What responsibility does VA have for state veterans homes and the tsunami of COVID-19 infections and deaths that have swept through facilities nationwide?
Nursing Assistant Pleads Guilty to Insulin Deaths at Johnson VAMC
A VA nursing assistant has pleaded guilty to seven counts of second-degree murder and one count of assault with intent to commit murder in the deaths of eight veterans at the Louis A. Johnson VAMC.
With COVID-19 Cases Still Climbing, VA Seeks to Improve Telehealth
While the number of COVID-19 cases being actively treated at VA facilities declined, the total number of infections and deaths rose steadily in July and August.
VA Whistleblower Protection Office Takes Action in Only 2% of Its Cases
The Office of Accountability and Whistleblower Protection has followed through with only a small fraction of the cases it has investigated.
Most AFGE Survey Respondents Opined That VA Has Racism Problem
More than three-quarters of VA employees report that racism is a moderate to severe problem at VA facilities, according to a survey released by the American Federation of Government Employees.
APA Recommends Ongoing Use of Long-Acting Injectables for SMI
WASHINGTON — Even as VA facilities open up nationwide, administrators and others are keeping a wary eye on the possibility of a significant second wave of the COVID-19 pandemic in the fall. U.S. healthcare systems are preparing now for a sharp increase in cases in the...
Switch to Long-Acting Injectable Reduces VA Costs for Schizophrenia Care
Schizophrenia can be frightening and life-changing. Common symptoms such as disorganized thinking and speech, lack of expressive emotion, social withdrawal, neglect of self-care, hallucinations and delusions alienate individuals with schizophrenia from others and create barriers to day-to-day functioning in society.
Biomarker IDs Veterans at Risk of Poor Skin Cancer Prognosis
The neutrophil-to-lymphocyte ratio (NLR) biomarker is associated with systemic inflammation and poor prognosis in solid tumors.
Study Reveals Risks of Non-Dermatologists Treating Melanoma
Military personnel often have more exposure to sunlight, compared to their civilian counterparts, and that can increase their risk of melanoma.
Some IBD Patients Have Increased Skin Cancer Risk
Past research has cautioned about the risk of skin cancer with use of immunosuppressive medications. Yet, a new study pointed out, there is limited information on repeated basal cell cancer (BCC) occurrences among inflammatory bowel disease (IBD) patients, especially those who use immunosuppressive medications.
VA Pharmacists Advise on Use of Anticoagulation in Severe COVID-19 Cases
While reports in the literature are increasing about high rates of coagulopathy and venous thromboembolism (VTE) among hospitalized patients with coronavirus disease 2019 (COVID-19), there is little guidance on how to treat it or prevent it.
Dementia Rates Increased With Serious Mental Illness
Because VHA provides a continuum of care over the life course, the healthcare system has need to better understand what effect bipolar disorder and schizophrenia have on veterans’ risk of dementia.
Mild TBI Exacerbates Issues for Early Binge Drinkers
Does early adolescent binge drinking (BD) increases the risk for and/or severity of psychopathology in post-9/11 veterans, and how does mild traumatic brain injury (mTBI) affect the risk?
Most At-Risk Veterans Don’t Get Suicide Counseling
Despite all of the focus on preventing suicides in those who have served in the military, a significant proportion of veterans with suicidal ideation do not take advantage of available mental health treatment, according to a new study.
Robinson Empowers Pacific Islands Staff as New Healthcare Director
Adam M. Robinson Jr., MD, the newly minted director of the VA Pacific Islands Healthcare System, has a story about a three-legged stool. It’s one that he tells enough that his employees end up learning it by heart.
Army Researchers Wage War Against COVID-19 in the Laboratory
As the novel coronavirus has continued to spread throughout the United States, infecting more than six million and killing more than 185,000 people, the U.S. Army has been on the front lines in an effort to protect the nation’s health and security.
‘Happy Hypoxia’ Might Not Be Such a Mystery After All in COVID-19
Earlier in the COVID-19 pandemic, physicians were often baffled by patients who presented with extremely low levels of oxygen. Although oxygenation was so low it was potentially life-threatening in some cases, patients showed no obvious difficulty in breathing.
VA: Some of Its Sexual Harassment Issues Will Take Four Years to Resolve
WASHINGTON—According to a number of surveys and reports, VA has yet to adequately address the problem of sexual harassment of both employees and patients. In 2016, a Merit Systems Protection Board survey found that 22% of VA employees experienced workplace sexual...
Maher Seeks to Convince Women Veterans That VA Can Meet Their Needs
WASHINGTON—Currently, women make up 10% of U.S. veterans, and that percentage grows higher with each new generation of veterans. Yet, there has historically been in enrollment between men and women in VA services, and it has become more apparent as the number of women...
VA’s COVID-19 Cases Quadruple Between Early June, Late July
Number of Infected Employees Also Is Growing WASHINGTON—As the number of new coronavirus cases rose throughout the country, VA’s caseload grew as well, with the number of VA’s active COVID-19 cases more than quadrupling between the beginning of June and the end of...
Pandemic Puts Spotlight on Problems With VA’s Healthcare Supply Chain
WASHINGTON—The difficulties VA faced during the early weeks of the pandemic ensuring its facilities had an adequate supply of personal protective equipment (PPE) confirmed what agency officials have recognized for some time: The healthcare system’s supply chain system...
VA’s Hydroxychloroquine Stockpile Mainly Being Used for Chronic Disease
FDA Rescinds Drug’s Emergency Use for COVID-19 WASHINGTON—After months of controversy on the use of hydroxychloroquine as a treatment for severe COVID-19, the Food and Drug Administration rescinded the emergency use authorization (EUA) allowing physicians to...
VA Plans for the Unimaginable: A Natural Disaster During the Pandemic
WASHINGTON—Hurricane season officially began on June 1, and VA officials were asked by legislators to reassure the American public that the department was capable of dealing with another natural disaster while remaining on a pandemic footing. VA leaders expressed...
Rural Areas Present Challenges for Gathering Medication History
BIRMINGHAM, AL—Even more than other veterans, those in rural areas often see providers and obtain medications outside the VA system, in many cases because the closest VA facility might be distant from their home or they have a primary care provider in their community....
DoD Targets 8,000 Units of Convalescent Plasma in Battle Against COVID-19
FALLS CHURCH, VA—The DoD has committed to collecting more than 8,000 units of plasma from patients who have recovered from COVID-19 by September 30, 2020. The collection will enable researchers to better understand trends in antibody production in individuals who have...
TRICARE Changes in 2020 Seek to Lower Pharmacy Spending at DoD
The National Defense Authorization Act for fiscal year 2000 included a directive for the secretary of defense to establish an integrated pharmacy benefits. Since that time, the pharmacy benefit from TRICARE, the military’s healthcare program, has changed significantly, creating new benefits, strengthening the safety of the drugs it prescribes and having a direct impact on how patients manage their healthcare. Now, changes in copayments, enrollment fees, deductibles and catastrophic caps have been put into place this year in hopes of lowering pharmacy spending, which made up more than half the cost of military healthcare in 2018.
Vigilance at VA Community Living Centers in the Time of COVID-19
Editor’s note: The VA asked if U.S. Medicine could help disseminate important information on its response to the COVID-19 pandemic. Here is a discussion from some of the agency’s top leaders. By Carolyn Clancy, MD, Teresa Boyd, DO, and Scotte Hartronft, MD We believe...
Mortality, Amputation from Critical Limb Ischemia Declining at VA
IOWA CITY, IOWA — High rates of diabetes, obesity, smoking, and other risk factors elevate veterans’ risk of peripheral artery disease (PAD) and critical limb ischemia.
VA Trial Seeks to Determine if ADT Is Protective Against COVID-19 in Men
LOS ANGELES — That men tend to have worse outcomes with COVID-19 has been observed since the beginning of the novel coronavirus outbreak.
Sleep Apnea Increases Need for Opioids in Veterans
WEST HAVEN, CT — Does sleep disruption caused by obstructive sleep apnea lead to hyperalgesia and contribute to poor pain control and use of prescription opioids?
