Day 3-Sunday, September 12, 2010-Holy Marlboro Man, BATMAN!!!!!!!!!

Day 3

Sunday, September 12, 2010

Holy Marlboro Man, BATMAN!!!!!!!!!

Wake up this morning around 9… I was supposed to do my laundry for work today, but alas, I did not.  It was rainy and stormy out, and I didn’t want to so I didn’t.  So I am wearing a gross uniform today.  Joy.  The $25 shirts Brant ordered for everyone are awful!!!!  Most of us just wanted normal basic polos, but no… He had to get the moisture wicking with vented pits, that make me look like I am trying to look like a man.  So I am not wearing them.  They SUCK!!!  And aren’t comfortable and don’t want to stay tucked in… So since I currently only have one pair of pants and one shirt… I am just working with what I have until I get the chance to get some more.  So we leave early so I can put gas in the car… Gas is up 10 cents over night!!!! I wasn’t very thrilled. 

This is Steve... The nut I take to work with me. : P

Get to work and we don’t have a basic assigned to us… and Moa’s Medic hasn’t shown so I am riding with Candace and Tim (an Advanced who Moa has been riding with the past few days) on truck 94.  We get all set in and are about to take off when we are told we are getting a Paramedic rider (someone who has been hired and is just doing their precepting).  So David is his name and he is from Nebraska.  We get to post and he hops out for about 3 minutes.  Climbs into the back of my truck smelling of Marlboro’s!!!!!! I think to myself ‘Are you freaking kidding me?!?!?!’  I was thinking he was a pretty good looking guy, until just now.  EW!  I am disgusted and the mal-odorous aroma is lingering in my nostrils like homeless CHF guy’s breath from Friday.  So we sit at post 21 for about half an hour or so and then we get moved to another post…. Low and behold, what does home-slice do the second the rig is in park????  Hop out and smokes another one like they are going out of style!!!  It hasn’t even been an hour since the last one.  So I am pretty disgusted and I get a refresher dose of the Marlboro Man as he gets back in the truck.  Joy… This is going to be an interesting day.  So I am sitting in the back of the truck with this putz, which means I feel like I have to behave.  Grrrrr.

We get our first call at 13:30.  62 y/o M syncopal episode, AKA the poor guy passed out.  Has a Hx of heart problems, diabetes,  HTN, A-fib (which is an abnormal heart beat), and is morbidly obese to boot.  Find him on the floor not wanting to go to the hospital.  His BP is about 90/40 and is dizzy and has a bit of tightness in his chest, so we convince him he needs a first class ticket to the VA (He really needed to go with how low his pressure was and he wanted to go to the VA.).  Story is he went to church, feeling dizzy, went to this hole in the wall diner to eat lunch (smelt amazing!!!), and passed out on his way to the table.  Get him in the truck, gets poked 3 times trying for an IV and a 12 lead.  Nothing significant on the 12-lead.  Blood sugars were good and gave him a bolus to try and raise his systolic BP.  Also gave some ASA to help with the chest pressure.  Turn him over to the VA. 

His buddy that is about the size of my drowner from yesterday follows him up.  Well while Candace and I are doing paper work and talking to the admin guy, the admin guy says there was a man in the waiting room that wasn’t a PT but was driving him crazy and he was about to beat him down.  I said hold on long enough for me to get out my phone so I can take pictures and he laughed.  Well while we are walking out to the rig the Pt’s ‘friend’ runs up to us asking for the code to get in the EMS entrance, saying the man in admin won’t let him back and is being a prick.  He just really needs to see and talk to his ‘friend’ and make sure he is ok.  I think he was a little overly concerned and I am thinking they were a little more than friends.  *Shudders… 

We are back on the streets by about 2:45 and Marlboro Man is watching some sort of baseball game on his phone.  The Lions and the Cubs are playing… At least that is what I think I am overhearing. :P  So I just asked and it is an ESPN app he has for his phone that goes through all the major games in professional sports… football, baseball… You get the idea.  Stopped at Cold Stone for some Ice cream… I can’t remember how much it is, but we either got a 10 or 15% discount for saving lives!!! WOOT!  Man I love this job. 

So we are posted and homeboy is on like cig #4 or 5 for this shift.  And isn’t even 4pm yet!!!!  Gosh I don’t really understand how you can be a medical professional and smoke at work!!! Your patient’s can smell that, ya know??  And so can your disgruntled co-workers. It is just frustrating to see someone who obviously knows better do something like that to themselves.  Aren’t we supposed to be the good example for our patients and the community??  What a wiener…

So around 4 we get our second call.  Goes out as a 47 y/o Stroke/CVA.  Well this poor woman lives in the projects. We get there and you could tell by her last name that she was at least part Native American.  Her son is running around freaking out and trying to tell everyone what is going on and get us the info we need.  So she is AOx1.  Has no idea what is going on, but knows something is wrong with her.  Get an 18 G in AC after blowing one of her hand veins.  Has a Hx of HTN and TIA’s and according to her son probably hung over… had way too much to drink last night and hasn’t eaten.  BGL is good though.  So we transport and she doesn’t have a facial droop or one sided weakness.  She just can’t seem to get her words out correctly.  Really confused as to what is going on and why everyone is there.  Also son says her initial symptom was visual disturbances.  He said she was seeing spots and no color. Left her at ER and went potty.  Talked to Tim the driver and intermediate for a bit.  He seems really cool and kind of flirtatious… Not really sure about that last part.  I thought he was a little bit but next time I talk to him I will pay more attention to give a more accurate account and hypothesis.  He is a pretty good looking guy, though.  : P 

Another call to a more shady part of town.  54 y/o M Grand Mal Seizure.  Has a Hx of seizures and had some sort of brain injury a few years back and decided to stop taking his meds.  DUH!!!  Got a 20 G in his forearm… really easy stick, just followed the track marks.  HA! He was postictal all the way to the hospital.  When we got there he started waking up though.  His momma had found him on the couch seizing and called the ‘ammalance’.  We then took a hiatus and I think dispatch lost us for an hour or so because we just kind of chilled at our post for an hour or so.  I took a nap! XD 

Took an inter-facility transfer from Edmond to Oklahoma Heart.  She had a pleural effusion.  52 y/o F.  Got lost in the maze of the hospital looking for the room.  When we went to go give report and nurse that we had been waiting on just walked right past us and into the room.  How rude?!?!  So we give report and get lost again.  We past a TV that was on the Cowboys game… They were down by 3 in the 2nd quarter.  GRR!!!  Talked to Tim and David a bit waiting for Candace to finish up what she was working on… Tim says it is time for a real freaking call!!! (edited for you by yours truly : D)  So it is about 20:30 and we hit the streets again.

Called to a 30 something year old female… I didn’t really hear the call go out.  Arrive on scene to find an Indian woman (like from India… not Native American) sitting in a chair with her 2 children around, FD beat us there as usual, and she was hooked up the monitor.  She wasn't sick.  She was terrified.  Her husband was coming home from work in about an hour or so and they had been fighting.  She said she was afraid for her life.  So we called PD and when we asked what we could do to help, she said make my husband a better man.  We left her in the hands of PD and I wish her the best.  How grateful I am to have never feared for my life like that.  My heart and prayers go out to her and her children.

We were posted for about an hour or so before dispatch told us to go find gas and return to post 41… WHICH MEANS!!!!  It is time to go home.  Man was it a dead night.