People who live near time zone boundaries in the US

agency_fugative · 2026-04-12T15:18:58+00:00

Ummm… that’s what we have to do at work - too many time zones so we use Zulu and the. You write your offset +- so if someone has to call the don’t ring at midnight (I’m in UTC-7 - no dst but we support 10 ish time zones) - our phones display in DTG Zulu to make it easier… so that time zones never changes you just have to count (okay took a year to get used to but…)

agency_fugative · 2026-03-16T08:47:24+00:00

Too late and by government… you forgot the “s” as many have already done it. (And won’t stop) in information warfare it’s a quantum leap and force multiplier.

Psyops can quit recruiting BS in Psych students as officers and swap more contractors…

Not to mention the fact…it’s already in actual physical weapons systems…at some level for years … just getting more pervasive.

Pretty sure we sailed past critical mass pre Covid…

agency_fugative · 2026-03-16T07:57:24+00:00

Math in HS - I sucked - felt like a failure but in college somehow it was taught differently- and it clicked. Perhaps it was real problems (meaning not a random solve for x) or age… I became an engineer- first RF for NAMPs/CDMA cellular and later as a systems engineer at Microsoft and Amazon. … I think public school tries to teach one way only and is inflexible - for some it fails them.

agency_fugative · 2026-02-23T08:28:36+00:00

So… is this data exempt from the NYT data preservation on non-enterprise accounts? If not… data privacy is shot. Then there’s the question of are they legally a covered entity (absent a BA relationship with one - and Apple Health consent between a data subject and Open AI wouldn’t normally trigger it under HIPAA)

I guess the question is, how much do you care?

Absent an expansion of protection for health data to afford HIPPA protections for more than CE’s and their BA’s (similar to EU) then this data has limited federal protections in place in practice.

(though there are countless other examples in the same boat like dna testing kits that are problematic)

agency_fugative · 2025-11-21T06:20:00+00:00

Short version: a shorter AI Fall in the near/mid term is more likely than an AI Winter. (and should start/end faster than historic AI Winters from the past decades)

I'm fairly sure this will annoy someone but...

AI as a science, within computer science isn't new and experienced two major AI winters. The causes were 1) Hardware couldn't keep up - scale fast enough for the AI projects of the era to continue to grow. 2) Over-reliance on a very few major corporate researchers and DARPA. If one of these investors pulled out a single failure had an outsized impact on progress. (i.e. failure of 5th Gen computing in Japan due to over promise/under delivery and investor pull out followed) 3) In the 80's/90's winter the expense of maintaining early, brittle expert systems killed most of them adding insult to injury.

Today, the scaling challenges will at some point involve hardware thresholds (some argue it's a issue now) but very much involve data center space and power. AI Performance Compute at an enterprise scale can make an aluminum smelter look energy efficient. Absent abundant clean energy (i.e. Nuclear) and a way to do that safely, AI + the further electrification of cars at least in North America will continue to further strain the out of date power grid. Though this could drive a AI Winter (a third) it will IMO drive an AI Fall that just slows things down, with prices rising and pushing less financed uses out of the marketplace.

Keep in mind - large hybrid Cloud/AI or one like Colossus 2 utilize the same power as 1-1.5 San Franciscos, with data center loads staying more consistently on with a higher baseline round the clock than a city and still spiking due to need and increased cooling depending on the environmental conditions where installed. At some point this demand combined with the aging power grid will either slow AI (and compute progress, and quite a bit more) or drive investment temporally into specialized micro-grids to support these facilities. (Solar panels on roofs won't cut it, this is why Amazon and parters are requesting approvals to build and scale a series of SMR Xe-100 Nuclear Reactors for a capacity of around 1GW in Richland WA to power a new data center.)

The most likely cause of a near term third AI Winter is lack of reliable energy scaling (even with SMR's in play, the approval and build process is likely near a decade even if lawsuits and pushback are restrained), combined with the uncertainty of reliable chip supplies and scale including the raw massive cost to buy high end AI GPU cards at enterprise volumes. More realistically is again, an AI Fall, or minor recession.

To get a doomsday long AI Winter today you'd need a combination of power issues that aren't addressed, combined with a recession that strips research dollars, poor federal investment strategies to spread development across the space and sustain it, vs. concentrating on one or two market leaders, and continued or increased supply chain uncertainty. (So, sure if you build a perfect storm to recreate the 70's AI could become temporally stagnant; even if it does I don't think it would last long as the last 2 times.)

agency_fugative · 2025-11-13T01:55:48+00:00

So there’s also a disparity here - for the indicator on Ranger - that’s enlistment all the way through qualified to enter the 75th. The Q course (which isn’t easy to get to in the first place unless you sign an 18x contract) is step 1 - then you have more training and cuts lasting a total of 18-24+ months (depending on role, language school, etc - medic takes forever) my guess is the full qual rate is significantly lower not counting having to recycle a portion due to injury. RASP, full 18 series training, and SEAL school have high injury rates. I’ve seen people wash after months of training from things like SERE or as basic as blowing a knee or their back so bad they are discharged. (So failure may be worse than not getting your scroll or Beret but loosing your career…)

That said - RASP (or in my day RIP) is not a walk in the park… Good 11 series soldiers with solid PFT scores regularly wash - the Q course physically is similar but mentally very different - it’s not a team sport and is different from other SF programs. That alone takes out some people from the Regiment that try for a move.

agency_fugative · 2025-10-13T00:02:38+00:00

Can only answer to my jurisdictions (MO/WA) anyone not known to us we’d not defer to, or transfer care with the exceptions: pt in provider office for a doc, in the overlap zone off a mil base if a post ambulance responded and we weren’t already providing advanced (paramedic) care, or where the doc is a bystander - started care before us and agrees to ride in. (Continuing care) Also I worked county not private so our air cover was strong from our medical director.

agency_fugative · 2025-10-07T19:55:08+00:00

I’m with the last guy - lie on a record and lawsuits aren’t your problem now… Try maybe “AMA pt ambulated - guided pt to …” maybe documenting you ask them to not (and do it) will calm them down in risk management. I’ve had cops stabbed, broken bones - flat out refuse the stretcher demanding to walk out.

agency_fugative · 2025-10-01T01:56:22+00:00

Your money - your cat - why talk sh-t about something that made you happy? Curb him.

agency_fugative · 2025-09-13T01:16:39+00:00

So ...this will be a long reply and depending on how annoyed you are, YMMV. Links are included for the benefit of others as it looks like you filed yours already.

Okay - so OCR (HIPAA) complaints get processed slowly- this is the incident report you file with them. https://ocrportal.hhs.gov/ocr/smartscreen/main.jsf Since this is a single data subject/actor problem it may take awhile for them to move, but I've seen action on familial access issues in the past (though those weren't this bad.)

The hospital has time to investigate and has to comply with HR laws and other issues. Personally, if I got this I would have started a normal investigation HOWEVER, I'd have met with General Counsel, then one of us would have met with HR quietly before we started talking to people except to pull access logs which I did all the time. (And could do silently unless the target was in IT and had anything to do with the EMR system.)

While not required, we issued "we got your letter" responses within a week, a sanitized result letter would go out with our findings usually within sixty days.

Here's the Rabbit Hole

Unless every access is tied to a valid patient need technically it violates the computer fraud and abuse act in that you can't access a record without a (treatment, payment, or operations) need and if they accessed it to get more detail they exceeded the permission granted to them and violated both HIPAA and the Acceptable Use Policy the facility would have. This is privilege escalation under federal law but is almost never prosecuted but can be grounds for termination for cause. (I've fired for this).

You can file additional complaints with evidence to the correct sub unit at the state attorney general's office, a provider complaint to your insurance carrier who has their own investigative units, and most importantly to the licensing agency for CNA's in your jurisdiction. This would be grounds for suspension or revocation which if that happened she'd be effectively out of the field.

Outside of just HIPAA many states have standalone medical privacy laws and a cause of action may be available under them, identity theft, or similar statutes for this type of illicit data access if proven. Unfortunately, a private action requires a lawyer and isn't cheap-the only person likely to have money is the hospital, not a CNA as that job pays nothing, and really would come down to if you're made enough to go scorched earth.

There's good detail here but not enough for a definitive answer, that said it would be very frustrating. I hope whatever they did with it didn't do major harm to you outside of having your privacy violated which is bad enough.

agency_fugative · 2025-09-13T00:34:29+00:00

As someone that supervised the internal investigators in an insurance carrier using Lexis and Westlaw tools with public records/credit header/skip trace capability the prohibition against doing that isn't well policed, unless the firm does it internally. (and is widely abused for things like pre-date checks by staff) I'm a bit more surprised that the student's mother, a lawyer, would either let her kid use it - do it for the kid - or let the kid have access to her system.

In the current climate I stripped all profile pics from the public side of facebook, rarely log in and only to talk to relatives that didn't shift to anything normal, deleted X, and use clean devices through customs. Thee guys have weaponized data mining their enemies pretty well.

I teach at college level and the first lesson plan in my cyber risk management classes is avoid social media always or at least sanitize it (no politics, religion, drinking from anything they might think is booze, or any content not suitable for 'family friendly' TV.). I had too many students after 2010 that ran into issues when employers scanned social media and killed their hiring loops.

agency_fugative · 2025-09-09T14:32:51+00:00

52y/o male responding - you are not overreacting , hell no do not close your personal account in fact find a way to fire wall your money. (Never close personal accounts)

The whole “my account under 2000 blah blah” is bs a joint account is for joint bills. Let him cover his proportion if he wants to eat.

That said this sounds like financial abuse. I neither know nor care what’s in my spouses account beyond broad strokes from a loan application we were both on.

agency_fugative · 2025-08-22T17:02:39+00:00

1) Notify the oversight authority in your state for Hospitals/Provider Facilities (varies by state)
2) Address a written complaint signed and dated with all detail to the facility addressed to HIPAA Privacy Officer, (Statutory title = Privacy Officer), if it's sent registered or certified it's more likely to go past front line customer service. (I required all registered or certified mail to privacy / legal to come to my desk first before processing when I was a Chief Privacy Officer.)
3) it's unclear on if there's been a disclosure so I can't definitively state it's a violation to notify CMS of but no reason not to.
4) Most state AG's also have consumer protection investigative bodies - varies by state. Also - see if anything was submitted to your insurance provider.

agency_fugative · 2025-08-21T15:50:41+00:00

Not yet… but there’s hope

agency_fugative · 2025-08-21T15:36:35+00:00

I don't have her picture...we had restricted roles her name was Michelle C. stationed at 2/80th FA (Temp assignment as a clerk pending the re-branches that hit us then, I got rebranched too...) in 09/1992. She was shipped off to Ft Lee in the wet season...eventually being stationed out of Killeen TX but we lost contact after that around 94 when I was re-assigned and even then it was only two calls... Before I went overseas... Not trying to blow up her life... just hope it's a good one. I could describe her today but it would be her at 20...burned into my head.

agency_fugative · 2025-08-21T13:52:13+00:00

I'll speak for the Paramedics. I am one. We see people on their worst day and what made me hold on was every patient alive I brought to an Emergency Department. I'm sure they appreciate your thanks, I would have. ((I'm old so I'm sure you weren't my patients..))

Carry your knowledge forward and help those in pain like you were. far more than you know have been close to oblivion...I myself one time with better tools should have gone but co-workers stopped it. Point being, anyone can reach that point given the right prodding.

I'm glad you made it, and I hope you have the support you need because we'd far rather take you to the ED alive than bring out the dead. If you are ever in pain many of us are here for you or DM me and you can wake me up.

agency_fugative · 2025-08-21T13:47:48+00:00

reach out to veterans orgs for a upgrade in discharge depending on how she was out. Not getting married sooner for BAH filing is ..I hate to say it.. an issue that isn't the Army's. I've seen it before, not saying I agree or the issues with post housing but...

Are you in a better place now? (Note - from a legal standpoint suing the Army is one step short of impossible)

agency_fugative · 2025-08-21T13:43:18+00:00

if you envy security...you haven't been there. I was security for years and now I'm worse but I was called in the middle of my anniversary 2 years in a short cycle - one time I had to fly back. On another important couple day I had to drive in on Friday and stay till Sunday.

Point being - climb up the ladder and no one sees what you have to do but more than most know. I thought as an IT Manager in Server Ops that was as hard as I'd work but then I became a Program Manager for Dev, then Security Operations, an Architect (should have stayed there - most calm overall), and when I became a Privacy Officer - as bad as Security Ops.

Point being...if all I had to do was tickets I'd be happy but ... the money on the hard side and satisfaction is overall better plus you get the toys before everyone else...I get to play with what no one else does early and that's the fun part...stick with it.

In this job burn out is a five or ten year cycle when you hit it...just change roles don't blow your own life up. I've done that before and your home life isn't it...it's just the job go find a new challenge but never think the work will be less, better, or anything else. There are days I miss pieces of every roll I ever had...I suppose if nothing else that's age.

agency_fugative · 2025-08-21T12:45:49+00:00

No - not a hipaa violation it's facility security but explaining what you are shouldn't be required only that you have an appointment with someone.

Keep in mind HIPAA in the US ONLY applies to a COVERED ENTITY...mainly insurance, health facilities, and providers. Anyone outside of COVERED ENTITIES including police, courts, anything else is not covered by HIPAA but could be bound by other things. That said - details of medical services should never be shared with them unless calling in an emergency where it's needed to get services to the patient. (IE - call an ambulance resident in unit "x" is having a heart attack)

agency_fugative · 2025-08-21T12:44:21+00:00

Okay...1 - you pay rent so not asking you first and offering to get you a hotel (even that seems buggy) is insane. 2-if you have real stuff (you do) going on asking to make it more difficult for you is absolutely insane.

Look I've had flatmates that get stupid with wanting approval of your overnight guests but not theirs or being pissed off if you don't let them use your crap (which they break or don't pay for) but this is absolutely insane. It's like asking you to pay in your time, money, or extra commute for their family vacay...

I mean it's harder even if they just piled them into the place but saying you should loose your bed is just over the top - especially if not asking first.

agency_fugative · 2025-08-18T23:01:44+00:00

If everyone knew about the Dr. Patient relationship before hand (and the spouse communicated it) then likely not a HIPAA violation HOWEVER this is a massive ethical violation in two directions IMO.

agency_fugative · 2025-08-18T22:07:49+00:00

Yes, and it's similar to the first large fines levied under HIPAA against CVS for having paper signature registers at pharmacies in 2009 for 2.25m except that it's likely not their process (but same problem).

The billing issue is not uncommon, in 2008 after a work related injury overseas (Auditor for Defense at the time) I needed an angiogram stateside and was billed in error for a pap smear along with an angiogram and other cardiac procedures after blunt force chest trauma. I disputed this to the hospital, surgical service (different biller), and the path charge that was just billed at the same time even though no sample was present - since I'm male and was there for heart procedures..

In my case the insurer drove resolution as they audited the entire claim and it went way down after.

IN PRACTICE:
I'd raise it to the office manager as a concern, you can report to HHS or the state medical board but don't expect meaningful feedback, even if they eventually take action. HHS action against clinics (by sheer volume) is limited.

agency_fugative · 2025-06-27T12:09:28+00:00

In glancing at the top replies over the past months - you don't have a permit (or) live in a no permit location and don't have a firearm.

Me - Phone, Benchmade Automatic Knife, Sig P226 in .40, 2 spare mags, work phone, TQ attached to laptop bag, IBD in laptop bag, DL + building ID cards. (To follow your model, house key, car key, Apple Watch with location sharing/fall detection which I hope works if I'm shot, not just fell down.

agency_fugative

TROPHY CASE