Expert says veterans could have had infections for years: "Probably all of the infections that are being reported are infections people already had."

by Larry Scott, VA Watchdog dot Org

Although the media is making much of the upcoming hearing about the VA's contaminated equipment ( see below ), how much media coverage of the actual hearing will there be?

We know there won't be a webcast, just an audio feed.  Will media cameras be allowed?  I still don't have an answer on that one.  I, for one, want to see them sweat, not just hear them sweat!

The Subcommittee holding the hearing has rounded up the "usual suspects" so we can figure that the VA has their spin machine ready to go.

Although the VA will admit that they have had problems, the article below will set the tone for the VA's denial of responsibility for any infections:

"Probably all of the infections that are being reported are infections people already had."

Members of the Committee will claim they have held VA accountable.  VA officials will say they'll never do it again.

Then, it will all be forgotten ... just like the shredder incidents.

We have a list of hearing witnesses:

Witness Testimonies

• Panel 1

• John D. Daigh Jr., M.D., CPA, Assistant Inspector General for Healthcare Inspections, Office of Inspector General, U.S. Department of Veterans Affairs
• Accompanied by:
• Jerome Herbers, M.D., Associate Director of Medical Consultation and Review, Office of Healthcare Inspections, Office of Inspector General, U.S. Department of Veterans Affairs
• George Wesley, M.D., Director of Medical Consultation and Review, Office of Healthcare Inspections, Office of Inspector General, U.S. Department of Veterans Affairs
• Limin Clegg, Ph.D., Director of the Biostatistics Division, Office of Inspector General, U.S. Department of Veterans Affairs
   

• Panel 2

• William E. Duncan, M.D., Ph.D., MACP, Associate Deputy Under Secretary for Health for Quality and Safety, Veterans Health Administration, U.S. Department of Veterans Affairs
• Accompanied by:
• James P. Bagian, M.D., PE, Chief Patient Safety Officer, National Center for Patient Safety, Veterans Health Administration, U.S. Department of Veterans Affairs
• Nevin Weaver, FACHE, Director, Veterans Affairs Sunshine Healthcare Network, VISN 8, Veterans Health Administration, U.S. Department of Veterans Affairs
• Lawrence A. Brio, Director, Veterans Affairs Southeast Network, VISN 7, Veterans Health Administration, U.S. Department of Veterans Affairs
• Joseph Pellachia, M.D., FACP, Interim Network Chief Medical Officer and Chief of Staff,, Huntington Veterans Affairs Medical Center, Veterans Health Administration, U.S. Department of Veterans Affairs
• John R Vara, Chief of Staff, Miami Veterans Affairs Medical Center, Veterans Health Administration, U.S. Department of Veterans Affairs
• Juan A. Morales, RN, MSN, Director, Tennessee Valley Healthcare System, Veterans Health Administration, U.S. Department of Veterans Affairs
• Rebecca J. Wiley, Director, Charlie Norwood Veterans Affairs Medical Center, Veterans Health Administration, U.S. Department of Veterans Affairs
• Mary Berrocal, Director, Bruce W. Carter Veterans Affairs Medical Center, Veterans Health Administration, U.S. Department of Veterans Affairs

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Hearing to air VA explanation of hospital mistakes

By BILL POOVEY

CHATTANOOGA, Tenn. (AP) — After months of health worries for more than 10,000 veterans, officials at the Department of Veterans Affairs are expected to face a congressional panel Tuesday and explain how mistakes at three hospitals in the Southeast may have exposed patients to HIV and other infectious diseases.

"Somebody is going to have to take responsibility," said U.S. Rep. Phil Roe of Tennessee, the ranking Republican on the House Committee on Veterans' Affairs' oversight and investigation subcommittee.

The subcommittee scheduled Tuesday's hearing in Washington to discuss the endoscopic equipment mistakes at VA hospitals in Miami, Murfreesboro, Tenn., and Augusta, Ga., with top agency officials and to receive a yet-unreleased report by the VA's inspector general.

Roe said he had not yet seen the report but was told in a briefing Friday that the VA's inspector general conducted a random check on 42 VA locations.

VA officials have said problems discovered at more than a dozen other VA facilities did not warrant follow-up blood tests for patients. Roe, who is a private physician, has questions about whether the problems were isolated to three hospitals or were more widespread.

"I think this was an institutional breakdown," Roe said.

The VA since February has been warning about 10,000 former patients, some who had colonoscopies as long ago as 2003, to get blood tests for HIV and hepatitis.

As of Friday, the VA reported that six veterans taking the follow-up blood checks tested positive for HIV, 34 tested positive for hepatitis C and 13 tested positive for hepatitis B. All but 724 affected patients have been notified of test results.

VA spokeswoman Katie Roberts did not respond to repeated requests for comment Thursday and Friday.

The initial discovery of an equipment mistake at Murfreesboro led to a nationwide safety "step-up" by the VA at its 153 medical centers. Since then, the VA says the problems have been discussed with staff at all VA hospitals and with representatives of the equipment manufacturer, Olympus American.

The VA's chief patient safety officer, Dr. Jim Bagian, has said no one will ever know if the patients with HIV and hepatitis were infected because of improperly operated or cleaned endoscopic equipment used in colonoscopies at Murfreesboro and Miami — and to treat patients at the VA's ear, nose and throat clinic in Augusta. Bagian has also said all the mistakes were human error.

Roe said he believes the VA has been open and trying to keep former patients and the public informed since discovering the mistakes in December. "These people did not intentionally do anything wrong," he said.

That is not always the case when private-sector hospitals discover mistakes, according to Barbara Rudolph, director of The Leapfrog Group, which promotes quality health care.

She said private hospitals also have spread infectious diseases with unsterile equipment, but requirements on reporting such problems vary by state and there's no national regulation requiring disclosure.

"Some hospitals have become very open and have made a commitment to be transparent about things like that," she said. "There are a number of hospitals who would not have gone as far as the VA has gone."

Michael Sheppard, a Nashville lawyer who represents dozens of veterans among the affected VA patients, wrote in a June 3 letter to the committee that it was "hard to describe the upheaval and injury this has caused innocent veterans."

"Some no longer trust or have confidence in the VA medical facilities and feel betrayed, misled and ill-informed," Sheppard wrote, adding others may avoid colonoscopies for fear of HIV or other infections.

A spokesman for the American Society for Gastrointestinal Endoscopy, Dr. David A. Greenwald, said in a telephone interview from the Montefiore Medical Center in New York that although the VA patients recently tested positive, they could have had the viruses for years — and before the VA treated them — without showing symptoms.

Greenwald said the positive tests for HIV and hepatitis C reported by the VA are far below the frequency of positive tests reported from studies of other groups of veterans. He said the same is likely true of the hepatitis B cases.

"Probably all of the infections that are being reported are infections people already had," Greenwald said.

Megan Longenderfer, a spokeswoman for Olympus America, said from the equipment maker's vantage point the VA "has been diligent and transparent in its investigation and corrective action."

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TOPICS: veterans, veterans' benefits, VA, Department of Veterans' Affairs, contaminated equipment, endoscopic, hepatitis B, hepatitis C, HIV, congressional hearing