Saturday, December 30, 2017


something new - something old
I want to take this opportunity to thank all the incredible VA Northport Employees who looked after me so diligently during my little sojourn in the ER, ICU, and Unit 34. You know who you are, and I know who you are. Your dedication to serving our Veterans was evident 24 hours a day. I saw you folks covering three Units on your shifts; ER, ICU, and a Medical Ward. I don’t know how you do it under such adverse conditions! Your work does not go unnoticed...Thank you all.

2017 saw a parade of “hospital directors” traipsing through our little hospital on the hill. First, Philly “The Fat Man” Mo-Schitt-A was kicked off the island. Then, in walked Vinnie “Three Fingers” Immiti for a short stay. and now, we have been blessed with Scotty “Lock The Door” Guermonprez. Not bad...three “directors” in one year, and still the same old same old. Yippee!
Philly "The Fat Man" & Friend
Vinnie "Three Fingers"

Scotty "Lock The Door"

Mo-Schitt-A & his Squeeze

I don’t have enough space to show the complete articles, but this is the VAMC Northport to a “T”! Please open the links and read them. You might need to pick your jaw up off the ground by the time you are half way through reading.

VA Health Leaders Failed to Protect Patients from Inept Doctors
“At a House hearing Wednesday, VA acknowledged years of lax oversight by VA medical center directors, regional supervisors and top leaders. But Dr. Gerard R. Cox, a retired Navy physician who last month was named VA’s acting deputy undersecretary for health for organizational excellence, told lawmakers VA accepts GAO’s findings and recommendations and vowed reforms are underway.”

This Chinese fire drill sounds just like the infamous “Choice” program!
VA Suspends Applications for New ID Cards 5 Dec 2017 by Amy Bushatz
The Department of Veterans Affairs has suspended applications for its new veteran identification card program due to a large number of applicants, according to a notice on its website.
The new, free ID card was ordered by Congress in 2015 as a way to give veterans proof of service at businesses without carrying a copy of their DD-214 forms. The VA a week ago rolled out the online application for the card for all honorably discharged veterans, but the system appeared to immediately face technical problems.

Ride, Sally, ride!!
Sally C. Pipes: VA Negligence Is Killing Veterans  
“A bombshell report just revealed that a Department of Veterans Affairs hospital knowingly hired a physician with a record of more than a dozen cases of malpractice, including the death of a patient. Other recent VA physician recruits include a known sexual predator and a dangerous felon.”
“The VA is in shambles. Absent reform that allows vets to seek care in the private sector, our veterans will continue to be subjected to subpar care.”

Check out the VA “Voodoo” accounting of this stuff! How do they deal with this? Read the last sentence. They will “monitor” the situation! Really, VA, really??
Veterans Affairs Office of Inspector General (OIG)
Audit of VHA’s Management of Primary Care Panels
12/05/2017 07:00 PM EST
OIG evaluated whether the Veterans Health Administration (VHA) effectively managed providers’ primary care panels to maximize access to primary care providers by evaluating new enrollee processing into panels as well as the panel sizes. Provider panels define both VHA’s capacity to provide managed outpatient care and provider efficiency based on the number of veterans managed for primary care. In the first seven months of fiscal year (FY) 2015, VHA had not effectively managed provider panels to maximize access. VHA facilities’ methods for processing and scheduling veterans into panels varied, and veterans encountered an average wait of 29 days from the date they enrolled until the facility scheduled their appointment. The average of 29 days was not included in VHA’s wait time calculation. VHA facilities had panels below VHA’s panel size recommendations with six of the seven facilities showing panels 13 to 30 percent below the model. This occurred because VHA lacked standard procedures for processing new enrollees, did not track the wait-time from the enrollment to scheduling, and did not ensure compliance with recommended panel sizes. As a result, VHA’s recorded wait times did not accurately reflect the wait experienced. VHA’s recorded wait time showed about 8 percent of newly enrolled veterans waited more than 30 days. However, when including the time between the date a veteran enrolled seeking care until the date the facility scheduled them for their appointment, OIG determined about 53 percent of newly enrolled veterans completed their first appointment more than 30 days past the determined eligibility date. Lower panel sizes equated to almost $169 million in underutilized provider salaries paid in FY 2015. OIG recommended the Acting Undersecretary for Health establish standardized new enrollee scheduling procedures that properly track wait times and ensure facilities either set panel sizes at VHA’s model goals or justify deviations. The Acting Undersecretary for Health concurred with the recommendations and OIG will monitor VHA’s progress until all proposed actions are completed.
This email was sent to using GovDelivery Communications Cloud on behalf of: Veterans Affairs Office of Inspector General (OIG) · 801 I St NW · Washington, DC 20536 

Oh, what could possibly go wrong with this crap?
12/06/2017 11:08 AM EST
VA News Release
Statement by VA Secretary Dr. David Shulkin - Permanent Community Care Legislation
President Donald J. Trump is working to ensure his Administration fulfills its commitment to America’s veterans so they receive the care they deserve. Under the President’s leadership, we have enacted major reform bills including Accountability and Whistleblower Protection, the Forever GI Bill, and Appeals Modernization, among others.
I am pleased that Congress is working on the last piece of business this year in considering proposals for permanent authorization of community care for Veterans. As we have made clear for many months, Congress needs to pass a bill this year to help our Veterans get the care they need and have earned through their service and sacrifice to our country.
We are pleased to see key provisions of the Administration’s CARE proposal to expand Veterans’ choice in their care — and improve VA’s ability to deliver that care — included in multiple bills under consideration by Congress. We appreciate the Senate’s recent progress under Senator Johnny Isakson’s leadership in reporting a bill out of the Veterans’ Affairs Committee, and the introduction of an additional CARE proposal by Sens. John McCain and Jerry Moran, and we look forward to working with Chairman Phil Roe in the House to help advance and improve their efforts.
While a limited number of legislative days remain on the calendar, we are hopeful that both the Senate and House can reach agreement on a bill before the end of the session. To ensure our Veterans receive uninterrupted care, we are open to a short term, very limited extension of funding for the existing program to allow sufficient time for a final agreement to come together.
One way or another, I remain confident that Veterans will soon see bipartisan legislation that will greatly improve their care by providing them with better choice in selecting their best possible healthcare options.
Sent to on behalf of US Department of Veterans Affairs
810 Vermont Avenue, NW · Washington, DC 20420

Is everybody happy?

                                                      These (in)Famous VA employees are!!

Scotty “Lock The Door” refused to meet with this guy 10 times; kept telling him to go talk to Patient Advocate; Veteran got so frustrated he made the phone call; Scotty demanded prosecution for seemingly idle threat - Top of Form
Department of Justice
U.S. Attorney’s Office
Northern District of New York
Monday, August 7, 2017
“Canandaigua Man Sentenced for Threatening Shooting at Albany VA Medical Center”
ALBANY, NEW YORK - Robert J. Seifert, age 59, of Canandaigua, New York, was sentenced on August 3 to time served (about 12.5 months in jail), as well as 3 years of supervised release, for threatening to commit a mass shooting at the Stratton VA Medical Center in Albany.
No wonder why Scotty “Lock The Door” likes him some VA “Keystone” Cops...
Ho-Ho-Ho... from our VA Keystone Cops and our fearless leader, Scotty “Lock The Door” Guermonprez.

Then there is the ever-present “Roundup” newsletter...
Yippee Ki Yo -  Ki Yay!
“NPT VA ROUND UP” - Employee Resources
•   Health Insurance Brochure Error- GEHA: The 2018 plan brochures for GEHA’s high-deductible plan option contains an error. The brochure stated that the out-of-pocket maximum is $10,000 per person for Self Plus One or for Self and Family enrollment when using a PPO Provider. It also stated that this maximum is $12,000 per person for Self Plus One or for Self and Family when using a non-PPO provider. The corrected language states that these amounts are applied per family instead of per person. If you have any questions regarding this message, please contact Human Resources at ext. 2715.
•    Learning Systems is offering the following interactive training seminars through February. These seminars are open to staff & supervisors for their development. Click here for details. Employees can register through TMS or their Education Liaison. You also may contact Patrick Fletcher at ext. 7921 or Gina at ext. 7771.               
* Coping with Change , Dec 7  = Hit the bricks & find another job!                  
* Body Language/Nonverbal Communication, Jan 30 = Can you say “sexual harassment”?                                
* Effective Listening, Dec 14 = Blanket “gag” order; shut up your mouth!                       
* Conflict Resolution, Feb 8 = “Run,Forest.....Run”.
* Self-Care in the Workplace, Jan 17 = Go to Employee Health early and often.        
* Money Management, Feb 16 = see, #1 - “Coping With Change”.
* Time Management, Jan 25 = This is not meant for the Minions.                      
* Presentation Skills, Feb 27 = This is not meant for the Minions.

Special Messaging

•During this holiday season, give yourself the gift of less stress. Join us today at noon in Rm.   
     A1-5 to learn practical techniques for managing holiday stress, including guided  
Or, see “Coping With Change, above.
•   Click here for the latest edition of Lighthouse, presented by Chaplain Service.
Yup, you’re all going to need some “religion” before 2018 is done!
•   The Secret Soldier Santa Program has children still in need of “adoption”. Please consider     
      assisting Veteran patients struggling financially by serving as their Secret Santa for the  
      children. To participate or learn more, please e-mail Ann Marie “Antoinette” Falcon and
      Joe “The Hammer” Sledge.
      Thank you.
•   HEY VA! HAVE YOU HEARD? The holiday season can be a wrecking ball to any healthy living plan, with all of the treats, big meals and little time to stay on your fitness plan. To keep your healthy living plan intact, look to do things like making exercise a part of your holiday fun with activities like sledding or skating. You can also replace some of the ingredients in your favorite holiday recipes with tasty and nutritious substitutes. Don’t forget to schedule in “you time” to help you better manage that holiday stress. Deep breathing exercises can help you slow down during the hustle and bustle that the holidays bring. Throughout December on VA WIN on VA Pulse (, there will  be a lot of information on how to keep your healthy living plan intact throughout the holiday season. Each week, you’ll find healthy recipes to add to your holiday meals. VA WIN on VA Pulse features daily activity and nutrition tips, weekly healthy recipes, polls, videos and many good discussions with other VA employees who are focused on healthy lifestyles.
If it’s quality “you time” you’re looking for, don’t put in for a “leave of absence”. That is sure to get you a pink slip courtesy of Steve “The Snake” et al.

A very Merry Christmas job openings listing for our little VA Hospital on the hill:
But, wait a minute, don’t we have a Chief O’Staff already?? And, I thought we were just chock full of Cardiologists from Stony Brook. Hussein “The Horrible” Foda must have them all playing “Musical Chairs” with “Chatty” Cathy Cruise directing traffic.

Comings and goings at the little hospital on the hill - mostly goings:

“Marky” Mark Kaufman finally pulled the trigger and resigned the week before Christmas. Happy trails, “Marky”!  Now “Chatty” Cathy Cruise is large and in charge.

I guess we’ll have to wait until January to know who got the axe just before, during, and just after the Christmas/ New Year break. I’m sure it will be some folks down low on the VA food chain. But, who knows, we seem to be shedding Doctors, Nurses, and Technicians at a fairly alarming rate. Steve “The Snake” Snyder and “Wee” Willie Sainbert are probably running the “pink slip” press as you read this.

Hussein “The Horrible” Foda appointed “Jumpin” Gerry Cruise (“Chatty’s” hubbie) as new chief of primary care; he claims to also be an Oncologist, but did not complete his “Fellowship” in the discipline. Is this the employee who blew off the Veteran with Liver and Blood Fluke? (see below)

And, our Oncology “Center of Excellence” is on top of shit, as always. A Veteran who is known to have two of the Liver Fluke parasites came up with some nodules and spots on an outside CAT scan. It is in his VA record that he tested positive for the Liver Fluke and the Blood Fluke. When he presented his outside reports to our little hospital, they smiled and said: “Come back in six months. We’ll just monitor it for now”. Who’s running this Dog & Pony show; perhaps someone who’s not Board Certified in Oncology? Gee, maybe they think the Veteran will die and they won’t have to deal with it!


Wanna find ur va doctah??

And, of course, there is the ongoing issue with our crumbling buildings and infrastructure. Maybe, in 2018 there can be a “Go Fund Me” page set up to buy cold patch and sealer for our highways and byways.

Word has it that OSHA is going to be much more involved in 2018, and start condemning some of the 90 year old mold, asbestos, lead, and rodent infested structures. A bulldozer, or two, would not surprise me! Louie “The Lip” Errichiello is going to have his hands full this year.

Let’s not forget the gift that keeps on giving; for a price. Those wonder folks from the Planetree Pyramid/Ponzi Scheme will still be with us. “J. Ro” Marge Rogan will still be large and in charge with area beautification in 2018; spending $millions of Veterans’ healthcare dollars on senseless projects that only benefit a select few.
You might want to be on the lookout for Charlene “The Carleton” and “Little” Dickie Thomasen in the coming months. They surely must be poised to make some big moves.
And, what would life at our little hospital on the hill look like if Philly “The Fat Man” Mo-Schitt-A wasn’t making buddies with Scotty “Lock The Door”, and schooling Scotty on:

1) No show jobs

2) keeping any money for maintenance in the “General Fund”

3) how to load up office doors with as many “Chief O’” plagues as possible

4) how to dodge the “Choice” program payments

5) how to spy on employees cell phones

6) how to divert and hide money for executive housing projects

7) how to keep the Joint Commission at bay

8) how to cope with being micro-managed by Joan “Of Arc” McInerney and VISN 2

9) how to keep Interns and Residents who live in Bldg. 17 on their toes looking for a hot shower in the morning

10) and, of course, we the “steak-holders” are still looking for some who actually knows how to run a hospital................

Hey, VA, ever read this plague? Do you actually know what it means? I know, sometimes you just can’t fix stupid!


HEY, VA...