Comprehensive Clinical Evaluation Program (CCEP)
The Gulf War Health Center (GWHC), Ward 64, Bldg. 2, Walter Reed Army Medical Center (WRAMC) exists to care for those military men, women and their families
who served in the Persian Gulf as part of Operation Desert Storm and Operation Desert Shield. The Comprehensive Clinical Evaluation Program (CCEP) was created
by the Department of Defense in response to the health concerns of Gulf War veterans.
CCEP has several purposes. First, it1 was developed to diagnose conditions that are known illnesses that have some symptoms similar to those experienced by Gulf
War veterans. Many of these diagnosable conditions are treatable. Second, clinical and laboratory data are collected in a standardized and structured way at all sites
involved in the program. This ensures that patients get a complete workup at all site across the nation. Third, the clinical information is collected in a centralized
manner which will allow assessment of the possibility of different exposures as a cause of this illness.
CCEP contains two phases. In Phase I, a routine history and physical are performed, and blood and urine specimens are collected. A computerized questionnaire is
completed. This questionnaire addresses issues such as location of your unit, exposure, combat experiences, use of nerve agent antidote pills (pyridostigmine
biomide) and symptoms of illness. You are also asked to sign several forms. This allows for collection of your clinical data along with other patients' data so that the
issue of exposure and their relationship to your symptoms can be addressed. At the conclusion of Phase I, your doctor will review your medical condition and possibly
request additional tests via Phase 2.
In Phase 2, numerous laboratory tests and several consultations with specialists are done. These tests are looking for possible causes of your illness. At the end of
Phase 2, a referral to the Specialized Care Program (SCP) is a possibility.
The Gulf War Health Center is dedicated to your care, and Ms. Nancy Bitsko, the CCEP Patient Representative, will coordinate all of your activities and ensure your
experience at Walter Reed is a favorable one. She may be contacted at (202) 782-6563, DSN 662-6565.
VII Corps Desert Storm Veterans Association (DSVA)
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