorder (PTSD), according to a new study. The study, led… Read More

VA Study Finds Mortality Greater with Some Diabetes Drugs

SEATTLE — How do oral hypoglycemic medications for type 2 diabetes affect overall mortality? Concerned that few studies had been done on the drugs’ comparative safety, researchers from the VA Puget Sound Health Care System in Seattle sought to answer… Read More

Arthroplasty for Younger Diabetics Predicted to Increase

DENVER — A new VA study raises the specter of growing demand for joint arthroplasty by younger patients with diabetes. The report, based on research conducted at the VA Eastern Colorado Health Care System in Denver and the VA Medical… Read More

VA, Army Clinicians Rapidly Increase Prescribing of Novel Anticoagulants

VA, Army Clinicians Rapidly Increase Prescribing of Novel Anticoagulants

WASHINGTON — Use of novel anticoagulants has risen sharply both at the VA and in the Army in the last three years, freeing more atrial fibrillation patients from food restrictions and regular checks for coagulation time, as required when using warfarin.

Female Veterans Develop CVD Risk Factors at Younger Ages

Female Veterans Develop CVD Risk Factors at Younger Ages

By Annette M. Boyle BOSTON — During the past 15 years, female veterans have developed risk factors for cardiovascular disease (CVD) at ever-younger ages, challenging many providers’ concept of the population at risk for heart disease. “Historically, the focus in… Read More

Some of my finest hours have been spent on my back veranda...

Some of my finest hours have been spent on my back veranda…

“‎Some of my finest hours have been spent on my back veranda, smoking hemp and observing as far as my eye can see.” ― Thomas Jefferson (1743–1826) I am presently reading “Thomas Jefferson – The Art of Power” by Jon… Read More