“It took nine months for the Department of Veteran Affairs (VA) to dismiss a doctor who shouted “[the patient] can go shoot [themself], I do not care” at a suicidal veteran who shot himself dead six days later, according to a new report from the VA’s Office of Inspector General (OIG). In 2019, a veteran in their 60s, accompanied with a family member, visited the emergency room at the Washington DC VA Medical Center to complain of withdrawals from alprazolam (Xanax) and oxycodone as well as insomnia. The patient was hoping to be admitted to safely detoxify and get help, according to the report.”
Army veteran Brandon Brown 34, of Harker Heights, Texas, formerly of Shelbyville, Tennessee was found unresponsive on March 20, 2020 in his Harker Heights, Texas home. The Harker Heights Police Department’s cause of death ruling was suicide (self-inflicted gunshot wound). Brandon was preceded in death by his brother, Cameron Matthew Murray. He is survived by his parents and six siblings. According to family, Brandon was honorably discharged from the U.S. Army in 2013 and his last place of duty was at Fort Hood, Texas. Brandon was diagnosed with Post Traumatic Stress Disorder and Depression; he sought care from the Department of Veterans Affairs.
The family feels uneasy about the entire situation and rightfully wants answers and justice for their loved one. Why would the local police department refuse entry in a “crime scene” when the death was ruled suicide? Why was the family not allowed to make an identification? Why did it take so long for them to receive Brandon’s body? Why was the Justice of the Peace pressuring the family to agree with the suicide ruling? Why pressure the family to cremate their loved one when it’s entirely up to them to make that decision. Help us hold the Harker Heights Police Department accountable and elevate the family’s voices so they can get Justice for Brandon Brown.
The circumstances surrounding the death of Brandon Brown are described in the below testimony by family:
On March 20, 2020 my brother, Brandon Brown, was found deceased in his home in Harker Heights, Texas. My mother received two phone calls before the detective called, one phone call she received was informing her the police gained access to the house, and then the other was a female telling my mother “She needed to get a pen and paper and write down this phone number. It’s not good but you have to hear it.” Then she went on to say, “It’s bad but not that bad.” Leaving us with false hope that Brandon was okay. Once the detective called my mother he informed her Brandon was found his home deceased and it was an apparent suicide. No one had heard from Brandon since around March 11, 2020. Family members called asking the Harker Heights Police Department to do a welfare check numerous times and we had the Veterans Affairs on the phone expressing the importance to get into his house due to Brandon having PTSD and depression. In the police report the detective wrote,” … there was no indication anything was wrong…”
On March 21, 2020 we arrived in Harker Heights, Texas at Brandon’s residence and there were two vehicles in the driveway. Two of my siblings got out of the vehicle to see who was at Brandon’s house and a man answered the door and quickly pulled the door up to his neck when my siblings stated who they were. He told them and my mother they could not come in because it was an active crime scene. As they were walking back from the house, another vehicle pulled up and a female got out with an attitude, and told my mother the man in the house was correct, it’s an active crime scene, he was the only one allowed in the house. (She was also on the phone with a person I choose not to identify at the moment.) The police were called and we got back into the vehicle to wait for them to arrive. While we were waiting both the male and female were on the porch laughing, pointing at the car, and going in and out of Brandon’s house. Neither of these individuals know any of us in the vehicle but gave statements to the police on March 20, 2020 saying we were “wretched” and “… it could get ugly.” The other individual stated “she was familiar with the family and was actually on the phone with her brother…”
It took exactly a month for them to release Brandon’s body so we could bring him back to Tennessee. They did not allow my mother or Brandon’s father to identify his body. The Justice of the Peace even tried to pressure my mother into say she believed Brandon died by suicide. They were pushing for cremation telling us his skin was falling off the bone.
We, the Brown family, need your help to find out what really took place with our loved one. We have reasonable doubt that foul play has taken place with our loved one. We do not believe the Harker Heights Police Department’s investigation was thorough or efficient in their findings.
The House debates the Joshua Omvig Veterans Suicide Prevention Act, which directs the VA to develop and implement a comprehensive program to reduce the incidence of suicide among veterans. The bill is named for an Iraq veteran who took his own life, and recognizes the special needs of veterans suffering from PTSD and elderly veterans who are at high risk for depression and experience high rates of suicide. -Rep Leonard Boswell (October 23, 2007)
The Number One Problem Combat Vets Will Face is Mental Health (2007):
Paul Sullivan of Veterans for Common Sense tells Armen Keteyian that the No. 1 problem facing vets of Afghanistan and Iraq will be mental health. -CBS News (November 13, 2007)
Veterans Who Get Help at VA Are Still at Risk of Suicide (2008):
CBS News first reported on the staggering number of veteran suicides in a report last year. Now, newly-released data shows that vets who get help from the VA are still at risk. -CBS (March 20, 2008)
Seven Vets Under VA’s Care Died by Suicide in Washington (2008):
They served their country honorably but after risking their life in combat abroad, coping with coming home was too much. In the last three months seven servicemen being treated by Spokane’s VA Hospital have committed suicide. -4 News Now (April 29, 2008)
Senator Patty Murray Alleges VA Cover-up of Veteran Suicide (2008):
Despite recent efforts by the Veterans Administration to prevent veteran suicide, seven have committed suicide in the Inland Northwest in the last four months and US Senator Patty Murray is calling the situation unacceptable. -4 News Now (May 1, 2008)
Katie Couric investigates an alarming trend in the U.S. military, as more and more female soldiers have come forward with tales of sexual abuse at the hands of male soldiers and superior officers. -CBS (March 17, 2009)
“To Corry Durrell Willis, the entire world was a stage. An expressive, optimistic, and uninhibited individual, he was a performer in the theater of life. To everyone around him, he seemed to be eternally happy, and he willingly shared that joy with anyone whose life he touched. For Corry, bringing out the best in any situation was as easy as offering a smile, a witty remark or the twinkle of an eye. And with just those simple gestures, he could evoke the most pleasant of emotions. Corry really mastered the art of living and had great fun in doing so.”
“Corry was an Army Veteran. He was in the First Cavalry Division, 4th ID and 9th ID. Corry saw action in Iraq and Kuwait during 2 consecutive tours. Through his hard work and dedication, he achieved the rank of SPC/E4. He received several awards including a National Defense Service Medal; Army Good Conduct Medal x2; Army Commendation Medal x2; Army Achievement Medal x2; Korea Defense Service Medal; Iraq Campaign medal w/star; Overseas Service Ribbon x2.”
“Corry passed away on August 13, 2019 at Killeen, Texas. Corry fought a brave battle against PTSD.”
Police believe nurse Kristen Gilbert may have committed up to 60 murders at a hospital in Massachusetts. Some say an affair drove Gilbert to murder while others think her narcissism caused the death of these innocent patients. -Prescription for Death, Snapped Notorious, Oxygen (S23, E17)
Dates: March 1989-February 1996 Date of Arrest: July 11, 1996 Offender: Kristen Gilbert, 32, Department of Veterans Affairs Nurse Location: Department of Veterans Affairs, Northampton, Massachusetts Homicide Victims: Stanley Jagodowski, 66, Army veteran (August 21, 1995); Henry Hudon, 35, Air Force veteran (December 8, 1995); Kenneth Cutting, 41, Army veteran (February 2, 1996); Edward Skwira, 69, WWII Army veteran (February 15, 1996) Circumstances: The number of deaths increased dramatically at the Northampton VA Medical Center in 1995, a co-worker was surprised by all the codes at the hospital, when a patient codes, it means the heart stopped, some can survive codes but the patients at the VA died, the deaths didn’t make sense, February 29, 1996, the police received a call from the VA Center, they reported that the deaths doubled at the medical center, nurses came forward with concerns that one of their co-workers was killing patients and they thought they were dealing with a serial killer, one common denominator was the presence of Kristen Gilbert, KG came from ordinary family, she was intelligent, a great student, she had a bubbly personality, was sophisticated and had a lot of friends, she was addicted to getting attention, she needed more and more, she had a constant need to be the center of things, she had narcissistic personality disorder, she manipulated others to get her way, she threatened to kill herself if she didn’t get the attention she wanted from boyfriends, she also had Borderline Personality Disorder, her obsession was thrill and attention, she graduated from nursing school in 1988 and was hired at the VA Medical Center in Northampton the following year, she got great reviews from her bosses, she went undetected because she volunteered for extra work, she wore a mask of normality but underneath she was an evil person, Kristen met her future husband in New Hampshire, they were married and had two children, she had a volatile relationship with her husband, chased him around with a knife, but her husband wanted to hold the marriage together for the children, then Kristen had an affair with a security guard at the VA and as a result Kristen’s marriage ended, then patients started coding and the doctors were not able to save them, one of them was Stanley Jagodowski, the codes and death continued, a second suspicious death occurred, a young veteran was admitted for the flu, he coded three times and his heart gave out the third time, Kenneth Cutting was admitted for sepsis, later that night Kenneth coded and died of cardiac arrest, it appeared he died for no apparent reason, authorities learned KG injected patients with epinephrine to initiate cardiac arrest, they would code and then she was one of the people who rushed to the scene to deal with the crisis, as a result she got a lot of attention from her security guard boyfriend, they worked together to save the patients lives, she put patients into crisis to get attention from the security guard, she developed a callous attitude about the patients, authorities learned her boyfriend wasn’t involved, he was an innocent bystander, the nurses thought she had bad luck because patients died when she was around, she was known as the Angel of Death, Edward Skwira was the fourth suspicious death, he was admitted for alcoholism, that night he died from cardiac arrest and this should not have happened, her fellow nurses became suspicious, the nurses started looking for evidence and they found used bottles of epinephrine, record keeping allowed her to dip into the epinephrine supply with no detection, February 29, 1996, the cops got a call from the VA Medical Center, the nurses believed Kristen was killing patients, death followed Kristen from shift to shift to shift, the security guard ended the relationship when he began to suspect Kristen too, she took the break up badly and began panicking, when backed in a corner, her type turns to the extreme, authorities put her under surveillance, in September 1996, the VA received a bomb threat and the patients were evacuated, it turned out to be a bogus bomb threat, the police were watching Kristen and the same phone she used was traced to the VA bomb threat, after the bomb threat, she went home and the police got a warrant, the police found the jacket she had on when she placed the phone calls, she had operating directions on how to change your voice in her pocket, they also found a talk boy which changes the sound of your voice, this was the instrument most likely used to change her voice on the bomb threat call, they found medical books, computer records, journals, a page dog eared at epinephrine, but the police needed something more concrete to make their case, meanwhile she was held accountable for the bomb threat and received a 15 month sentence, when serving the sentence, there was a suicide attempt, she was diagnosed with borderline personality disorder, they use whatever they need to keep drawing attention to themselves, they are always the victim to keep the focus on themselves, while she was in jail, the police continued the investigation, they needed to prove what she did so they could win at trial, authorities exhumed some of the patients who died under Kristen’s care to find evidence of epinephrine in their system, the families were cooperative and thankful the police were investigating, the autopsies found much higher amounts of epinephrine than should be there, the patient’s hearts were good, and the police finally had their proof, the prosecution moved forward with homicide charges, some claimed she did it for love, her desire to get the attention of her boyfriend, she was tried in a federal capital felony case and was eligible for the death penalty, Kristen was cold during the entire trial, Kristen is a classic female serial killer, she has what they call intrinsic locus, it’s all about her, she is the number one priority in her own life and she’s self absorbed, she played the hero so she could save the day all in an effort to garner attention, if people have to die, its okay with her, she is a master of deceit, she is one of the most dangerous and evil Disposition: In 2001, Kristen Gilbert was found guilty of four counts of murder and three counts of attempted murder; the jury sentenced KG to life in prison as opposed to the death penalty; law enforcement officials believe she could be responsible for killing up to 60 patients; Gilbert appealed the decision but dropped it once she realized prosecutors could pursue the death penalty in a new trial
Notable Quotes: “Healthcare serial killers are the most unlikely villains. They prey on vulnerable victims and use medicine as their murder weapons.” -Oxygen
Source: Kristen Gilbert, Snapped Notorious, Oxygen
Kristen Gilbert
Deadly Women:
Full Episode: Poison is an ancient weapon, convenient, non-confrontational and secretive. Women are five times more likely to use it than men. The poisoner is a particularly sinister killer able to sit back and watch someone die. -Poisonous Women, Deadly Women
Today U.S. Secretary of Veterans Affairs Dr. David J. Shulkin announced that VA has begun publicly posting information on opioids dispensed from VA pharmacies, along with VA’s strategies to prescribe these pain medications appropriately and safely.
With this announcement, VA becomes the only health-care system in the country to post information on its opioid-prescribing rates.
The disclosure is part of VA’s promise of transparency to Veterans and the American people, and builds on VA’s strong record of transparency disclosures — including on wait times, accountability actions, employee settlements and the Secretary’s travel — under the leadership of President Donald J. Trump over the past year.
“Many Veterans enrolled in the VA health-care system suffer from high rates of chronic pain and the prescribing of opioids may be necessary medically,” Secretary Shulkin said. “And while VA offers other pain-management options to reduce the need for opioids, it is important that we are transparent on how we prescribe opioids, so Veterans and the public can see what we are doing in our facilities and the progress we have made over time.”
Counselor to the president Kellyanne Conway said, “Declaring the opioid crisis a nationwide public health emergency was a call to action by the president. His administration is exploring all tools and authorities within their agencies to address this complex challenge costing lives. Veterans Affairs Secretary Dr. Shulkin is heeding that call; the VA is now the first hospital system in the country to post information on its opioid prescribing rates. This is an innovative way to raise awareness, increase transparency and mitigate the dangers of over-prescribing.”
The interactive map shows data over a five-year period (2012-2017) and does not include Veterans’ personal information. The posted information shows opioid-dispensing rates for each facility and how much those rates have changed over time.
It is important to note that because the needs and conditions of Veterans may be different at each facility, rates may also be different for that reason, and cannot be compared directly.
The prescribing rate information will be updated semi-annually, on January 15 and July 15 of each year.
As a learning health system using the current best evidence to learn and improve, VA continually develops and refines best practices for the care of Veterans. Releasing this data will facilitate the sharing of best practices in pain management and opioid prescribing among doctors and medical center directors.
Highlights from the data include:
A 41-percent drop in opioid-prescribing rates across VA between 2012 and 2017
Ninety-nine percent of facilities decreased their prescribing rates.
San Juan, Puerto Rico, and Cleveland, Ohio, top the list of medical centers with the lowest prescribing rates, at 3 percent.
El Paso, Texas, and Fayetteville, North Carolina, are most improved, and decreased prescribing rates by more than 60 percent since 2012. El Paso’s prescribing rate decreased by 66 percent, and Fayetteville’s decreased by 65 percent.
VA currently uses a multifaceted approach to reduce the need for the use of opioids among Veterans. Since 2012, the Opioid Safety Initiative has focused on the safe use and slow and steady decrease in VA opioid dispensing. VA also uses other therapies, including physical therapy and complementary and integrative health alternatives, such as meditation, yoga and cognitive-behavioral therapy.
Information about the VA Opioid Safety Initiative may be found here. A link to the interactive map on VA’s opioid use across the nation may be found here.
MILITARY JUSTICE FOR ALL 