WEBVTT

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If you are a veteran or know someone who is,

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it's so important to be aware

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of all the low vision services available to you.

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In this episode,

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Geo Athappilly of the Hines VA joins us to discuss more.

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I'm Ricky Enger, and this is "Hadley Presents."

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Welcome to the show, Geo.

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So good to have you here.

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Thank you very much.

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I appreciate it, Ricky.

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I am delighted to have the chance to talk with you

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as we learn a bit more

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about services available to our veterans.

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And we actually have a member or two

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who have gotten services from the VA,

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and they're always such fierce advocates for it.

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They love to tell anyone

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about all the cool things available.

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And I'm so looking forward to learning more

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about that from you as well.

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So before we get into our questions,

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why don't you just tell us a bit about who you are

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and what you do.

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You're here at the Hines VA close to Chicago, right?

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That is correct.

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So as you said, my name is Geo Athappilly,

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and I am a legally blind individual.

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I was able to do my internship

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after my studies here at Hines

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at the Blind Center in the VA.

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I've been here about a little bit under 20 years right now.

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Wow.

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Now, that's some longevity.

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You must really love your job to have stayed there that long

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and I can imagine why,

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because it sounds like you all do

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some really, really cool stuff there at Hines.

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So I'm curious, I know that there are a lot of services

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offered to veterans with vision loss,

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and I'm wondering if we can just go through

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a few of those things that are available.

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Absolutely.

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Any veteran that has the ability

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to receive services from the VA

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qualifies to get services from the VA Blind Center.

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And when they come to the Blind Center,

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they are able to participate in training

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in a lot of different skill areas.

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They include classes in living skills.

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This covers training, learning how to do things

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for everyday life like activities of daily living,

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communications, working in the kitchen,

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learning braille.

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Then we also offer training in orientation and mobility.

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This allows veterans to learn

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how to use the long white cane for independent travel.

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We also offer manual skills.

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This is a class in which veterans get to learn

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how to use their non-visual skills

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and adaptive techniques in different activities

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like leather work, woodworking, small engines, and music.

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We also have a class of visual skills.

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This is where we are able to teach veterans how to use

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and maximize their remaining vision

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with different things like magnifiers

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and other low vision aids.

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And then finally, we have the access technology department

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where we teach both computers as well as smartphones

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like the Apple iPhone and other iOS devices

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so that they're able to use that growing technology bubble

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that we are in today.

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Oh yeah, for sure, it's so, so important.

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So let's say that someone has a need for a magnifier at home

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and once they learn how to use that,

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are those devices provided to veterans,

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or how does that work?

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Absolutely.

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So yeah, that's one of the greatest benefits

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that we are able to do through the VA Blind Center

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is to be able to issue different things like computers

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and all the peripherals that come with the computers,

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iOS devices like the iPhone, iPad,

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and different things like that,

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as well as magnifiers, CCTVs, and other low vision aids.

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That's fantastic.

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One question that has come up when I've spoken to veterans,

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and I'm sure that people wonder, they might think,

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"Well, I lost my vision once I was not on active duty,

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so I probably don't qualify."

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But I'm wondering if that's true.

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Do you have to have experienced your vision loss

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during your service?

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Or what if it's something

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like age-related macular degeneration

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or anything like that, do you still qualify?

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So the answer to that question

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is that any veteran that is eligible to receive services

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through the VA is eligible

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to receive blind rehabilitation services.

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And I think one of the unique factors that we are able to do

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that might be slightly different from other rehab centers

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such as at the state level and things like that,

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is that a person may not need to even be legally blind.

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You may have some functional vision loss,

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and you can still be able to be eligible

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to get some services through the blind rehab VA program.

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Yeah, absolutely, you're right.

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Because with state services,

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you may need to be legally blind.

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But you're right,

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just because you have some functional vision loss,

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that doesn't necessarily mean that you're legally blind.

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But nevertheless, you still qualify for these services,

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which is really, really good.

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So I guess that begs the question then,

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how does someone get started

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to apply for services like this?

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What's the process?

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So most of the veterans that come through our program,

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just like most individuals that experience vision loss,

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they didn't expect this to happen to them.

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It was not something that they were born with,

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so they probably started off

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going to their primary care doctor

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and that's where they started experiencing some vision loss.

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Then they probably went to the eye clinic

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and then followed up with their eye care.

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And at some point,

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they get connected to what is called the VIST coordinator,

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which is the Vision Impairment Service Team.

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This individual is the one that usually schedules them

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to come to the Blind Center to receive services.

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And that process,

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once they have connected with the VIST coordinator,

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they will usually get an admission date within 28 days.

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Once they get that admission to the Blind Center,

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then, once again, they can be able to get services

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either through inpatient training, outpatient training,

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or through VA Video Connect, which is the remote training.

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Okay, awesome.

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So, it sounds like the VIST coordinator

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is really the key to getting everything going for you,

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if you're looking for services.

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And if you are getting your care through the VA,

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they're gonna know who that person is

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and be able to get you in touch with them.

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Also wow,

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that's an incredibly short waiting period actually,

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especially if we talk about other services,

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you may be waiting nine months, a year,

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in some cases a couple of years.

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And that is true for various kinds of services.

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So just because you're getting orientation

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and mobility training,

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you may still be waiting for technology training.

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So it sounds like with services from the VA

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it's happening a lot more quickly, which is wonderful.

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Do services tend to,

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let's say you're doing outpatient services,

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so you're not going through

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some of the more intensive training

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that you might do in an inpatient setting,

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are all of those services happening at once,

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or do people get signed up for a couple

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and then maybe a couple more?

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How does that work?

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Usually that's very dependent

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on the geographical location of the veteran

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and what services are available.

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Not every location has blind rehab outpatient services.

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And typically, when they do have outpatient services,

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it's usually one skill area at a time.

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So somebody might come out

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and teach them mobility for two hours

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and then they might have to come back

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after a week or two or three weeks

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to do additional training.

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The more comprehensive training

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is when you come to the inpatient program,

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and that's when you'll have all the skill areas,

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and you'll have a daily schedule

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to go through all the classes.

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And how long do those inpatient services usually last?

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So what's kind of the commitment

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of "I'm going to come in, I'm gonna do inpatient,"

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how long are you gonna be there?

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So every program is individualized to the veteran's needs,

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but I would say an approximate average is four to six weeks.

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Usually a veteran will come in

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and that first week, week and a half,

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they go through assessments.

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During the time of the assessments,

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the veteran and instructors can be able to decide together

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what are the goals that the veteran needs to accomplish,

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and that can determine

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how long they want to be able to stay.

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So I would say about four to six weeks is a good average.

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Yeah, that totally makes sense.

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And once someone has done

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whether it is this very intensive inpatient services

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or maybe they've gotten a couple of outpatient things

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and maybe they've learned to cook,

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they've done some cleaning,

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but suddenly they're like,

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"Hey, I really need to brush up on my technology skills."

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Is there a limit to the amount of services

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that a veteran can get,

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or is it really just as you discover,

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as you're going through your daily life

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that you need something

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then the VA services are here for you?

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So there are no limitations on how many times a veteran

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can come through the program, whatever program that may be,

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whether it's inpatient, outpatient, or remote training.

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However, when we do, especially, work with the veterans

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during the inpatient program, we do encourage them,

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"Go home, use the skills that you have learned,

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see what works, see what doesn't work,

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and give yourself some time to do that."

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So we encourage them,

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"If you've been here recently,

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wait about a year so you can really figure out what works,

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what doesn't work."

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And then when you come back,

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instead of just doing the same thing over again,

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now you can focus on the new skills and understand,

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"Okay, this is what I tried to do

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when I went home, that was not very effective.

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Let me focus on that."

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So for example,

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if they've been through the inpatient program

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one time already,

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they got a good overview of everything that they've done,

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but they didn't do a lot of cooking.

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But the second time they come around,

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they may do a little bit more exploration

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of the adaptive kitchen skills

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and try a little bit more cooking.

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Right, because it can be difficult

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to learn everything you need to know all at once.

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You may be really concentrating in one area,

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and then once that's down

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and you've really had some time to practice it,

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then you're thinking, "Okay, hey, I conquered this.

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I'm ready to tackle something else."

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Can you talk just a bit about,

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you've mentioned a couple of times

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kind of the virtual or the video visits.

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Is that in addition to say

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maybe you come home from the inpatient service

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or maybe you decide not to go in for that,

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is that how the virtual video visits work

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or it's in addition to whatever you've done

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or is it instead of coming in for an inpatient?

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It could be either way.

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So the most traditional way

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is always to be able to do the inpatient training.

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You get the most hands-on experience that way.

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You also get to meet a lot of other veterans

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that are also going through the journey of vision loss.

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So those are the definite pros of coming in

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through the inpatient program.

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But if a person is not able to come to the inpatient program

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for whatever circumstance,

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then they can always do the remote training.

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It is also popular for people

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to do some follow-up remote training

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once they've completed the inpatient program.

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Gotcha.

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So we've talked about, so far, some really practical aspects

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of adjusting to vision loss, learning to cook,

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learning your technology,

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figuring out orientation and mobility skills.

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Are there also services or support groups or what have you

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for just the social or the emotional aspects

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of adjusting to vision loss

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and whether that's for the veterans

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or are there also things for families

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as they're kind of adjusting to the change in vision?

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Yes, we are blessed

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to have the fact that we have

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a lot of different services available for veterans

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in the inpatient program.

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So when they're here,

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we have a full medical staff that can monitor

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and help them with any medical needs.

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If appropriate, follow-up needs to take place

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in the main hospital,

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we can do that, for example,

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if they have to follow up with audiology

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or podiatry or something like that.

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We also have both social work

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and psychology in the inpatient program,

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and veterans can follow up with them

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for their one-on-one needs.

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There's also a lot of group classes that we offer,

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and in these school group classes,

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we discuss different options

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of how to transition through the journey of vision loss,

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how to improve confidence and empowerment,

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how to integrate what you learn

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into everyday life and society.

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On top of that, we also have recreational therapy,

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and we have a lot of different recreational outings,

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and we encourage veterans to participate in these outings,

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and this is another way that they can go out,

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integrate into society,

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learn to advocate and communicate

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what they need as a person with vision loss.

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So these are all ways

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that we can be able to accomplish that goal.

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That's great.

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I think it is so powerful, just as you said before,

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to be able to meet other veterans

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who are going through this journey just like you are.

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We know that having that community feeling,

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that feeling of it's not just me

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and I'm not alone

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can really go a long way in the adjustment process.

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Absolutely.

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As well as for the family program training,

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there is a couple different ways we can do that as well.

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So whether veterans are inpatient program,

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outpatient program, or through the remote training,

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we can connect with family members

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and we can educate them

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by usually giving them a hands-on experience

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on how to do different tasks,

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sometimes under the blindfold.

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And then as well as just helping them give them resources

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to be able to kinda go through the journey of vision loss

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along with their loved ones.

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So if a family member is able to come into the Blind Center,

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we can be able to make appropriate arrangements for that.

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If they're not able to travel for whatever means,

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we are able to do conference calls

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or even video calls with family members.

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So these are other ways that we can work with family members

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to be able to help them go through the process as well.

340
00:15:55.140 --> 00:15:56.520
That's fantastic.

341
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What we've talked about so far is in Chicago.

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So what you are speaking

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from the experiences at the Hines VA.

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But with that said,

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there are other centers around the country

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that do very similar things.

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Now, I'm sure that you're biased and you're like,

348
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"Hey, ours is the best,"

349
00:16:16.380 --> 00:16:20.100
but if someone is not located in the Chicago area

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and they still would like to get information

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for either finding their VIST coordinator

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00:16:27.450 --> 00:16:30.960
or finding out what centers are in their area,

353
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is there an easy way, maybe a website,

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that people can go to to get that information?

355
00:16:37.200 --> 00:16:39.000
I would say probably the easiest way

356
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for veterans to get information

357
00:16:41.160 --> 00:16:44.460
is they probably have a primary care doctor in the VA,

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and then through that doctor

359
00:16:45.870 --> 00:16:49.500
they can get connected to their local VIST coordinator.

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And from there,

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00:16:50.333 --> 00:16:54.030
they can see what services are close to them

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and what are available for them.

363
00:16:56.040 --> 00:16:57.930
I think that would be probably the easiest way

364
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for people to be able to get information.

365
00:17:00.900 --> 00:17:03.180
There is the VA website,

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00:17:03.180 --> 00:17:05.730
and you can be able to go through that link

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to be able to find different information,

368
00:17:07.920 --> 00:17:09.060
but some of that stuff,

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it may be different in different places

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throughout the country.

371
00:17:12.210 --> 00:17:14.790
Right, and then of course it can be confusing

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00:17:14.790 --> 00:17:16.890
doing these searches on sites

373
00:17:16.890 --> 00:17:19.110
and you go down a certain rabbit hole

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00:17:19.110 --> 00:17:20.670
and you're like, "How did I end up here?"

375
00:17:20.670 --> 00:17:23.010
So it sounds like the VIST coordinator

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00:17:23.010 --> 00:17:25.200
is really the best place to start

377
00:17:25.200 --> 00:17:28.320
and just to get in touch with that person

378
00:17:28.320 --> 00:17:32.610
through your primary care individual at the VA.

379
00:17:32.610 --> 00:17:35.460
Wow, this has really been very informative

380
00:17:35.460 --> 00:17:39.150
and I'm so happy to know that there are so many services,

381
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whatever it is, that you need as a veteran,

382
00:17:41.550 --> 00:17:43.740
whether it is you're at the beginning

383
00:17:43.740 --> 00:17:45.120
of the adjustment process

384
00:17:45.120 --> 00:17:48.330
or maybe you've been at this for a little while

385
00:17:48.330 --> 00:17:50.430
and you need to update some skills

386
00:17:50.430 --> 00:17:54.420
or you're curious about what devices are available to you.

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00:17:54.420 --> 00:17:57.090
All of these things can be done

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00:17:57.090 --> 00:18:00.690
through these low vision services through the VA.

389
00:18:00.690 --> 00:18:04.800
Geo, is there anything that we haven't touched on yet

390
00:18:04.800 --> 00:18:06.690
that you were hoping we'd have the chance

391
00:18:06.690 --> 00:18:09.390
to explore before we wrap up here?

392
00:18:09.390 --> 00:18:10.223
I would just say

393
00:18:10.223 --> 00:18:13.962
that I think whenever anybody goes through vision loss

394
00:18:13.962 --> 00:18:16.410
it's a very difficult process.

395
00:18:16.410 --> 00:18:20.640
And so the beginning steps of trying to receive training

396
00:18:20.640 --> 00:18:22.350
is always the most intimidating

397
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and difficult decisions to make.

398
00:18:24.930 --> 00:18:27.420
And I think that's one of the things

399
00:18:27.420 --> 00:18:29.505
that we hear from our veterans too.

400
00:18:29.505 --> 00:18:31.590
They want to come in,

401
00:18:31.590 --> 00:18:33.599
but they're not sure if they want to come in

402
00:18:33.599 --> 00:18:35.520
because they probably

403
00:18:35.520 --> 00:18:38.520
have been away from home for some time

404
00:18:38.520 --> 00:18:40.200
and they don't want to travel by themselves

405
00:18:40.200 --> 00:18:41.430
and things like that.

406
00:18:41.430 --> 00:18:43.320
But I would say to any veterans,

407
00:18:43.320 --> 00:18:44.970
if you have vision loss

408
00:18:44.970 --> 00:18:48.780
and you are struggling to do activities of daily living,

409
00:18:48.780 --> 00:18:50.070
come check us out.

410
00:18:50.070 --> 00:18:52.380
I definitely think that we can do some productive things

411
00:18:52.380 --> 00:18:54.240
to really be helpful for you

412
00:18:54.240 --> 00:18:56.520
and we can spread the word so that more people

413
00:18:56.520 --> 00:18:59.580
are aware of our services that we are able to offer.

414
00:18:59.580 --> 00:19:00.413
Excellent.

415
00:19:00.413 --> 00:19:01.347
Thank you so much for that

416
00:19:01.347 --> 00:19:03.870
and for all the awesome information

417
00:19:03.870 --> 00:19:05.700
that you've given us today.

418
00:19:05.700 --> 00:19:09.990
Geo, thank you again, we really appreciate your stopping by.

419
00:19:09.990 --> 00:19:12.930
And I've had a lot of fun and learned a lot.

420
00:19:12.930 --> 00:19:14.370
Thank you very much, Ricky.

421
00:19:14.370 --> 00:19:16.173
I appreciate the time, stay blessed.

422
00:19:17.010 --> 00:19:18.720
Got something to say?

423
00:19:18.720 --> 00:19:22.170
Share your thoughts about this episode of "Hadley Presents"

424
00:19:22.170 --> 00:19:24.750
or make suggestions for future episodes,

425
00:19:24.750 --> 00:19:26.460
we'd love to hear from you.

426
00:19:26.460 --> 00:19:31.440
Send us an email at podcast@hadleyhelps.org.

427
00:19:31.440 --> 00:19:36.440
That's P-O-D-C-A-S-T@hadleyhelps.O-R-G.

428
00:19:37.950 --> 00:19:42.660
Or leave us a message at 847-784-2870.

429
00:19:44.880 --> 00:19:45.993
Thanks for listening.

