"I am sensitive to this issue of appropriate expertise in part because one of the frustrations that my patients who are veterans have faced is that their BVA case reviewer is someone who doesn’t truly understand their disorder, such as a lung specialist or an endocrinologist commenting on MDS (or, in the situation you describe, a fish toxicologist reviewing the literature on human exposure to AO). However if any of the C123 workers develops MDS or AML, I would be glad to write a supporting letter on their behalf."
Thank you, Dr. Steensma. Too often given the complexities of dioxin and the controversal nature of the VA's uninformed handling of veterans' claims, physicians are hesitant to lend their assistance. So, if indeed you are a C-123 veteran facing a diagnosis of acute myelodysplastic syndromes or of acute myelogenous leukemia, Dr. Steensma's letter of support can be vital!