Ironic that the VA is encouraging HIV/AIDS testing these days

It is a lit­tle bit funny — and cer­tainly not in the ‘ha ha’ way — that one of the top fea­tures on the Depart­ment of Vet­er­ans Affairs Web site touts reg­u­lar test­ing for HIV/AIDS test­ing. Make that down­right ironic.

Now more than ever would be a good time for some vet­er­ans to get tested, espe­cially if they are VA patients and espe­cially if they had den­tal treat­ment at the John Cochran VA hos­pi­tal in St. Louis. More than 1,800 patients received let­ters from the VA say­ing that ster­il­iza­tion of some den­tal equip­ment had not been up to stan­dards and could have cre­ated a “low risk for infection.”

This is not the first such break­down lead­ing to risk of dis­eases involv­ing the VA. In 2008, the VA reached out to more than 10,000 patients who might have been exposed to dis­eases such as Hepati­tis through “cross-contamination” of endo­scopes at three dif­fer­ent hos­pi­tals across the coun­try. The VA has also received a bevy of bad pub­lic­ity over the years because of issues such as sub­stan­dard care of elderly and with clean­li­ness prob­lems at sev­eral hospitals.

These are just a few of the many prob­lems the VA has had to deal with rang­ing from vet­er­ans ben­e­fits claims stack­ing up to long wait­ing times to see med­ical spe­cial­ists. It is hard to imag­ine the ones not reported. Many prob­lems, big and small, never see the light of day because so many of the VA patients are of that “great­est gen­er­a­tion” and some slightly younger whose  habit it is not to com­plain. “Things were screwed up in the Army,” some of these old timers think. “So it is sure to be screwed up in the VA.” And some­times, thing are really screwed up.

I have to say that I am dis­ap­pointed with retired Army Chief of Staff Gen. Eric Shenseki, the sec­re­tary of vet­er­ans affairs. I would have thought he would have brought some good ol’ Army butt-kicking with him to the cab­i­net post. Yet, I have seen no indi­ca­tion that the VA has vastly improved under his tenure.

I sure hope that changes before peo­ple start actu­ally catch­ing these dis­eases like HIV from behav­ior no more risky than going to the dentist.

Houston VA: MEDVAMC H1N1 AFT; Plus: Time for ‘Horns HC Muschamp?

A mem­o­ran­dum dated Jan. 4  from Adam C. Wal­mus, direc­tor of the Michael E. DeBakey Vet­er­ans Affairs Med­ical Cen­ter (MEDVAMC)  in Hous­ton, and e-mailed Jan. 8 by MEDVAMC spokes­woman  Bobbi Gruner announces vac­ci­na­tions are now avail­able for the 2009 H1N1 flu virus.

All I can say to this is reflected in one of the acronyms used in the head­line above, AFT. The acronym, pro­nounced in the pho­netic alpha­bet we used in the mil­i­tary, is pro­nounced “Alfa Fox­trot Tango.” I don’t know if that is a widely-used acronym but it’s one I chose to use of the ilk pop­u­lar­ized in the Stephen Coonts book and later movie “Flight of the Intruder.” That acronym was “Alfa Mike Fox­trot,” for “adios mother f***er.” I use the acronym “AFT” to mean “Alfa Fox­trot Tango,” to stand for “about f***ing time.”

I am sure there is an expla­na­tion why just now, in Jan­u­ary 2010, the H1N1 shots are now finally avail­able. The VA has known about the so-called “Swine Flu” for quite some time. A Hous­ton VA press release from Octo­ber noted:

“The H1N1 Flu is of con­cern to experts in the med­ical com­mu­nity because it is so new that very few peo­ple have any pro­tec­tion or “immu­nity” which means the virus may eas­ily find vul­ner­a­ble peo­ple to infect. As a result, it may spread rapidly to large num­bers of peo­ple. There­fore, health care facil­i­ties may find it dif­fi­cult to care for large num­bers of patients with severe illness.”

The Octo­ber release went on to say the hos­pi­tal had received 300 doses of the vac­cine and listed the pri­or­ity of those who should get the vac­cine. What they didn’t say was did the patients in those pri­or­ity groups actu­ally receive the shots? What do you want to bet that if I asked the Hous­ton VA who, in fact, received the 300 ini­tial doses I would be told that infor­ma­tion can­not be released due to pri­vacy laws?

I said there was prob­a­bly an expla­na­tion why it’s taken so long to get the H1N1 shots to the gen­eral patient pop­u­la­tion within the MEDVAMC king­dom which includes out­pa­tient clin­ics in Beau­mont, Lufkin, Con­roe and Galve­ston. I didn’t say it was a good explanation.

For­tu­nately, no large out­breaks of the Swine Flu have occured among vet­er­ans in this por­tion of Texas, at least no large out­breaks that come to mind. But the H1N1 is still a pan­demic so it’s for­tu­nate there aren’t more dead, espe­cially older or our youngest, veterans.

When the pan­demic is over, I hope the VA as a whole will do a thor­ough after-action review of their reac­tion to the out­breaks. I’m sure they will, but hope­fully it will be hon­est and not just the same old glazed over horse s**t one seems to see com­ing from one VA report after another. The whole VA phar­ma­ceu­ti­cal sys­tem needs a care­ful going-over as well.  I can’t help but think — with such vast dif­fer­ences in med­ica­tion given from one VA hos­pi­tal sys­tem to another — that the acqui­si­tion of med­ica­tions might be ripe for some kind of cor­rup­tion. I’m not say­ing that’s the case, but it’s a suspicion.

Nev­er­the­less, it’s AFT that the Swine Flu shots are avail­able and unless I get the flu first or the VA runs out, I plan to get my vac­cine dur­ing my next reg­u­lar appoint­ment in two weeks.

Something’s rot­ten in Austin

Only a few thoughts to fol­low up on last night’s “Pasadena Mas­sacre.” I am talk­ing about the Citi BCS National Cham­pi­onship in which Texas QB Colt McCoy was knocked out of the game the first rat­tle out of the box. I think The Regents should just pay Mack Brown all those mil­lions and move defen­sive coor­di­na­tor and heir-apparent Will Muschamp up to head coach.

Man, the game just turned to Bevo poo after fresh­man Gar­rett Gilbert was sent in to replace McCoy. I don’t fault Gilbert. I think he showed some flashes of not-badness. It just seemed the game had been chore­o­graphed like a Broad­way pro­duc­tion star­ring McCoy and the stand-in hadn’t been prop­erly trained to know where the other cast mem­bers were sup­posed to stand.

Gilbert made a few bad passes. He was sup­posed to, he is a fresh­man. He also threw some passes that should have been caught. It was if the hearts and souls of the remain­ing offen­sive play­ers flew off to the locker room when McCoy departed with his injured shoulder.

Although the score, 37–21 Alabama, doesn’t really reflect it, the Texas defense looked pretty awe­some. Alabama QB Greg McEl­roy was sacked a season-high five times. That is why I think the loss falls mainly on Mack Brown. It was like he never thought of the pos­si­bil­ity his star quar­ter­back and field mar­shal would get hurt. And since the defense was the bright  spot for Texas and that Brown has made defen­sive guru Muschamp his replace­ment, Brown should have him­self replaced, at head coach at least. They could keep Brown in recruit­ing and PR. He seems to really excel there.

After watch­ing the game, I believe that Texas could have won if McCoy had not been knocked out of the game. But that’s not a given. Run­ning back Mark Ingram brought back visions of “The Earl of Texas,” that being Earl Camp­bell. Both were backs which reminded me of Hur­ri­cane Rita blast­ing her way through the Piney­woods. There wasn’t any­one able to stop her. The same goes for Earl and the Tide’s Ingram. As I heard one caller to a sports talk show say this after­noon, the game was one “played by boys against men.” In a way, the caller was right.

Still, you have to won­der what would have been had McCoy not been injured. And you won­der what round McCoy will go in the NFL draft who picks him. Also, I heard it said that Alabama’s McEl­roy had never lost a foot­ball  game since the eighth grade. How do  you think he will feel when he gets to the NFL and finally loses that first game?

When rude robots attack

Today turned out to be even stranger than the day before.

No, my truck wasn’t struck by a fly­ing con­dom trav­el­ing down the free­way like I believe it to have been yes­ter­day. Also, nowhere did I see Hous­ton Mayor-Elect Annise Parker being all Christ­masy by don­ning her gay apparel. Sorry, I just had to use that one. I didn’t see Houston’s first openly gay mayor-elect yes­ter­day either although I men­tioned her in this venue.

But the top of my wind­shield or edge of my truck’s roof did get struck by a brick-sized chunk of what appeared to be con­crete as I drove home from Hous­ton to Beau­mont on Inter­state 10. The piece of what­ever it was just seemed to come out of nowhere. It reminded me of a sim­i­lar inci­dent that I wrote of here. There were plenty of big trucks in the three lanes ahead of me so the chunkaroid could have come from one of them. I wasn’t close to any over­passes, which is good because I am con­cerned about hav­ing an over­pass col­lapse on top of me. I mean, I’m not obsessed with the thought, but with the state of our infra­struc­ture these days you have to keep on your toes. Peo­ple who are psy­cho­pathic or who oth­er­wise have noth­ing to do occa­sion­ally will like­wise throw objects onto vehi­cles from over­passes. I just threw that in to scare the hell out of you.

The strangest part of my day hap­pened as I stood wait­ing for an ele­va­tor at the Michael E. DeBakey Vet­er­ans Hos­pi­tal in Hous­ton. A vet­eran who appeared to be fairly dis­abled and was trav­el­ing in a rather speedy wheel­chair was kind enough to phys­i­cally accom­pany me to MRI after I had asked a VA employee in the hos­pi­tal how to get there. I had been there before and would have even­tu­ally found it but this con­sid­er­ate man insisted on show­ing me how to get there. It was as this gen­tle­man and I were stand­ing at the ele­va­tor that a robot rolled silenty up behind us and told us to move so it could get on the elevator.

It turns out this is one of the robots the hos­pi­tal pur­chased in 2004. The hos­pi­tal bought two of the so-called “Help­mate” robots which were named “Jew­els” and “King Tut.” I’m sure there is a cute story behind the names. Oh well. The robots are basi­cally rolling couri­ers that can deliver up to 200 pounds of med­ica­tions and sup­plies to dif­fer­ent loca­tions in the hos­pi­tal. They are pro­grammed with a map of the hos­pi­tal. When they encounter an obsta­cle such as today, they also have the abil­ity to announce – in either Eng­lish or Span­ish – that some­thing is in the way and then ask that the obsta­cle be removed.

robot

 With the dis­abled fel­low and I being the obsta­cle, I found this walk­ing, talk­ing stor­age cab­i­net to be rather impe­ri­ous. But the way things have been going for me lately, I fig­ured if I said any­thing the robot might have done some­thing like zap me with death rays. Even if it didn’t I don’t think it is wise to cross a robot with an attitude.

Here is an update for those inter­ested in the rea­son for my visit to the hos­pi­tal. I met with the neu­rol­o­gist who turned out to be a good lis­tener. We went over my blood work drawn and ana­lyzed ear­lier this week as well as pre­vi­ous blood tests, for read­ings of areas which could indi­cate a cause for my neu­ropa­thy. None of the mark­ers, includ­ing thy­roid function, were  abnor­mal with the excep­tion for those tests that might indi­cate diabetes.

Despite my pri­mary doc­tors say­ing I was a “near-borderline” dia­betic although not fully over the line, an analy­sis found that my last test showed a some­what high read­ing and an aver­age of the last three tests indi­cated a bit higher read­ing than nor­mal. The higher read­ings appeared to coin­cide with a very unnerv­ing weight gain over the last six to eight months that my for­mer internist said could have been due to some med­i­cines I am taking.

The doc­tor also took note that I had been expe­ri­enc­ing a shoot­ing low back and hip pain which could indi­cate a pinched nerve, hence my trip to MRI this morn­ing for an appoint­ment which will be next month to get images of my back.

As I await tests the doc­tor is adjust­ing the Lyrica I am tak­ing for the neu­ropa­thy and I must seri­ously begin diet­ing, no small feat at Christ­mas sea­son, to see if dia­betes or another rea­son is caus­ing my pain.

I was frank but diplo­matic with the doc­tor in say­ing that with about a third of the cases like mine being caused by dia­betes, I was con­cerned about a physi­cian just see­ing some num­bers and imme­di­ately focus­ing on that dis­ease as the cause rather than some of the hun­dred oth­ers. And he indi­cated that he under­stood my concern.

So, I go into the hol­i­day sea­son still not know­ing what’s inter­rupt­ing my life but per­haps a lit­tle closer to find­ing out some answers, or not. As for now, I think I’ll be okay if I don’t have dreams tonight about pushy robots.

The ever-traveling bad day

 As you may have noticed, I didn’t post any­thing yes­ter­day. That is because I spent eight hours at the local VA clinic, the lat­ter hours await­ing on my foot X-Ray results which ulti­mately were not sent back to the doc­tor by clos­ing time.

 Later in the evening I called the Tele-nurse line and asked them about my X-Rays and I was told no evi­dence of a frac­ture was found. You could have fooled me. But come to think of it, the VA didn’t find a frac­ture when my other lit­tle toe was bro­ken about six years ago. When I had foot X-Rays sev­eral months back because of neu­ropa­thy prob­lems in my feet, the pic­tures then showed that a frac­ture had occurred in that toe.

 For rea­sons I don’t want to dis­cuss because they are too long and ridicu­lous to go into, I ques­tion the work­man­ship involved in the X-Rays. That is all I will say, take it as it is. Then again, the toe might not be bro­ken. It looked worse than my other toe when it frac­tured though.

 As you might expect, the episode yes­ter­day at the VA was not fun. It has basi­cally ruined both my days — yes­ter­day and today.  I have not been a delight to talk to. For instance, I almost called a deputy sher­iff run­ning the X-Ray machine at the county cour­t­house an a**hole. That wouldn’t have been good. Accu­rate, per­haps, but not good.

 The point in all this is that a bad day has con­se­quences that some­times go beyond one day. Only you can pre­vent a bad day, sez Smokey! Or some­thing like that.

It’s like this, Catfish

 It feels like an odds and ends type of day. That means I write about odds and ends of life, lib­erty and the pur­suit of dinner.

oho­ho­ho­ho­ho­ho­ho­ho­ho­ho­ho­hooho­ho­ho­ho­ho­ho­ho­ho­ho­hoh – The oho line. Fig­ure it out and win a prize. Yeah, and if you believe that …

 It’s laun­dry and more specif­i­cally dry­ing time. That was such a beau­ti­ful song. Wasn’t that Ray Charles? “Oh it’s dry­ing time again, you’re going to leave me/I can see that far­away look in your eyes … ” Oh  yeah, it was cry­ing, not dry­ing. No s**t man, Ray sang that, far­away look and all.

Stop­me­be­for­eIs­tart­mak­ingsen­seI­haveyet­toan­dI­donot­be­lievethatis­go­ing­to­hap­pen­but­se­ri­ous­ly­folks.

 All the politi­cians and cable news pun­dits are talk­ing about how a few elec­tions such as a sin­gle con­gres­sional race in New York state and the con­test for gov­er­nor in New Jer­sey will be the big “report card” on the Obama admin­is­tra­tion. I thought they did that on the first 100 days. The truth is, it gives the talk­ing heads some­thing to talk about, as if they were totally with­out a sub­ject of dis­cus­sion. It just beats me to a smashed doo­dle bug.

$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$

 The Tex­ans looked awe­some yes­ter­day. Buf­falo, not so much.

☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤☤

 I just got back my EMG report from two weeks ago. It would be nice to have a neu­rol­o­gist to explain it to me since one did the test. But I sup­pose the Depart­ment of Vet­er­ans Affairs has a plan. Yeah, I bet. Espe­cially since I don’t have a “per­sonal” pri­mary care physi­cian or physi­cians assis­tant or nurse prac­ti­tioner. You see, my clinic is short two pri­mary care peo­ple right now, or they was last week. So who knows when I will get a doc­tor for my very own who can over­see the test­ing that Dr. G-V rec­om­mended in his report: “Screen for causes of periph­eral neu­ropa­thy (meta­bolic, toxic, nutri­tional).” Yeah, and all that good doc­tor stuff

9999999999999999999999999999999999999999999999999999999999999999999999999999 

Whazzup? (Photo courtesy Texas Parks and Wildlife Department © 2006)

Whaz­zup? (Photo cour­tesy Texas Parks and Wildlife Depart­ment © 2006)

See you later, Catfish.

I just felt the need to call some­one Cat­fish today.

Doesn’t the urge hit you every once in awhile to call someone

Cat­fish? No?

Tired? Turn to the obit page.

Three mat­ters both­ered me this morn­ing when I trav­eled to the Hous­ton VA hos­pi­tal for an EMG, nerve test, on my feet and legs. Noth­ing that was a bother had any­thing directly to do with the test.

First I woke at 4:50  a.m. I did so to catch the shut­tle van from the local out­pa­tient clinic to the hos­pi­tal. As it turned out — my being the fill­ing between almost 500 pounds of vet­eran sand­wich in the van ride — my own drive to Hous­ton with morn­ing rush hour traf­fic and all might have turned out to have been more pleas­ant had I dri­ven my truck instead. So the hour at which I awoke, the uncom­fort­able ride to the hos­pi­tal and deal­ing with some of the VA’s most accom­plished bureau­cratic assh**es while try­ing to work out another mat­ter com­pletely were what made my day much less than perfect.

The EMG itself, per­formed by a friendly doc with a heavy Latino accent wasn’t really much of a prob­lem at all con­sid­er­ing I would get my legs or feet shocked from time-to-time. The shocks weren’t like get­ting shocked when one grabs hold of a live wire. Believe me. Been there done that — ow, ow s**t!!!

Mostly it was the early morn­ing rise that got to me. Even though I some­how man­aged to sleep most of the way back from Hous­ton sit­ting upright in the van, I still feel halfway dead. As such, it is most appro­pri­ate that I pay trib­ute here to a great man whose obit­u­ary I noticed today.

Many may not rec­og­nize the name Vic Mizzy right off, unless you watched the run­ning gag with the tele­vi­sion cred­its which opened the 1960s TV com­edy “Green Acres.”  Mizzy, who died in Los Ange­les Sat­ur­day at 93, wrote the theme for Eddie Albert-Eva Gabor farce. The Gabor char­ac­ter would make some bizarre com­ment about the open­ing cred­its which would fea­ture Mizzy or other crew’s names, some­thing one would hardly if ever see on any other TV show or movie.

But it was prob­a­bly another of Mizzy’s TV songs which is more widely known, how­ever, that being the theme of the “Addams Fam­ily,” com­plete with the song’s fin­ger snaps.

True, Mizzy may not have cured can­cer or polio, or have won a Nobel Prize (no com­ment please). But some of his songs help us remem­ber some of the zani­est TV pro­gram­ming that aired dur­ing a time that cried out for hilar­ity, the 1960s. Those themes remain catchy and appeal­ing today.

Snap, snap. Keep Man­hat­tan just give me that countryside …

VA to open care to about 250,000 new vets

If you are a mil­i­tary vet­eran who has thought about sign­ing up for vet­er­ans health care but couldn’t, and if you don’t mind social­ized med­i­cine, then you just might be eli­gi­ble now for VA care.

The Depart­ment of Vet­er­ans Affairs sus­pended open­ing up health care to so-called “rich” vet­er­ans in 2003 because of bud­get con­straints. These are the vets who do not have dis­abling ill­nesses or injuries that are related to mil­i­tary ser­vice but whose income is above a set thresh­old. The income lev­els are geographically-based and an enroll­ment cal­cu­la­tor for ben­e­fits can be found here. Don’t let the word “rich” fool you. It’s cer­tainly not a $100,000-$200,000 level.

Dr. Blase Cara­bello, act­ing direc­tor of the Michael E. DeBakey VA Med­ical Cen­ter in Hous­ton, said the rule allow­ing the addi­tion of about 250,000 addi­tional vet­er­ans for health care should take effect June 30 “if the reg­u­la­tory process pro­ceeds smoothly.” That is always a big “if” when deal­ing with the VA or most any other fed­eral branch.

Con­gress opened the VA health sys­tem in 1996 to vet­er­ans other than those with service-related dis­abil­i­ties or the indi­gent. Poor fund­ing and an explo­sion of vet­er­ans seek­ing health care closed the sys­tem to new enrollees under the Bush admin­is­tra­tion in 2003. Those, such as yours truly, who were already enrolled were grandfathered.

It is true I bitch about the VA health care sys­tem some­times. It is cer­tainly not a per­fect sys­tem and it isn’t the best model for a social­ized health care. But to be fair, it does pretty well  in most places with the fund­ing it receives. Each VA regional sys­tem is a lit­tle dif­fer­ent from the other, although they have indi­cated that they want to fix that. If you are dead-set on one type of med­ica­tion, you aren’t always going to get it in one VA sys­tem but might in another. Some sys­tems, hos­pi­tals and out­pa­tient clin­ics are excep­tional. Some are dreadful.

But when the VA is all that you’ve got then, well, it’s all you got. Like just about any ser­vice of any kind in the United States, if things aren’t work­ing well for you then you need to raise 10 kinds of hell and you might just get your feel­ings across. The same goes for deal­ing with the VA.

New GI Bill a positive step, but bargain?

The Depart­ment of Vet­er­ans Affairs will begin pro­cess­ing pay­ments tomor­row for the new Post-9/11 GI Bill. The new vet­er­ans bill was designed to aug­ment cur­rent vet­er­ans ben­e­fits such as those found in the Mont­gomery GI Bill, which was a de facto post-Vietnam era bill. Vet­er­ans will also have the abil­ity to trans­fer ben­e­fits to fam­ily mem­bers under the legislation.

The improved ben­e­fits are expected to help nearly a half-million vet­er­ans and their fam­i­lies attend col­lege next year alone. Almost $80 bil­lion for these ben­e­fits will be paid out dur­ing the next decade.

I am happy to see an improved GI Bill to help the younger vet­er­ans and their fam­i­lies. Still, I can’t help but think this crop of vet­er­ans are get­ting shafted com­pared with what I had for the GI Bill and the eco­nomic sit­u­a­tion of the times that I used them to attend college.

When I started col­lege in 1980 I was under the post-Korea and Viet­nam era GI Bill. I got a check every month I attended school. Since I was sin­gle the amount I received was $327 per month for a full load of 12 hours. That amount increased to $376 by the time I grad­u­ated in 1984. That doesn’t sound like much, but con­sider that tuition at state uni­ver­si­ties in Texas was $4 per semes­ter hour dur­ing that time period, plus the fact that I worked full-time as a fire­man, and one can see how I made out.

I remem­ber on at least one occa­sion and per­haps maybe it hap­pened more often than that but I received my monthly check and was able to pay tuition, fees and books for that semes­ter just by using my monthly stipend.

A year after I grad­u­ated I returned to my alma mater, Stephen F. Austin State Uni­ver­sity, with thoughts of get­ting a grad­u­ate degree. Since I had only a minor in polit­i­cal sci­ence, which was the field I had locked onto for a pos­si­ble master’s, I had to first take a few more hours to get my sec­ond bachelor’s in that field. By that time tuition had jumped to a whop­ping $12 per semes­ter hour.

Look­ing at my old school’s Web page with its tuition cal­cu­la­tor I see that for a full load dur­ing the upcom­ing fall semes­ter the tuition is $50 per semes­ter hour, then you start look­ing at fees, room and board if you live on cam­pus, etc., and the num­bers start increasing.

Even adjust­ing for infla­tion what I spent back then for var­i­ous costs were a steal. In today’s dol­lars I would be pay­ing $196 a month for the one-bedroom apart­ment I rented when I started college.

It is no won­der that when I look back on the days I went to col­lege that I felt some­what rich. Lit­tle won­der I feel that way since the Bureau of Labor Sta­tis­tics Infla­tion Cal­cu­la­tor shows that the amount I was mak­ing in com­bined salary and GI Bill would be more than $39,000 in today’s dol­lars. That’s pretty good buy­ing power for a col­lege guy.

So today’s vet­eran, when some­one tells you the col­lege they are sell­ing is bar­gain then per­haps it might be. But it cer­tainly isn’t the bar­gain that I had when start­ing school almost 30 years ago.

Houston VA: Ve Vant to see your papers!

If you are going to the Depart­ment of Vet­er­ans Affairs com­plex in Hous­ton begin­ning Wednes­day, July 29, you bet­ter have some offi­cial VA iden­ti­fi­ca­tion — either for employee or patient.

Hous­ton VA offi­cials said in a press release hot off the mojo wire this after­noon that all vehi­cles enter­ing the com­plex will be stopped and occu­pants will be required to show some form of  VA iden­ti­fi­ca­tion. Required is a VA iden­ti­fi­ca­tion badge, VA park­ing tag, vet­eran iden­ti­fi­ca­tion card or an appoint­ment letter.

The mas­sive ID check for the busy com­plex which includes both the VA Regional Office and the Michael E. DeBakey Vet­er­ans Hos­pi­tal is an attempt to reduce unau­tho­rized  park­ing at the cen­ter, which is located in Houston’s busy Texas Med­ical Center.

Any­one who has ever been to the Hous­ton VA hos­pi­tal can appre­ci­ate the dif­fi­culty in find­ing park­ing, espe­cially in the morn­ings. This seems to be a prob­lem at many VA hos­pi­tals. But such an iden­ti­fi­ca­tion check does raise ques­tions. If the check is at the entrances to the cen­ter, what effect will it have on traf­fic, espe­cially those cars headed on Hol­combe Boule­vard in the morn­ings for the many dif­fer­ent Hous­ton hos­pi­tals? What about the vet­eran from Podunk, Texas, who left his appoint­ment let­ter at home, 100 miles away? What about the vet­eran who is going to the VA for the first time to enroll for ser­vices and has no ID, only his proof of mil­i­tary ser­vice? Finally, what about the many vet­er­ans who are not going to see this lit­tle notice because the major­ity of the news media, espe­cially out­side Hous­ton, are not going to report such information?

It kind of makes you won­der. But hey, I did my part. If you have any ques­tions, call the Hous­ton VA police through the main hos­pi­tal num­ber, and good luck get­ting through. It can be quite chal­leng­ing to call some­one at the Hous­ton VA hos­pi­tal. Then again, patience is a nec­es­sary virtue for VA patients.

The road to good intentions is paved with, well?

Veteran_small

Con­gress — on occa­sion — passes laws that have some good or at least a good intention.

One would hope, at least, some good inten­tions spurred law­mak­ers to add rid­ers to the Defense Autho­riza­tion bills in 2008 and 2009 which expanded the abil­ity for vet­er­ans who are not in uni­form to ren­der a hand salute.

In the past, only mem­bers of vet­er­ans ser­vice orga­ni­za­tions who wore their organization’s offi­cial head­gear were tra­di­tion­ally allowed to hand salute dur­ing the National Anthem, accord­ing to an arti­cle on Military.com. Vet­er­ans and other civil­ians not in uni­form  — like­wise a tra­di­tion — nor­mally place their right hands over their “hearts” in lieu of a military-style hand salute for the play­ing of the anthem and other flag-related activities.

Thanks to an amend­ment in the 2008 Defense Autho­riza­tion Act retired mil­i­tary mem­bers and vet­er­ans can now give a hand salute when­ever the U.S. flag is raised, low­ered or passes.

A 2009 amend­ment to that fis­cal year’s defense bill allows out-of-uniform mil­i­tary per­son­nel and vet­er­ans to ren­der a hand salute dur­ing the National Anthem.

Now the grow­ing num­ber of peo­ple in the U.S. who have no con­nec­tion what­so­ever with the mil­i­tary and even some vet­er­ans them­selves might won­der why would such a law be passed?

The answer is that there was  obvi­ously some sen­ti­ment among vet­er­ans and mil­i­tary retirees, not to men­tion some of the pow­er­ful vet­er­ans orga­ni­za­tions, for cod­i­fy­ing such a prac­tice. Why? I don’t know. It seems as if the law lacks some prac­ti­cal­ity inso­far as enforce­ment is concerned.

Let’s say you are at a high school foot­ball game. The National Anthem is played and the col­ors are pre­sented on the field by the local Junior ROTC drill team. You, the vet­eran, are wear­ing a big pair of horns on your head because your team is the Long­horns. Now do you do the hand over your chest or give the mil­i­tary hand salute?

Okay, say you give the hand salute. A local cop sees you comes over and starts grilling you about being in civvies and giv­ing a military-style salute. You say it’s legal now. The cop said he never heard any­thing about it. You say: “Trust me.” The cop says: “Okay. I’ll trust you if you can show me some ID prov­ing you are a veteran.”

Now one might think such a request would be easy. But it isn’t nec­es­sar­ily all that simple.

You, the vet­eran with the long­horn hat, spent your four years and got out of the ser­vice. You have your DD-214 form which proves your ser­vice — some­where — although it is not on your “per­son,” as the cop who ques­tioned you might say. You didn’t retire from the ser­vice so you don’t have a mil­i­tary retiree ID card. You don’t go to the VA for health care so you don’t have a VA iden­ti­fi­ca­tion card. You don’t belong to the VFW, Amer­i­can Legion, DAV or any other vet­er­ans orga­ni­za­tion. Basi­cally, you are SOL to use a good old mil­i­tary acronym until you call up the county clerk in the next state where you filed your DD-214 after get­ting out of the ser­vice and ask her to send a copy to the local authorities.

Now that sce­nario about the ball game and the has­sle by the cops and all the trou­ble is a lot of hyper­bole. Heck, I have no idea as to whether there even is any enforce­ment mech­a­nism in laws which let you honor the flag with that sharp, five fin­gers (if you got ‘em) salute with the tip of your index fin­ger next to the right eyebrow.

If I ever gave a mil­i­tary salute, it would prob­a­bly be in a sit­u­a­tion in which other vet­er­ans might do the same thing, say at some kind of vet­er­ans pro­gram or maybe a funeral with mil­i­tary honors.

Per­son­ally, I have always thought the hand salute is pretty cool. It is a sign of respect unlike so many oth­ers, which car­ries with it non-verbal cues aimed toward the object or indi­vid­ual one is saluting.

For instance: You salute an offi­cer you don’t know. You are salut­ing his posi­tion and author­ity. You salute an offi­cer you do know and like. You are say­ing: “Hey, what’s hap­pen­ing bud?” with­out being insub­or­di­nate. You salute an offi­cer you know and don’t like. You are say­ing: “I respect your rank. Now chuck you farley.”

So just remem­ber when you see a civil­ian salut­ing the flag or dur­ing the National Anthem that Con­gress gave this man or woman the right to wear their civil­ian clothes and give a good old military-type hand salute, one each, because of the sac­ri­fice these folks made for their coun­try. As to whether they are really vet­er­ans, I guess you’ll just have to take it on faith. Or ask to see some ID, at your own risk. You cer­tainly wouldn’t want to get gored by those horns.