VA Secretary Reminds Committee He Sought Investigation WASHINGTON, DC—A member of the House VA Committee has called on VA Secretary Denis McDonough...
News
New Research Finds Service Dogs Beneficial for Veterans With PTSD
The VA covers the veterinary care and the equipment costs of service dogs for veterans with physical disabilities such as blindness or vision impairment, but the use of service dogs for veterans with post-traumatic stress disorder (PTSD) and other mental health issues has remained controversial.
Current Issue
Olfactory Function Loss in GW Veterans Linked to Cognitive Deficits
A disorder related to military service in the 1991 Gulf War (GW), Gulf War illness (GWI)/Chronic Multisymptom Illness (CMI), includes symptoms such as fatigue, pain and cognitive dysfunction.
Advocates Warn VA’s Spinal Cord Injury Hub System Is In Danger of Collapse
The Spinal Cord Injury and Disorders (SCID) system, the hub-and-spoke model of care that VA uses to treat some of its most vulnerable veterans, is in danger of collapse, veterans’ advocates are telling lawmakers. According to them, the system is under-financed and understaffed, with patients being turned away because of the lack of resources.
Oncology
Real-World VA Study Shows Substantial Mortality Benefit From Lung Cancer Screening
Veterans who underwent VHA lung cancer screening were more likely to be diagnosed at an earlier stage and had higher cure rates than those who were not screened, according to a new observational study.
Exposure to Agent Orange Associated With Increased Prostate Cancer Risk
In veterans who were on active duty during the Vietnam War era, exposure to Agent Orange was associated with a small increase in the risk of developing prostate cancer, but not metastatic prostate cancer or fatal prostate cancer, according to a recent study.
Guideline Discordant Care Leads to Lower NSCLC Survival in AI/AN
American Indian/Alaska Native (AI/AN) patients have lower overall survival rates from non-small cell lung cancer (NSCLC), and at least part of the reason is that they are less likely to receive guideline-concordant care, according to a new study.
Editor-In-Chief, Chester “Trip” Buckenmaier III, MD, COL (ret.), MC, USA
I Will Well And Faithfully Discharge The Duties Of The Office On Which I Am About To Enter
I have sworn this oath several times throughout my military career, as did my wife and first daughter. A framed print of the oath of office adorned our living room for years. Often, when asked what I did for a living by a new acquaintance, I will state that I spent a career protecting and defending the United States Constitution. It is an occupation my family has been involved in for generations. Except for my family, nothing has been more fundamentally important to my identity and sense of purpose. Defense of our Constitution is the most important endeavor I have performed to protect my family, posterity and my country.
Is VA Avoiding Reporting Requirements in Supply Chain Modernization?
Lawmakers on both sides of the aisle are upset at VA for delays in providing Congress with information about its ongoing Supply Chain Modernization (SCM) project.
Huge Financial Impact From Lapses in, Misuse of VA Prime Vendor Program
A recent audit of VA’s Medical Surgical Prime Vendor Program (MSPV) found that lack of oversight of the system, which is meant to save VA money by better leveraging the department’s buying power, is costing VA hundreds of millions a year.
COVID-19 Complications Continue to Arise Three Years After Infection
The long-term effects of COVID-19 might last longer and manifest themselves later than was previously thought, according to a new study that followed patients for three years after their initial illness.
Recurrent Hyperkalemia Found to Be Higher in Black, Hispanic Veterans
In U.S. veterans with incident hyperkalemia, the risk of recurrent hyperkalemia within one year is higher in Black and Hispanic patients, according to a recent study.
Supplements Marketed to Military Contain Dangerous, Illegal Substances
Dietary supplements for weight loss are widely promoted online and through social media, with many claiming to have the added benefits of building lean muscle and enhancing energy and performance.
Real-World VA Study Shows Substantial Mortality Benefit From Lung Cancer Screening
Veterans who underwent VHA lung cancer screening were more likely to be diagnosed at an earlier stage and had higher cure rates than those who were not screened, according to a new observational study.
Exposure to Agent Orange Associated With Increased Prostate Cancer Risk
In veterans who were on active duty during the Vietnam War era, exposure to Agent Orange was associated with a small increase in the risk of developing prostate cancer, but not metastatic prostate cancer or fatal prostate cancer, according to a recent study.
Prospective Memory Deficits Explained in Multiple Sclerosis Patients
Patients with multiple sclerosis (MS) have been found to have prospective memory (PM) deficits. A new study sought to better understand how and why that occurs.
Veterans With MS Face Disparities in VA Smoking-Cessation Treatment
Even though smoking is a risk factor for multiple sclerosis (MS) development, symptom burden, decreased medication efficacy and increased disease-related mortality, veterans with the disease continue to smoke at critically high rates, according to a new study.
Why Does Epstein-Barr Lead to Multiple Sclerosis in Some Patients?
Only a small proportion of patients infected with the Epstein-Barr virus (EBV) develop multiple sclerosis (MS). A new military study sought to determine why that is and what the underlying mechanisms are.
In a Turnaround, Nearly All VA Hospitals Require Personnel to Get Flu Shots
In 2017, almost no healthcare personnel at VA hospitals reported in a survey that they had received mandatory influenza vaccinations. By 2021, almost all VA respondents said they had.
Processing of ICE Medical Claims by VA Sparks Controversy in Congress
The U.S. House of Representatives has approved an amendment to H.R. 8580, the Military Construction and Veterans Affairs, and Related Agencies Appropriations Act to prohibit the VA from processing claims for the Immigration and Customs Enforcement (ICE) Health Service Corps at the Department of Homeland Security.
Sacubitril/Valsartan Not Linked to Higher Dementia Rates in HF Patients
Could using the drug combination sacubitril/valsartan, an angiotensin receptor/neprilysin inhibitor, in heart failure patients increase their risk of cognitive impairment?
Influenza Associated With Coronary, Cerebrovascular Events in Older Veterans
Influenza is a significant contributor to coronary and cerebrovascular events in U.S. veterans and exacerbates underlying conditions, according to a new study.
Kidney Disease Defined by KDIGO Guidelines Riskier for Veterans With HF
Is chronic kidney disease (CKD) diagnosed based on a single estimated glomerular filtration rate measurement significantly different from that diagnosed using the Kidney Disease: Improving Global Outcomes (KDIGO) guideline?
Mutant HRAS-Driven BC Tumors More Linked to Skeletal Muscle Dysfunction
The quality of life for many breast cancer patients is affected by skeletal muscle dysfunction, which is estimated to appear in about 39% of cases.
Guideline Discordant Care Leads to Lower NSCLC Survival in AI/AN
American Indian/Alaska Native (AI/AN) patients have lower overall survival rates from non-small cell lung cancer (NSCLC), and at least part of the reason is that they are less likely to receive guideline-concordant care, according to a new study.
Red Flag Signs, Symptoms Could Mean Early-Onset Colorectal Cancer
Colorectal cancer is one of the most common cancers in the United States and worldwide, with about 4,000 cases diagnosed each year in the VA alone. While the rate of colorectal cancer among older individuals—who traditionally were at greatest risk—has decreased in recent years, the incidence in younger people has been increasing at an “alarming rate,” according to a recent study.
Using ‘Colon Age’ to Determine Cancer Screening for Veterans Younger Than 50
A new metric, so-called colon age, has been developed to help estimate the risk for early-onset colorectal cancer (EOCRC) in male veterans.
Sen. Elizabeth Warren’s Letter: Constituents Frustrated With VA Disability Exams
Veterans are reporting disability exam experiences with third-party contractors that are “inadequate and unprofessional,” and it has a leading Democratic senator asking what the VA plans to do about it.
Congress member Calls for McDonough Resignation Over Questionable Bonuses
VA Secretary Reminds Committee He Sought Investigation WASHINGTON, DC—A member of the House VA Committee has called on VA Secretary Denis McDonough to resign over the nearly $11 million in bonuses inappropriately paid to senior VA Central Office (VACO) officials....
New Research Finds Service Dogs Beneficial for Veterans With PTSD
The VA covers the veterinary care and the equipment costs of service dogs for veterans with physical disabilities such as blindness or vision impairment, but the use of service dogs for veterans with post-traumatic stress disorder (PTSD) and other mental health issues has remained controversial.
Fewer Deaths After Serious Illness in Veterans Treated With PARC Care Model
After a serious illness, veterans who received medical care via the Post-Acute Recovery Center (PARC) model experienced fewer deaths and more days outside of the hospital compared to those not treated with PARC, according to a recent study.
Critical OIG Report Raises Key Questions About VA’s Community Care Program
A recent VA Office of the Inspector General (OIG) audit has added more fuel to the argument around community care, finding that VA has provided little accountability over the third-party providers tasked with overseeing the department’s community care networks.
VA Seeks ‘Maintenance Budget’ After Record Growth in Enrollment, Hiring
While VA’s proposed budget represents a 10% increase from last year, it includes decreases in key areas like hiring and infrastructure.
Higher Risk of Dementia Found in Veterans With Housing Instability
Veterans who experience housing instability have an elevated risk of developing Alzheimer’s disease or a related dementia compared to those with stable housing, according to a recent study.
GOP Lawmakers Challenge Data That COVID-19 Vaccine Protected Troops
Recent data from DoD seems to confirm what researchers and physicians have been saying for years—that individuals who receive the COVID-19 vaccine are less likely to experience long-term health effects than those who do not.
Opposing Trends for Accidental Death Rates in Returning Soldiers
A longitudinal cohort study, published in the Annals of Epidemiology, determined if risk for accidental death overall, or the most common types of accidental deaths, varied over time in relation to when a soldier returned from a combat deployment.
Bright Light Therapy Remains Underused Within VA Healthcare System
Since the 1980s, when seasonal affective disorder was first identified, one of the first-line treatments has been Bright Light Therapy.
Emerging Chemical Threats Affect Eyes Differently, Require Special Care
As chemical agent exposure remains a threat to military servicemembers, it’s important to consider that each chemical agent affects the eye differently and requires appropriate treatment, according to a recent review article.
I Will Well And Faithfully Discharge The Duties Of The Office On Which I Am About To Enter
I have sworn this oath several times throughout my military career, as did my wife and first daughter. A framed print of the oath of office adorned our living room for years. Often, when asked what I did for a living by a new acquaintance, I will state that I spent a career protecting and defending the United States Constitution. It is an occupation my family has been involved in for generations. Except for my family, nothing has been more fundamentally important to my identity and sense of purpose. Defense of our Constitution is the most important endeavor I have performed to protect my family, posterity and my country.
Is VA Avoiding Reporting Requirements in Supply Chain Modernization?
Lawmakers on both sides of the aisle are upset at VA for delays in providing Congress with information about its ongoing Supply Chain Modernization (SCM) project.
Huge Financial Impact From Lapses in, Misuse of VA Prime Vendor Program
A recent audit of VA’s Medical Surgical Prime Vendor Program (MSPV) found that lack of oversight of the system, which is meant to save VA money by better leveraging the department’s buying power, is costing VA hundreds of millions a year.
COVID-19 Complications Continue to Arise Three Years After Infection
The long-term effects of COVID-19 might last longer and manifest themselves later than was previously thought, according to a new study that followed patients for three years after their initial illness.
Recurrent Hyperkalemia Found to Be Higher in Black, Hispanic Veterans
In U.S. veterans with incident hyperkalemia, the risk of recurrent hyperkalemia within one year is higher in Black and Hispanic patients, according to a recent study.
Supplements Marketed to Military Contain Dangerous, Illegal Substances
Dietary supplements for weight loss are widely promoted online and through social media, with many claiming to have the added benefits of building lean muscle and enhancing energy and performance.
Real-World VA Study Shows Substantial Mortality Benefit From Lung Cancer Screening
Veterans who underwent VHA lung cancer screening were more likely to be diagnosed at an earlier stage and had higher cure rates than those who were not screened, according to a new observational study.
Exposure to Agent Orange Associated With Increased Prostate Cancer Risk
In veterans who were on active duty during the Vietnam War era, exposure to Agent Orange was associated with a small increase in the risk of developing prostate cancer, but not metastatic prostate cancer or fatal prostate cancer, according to a recent study.
Prospective Memory Deficits Explained in Multiple Sclerosis Patients
Patients with multiple sclerosis (MS) have been found to have prospective memory (PM) deficits. A new study sought to better understand how and why that occurs.
Veterans With MS Face Disparities in VA Smoking-Cessation Treatment
Even though smoking is a risk factor for multiple sclerosis (MS) development, symptom burden, decreased medication efficacy and increased disease-related mortality, veterans with the disease continue to smoke at critically high rates, according to a new study.
Why Does Epstein-Barr Lead to Multiple Sclerosis in Some Patients?
Only a small proportion of patients infected with the Epstein-Barr virus (EBV) develop multiple sclerosis (MS). A new military study sought to determine why that is and what the underlying mechanisms are.
In a Turnaround, Nearly All VA Hospitals Require Personnel to Get Flu Shots
In 2017, almost no healthcare personnel at VA hospitals reported in a survey that they had received mandatory influenza vaccinations. By 2021, almost all VA respondents said they had.
Processing of ICE Medical Claims by VA Sparks Controversy in Congress
The U.S. House of Representatives has approved an amendment to H.R. 8580, the Military Construction and Veterans Affairs, and Related Agencies Appropriations Act to prohibit the VA from processing claims for the Immigration and Customs Enforcement (ICE) Health Service Corps at the Department of Homeland Security.
Sacubitril/Valsartan Not Linked to Higher Dementia Rates in HF Patients
Could using the drug combination sacubitril/valsartan, an angiotensin receptor/neprilysin inhibitor, in heart failure patients increase their risk of cognitive impairment?
Influenza Associated With Coronary, Cerebrovascular Events in Older Veterans
Influenza is a significant contributor to coronary and cerebrovascular events in U.S. veterans and exacerbates underlying conditions, according to a new study.
Kidney Disease Defined by KDIGO Guidelines Riskier for Veterans With HF
Is chronic kidney disease (CKD) diagnosed based on a single estimated glomerular filtration rate measurement significantly different from that diagnosed using the Kidney Disease: Improving Global Outcomes (KDIGO) guideline?
Mutant HRAS-Driven BC Tumors More Linked to Skeletal Muscle Dysfunction
The quality of life for many breast cancer patients is affected by skeletal muscle dysfunction, which is estimated to appear in about 39% of cases.
Guideline Discordant Care Leads to Lower NSCLC Survival in AI/AN
American Indian/Alaska Native (AI/AN) patients have lower overall survival rates from non-small cell lung cancer (NSCLC), and at least part of the reason is that they are less likely to receive guideline-concordant care, according to a new study.
Red Flag Signs, Symptoms Could Mean Early-Onset Colorectal Cancer
Colorectal cancer is one of the most common cancers in the United States and worldwide, with about 4,000 cases diagnosed each year in the VA alone. While the rate of colorectal cancer among older individuals—who traditionally were at greatest risk—has decreased in recent years, the incidence in younger people has been increasing at an “alarming rate,” according to a recent study.
Using ‘Colon Age’ to Determine Cancer Screening for Veterans Younger Than 50
A new metric, so-called colon age, has been developed to help estimate the risk for early-onset colorectal cancer (EOCRC) in male veterans.
Sen. Elizabeth Warren’s Letter: Constituents Frustrated With VA Disability Exams
Veterans are reporting disability exam experiences with third-party contractors that are “inadequate and unprofessional,” and it has a leading Democratic senator asking what the VA plans to do about it.
Skin Disorders Such as Atopic Dermatitis Can Have Extracutaneous Effects
Aging can lead to the development of cutaneous symptoms and disorders, and in many older adults the effects often are not limited to the skin, according to a new VA study.
Psychiatric, Health Factors Should Be Considered in Veterans With Cognitive Decline
While cognitive decline in older people often raises suspicion of early Alzheimer’s disease, a new VA study underscores the importance of considering how factors beyond Alzheimer’s—including post-traumatic stress disorder (PTSD), pain and sleep difficulties—might also impact cognition in older veterans.
More Than 14 million U.S. Adults on Statins Might Not Really Need Them
Equations that estimate 10-year risk of atherosclerotic cardiovascular disease (ASCVD) appear to have overestimated the number of U.S. adults eligible for primary prevention statin therapy, according to a new study.
Smaller Brainstem Volumes Found in Gulf War, Iraq/Afghanistan Veterans
Gulf War and Iraq/Afghanistan veterans have significantly smaller brainstem volumes compared to healthy civilians, and damage to the brainstem structure of these veterans could potentially lead to sleep disturbances and chronic pain, according to a recent study.
Ilem Advocates for Disabled Veterans for a Quarter Century
There’s a well-worn quote about how laws are like sausages, in that you should never either being made. In reality, the legislative process can be even messier, more laborious, and require even more hands in its construction.
Bladder, Kidney Cancer Rates Lower in Younger Servicemembers vs. Civilians
Younger military servicemembers have lower rates of bladder and kidney cancer than a similar civilian cohort, but that appears to change with age.
Many Veterans With Diabetic Kidney Disease Might Remain Undiagnosed
The authors of a new study suggested their findings might warrant a revision of diabetic kidney disease (DKD) patient identification and management in U.S. veterans.
Higher MIBC Rate but No More Mortality in Black Veterans vs. Whites
Black patients presented with the highest rates of de novo muscle-invasive bladder cancer (MIBC) at the VA, a new study has found.
Military Veterans With Sex Chromosome Aneuploidies Tend to Be Underdiagnosed
Men with sex chromosome aneuploidies, meaning they have an additional X or Y chromosome, successfully serve in the U.S. military, but they have been greatly underdiagnosed and have higher medical morbidity with aging, according to a recent study.
Is Chlorthalidone Better for Veterans With Past Cardiovascular Events?
Prior myocardial infarction or stroke should be taken into account when deciding to prescribe chlorthalidone (CTD) vs hydrochlorothiazide (HCTZ) in older patients with hypertension.
Survey Suggests MTF Employees Remain Unhappy With DoD’s New Genesis EHR
A recent survey of employees at military treatment facilities shows significant dissatisfaction with DoD’s new electronic health record system (EHR), which completed its 7-year rollout in March.
Iron Deficiency Independently Association With Heart Failure Development
What is the relationship of iron status with incident heart failure in community-dwelling older adults, without regard to their kidney function?
Propofol Is Impairment Risk Factor in Children With ALL
New research evaluated the effect of cumulative exposure to anesthesia on neurocognitive outcomes among a multicenter cohort of children with acute lymphocytic leukemia (ALL).
Almost 1 in 11 U.S. Military Casualties Received Warm Fresh Whole Blood
To help save lives, especially in battlefield situations, the U.S. military has frequently used a so-called walking blood bank to obtain warm, fresh whole blood (WFWB).
VA Has Low Rates of Preoperative Life-Sustaining Treatment Documentation
Surgery is a significant healthcare event that necessitates timely planning for goals of care (GOC), involving discussions about one’s current values, aspirations and treatment preferences.
Study Emphasizes Importance of β-cell Function Loss in T2D Progression
For the estimated 1 in 10 Americans—or 1 in 4 veterans—with Type 2 diabetes, keeping blood glucose levels in the near-normal range reduces the risk of complications such as heart, kidney and eye disease.
Diabetic CKD Progression Faster in Veterans Than General Population
Veterans with diabetic kidney disease have a faster rate of stage progression compared to patients in the general population, and more than half of veteran diabetic kidney disease patients progressed to an advanced stage or died within 5 years, according to a recent study.
Reducing the Number of PPI Prescriptions: Benefits and Potential Pitfalls
One of the most commonly prescribed classes of drugs, proton pump inhibitors (PPIs), reduces the risk of gastrointestinal bleeding in certain patients at increased risk. Most PPI prescriptions are written for other reasons, however. In fact, an estimated 25-70% of PPI users might not have an appropriate indication.
OIG Report Puts Spotlight on Questionable Bonuses to Top VA Executives
In September 2023, VA revealed that it had erroneously awarded $10.8 million in bonuses to 182 senior executives at its central office using retention provisions included in the PACT Act.
Risk of Dying from COVID-19 Remains Much Greater Than With Influenza
The risk of dying while hospitalized for COVID-19 might have decreased since the pandemic began, but SARS-CoV-2 still has a considerably higher mortality rates than seasonal influenza, according to a new VA study.