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As to getting answers I wanted on the AFIP tissue vault over cataloging Gulf War tissue samples, DHSD stalled on us again. But, I handed Mike a stack of request letters from our organization asking they demand this from AFIP. It doesn't have to be different or unique, it can be just like the other tissue catalogs there. But, DHSD should pay AFIP for that cataloging effort - as per a request of Florabell Mullick of AFIP pathology that someone will have to pay for this. So far the VA RAC, WRIISC, IOM, and many others are unwilling as this drags beyond year 3 of this request. I did note that Mike had said that VA itself wasn't really interacting with his department on Gulf War I and II issues, and that the only ones approaching them had been VBA. Which I had a similar feeling have had VA Public Affairs stall us on the issues for the last 4 months, which conflicts with the public image. There isn't much coordination going on between these two, and it is becoming increasingly apparent. As to getting answers I wanted on the total names database of those that deployed to Iraqi Freedom, DHSD said they had not seen it yet. I professed this seemed odd that now with the war nearly over they didn't have any idea of where the names of these soldiers are, and how they will track them. So Mike promised me a response from the appropriate office at health Affairs. No doubt that will drag out over years as they stall on this one so that they can claim they somehow cant track these people. So Mike said that Embrey, Chu, and Winkenwerder were looking into this. As to getting answers I wanted on the computer software military medical record tracking system the medical core was issued during Iraqi Freedom - the only answers I got was this was 2 months from creation to implementation and then Barbara stopped Mike from finishing the rest of the statement. As to getting answers I wanted on the on CHPPM's tracking of environmental factors in this war, they could not give me a date as to any release of that data. I asked about DU, I asked about measures to protect the troops from the sand storms - i.e. silicosis. Mike recanted "Well what I saw was what was on TV, the troops wearing bandanna's over their faces during the storms". I discussed at length how the 50 mph winds could scour the destroyed vehicles, and make the microscopic DU airborne. That with tons of this powder in the region in the winds, and other heavy metals could be a respiratory issue for the troops. Mike said that detection was still upto the Baltimore DU team using the same 24 hour urine collection mass spectrometer procedures, provided it was requested. Well, it took me nearly three years to get this done for myself, and VA has terrible at making it happen for me. Hygiene will be the issue and these troops did not have proper protection form the environment as Venus and I had expected. It appears that with soldiers of Iraqi Freedom, they will end up with one on one meetings with DHSD staff rather than military town hall meetings like were done with Gulf War veterans from years ago. This is no doubt to avoid another incident like the infamous San Francisco town hall fiasco of shouting angry vets. With one on one meetings they can squelch any problems privately rather than dealing with them publicly. Another problem I see is the implementation of VAMC's helping with soldiers exit exams from this deployment. Right now many VAMC do not even have Persian Gulf Coordinators, but instead they have poorly trained staff doing duel positions - in many cases psyche personnel doubling as I / O / G coordinators working with C&P departments doubling as Persian Gulf Registry database personnel. With positions not filled and people improperly trained, soldiers military exit exams fall back on the willingness of each military units Company commander to push good exit exam procedures. In the end its up to the unversed and ill prepared soldier to cover his own butt - and they certainly do NOT know what to say to a physician when they maybe wanting to get out of the military in a rush. They pay later when they become ill, and didn't speak up earlier.
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