Girl...what you call your Husband?

We were busy little things. Running all over the city, picking up people from all walks of life. Okay I lie, it was only one kind of walk, the downtown ghetto pimp walk. We had psychs, we had diabetics, we had diabetic psychs, we had people just making shit up for a ride. And I got hit on twice and one marriage proposal that went a little something like this...
"Girl. What you call your husband?"
"I call him Officer.
"For RRRREAL!"
"Yeah, for real."
"Girl, you tripping. Where's yo ring?"
"Man. It's diamonds and platinum. You think I be wearing it to work? You crazy."

I was actully suprised the man took a gander at my ring finger and the fact he knew which finger to look at. I wear a silver ring on my right hand, he knew to check the left. Even though the drunken haze he was fairly observant. Too bad he couldn't tell me what happened to his wrist. "Man I broke or sumpin." Genuis. Then there was a schizo diabetic who would hollar gibberish at the top of his lungs unless I I spoke to him. Then it was "Yeah darling whatever you want, you gots a purtty smile" The cops loved that. We saw one of the officers later and he kept saying "You gots a purrty smile, what you call your husband?" I call him "Doctor" officer. I told my mom who was working at the ER tonight about my sorted adventures with the city crowd and my marriage proposal she asked what kind of fantasy world did I live in? All in a days work I guess. Man. I love the city trucks, you get to meet all kinds of people. Tonight will be my last scheduled night on a city truck though. I get shipped off the the islands for a break, even though I just got back on the truck and don't need a break. But whatever I go where I'm told.

Sleepy...

Brutal, fucking brutal. I forgot how bad a 24 hour shift is on 12 hour trucks. (just for those who don't read regularly we have 12 hour shifts in the busier parts of the system, and the norm 24/48 hour shifts in the slower parts) We are so short-handed that we sometime work up to but not exceding 36 hours on the busier 12 hour trucks. (Yes, we do get shipped off to slower outlying trucks to try a get some rest if you are on a 36.) Most of us are used to the long hours of runing and running, but I, my friends, am a bit out of practice. this was my first long shift since comming back to the streets. My body aches, my foot hurts and I am getting ready for bed. One more 12 hour shift tonight, then a long three day weekend that is well deserving. Lckly I have a paramedic partner who can help pick up my slack (We run a ALS on every truck, SInce I am still a crew member I will always have a Paramedic Crew Cheif) Also Luckly, even though it was busy, it was busy with alot od crap calls. Nobody dying, nobody in dire need, Nobody really in need of an ambulance. Just some sick party calls, some ETOH over indulgence, and some non cardiac chest pain. I started IVs because the hospital like them, not because the people were truly dying. I did 12 leads because I was told to, not because anyone was having an active MI, I gave O2, not because anyone was Short, but because it comforted and calmed my patients. I gave Morphine to ease the pain of a very angulated ankle, but it was more out of kindness and comfort, than nesessity. But now, I am going to bed only to get back up in 9 more hours to go and do it all again tonight. But fear not citizens, we are used to it.

Eh...

Run...Run...Run. Thats what we did all night. We went from assault to assault. To CHF then to Asthma. The more assaults. Man I don't know what was going on but people just felt like beating the crap outts each other last night. Nothing serious, mostly Lacerations that might have needed a few stitches... but still. Alot of ass kicking going on for a Monday night. Everybody seemed to have a case of the Mondays too, I got cussed at twice, swung at once and restrained one guy who tried to eat my fingers off. Crack is seriously wack. Oh and we went to this one house because her Imagianary friend was having shortness of breath. (Yes the same one who's other imagianary friend was stabbed a last week, he must have notof made it) But this time, knowing better, we didn't go hunting for 45 mins like we did last week.

I'm gonna end today by saying my heart goes out to all of the students, faculity and families of VT. I don't know you, but you are in my thoughts today... And to the first responders...You did good work yesterday. Medicine in the streets is hard enough when you don't know the people you are helping. I can only imagine what it must be like to work on fellow classmates, friends.

Blegh! OKAY I get it.

Learned two very important lessons last night. One of which that should be taught is every paramedic school everwhere. Narcan causes, no matter how slooowww you push it, Exorcist type vomiting. I knew it could cause vomiting because that is listed under side effects in the formulary, but what it should say is May cause vomiting that will put your unit out of service for 45 mins and need a mop and a hose to clean up thats what it should say. I have never seen anything like it. It was one the ceiling. Dripping like some brown alein goo you see in horror space flicks. And the second lesson is if you sit on the ambulance bay for long enough outside of the Level One Trauma Center, bloody stabbing victims pull up in POVs causing you to get yet another clean uniform bloody. I had just taken off the vomit shirt. Damnit. Luckly, it was just a little bit of blood and peroxcide got it out, but still. I also have a deep seeded aversion to feet. It goes back to when I was a brand new ER tech, and not knowing better pulled the socks off a homeless person c/o feet pain. With the sock came off three necrotic toes. Since then I don;t do feet. I'm not gonna touch yours and you're not gonna touch mine. I don't get pedicures and my orthopod thought this was hilarous. (He said I was the only patient's he's ever had that he couldn't do a compleate physical exam on because he thought I would freak out. I told him I wouldn't freak out, but make the exam quick) But We had not one but three patients with necrotic diabetic feet. I made my partner ride them in. I couldn't handle it. I said I would take the next five intoxicated assaulted college kids and/or smelly homeless if he would ride in the feet. Thats how bad my Feet Aversion is. Seriously.

Well lessons learned. Add that to my growing list of "Things Every Paramedic should Remember" Right above, push Lorazapam slow and keep a BVM near by, just in case your patient goes apenic. (Yep, learned that one the hard way too)

First Night

First night back after 5 months of recovery. Foot held up nicely. Only needed one dose of Aleve to calm the screaming bones, and only limped a couple of times, mostly when we stayed still for longer than 30 min. Took about 10 min to work all the kinks out. Which was well, twice in 12 hours. Had 8 calls and one wild goose chase though an apartment complex looking for what turned out to be an imaganary friend of one of the residents. The voices in her head told her that someone had been stabbed. It took 45 mins of looking for this person before us and PD figured it out that she was basicly talking to herself. Ah the joys of urban EMS. I slowly caught on the the new ways the radios worked (we went to digital 3-4 months ago) and working the AVLs. I figured out very quickly that I need to build my muscles back up when I tried to put the stretcher back into the truck fully loaded with a 300 lb patient. And I also need to clean up my now rusty IV skills so I don't turn my poor patients into a human pin cushion. (I did get one, and he was a tough stick) But everyone was right, it's like driving a car (or riding a bicycle) you don't really forget. You just are out of practice. But... I still felt like a new EMT. I drove a bit, running code once or twice, trying really hard not to throw my partner around the back. All and All an pretty tame night back. Now I'm off to bed so that I can do it all again tonight.

I get to go back I get to go back

Well thank god. I walked into the doctors office today will all the hope of a kindergardener on the first day of school. Hope that I can go back to the ambulance. So I waited quietly of over an hour in the waiting room. Then was brought back and the nurse said "he's a bit backed up" Really, no way, I thought I was just sitting in that room with all the other patients for no apparent reason. But I kept that thought to myself, because I am a sweet, nice person damnit. SO I waited a bit more in the room and the Doc walked in and before he had even shut the door I go "It's-nice-to-see-you-can-I-go-back-to-the-streets-now? My crackheads need me."
"You want to go back to being a street walking crackhead?"
"Yes Please."
"well you can add that statement to the Words I never thought Id hear my patients say list. Yes, you can go back to being a street walking crackhead"
"Thank You...so this is last time I have to see you ever?"
"yep, unless...when is your next big birthday?
"Well, 30 is in about three years"
I actully will miss the doc, he was one of my favorites. He was kind and had a great sense of humor. And most important right after the whole being a good surgeon, has a wonderful bedside manner. Throughout my whole injury and recovery he spoke TO me never AT me. He explained everything and didn't rely on his residents to carry the workload. When I was in the hospital, he would actully come into the room and explain and answer questions, even if the residents had already come in. It's like he takes the time to get to know who he's cutting on. I think he even came down into the ER before I was addmited and spoke to me, which for an attending to do, is well, unheard of. SO I thank him for being so kind to no only me, but my family. So I will miss my doc. But I hope never to see him again, at least not as a patient.

So Thursday night I go back. Back to the streets I call home. I'll be working the City truck. I think I have even found a new apartment. Downtown apartment, in a huge house. I will have mmy hardwood floors and huge windows and 10 ft ceilings. Just what I asked for. And the people in the house seem cool as hell. So everyone, pray to whatever god your pray to that they find me worthy.