Filling In The Missing Pieces

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Y’all might have noticed that I’ve posted a couple of very task specific entries to the blog the last couple of days and might be asking why now, why the push of information about filing a VA claim and the bewildering plethora of related data. Good and fair questions. If you weren’t wondering then that is okay as well, because I’m going to try to explain it all right now. In previous posts I wanted to express to any and all veterans the importance of arming oneself with the proper information. This is very fresh in my own skull since I just re-re-opened my own claim so I can provide additional relative information to strengthen the facts in my own file in hopes that I can get an increase in my own personal rating from the VA.

My process actually started in March of 2014, not with the claim, but with my claim in mind. I fulfilled a large portion of the leg work to eventually get the ball rolling. How so? Up until then I wasn’t in the medical portion of the VA, only in the claims side. But, when I was laid off I soon found myself in dire straights. Forget everything else, I was finding out fast that I was headed for a dilemma which if not contained may have had some major health complications involved. Why? I’m an insulin dependent diabetic. If you aren’t aware of the nature of that beast just look it up. So, my number one priority was to contain that fire before it spread. Since I was already in the system and a VA card holder, enrolling for medical benefits was simple enough, time consuming, yet fairly easy, even for a simpleton such as myself. Good grief I blew through some trees filling out that paperwork, it was insane, it was as if they couldn’t share the same sheet of paper in my file around the office, everyone needs a completely originally signed document in order to proceed. That is nothing compared to the mountain of papers (records and reports) I face at this exact moment. I have mentioned what a pain in the ass the VA makes the process, haven’t I?

As well, at the time of my lay off I was in line to do an exploratory and maintenance surgery on my knee to clear away debris, old hardware, and torn ligaments. Being told beforehand they couldn’t repair anything since it would only complicate things down the road. I had an my surgery date, I had time arranged to be off from work, and then I’m laid off. Talk about coming to a screeching halt, Yea, dead in my tracks, cancel all plans until further notice. Being laid off screwed up allot, allot more than I will mention here. Then, and only then did I considered enrollment into the VA medical program, something my wife says I should have done back in 2000, but I was stubborn, I had private insurance, I saw no need in being in VA medical. For the most part I was right, everyone hears the horror stories about veterans trying to get care, getting the wrong care, how slow the process is, and the same mistakes made over and over. Who wants to be a part of that kind of mess? But then, who do I turn to in my true time of need, who do I expect to be waiting there for me at the edge of the red carpet, you guessed it, the VA. I will be one, of millions who can attest to the slowness of the VA. Fuck their timelines because they look good on paper but have no relation in real time with real people, and that blows ass for every single one of us veterans.

Reluctantly, yet willingly, I got “in line” and jumped into the process. The process wasn’t hard, but it was time consuming, lucky for me, at the time, all I had was time on my hands. I had four months to ride this pony for the big show or it wasn’t going to happen. It took longer, duh, and when I was hired to a new company last October I hated the fact that I needed to take time off here and there to button up all the loose ends, and there were allot of loose ends. I was seen multiple times at the clinic’s version of an orthopedics office, where we discussed my direct interest in seeing the orthopedic surgeon downtown. But there is a process, first the PA has to be convinced of a “need” before we “bother” the busy orthopedic surgeons with what might all be in my head. In my fucking head you say? Let’s review, for the sake of argument, that this PA went through my private sector medical records, my military medical records, started my new VA medical records, the MRIs, the CT Scans, the x-rays, the exams, and so forth, and this motherfucker was convinced ALL of my pain was in my head. Look, I know real pain and I know manifested pain, there is a distinct difference. As well, I know that there is very little help in eliminating the pain of degenerative joint disease, also known as osteoarthritis, and that steroid enhanced visco supplementation injections are a sick fucking joke. There is NO over the counter medications or prescription medications which can stop the pain of bone on bone contact. Just ask me, I have tried many, many combinations, and get the same result, pain. Hyaluronan injections (rooster comb) are nice and beautiful by design, but I don’t just have arthritis is my knee.

Finally, somehow, someway, I convinced the PA to give me the recommendation I was wanting, after a final review I was scheduled to finally see an orthopedic surgeon, 13 months after originally asking. My first visit to the orthopedic surgeon gave me the impression the doctor was blown away with the damage in my knee and he was a little shocked I was still walking. The overall decay within the joint is estimated, by him and one other doctor, to be a 97% coverage. At first he discussed surgery to remove the weight bearing of the joint to shift it more out to the outside, but after further review, eight weeks later, I was told I’m not a candidate because I would need the unloader surgery on both sides, which cant be done. My only option was to have my knee replaced. However, that option is gone as well because it is claimed that because I’m under the age of 50 that the VA will not do that particular surgery. Even though the governing regulations state that age cannot be used as a determining factor but is still an option of the individual physician. Nice double talk, right? Right. In reality, I was told to tough it out, move on with my life, and just try to “take it easy” for the next 4 years. Needless to say, I’m beyond pissed. What a fucking joke! Now I can’t get treatment? Isn’t the VA here to take care of my service connected injury? Seems that the answer is they will do it at their leisure. Hell, I don’t mind waiting in line if that is the issue, I know times are tough, money is tight, and y’all are having your asses handed to you by the media and the investigations right now, but why just tell me flat out no.

I don’t take rejection well. I really don’t. I did my part. I played the game. I followed the rules. For what? For nothing, that’s what. I know, boohoo wo is me. Well, okay, getting up to go to work every day is a bitch. A bitch I don’t mind riding because there are bills to be paid. Plus, I’m not the kind to sit on my couch all day to watch Jerry Springer. I have a drive to get out and work, to be functional on a daily basis. I’m at a loss here. I decided, after a careful review of the entries into my visits to the doctor, where he cites in black and white, that I’m not a candidate for either surgery due to age and complications down the road in the future that “could” happen, and his recommendation is daily, regular doses of over the counter anti inflammatory medications and more quarterly injections. I will have my way, one way or another, so I re-re-opened my claim with the VA, providing all the supporting evidence from day one back in 1990 until now, to include findings from a civilian orthopedic surgeon which I see next week. We’re doing a review of my records to review treatment, and follow up with his recommendations. I really don’t give a shit about the money, I just want to get this knee fixed, hell or high water. It’s never been about the benefits, it never will be, it’s about not being taken of because of one jack asses opinion. In the end, my goal is to rattle enough cages to get my knee replaced, which is recommended by two VA surgeons and two civilian surgeons, so come on motherfuckers, replace it already.

Yes, y’all have found a sore subject with me. I’m tired of doing battle, the VA is supposed to be here to help me and fellow veterans, not give us the run around, not to deny us care, and certainly not to individually bend us over because it is the easier thing to do. They can kiss my hairy white ass first, I came to fight, I came to get what I need, I came to see that the VA does the right thing by me. Hopefully, my education along the way can be used by other veterans who are getting the big shaft. So, my plan is to continue writing and sharing information about how to make sure all your bases are covered. It doesn’t need to be a battle to receive care, the VA just makes it that way. I have friends within the VA system, many of them veterans, and they encounter the same bullshit the rest of us do. Who knows what will happen with my case/claim, anyway it turns out I hope that someone has read some of my postings and figured out how to get through to the VA. I know it is bureaucracy at work, policy and so forth, set in place to curb abuse and better promote the health and well-being of veterans, but it has backfired, and now we all suffer, thanks. Next time y’all think that we are being handed freebies, remember we are people too, we just want to live our lives as normally as possible.

What Won’t We Connect To The Internet?

So, I was on the evil internet recently and came across this most interesting article (#1) which got me wondering. What aren’t we willing to connect to the internet? What are the connection limitations to the internet? Why do we connect so many things collectively to the internet so willingly? Anyway, these just happens to be the articles I was reading. All credit belongs to the original author and I claim nothing but wanting to share. Also, take a look at the second article (#2) which gives some statistics that might blow your mind a little.

Article #1

See original here.

Jacob Morgan; Contributor

I write about and explore the future of work and collaboration.

Opinions expressed by Forbes Contributors are their own.

5/13/2014 @ 12:05AM 

A Simple Explanation Of ‘The Internet Of Things’

The “Internet of things” (IoT) is becoming an increasingly growing topic of conversation both in the workplace and outside of it. It’s a concept that not only has the potential to impact how we live but also how we work.  But what exactly is the “Internet of things” and what impact is it going to have on you if any?  There are a lot of complexities around the “Internet of things” but I want to stick to the basics.  Lots of technical and policy related conversations are being had but many people are still just trying to grasp the foundation of what the heck these conversations are about.

Let’s start with understanding a few things.

Broadband Internet is become more widely available, the cost of connecting is decreasing, more devices are being created with wifi capabilities and censors built into them, technology costs are going down, and smart phone penetration is sky-rocketing.  All of these things are creating a “perfect storm” for the IoT.

So what is the Internet of things?

Simply put this is the concept of basically connecting any device with an on and off switch to the Internet (and/or to each other). This includes everything from cell phones, coffee makers, washing machines, headphones, lamps, wearable devices and almost anything else you can think of.  This also applies to components of machines, for example a jet engine of an airplane or the drill of an oil rig.  As I mentioned, if it has an on and off switch then chances are it can be a part of the IoT.  The analyst firm Gartner says that by 2020 there will be over 26 billion connected devices…that’s a lot of connections (some even estimate this number to be much higher, over 100 billion).  The IoT is a giant network of connected “things” (which also includes people).  The relationship will be between people-people, people-things, and things-things.

How does this impact you?

The new rule for the future is going to be, “anything that can be connected, will be connected.”  But why on earth would you want so many connected devices talking to each other?  There are many examples for what this might look like or what the potential value might be.  Say for example you are on your way to a meeting, your car could have access to your calendar and already know the best route to take, if the traffic is heavy your car might send a text to the other party notifying them that you will be late.  What if your alarm clock wakes up you at 6 am and then notifies your coffee maker to start brewing coffee for you? What if your office equipment knew when it was running low on supplies and automatically re-ordered more?  What if the wearable device you used in the workplace could tell you when and where you were most active and productive and shared that information with other devices that you used while working?

On a broader scale the IoT can be applied to things like transportation networks “smart cities” which can help us reduce waste and improve efficiency for things such as energy use; this helping us understand and improve how we work and live.  Take a look at the visual below to see what something like that can look like.

The reality is that the IoT allows for virtually endless opportunities and connections to take place, many of which we can’t even think of or fully understand the impact of today.  It’s not hard to see how and why the IoT is such a hot topic today, it certainly opens the door to a lot of opportunities but also to many challenges.  Security is big issues that is oftentimes brought up.  With billions of devices being connect together what can people to do make sure that their information stays secure?  Will someone be able to hack into your toaster and thereby get access to your entire network?  The IoT also opens up companies all over the world to more security threats.  Then we have the issue of privacy and data sharing.  This is a hot button topic even today so one can only imagine how the conversation and concerns will escalate when we are talking about many billions of devices being connected.  Another issue that many companies specifically are going to be faced with is around the massive amounts data that all of these devices are going to produce.  Companies need to figure out a way to store, track, analyze, and make sense of the vast amounts of data that will be generated.

So what now?

Conversations about the IoT are (and have been for several years) taking place all over the world as we seek to understand how this will impact our lives.  We are also trying to understand what the many opportunities and challenges are going to be as more and more devices start to join the IoT.  For now the best thing that we can do is educate ourselves about what the IoT is and the potential impacts that can be seen on how we work and live.

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Article #2

Connected Devices Accelerate the Need for IPv6 in the Internet of Things (original article)

Posted on 27 Decembter 2013 in: Blog, Featured Article, General Information, IPv4, IPv6

Just how many devices are connected to the Internet? A report from the NPD Group found there are more than half a billion Internet connected devices in U.S. homes alone – that’s more than the number of U.S. residents. And a report from ABI Research found there are more than 10 billion wirelessly connected devices in the global market.  Those numbers are only expected to increase as the Internet of Things (IoT) expands to include more devices that can connect to the Internet.  Gartner predicts the IoT base will grow to 26 billion units by 2020 not including smartphones, tablets and PCs.  Including those items, other predictions have placed the number of Internet-connected devices in 2020 everywhere from 50 billion to 75 billion.

The IoT is a true demonstration of the evolution of the Internet, but its potential could be slowed by IPv4 depletion. As the number of available IPv4 addresses dwindles, it is more crucial than ever to ensure new consumer devices and the networks that support them are IPv6 enabled.

Every device needs a unique IP address to connect to the Internet.  Drawing only from the pool of addresses that IPv4 provides, there just simply won’t be enough to connect every new gizmo and gadget to the Internet.  Fortunately we have IPv6 that has been in production across the web on many networks for years that can meet addressing need challenges.  There are 340 trillion trillion trillion IPv6 addresses available to allow the Internet of Things to come to fruition.  What is more, transit networks as a whole need to support IPv6 in order for all of these new devices to function properly and efficiently.

The Internet of Things has the potential to open new markets for innovation for many businesses and even entire industries. Take for example the car industry, where Ford’s director of technology predicts cars will have voice recognition capabilities allowing drivers to connect to their apps, pre-order a coffee or pre-pay for gas – all using their voice. Let’s not forget about safety, either. Envision a future with wearable sensors for drivers with medical conditions that connect to your car and can prevent accidents during medical emergencies.

The possibilities of the IoT with IPv6 are endless and the bottom line is consumers don’t want devices that will only connect them to part of the future Internet. The IoT is a dawning reality and its evolution is dependent on the use of IPv6.