Sunday, January 28, 2007

Sometimes my readers make my day.

I was looking through some old posts today, reading some comments I never saw because the post are so old and I found this gem of a comment. I love it for last two lines.

Anonymous said...

It's 2 in the morning. I am looking for information on croup. My 3 year old has it bad. Trying to decide if we should go to the hospital. Stuck his head in the ice-box. Kinda helped. He's in bed now calmer but kind of wheezy. Scary, don't like it. His name is Joe. He likes ambulances too.

Those last two lines just made me smile. Kids are wonderful little creatures. I don't know how old this comment is, but I hope Joe feels better. Croup sounds alot worse than it is and smart thinking putting his head in the icebox. A steamy bathroom also works.

Friday, January 26, 2007

so yeah...

So everyone has their weakness. Even God-like paramedics, like myself (ha!), have something that they just aren't that great at. We are not perfect creatures, especially after a grueling 36 hour shift. I am not on my A game. At about hour 27 I lose all capacity to form real sentances, it mostly becomes a series of grunts and sighs. But thats neither here nor there. My real weakness, Is math. I just can't ever grasp a hold of it, which in my line of work can mean giving a patient Four mgs of Epi instead of point four mg of epi which can result in the patients heart actually exploding. Now, with that said, I do drug calc after drug calc, I carry a calulator in my pocket at all times, along with a whole notepad of doses. I have a chart for all my RSI drugs, I have a chart for all of the drips we carry on the truck, I even have a chart that has all of my pediatric drugs and doses. I have no problem looking things up in my feild guide, my standing orders or whatever esle I have handy. Even if it makes me look a little bit rookie-ish. Because I'd rather look like a rookie to a live patient than a dead one.

The reason I'm telling my secret is that this is why I totally scared to get my Acting Crew Cheif. It's really, really scares me that the powers that be want me...the math retard...to be in charge of a truck. It's not like I can turn to the compleatly green part-time basic and say...So how many drops make 5mcgs per min per kg? Not that I wouldn't trust my Basic, because they can save a paramedics ass. But it's something they don't need to know. It would be like asking the stock boy at the grocery store...so...what should I do about my 401K? The Basic's job is to turn to the overzealous medic who is getting all distracted by all those advanced things like IVs and various tubes and say..."Shouldn't we expose the patient all the way because the cop said the dude heard 4 shots, but I'm only seeing 2 bullet holes? It' might explain why the dudes crashing but the holes we see wouldn't cause that" Yes, we medics have been known to over look the basic stuff because we are so into all that really cool blinky, beeping advanced stuff. But thats another post, so back to me...and my drug problems. You wouldn't think a little thing like a few math problems would have me all worked up like this, but it does. I may be able to read a 12 lead quickly, yet efficently. I may be able to restrain a violent psych in les than 2 minutes. I know that help is only a radio key-up away. But when it's just you and your partner out there, and they have put you in charge of not only you partner, but also some other person's life. And I have to know that you give .5mg every 5 mins up to a dose of .04mg/kg of atropine to the dying bradycardic and also how much fluid goes into that syringe to make .5mgs of atropine. That just scares the hell outta me.

But practice makes perfect. So I will continue to do drug calc after drug calc...drip after drip. Just so when the narc keys are tossed to me on that first shift as an Acting I will be able to quit hyperventalating and be able to help the sick and stupid of my county.

Tuesday, January 16, 2007

untitled

So I have now a date. The date that the pins and screw get taken out of my foot. Feb. 9th I will no longer have a bionic foot. Then about two more weeks to make sure I don't have an orthopeadic collapse. I'm not quite sure what that is but it's doesn't sound good. Actully, it sounds like something we go any given nursing home at 0200 to pick up. Medic 5... 76, delta response... to the old folks home for an 81 year old complaining of orthopaedic collaspe. Patient will be in the dinning room.

Seriously.

Then after that I will leave cubicle hell and head back to the streets, where instead of dealing with the HQ crowd I get my freaks and tweeks back. I'm still debating which can cause me more pain. At least at the office I'm not getting spit on. But then again, I go back to what I love. Having the freedom to drive where ever I want and having my free time during the week to do things like doctors appointments and going to the bank. I really am having trouble figuring out how people stuck behind a desk 9-5 get anything done. Like when do they go to the grocery store? Or to the bank? An hour for lunch just isn't enough time to really do much of anything. I can barely eat, let alone be productive. I guess I have spent to much of my working life with such a screwed up schedule that normal hours no longer apply anymore. Going grocery shopping at 3am just doesn't seem all that strange to me. There sure isn't a whole hell of alot of people getting in the way. and the drunk college kids in the Harris Teeter at 3 in the morning are always good for entertainment. Speaking of drunk college kids, I just have to say I was witness to the most spectaular conversation between two fantasticly drunk girls in the bathroom of a downtown bar. There just isn't words for what I heard. It took all the control I had ever needed to muster to keep myself from laughing so hard that I would have to actually sit down to keep from falling over. It was pure drunkinese and a little bit of word salad, but the parts that made sense went a little something like "So...I like totally respect you and our friendship and like all that sisterhood shit...And it's doen;t matter that you ...like...fucked him and all...I'm soooo over that...because you mean more to me than him...because were like...sisters!" Then somethings that I couldn't understand then watching them teeter on 5 inch manolo knock offs and try and fix what was left of what was once perfect make-up. I actully felt better about myself. In my crappy jeans and tee shirt and barely there make-up. Because it made me relize that deep down, we all are just a mess.

Saturday, January 13, 2007

Even SWAT calls 911


Officer Down! Officer Down! Move! Move! Move!
Originally uploaded by artist in the ambulance 190.

So a few days ago I went out with the Tactical Medical Team (TEMS for short) on a training mission with the Sherrif's Office SWAT team. I am my systems Offical/UnOffical Photographer. So we needed photos of all of the special operation teams (we have three, TEMS, TRMT, which is the Technial Rescue Team...That's the one I'm on, and the HAZ-MAT team...or AKA the gloworms) Anyways, The TEMS teams are a gorup of highly trained Paramedics that are deployed with the SWAT teams during missions. They work very closly with the boys in blue.

Now here I was, still casted, having to move quickly to get shots and then get out os the way. I had to have special permission from not only the team, but also from my orthopeadic surgeon to take thses photos. I was really happy with the results. And the SWAT team guys were like "you move pretty well for a cripple" Thanks guys.

Also thanks to the SWAT team and the TEMS team for letting me come out on your super secret squirll medic night mission.

Tuesday, January 09, 2007

Sunday, January 07, 2007

Rambles On About Nothing is my indian name

Well, I really have nothing to report. I just felt like writing. So here I sits, and thinks about nothing in particular. Listening to Some new music I got with my iTunes christmas cards. Wishing I had bought Bloc Party's new one and The Shins, the one with The New Slang on it. But I was feeling more Goldfrapp and TV on the Radio that day. So next time. I shot off a couple rolls of film today. Yes, seriously, film. People still shoot with film. Even I put down the digital Nikon occasionaly and pick up something old skool, like today I shot with a Holga. For those unfamiler, it s a plastic toy camera. It distorts, light leaks, the colors are all twisty. Well, I shot B&W, but I'm looking forward to getting the film developed. Maybe I will go back into the darkroom.

The foot is healing. I have one pin and one screw left. They come out hopefully at the end of the month. Then back to the streets. I miss my job, my real job, not my fake sit in front of a computer all day job. I just don't have the attention span for it. I get all distracted by everything else besides what I'm actually supposed to be doing. I don't know if anyone else out there knows waht ICD-9 codes are, but they are the bane of my existance right now. I do get the read the narritives from the run sheets, which can be entertaining. But people who type there reports in ALL CAPS I hate that. ITS LIKE YOU ARE SCREAMING!. AND IT MAKES THEM HARD TO READ. There is also someone who mispells the same word on every report. Now I'm a terrible speller and my typos have caused more than one of my reports to be kicked back to me. But seriously, its a simple word. And it's on every single report, so I'm just saying. There is one medic in particular who writing style I really like though (makes me laugh) and another who tries to put as many quoted four letter words as possible in one report. (also makes me laugh) The record is 6 F bombs. Some use nothing but Acronyms, other spell everything out. I am partial to the acronyms myself (CHF, HTN, NTG, ASA, HONDA, DFO/IC, NGAH, BBSCTA, CAOx3, PMSx4...ect...ect)I have also learned that two alcoholic beverages is still the average number for the absolutly smashed (who came up with the two drink rule?), but crack binges last on average about four days.

Finally over the strep. Throat's still sore, but at least I feel much much better. And the fever broke yesterday. I have been able to eat something besides tylenol and grape popcicles (my favorite, right up there with green jello)

Okay thats all I got.

Thursday, January 04, 2007

Happy New Year.

I rang in the new year with a wonderful group of friends and lots of champange. No stairs, no falling, no heels. Both feet still in the same amount of peices I started out with in the beginning of the night. The one still being held together by a couple of pins and a screw. It was a good night to say the least. Then came the next day. Which actually given the amount of alcohol that was consumed, not all that bad really. Its yesterday and today that has been bad. A seriously henious case of strep. The antibotics just don;t seem to be doing the job they are supposed to do. But I'm fighting it. Gave up on trying to eat last night. Now it's just tylenol, motrin, and those little lozenges that taste terrible but work oh so well. I also had dinner with another group of friends, my EMS family. One of which lives in Philly now because she is going to PA school. But she came into town a few days ago. It was good to see her. It was good to see all of them. I haven't seen them as much as I am used to with the not being on the streets right now. Being stuck in the office blows. I don;t do 9 to 5 very well. I'm a night shifter. I prefer the dark. Call me what you will, but I just work better under the moonlight than the sun. I have got another month before I can go back to the streets. The ortho-pods have to remove the hardware in my foot. And I have to build up the strenth back up in my leg. I'm working on getting a place to stay once I'm back on my feet (Pun intended haa) Like I have said before, I love my parents and that I have a place to come if I need it, but I moved out six years ago. This has not been easy on anyone involved. I'm ready to have my own space again. Well its time for my Motrin dose, the CSI: then bed.

Monday, December 25, 2006

happy holidays...is it over?

Well here ends another Christmas. This year for us it just snuck up on us. We got our tree up late, the presents didn;t get wrapped until last night at like 4am, and I had to thrown together a Christmas dinner for my dad and I (Ham, greenbean Casserole, and a baked tater) because my mama has to work tonight (she an ER nurse for those who are just visiting my blog for the first time. She works in a smaller ER that is part of the Trauma Center here. I occasionally get to see her when I'm owrking, she also likes to say "alright hunny, you tell that partner of your to drive carefully and we'll see yall when yall get here" over the radio when I encode the hospital. I'm always saying. Mama!, the people all over the county can hear you. But she don't care. My Supervisor got a kick out of it the first time he heard my mama say it)

Anyways, I racked up quite well this morning, getting everything I asked for. CSI the sixth season, this beautiful necklace from my daddy, 70 bucks in iTunes card (awsome.) and a Holga (for those who are unfamilar, it is a cheap toy camera from Japan or China I can't remember. It used medium format film, 120, and because of its plasic body and lens does weird stuff with the colors and adds wicked distortions to the shot. It is awsome) I can't wait till I can go out and shoot with it. and I haven;t shot film is so long, Its gonna be a nice change. This was also the first christmas I didn't have to work. Granted, its because of my foot and I'm working up at HQ, and HQ is closed today...and tommorrow. So no work for me. The foot is healing quite nicely. One of the internal pins is trying to come through though and it is quite pain and uncofortable. I think there is a small nerve ovever top of it because everytime I flex my foot it sends a buring pain across my foot and I can feel it in the tips of my toes. So I just keep still and try to stay off of it. But other than that, It is quite well. I'm walking on it, as long as I'm wearing the Aircast. Hopefully, by the end of January I will be moving back out on my own. and I will get to go back to the streets. Dealing with my crackheads and tweekers.

Saturday, December 16, 2006

Seatbelt...

http://www.adjab.com/2006/12/13/incredibly-graphic-seatbelt-ad-video/

This is a PSA from Ireland. I am going to warn you it is graphic...but truthful. This was shown to me by a fellow medic. We see this almost every shift. A death or a brain injury that could have been prevented with just a simple click of a seatbelt.

Be safe.

Monday, December 11, 2006

Merry Christmas

http://www.southflorida.com/events/sfl-scaredsanta,0,2245506.photogallery?
coll=sfe-events-headlines&index=1

Copy and paste this link. It is worth it I promise

I don't hate it hate it, Im just not used to it, I swear really...I'm fine

Okay I am ready to have my own place again. This living with the 'rents, well, living with people in general blows. I'm not used to having to share my space with much of anyone. Even when I had a roommate she was never home so it was like I lived by myself. I'm not used to the sharing of the bathroom or not being able to watch hours of the forensic shows on CourtTV at three in the morning 'cause I have terrible insomnia because my sister can't sleep in her own bed for some reason so she sleeps on the sofa. But I can't voice any of this because it would make me seem ungrateful. Which, by the way, I am not. I am happy to have a place to stay. But it's something that I can't explain and they don;t understand. I was living on my own for six almost seven years, thats a long time. Long enough to get into alot of strange habits, like for instance needing the TV to be on when I sleep, going to the fridge over and over, opening it, seeing nothing, but still go back over and over, reading a book and watching TV at the same time (oh the horror)...or even just watching forensic shows or mythbusters until my eyes bleed. This is what I'm used to doing. If I wanted to stay in my pajamas all weekend I would and I didn;t have to explain it. If I went out somewhere I just left. I didn't have to sit through a machine gun fire of questions...where are you going, why are you leaving, what are you going to do, who are you going with, are there going to be boys there, when are you going to be back, why are you wearing that, you know black shoes and brown belt don;t match, you aren't really wearing that are you? Oh good lord I'm just going to the movies, really, I don't thing D cares if my purse matches my belt.

I don't really hate it though. It could be a hell of alot worse. I could be living at the shelter. Or trying to figure out how I could earn enough money to make rent with this stupid broken foot, without having to sell drugs or my body to do it. And there is alway the entertainment of watching my sister anf father chase after a Palmetto bug. My father gagging up his stomach and my sister freaking the fuck out. Over a bug...it's kinda funny. In my family is complaetly nuts sort of way.

Monday, December 04, 2006

Sweet freedom

Sweet freedom. On many diffrent levels. One I have been able to drive for about a week now. So when I get the chance I go, even if its just driving around. I'm just happy to be out of the house. I love my family anf I thank them everyday for letting me come back. But moving home was not something I wanted to do. I have to keep reminding myself its just two months, it's just two months. I am not the easiest person to live with so as difficult it is for me to be here its even more so for my family. My mother's studio converted to my new room, with just enough room for my bed and a couple bags of clothes. the garage filled and a whole storage unit on the island full of my shit. And lord have mercy do I have alot a fuckig shit. But I'm happy to have a bed. At least I'm off the sofa.

I also was able to go see a movie tonight, (I saw Borat, it was discusting, but hilarious. There is one scene though I wish I had never seen, it is burned into my brain and just...ewwww. The did make those USC boys look like compleate assholes.) I did almost face plant trying to manuver the stairs, in the dark mind you, on those god forsaken crutches. My friend laughed so hard he dropped his coke. Serves the bastard right. You are not supposed to laugh at the cripple.

I does feel good to get out of that apartment though. My now ex roommate and I were having issues and I was ready to get out of that place. But I wasn't sure how to get out without a fight. Seems breaking your foot in five places was the answer to my prayers (thank you god, but next time, can we think of something less painful? Is that asking too much? And moving home...I really don;t want to do thatever again, I'm sure my mother and father would say the same thing. and can I have a cool studio on King Street, with big windows and hardwood floors and 12ft ceilings? Thats probally too much to ask huh, how bout just a cheap apartment...with hardword floors)

Sunday, December 03, 2006

best of 2006

My best of 2006 30 sec music reviews

Snow Patrol
Eyes Open

I listened to this damn CD until the thing quit playing. Then I went out and bought the damn thing on iTunes and burned a copy. It was that good. Yes, they did play that "Chasing Cars" song way too much, but tracks seven and eight make it all better

Thom York
Eraser

I thank god everyday for radiohead. One of the best bands ever. This is the lead singers solo effort. And it is fantastic in all its electronic noise glory.

Wolfmother
Self Titled

Think Led Zep. Hard classic sounding rock. Good for when led Zep can't be located in the 13 Gigs of music you have on your iBook

The Killers
Sam's Town

The Killers sophmore effort. It is compleatly diffrent from the glam emo rock that we have come to know and love. More rock, less glam. But Brandon Flowers's voice still is very reconizable and lovely as ever. CHeck out tracks 6,7,8.

The Decemberists
The Crane Wife

play, enjoy...then repeat...this is absoulutly my favorite Album of 2006.


Gomez
How We Operate

Again...Play...enjoy repeat...Girlshapedlovedrug and the title track, How We Operate, are the best tracks

Bloc Party
Slient Alarm

I compare them to old Blur. Banquet and Likeeating Glass...actually the first 5 tracks kick ass. but really I love the whole thing.

Red Hot Chili Peppers
Stadium Arcadium
Oh course I had to include the old favorite of the CHilli Peppers. I prefer Disc Two. But the whole things is RHCP goodness all over

Pearl Jam
ST

I loveed and always will love Pearl Jam. They are like the Foo Fighters in that they never have ever had a bad album.

Joshua Radin
We Were Here

Very good acoustic folky music to just chill out too.

SO there you have it my top ten albums of 2006. Or bands I just discovered in 2006, I think a couple are older, but I just found them this year. Anyways these are my Favs.