As part of the U.S. Department of Veterans Affairs’ (VA) efforts to provide the best mental health care access possible, VA is reminding veterans that it offers all veterans same-day access to emergency mental health care at any VA health care facility across the country.
“Providing same-day 24/7 access to mental health crisis intervention and support for veterans, service members and their families is our top clinical priority,” said VA Secretary Robert Wilkie. “It’s important that all veterans, their family and friends know that help is easily available.”
VA’s Office of Mental Health and Suicide Prevention is the national leader in making high-quality mental health care and suicide prevention resources available to Veterans through a full spectrum of outpatient, inpatient and telemental health services.
Additionally, VA has developed the National Strategy for Preventing Veteran Suicide, which reflects the department’s vision for a coordinated effort to prevent suicide among all service members and veterans. This strategy maintains VA’s focus on high-risk individuals in health care settings, while also adopting a broad public health approach to suicide prevention.
VA has supported numerous veterans and has the capacity to assist more. In fiscal year (FY) 2018, 1.7 million veterans received Veterans Health Administration (VHA) mental health services. These patients received more than 84,000 psychiatric hospital stays, about 41,700 residential stays and more than 21 million outpatient encounters.
Nationally, in the first quarter of FY 2019, 90% of new patients completed an appointment in a mental health clinic within 30 days of scheduling an appointment, and 96.8% of established patients completed a mental health appointment within 30 days of the day they requested. For FY 2018, 48% of initial, in-person Primary Care — Mental Health Integration (PC-MHI) encounters were on the same day as the patient’s PC encounter. During the first quarter of FY 2019, 51% of initial, in-person PC-MHI encounters were on the same day as the patient’s PC encounter.
Veterans in crisis – or those concerned about one – should call the Veterans Crisis Line at 800-273-8255 and press 1, send a text message to 838255 or chat online at VeteransCrisisLine.net.
This article originally appeared on VAntage Point. Follow @DeptVetAffairs on Twitter.
A top US admiral explained March 13, 2019, that the Navy is keeping high-level promotions a secret because hackers from China and other adversarial countries are targeting flag officers.
While the Army, Air Force, and Marine Corps all continue to publish lists of newly promoted officers, the Navy abruptly stopped in October 2018, USNI News first reported February 2019.
The policy reportedly began with the promotion of Trump’s doctor, Rear Adm. Ronny Jackson, who withdrew from consideration to lead Department of Veterans Affairs amid a scandal.
Chief of Naval Operations Adm. John Richardson defended the policy decision March 13, 2019, arguing that publishing this information — which the US Senate continues to publish— leaves high-ranking Navy officers vulnerable to cyberattacks.
“I don’t know if you’ve been personally attacked in the cyber world, but our flags are,” Richardson said at a conference in Washington, DC, Breaking Defense reported. It is “just a vulnerability that we are trying to think about,” he added, according to Military.com.
Chief of Naval Operations Adm. John Richardson.
“There’s always a tension between on the transparency and security,” he explained, telling reporters that the Navy intends to do anything it can “to make sure we’re keeping their information and stuff secure.”
An alarming internal Navy cybersecurity review recently concluded that the service, as well as its industry partners, are “under cyber siege,” The Wall Street Journal reported March 12, 2019.
“We are under siege,” a senior US Navy official stressed to The Journal. “People think it’s much like a deadly virus — if we don’t do anything, we could die.”
The service has been hit relentlessly by Chinese, Russian, and Iranian hackers, with the threat presented by Chinese cyber criminals among the most severe. China is accused of hacking the US military, large and small defense contractors, and even university partners to steal anything not nailed down.
In 2018, Chinese government hackers stole important data on several US Navy undersea-warfare programs from an unidentified contractor. Among the stolen information were plans for a new supersonic anti-ship missile, The Washington Post reported in June 2018, citing US officials.
Speaking to Congress March 13, 2019, Army Gen. Paul Nakasone, head of US Cyber Command, said that the US is prepared to aggressively strike back against adversarial powers in cyberspace.
While Navy leadership argues that the decision to keep flag officer promotions a secret is to eliminate exposure that could put its admirals at risk, the defense appears a bit thin, as their names, ranks and biographies are still publicly available.
“This may not work out in the end, I don’t know, but that’s kind of our mindset there,” Richardson reportedly said March 13, 2019.
This article originally appeared on Business Insider. Follow @BusinessInsider on Twitter.
On the 15th anniversary of the attack of Sept. 11, 2001, a startling new number was released: more than 1,000 first responders had died due to illnesses related to the ash and debris from the attack – and some 37,000 were sick at the time. Experts predicted that within five years from that 2016 milestone, more would have died from their illnesses than were killed at Ground Zero.
We are three years removed from that date, and the response from Congress has been woefully inadequate, as evidenced by the recent controversy in Congress sparked by Jon Stewart on behalf of 9/11 first responders. But even the response garnered by Stewart may not be enough for the tens of thousands of victims who could come forward in the next few years.
“Within the next five years we will be at the point where more people have died from World Trade Center-related illnesses than died from the immediate impact of the attacks,” said Dr. Jim Melius, a doctor at the New York State Laborers Union and health advisor to the Obama White House.
The attacks killed 2,977 people with 2,753 dying at the World Trade Center towers in Lower Manhattan. The debris of those towers contained asbestos, lead, glass, poisonous chemicals, heavy metal toxins, oil, and jet fuel. The resulting dust was a menagerie of toxicity that coated throats, mouths, and lungs. Resulting diseases have included cancers, lung disease, digestive disorders, and even cognitive impairment on par with Alzheimer’s Disease.
The federal World Trade Center Health Program has 75,000 registered members with 87 percent of those who worked on rescue and recovery efforts on the ground that day. New York City residents and workers make up the rest of the list. In 2016, the number of registered people on the list who died of related cancers was 1,140. By 2017, that number was more than 2,000. The rate of cancers among first responders to the attacks is up to 30 percent higher than in the general population.
As of Sept. 2018, the number of dead from related illnesses was due to outpace those killed in the attack by the end of 2020 – and the rate of new cancer diagnoses in 9/11 first responders continues to grow.
Search and rescue teams found wreckage belonging to a Japanese Lockheed Martin F-35 stealth fighter that disappeared on April 9, 2019, over the Pacific Ocean close to northern Japan, a military spokesman said on April, 10, 2019.
The pilot of the aircraft is still missing, said the Air Self Defense Force (ASDF) spokesman.
“We recovered the wreckage and determined it was from the F-35,” the spokesman told Reuters.
The F-35 was less than a year old and was delivered to the ASDF in May 2018, he added.
Japan’s first squadron of F-35s has just become operational at the Misawa air base and the government plans to buy 87 of the stealth fighters to modernize its air defenses as China’s military power grows.
The advanced single-seat jet was flying about 135 km (84 miles) east of the air base in Aomori Prefecture at about 7.27 p.m. (1027 GMT) on April 9, 2019, when it disappeared from radar, the Air Self Defense Force said.
The aircraft was flying for roughly 28 minutes when it lost contact with Japanese forces, an official reportedly added.
Lockheed Martin said in a statement that it was standing by to support the Japanese Air Self Defense Force as needed.
The Pentagon said it was monitoring the situation.
U.S. Air Force F-35A Lightning II Joint Strike Fighter.
The crash was only the second time an F-35 has gone down since the plane began flying almost two decades ago. It was also the first crash of an A version of the fifth-generation fighter designed to penetrate enemy defenses by evading radar detection.
A U.S. military short take off and landing (STOVL) F-35B crashed near the Marine Corps Air Station Beaufort in South Carolina in September 2018 prompting a temporary grounding of the aircraft. Lockheed Martin also makes a C version of the fighter designed to operate off carriers.
Japan’s new F-35s will include 18 short take off and vertical landing (STOVL) B variants that planners want to deploy on its islands along the edge of the East China Sea.
The F-35s are shipped to Japan by Lockheed Martin and assembled by Mitsubishi Heavy Industries Ltd at a plant near Nagoya in central Japan. Each costs around 0 million, slightly more than the cost of buying a fully assembled plane.
Additional reporting by Chris Gallagher and Chang-Ran Kim in Tokyo, and Idrees Ali and Chris Sanders in Washington; Editing by Michael Perry
This article originally appeared on Business Insider. Follow @BusinessInsider on Twitter.
Hollywood spies often have a myriad of amazing devices at their disposal for getting rid of bad guys in a clandestine way. It turns out, occasionally so do real spies.
Exhibit A: the CIA’s “undetectable” poison dart gun that near silently shot frozen darts comprised of an unspecified, undetectable poison. The individual hit reportedly would at most just feel something like a mosquito bite as the dart penetrated their skin. It would then quickly melt and the poison would do its work, leaving the victim dead of an apparent heart attack, with no detectable evidence of the poison remaining.
The weapon was revealed as part of a broader Senate investigation into intelligence and covert action abuses by the Agency. The disclosure of the full gamut of activities and devices caused Senator Frank Church (D-ID) to conclude that the CIA had become a “rogue elephant rampaging out of control.”
Air rifle with tranquilizer dart — not CIA-issue (that we know of…). (Image via the website of the President of the Russian Federation)
Spurred by the publication of Seymour Hersh’s game-changing article in The New York Times on Dec. 22, 1974, which relayed assassination attempts and covert activities to subvert both foreign governments as well as American antiwar and other dissidents, the Senate formed the Select Committee to Study Governmental Operations with Respect to Intelligence Activities in 1975.
Chaired by Senator Church, during its two years of hearings, the Church Committee, as it came to be known, published 14 reports on a variety of abuses by the CIA, Federal Bureau of Investigation (FBI) and National Security Agency (NSA), as well as others.
These included routinely opening (and resealing) US citizens’ mail since 1952, misusing tax information to target domestic dissidents, and conducting domestic, electronic surveillance of peace and black power activists.
In addition, for the CIA, this also included developing weapons such as “a pistol [that] can fire a poison dart 328 feet, kill a man before he knows he has been hit, and leave no clue as to what killed him.”
Part of a program named MK Naomi, established for conducting and managing bacteriological warfare, the poison dart gun was just one of many experiments by the agency, which also included pesticides to ravage crops and on one occasion, using the NYC subway to test out a “trial model” of a biological warfare attack.
On Sep. 16, 1975, then CIA Director William Colby testified before the committee, which also included Senators Barry Goldwater (R-AZ), John Tower (R-TX), Walter Mondale (D-MN), Gary Hart (D-CO), Howard Baker (R-TN), Philip Hart (D-MI), Charles Mathias (R-MD), Walter Huddleston (D-KY), Richard Schweiker (R-PN) and Robert Morgan (D-NC).
The director gave remarkable testimony regarding the development of “toxic agents” at a laboratory at Fort Detrick, MD. Notably, Director Colby testified that only “limited records” remained of these activities, even though the program spanned from 1952-1970.
Among the director’s many extraordinary statements were these from his prepared remarks:
— The specific subject today concerns CIA’s involvement in the development of bacteriological warfare materials . . . retention of an amount of shellfish toxin, and CIA’s use and investigation of various chemicals and drugs
— The need for such capabilities was tied to . . . the development of two different types of suicide pills to be used in the event of capture [during WWII] and a successful operation using biological warfare materials to incapacitate a Nazi leader temporarily
— A . . . memo of 1967 identified . . . [the range of] project activity: maintenance of a stockpile of temporarily incapacitating and lethal agents . . . assessment and maintenance of biological and chemical dissemination systems . . . [and] adaptation and testing of a dart device for clandestine and imperceptible inoculation with biological warfare or chemical warfare agents
— The only application of this [shellfish] toxin was in the U-2 flight over the U.S.S.R in May 1960 [Gary Powers flight]
— Various dissemination devices, such as a fountain pen dart launcher and an engine head bolt designed to release a substance when heated [were developed]
— A large amount of Agency attention was given to the problem of incapacitating guard dogs
— Work was also done on temporary human incapacitation techniques . . . to incapacitate captives before they could render themselves incapable of talking, or . . . take retaliatory action
— Success was never achieved [for the temporarily incapacitating dart system] since a larger amount of an incapacitating agent is required to safely inactivate a human than of a lethal agent . . . to kill him
— Though specific accounting for each agent . . . is not on hand, DOD records indicate that the materials were, in fact, destroyed in 1970 by SOD personnel, except for the 11 grams [of shellfish toxin]. . . plus the 8 milligrams [of cobra venom, both found in a vault]
— A complete inventory . . . was taken . . . consisted of . . . materials and delivery systems . . . lethal materials, incapacitants, narcotics, hallucinogenic drugs, irritants and riot control agents, herbicides, animal control materials and many common chemicals
Former CIA employee Mary Embree discusses a similar weapon — the infamous heart attack gun, which was first made public during the Church Committee hearings in 1975.
Be careful how you dial the newly minted Tricare East’s 800 number, or you could unintentionally end up on what appears to be a phone sex hotline.
That’s a lesson one Tricare East user learned the, er, hard way Jan. 24, when she misdialed the Tricare East contractor by one digit. Instead of dialing Humana’s number 1-800-444-5445, she dialed 1-800-444-5455.
“Hey there hot stuff,” a sultry female voice greets callers. “I’ve been waiting for your call. Are you ready for some tantalizing fun?”
It gets, uh, hotter from there. But for a $7.99 access fee plus $4.99 a minute, with a surcharge of $8.99 for “certain selections,” you hear even more than we did.
To be sure, the greeting is more entertaining than the one on Humana’s Tricare East number.
“Welcome to Humana Tricare East,” it states. “Medical emergencies should hang up and dial 911.”
Tricare East and its new 800 number rolled out Jan. 1 as the system shifted from a three contractor, three region system — Tricare North, South, and West — to the two contractor, two region system of Tricare East and West. Tricare East is managed by Humana, while Tricare West is managed by Health Net Federal Services.
We stopped our unofficial investigation into the incorrect number short of entering our corporate credit card information — we didn’t think the bean counters would understand such research. But we’re not worried about the number showing up on the phone bill. After all, the recording promises that the whole thing is “discreetly billed.”
Neither Humana nor Tricare officials responded by deadline for requests for comment. But what is there to really say about this, anyway?
The U.S. Army on Tuesday announced 500 soldiers will deploy to Afghanistan this summer as part of a scheduled troop rotation.
The service in a release said the soldiers from the 1st Cavalry Division Headquarters and Sustainment Brigade, based at Fort Hood, Texas, will replace the headquarters of the 10th Mountain Division at Bagram Airfield in the northeastern part of the country.
The unit will support Operation Freedom’s Sentinel at the location as the national support element, according to the statement.
“The 1st Cavalry Division has once again been called by our nation’s Army,” Maj. Gen. John C. Thomson, III, commander, 1st Cavalry Division, said in the release. “First Team troopers are trained, well-led, and ready to accomplish assigned missions in support of Operation Freedom’s Sentinel.”
The Army had previously announced that about 1,000 others from the 3rd Cavalry Regiment, 1st Cavalry Division, also based at Fort Hood, are also preparing to deploy to Afghanistan.
The soldiers were also expected to switch out with a number of U.S. troops in Afghanistan and aren’t likely to change the overall American military presence in the country of about 9,800 service members.
At the time of the previous announcement, Lt. Col. Sunset Belinsky, a spokeswoman for the 1st Cavalry Division, said the regiment will probably deploy in May or June. Soldiers were returning from the National Training Center at Fort Irwin, California, and planned to take a week or two of family leave before heading overseas, she said.
Belinsky said at least some of the soldiers may join colleagues from the 10th Mountain Division in the southern part of the country, but added that planners were still “looking at the mission closely, so it may not be exactly there.”
The Defense Department announced in February that about 500 soldiers from 2nd Battalion, 87th Regiment, 10th Mountain Division, based at Fort Drum, New York, would be sent to Helmand Province to shore up an Afghan Army Corps battered by the Taliban.
In recent weeks, American F-16 fighter jets have “significantly increased pressure and the number of strikes” in eastern Nangarhar province bordering Pakistan, where fighters pledging allegiance to the Islamic State of Iraq and Syria, or ISIS, were believed to number 1,000-3,000, according to Army Brig. Gen. Wilson Shoffner, chief spokesman for U.S. Forces-Afghanistan.
President Barack Obama last year adjusted plans for U.S. troop levels in Afghanistan.
Rather than reduce the military footprint in the country to a nominal embassy presence in Kabul by the end of 2016, Obama said the U.S. will maintain 5,500 troops and a small number of bases, including at Bagram and Jalalabad in the east and Kandahar in the south into 2017 to continue the mission of training and providing support to Afghan security forces, according to the Pentagon.
One of the eight engines powering a Boeing B-52 bomber flying over Minot Air Force Base on Wednesday quite literally fell right off the aircraft.
The unarmed aircraft, which was on a training flight at the North Dakota base, landed safely and none of the crew were injured, an Air Force spokesman told Defense News.
The service has already initiated an investigation into what went wrong. All crew members of a B-52 that crashed in May 2016 escaped without injury, though a 2008 crash killed all six crew members on board.
The B-52 is a long-range, heavy bomber jet aircraft powered by eight Pratt Whitney engines. It was first introduced in 1955, though it has continually been upgraded and maintained.
The Air Force has just over 75 B-52s still in service today, which are slated to last into 2040, according to Defense News.
The B-21 Long Range Strike Bomber is expected to replace the aging B-52 fleet once it’s introduced some time in the mid-2020s.
Even after decades of observations and a visit by NASA’s Voyager 2 spacecraft, Uranus held on to one critical secret — the composition of its clouds. Now, one of the key components of the planet’s clouds has finally been verified.
A global research team that includes Glenn Orton of NASA’s Jet Propulsion Laboratory in Pasadena, California, has spectroscopically dissected the infrared light from Uranus captured by the 26.25-foot (8-meter) Gemini North telescope on Hawaii’s Mauna Kea. They found hydrogen sulfide, the odiferous gas that most people avoid, in Uranus’ cloud tops. The long-sought evidence was published in the April 23, 2018, issue of the journal Nature Astronomy.
The detection of hydrogen sulfide high in Uranus’ cloud deck (and presumably Neptune’s) is a striking difference from the gas giant planets located closer to the Sun — Jupiter and Saturn — where ammonia is observed above the clouds, but no hydrogen sulfide. These differences in atmospheric composition shed light on questions about the planets’ formation and history.
“We’ve strongly suspected that hydrogen sulfide gas was influencing the millimeter and radio spectrum of Uranus for some time, but we were unable to attribute the absorption needed to identify it positively. Now, that part of the puzzle is falling into place as well,” Orton said.
The Gemini data, obtained with the Near-Infrared Integral Field Spectrometer (NIFS), sampled reflected sunlight from a region immediately above the main visible cloud layer in Uranus’ atmosphere.
“While the lines we were trying to detect were just barely there, we were able to detect them unambiguously thanks to the sensitivity of NIFS on Gemini, combined with the exquisite conditions on Mauna Kea,” said lead author Patrick Irwin of the University of Oxford, U.K.
No worries, though, that the odor of hydrogen sulfide would overtake human senses. According to Irwin, “Suffocation and exposure in the negative 200 degrees Celsius [392 degrees Fahrenheit] atmosphere made of mostly hydrogen, helium, and methane would take its toll long before the smell.”
Read more on the news of Uranus’ atmosphere from Gemini Observatory here.
This article originally appeared on NASA. Follow @NASA on Twitter.
The first Marine Corps Forces Special Operations Command assessment and selection course to admit female Marines had one woman make it to the end of the first phase, MARSOC officials confirmed this week.
A female corporal stayed in the 19-day course until its completion at the end of August, but did not have the minimum academic and physical training scores needed to make it to the second phase, MARSOC spokesman Maj. Nicholas Mannweiler told Military.com.
The Marine, who has not been publicly identified, plans to re-attempt the assessment and selection (AS) phase when the next cycle begins early in the new year, he said. Marines trying out for MARSOC are given up to three attempts to make it through the first phase, as long as they are not limited by remaining time in service or time in their current rank, and there are enough “boat spaces” in the course to accommodate them.
According to MARSOC promotional materials, Marines must be able to complete a 12-mile march carrying a pack weighing more than 45 pounds within three hours to pass the first phase of AS. Participants are also required to tread water for 15 minutes, to swim 300 meters in their camouflage utility uniforms in under 13 minutes, and to get top scores on regular physical fitness tests, in addition to achieving passing scores on various classroom exercises.
“Each event has a minimum passing number,” Mannweiler said.
MARSOC officials are no longer providing specifics about which events or disciplines female participants wash out on, Mannweiler said, noting that the command does not publicize that information when male Marines wash out of AS.
“We don’t want to discourage women who have the talent and the capability,” he said. “I don’t want that to be the barrier for the first women graduating.”
Both female AS participants came from administrative military occupational specialties. They were permitted to participate in MARSOC AS following a decision by Defense Secretary Ash Carter late last year to open all military jobs to women, including those in infantry and special operations units.
Earlier this year, Maj. Gen. Joseph Osterman, then the commander of MARSOC, told Military.com the command had leaned into the new reality by having recruiters notify eligible female Marines of the opportunity to apply for special operations.
While the opportunity is still available, Mannweiler said, MARSOC does not currently have any other female Marines committed to participating in the next AS course.
Those who do make it through the first AS phase must then pass a second, more secretive and intensive three-week AS phase. Upon successful passage of AS Phase II, Marines are invited to participate in the high-intensity nine-month individual training course, which covers the entire spectrum of Marine Corps special operations, including special reconnaissance, irregular warfare, survival, evasion, resistance and escape (SERE), urban operations, and more.
The Arleigh Burke-class guided missile destroyer USS Cole (DDG 67) probably wouldn’t be blamed for not wanting to sail off the coast of Yemen. But in the wake of an attack on a Saudi frigate, the Cole is patrolling the waters near the war-torn country where she was attacked by a suicide boat in 2000.
That attack killed 17 sailors, wounded 39 and tore a hole in the hull that measured 40 feet by 60 feet. A 2010 Navy release noted that the Cole took 14 months to repair. That release also noted that the Cole’s return to Norfolk came through the Bab el Mandab, near the location where the Saudi frigate was attacked.
160710-N-CS953-375 The Arleigh Burke-class guided-missile destroyers USS Mahan (DDG 72) and USS Cole (DDG 67) maneuver into position behind three Japanese destroyers during a photo exercise. USS Cole is in the center of the photograph. (U.S. Navy photo by Mass Communication Specialist 1st Class Tim Comerford/Released)
According to a report by FoxNews.com, the Cole’s mission is to maintain “freedom of navigation” in the region. In the past, things have gotten rough during the innocuous-sounding “freedom of navigation” missions.
The region has already seen some shots taken at the guided-missile destroyer USS Mason (DDG 87) on threeoccasions, prompting a retaliatory Tomahawk strike from the destroyer USS Nitze (DDG 94). The attacks on the Mason, the Saudi frigate, and the former US Navy vessel HSV-2 Swift were blamed on Iranian-sponsored Houthi rebels. The attacks on USS Mason used Iranian-made Noor anti-ship missiles, a copy of the Chinese C-802.
More than 100 midshipmen man the rails for a photo on the foícísle of the guided-missile destroyer USS Cole (DDG 67) during the 2016 Professional Training for Midshipmen (PROTRAMID) Surface week. USS Cole has deployed off the coast of Yemen, where the ship was attacked in 2000. (U.S. Navy photo by Mass Communication Specialist 2nd Class Ryan Seelbach)
Iran has been quite aggressive in recent months, making threats to American aircraft in the Persian Gulf. There have been a number of close encounters between American ships and Iranian speedboats as well. In one case this past August, the Cyclone-class patrol ship USS Squall (PC 7) fired warning shots at Iranian vessels. Last month, the guided-missile destroyer USS Mahan (DDG 72) also was forced to fire warning shots at Iranian speedboats.
Clinicians who are, or becoming, experts in Point of Care Ultrasonography (POCUS) are in awe of a new ultra-portable ultrasound device, the Butterfly IQ.
The Butterfly’s first use in the United States was at VA NY Harbor Healthcare System and at NYU Langone. It is a very lightweight probe that looks like a sleek black electric razor. It plugs into an iPhone.
The user prompts the probe into action and gives it directions with a finger-flick of an app and a tap on individual links that are pre-programmed for screening of the heart, lungs, veins of the legs and other parts of the body.
Squeezing some gel onto the head of the probe, the physician then places the device on a patient’s body in the specific area of concern. For example, it might be placed on the side of the patient’s chest corresponding to the location of the lungs. The interior structure and movement of the lungs then is visualized in real time on the physician’s cell phone screen.
“Most of the time, you can figure out why a patient is having trouble breathing immediately at the bedside without sending the patient for any additional test,” said Dr. Harald Sauthoff.
Dr. Sauthoff considers the Medical Intensive Care Unit (MICU) as his “home”, but he also sees patients on the general medicine wards, where he was using the Butterfly to examine LoRusso, a veteran with lung cancer. Fluid had been drawn and removed the previous day with a needle guided by ultrasound.
Dr. Sauthoff said, “I can still see a lot of fluid around the lung.” The patient was most concerned about not having another tissue biopsy that had been performed some weeks before. Dr. Sauthoff explained that use of the sonogram, unfortunately, might not eliminate the need for another biopsy.
He told the Korean War veteran that taking and testing more fluid might provide enough information to identify and then target the specific type of cancer cells that caused his disease.
Point-of-care ultrasonography (POCUS) is revolutionizing the way physicians examine their patients. Rather than just feeling and listening, physicians can now look into their patients’ bodies often supporting an immediate bedside diagnosis without delay and potentially harmful radiation.
Lightweight, portable, and simple to use, the Butterfly IQ is an enormously attractive clinical tool because it produces precise, high-quality results. The low cost will make it possible for more clinicians to examine their patients using ultrasound at the bedside, carrying an ultrasound probe in their coat next to the stethoscope.
The remaining hurdle for the widespread utilization of POCUS is lack of physician training in this powerful technology. Because most attending physicians are not trained in the use of POCUS, the traditional method of teaching students and residents is ineffective.
For this reason, Dr. Sauthoff has recently created a POCUS teaching course for hospitalist attending physicians across NYU, including VA NY Harbor Healthcare System’s Manhattan Campus. Carrying a Butterfly during their rounds, they are rapidly learning to use this powerful tool, and they will soon help to teach students and residents and change the culture of bedside diagnosis across VA and NYU.
Dr. Sauthoff using the Butterfly was recorded by BBC TV for an online program about innovation called The Disruptors.
Former President Jimmy Carter has offered to travel to North Korea to meet Kim Jong Un in a bid to break the diplomatic stalemate between Washington and Pyongyang over the denuclearization of the rogue state.
Representative Ro Khanna, a California Democrat, told Politico that the former president had expressed his willingness to travel to North Korea in a conversation on March 7, 2019.
“I think President Carter can help (President Trump) for the sake of the country,” Khanna later told CNN.
Carter was the first US president to travel to North Korea, visiting the country in 1994 to meet Kim’s grandfather, former leader Kim Il Sung. Carter’s visit helped to defuse the first North Korean nuclear crisis, paving the way for the Agreed Framework, in which North Korea agreed to give up its nuclear program in exchange for aid.
He returned to the country in 2010, where he helped secure the release of American captive Aijalon Gomes.
In the interview with CNN, Khanna said that Carter’s experience negotiating with Kim’s grandfather would be an asset for the Trump administration, following the collapse of negotiations between Kim Jong Un and President Trump in Hanoi, Vietnam.
“I think it would be so profound because he could talk to Kim Jong Un about his grandfather and the framework he established,” Khanna said.
Khanna said that he and Carter had on March 7, 2019, been discussing plans to revive the denuclearization plans the former president brokered with Kim Il Sung, to develop a new joint framework for peace.
The Carter Centre and White House did not immediately respond to a request for comment.
Carter seems to hold no great respect for Trump, and in an appearance on Stephen Colbert’s show in March 2018 agreed when the host said Trump’s election showed Americans were willing to elect a “jerk” as president. Trump meanwhile has derided Carter’s leadership and “everyman” image while in the White House.
President Jimmy Carter Is Still Praying For Donald Trump
However, Carter has previously made efforts to broker a relationship with the administration, and was critical of hostile press coverage of Trump in October 2017, when he first offered to help Trump negotiate with Kim.
“I think the media have been harder on Trump than any other president certainly that I’ve known about,” Carter told New York Times columnist Maureen Dowd.
“I think they feel free to claim that Trump is mentally deranged and everything else without hesitation.”
Then remarks were welcomed by Trump, who tweeted: “Just read the nice remarks by President Jimmy Carter about me and how badly I am treated by the press (Fake News).”
“Thank you Mr. President!”
The nuclear summit between Trump and Kim came unstuck when Kim demanded an end to US sanctions.
Analysts earlier in the week said that satellite imagery showed North Korea had started rebuilding a long-range missile launch site in the wake of the collapse of the negotiations.
This article originally appeared on Business Insider. Follow @BusinessInsider on Twitter.