25 Şubat 2013 Pazartesi

VA oncologist confirms C-123 dioxin "likely" cause of veteran's prostate cancer

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Today I received an official opinion on VA letterhead from my VA urology oncologist confirming in the words the VA itself hoped never to hear..."It is my opinion, based on the facts presented, your prostate cancer condition is likely related to (your) exposure to Agent Orange during your service." Thanks, Doctor! That's what I've been telling the VA myself!

What effect will this have on claims like mine? Probably it will be dismissed initially by the VA for some reason even though this physician is the Portland VA hospital director of urology oncology. But once the BVA has a chance to consider when my widow pursues our service connection claim before their more exact and less reactionary forum, it will yet another proof to be weighed in my favor.

Also received today a letter from my orthopedic surgeon in which my avascular necrosis in both hips is found to be likely caused by my C-123 Agent Orange exposure. That doctor, however, was far more "evasive" and wouldn't phrase the issue any more strongly so the VA might not weigh it too heavily.

I asked...but in both instances the doctors were uncomfortable writing letters addressing us as a body of veterans, and both instead would only comment on my case. However, I'm glad to copy anyone interested in the letters themselves.

Dermal Route of Dioxin Exposure Confirmed

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To better prevent qualified C-123 veterans' Agent Orange exposure claims, the VA's Public Health unit suggests that the skin of aviators is a near-perfect barrier to dioxin exposure. Thus, because the VA (but not science) suggests skin keeps dioxin from exposing us, we veterans were not exposed.

This is a concept new to science, and one valid only in the instance of the VA denying service our connection. Elsewhere in toxicology, dioxin exposure occurs via inhalation, ingestion...and dermal routes! Elsewhere in science, medicine, law and logic, and in the opinions of other federal agencies such as the NIH, CDC, EPA and DOD, C-123 veterans were exposed. But not according to the VA, because their mission is to prevent, not approve, Agent Orange exposure claims.

This article from the scientific publication "Organohalogen Compounds" was found in my own "C' file at the VA Regional Office, with a notation made "spraying in Vietnam resulted in absorbed TCDD on dust" which suggests somebody in the VA decided crews were exposed via inhalation, as well as dermal, routes.

The key part of the article is a simple sentence.."The available literature suggests that dermal uptake of dioxin in the workplace may be the primary source of occupational exposure."

The sentence directly refutes the VA's pretense that we were not exposed via skin contact with dioxin contaminated surfaces. But then, science is not a part of the VA's toolkit for preventing VA claims, is it?

VA CARES?

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Their Agent Orange booklet makes the claim "VA CARES."  They even broaden their scope to "and other Veterans Exposed to Agent Orange."

Well, that would be us, veterans exposed outside Vietnam because of our service aboard the contaminated C-123 transports during the years 1972-1982.

But no. I haven't met a single man or woman with the VA who cares about us, other than those giving us hands-on clinical care. Outside the wonderful staff in the hospitals and clinics, no care shown.

They are not like us.

Nice people? Probably...in fact, VA people are certainly very nice folks. But they are not like us. We were exposed to Agent Orange, not them. We proved our exposure, and in spades! They don't care. They know all they have to do is wait us out a few more years. And for some of us C-123 veterans, so very few years.

Waiting for an Air Force to die?

(ps...wrong airplane - a C-123 should be the one in silhouette, not that C-130B)

Vietnam Veterans of America - doing their job?

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Yes, they are indeed!

There has been some Internet chatter this weekend about the usefulness of the Vietnam Veterans of America - some folks feel VVA isn't doing enough for Guam, Blue Water Navy or other non-core VVA populations.

That's not my experience. Rather, VVA was the first to address our needs with their national resolution calling on DOD and VA to treat us right. VVA introduced us to effective allies in the Agent Orange community, without which much time would have been wasted. I have no complaints and each request for liaison or other support has been honored by their leadership.

My only concern is a local one here in Portland, Oregon. VVA lacks a service officer in the Portland VARO and instead utilizes dedicated volunteers elsewhere in the state. With my own claim, I felt I needed a local contact and went with another service organization (State of Oregon) only for that reason...I wish local VVA VSOs had been available as obviously the Vietnam Veterans of America has the expertise in Agent Orange issues.

Heck...some of the veterans' organizations in which I have life memberships, such as the Disabled American Veterans and the Paralyzed Veterans of America, never even answered multiple letters and phone calls asking for their leadership and assistance in our C-123 veterans' struggle. I get the feeling too much focus is on fundraising. Specific requests to PVA regarding help needed in Washington DC re: handicapped issues have been ignored. PVA even lost my appeals documents for my claim before the Air Force Board of Correction of Military Records when their staffer left the organization. This happened twice, then they told me they no longer represented members at the AFBCMA! Two years wasted. Yet, years ago, it was the PVA medical director, the late Dr. Bodenbender, who documented my Gulf War injuries for my initial VA claims.

From my experience, we have had all the assistance we could have hoped for from the Vietnam Veterans of America and the American Legion. We hope for a national resolution this summer from the Veterans of Foreign Wars. To all  veterans organizations dedicated to helping veterans stand up to the VA, our thanks. God bless!

Let's stop squabbling, okay?

Wes Carter, Chair, C-123 Veterans Association

Member, Vietnam Veterans of America, American Legion, Paralyzed Veterans of America, Disabled American Veterans, Veterans of Foreign Wars

USAF Internal Memo re: C-123 Agent Orange Study

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 Today I received from the excellent USAF Historical Research Agency their meager collection of C-123 Agent Orange documents. We had more USAF documents than did they! However, new to us is the cover memo which went out from the Assistant Surgeon General of the USAF in which he summarizes both the assignment given USAFSAM (USAF School of Aerospace Medicine) and the conclusions reached by his office.

The USAFSAM principal assignment: determine whether exposed veterans would benefit from notification. Notice...not determine whether we'd been exposed, just whether any good would come of notification. Well, duh. Three decades after we retired the C-123 fleet, it would be hard to imagine any benefit, however we could have benefitted back 1994, with strong warnings to reduce fat intake, watch PSAs, etc.

Important: USAFSAM in no way denies that veterans were exposed. Instead, describing any absence of data to determine how much exposure, they guessed  (in order to reach accord with the VA) that the exposure was somehow insufficient to cause harm. This conjecture of "insufficient" exposure is disputed head-on by other federal agencies such as the EPA, NIH and CDC, as well as leading scientists and physicians in the field, all of whom conclude veterans were exposed to significant amounts of dioxin, estimated at some amount between the Ranch Hand veterans and troops on the ground in Vietnam.
Further, the USAF states no conclusion could be reached about personal exposures, and then somehow also concludes that whatever exposure was, somehow, minor. How the heck was that conclusion reached? 
Then the zinger: "Given the absence of a clear finding of potential harm, we believe it unnecessary to relay such individual findings to persons whom had entered or worked on C-123s between 1972 and 1982, and whom may be unaware of this assessment."  I guess the USAF Surgeon General feels patient ignorance is always best, but in any civilian setting the failure to notify a toxin-exposed population of such a likely hazard would be criminal. The Surgeon General instead wants to help us avoid "undue distress!" Imagine a civilian employer deciding not to notify exposed employees to help them avoid undue distress...and perhaps, criminal charges and litegation. This kind of garbage screams out for Feres to be overturned!
Should we read the Assistant Surgeon General's memo as saying he wants to avoid distress to the VA which would have resulted from a more accurate USAFSAM report? Is it somehow helpful to veterans to avoid undue distress by leaving us helpless before the VA's refusal to permit our access to medical care for Agent Orange presumptive illnesses? He says there would not be a helpful recommended action...how about check one's PSA numbers, get into the Agent Orange Registry, and file claims with the VA. Instead, this USAFSAM report itself became the VA's cited authority for denying C-123 veterans' claims!
So...somehow this memo describes "an absence of a clear finding of potential harm" even though:1. "heavily contaminated on all surfaces" - USAF C-123 test results, conducted by qualified toxicologists2. "a danger to public health" per sworn testimony of USAF toxicologists3. aircraft all destroyed as toxic waste4. a decision not to notify that is somehow based on USAFSAM "inability to determine how much exposure" and avoidance of distress5. AF officials ordered all aircraft destroyed to prevent veterans learning of the contamination6. USAF Surgeon General in 2000 ordered HAZMAT protection for civilian workers, but not USAF aircrews7. CDC/ATSDR determination veterans were exposed to TCDD8. NIH determination C-123 veterans were exposed to TCDD9. EPA determination C-123 veterans were exposed to TCDD10. scientists and physicians determination veterans were exposed to TCDD11. key IOM experts (Birnbaum, Stellman, Schecter) determination veterans were exposed to TCDD
I doubt the Navy could have any torpedoes left, because the USAFSAM shot them all into us and torpedoed any chance our veterans had to get VA medical care!
Excuse me..I'm going to rest on the living room sofa, contemplate my cancer, heart disease, diabetes, hypertension, peripheral neuropathy, avascular necrosis and other dieases, and luxuriate in the Assistant Surgeon General's decision to help me "avoid distress."
---USAF Assistant Surgeon General Internal Memo re: C-123 Study---


/letterhead/
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS UNITED STATES AIR FORCEWASHINGTON DC

MEMORANDUM FOR: SEE DISTRIBUTION
FROM: HQ USAF/SG
1780 Air Force Pentagon, 4E114

Washington, DC 20330-1780
SUBJECT: Post Vietnam C-123 Aircraft Agent Orange Exposure

1 May 2012

In 2011, a representative for a group of post Vietnam veterans expressed concern that theveterans whom had worked with C-123 aircraft after the Vietnam War were exposed to AgentOrange and should receive veteran’s benefits for this exposure. He also suggested the UnitedStates Air Force (USAF) may need to notify potentially exposed persons. In response, the AirForce ordered an internal assessment of the matter to determine if any potentially exposed C-123persons would benefit from notification by the Air Force.
The attached consultative memorandum from the USAF School of Aerospace Medicine(USAFSAM) provides the results of an assessment of the currently discernible informationregarding human exposure to residuals of Agent Orange (or Herbicide Orange). The assessmentincludes a review from the period of 1972 through 1982, relative to the possible contact with C-123 aircraft used to spray Agent Orange during the Vietnam War. This assessment wasperformed at the request of the Air Force Surgeon General’s Assistant Surgeon General, HealthCare Operations. The request was made with the intent to ensure a review of all AF exposuredocumentation, quantify (if possible) the different human exposures (e.g. aircrew, maintainers,air evacuation patients, passengers, etc...), and enable a determination of whether or not the AirForce should contact previously exposed persons to inform them of a risk to their health.

As per the attached assessment, there was no relevant personal exposure or laboratorydata found. Area air samples were within recommended limits (then and present day) perOccupational Safety and Health Administration guidance. Swipe samples identified AgentOrange components, to include 2,3,7,8 Tetrachlorodibenzo-p-dioxin (TCDD). USAFSAMdetermined existing information is inadequate to accurately determine individual exposureconcentrations and quantities for the period in question. The assessment also concluded it isunlikely that the exposures experienced between 1972 and 1982 would have been sufficient tocause harm.
Upon review of the attached assessment and following discussion with Air Force subject matterexperts, it appears reasonable to conclude the exposures of concern were unlikely to have causedharm. Given the absence of a clear finding of potential harm, we believe it unnecessary to relaysuch individual findings to persons whom had entered or worked on C-123s between 1972 and
1982, and whom may be unaware of this assessment. Such a notification could cause unduedistress and would provide a limited benefit, as there would not be a recommended action.
Please direct any questions concerning this matter to my action officers, Col JamesBennion (MD, MPH) and Col Richard Ashworth (PhD) at 703-588-6435.
/signed/
Attachments:
1. Distribution List
2. USAFSAM Consultative Letter 

24 Şubat 2013 Pazar

History of the League's POW/MIA Flag

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In 1971, Mrs. Michael Hoff, an MIA wife and member of the National League of Families, recognized the need for a symbol of our POW/MIAs. Prompted by an article in the Jacksonville, Florida Times-Union, Mrs. Hoff contacted Norman Rivkees, Vice President of Annin & Company which had made a banner for the newest member of the United Nations, the People’s Republic of China, as a part of their policy to provide flags to all United Nations members states. Mrs. Hoff found Mr. Rivkees very sympathetic to the POW/MIA issue, and he, along with Annin’s advertising agency, designed a flag to represent our missing men. Following League approval, the flags were manufactured for distribution.

On March 9, 1989, an official League flag, which flew over the White House on 1988 National POW/MIA Recognition Day, was installed in the U.S. Capitol Rotunda as a result of legislation passed overwhelmingly during the 100th Congress. In a demonstration of bipartisan Congressional support, the leadership of both Houses hosted the installation ceremony.

The League’s POW/MIA flag is the only flag ever displayed in the U.S. Capitol Rotunda where it will stand as a powerful symbol of national commitment to America’s POW/MIAs until the fullest possible accounting has been achieved for U.S. personnel still missing and unaccounted for from the Vietnam War.
On August 10, 1990, the 101st Congress passed U.S. Public Law 101-355, which recognized the League’s POW/MIA flag and designated it "as the symbol of our Nation’s concern and commitment to resolving as fully as possible the fates of Americans still prisoner, missing and unaccounted for in Southeast Asia, thus ending the uncertainty for their families and the Nation".

The importance of the League’s POW/MIA flag lies in its continued visibility, a constant reminder of the plight of America’s POW/MIAs. Other than "Old Glory", the League’s POW/MIA flag is the only flag ever to fly over the White House, having been displayed in this place of honor on National POW/MIA Recognition Day since 1982. Passage by the 105th Congress of Section 1082 of the 1998 Defense Authorization Act requires that the League’s POW/MIA flag fly six days each year: Armed Forces Day, Memorial Day, Flag Day, Independence Day, National POW/MIA Recognition Day and Veterans Day. It must be displayed at the White House, the U.S. Capitol, the Departments of State, Defense and Veterans Affairs, headquarters of the Selective Service System, major military installations as designated by the Secretary of the Defense, all Federal cemeteries and all offices of the U.S. Postal Service. By law passed in 2002, it must fly year-round at the National Vietnam Veterans Memorial, the Korean War Veterans Memorial and the World War II Memorial.

Freedom Flight's POW / MIA Message From Above

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Jim Tuorila’s most memorable hot air balloon flight comes with a small bit of irony attached to one of its more prominent elements—altitude. The veteran balloon pilot and co-founder of Freedom Flight, Inc., a non-profit organization that raises awareness as well as hot air balloons, had flown hundreds of times. But when one of his passengers requested that he take his distinctive black balloon with the easily recognizable POW/MIA logo to 5,000 feet, Tuorila acquiesced with little enthusiasm.

“I don’t like to fly high,” he said, laughing. “I’m afraid of heights. I can’t lean over the side of a tall building and feel comfortable. I probably wouldn’t be flying this balloon if it weren’t for the issue.”

But the POW/MIA issue and the balloon are inseparable. The striking black craft with its three 30-foot high POW/MIA logos is like no other and is easily spotted even in a sky like Albuquerque’s in October, when mass ascensions at the Albuquerque International Hot Air Balloon Fiesta might number more than a thousand colorful balloons in all shapes and sizes gliding over the city.

Tuorila’s three guests that day came with special significance. So he opened up the balloon’s gas burners and the black craft rose into the air. His passengers were women married to men still listed as MIA from the Vietnam War. He doesn’t remember which one asked that he fly to 5,000 feet, but Tuorila has been a psychologist at a VA Medical Center in Minnesota for 20 years; he was curious to see what would happen when they reached that altitude. Balloon flights generally skim the earth, the better to see and be seen. At 5,000 feet, people on the ground are barely able to see the balloon. He couldn’t imagine why his passenger wanted to climb that high.

He said that the moment they reached the requested altitude will stay with him forever.

“We get up there and she says this is the altitude the military said her husband was at when he ejected from his plane over Vietnam,” he said. “She wanted to see what the world looked like when he ejected. It touched me so deeply that I’ll never forget that flight with those women.”

Freedom Flight, the POW/MIA Hot Air Balloon Team, has flown in more than seven hundred events since its first flight in November 1989. The non-profit now has three balloons that attend 35 to 45 events a year, staffed entirely by volunteers. The organization grew out of Tuorila’s vocation—psychology—and his avocation—hot air balloons.

In 1981, while attending graduate school at Texas Tech University in Lubbock, he worked with a group of World War II ex-POWs called the “Lost Battalion,” all of them survivors of more than three years in Japanese prison camps. That work inspired Tuorila to write his doctoral dissertation on the effects of captivity, especially regarding the work of Victor Frankl and his famous writings following his own imprisonment in Nazi concentration camps.

While doing his doctoral internship at the Topeka, Kansas, VA Medical Center, Tuorila and his wife volunteered to crew for a hot air balloon. When he went to work in Minnesota, they saw a balloon in flight one day and decided to volunteer again.

In 1987, he appeared on a local TV program to talk about the emotional difficulties families face when a loved one returns after years of captivity. On the program he met the daughter of a Navy pilot shot down and declared MIA. The daughter told him that the government story of her father’s disappearance was very much at odds with the story told by her father’s wingman, who made a point of finding the pilot’s family to tell them the true story of the incident.

By then, Tuorila and his wife were crewing on a balloon flown by a Vietnam veteran who had been encouraging him to set up a non-profit with an eye toward calling attention to the POW/MIA issue.

Then one day at work, his professional life and his weekend life coalesced.

“I told my co-therapist, ‘You know, I’ve been flying and working with balloons for five years now. What about a black POW/MIA balloon? What kind of attention would that get?’ “

The co-therapist and co-founder of Freedom Flight, Vietnam veteran Bill Nohner, thought it was a great idea. A year later, Freedom Flight, Inc., obtained status as a non-profit educational organization.

In 1989, the first flight went up. Its first passenger was Henry Sha, a World War II veteran and ex-POW who happened to stop his car when the balloon landed nearby. Invited onboard, he didn’t hesitate.

Now in its sixteenth year, Freedom Flight continues to attract attention, sometimes through a little luck. At the 2005 Albuquerque International Balloon Fiesta, Tuorila volunteered to give rides to the media. A Voice of America camera crew making a documentary on the balloon fiesta accepted his offer. When the crew members found out who they were flying with, a new angle for the documentary emerged.

“When they found out what we were doing with the balloon, I think the program changed to include Freedom Flight and everything we were doing,” Tuorila said.

The change was in keeping with how Tuorila describes the past sixteen years. “The reception we’ve gotten over the years make the hair on the back of my neck stand up,” Tuorila said. “It’s been incredible. I’ve had what I assume to be a Vietnam veteran come up, put $100 in my pocket and say, ‘Keep it up,’ then walk away. I’ve had family members of the missing come up to me with tears in their eyes. I’ve had ex-POWs come up and thank us. Everywhere we go, the reception has been positive and overwhelming, and that keeps us flying.”

For more information on Freedom Flight go to www.freedomflight.org or call Jim Tuorila at 320-252-7208.