Tag Archive for: PACT Act

Veteran Lung Cancer Risk | Understanding Exposures and Screening Protocols

Veteran Lung Cancer Risk: Understanding Exposures and Screening Protocols from Patient Empowerment Network on Vimeo.

What’s important for veterans to know about lung cancer risk? Expert Dr. Drew Moghanaki from UCLA Health discusses known veteran lung cancer risk factors, screening recommendations, and proactive patient advice involving the PACT Act.

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“…if you’ve had an office job, well, you probably have the same risk as your neighbor wherever you’re living. But if you were in a combat zone or on a base where there were a lot of chemicals, probably want to pay a little more attention and check in with your primary care doctor to get some appropriate screening tests for yourself.”

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Transcript:

Lisa Hatfield:

Dr. Moghanaki, there is a stigma around military personnel being at higher risk for lung cancer than civilians. Is there an elevated risk for those in the military? If so, why and who should be screened?

Dr. Drew Moghanaki:

Yeah, the stigma of veterans being at higher risk for lung cancer is real. And I think Hollywood had a big role in it. And is it appropriate? Well, I never liked the word stigma, but I think it’s important for the public. And of course, soldiers or any military personnel who served in the armed forces appreciates that back in the days the bases were much dirtier than they are today. And there was a lot of exposure to a lot of things that can cause cancer and actually other health problems as well, such as diabetes and Parkinson’s disease and Alzheimer’s and other things.

So yes, it’s true that our veterans, especially if they were working around toxic chemicals or in the Middle East, where the open burn pits were leading to inhalation of a lot of toxic fumes, that these folks are at a higher risk and should be more proactive with any symptoms. So if you’re just a 45-year-old, 55-year-old male or female, and you’ve got a cough, generally speaking, you may not be so worried and just hope it goes away.

But if you’ve been on these dirty bases, it’s important to look into this and find out now how dirty are the bases? Well, there’s been the media I think over exaggerates exactly what was going on and what was on these bases. But there are lots of federal reports that have documented exactly some of the, for example, like if you were stripping aircraft with a certain stripping material, a lot of these substances are currently now chemicals are banned because we as soon as we learn that they’re toxic, we basically ban them.

But generally speaking, yeah, health concerns are a little bit elevated if you’ve served in the military and especially if you’ve been deployed in the field of battle. And so my activation tip is if you’ve had an office job, well, you probably have the same risk as your neighbor wherever you’re living. But if you were in a combat zone or on a base where there were a lot of chemicals, probably want to pay a little more attention and check in with your primary care doctor to get some appropriate screening tests for yourself.

Lisa Hatfield:

Are there any programs in place right now where veterans who’ve had those exposures or potential exposures, where they are being screened regularly or is it up to the veteran to ask that question?

Dr. Drew Moghanaki:

So if a veteran is plugged in with the VA healthcare system, the primary care network here is set up to offer the appropriate screening. But if you’re not, it’s important to look into this. Again, I’m just going to keep saying over and over again, if you’re a veteran who’s not yet eligible, if you know anyone, please check in. Congress has radically expanded the eligibility within the PACT Act is actually primarily centered around this issue of risk. It’s about toxic exposures that the VA is still learning about and VA physicians like myself are still learning about. And so these programs definitely exist to address them, but the best way to do it is to get registered for VA healthcare.


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Insights into Veteran Healthcare | Perspectives from VA and Civilian Systems

Insights into Veteran Healthcare | Perspectives from VA and Civilian Systems from Patient Empowerment Network on Vimeo.

What can veterans expect for the patient experience in VA versus civilian healthcare systems? Expert Dr. Drew Moghanaki from UCLA Health explains common experiences for veterans in VA  and civilian healthcare systems and information about the PACT Act.

[ACT]IVATION TIP

“…be aware of who’s providing care, and obviously give them a break if they don’t understand anything about what it means to be a veteran. The quality of healthcare really builds upon a culture of trust. You may be better served finding other physicians or providers who are veterans themselves.”

Download Resource Guide | Descargar guía de recursos

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Transcript:

Lisa Hatfield:

Dr. Moghanaki, are there systemic issues within the healthcare system that disproportionately affect veterans?

Dr. Drew Moghanaki:

Well, this makes me realize that healthcare systems aren’t just automatic systems. They’re environments where there are people like myself who work in a healthcare system. And depending on where a veterans getting care, that staff may or may not know much about what it means to be a veteran. So let’s take three different examples. Obviously, if you come to VA Medical Center, our veterans, many of them told me they feel like they’re back on base. We understand the mission. We understand the cause. We understand the victory. We also understand the suffering. And we can connect better than anyone else in this country with veterans. 

And we’ve got the access to the best treatments available to truly take the best care that we can with a comprehensive approach through the VA healthcare network, which now consists of over a 1,000 clinics and over 100 high-quality, multi-functioning health care medical centers. But let’s take option number two, where a veteran may be receiving care in a community hospital. And in that situation, you may run across some of the healthcare providers who know something about what it means to be a veteran.

Either, if you’re lucky, they themselves were a veteran and provided some service, or they were raised in a family where they know other people who have served in the military and they understand the basic principles.  And so those healthcare providers, even though they may be civilians themselves or veterans working in a community hospital, at least kind of get it.

But then there’s a third scenario where veterans will go to a community hospital, and the people taking care of them don’t really know what it means to be a veteran. They only know the television version or the Hollywood version of it. And they think they know, but they really don’t know. And I’ll tell you, that’s who I was when I first started working in the VA about 12, 13 years ago. And I’ve been so fortunate to get a lot of lessons on what it means to be a veteran. And over time, I’ve gotten to know a lot of soldiers and veterans myself just in my personal life to truly understand. And so I think my activation tip for here is to really be aware of who’s providing care, and obviously give them a break if they don’t understand anything about what it means to be a veteran.

The quality of healthcare really builds upon a culture of trust. You may be better served finding other physicians or providers who are veterans themselves. And, of course, if you’ve got access to VA healthcare, check-in with the VA Medical Center and see, hey, what’s the quality of my care here? And I’ll probably be saying this later on in this recording, which is that if you are a veteran and not yet eligible for VA healthcare, please do check in because the PACT Act recently approved by Congress has truly expanded eligibility, and you may be eligible and not know about it.


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