Updates continue.

I’ve gone on a few more calls, some trauma but mostly medical. Last week I had my first stroke call. And there is no way to say this without sounding crass and maybe even downright cruel…

It was frigging cool.

Ok, now let me explain. It’s one thing to talk about facial drop and arm drift and weak grips and to see photos in books and to have someone act it out for you. It’s something else entirely to see it happening in front of you. To see someone’s pupils constrict and dilate at different rates. To hear someone talking around a tongue that is half numb. To watch half of their face change in front of your eyes. To hold their hands and see them concentrating to squeeze, and only feel one hand move.

The lady was very calm, and had been through this before. She made every effort to do what we asked and the family was right there with any help we needed. It was almost as if they had done this so many times before, and there was no fear from the patient. Which meant that I was able to see it happening without having to handle the emotional parts as well.

And that also sounds mean – I wasn’t ignoring her, but we were able to talk quietly without there being panic in the mix.

The whole acceptance aspect of this call meant that I was able to see all the signs and symptoms manifesting in front of me. And honestly, there is a lot you just can’t learn from a book.

I’ve done a few serious calls over the past month, again mostly medical, but one trauma stands out. Right after I had surgery, we got a call for a guy who had fallen off a ladder, and there was a lot of back pain. Add to that driving on a dirt road, in Maine, in the spring, over potholes and patches of ice, and this poor guy was just not having the time of his life. And nothing makes a traumatic back pain call more fun than 20 minutes on a backboard… if their back isn’t hurting before we show up, it will be by the time we unload!

The thing that I recall most from that call is not carrying a big guy through a foot of mud, nor learning the joys of self-administrative nitrous.

No, the thing I remember most is telling him to stop apologizing for swearing, and that if he would ever have a free pass to cuss like a sailor, this was it.

Hmmm.

So I got this email today.

The college has accepted my application for their Paramedicine course this coming fall.

Holy shit.

Delays and false starts.

Been a while…

We took Harrison and Merrill to Disney World in March, and much fun was had by all (other than the 24 hours we spent driving each way.)

I’ve enrolled in college for Paramedicine, and am just waiting to hear back from the admissions board.

I had surgery a few weeks ago as well, and am finally on the mend from that.

Been covering a lot of extra shifts to get ready for college, and haven’t been sleeping well. Knitting has slowed to a crawl, just been too tired to do more than a row or two a day.

Protected: Spoilers, Jan ’09 RSC Kit

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FIRST!!!

Can you beleive it?? I’m first to post that I got my Rockin Sock Club kit!!

In order to give folks plenty of spolier alert warning, here is my notice – The password is “spoilit”

A little update.

It’s been a while.

I’ve had some highs – I got in on the Socks That Rock Club, gone on some really good calls, learned there is an actual medical reason for my weight, and so forth.

I’ve had some lows – Crushed my right index finger so I can’t knit, gone on some really tough calls, learned my weight gain is being caused by fibroids and a thyroid issue and what looks like diabetes, and so forth.

More later. Need to go ice my hand.

Dreams and disillusions.

 

Funny how things never work out exactly how you hoped. I know, that’s life, things take the path they are supposed to, yadda yadda. Still rankles you when you are hired for a shift you never work.

Despite that, things are as they are. Work is… not work when it’s what you want to do. Calls come in, I go out, most of the time there is a happy ending. Most of the time.

Recent calls -
A stage 4 cancer patient.This was a very tough call, not a whole hell of a lot that we could do. I held the patients hand, asked over and over if there was any pain we could ease. There wasn’t. Not in the end.

A feisty lady from the local home. We backed in and she walked out to us on the leg that she had fell onto 4 hours previous. She was puffing on a cigarette, and was rather pissed off when I insisted that, no, she could not smoke in the back of the bus. She tried charging one of the (male) nurses in the ER five bucks to “watch her strip” when he asked her to change into a gown.

Another lady from the same home, but a sadder story this time. Called for respiratory distress and general illness. Room O2 was 86% (most people average 99%) Hayes and I responded from home, as the first crew was already out on a call a few towns away. I could hear her breathing from 4 doors away, raspy, gasping. The nurse happily told me how her O2 sat was up to 91% and how, despite being a big chatter, she had been “strangely not very talkative” for the past few days. Hayes was right behind me with the stretcher and O2 bag, and another EMT was pulling into the lot. I walked through the door, and saw they had the patient flat on her back. “Pissed” doesn’t even come close to how mad I was. The second EMT called for a medic when he saw her like that. I got her onto the stretcher, and was putting the straps on. I said her name, told her we were going to get her some help with breathing, and asked her if it hurt anywhere. She turned and looked at me, fully aware, fully there. She knew everything that was happening, and wasn’t able to catch her breath long enough to even gasp out a one-word response. We didn’t even wait for the O2 bag, we ran to the truck and put a mask on as quick as we could.
Finally, we picked up God. This call may have deserved it’s own post, had it not been, honestly, so sad as it turned out to be. We were called for an overdose, PD on scene. I opened my door and was half-way out when the cop came up, and completely dead-pan, asked me if I was ready to meet God. And then he walked away. Yah, I had to blink and pause for a moment there. As he was handcuffed and restrained, there was little cause for concern on the ride in, which went smoothly despite the random outbursts of “I AM God!” and the occasional “I love you!” thrown in. I was ever so happy that I was driving, as he choose the ER report to scream how he loved the medic in back, and how he was going to kill her, but it was ok because we were all going home now. At that point it kind of stopped being funny, hearing someone who was so out of it slipping even farther, and knowing what was in store for him once we got to the hospital. It took 8 of us to move him to the bed and get the restraints on.

The Other Side of Ems

“You would think that the life of a paramedic is exciting but if your not in the field you really have no idea. EMS is essentially many, many hours of intense boredom briefly interrupted by moments of sheer panic. There really isn’t that many exciting things that happen day to day. It all becomes pretty mundane in the long run.”

via The Other Side of Ems

The Other Side of Ems

“You would think that the life of a paramedic is exciting but if your not in the field you really have no idea. EMS is essentially many, many hours of intense boredom briefly interrupted by moments of sheer panic. There really isn’t that many exciting things that happen day to day. It all becomes pretty mundane in the long run.”

via The Other Side of Ems

I’m scared.

“I’m scared.”

We’re standing in a downpour. Rain is cascading down. Down my hair, down my face, down the back of my turnout jacket, down my hands and off the tips of my gloves. The rain is even flowing upwards, up from the puddle I am standing in and into my shoes.

The lights of the ambulance, my ambulance, are reflecting off the windshield. Off the puddles. And in my patient’s eyes.

All of New England is being slammed by a Nor’ Easter. The coast is enduring massive waves and wind. Inland we are being drenched by rain, inches falling in just a few hours. And the calls have been rolling in as fast as the the rain clouds.

“I’m scared.”

We run two ambulances like most small services. Our primary truck has been out three times today alone, and is out on a fourth call. I’m not on tonight, but as I live so close to the station, I am part of the second crew if one is needed. I’m coming off an overnight shift that was quiet, coming off a week that was quiet. The quiet before the storm, in more ways than one.

I’ve been listening to the calls increase as the rain picks up. My radio picks up a dozen local rescue stations, a few dozen fire stations. I like to listen for two reasons – so I can get a bit more comfortable with radio etiquette, and so I can find my socks if all hell breaks lose.

I’m playing on Pogo (if you join, I’m WannabeGeek there) when I hear the tones for the first call. I consider going as a third, but Hayes is cooking dinner, and the crew is gone before I can find a pair of socks. For some reason, finding socks is my Achilles Heel (pun not intended, but it works) – I must have 50 pairs, but I seem to kick them under the bed or behind the bookcase rather than in the hamper. By the time I locate a pair, the crew is en route. Although I’m already in my pjs and the truck has gone, I get dressed anyway… I just spent 6 minutes finding the socks, might as well put them on.

“I’m scared.”

The tones go off, 1055, 2 car MVA. Before the first tone is done, I’m running down the stairs, asking Hayes to MapQuest the road, looking for my shirt, my shoes. The repeat tone sounds, Hayes gives me directions. I find shoes under the tv stand. I pull my shirt on, call in “123 en route to station,” run through the rain to the car,  drive in – My first trauma! My first 1055! My first time at the helm! I hear others call in, the numbers in the driver’s range, I’m the only EMT, this is my call, all mine! Cool! And also, shit!

Down the road, around the corner, pull into the lot, truck 2 is waiting, my driver sits waiting for someone, me. I grab my coat, my keys, run again through the rain. We pull out. Introductions, radio calls, the map book, my finger on the siren button as we fly past other cars, intersections. Cursing my lack of a pen and I can’t find paper to note times. Fire is on scene. My hands are actually dry as I grab some gloves. I’m still a little scared, but the feeling of being ready is the stronger emotion.

And then we get there. And they are all looking at me.

A brief moment of panic sets in. I look over the scene, grab the jump bag, take a few deep breaths. The panic doesn’t go away as much as it is shoved aside… there is no one else there who can do this. Time to shut the hell up and just do it kiddo. My head is held high, my steps do not falter, I can even feel a touch of a smile as the Red Light Rush comes on while walking into the scene. I only pray that no one sees my knuckles are white on the bag.

“I’m scared.”

It all goes by in a blur. I’m still getting used to the speed of things, still feel like I am half a step behind even though I know what to do. Almost like my body can’t keep time with my mind. I slow my step, looking around, note the damage to the cars, the other people, the firemen and the police. They all step back as I approach, giving me access to the patient. My patient. Wow. Wow.

I take a look around in the cab, take his hand, introduce myself. Ask the questions I have to, look for the things I should, feel for anything I am not expecting. My first impression is clear; I look over my shoulder and ask for a radio, tell my driver to call for backup. Help is there, the primary crew has arrived. I realize I forgot one thing, something big. I’m not allowed to back down, not allowed to hand over control to the other EMT. He makes sure I keep my head, and I later thank him for it.

I call for this and that. I’m holding my patient’s hand the whole time. He looks me in the eye, and says “I’m scared.” His hand shakes under mine. There are tears building. I smile a little, squeeze his hand. “It’s ok to be scared, I know there’s a lot going on all at once right now. But we’re here to help, and we’ve done this before, and I’m going to hold on the whole time.” He take a breath. Tries to nod. Gets reprimanded for trying to move his neck before we can get the collar on. Offers up a small laugh, sounding more of relief than humor.

“i’m scared,” he said. And for the first time, I can’t say the same.