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CELESTE
Unregistered User
(12/13/02 1:09 am)
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Veterans and FMD
CAN ANYONE PROVIDE INFORMATION ABOUT WHAT FOLLOWS AS IT RELATED TO VETERAN SERVICE? IT IS NOT CLEAR TO ME
Instrument No. 51 of 1997
Determination
of
Statement of Principles
concerning
FIBROMUSCULAR DYSPLASIA
ICD CODES 447.3, 447.8
Veterans' Entitlement Act of 1986
1 This Statement of Principles is determined by the Repatriation Medical Authority under subsection 196B(2) of the Veterans’ Entitlements Act 1986 (the Act)
Kind of injury, disease or death
2. (a) This statement of Principles is about fibromuscular dysplasia and death form fibromuscular dysplasia.
(b) For the purposes of this Statement of Principles, “fibromuscular dysplasia” means a nonatherosclerotic, noninflammatory segmental stenosis disease with or without focal aneurysmal outpouchings of the affected artery in which any layer of the vessel wall may be affected, attracting ICD code 447.3 or 447.8. The disease commonly involves medium-sized arteries and is most often fund in the renal artery and in the internal carotid artery.
Basis for determining factors
3. The Repatriation Medical Authority is of the view that there is sound medical- scientific evidence that indicates that fibromuscular dysplasia and death from f fibromuscular dysplasia can be related to relevant service rendered by veterans, members of Peacekeeping Forces, or members of the Forces.
Factors that must be related to service
4. Subject to clause 6, the factor set out in the paragraph in clause 5 must be related to any relevant service rendered by the person.
Factors
5. The factor that must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting fibromuscular dysplasia or death from fibromuscular dysplasia with the circumstances of a person’s relevant service is:
(a) inability to obtain appropriate clinical management for fibromuscular dysplasia.
Factors that apply only to material contributions or aggravation
6. Paragraph 5(a) applies only to material contribution to, or aggravation of, fibromuscular dysplasia where the person’s fibromuscular dysplasia was suffered or contracted before or during (but not arising out of) the person’s relevant service; paragraph 8(1)(e), 9(1)(e), 70(5)(d) or 70(5A)(d) of the Act refers.
Other definitions
7. For the purpose of this Statement of Principles:
“ICD code” means a number assigned to a particular kind of injury or disease in the Australian Version of the International Classification of Diseases, 9th revision, Clinical Modification (IDC-9-CM), effective date of 1 July 1996, copyrighted by the National Coding Center, Faculty of Health Sciences, University of Sydney, NSW, and having ISBN 0 642 24447 2;
“relevant service” means:
(a) operational service; or
(b) peacekeeping service; or
(c) hazardous service.
Dated this Fourth day of July 1997
The Common Seal of the )
Repatriation Medical Authority )
was affixed to this instrument )
in the presence of )
KEN DONALD
CHAIRMAN
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Susan Gould
Unregistered User
(12/14/02 7:24 am)
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FMD and Veterens
WOW! I'd love to know where you found this one. It is the first "government" document I've come across that recognizes FMD as a disease. This could become significant, don't you think?
O.K. now I've read it four times and my best guess of the situation is that the document refers to people who have served in the forces who had FMD. The FMD was probably undetected at the time of recruitment.
I believe it applies to vets. who could not recieve adequate medical treatment from military medical services for their FMD during service and inadequate treatment has lead to either injury or death.
The provision laid out under the "act" are to cover those circumstances only. I don't believe they were addressing the disqualification of FMD patients as members of the military.
That's how I read it, what do you think?
Susan
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ywatkin
Unregistered User
(12/14/02 9:03 am)
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Veterans and FMD
I agree with Susan in that it most likely was undiagnosed prior to an event in their lives that
caused them to have other tests, thus discovering FMD.
Very interesting!
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Celeste
Unregistered User
(12/15/02 11:19 pm)
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Veterans and FMD
First, I got this from the VA Regional Office in Baltimore, Md, and like you, it was the first paper I found where the government even talked about FMD.
The document has several interesting pieces to me. One, the link with Australia. I am working at find out more about that and encourage everyone to do the same. What do they know that we dont, which is used to support a US government document? That to me is interesting, and yes, significant.
You said that you think "the document refers to people who have served in the forces who had FMD. The FMD was probably undetected at the time of recruitment."
-- Now remember, according to most of the published reports, FMD is mostly applicable to women over 50 --- when I joined the military in my early 20's (yes, I was, lol, USAF)I was not checked for FMD, and the service connection point to the VA from a doctor would suggest that FMD "most likely than not is service connected". That being the case, how can this be connected? Does the DOD have something on FMD that we dont know? Since this is a VA document, I would believe that the document only applies to those who have the need for VA services, usually after 20 years.
You also suggested that it would "...applies to vets. who could not recieve adequate medical treatment from military medical services for their FMD during service and inadequate treatment has lead to either injury or death." This also would not work. What is the treatment for FMD? If a military member had FMD while in service, he/she would receive a military discharge. If they died and FMD was discovered, the dependents could receive benefits only in the case when they could prove that the cause of death was service connected. If this is the case, then FMD would have to be service connected somehow...you see?
----I have gone to a veteran's site called HADIT.com, pretty good site and filled with lost of experience people and some attorney's and posted this paper to see what I get. --
I cant wait to hear more. And yes....very interesting.
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Celeste
Unregistered User
(12/15/02 11:23 pm)
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Veterans and FMD
Not discounting what you said, but lets explore this...
Does this mean that the Veterans Administration has information regarding a service connection to FMD? or that the VA has information regarding those who have been diagnosed with FMD after separating from the service?
The point -- they must have information which would suggest that the percentages of those with FMD in the US, might be greater than the civilian population realizes. This means a greater push to have researchers look at FMD, especially, if the percentages affecting military members is large enough for the VA to come out with this.
I know, I am reaching....but I dont want to leave any corner in the dark.
What do you think?
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Celeste
Unregistered User
(12/16/02 2:26 am)
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VA and FMD
Click here: Google Search: related:www.rma.gov.au/SOP/97/051.pdf
It appears that this is in the Australian VA.
Still, I email them to obtain information about connection between service connection and FMD and how they arrived at that conclusion. Hope I get a response.
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soficrow
Unregistered User
(12/18/02 11:20 am)
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resp
This one is interesting Celeste - I found it a while ago, and have been following up on it.
...The best work on FMD is in Australia (and yes, this is the Australian VA), notably Bofinger. It does seem that the Aussies admit something we don't here in North America. ...my research here leads to mycoplasmas - a whole new ballgame. I think we need to leave this one to the qualified researchers... else we might look like a bunch of kooks.
Later girl, Lanie
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