Thursday, September 19, 2019
Contonx: Contonix Exertion Scales
Thursday, September 12, 2019
Multiple Sclerosis: The cause of my MS.
The story just sounds like being overworked. The fatigue was MS. At the time, the fatigue appeared as job stress. The one thing I recall was not walking well and the legs being wobbly. Years later, I learned that wobbly walking is a symptom of MS.
Could something have happened to me between 18 and 21 that caused MS? I am the only MSer in generations of past and present family members. I have an idea about what happened to me that is exclusive of others. I am still working on the idea.
Tuesday, September 10, 2019
Psyc: Fear Threat Reactions
Fear Threat Reactions
When faced with a perceived threat, humans and animals exhibit a range of fear-threat reactions. These reactions are physiological and behavioral responses that help individuals cope with the perceived danger and protect themselves from harm. The most well-known fear threat reactions are the "fight-or-flight" responses, but there are other adaptations that organisms may employ in the face of fear.
Fight-or-flight response
The fight-or-flight response is a common physiological and behavioral reaction to perceived threats. This response is mediated by the sympathetic nervous system, which triggers a cascade of physiological changes that prepare the body for action. These changes include:
Increased heart rate and blood pressure: This provides the body with the necessary oxygen and nutrients to fight or flee.
Muscle tension: This allows for rapid movement and defense.
Dilated pupils: This enhances vision in low-light conditions, which may be necessary for escape or defense.
Release of hormones: Hormones such as adrenaline and cortisol prepare the body for action and increase alertness.
The fight-or-flight response is characterized by two primary behavioral options:
Fight: This involves confronting the threat directly, either verbally or physically.
Flight: This involves fleeing from the threat to a safe location.
The choice of whether to fight or flight depends on various factors, such as the perceived severity of the threat, the individual's assessment of their own capabilities, and the availability of escape routes.
Reaction | Description |
---|---|
Fawn
|
Hide - make oneself invisible, the threat still exists.
|
Fight
|
Attack - self-defense by disarming the threat
|
Flight
|
Run - move away as fast as possible.
|
Freeze
|
Stop - cannot move, moving an make the threat worse
|
Finesse
|
Wade - Facing the threat and preserve anyhow.
|
Forget
|
Ignore - The cause for fear is not a threat.
|
Fold
|
Surrender - Give up, accept the fact the threat is beyond one's control.
|
Fade
|
Backup - Disassociated from the threat.
|
Neurological Reactions
The neurological reactions, also known as the "four Fs," involve specific neurological pathways and activations. These reactions are:
Fawn: The fawn response is associated with the activation of the parasympathetic nervous system, which promotes relaxation and conservation of energy. This response is mediated by the release of neurotransmitters such as gamma-aminobutyric acid (GABA) and acetylcholine.
Fight: The fight response is mediated by the sympathetic nervous system, which triggers a surge of hormones such as adrenaline and cortisol. These hormones prepare the body for physical action by increasing heart rate, blood pressure, and muscle tension.
Flight: The flight response, like the fight response, is mediated by the sympathetic nervous system. Adrenaline and cortisol play a key role in this response, preparing the body for rapid movement and escape.
Freeze: The freeze response is associated with the activation of the dorsal vagal complex, a part of the nervous system that regulates freeze behavior. This response is mediated by the release of neuropeptides such as opioid peptides, which promote stillness and reduce pain perception.
Neurocognitive Reactions
The neurocognitive reactions, also known as the "four Fs," involve cognitive processes and emotional regulation mechanisms. These reactions are:
Fade: The fade response involves suppressing or diminishing the emotional intensity of the fear response. This is achieved through cognitive reappraisal, which involves changing the way one interprets the threatening situation.
Fold: The fold response involves avoiding or withdrawing from the perceived threat. This may involve physical avoidance or mental disengagement from the situation.
Forget: The forget response involves suppressing or erasing memories of the fear-inducing event. This is thought to be mediated by the hippocampus, a brain region involved in memory formation and consolidation.
Finesse: The finesse response involves managing or controlling the expression of fear, often through coping strategies such as deep breathing or relaxation techniques. This response is mediated by the prefrontal cortex, a brain region involved in executive function and decision-making.
Phases of a Fear Threat Reaction
The four shock phases of a fear threat reaction are:
Trigger: This is the initial phase, where the individual perceives a threat and the fear response is activated.
Action: This is the phase where the individual reacts to the threat through either neurological or neurocognitive reactions.
Recovery: This is the aware phase, where the individual's physiological and emotional state returns to baseline.
Reaction: This is the safety phase, where the individual makes cognitive plans to change risks associated with the trigger.
Monday, September 9, 2019
Contonx: Four Square Fitness
S - Strength
A - Agility
F - Flexibility
E - Endurance
Monday, September 2, 2019
Pysc: Did Adam Have a Bellybutton?
If the proposer and the proposed have a mutual context with similar exposure to bible stories, the Question's proposition is a philosophical interrogation related to creation and God. Four options provide the bases for opinions.
- Creationist -- No. God created Adam, therefore no need for a bellybutton.
- Evolutionist -- Yes. Homo sapiens evolved as a biological natural occurrence.
- Interventionist -- Yes. Some eternal force triggered evolutionary species to gain abstract rational thought. The bible story suggests God choose the homo sapien Adam to have free will. Perhaps some other unknown source of external force triggered or deposited a person with advanced brain capability.
- Exclusionist - No. Knows about the story but discards it and considers the story fiction.
1. Inquisitive - Why is Adam's belly button important?
2. Rationalist - What is the reason for the question?
3. Knowlege - No concept of creation.
4. Indifferent - I don't care.
5. Unknown - Not discovered.
6. Not important - No. important and unimportant are still important. Not important means no existence to make important.
7. Alternative - A different story about creation.
The world is full of different tribes and cultures. Each may have similar ideas about creation or the lack of ideas itself. A rock has a complete response.
Sunday, August 25, 2019
Veteran: 38.1725 ~ Information Model
Veterans' Benefit 38 USC 1725 Statues as an Information Model
Technical Background
Information Bridges
Theater
|
Function
|
Business
|
Actors
|
Participants
|
Principals
|
Role
|
Activity
|
Party
|
Play
|
Interaction
|
Contract
|
Property
|
Things of Interest
|
Deliverables, Services
|
Stage
|
Environment
|
Law
|
Director
|
Goal Insight
|
Operations
|
Audience
|
Client
|
Customer
|
Tickets
|
Demand for property
|
Invoice
|
Performance
|
Production
|
Payout
|
Writers
|
Title
|
Owners
|
Watchwords:
Common Terminology:
- Wherever the term money appears, the term includes seven information attributes: name, title, asset, amount, use, event, warrant. Each attribute has one or more definite values.
- name - a label to identify money conveyance
- title - the money's owner
- asset - the title's social collateral
- amount - an asset's quantitive or qualitative measure
- use - purpose or encumbrance for conveyance
- event - the conveyance instance
- warrant - title's ownership right and sustainability.
- value - data about the attribute
- The insured hires the insurance company, insurer, to limit the payout liability of the insured. When the insured pays premiums for the insurance policy, the premium provides an obligation on the insurer with a guarantee the insurer will transfer title of the insurer’s money to the insured. Sometimes the insured will delegate authority to the insurer to pay money to the entity the insured has an obligation.
- Agency is the most common type of contract for consumers.
- Invoices and payments are contract instruments identifying money transfer.
- A medical episode-of-care can have one or more medical expenses which is a fee for a medical service.
- Grantor and grantee are actors in a title transfer.
- Business accounting is a recording of money use.
- Assets = Liability + Owner Equity (Revenue – Expenses) (a.k,a Net Assets)
- Trade Þ Purpose Þ Needs & Wants Þ Contract
- Data Þ Value Þ Meta-data Þ Roles
- Program Þ Process Þ Schedule Þ Property Þ Value
- Value Þ Quantity & Quality
- Production Þ Cost D Quality D Schedule balance
- Title Þ Asset Ownership ~ copyright, trademark, procession
- Follow-the-Money Þ Process Þ Trade Þ Money (conveyance)
- Payment Þ Money
- If exist Þ then Þ else
- Syntax (structure) Þ Semantics (meaning)
- Joint and Disjoint Þ In contracts, the two principals (A & B ) have a joint agreement. When an activity involves more than two principals (A,B, C) . A & B and B & C are two separate joint agreements.. A & C are disjoint with no common agreement. B may supply parts to A. C may supply parts to B, that B uses to make parts for A.
Medical Business Terms
- Medical Expense = fee & medical service
- An Episode of Care Þ Medical Expense & Qualification {Edibility, Time, Purpose}
- Authorize Þ Permission to transfer title
- Reimbursement = A principal’s payback to a principal for money paid the principal paid on behalf of a contract.
- Copayment = the policy amount insurer pays and and insured each agree to pay for medical fee.
- Deductible = The insurer’s time-based threshold amount of medical fees the insured pays before the insurer’s payout.
- Premiums = the direct cost of an insurance policy. Usually an employer pays some and the employee pays some.
- Insurance = a contract, policy, between the insured and the insurer whereby the insurer guarantees liability protection for the insured.
- Insurance payout = the insurer's liability protection amount given to the insured for purposes of paying the liability.
- Patient = the person receiving medical treatment at a provider.
- Provider = the person or organization supplying medical treatment.
- In-network provider = an agreement between the provider and the insurance copy on cost for medical expenses.
- Explanation of Benefits = the insurer's calculation report based the in-network agreement detailing the copayment amounts.
- Provider Invoice = a detail list of the treatment fees and services requesting patient payment
- Invoice Payment = the money paid against the invoice
Veteran:
- Paragraph 38 U.S. Code § 1725. Reimbursement for emergency treatment Statue (a)(2) instructs (assigns) the VA either pay the veteran or pay the provider.
- Title USC 38 Veterans’ Benefits is a benefit grant from Congress to every veteran and an authorization for Veteran’s Administration to be Congress's Agent to use the Federal Budget for veteran's benefits payment.
- 38 USC 1725 Contracts
- VA & Veteran ~ role: Benefit Payout
- VA & Provider ~ role: Veteran assigns VA to pay medical expense treatmentPatient & Provider ~ role: treatment & payment responsibility
- Provider & Insurance Company ~ role in-network agreement
- Patient (insured) & Insurance Company (insurer)
- Maximum Allowable Amount
= Medicare fee
- Information Generation Distortion = The VA's multiplication of business instructions causes errors in compliance with the Law: Law > Regulations > Policy > Procedures
- The effect is the whisper game:
Friday, August 23, 2019
Bicycle: Letter to Jimmie Heuga
Happy Birthday Jimmie
Sept 22, 2012
Tuesday, August 20, 2019
Veteran: Veterans' Administration is Breaking the Law
This post is about the VA creating regulations that are not compliant with the Law, engaging in acts of bureaucratic extortion and bureaucratic racketeering. -- Ok, I am not a lawyer, so maybe the terms are expressions of frustrations. This article explains my use of the terms.
Breaking the Law
When a veteran has ER treatment at a non-VA facility, the VA will either pay-the-provider or reimburse-the-veteran. If the veteran does not have private insurance, the VA accepts the provider's bill. If the veteran has private insurance, that has copays and deductibles for the episode-of-care, the VA claims by Law the VA cannot pay the copays and deductibles. No statute in Law supports that claim.
On September 11, 2017 at 3 AM, my wife, an Army vet, woke with pains in her chest. The nearest VA hospital is in Cheyenne, more than an hour away. The VA directs veterans who have an emergency condition to seek treatment at a community provider. I took my wife to the nearest ER. The diagnosis was gallbladder problems. We followed all the VA protocols for adverse conditions. Two weeks later a surgeon at the VA removed the gallbladder.
We followed all the reporting protocols expecting the VA would consider the community hospital treatment the same as if the treatment occurred at VA facility. We give the VA permission to use our private insurance for cost recovery at VA facilities. We did not expect the VA to use the information about the insurance to deny the ER benefits. A few weeks later, the hospital sent a statement for $3600 which is the $3500 insurance deductible and some patient copay. Because the VA is the primary provider, a $3500 deductible keeps the premiums down, yet still provide a cost recovery threshold.
Next, a letter from the VA arrived denying the ER expenses stating, "By Law, the VA cannot pay other health insurance deductibles and copays." The VA's letter shocked us. We followed protocol. We give VA cost recovery permission, the ER was not considered the same as at a VA facility, and the VA used the information about our private insurance with a third party. I thought we did everything right, yet the VA said we did not. I needed to understand why. Next started months of study.
Until the VA's denial, I was ignorant about Contsutinal Law and executive department regulations. Starting with an empty mind has rewards, although, acquiring information the mind will postpone the rewards. Once in awhile, something happens that trips a mental trigger and all the pieces of information blend from chaos into order.
US Government
As Americans, we know about Congress, the President, the Supreme Court. Our mental model includes Representatives, Senators, Judges, and the Federal Bank. Most citizen federal government interactions are with one of the
- 15 executive departments (includes VA and DOD)
- 41 commissions (includes National Council on Disability) or the
- 66 independent agencies (includes NASA),.
- 10 official agencies (includes Smithsonian Institution)
The US Federal Budget is the corner post of government that enables government operations. Constitutional law is a business plan that directs operational activity for spending the Budget's money.
Other laws like contract law and privacy supersede and enable the Code. When the Code uses words like pay, payment or reimburse, these words immediately invoke business processes and the laws related to business.
MS Inside-Out: History of MS
MS Inside-Out: History of MS
- 1399, 1st diagnosed case of MS
- May 1, 1945
- March 11, 1946
- 1993 - first disease-modifying therapy
- 2020 Still no cause, no cure.
MS Inside-Out: Your are my HERO
YOU ARE MY HERO
Monday, August 19, 2019
MS Inside-Out: Concurrent Complex Syndrome
Concurrent Complex Syndrome
Inside-Out:Monday, August 12, 2019
Pysc: The 40 Human Senses
The 40 Human Senses
What are the senses?
Nociceptive pain
Neuropathic pain
The Human Senses
|
|
Qualitative
|
|
The 5
environment senses:
The 10
wellness senses:
The 7 social
senses:
|
The 9
emotional senses:
The 11
intrinsic senses:
*direction, altitude,
or location
** threat reactions: fight, flight, freeze. fawn, fade, fold, forget
( ) opposite.
[] example
|
22
|
22
|
Note: This
list originates from multiple sources — Joseph Flanigan
|
The human senses belong in two categories. 1. The quantitative senses tend to have measurable physical characteristics. 2. The qualitative senses tend to have self-comparative characteristics. Both quantitative and qualitative senses have at birth a natural response to recognize a change. A sense message signals the existing brain stasis model and triggers an action message about the change. The brain mixes many sense sources to build models. Rich models become stories. Some common language expressions, like a sense of well-being, can occur as a result of change provoked by one or more senses.
Life includes the intrinsic senses at birth or before..All senses have a precursor trigger. The trigger occurs as a stimulus from an event. The primary source for the event can be either internal or external to the body. The intrinsic senses are internal events. Some senses are precursors for other senses. A fear threat response begins with an intrinsic proprioception event that triggers an emotional fear sense that initiates the response. The mind retains the model for every sense as a mood. A mood will contain one or more models for actions.
Time is a learned social understanding model of natural phenomena.
Undefined:
Enjoy this Idea
A collection of Joseph Flanigan's drawings
A collection of Joseph Flanigan's drawings.
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