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All across America and around the world, this is Veterans Radio.

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This is Veterans Radio.

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Welcome to Veterans Radio.

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I am Jim Fossone.

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I'm the officer of the deck today.

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We've got some great programs for you.

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We always want to remind you you can find more about Veterans Radio at its Facebook

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site or at the web veteransradio.org where we're on the web 24-7.

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You can find a lot of our podcasts there as well.

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We post new ones every Tuesday so you can get a new story, a new interview, something

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you didn't know before by going to veteransradio.org.

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And before we get started, we want to thank our sponsors.

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Next up we want to thank National Veteran Business Development Council, NVBDC.org.

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It was established to certify both service disabled and veteran owned businesses.

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You'll find out how they can help your business by going to NVBDC.org.

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We want to thank Legal Help for Veterans.

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Legal Help for Veterans fights for veterans disability rights all across the nation.

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You can reach them at 800-693-4800 or on the web at legalhelpforveterans.com.

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And finally, PuroClean.

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PuroClean is the paramedics of property damage.

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It provides water damage remediation, flood water removal, fire and smoke damage remediation,

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mold removal, biohazard cleanup.

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It also has a focus on veteran franchisees.

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You can learn more about them by going to puroclean.com.

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We want to welcome to Veterans Radio today Brandy Hill, Dr. Brandy Hill.

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She is going to talk to us about a subject we've talked about before on Veterans Radio

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and that is Veterans exposure to PFAS chemicals, sometimes known as the forever chemical.

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Brandy, welcome to Veterans Radio.

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Well, thank you so much, Jim.

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It's a pleasure to be here with you and all of your listeners.

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Well, we appreciate the time you're making for us.

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We know you're traveling and getting this in is really timely.

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So you have a doctorate in public health as well as a master's in public health, which

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and you've done some writing on the cumulative exposure to PFAS substances impacting veteran

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cancer diagnosis, which we'll talk about.

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But before we get there, tell us why you're interested in veteran health issues and a

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little bit of your background.

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Yeah, no worries.

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Thank you so much.

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So on a 25 year US Air Force veteran I retired back in 2019.

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The entire time I spent working in a military medical facility, I spent my years there managing

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teams of individuals who were enabling superior healthcare for all of the military members

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as well as their families.

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But after I did my retirement, I decided I wanted to be a health educator.

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So off to go work as a health educator I did.

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But I left to continue to make a mark in the impact specifically on military members.

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So my husband and I, we have three wonderful children, 27, 23 and 18.

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My oldest son serves in the military as well as his wife serves in the military and they

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are the parents of my fantastic 18 month old grandson.

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So it's a family concern for us with my husband's background and my background and both of our

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fathers also serving both of their father serving.

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You can see how this extrapolates as a thought process for us to kind of go after.

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But during my active duty time, education became a huge priority.

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So although I started a slow road to progress, if you will, my pathway was a wine v1.

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So I originally started out as a logistician in the Air Force, which doesn't seem like

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it has any kind of impact to health.

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However, I was deploying and doing a whole bunch of humanitarian missions.

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And during those humanitarian missions, my job as a logistician was to also act like

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a pseudo pharmacy tech.

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So my job was to hand out and deliver pharmaceuticals to the community members that we were serving.

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With that, I became interested in pharmacology.

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So I decided to go after my certified pharmacy tech certification.

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So once I got that, I started doing some time in the pharmacy and realized that pharmaceuticals

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were just a really good way of us to continue to treat symptoms, but maybe not get after

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root causes.

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So then I decided to head on over to the nutrition world where I got my bachelor's in nutritional

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medicine.

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Then I found out nobody really wanted to listen to a dietitian, right?

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Yes.

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In addition to that, you know, it all really boils down to education.

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And the more we know, the more we grow and knowledges power and iron sharpens iron.

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So that's why I went after my MPH and got my master's in public health.

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Well, on top of that, I decided what really mattered to me was being able to help educate

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others.

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And so I wanted to be able to do independent research.

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In order to do successful independent research, I needed to get my doctorate.

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And so that is why I went after my doctorate public health in this kind of weeds us up to

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where I am today.

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Well, it's a typical story of somebody who gets started in one road.

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And then as you say, it's kind of a windy road where you end up.

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Life is rarely a straight line, and we have to embrace all those curves along the way.

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So I wanted that outlined because I want our veteran radio listeners to understand that

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your interest in this area is personal.

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It's with passion.

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It's not just some, sometimes we talk to these PhDs or doctors and it's kind of very

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egg-heady, but there's more here because of your family and life experiences.

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But let's start with the basics.

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As I said, we've talked about it before, but I'm sure not everybody understands what PFAS

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chemicals or forever chemicals are all about.

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Can you give us a thumbnail sketch of that?

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Surely.

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So PFASs or perinpolythloral alkali synthesis, that's a whole lot to say, but they really

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originated back in the 1950s.

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And in the 1960s when they got their first patent, which is fantastic, and they were

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really useful for a whole lot of things, such as your normal nonstick cookware.

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The item or the spray that you put on furniture to keep it water resistant or soil resistant.

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So it's pretty much in everything we touch on an everyday basis.

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There's thousands of these chemicals.

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The unfortunate part about these chemicals though is they are forever and have been deemed

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as the forever chemical because there's really no way to get rid of them.

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Interestingly enough, the ASFF, which is the firefighting foam that's so proliferant around

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Air Force bases, specifically our military installations that may have JPA or other fuel

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fires.

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That was actually patented in 1966, and we started using it in petroleum based firefighting

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in the 1970s.

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And these are man made chemicals?

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They are man made chemicals, yes.

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And they don't have a natural breakdown process, if I understand it.

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No, that's why they're forever because there's no way for our environment to really just

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get rid of them and flush them away.

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And so when they do off slough into other parts of our environment, our water, our soil,

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there they stay to contaminate things like the cows that graze on the grass, the water

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inside your lake, seep into our water drinking systems.

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You just pointed out these have been around now maybe 40, 60, 60 some years maybe in commercial

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practice, which in the real world, it really isn't that long.

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It's better living through chemicals approach.

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They're great when they start and then we use them for two or three or four decades and

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then find out, hmm, there are some side effects.

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Is that kind of what's going on here?

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For sure.

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So originally it was like, oh, look at this, it's really awesome.

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And then they found out like, oh yeah, hey, by the way, this also can cause or has been

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linked to cancer, liver damage, immune system changes, all of these not so wonderful benefits

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of this very helpful substance.

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But if you go back and do some research, you can find where some of the leading companies

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who were making this and distributing it way back in the heyday had some indication that

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this was probably not safe for people.

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You did the research.

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That's why we have you on and you wrote, as I say, your dissertation was cumulative exposure

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to, and I'm just going to call them PFAS impacting veteran cancer diagnosis is the title of us.

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And you used a particular data set, this 10 year data set to examine these relationships.

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Tell us what you were, what you went in thinking and what you kind of came out thinking.

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So I went in thinking, you know, I'm surrounded by people in my life who served in various

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different ways in the military.

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And a lot of them, an alarming rate of them have had some sort of cancer.

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And so I wanted to figure out, is there a linkage to perhaps where we are, what we're

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doing and what kind of exposures we may have?

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And so, anyways, that's what I went in thinking was, can I find a linkage to exposure?

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And then what I found out was, there are some very interesting linkages.

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So for one, military service members are actually 11% more inclined to have some sort

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of cancer diagnosis.

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Additionally, it's been noted that with certain different kinds of cancers, it's actually

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25 to 40% higher in veterans than it is in the civilian sector.

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And so that's why it was so important for me to be able to do this research and kind

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of find out what is going on.

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Now when I did use, like you said, a publicly available data set, this was not a data set

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that was actually given to me by the DOD or it's not specific military information.

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It came straight from the NHATES, which is a national representative data set.

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I used the years 2005 to 2015 to really kind of underscore, looking at a 10-year area,

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what kind of diagnosis is people getting?

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And what I found in that was that there was quite the interest.

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So you know, cancer alone, there's about 450,000 veterans suffering with diagnosis of cancer.

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There's about 50,000 added each year.

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So you can tell that that's pretty impressive to get that many people.

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Now looking specifically at PFAS, there was 24 DOD drinking water systems with 564 surrounding

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areas that actually were a higher level of PFAS than what you're supposed to have according

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to the EPA allowable limits.

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So that's crazy.

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And then looking at another statistic, so there was 12 times higher the PFAS serum concentrations

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in US veterans than US population.

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So what could that all come from?

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You know, you're looking at a higher risk of disease.

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You're looking at a higher PFAS serum concentration.

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Where is this all boiling down from?

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So this is kind of where I was starting to look at.

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What I wanted to really find out though was prostate cancer, liver damage, thyroid disease.

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These were the ones that I was like specifically looking and delving into.

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And I want to stop for a minute because exposure to PFAS in the military can come from all kinds

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of different vectors.

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You've mentioned contaminated groundwater, but it's a lot more than just that, isn't

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it?

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Yes.

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Yes.

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So contaminated groundwater, you've got the firefighting foam I had mentioned earlier.

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Then you've got to look at all of the different has and solutions that our service members

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are actually subjected to.

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So those are unique.

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Then you top that off with the fact that the average adult only moves 11 times in their

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entire life.

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Well, a service member is going to change their environment every four to six years.

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So this was really interesting.

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This is the part when I read your paper, I went, I didn't think about it this way, the

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cumulative exposure.

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Continue talk to us about that.

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So every environment that you impact or that you come across is going to actually impact

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your health.

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So the Environmental Protection Agency has said environmental hazards, they encompass

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our physical, biological, chemical, cultural, and social aspects, and all of them can be

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associated with adverse outcomes like cancers and cardiovascular disease.

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That's straight from the EPA in 2022.

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So when you think about the fact that we are changing our locations, we're changing our

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environments every four to six years.

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And then couple that with for one of the mill, a few handfuls or so deployments for each

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person, you've changed your environment so many times.

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And in each of those places, you're going to live in a circumstance or a surrounding

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area to a base that may or may not have the same situation as the base, you're going to

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be moving potentially to a different country that has completely different rules of engagement

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when it comes to what you're doing.

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And then you throw in the deployment hazards.

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So it's very important to look at the environment in a holistic sense.

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So not just, oh, well, people lived someplace, but where did you live and how did you live

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and how do we really kind of look at that?

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How does a private doctor, medical doctor, when looking at a veteran even sort out what

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those exposures, cumulative exposures might have been?

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And I guess that leads to is like there are a test for this.

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So that is a very, very good question.

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And it was one of the questions that I had myself.

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So when you're looking at it and you think you go to the doctor, the first thing the

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doctor is going to ask you is about your health history.

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But they're going to ask specifically about have you smoked, do you drink, has your dad

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had the photo, that's a vascular issue.

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They don't ask you where you've been and what you've been exposed to.

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But we know that the environment really adds to your health as a holistic health.

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So no, there isn't a way right now for that to be part of it.

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But if you go and you research, which I did, and there's a thing it's called precision

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medicine and precision medicine is all about really understanding a person as a whole and

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not just a sum of symptoms.

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So understanding where have you been, what have you been exposed to, you know, what not

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just what your health history is in your family health history, like looking at the total

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big picture, because each person is a puzzle and we are all very unique, especially when

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it comes to exposures.

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So we're talking veteran radio listeners to Dr. Brandy Hill, who has her PhD in public

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health.

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She studied and wrote on the cumulative exposure of PFASs impacting veteran diagnosis.

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And we are not going to ask her about the tools she used, such as Pearson correlations

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and multiple linear regression, because I don't even know how to ask those questions

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and I wouldn't understand the answers.

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But I think it's important for our veteran radio listeners to understand the complexity

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of how PFAS exposure may be impacting them.

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And I want to use this point to jump in and say, VA has recently announced that it's going

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to do more research in the area of linking kidney cancer and exposure to PFASs on military

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bases.

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And if they make that link, it could be very beneficial for veterans if that becomes a

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presumptive and it's much easier to get VA benefits.

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But I want to make the point, it's only kidney cancer they're looking at.

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And you just gave me a whole list of things that you looked at.

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So is kidney cancer just too small of a universe to be looking at, Dr. Hill?

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Well, so you've got to start somewhere, right?

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And when it comes to the VA, especially when they're looking at the presumptive, they've

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got to start somewhere.

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There is so many things that are listed.

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I mean, even testicular cancer is listed as a possible problem, a possible health implication

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of PFAS.

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And that actually came out like many years ago.

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I mean, this was researched on in 2018 by a colleague.

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So this information is out there, but you have to start somewhere.

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And we're just starting to scratch the surface.

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So I think that's really important because if you look at what's really happened over

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the last couple of years and look at the past that, they're starting to really go back to

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something that was in the military when I first came in back in 1995.

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So that's a long, long time ago.

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But we had what was called PPIP, which is put prevention and practice.

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That was a whole military medical solution set.

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And we're starting to go back to that.

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We're starting to look at what are the things that impact our health.

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And we're scratching the surface to see if we can provide those linkages so that we can

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get after our future health.

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Because if we can identify things, even if it's just starting with kidney cancer and

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then moving on to other cancers such as testicular, prostate, liver damage, thyroid disease, we'll

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be able to scratch the surface more and try and hopefully get more and more of these things

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connected and get the veterans the care that they deserve.

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Yeah.

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And you have to bring it.

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I agree with you.

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You got to start somewhere and you have to bring it to attention of people, including

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those private doctors I was mentioning that may not, you know, so few people serve in

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the military, so few medical people serve in the military, wouldn't even know how to

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ask maybe the right questions.

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And even today, I saw an article that came out where out of the University of Southern

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California looking at PFAS levels in the blood of young adults, 19 to 24, they found those

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in the highest levels of PFAS in their blood had a sleep problem, a sleep deprivation problem,

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sleep disorder and we know in the military, sleep is critical and often interrupted in

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a lot of different ways, but you also have to wonder like, hmm, I wonder if any of it's

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environmental.

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So there's a lot of room for more research, isn't there, Dr. Hill?

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Yes, there really is.

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And, you know, like I said before, we're just starting to scratch the surface into, you

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know, these things and the problems that they've caused and how we can get around them.

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I mean, if you think about it, like you said earlier, you know, the 1960s really wasn't

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that long ago, you know, in the grand scheme of things.

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And so we're just now starting to see these implications and being able to really put

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together that picture because it takes time, you know, exposure to, to answers, it takes

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time and you have to get enough people, unfortunately, to participate in the studies in order to

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get the information and really uncover where those connective tissues are.

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Because without enough people, you know, like you said, the military members are, it's a

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very small amount of the population.

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And so we have to get more data.

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Well that's answered like a true doctorate in public health and research.

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You always need more data.

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But again, I think it's great that you can explain this in layman's terms to our veteran

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radio listeners.

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And I often get to ask those we interview about, you know, their, their experiences in the

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military and if they would still recommend to sons and daughters and nieces and nephews

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going in the military.

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I do this because we have such a recruiting crisis going on.

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But you've kind of already answered that.

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I take it you were very supportive of your son and his wife being in the military.

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Oh, for sure.

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Yes.

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I'm, I'm a huge supporter of military service.

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I think that everybody could really get some valuable lessons, whether it's four years

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or 25 years.

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You can really learn a lot about yourself.

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I can really grow as a person and understand the systems of our country.

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I, you know, I couldn't recommend it more.

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Additionally, it gives you so much if you give it to the service because I learned a whole

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lot of different locations.

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I was able to see things from a different point of view.

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I really kind of grow my goals and not to mention I got all the way through my master's

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degree and never paid for school.

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I mean, that to me is a huge thing because there's so many people in debt for education.

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Yeah, there's great opportunities there and we shouldn't scare people off.

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They should really explore it.

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And once you get in, as you saw, you don't know where your career is going to take you,

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but it may take you somewhere where you're really happy you ended up.

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So it's, it's a great opportunity.

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Brandy Hill, thank you for taking some time to us to explain PFAS and cumulative exposure

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and the research that's being going on to make sure we understand how that exposure

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is impacting veterans.

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Fantastic.

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Thank you so much.

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And just to kind of give you a preview of what my next study is, not that you, you may

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or may not want it to know this, but my next study is again, specifically pointing out

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the veterans because they're again my population of choice.

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But I'm going to be looking into Parkinson's and occupational hazards.

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Very interesting.

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Well, we look forward to when that's done.

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Maybe we can talk again.

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Sounds great.

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Thank you so much, Jim.

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And again, thank you so much to your listeners for letting me spend the last couple of minutes

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with you.

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And I want to thank everybody for listening to Veterans Radio today.

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I am Jim Fossone.

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It's been a pleasure to be your host.

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I'm a Veterans Disability Lawyer at Legal Help for Veterans.

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And you can reach us at 800-693-4800 or legalhelpforveterans.com on the web.

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You can follow Veterans Radio on Facebook and listen to its podcasts and internet radio

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shows by visiting us at veteransradio.org.

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That's veteransradio.org.

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And until next time, you are dismissed.

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If you have a VA claim denied by the Board of Veterans Appeals, contact Legal Help for

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Veterans at 1-800-693-4800.

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They're experts in handling cases before the U.S. Court of Appeals for Veterans Claims.

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Their number again, 1-800-693-4800.

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We again want to thank our national sponsors, the National Veterans Business Development

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Council, NVBDC.org, VA Ann Arbor Health Care System, the Vietnam Veterans of America, Charles

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00:26:12,840 --> 00:26:21,560
S. Kettles Chapter, Ann Arbor, Michigan, VFW Graf O'Hara Post 423 in Ann Arbor, and

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the American Legion Press Corn Post 46 also in Ann Arbor.

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We appreciate all your support.

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You can go to veteransradio.net.

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Click on the sponsor level and continue to support keeping veteransradio on the air.

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And until next time, you are dismissed.

