Posted on Nov 9, 2018
CSM Michael Chavaree
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What is the operational force knowledge and implementation of using (O low T) Fresh Whole Blood? Dialogue encouraged, what challenges if any have been met?
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Responses: 21
Capt Daniel Goodman
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You know, candidly, if any of you might know a way I could help contribute to such research, purely as a volunteer, maybe through the Army Volunteer Corps (AVC), God knows, I've tried to find a way to be useful, honest, if any of you can find a way somebody might make use of my mind, rather than having it go totally to waste, both my wife and I would obviously be most obliged, honest...I mean, God knows, I spent 14 yrs training for doctoral level allied health before my total perm disability, if any of you can think of a way I could be of use, please, by all means, fly me, honest, guys, OK?
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MSG Ortho Tech
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6 y
Look up Andrew Fisher. He is pretty in influential with this
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Capt Daniel Goodman
Capt Daniel Goodman
6 y
I follow, I'd sent in some material about my motivations on here just now, I'd be most obliged if you could look through them, if at all possible, it was an answer to MSgt Chavaree, if you also !right have any thoughts how I might possibly be of use as a volunteer for assisting with such clinical research, my wife and I would be most obliged, I'll look him as you'd said, I'm assuming he's clinical, is he active duty? Civil service? Clinical research? If you might elaborate at all, I'd certainly be most eager to hear more, honest, many thanks....
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Capt Daniel Goodman
Capt Daniel Goodman
6 y
https://www.jems.com/authors/a-f/andrew-d-fisher-mpas-pa-c.html

I found a link, I saw jes ARNG, I'll try to look up his material, if you have any other thoughts, I'd love to hear them, of I could be of any possible use, honest, as I'd said....
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Capt Daniel Goodman
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Just out of curiosity, do you guys use packed RBCs/WBCs, as well as fresh frozen plasma (FFP)? I'm assuming you all do, I'd just kinda wondered about those, as well as crystalloids...I know the USAF PJs get really extensive combat med training...did any of you ever try getting ahold of any of their guys, to see how they do it at all? Just a thought, obviously, that had occurred to me...see, when I was training, it rather fluctuated as to what those I trained with got exposed to...some lucked out, and got to do some really interesting stuff in the course of their surg exposure and OR time, others just didn't...I mean, we got a good deal of hem/onc, as part of internal-med exposure, I just also have interests in bioengineering, though, God knows, I never got to do it, though, God also knows, I tried, I really did...such topics interest me, that was why I was asking such stuff given all that was raised here...also, that Army-run interservice PA program, I think at Ft. Sam Houston, they must certainly expose their guys to it...I never quite knew the level combat medics were trained to, or Navy Corpsmen, I'd expect it'd all be similar to USAF PJs, in terms of being basically at paramedic level, I just never actually got to ask any of those who do it about it, that was all, I'd be interested to hear more, no rush, obviously, just some random thoughts, you understand....
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CSM Michael Chavaree
CSM Michael Chavaree
6 y
Sorry I have been TDY for a while and dont get to answer stuff on here timely. So my question was to see what their baseline knowledge and experience levels are at, as well as where they are at with implementing the program. Committee of TCCC suggests Fresh Whole Blood as superior followed by component therapy. I have been working with the XVIII Airborne Corps with their SOPs and development of their policy and programs. The 82nd has already implemented the O low T program and have practiced it in training as indicated by the pictures (that I took). We are already doing this at the division level. I was seeing what the experiences are at the other units. I am at the 68W working group right now and we are discussing how this will be added to the course for basic trained 68Ws. This intervention is very easy to master and will save lives on the battlefield. I am still concerned that we still have folks with a lack of confidence in the program as indicated by some comments on here. It is clear that there is not a great understanding of the protocols and procedures. If done within the parameters of the protocol we can appreciate a less than 1:10,000 transfusion reaction. I am okay with these odds. We need to not be scared of a basic intervention that we did in WWII and Korea by medics with almost no training. As I transition into the Atlantic Regional Command it will be one of my lines of effort that we must achieve. Thanks for your support!
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Capt Daniel Goodman
Capt Daniel Goodman
6 y
I follow, I'd gathered you'd seen the research stuff I'd sent, from what I could see, hope was of some use...I'd merely ask something, if I might...as you might've seen me ask about, I'm total perm noncombat svc connected disabled (SCD) a long while now, I've asked about trying to be of use, maybe through Army Vol Corps (AVC), which I gather is run out of Ft. Sam Houston...thus far, zero, God knows I've asked, you know? I have 14 yrs allied health doctoral level training, as well as a whole slew of engrg, physics, math, I'd really love to help with stuff like what you're describing, I have numerous research interests in bioengineering, mathematical biophysics, and biomathematics...I'd seen USAR has a group called 75th Innovations Command that had some stuff on here, asking if there was any interest, I'd asked them as well, again, it went nowhere. We had to shut my license sevl yrs ago due to my whole disability thing, however, I've also tried, God knows, to ask about volunteeringto to help with clinical research at VA, I've gotten just about nowhere, I never got to publish, though God knows I tried, in wound care, esp hyperbaric aspects, I was never able to or taken seriously, I was so caught up in surgical residency, that my attendings and residency directors never cared...I'd wanted to go USPHS, I'd also seen stuff on here about possible changes in age limits for those of useful background, esp clinical up to O-5 level, I'm unsure if, being VA disabled, I could be allowed, I can never be paid, I don't care about that, I'd just love to be of use to all of you, so, if you could possibly ask at all, and describe my whole tale of woe, for whatever possible use any of those you know might be able to make of me, in whatever fashion might be consistent with law and/or policy at all, to whatever extent might be waiverable, maybe through AVC and/or USAR 75th Innovations Command, there's a Reserve Ctr right up the street by us, I worked before my disability 11 yrs as a very serious research engr, while in residency I assisted with intraoperative testing of ultrasonic wound debridement hardware, I've had full training in boomed sciences, I'm aware USUHS, the svc med school, has civilian tracks for PhD level in basic med sci, specifically, infectious diseases, molec and cell bio, as well as neuroscience, I just despise going to waste, if I might be able to contribute, honest, so, given your obvious level, and the description you've given, if you could at all do anything, I've known Army as I'd sent you also has a surgeon research institute somewhere under AMEDD I think in AZ, maybe at Ft. Huachuca, perhaps, my wife and I would obv be most indebted if you might possibly be able to find a way I could be of serious clinical research use at all, honest, I have a double bachelor's, trippe masters, dual inactive licensure as a Prof Engr (PE) and allied health doctor, I did seven years of residency, of which I finished six before my disability during my seventh, I'm also a total perm disabled Sr MBR of one major engrg society. I've sought to try tutoring STEM for CAP, Navy Sea Cadets, JROTF, Boy Scouts, as a volunteer, I've also asked about a program called RSVP under SeniorCorps, which has very close ties to VA, I've also wanted to submit to VA VOC rehab and ed (VR&E) if at all possible...I'd volunteered for Desert Storm, I've got the acknowledgment letter, I never got to go, I was too ill, I'm afraid, I'd really love to help all of you with this, honest, so, if you might at all be able to give the matter any thought, I treated, while in residency, and in !y doctoral program, some 10000 patients under attendjngs, and assisted with some 200-300 surgeries at some 10 different teaching hospitals in three states, incl having done my first year of residency at a VA hospital by us...please understand, I'm not saying chicken little the sky is falling, I just can't volunteer at hospitals doing normal volunteer stuff, I've been the real thing, I trainee under an O-6 in USPHS for awhile, I'd wanted really badly to go USPHS, I'd been Army ROTC 3 yrs before going USAF OTS instead, I wound up on the line side, not the clinical, totally by mistake, God knows, I asked to be used clinically in bioengineering research, I hadn't known the right way to go about it back then and totally ollixed it up in my ignorance...so, if you and/or those you know might possibly have any use for me, God knows, I'd love it, honest...I'm a very serious would be clinical research scientist, I've just never been able to fix the whole thing, so, if you've got any ideas, honest to God, I'm all ears, for real, OK? If you'd care to chat further, also, God knows, I'd love it, honest, please give me your thoughts, I'd be most eager to hear back from you about any possible ideas you might have, I know USPHS had an inactive reserve that was refunded, I'd wanted to go that route, possibly also one of the legitimate state militias by us, the NY Guard (NUG), the supplement to the ARNG, in NY State, I did ask about that also, the thing is, the VA disability bars me, which was why I'd asked about AVC, believe me, I did call, I did ask, it's just as I'd said, gone nowhere, I know USPHS had said my allied health doctoral field might be usable, though God knows, I'd need t be incredibly waivered...our dentist is ARNG, he'd gone into NYG at my suggestion, then switched over, he wrote me a recommend letter, I've got it, if needed, he knows I've wanted to help with such clinical research forever, longer than God's been alive, I assure you, so, as I'd said, we'd be most genuinely grateful for any possible thoughts you might have whenever convenient, many thanks....
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Capt Daniel Goodman
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I gotta tell ya, guys, most days, total perm disability totally stinks for most part, you know? I mean, don't get me wrong, chicken little, the sky isn't falling, however, whenever those like you get on here and get my neurons firing, I just detest going totally to waste, I mean, God knows, I've wanted to help with such research longer than God's been alive, you know? So, if any of you have any constructive pearls of wisdom, honest, as I'd said, we'd truly be most obliged, honest, many thanks....
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