29 June 2004

Coming Soon

29 June 2004

"Coming Soon"

Well, to all my loyal fans (like all 3 of you), I have received a letter from AOL today and will be featured soon on their "Games Talk" site.

I have filled out the questionaire they have sent and wait for the small print to arrive so I can agree and receive my 15 minutes of fame.  My pic will also be up there so you all whom have never seen the man behind the mask will get a shot to mail something in to your local police to see if it is me on the Post Office wall.

I will keep you all informed and I thank you all so much for reading..look for a new entry really soon.

Rounding 3rd and heading home,

M-

28 June 2004

Reality Check - The Conclusion

28 June 2004

"Reality Check - The Conclusion"

Getting out of the truck, I took a moment to scan the situation and to assess exactly what I needed to do. This is what I saw...

On my immediate left was the sports car. A gray 2003 model of sorts in what looked perfectly normal..untill I walked around.

The front of the car was extremely damages with the hood bent into the engine compartment buckling the metal into a fan. The front windshield has become concaved with the deployment of the airbag starring it in a very detectable pattern. The drivers side front fender was completely gone and what was once the tire, lies in the grass 50 ft behind it only showing the reminince of the tie rod (the bar that turns the wheels left and right).  Chards of glass fragments from the driver's side window glittler the road leaving a streak of "pixie-like" dust behind it.  The driver stood next to a by standard holding his head and covered in blood more concerned about the other gentleman.

About 75 feet up laid the bike, or what is left of it, The only thing that was identifyable was the logo from the bike that laid on the remains of the gas tank. The front fork and wheel were totally separated and disintigrated. The rear tire still spun on its axle giving a brief notion on the speed of the cyclist.

Just beyond that, a group of people created a huddle within the lawn assuming that is where the patient was.  It was hard to get a good view as to what was happening, knowing the severity of the situation, I am sure what I would find would be more horrific than any picture painted by Steven King.

Then..out of the corner of my eye, I saw something....something that I don't think I wanted to see.

There he was...the man with the cooler.

I glanced to see a resident walking with a green cooler on wheels asending toward the ambulance. Inside, it's contents are pretty predictable. Inside was not beer from a ball game, nor was it fish from a day at the pond. Inside was something much more valuable, of much more importance.

Inside was the leg.

Time to get the game face on and get to work. My partner had already began care on the driver of the car. Other than his obvious state of emotional stress, a laceration to the back of his head was his only injury. My partner dressed the wound and we began to immobilize him on a backboard only due to the mechanism of the injury.  Getting him into the truck, I told my partner that I was going to see if the other crew needed anything. She began to start full advanced life support measures on this gentleman only because of the mechanism of the injury. She was fine...I went to look.

As I got with the other crew, I found pools of blood staining the grass. One medic from the other truck struggled to collar the patient while the other initiated an IV. Scanning over the patient's body, it was not like yours or mine...this one was missing a leg. From just above the knee, a femur stuck out and tissue covered the bone with bleeding controlled by the quick thinking of a neighbor who put his belt around the leg to stop the bleeding. The patient's arm was mangled beyond all disbelief leaving an open fracture to be dealt with. But here was the kicker, this is what got me the most. Not ony is the patient still alive after a traumatic injury as such...but he was still awake.

The patient battled with the rescue crews really oblivious to what his status really was. Not wearing a helmet, I can only assume he had a head injury of some sorts. No helmet..what a shame.

As I walked back to the squad, I was whisked by the turbulance of the Lifeflight helicopeter moved me off balance if only for a second. The roar of the jet propelled engine gave a loud but dintinguhed sound of hope and rescue as it landed only yards from the site of the injury. Making my way back to the squad, I see the flight crew working diligently with the staff to stablize the patient and transport him to the level one trauma center located in Cleveland. My patient was ready to go, he was MY priority.

A follow up showed that, indeed, the biker lost his leg, his arm was salvageable and he had a closed head injury. All in all, he is lucky to be alive. Some was watching him.

I am not going to lecture you on drinking and driving or basic safety on wearing a helmet. You all are adults and know better. My question is this.

Why?

How long does it take you to buckle up or strap a helmet on? How much actual time will you lose securing a child into a car seat? If you think "it will never happen to me", go and visit someone who just lost someone close in a drinking related crash. They'll tell you...Oh yes it can.

I really don't want to see any of your names at the top of my run sheets, so please do me a favor....don't become a statistic.

Rounding third and heading home,

M-

26 June 2004

Reality Check Part I

23 June 2004

Grafton Rd.

A 4-mile strectch of road with minimal curves, higher speed limits than normal for a residential area, and the connection between the city and the freeway on the southside. This is a 2-lane, paved road that is well kept with little to no debris. The speed limit is 45 MPH here and it carrens along a very beautiful foliage of trees and some older homes as it connects into one of two major state routes. ALong side it, you will find one of the last gas stations that is totally full service. Across the street from that is one of the bigger, yet older churches in the area as it sits atop a peak as if God, himself is looking down.  It is that one stretch of road that calms your nerves after a brutal day at the office almost telling you "welcome home, you are almost there."

Heading southbound is a gentleman, coming home from a long day at work.  The day is cool and crisp and has been drneched upon by the summer sun. Music is playing from his sports car easing his tension. His tie has come off well before he has left is office and the breeze through the sun roof exiliates his senses as the weekend has finally approached. Seat belt fastened, he obeys local laws and his ride becomes a shuttle of hope..waiting to get home.

Northbound is motorcyclist. His weapon of choice is an early 1990's Harley Davidson motorcycle. It's finely polished tank gleams in the summer sun. He is one of the few and proud to own such a machine. The roar of its engine as revs in the air signifies a control of the road and a respect from other bike owners. It's rider is that of a biker mentality. more tattos than clean skin, the rugged mustasche and beard, ripped jean coat showing off muscles, and motorcycle riding boots with a polished metal finish.  The lone rider has spent a day out with his buddies cruising on "fun runs" all over the county and state.  Leaving the party while it is still daylight, He grabs his sunglasses, starts his bike, and heads north.  Feeling the wind from the open road, he accelerates as the adrenaline increases. He squeezes the throttle just a bit more in where the trees become a blur of green, the sky is a climatic barrier which he tends to break, and the only focus is the double yellow line in front of him...in which he crosses over.

8:21 PM

Hoisting myself into the driver's seat of the squad, I slowly pull into traffic. In front of me, I see the responding squad. The strobes of the patient compartment on the rear of the truck mezmorize me as I wait in traffic driving without lights on to back up the first squad.  Turning onto the next adjacent street, I see that the responding unit is well out of sight already. Maybe we will get cancelled en route.

"94 and 91, I show you both responding. 94 primary, 91 slow rolling to Grafton Rd for a report of a motorcycle accident. Unknown injuries at this time. We are receiving multiple calls for this. Your time out is 2024."

It is not uncommon to have bike accidents in this city this time of year.  People pull out and miss bikers in their blind spots. A little bang and down they go. Most of the time they are okay and are more worried about the bike than themselves. Usually, they sign off and go home with a buddy...Usually, they walk away.

"Dispatch to 94 and 91."

"94" You hear with sirens wailing in the backround

"91" I acknowledged the call.

"911 has called back and states that there is a leg in the road. Advise on arrival"

A Leg???

A Leg!!!!!

The temperature in my body went from regulatory to totally burning up.  I gripped the wheel a little tighter and squeezed the accelerator just a bit more.

There was silence for 2 minutes..that was 2 minutes too long.

"94 dispatch....Launch Metro Life Flight!!! We have one patient extremely critical with limb amputation..Bring in 91 code 3 and send a supervisor!"

The sheer panic in his voice was enough to know that this was the real deal. Someone needed help..and they needed it now.

Pushing the four buttons on the doghouse panel, I lit 91 up brighter than a 4th of July fireworks show. Pushing the horn, the siren kicked in. I was 30 seconds from scene. Was I prepared for this? What was I going to see? What can I do to help this patient?  The thoughts gathered in my mind as if I were preparing for a quiz show. The answer is now...we are there.

Coming around the corner, a barroge of red, white, and blue lights danced around the scene like the ending of an action movie. People were moving very fast, several were isolated to one corner. Pulling back, I observed the situation. This was not good...this is the worst I have ever been on. May God have Mercy on our souls.

To be Continued......

Rounding Third and heading home,

M-

22 June 2004

The Big Envelope - The Prequel

22 June 2004

"The Big Envelope - The Prequel"

Okay, okay. I know I should have called and said that I was going to be late. Some of you have expressed their concerns as to where I have been and why I haven't been writing. I thank you all for those kind letters and such.  With the move, it has taken me away from the computer and has launched me into a world of overtime.  Today is my first real day off in about a month, so I thought that I would come on here where my internet family resides and catch you up a bit.

Anyways, in the days to come, I have picked up more time in the field which will give me less time at home, however, I will not try to take away from my duties as a writer here and inform you as to what is going on as a new and improved "Life as a Paramedic" now with 33% more flavor and still...no carbs.

So sit back, relax, bring the dog in, and grab a cold one....the new season of "Life as a Paramedic" starts now.

National Registry. This is the conveining authority in EMS testing that is almost a national presidence.  All ranks from basic EMT to paramedic take this test in order to function in thier respective field. An equivilent to the Bar or Boards, this test checks your overall knowledge as to what to do in an ambulance.

The hardest part of taking this test is not the actual test itself, but the anticipation it brings with it as to results telling you if you failed or if you passed.  Pretty much the mindset of go hard or go home.

The average time to wait for results is approximately 3 weeks depending on how proactive your rep is in turning in the results.  In this time, minutes become hours, days become weeks. You find yourself tracking the postal carrier as if you were a sniper, waiting and watching his or her every move.  You find yourself camped under a mailbox for the duration of the wait. It is like, "Survivor: The National Registry edition."

The postal carrier plays a duel role now also. First he is Santa Claus bringing you an early present, a package that you sat on his chubby little lap and whispered into his ear saying "Please, oh please santa, bringe me a form letter with a patch attached to it saying 'congratulations'".  The joy he brings is that of fresh air and rays of sunshine. No matter what it is, nothing can bring you off that high.

Or....

The Grim Reaper....

The man or woman who is doing the death march. All you hear is Darth Vader's theme imminating from the heavens.  The pace they take towards your mailbox is suspended into a slow motion and with every step taken, you hear a heartbeat.  In their hands is a letter..telling you of your impending doom...telling you that you rang the bell. Time to cash in your chips and go inside.  Your frustrations grow, you look for your weapon. How dare they bring bad news, what have I done to them? How could they do this to me? Now you will pay for this!!!  Who would have thought the the small enevelope will bring so much pain.

So there are your two choices.

The big enevelope...which represents all that you have accopmlished, the finish line, the end of the road. It is your key to your future. It is the gold at the end of your rainbow.

Or the small letter. Your defeat, your anguish, your solemn march. The vocie telling you "thanks for playing..try again." It is the loneliest feeling.

Today on line, I got my results.

I will be getting an envelope in the mail sometime soon. The anticipation is over, the emotions are brewing, it is bottom of the ninth, two on, two out, down by 3..the wind up and the pitch......

I will be getting the big envelope.

Rounding third and heading home

M-

12 June 2004

Ain't Goin' Down Till The Sun Comes Up

12 June 2004

"Ain't Going Down Till The Sun Comes Up"

Night. The time of day in which God blankets the earth with a velvety darkness that encompasses with a cool, restful paradox slowing down life slightly as to create a state of suspended animation as sleep is imminent for most.

Night is a time to replenish, not only ones body, but ones soul. A time for forgetfulness as in the ways of the world and the stress that it brings, creating the dawn of a new day in which prosperity can be revamped and hope created again.

Night is also the busiest time for EMS.

Why is that???

Okay, really, if everyone was sleeping and replenishing themselves, how come in the eight hours following the strike of midnight, our run volume increases?

Lies!!!  It is all lies!!!! Damn them all!!!!

Okay....I took a chill pill..I am fine.

Rule of thumb in EMS.  If you are the next one up (next one to take a call) and it is close to midnight...go to sleep. Why? Because here is what happens.

DIspatcherus, the God of EMS calls, has his eye in the sky and he is focusing on you more than the IRS on April 16th.  He sees that if you stay up to wait for your call thinking "once I get it, I can go to sleep afterwards."

Dispatcherus is not dumb. Dispatcherus sees all.

The longer you wait, the longer it is going to take to get a run. Only Navy SEAL's in hell week stay up longer (by like 10 minutes..kidding..they are up for 96 hours straight). As you fight to stay awake, Dispatcherus has his hand on the red phone, waiting for you to pick it up 30 seconds after you fall asleep.

It never fails..it is a science.

So, the moral of the story is..If you are up next, go to sleep. Dispatcherus will be with you in just a minute anyways..why fight it.

2348

Went to bed.

0013

The phone rang.

"91, SOB (shortness of breath you sickos) on Pine. (that street does not really exist).

Apparently, my offering to the EMS Sleep Gods are not worthy.

We got into the truck and headed out.

Turning, onto the street, I noticed something rather out of place. Somthing that made things a bit more scary. Something that heightened our suspicions.

There was no power.

No street lights, no porch lights, nothing. It was as if we were driving into a part of the workd that God had not created yet. It was the unknown.

Turning the flood lights on, Kim found the address and we grabbed our radios and a flashlight and headed for the house. People were already congregating on the street as if they could look up to the sky and see what is happening.

Entering the house, we are met by an anxious, elderly gentleman who is on home oxygen and is scared because the loss of power turned off his concentrator.  Kim immediately hooked him up to our portable tank and let him breathe that for a bit. I searched the house for other supplies and found a big tank in the corner and sever smaller ones.  Apparently, this man had just had them installed in his house earlier in the day and the sales rep did a fair to poor job in explaining to him as to what to do with the devices in case of a failure as this.

I walked outside, called dispatch as to find out what was going on with the lights and to ask of options as to what to do next.

When I got back, 2 of his neighbors were there. Two younger fellows that had brought battery powered lanterns to his house so the gentleman could see.

Kim hooked the patient up to his portable O2 which was not electric and gave a better description as to how to use it. The gentleman calmed down tremendously and refused further care.  We told him he had 4 hours of oxygen in the bottle and that if he needed us, then to call us right back.  I wouldn;t mind getting up for him.he was rather nice.  The neighbor guys said that they would be up and they would check up on him periodically. Okay..cool..job well done.

I wrote the report, went back to station, and went back to bed.  Time now is 0130.

0143

Phone rings.

Chest Pain at an independant living facility.

Routine call.

End of call...0235

In service, returning to station...0240

Two blocks later.....0242...Tones drop.

Shortness of breath on the north side of town...well, I was up now...

Another routine call.

End of call 0347.

In service..0353.

Two block later...again....0355

Tones...Damn it!!!!!

Apparently, the first call of the night, the neighbor went to check on the gentleman with out the concentrator that worked and could not reach him, nor could he not see him through the window. Dispatch request info as to plan of action. Kim liiks at me,

"What do you want to do?"

"Let's just go over there seeing we are up and out already." I told her.

Moving over to the prior address we were at, we noticed power was STILL not restored (due to an accident that clipped the phone pole) and it was still dark.

I put scene lighting on the house and went up with my falshlight with Kim in tow. 

Peeking into the house, I see that there is no one there. Hmm...strange.

Okay, by this time, I have several things running through my head.

Is the patient unconscious upstairs?

Did he call his son and he came and got him?

Did he just go to bed upstairs?

Either way, I needed to know..and I needed to know fast.

I knocked on the door and rang the bell...no answer..Kim called for Police.

I knocked even louder thinking about forceable entry...now I was nervous.

Then, a shadow moved from the corner of the inside.

It was the patient..he was coming to the door.

Apparently, he went up to fall asleep feeling better. We relayed our concern and he thanked us graciously for checking on him. Kim checked his bottle and found he had plenty of oxygen left..so we left.

Backing the squad in, I looked to the eastern sky seeing that is the way the bays face and say the bright blue of the early morning dawn peeking through the clouds. Sunrise had started..night had ended.

I ended up sleeping for 2 hours total until it was time to go home. I am suprised I found my car.  Time to snooze at home.

Darkness falls upon all of us (unless you are in Alaska). When you are tucked away all warm and sung in your bed, there is a vast security that enevelopes you watching your back and keeping you safe. It is a feeling of security, a warmth in your winter and a sea breeze when it is hot. That comfort is me and the rest of the EMS system. For no matter where you are or what time of day it is, we will be there. We are just a phone call away.

Rounding third and heading home,

M-

 

 

08 June 2004

The Maiden Voyage

07 June 2004

"The Maiden Voyage"

Before I start, I have inserted a clip for you to play before you read. It is only a few seconds long, but the music is imperative for the beginning of the story.

http://www.scorereviews.com/soundclip_main.asp?id=42

Approaching the station as 93 leaves on a call, I am blinded with a heavenly reflection of early morning light off what appears to be freshly pressed diamond plating. There in front of me stands a brand new warrior. A knight awaiting  its role in combat, ready to charge off into the field, fearless and filled with the unknown. A soldier in whom battle has made and in who a character has become. Freshly painted as to mark as a symbol of one's self unmistakeble and ready to leave a mark on the world admist, This warrior stood alone, confident, proud, ready to serve.

91 was here.

(Okay, you can turn the music off now. So I like drama..sue me)

Anyways, Yes, the new truck was here (about time). This will be my first shift in it seeing I took the previous shift off for my National Registry test. 

I went immediately to open it up and begin to check things out.  The look as to how clean it really was was astonishing and represented our professionalism and patient care.  Moving inside of it, I could sense the "new car smell" as if it were an aromatherapy intoxicating the soul.

Here it was..long awaited..long over due...our new best friend...91.

Our first line of order was to take 92 to the college along with 91 for the annual CEVO testing.

CEVO stands for Certification for Emergency Vehicle Operation. In other words..a driving course. We are required to recertify each year in order to be carried through our insurance. It also acts as CEU's (continuing education units) for our recertification.  The course comes out like this:

First, you must drive the squad down a 200 foot simulated road with cones on boths sides. 80 cones total. You must stop within 6 inches of the end cones, then drive backwards.

Next, you must back in to a simulated parking space.

Then, comes the sepentine.  Similar to a slallom tha skiers do...with out the skis.  You must go through it forward...then backwards.

After that is the off set alley. A tight space where you must manuever through a tight corner.

Finally, the braking test. accellerate to 30 MPH then you must stop before the yellow line.

Simple enough. Oh, yeah, if you hit one cone...you fail. No pressure..you hit it, you lose.

Anyways...nothing to really write home about for the first part of the day.....until the afternoon.

Around 5 o'clock, we get a call for a female having shortness of breath. Seeing it is a hot summer-like day, I put this into my memory as a possible asthma call or something of that relation.

I heard the fire department going with us too so I felt this was a normal response and treated it like that..until I got there.

The fire guys from Engine 2 got there before us and were walking towards the house. This was a well kept neighborhood and the crowds were already starting to form.  Kim and I parked right in front of the fire truck and grabbed our gear. Halfway up the driveway, I saw something I don't think I have seen ever before in all my years.

The fire guys running (emphasis on running) out of the house at full speed. Hey?...uh..where ya going? Glancing at the house, I saw a sign.

BEWARE OF THE DOG!!!!!

Dog??? No one mentioned a dog!!!  Listening from half way to my life ending in the driveway, I hear what seems like a REALLY big dog. Umm..

"91 dispatch, expedite PD for animal control."

They get paid more..let them handle it.

Counting personnel. I counted all four of us present.

Four?

Did I say Four?  That is one too little.

Okay, this was not good.  Was our rescue gonna turn into a recovery? Is one civil servant going to become a big mac before all the others? Will gas prices go down EVER? (Okay, I know there is no relevence to the last one, but c'mon..I know you are with me.)

Then, out of the dust, a shadow appeared looming over into the red zone. It was the lone firefighter, holding a broom in his hand as if it were a sword backing the enemy into a corner vying for position and conquest.

We slowly approcahed the door in a fire suppression position and made it to the door where the lone knight had battled the beast into the far corner of the dungeon.

I immediately took the bad and grabbed a huge gulp of air.

"I'm going up." I told them making a break for it.

Running upstairs, I found our patient in a back bedroom, blue and non-responsive.

This is not good. 

The patient was taking agonal breaths so I prepared to intubate her.  She was a bit big which meant that I will have a bit of difficulty.

Pulling out a 7.0, I waited till she took a breath and pushed the tube down her windpipe in hopes to breathe for her.

I had Kim listen for the tube placement. She said she couldn't hear anything. Damn it. I know I am in. Looking at the firefighter, he told me that he was having some trouble squeezing the bag.

Hmm..maybe I WASN'T in. I put a pulse ox on her which read the carbon dioxide level in the body. It said I was in.

Grrr..I KNOW I am in.

Bagging the patient, I ran into another problem. An IV.

Kim had no access in either arm or hand. We needed a line. There was only one place to go.

Kim gave me an 18 Gauge needle and I went for the external jugular (the neck). This is a one time shot. Heeeeeere goes.

Flash!!

Bullseye..

Now, next step..getting her down. (It always goes bad on the top floor).

Getting her on a back board, we started to head down the stairs. Then, half way down, I heard what I didn't want to hear.

"I'm losing the grip." One of the firefighters said.

OHHHHH NOOOO!!!!!!!!!

I was at the top so there was no helping him. God, please don't drop her.

Enter police officer...and just in time. Dropping his notebook, he quickly grabbed the backboard just as the fireman lost his grip.

Whew (wipes brow).

We got the patient to the squad where I reassessed her breathing and did what I thought was the safest thing to do....I pulled the tube out. Better safe than sorry. Pulling the tube out, we bagged her some more and really didn't imporve her much.

I tried again. This time I don't think I got it.

I was right.

Pulling the second tube out, a trail of stomach contents also came with it. Dodging what appeared to be chicken soup, I suctioned her and continued to bag her. So much for that newsquad smell.

I got up front and drove us in.

3 minutes later, we were at the hospital.

The patient still had a pulse, we were at a hospital, and I was fresh out of tubes that would fit.

I cleaned up the truck with Kim and got us back in service. Stumped and a bit frustrated that I missed the tube.

I found out later that the nurse anestistist (spelling is off) had a difficult time tubing her. Redeption slightly. Not for self gratitude though.

You win some and you get puked on for some.

God bless the fire guys.

Rounding third and heading home,

M-

 

 

 

 

 

 

 

02 June 2004

Memorial Day

02 June 2004

"Memorial Day"

Late May. Warm weather, vibrant colors of the springtime, kids running around without the fear of catching cold, playing in their shorts and shirts. Ice cream stands filled with lines extending down the road, and baseball everyday on the TV.

Memorial day is a day of remembrance for those who have served our country to preserve our freedom...and never came back for doing so.

Memorial day is also known for its parades and flags and gathering of people to celebrate and be a family.  Today is a hall mark day.

In town, we have a parade every year with a rather huge turn out. The whole town comes to partake in the festivities on hand and honor those who will never be forgotten.  I went into work wondering if I was going to participate in the parade seeing it is something I really enjoy. I Love to see the children wave as I blow the siren watching them get hypnotized by the red and white flashers marked all through out the squad. The young look of "That is what I am gonna be when I grow up" painted on their face..even if for a moment. It is a time that makes you feel that what we do IS the best in the world..even if it is not.

As I walked in, I saw that the truck was gone. Late run. Hmm..Hope they get back soon. I have to get the new truck ready for the show.  A wash, wax, and a little detailing will have an already new truck looking show room fresh. This is great. I am excited now beyond my containment.

Here came the crew down the street.

They were in 92.

Ummmm.....

Cancel happiness. Order me up a super size "What the Hell is this?!?!?"

"Where is 91?" I asked inquisitively.

"We don't know, it never got stocked." The prior crew told me.

WHY?!?!?  How hard is it to throw some bandages in a box, put them on a shelf, change the equipment out, and say "here you go"???

My excitement rapidly turned to distain. I wasn't going into the parade. I was left to cover the city.

93 and 94, our other two trucks, were sent to do parade detail. Seeing they were the next newest trucks, it was only right to send them to the festivities.

Sigh.

Oh well, I was in it the past 3 years. I guess I can wait till next year.. BOO HOOO HOOO HOOOHOOOO.......sorry..had a moment there.

Well, this won't be so bad. I'll just sit in a Lawn chair on the front apron and watch from a far as the bands and the children line up to march for all to see. Maybe I can use the break.

Phone rings.

Chest pain, south side.

Oh well, this gives me something to do.

Kelli, my partner for the morning (read "I would drive 500 Miles..I talk about her there too.) make it to the call with rather great timing and grab our gear to go inside. I am mey by a 6 year old boy who answers the door to the trailer that the family lived in.  To my left, I see a female in her mid to late 30's sitting in a chair with obvious distress occurring.

Interviewing the patient, we found that she has been diagnosed with an irregular heart beat and has an extensive family history of cardiac disease. Her father has had his second attack by her age and she was somewhat concerned about it.

Calling us, I had no question that she did the right thing..with the exception of the fact she waited almost 24 hours to call us. I asked her as to why she waited so long. Her response was to the fact that normally it goes away on its own, buyt this time it was not.

Hmm..If you haven't relieved your pain in almost 24 hours, I DON'T think it is gonna go away.  Hello??? It is only your heart we are talking about here. But hey, it's your nickel.

Getting her ready to go, Here is the next conversation I have had with her.

"Ma'am..is there someone that can watch your child while we take you in?"

"Yes, My daughter is in the shower." She answered.

"Okay, how old is she?" I asked.

"She is fourteen." Was the response.

Okay, cool. I wuld have been happy with that...if it ended RIGHT there. HOWEVER.....

"She has a child of her own so she can stay and watch the kids."

WHAT?!?!?!?!??!?

You have GOT to be kidding me? Fourteen????? Child?????  I know when you get older, it is harder to find someone to go out and drink with when you are older, but isn't this a bit extreme?

I know..don't ask, don't tell. Babies having babies...tsk tsk.

We loaded the patient up and took her in without incident.

God, I hope no more things go wrong today.

A few hours later........

I get a call for a woman who had fallen and her leg is swollen. She needs to get evaluated.  Simple enough. Pick her up, put her on the cot, take her in, sign the PCR, and be on our way.

Yeah, right!!!

The patient is lying on the floor with an obvious deformity to her leg with noticeable swelling present. Hmm..I think she really DID break it.

Oh, did I mention that she was drunk. No??  My Bad.

Vodka and Tonic can produce one of two kinds of people at various degrees.

There are the fun drunks that do nothing but make you laugh and embarrass themselves in the process. These usually are not a problem and actually lighten the moods.

Then there is the mean drunk. Enough said.

We are gonna go to the latter of the two. This lady was not only mean, but demanding. I can take so much, and was doing quite fine with treating her.

Then she threw a curve right down the middle of the plate...I was not expecting this.

"I have a request." She said..like she wasn't doing that enough anyways."

"Umm..okay, what can we do for you" my partner asked.

"When we get there, I don't want any middle eastern doctors to take care of me."

HOLD THE PHONE..someone call Guiness..I think this is a first for me.

You don't want WHAT?  This isn't Burger King, dear. You don't get it your way. You take it my way or you don't get the damn thing.

"Well, ma'am there isn't one there at the Emergency Room right now." My partner told her.

Smiling, she accepted the rest of our care still barking out orders.

What my partner DIDN'T tell her is that one was going to be in shortly after she got there.

Ha. Serves you right. How do you like me now????

This is the high points of my shift.

I have mentioned before Kelly, my girlfriend for the last year and you know Marissa whom I have posted the picture. Kelly is an RN in the ER here and is from the Dayton area originally.

Today I found out that she got offered a job down there that she has been waiting years for.  A higher paying job that is in a much better neighborhood with children for Marissa to play with. A high rated school system, and a well patroled, low crime area.

Kelly accepted the job.

I won't be going with her.

I take my test for my Paramedic in less than 24 hours from now and it will take some time before my license comes in.  Kelly misses her family as it is a strong support group for her and she needs that support.

So I must watch her go.

Not a decision that I want, but it is what is in the best interest of Kelly and Marissa.

I am staying behind to gain my medic expirience as for the oppurtunities that I have here right now are what is best for me.

In one year, the two of us will reevaluate our situation and see if it is worth continuing. We both think so, we both hope so.

If in that time, we find that our time apart has made us stronger, then I will shut down shop here, remove my name from the mailbox, turn the lights out, and head down south to be with her.

If not, well....let's concentrate on the prior.

Memorial day...never forget.

Rounding third and heading home,

M-