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Code 4

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Little Ambulance, Code 4, Cardiac Arrest, 200 W House you’ve been 3 times in 40 days.

One of the hardest things about small town EMS is that inevitably you run on someone you know, or like today, you run on a “frequent flyer” for the last time.

She wasn’t the bad kind of frequent flyer though. She was the best patient I’ve ever had. Today was my third and last time giving her a ride.

Her husband will probably follow soon. Stage 4 Lung cancer, prostrate cancer, CHF. Like his wife, it will be too late before we even get there. They have no family close, so when he goes hopefully he isn’t all alone.

I   checked him out and tried to make sure he knew we were there for him before I left. I don’t think he heard a word we said.

May God Have Mercy On Your Soul. god have mercy.

It started

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With Ninja Medic. Then Epi followed suit. 


Really about once a month one of my fellow EMS bloggers(and I’ve done this too) eludes to one of the many stories of terror that haunt our Nightmare Bank. 

There will always be a few memories of calls past that will NOT go away.

The irony for me is that tomorrow I am teaching a SIDS portion of our refresher as well as a Neonatal Care refresher. 

More than a few things are ironic about this:
  • My haunting pt is just a wee 18mo baby. Helpless. 
  • We talk about CISM(Critical Incident Stress Management) in both classes–how often do we actually use those tool? How many systems HAVE them?
  • I’m about to have a baby. A helpess baby. I know far more than I wish I did. 
Be safe out there, all. Godspeed. 

On the Road Again

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I'm in the middle of yet another Tx… This time taking a hospice pt home.

Makes me want to go home and hug my wife.

LODD

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My email alert from NEMSMS was delayed, so most of you have likely heard.

None the Less, my prayers go out to EMT  Melissa Greenhagen’s family.  Killed randomly while returning to a Glasgow, MT hospital.

Her Killer was slain while police attempted to detain him.

Studyin' Fool…

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I really want to take the CCEMTP course. We’re trying to get one put on at work so that we can all do it(and make it required) plus make it cheaper. 

I(the only one so far) have been trying to study for it in a slow fashion. Started with some bleh phys review and a litte anatomy. Now I’m using the Text, Intro to Critical Care Nursing as described on the CCEMTP site. 
Anyone have any good recomendations for study material for this course?
I’ve got a few more posts brewing about recent calls. Just a little stuck!

38 Weeks!

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Headed to the doc soon for the weekly checkup. Hoping baby is coming soon! The Mrs is getting mighty uncomfortable–I still can’t imagine how you women folk do that!!!!!!  

Anyone wanna bet on what day Baby M3 comes?!?!

Teaching

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This weekend I’m teaching 2 sections of our refresher. 

1) SIDs
2) Neonate care
Anyone have any good resources for either?

Tought Times

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I was off yesterday and today. Somehow I ended up at work last night for 12 hours. 

Times are tough round the little ambulance service that could. We are short people, yet busy, and this combination means sometimes we are asked to go beyond the norm.
I don’t have a problem with that.
I DO have a problem with people who are 40 minutes late so that people who came in on their day off can’t leave anywhere near the time they expect… I wouldn’t complain if this was the first time…. Let’s just say it isn’t!
New post up at Gluten.Free.Dad.  Check it out

Moving Time!

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Found a 4 bedroom, 3 bathroom house in my hometown. Signed the lease this weekend, move March 1. Here is the catch… The color is similar to this…

Cool on that Truck. Not so cool on my house. My co-workers are already having a field day with this!
The New blog is over HERE: www.glutenfreedad.net

Gluten Free Dad

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No–the baby hasn’t come… YET! But I have started another BLOG… I know, you’re thinking… “He can’t even keep this one updated!”… Well… You’re write. But I’m going to get better. I have worked more in the last month than I care to admit, so I will have many posts to follow here soon.

I have a new post up over at www.glutenfreedad.net so please check it out!

Baby, and stuff

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Thursday morning we went to the perinatologist for a follow up ultrasound and a second opinion concerning the size of baby’s left kidney. The issue is 100% repairable, but will require at minimum a follow up ultrasound after birth and possibly a 250 mile trip to see a pediatric urologist as there isn’t one close.

Essentially baby’s kidney is dilated to 14mm where it should be <7mm. This could be a blockage distal to the kidney or post bladder, likely post kidney as the other kidney is fine and post bladder would effect both.

I was working a 24 Thursday and had to have someone cover for me for a few hours while we were at the doc’s office. Soon after getting back I was sent to take a patient to the very hospital we might be headed to soon, for an 11 yo African American female in renal failure. Upon arrival at my pickup facility I found a young girl, drowsy in bed with mom in the corner and kids piling out of the room. Mom didn’t give her a hug, ride with, or really seem to care. She had to stop at home before she could drive up, and no one wanted to ride along with my oh-so-young patient.

It wasn’t a good way to end my day.

Baby

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Baby M3 is coming…

Soon…

We had a checkup today, with ultrasound—concerning the size of baby’s kidneys per the last two ultrasounds. The left Kidney is still measuring a few millimeters(seriously, millimeters!?!?!) too big and thus the OB/GYN has recommended a visit to the perineonatologist(try saying that 1234 times fast. Or 1).

We are to go Thursday morning—hoping I can get a few hours off from work to be able to make it to this appointment.

Possible results could be a few simple procedures after delivery, or an in-utero procedure. Early induction of labor could be a possibility too. There is a pretty good chance they won’t do anything at all and I will just get closer to the deductible that much sooner!

Further, we attended a Breastfeeding class tonight. While it wasn’t information heavy on things I could possible understand—it did teach me that my wife is amazing—well, more amazing that I already knew!

I will let you know when we have more info!

2242

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The day after Thanksgiving in 2007 my grandfather—my mother’s father—passed away after a battle with COPD, emphysema, and a myriad of other medical complications.

My grandpa was a good man. He had a heart of gold and loved seeing his grandkids—and great grandkids. He had a wicked sense of humor(just like grandma) and loved smiling and laughing. He could scowl and holler with the best of them, too.

He hated the cold. In the summer he would run the heat if you would let him. He wore long underwear whenever he could.

He had a love for chocolate covered cherries and Coca-Cola. Things I knew he’d never give up.

The horrors of working in EMS make it so that we often understand the reality of a loved one’s condition before the rest of our family does. Often times we are dealt the hand of explaining it.

An obstacle I hadn’t foreseen crossed my path this last week though… Last week during a transport of a Hospice Patient back to his home after his family decided to DC aggressive care and switch to palliative care, I knew I recognized the room number on my run sheet.

 

Right there, in the middle of the page, below Name, DOB and medical needs, it said “Pulmonary Unit  room 2242”.

I couldn’t figure out where I knew that room from. I thought about it the entire drive to the hospital. Maybe it was from my clinical times, or a previous tx.

As we got off on 2nd floor, heading for the pulmonary unit something started to click. I walked past the hallway where my Aunt Angie told me my grandpa had died—before we made it back.

As I rounded the last corner I passed the room where the doctors discussed palliative care with my Grandma and the rest of the family.

I passed a nurses station I knew all to well. I passed an ice machine where I got my grandpa Ice chips and I passed the waiting room where my family gathered together during the end of my Grandfather’s long journey.

Finally it clicked. My patient was in my grandpa’s room. I spent a lot of time in that little room over the course of just a few days. I KNEW that room. I KNEW that room in ways I wish I didn’t. As I saw his wife sitting in the chair, waiting, I got just a preview of the horror she was going through.

I guess I just hadn’t realized how much my life in EMS and my family life were going to intertwine. And NOW I work and soon live in the small town where I grew up—where my parents, and my friends parents, and tons of people I know live.

What did I get myself in to?

I miss you Grandpa. Godspeed.

Count Down.

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Less than 1 month to go before baby makes his/her presence!

I can’t wait. Seriously. I have never been so anxious!

Pride.

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I’m a very modest man. I work hard, for little pay, doing work most don’t want to do. I don’t do it for glory, money(obviously), or fame. I do it because I’m proud of what I do.

Still, I don’t often walk into the door at home with my chin high. Often my day(or days) has been long, tough, and either uneventful, or incredibly stressful.

As a matter of fact, it is usually all of the above.

About a week ago my wife was here at the station with me and we were just hanging out. We were watching TV, I’m sure. The Advisor II gave me the “pleasing alert” (doesn’t that sound like something from a Japanese Brothel?) and the EF Johnson(wheel chock) gave half of the tones. What followed was pure chaos.

We were dispatched for a woman who overdosed on ativan, zoloft, abilify, and a few other yummy drugs. Upon arrival I found a woman in cuffs seated, alert, and otherwise fine—minus the hand cuffs!

She had tried to hurt herself—she told me she wanted attention(this was Christmas Day, come to think!) and needed someone to talk to. Instead of just calling someone, she tried to kill herself, THEN called someone(often the case).

All seemed ok… I talked her down from the rage she was in, and started her towards the door. My partner(and boss) was holding onto her and a cop was right behind. I stopped to pick up a few more med bottles(trying to figure out what the hell I was dealing with) and just as I did that… I heard my boss say “OH…. Shit.” and my response was “Fuck.” as she fell to the ground. I pushed the cop out of the way, told him to uncuff her, and went for the airway.

Nothing. She stopped breathing. Done. Within seconds I had a nasal in, while the EMT was getting the Intubation setup out. This both brought her respirations back, and woke her up.

We did our thing. The whole nine yards.

After cleaning the rig back at the station I was in working on my chart and my boss walked into the room where my wife was sitting still. He made one simple comment that made my day—hell, my year. He said “you’re husband’s a pretty damn good medic. I’d let him work on my kids.” and walked out.

It wasn’t like he went on for days. But I feel as though that was the ultimate compliment. I can honestly say that there are more medics out there that I KNOW I wouldn’t let work on MY baby to be than there are that I would LET work on him/her.

Thanks Boss Man.

Getting there…

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I have exactly 7 posts in the making. I’m having a hell of a time concentrating on them and hope to knock a few out this weekend. Keep checking back, and in the meantime, check out my Cohorts in Crime to the right.

Hope your New Year has been great so far!
M3