Posted: April 25, 2018

Posted: April 25, 2018

Dear Sir or Madam:  
 
Please see below for information on the Agency for Toxic Substances and Disease Registry (ATSDR) public meeting of its Camp Lejeune Community Assistance Panel (CAP).
 
Community Assistance Panel Meeting: April 28, 2018 9:00 AM - 1:00 PM
 
Double Tree by Hilton Hotel Pittsburgh - Green Tree
412-922-8400
 
The meeting is open to the public, but pre-registration is requested. To register to attend the meeting in person, submit your registration online at https://www.atsdr.cdc.gov/sites/lejeune/event-registration.html. For those not able to attend the meeting in person, a live stream of the meeting will be available for viewing via computer. A link to the live stream will be available on the day of the meeting at http://www.atsdr.cdc.gov/sites/lejeune/index.html.
 
For more information about the health studies and other work done by ATSDR at Camp Lejeune, visit https://www.atsdr.cdc.gov/sites/lejeune/activities.html.
 
Were you stationed at Camp Lejeune, N.C. for at least 30 days between August 1, 1953 and December 31, 1987? Listen to the former Department of Veterans Affairs (VA) Secretary Dr. David Shulkin describe possible disability compensation and healthcare benefits available for veterans. Family members may be covered for out of pocket costs for certain conditions. Please visit, https://www.benefits.va.gov/COMPENSATION/claims-postservice-exposures-camp-lejeune-water.asp.
 
To contact the VA to learn more about benefits, please visit https://www.publichealth.va.gov/exposures/camp-lejeune/, call (877) 222-8387 (Healthcare - Veterans), (866) 372-1144 (Healthcare - Family Members), or (800) 827-1000 (Benefits).
 
For more information, or to update your contact information, please visit http://www.marines.mil/clwater/, call (877) 261-9782, or e-mail clwater@usmc.mil. Please share this information with anyone that may have been at Camp Lejeune in 1987 or prior years and encourage them to register with us.
   
Sincerely,
The Camp Lejeune Historic Drinking Water Program
   
December 27, 2017

December 27, 2017

VA Dental Insurance Program

woman smiling

The Department of Veterans Affairs (VA) has selected Delta Dental of California and MetLife to once again offer private insurance coverage for the VA Dental Insurance Program (VADIP).

The Department of Veterans Affairs Dental Insurance Reauthorization Act of 2016 extends VADIP until December 31, 2021.  Veterans who are enrolled in the VA health care system and beneficiaries and their dependents of the Civilian Health and Medical Program of the VA (CHAMPVA) can enroll in the program beginning November 15, 2017, for coverage to start December 1, 2017.

VADIP offers eligible individuals the opportunity to purchase discounted dental insurance coverage that includes diagnostic services, preventive services, endodontic and other restorative services, surgical services and emergency services.

Each individual covered by the dental insurance plan will pay the entire premium for coverage under the dental insurance plan, in addition to the full cost of any copays.  Enrollment is voluntary and does not affect eligible individuals’ entitlement to existing VHA outpatient dental services and treatment. 
Coverage for VADIP dental services is provided in the United States, the District of Columbia, Puerto Rico, Guam, the U.S. Virgin Islands, American Samoa and the Commonwealth of the Northern Mariana Islands.

Delta Dental and MetLife administered the three-year VADIP pilot program.  Coverage under the VADIP pilot program began January 1, 2013, and more than 115,000 Veterans and CHAMPVA beneficiaries enrolled in the program before it expired January 31, 2017.  Individuals who enrolled in the pilot program must re-enroll to participate in the new version of the program.  While the insurance providers will remain the same, plan options, fees and other factors may have changed from those offered under the pilot program.

Multiple plan options allow individuals to select a plan that provides benefits and premiums that meet their dental needs and budget. You may click each insurer’s link for specific information regarding registration, rates and services, or call Delta Dental at 1-855-370-3303 or MetLife at 1-888-310-1681.

For more information about VADIP, explore our Fact Sheet.

Click links below for more information VADIP plans.

Click below to view the Delta Dental Plan

Delta Dental

Click below to view the MetLife Plan

MetLife

PTSD and TBI Linked
Posted: June 28, 2017

Posted: June 28, 2017


News Of Interest


PRESIDENT TRUMP SIGNS BILL TO PROTECT VETS

Spotted in the room were veteran advocates from the major veteran service organizations, including American Legion, Disabled American Veterans, Wounded Warrior Project, Got Your 6, and Concerned Veterans of America.

http://appsforpcdaily.com/2017/06/president-trump-signs-bill-to-protect-vets/

 

Trump signs Veterans Affairs accountability law to improve health care for former servicemembers

The VA Accountability and Whistleblower Protection Act, which makes it easier for the agency to terminate employees for misconduct, "is a tool to see that our veterans are treated with the respect they so richly earned," Trump said in a brief speech from the East Room of the White House before signing the bill.

http://www.nydailynews.com/news/politics/trump-signs-law-clean-veterans-affairs-hospital-problems-article-1.3272371

 

Trumps Signs Veterans Affairs Reform Act, Holding Employees Accountable (w/video)

http://www.nbcnews.com/video/trumps-signs-veterans-affairs-reform-act-holding-employees-accountable-974641219503

 

Hankook Tire partners with Disabled American Veterans

Hankook Tire America Corp. renewed its commitment to Disabled American Veterans, which provides free services to veterans of all generations where they live.

http://www.rubbernews.com/article/20170622/NEWS/170629978/hankook-tire-partners-with-disabled-american-veterans

VA standardizing caregiver plan as Congress considers opening program to older vets

Hours before the VA released its new policy directive, Adrian Atizado, deputy national legislative director of Disabled American Veterans, told me “there is no standard process in place.” An applicant who qualifies for caregiver benefits at one VA facility might be denied eligibility at another, he said.

“That kind of decision making on such an important benefit ends up being viewed as arbitrary and capricious, neither of which lends credibility to the program, which does serve thousands of caregivers very well. When handfuls of caregivers are not treated appropriately, and as part of the veteran’s clinical team, then you get some pretty hurt individuals,” Atizado added.

http://www.thenewstribune.com/news/business/article157579409.html

 

Veterans caregivers are unsung heroes who need equal benefits – Dave Riley op-ed

As an Army and Coast Guard veteran, I understand that the men and women who put on the uniform to defend this great country — especially those who go to war — are forever changed. Many paid and continue to pay a tremendous price. But while those of us who served are often recognized for our sacrifices, there are countless wives, husbands and children of the wounded and injured who are not. Many of them are the caregivers of disabled veterans, like my wife, Yvonne, upon whom we rely. They are unsung American heroes. http://thehill.com/blogs/pundits-blog/the-military/338836-veterans-caregivers-are-unsung-heroes-who-need-equal-benefits

'Combat Medicine:' Afghanistan Vet Seeks To Help Others Through Hip-Hop

There is no one sure way to reach combat veterans suffering from post-traumatic stress disorder, depression, or substance abuse. But a new hip-hop album called Combat Medicine, released Wednesday, might help. It was written and performed by George "Mik" Todd, who goes by the name Doc Todd. He's a former Fleet Marine Force corpsman — essentially a combat medic — who served alongside the U.S. Marines in Afghanistan. http://www.npr.org/sections/health-shots/2017/06/21/533792166/combat-medicine-afghanistan-vet-seeks-to-help-others-through-hip-hop

 

Millions Of Disabled Veterans Don’t Have Access To VA Caregiver Support

“I don’t think most Americans understand the long-term impacts of military service,” Sen. Tammy Duckworth, a Democrat from Illinois, said during a Disabled American Veterans panel on military caregivers in Washington, D.C., on June 19.

“Where would we be without our caregivers? I don’t know,” said Dennis Joyner, a past DAV national commander and a triple-amputee who was injured as a result of a land mine explosion in Vietnam.

http://taskandpurpose.com/millions-of-disabled-veterans-dont-have-access-to-va-caregiver-support/

 

Survey: Veteran caregivers feel isolated, need more support

“We place a lot of focus on this nation’s disabled veterans, and rightfully so,” said Garry Augustine, executive director at DAV. “But so often, especially with those most seriously injured, there is a person working constantly behind the scenes, maneuvering silently and selflessly, to help their loved one lead a high-quality life.”

http://www.militarytimes.com/articles/dav-survey-caregivers-help

 

Law makes VA treat some family caregivers better than others

“I have been confined to a one arm drive wheelchair for 48 years,” said the 68-year-old Longwood, Fla., resident. “As a former high school athlete, my life changed drastically in how I have to live with the combat injuries I suffered in Vietnam.”

He gets lots of help from his wife Donna, “my day-to-day caregiver.”

https://www.washingtonpost.com/news/powerpost/wp/2017/06/19/law-makes-va-treat-some-family-caregivers-better-than-others/?utm_term=.d0cdd81d2fa6

 

Medicaid is a lifeline for 1 in 10 veterans, will the Senate healthcare plan leave them behind?

We are on the eve of Congress enacting radical changes to the American healthcare system, including proposals to significantly restructure the Medicaid program. Republican leadership in the Senate is working to swiftly finalize a bill to repeal and replace the Affordable Care Act (ACA). Although many details are still unknown, the House-passed American Health Care Act (AHCA) included proposals to enact per capita caps or block grant Medicaid, resulting in a $834 billion cut to the program—the single largest source of funding for mental health and substance abuse treatment in the United States. http://thehill.com/blogs/congress-blog/healthcare/338863-medicaid-is-a-lifeline-for-1-in-10-veterans-will-the-senate

 

Secretary of Veterans Affairs David Shulkin plans integration for VA, private health sector services

Secretary of Veterans Affairs David Shulkin said Tuesday he plans to evaluate ways the VA can integrate services with private health sectors based on geographic region. Shulkin, who served as the VA's undersecretary during the Obama administration, said he does not support privatization of the department but wants to “build an integrated system” that minimizes overlap of services. The VA department should focus efforts and funds on areas of healthcare that the private health sector does not offer, he said, and these needs will look different for each geographic region. http://www.latimes.com/politics/washington/la-na-essential-washington-updates-secretary-of-veterans-affairs-shulkin-1497971152-htmlstory.html

  

Advocates: ‘Unfair’ veteran caregiver program should be expanded to older vets

Those benefits, and others, are available only to caregivers for veterans wounded post-9/11. But there is now a push in Congress, led by Disabled American Veterans and the Elizabeth Dole Foundation, to expand the services to all veterans.

https://www.stripes.com/news/advocates-unfair-veteran-caregiver-program-should-be-expanded-to-older-vets-1.474498#.WVEFb-vyupo

 

Lawmakers seek to fix Veterans Affairs $1 billion budget gap

The Department of Veterans Affairs was scolded by both parties over its budget Wednesday as lawmakers scurried to find a fix to an unexpected shortfall of more than $1 billion that would threaten medical care for thousands of veterans in the coming months. Under repeated questioning, VA Secretary David Shulkin acknowledged the department may need emergency funds.

Posted: April 27, 2017

Posted: April 27, 2017

In This Issue

Feature Topic

For Providers

Research at the Center

April 2017 Issue

Subscribe

Forward this to others so they can subscribe to the PTSD Monthly Update or other products by the VA’s National Center for PTSD.

Feature Topic

What Can I Do If I Think I Have PTSD?

Man standing with his back to viewer, looking out a window. PTSD Treatment can turn your life around.

After a traumatic event, it's normal to think, act, and feel differently than usual. Most people will start to feel better after a few weeks or months.

If your symptoms last longer than a few months, are very upsetting, or disrupt your daily life, treatment may help. If thoughts and feelings about a trauma are bothering you:

  • Learn about PTSD and PTSD treatment. (PDF)
  • Fill out a PTSD questionnaire or screen.
  • Talk to your doctor or therapist.

Find the Best Treatment for You

Today, there are several treatment options for PTSD. For some people, these treatments can get rid of symptoms altogether. Others find they have fewer symptoms or feel that their symptoms are less intense.

You can learn about effective PTSD treatment options using our PTSD Treatment Decision Aid. It includes videos to explain how the treatments work.

PTSD Treatment Decision Aid: An online tool to alp you learn about and compare effective treatments

You can also build a chart to compare the treatments you like most. Both psychotherapies (also called talk therapy or counseling) and medications are included in the decision aid.

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For Providers

Consult with PTSD Experts

PTSD Consultation Program

The PTSD Consultation Program offers free PTSD consultation to any provider who treats Veterans in any setting.

This program is now open to Community Providers.

PTSD Lecture Series

Free continuing education credits for our monthly lecture series.

5/17 at 2 pm ET - Craig Bryan, PsyD, ABPP on Treating PTSD and Suicide Risk: Separating Myth from Fact

  • Non-VA Providers: Register at TRAIN.
  • VA Providers: Register at TMS.

Mark your calendar for the 3rd Wednesday of each month at 2 pm ET.

Subscribe to receive monthly emails that include a registration link and instructions for joining the live lectures.

Using the PTSD Treatment Decision Aid with your Clients

The PTSD Treatment Decision Aid can teach your patients the basics about evidence-based treatments, including:

  • Cognitive Processing Therapy
  • Eye Movement Desensitization and Reprocessing
  • Prolonged Exposure
  • Stress Inoculation Training
  • SSRIs and SNRIs
PTSD Treatment Decision Aid Clinician's User Guide

Patients can use the decision aid on their own, or you can work through it together during an appointment. At the end, your patient will receive a personal summary. Use this as a jumping-off point to discuss next steps for treatment.

Visit our website for more information and to download the PTSD Treatment Decision Aid Clinician's User Guide (PDF) that contains helpful tips on how best to use the decision aid. Other materials include a customizable slide deck and flyers you can share.

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Research at the Center

Participatory System Dynamics for Evidence-based Addiction and Mental Healthcare

Researchers are working to identify innovations to improve the implementation of evidence-based practices in healthcare systems. Two outpatient clinics are evaluating improvements in scheduling practices, referral procedures, patient flows, and staffing allocations as part of this research.


Share the PTSD Monthly Update

Be sure to forward this update to others so they can subscribe. We send one update per month to keep you informed of the latest PTSD developments.

Thank you,

The Staff of VA’s National Center for PTSD

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Produced by VA’s National Center for PTSD - Executive Division
Email: ncptsd@va.gov | Visit our Web site: www.ptsd.va.gov

*Links will take you outside of the Department of Veterans Affairs website to a non government site.
VA does not endorse and is not responsible for the content of these linked websites.

Bookmark and Share
Posted: February 22, 2017

Posted: February 22, 2017

Click Here For Website
Posted: February 22, 2017

Posted: February 22, 2017

VA Mobile website site
VA Mobile twitter site
VA Mobile

VAR App Available at Select Locations

Veteran Appointment Request (VAR) app icon

As part of VA’s focus on making sure Veterans receive timely access to health care, VHA's Office of Connected Care has begun a phased release of the Veteran Appointment Request (VAR) web app. Available at select locations, VAR makes it possible for Veterans to self-schedule primary care appointments and request assistance in booking both primary care and mental health appointments at the VA facilities where they receive care. VA is continuing to expand VAR’s availability at additional clinics over the coming months.

Learn More

News About Mobile Apps for Providers

Three new provider-facing mobile apps are scheduled for release in the coming months: Image Viewing Solution, Patient Viewer and VA Pressure Ulcer Resource.

Image Viewing Solution (IVS) app icon

Image Viewing Solution (IVS) allows VA clinicians and other relevant staff to search for and view patients’ x-rays, radiology images and other stored images in Veterans Health Information Systems and Technology Architecture (VistA) Imaging. The app aggregates images from all VA medical facilities, offering accessible diagnostic-grade images in a modern viewer, optimized for mobile use. A web version is available to VA clinicians who have VA-issued iPads through the Mobile Health Provider Program. An iOS version, with enhanced features, will be available soon.

Learn More
Patient Viewer app icon

Patient Viewer enables members of a VA care team to find information quickly from patients’ Electronic Health Records (EHRs) through the convenience of a mobile device. The app can assist with understanding a patient’s overall health and provide immediate access to EHR data—inside your VA facility and on-the-go. Currently, several hundred clinicians have volunteered to be Patient Viewer's first VA clinician users.

Learn More
VA Pressure Ulcer Resource (VA PUR) app icon

VA Pressure Ulcer Resource (VA PUR) helps Veterans and their Caregivers learn about preventing and caring for existing pressure ulcers or injuries, and includes tools to help manage patient health. The app development team is now making changes based on Veteran and Caregiver feedback, and expects to officially launch VA PUR in the next few months.

Learn More

Take a Sneak Peek at the Latest VA Mobile Apps

Are you a VA employee and interested in testing VA apps before they launch? You can view the latest apps in development and help make them even better for Veterans and VA care teams. Become a VA Beta App tester today!

Learn More
VA Beta App Store

Learn More about Connected Care

Check out these two videos highlighting how Veterans and VA clinicians are benefiting from work taking place in Telehealth, My HealtheVet, VHA Innovation and VA Mobile.

View success stories from each Connected Care program.

Get an update about the VA Mobile Provider Program and learn what’s coming next.

Connected Care program video VA Mobile Provider Program video

Don't Miss Out: VA Mobile Discussion Series

VA Mobile Discussion Series

Last year nearly 1,000 people participated in live VA Mobile Discussion Series webinars to learn about digital technologies that are helping expand access to care for Veterans. The monthly forum offers information about the VA Mobile program for VA staff members—ranging from clinicians to project managers.

The next VA Mobile Discussion Series is scheduled for Friday, February 24 from 2-3 p.m. ET. Learn about how DS Logon differs from other logons. This session will include information about how to assist a Veteran registering for an account and will also go over where to find DS Logon resources.

Join the online meeting: http://va-eerc-ees.adobeconnect.com/vamds_dslogon/
Join by phone (VANTS): 1-800-767-1750 | Access code: 32523#

We hope you join us to learn more.

Visit the VA Mobile Discussion Series Site

Follow the conversation on Twitter using #VAMobileHealth

Keep updated & let us know how we're doing.

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You have received this message because you are subscribed to Veterans Health. Access your Subscriber Preferences to make changes to your subscription or Unsubscribe. Get this as a forward? Sign Up to receive updates from Veterans Health. Having questions or problems? Please visit subscriberhelp.govdelivery.com for assistance.

U.S. Department of Veterans Affairs, Veterans Health Administration, Office of Connected Care
Posted: February 4, 2017

Posted: February 4, 2017

dav_oktp_header.jpg

On January 19, 2017, Rep. Gus Bilirakis (FL) introduced H.R. 303, the Retired Pay Restoration Act.  This bill would end the unfair policy of forcing many military longevity retirees to forfeit some of their retired pay in order to receive equal amounts of disability compensation from the Department of Veterans Affairs (VA).  The effect of this policy means military retirees are paying for their own disability with their military retired pay.  This unfair policy has adversely impacted disabled veterans and their families for more than a century, but was partially repealed by Congress in 2004.  Under current law disabled veterans with 20-plus years of active military service who are also in receipt of a VA disability determination of 50 percent or higher may retain both military retirement pay and their VA compensation.
 
In line with DAV resolution 110, adopted at our most recent National Convention assembled in Atlanta, Georgia, July 31-August 3, 2016, we support the Retired Pay Restoration Act.  H.R. 303 would end the longstanding and unfair practice of the government's withholding of military longevity retired pay in exchange for VA disability compensation, regardless of disability rating.  DAV believes what is unfair for a veteran rated 50 percent disabled or higher by the VA is equally unfair for a disabled veteran rated 40 percent disabled or lower.  Disabled military longevity retirees should not be unfairly penalized by the government for any reason.
 
This legislation was referred to the House Committee on Armed Services in addition to the Committee on Veterans' Affairs. Please use the prepared email, or draft your own message, to request that your Representative support this important bill and ask that it be brought to the floor for a vote and passed as soon as possible.
 
Thank you for all that you do for veterans and their families.  We need your grassroots action to gain Congressional enactment of this important legislation.

Click the link below to log in and send your message:
https://www.votervoice.net/BroadcastLinks/brWwt0o_NXVERJF4nARLPQ

Posted: December 9, 2016

Posted: December 9, 2016

Inside Veterans Health

Woman sitting at PC consults with colleagues

Suicide Prevention responder Melissa Schwab (at keyboard) relies on health technicians to provide support while engaging a distressed Veteran. Suicide Prevention Hotline: 1-800-273-TALK.

  • Homeless Veterans Personal Scorecard was the Key

    Michael Williams’ personal scorecard was goal oriented, a plan he put together while living on the streets. Homeless for three years, he conquered alcoholism and regained the trust of his family.
  • Blood Pressure Study: Vietnam Era Veterans

    Researchers at the Department of Veterans Affairs find both herbicide exposure and military service are associated with high blood pressure (hypertension) among Army Chemical Corps Vietnam era Veterans.
  • VA Telehealth saves Florida Veteran time, travel

    Army Veteran Major Jeffrey Weinstock is very thankful this week for VA Telehealth. It saves him a 300-mile round-trip from Key West to Miami for a comprehensive hearing exam and new hearing aids
  • Veterans Deal with Diabetes at Unique Camp

    Veterans in Wisconsin spend a weekend at a special camp designed to help them learn about and deal with their diabetes. Veteran Steve Biever lost 56 pounds and thanks a VA nurse for saving his life.
  • “What Veterans Day Means to Me”

    All this week, we will be posting articles and blogs by Veterans talking about “What Veterans Day Means to Me.” Kicking off the week with a salute from a former Navy SEAL very proud of his service.
  • Honoring those who care for our Veterans

    VA has a six-week online interactive workshop that offers training in how to provide better care. It also helps caregivers learn how to manage their own emotions, stress and physical health.
  • Are You Ready to Make Your Choices?

    Are you ready to make your choices? Advance Care Planning: Your preferences for future health care. Advance Directive: Tell others your preferences and who you have chosen to be your Health Care Agent.
  • Heather Frank — One of VA’s Top Nurses

    Introducing Heather Frank, one of VA's and Iowa's, Top Nurses, whose extra effort has helped Vietnam Veterans in her Iowa Veteran Affairs hospital, receive awards for their service.
  • Vietnam Marine Corps Veteran - Forever Proud

    Vietnam Vet, given grave cancer prognosis, says his top priority is family and his 11-month-old spirited grandson. “When my dad lies down next to him, Jayden just falls asleep.”
  • Couples Caring for Veterans in Foster Homes

    There is an alternative to a nursing home for eligible Veterans. VA's Medical Foster Home Program is for Veterans no longer able to safely live independently. Here are two couples who participate.
Posted: September 2, 2016

Posted: September 2, 2016

 U.S. Department of Veterans Affairs, Veterans Health Administration

 Women's Health Services Depression Campaign

 Older Woman Depressed Poster

VA’s Office of Women’s Health Services (WHS) is partnering with the Office of Women's Mental Health to increase awareness about depression as it relates to women Veterans.  Today’s woman Veterans could be our sisters, aunts, mothers, grandmothers or great-grandmothers, with several generations of women veterans in a single family unit. The generational, geographic and culturally diverse cohorts of women Veterans may have unique mental health needs when it comes to seeking help, services and treatment for depression. 

VA seeks to increase awareness about depression and help inform women Veterans of information and services available to help them understand, identify and seek treatment for depression. Depression is the most common diagnosis among women Veterans. It goes largely unrecognized.  The good news is that it is treatable.  

MENTAL HEALTH SERVICES FOR WOMEN VETERANS

VA offers a full range of mental health services for women Veterans, including outpatient, residential and inpatient services. Women Veterans can call the Women’s Call Center at 855-829-6636, or  download and read VA’s Mental Health Guide (see page 17) to learn more about the available services, which include assessment and evaluation, medication management, and individual and group psychotherapy.  Specialty services are available to target diagnoses such as PTSD, substance abuse, depression, conditions related to military sexual trauma (MST), and homelessness.  

There is always hope and VA can help

U.S. Department of Veterans Affairs, Veterans Health Administration
Posted: May 6, 2016

Posted: May 6, 2016

VA Caregiver Support Logo

May is Older Americans Month!

The 2016 Older Americans Month (OAM) theme, “Blaze a Trail,” emphasizes the ways older adults are reinventing themselves through new work and passions, engaging their communities, and blazing a trail of positive impact on the lives of people of all ages.

Older American Month

Posted:February 11, 2016

Posted:February 11, 2016

I hope everyone can read and send this on, as it is really important for everyone to know!
 
   1.  Let's say it's 7:25pm and you're going  home (alone of course) after an unusually hard day on the job.
 
   2. You're really tired, upset and frustrated.
 
   3. Suddenly you start experiencing severe pain in your chest that starts to drag out into your arm and up in to your jaw.

You are only about five miles from the hospital nearest your home.
 
   4. Unfortunately you don't know if you'll be able to make it that far.
 
   5. You have been trained in CPR, but the guy that taught the course did not tell you how to perform it on yourself.
 
   6. HOW TO SURVIVE A HEART ATTACK WHEN  ALONE?
Since many people are alone when they suffer a heart attack without help, the person whose heart is beating  improperly and who begins to feel faint, has only about 10 seconds left before losing consciousness.
 
   7. However, these victims can help themselves by coughing repeatedly and very vigorously.

A deep breath should be taken before each cough, and the cough must be deep and prolonged, as when producing sputum from deep inside the chest.
A breath and a cough must be repeated about every two seconds without let-up until help arrives, or until the heart is felt to be beating normally again.
 
   8. Deep breaths get oxygen into the lungs and  coughing movements squeeze the heart and keep the blood  circulating. The squeezing pressure on the heart also helps it to regain a normal rhythm.

In this way, heart attack victims can get help or to a hospital.

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