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Assault Victims

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“Yo, whatchu lookin’ at, boy?”

The challenge was delivered with a swagger and a snarl. I looked around, not sure if he was actually addressing me.

Sure enough, he was.

“Yo, you gotta problem, muhfucka? I’ll fuck you up, bitch! I see you lookin’ at me, like you betta dan me or sumpthin’. Fuck dat, bitch!”

It was quite amusing, really. First, because I had only casually glanced at him as he loudly complained at the ER nurse’s desk that he’d been waiting for two hours for a doctor to look at his stab wound, and second because this ghetto tirade was being delivered by a wannabe gangsta whose skin was a telling shade of suburban white.

And he weighed maybe a buck-thirty. Wearing a hospital gown with his ass hanging out. Not exactly intimidating.

“First, I wasn’t looking at you,” I explained gently. “Second, I think it’d be a good idea to calm down and be nice, or else that behemoth with the pepper spray behind you is going to throw you out of here.” I nod at the security guard who is just looking up from his crossword puzzle.

“Yeah, you betta back up, boyeee!” he crows. “You know I’ll fuck yo shit up!”

Okay, now he’s being annoying instead of amusing.

I sigh and and turn around to face him, still holding my aluminum clipboard. If need be, it’ll make a dandy crease somewhere up amongst those dirty blonde dreadlocks.

“I’m standing right here, kid,” I tell him. “And if you don’t chill your shit right now, someone in this hospital is likely to turn you over their knee and give you the spanking you so richly deserve. Might even be me.”

Before he can register how thoroughly he’s been dissed, a walking eclipse in a navy blue uniform rumbles, “Yo, there a problem here?” Officer Kolache has arrived.

“One of the other children poked him with something sharp on the playground, and he’s mad because the teacher hasn’t kissed his boo boo yet. What he doesn’t know is that he’s making a mess all over the floor.”

Officer Kolache looks the kid up and down and points, “You bleedin’ again, son. Now shut yo punk-assed mouf and go back to yo room if you want the Doc to take care of you.”

At that, little Marshall Mathers looks down at the rather insignificant bloodstain on his gown, and the blood trickling down his leg, and damned near passes out in his swoon. Officer Kolache catches him before he wilts, and patiently walks him on wobbly legs back to his room.

He shuts the door behind him, and shuffles back to his waiting crossword puzzle. “Assault victims,” he chuckles. “Give ‘em five minutes, and they’ll show you just why they got their asses whipped in the first place.”

Dear Madam…

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…if you wonder about that strange expression on my face, it’s a combination of:

A) utter disgust at your fourteen-year-old son who wants an ambulance for his one freakin’ episode of vomiting, and your willingness to enable such behavior just because you bear The Mark of The Beast.*

B) Pleasure with myself for being a good Borg Drone and simply taking you to the hospital, instead of loudly wondering why an ambulance was called for some punk who registers 10.0 on the Not Sick-O-Meter.

C) The realization that people like you and your son make me think the proponents of eugenics might just be on to something.

And no, you may not “axe me to turn off dat country shit and listen ta somethin’ wif a beat,” on the way to the hospital.

Take your hair extensions and fake nails, and your malingering kid, and piss off.

*Medicaid card. Seen in rare circumstances being used by people who have no other avenues to health care, but most often as an identification badge by the Minions of Sumdood.

Superlative Hieroglyphicist

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A thoughtful little meme award conferred upon me by Snigglefrits and Phlegm Fatale, both of whom I have managed to fool into thinking I wield a mighty keyboard.

Since I have a delicate ego and crave the validation such awards provide, I naturally decided to play along. I decided to rename it though, if for no other reason than to show off my dubba digit vo-cabba-larry.

I’m supposed to post the picture, and the rules*, and name five other bloggers who dwell in the superior fringes of that bell-shaped blogging ability curve.


Seems every other noteworthy blogosphere scribe has already been tagged, so I’ll point you guys to some of the other, perhaps lesser-known fellows on my blog roll.

Voodoo Medicine Man is a physician and writer of considerable talent. He’s a new resident of the blogosphere, but in a short time has gained a rabid following, including his share of haters. I figure if you haven’t pissed at least a few people off, you haven’t been writing anything compelling. And reading VMM will certainly provide you with plenty of compelling reading.

If you like your cynicism razor-sharp, with a side of well thought-out commentary, give Rogue Medic a try. He mainly writes for the medical crowd, and strives to educate as well as entertain with his posts.

Silly rabbit. I keep telling him to work in more poop jokes and share the intimate details of his genital wart surgery, because readers respond to painful personal anecdotes like that. So far, no luck. He’s a bit shy.

TOTWTYTR, aside from being a dandy way to check for dysarthria by asking stroke victims to pronounce his name, is high on my list of damned fine, hunnert percent Murkins. He’s my brother from another mother, and his blog tagline says it all:

Paramedicine, politics, guns, a little Country Western music.


What’s not to like?

Kevin Baker, of The Smallest Minority, ain’t exactly an unknown, especially if you read the gun blogs. Like Tam says, Kevin’s not just a blogger, he’s a gen-yoo-wine essayist. And his essays are always good.

Last, but certainly not least, there’s Dinosaur Doc. One of the few surviving solo-practice family physicians, if his medical care is anything like his writing (and I’d imagine it is), it’s no wonder why he’s still practicing while so many of his brethren are slowly becoming extinct. Check out his “Laws of The Dinosaur” in his right sidebar.

Y’all enjoy.

*The Rules:Every Superior Scribbler will name 5 other Super Scribblers.If you are named you must link to the author & the name of the blog that gave you the award. Then you must display the adorable award and link to THIS POST, which explains the award. The same post also allows you to add your link. Then they will have a record of all the people who are Super Scribblers!

Not That I'm Saying I Told You So…

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…but I told you so.

Link courtesy of Bayou Renaissance Man, but TOTWTYTR already covered it as well, and Rogue Medic has already opined on Maryland’s window dressing mental masturbation paper tiger blue-ribbon panel that ignored addressed the problem.

The helicopter EMS industry’s reluctance to regulate itself is going to result in the .gov doing it for them.

And as Ronald Reagan once told us, the most frightening words one can hear are, “I’m from the government, and I’m here to help.”

Saving Me The Trouble…

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…of making her life miserable until she got the message that she needs to get out of EMS, the Stuporvisors fired BP the other day.

And rightfully so.

I’ll post my observations on the whole sad affair in a couple of days, without going into exactly why BP got canned, because I think her sad tale can be an object lesson in the need for realistic expectations when entering EMS.

I’ll do it without compromising her privacy, however.

More to come soon.

Coming To London in 2012….

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…for the Games of the XXX Olympiad, I give you the US Men’s Synchronized Micturition Team!

You’ll note that the guy on the left opts for the classic shooter’s pose, weak hand tucked in his pocket with strong hand firmly wrapped around his…well, you know.

I opt for a modified isosceles stance, little finger of the strong hand entwined with the index finger of my weak hand, much like I were gripping my putter. I find this greatly improves my aim, while still allowing adequate range of motion if I want to write my name in the snow with a looser, flowing script.

The guy in the middle – no rookie at redneck lawn watering, that one – likes the Weaver stance. You can tell he and the guy on the left had the same shooting coach, though.

The guy in the hoodie is our team captain, showing off his no-hands technique. He ain’t much for accuracy, but for distance and trajectory, he’s the Michael Phelps of used beer dispensers. While the rest of us were taking warm up shots at selected pebbles and pine cones strewn on the ground in front of us, he was lobbing a steaming stream into a knothole about four feet up that tree you see in front of us. Quite impressive, actually.

His only weakness is that we can’t use him in those first-thing-in-the-morning events. I mean, what use is all that firepower if you just shoot yourself in the chin with it?

And lastly, the guy on the far right, our host. He has a somewhat unorthodox grip, something he claims he learned after inadvertently peeing on a honey badger back home in South Africa.

I asked him to break down the technique for me, but he only replied with a shudder and said, “That’s one you have to learn the hard way, mate. Honey badgers are deadly on snakes, and I’m here to tell you that includes trouser snakes as well. It’s shoot-and-move if you want to survive out in the bush, lad.”

I’ll take his word for it, but I’ll bet it’s damned disconcerting to be the guy standing at the next urinal.

Anyway, that’s us. We’re the early favorites for the Gold Medal, and we haven’t even started serious training yet.

And yeah, we all had a great time at Peter’s. How could we not?

Taking a Day Or Two Off…

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…to share lies, fellowship and adult beverages with LawDog, Bayou Renaissance Man and Xavier, and then take KatyBeth camping and squirrel hunting for two days.

Y’all watch the place while I’m gone. I’ll be working on something worth reading in the meantime.

Scorched Earth

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Rule #1: When you’re burned out, find a way to love EMS, or get into another field.

Rule #2: When you ignore Rule #1, and your shitty attitude lands you in hot water with the Stuporvisors, do not throw your partner under the bus in a feeble attempt to make yourself look better. This especially applies when your professional reputation is already in the toilet and your allegations are recognized as the blatant falsehoods that they are.

Rule #3: Certain medics you just. do. not. fuck. with. Might be a good idea now for a certain burned-out EMT to seek a rewarding career in the fast food service industry, and save herself the pain her future holds.

Yeah, Me Too

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Well, actually I’m a closeted, liberal elitist, quasi-socialist, big-government gun hater with ties to domestic terrorists and extremist preachers.

But I wanna be President some day.

Celebrating the Fortieth Anniversary…

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…of the day a woman first held me by my heels and spanked my bare ass until I cried.

*sigh*

Nice to know I still dig that sort of thing.

If y’all want to chip in and buy me a present, I won’t complain. Anything that goes bang would be nice.

And while you’re browsing the Intarwebz (Cabelas, hint hint), drop by and say Happy Birthday to JeRRTep.

She’s the RRT with ADD, and she dropped me a note the other day to tell me, “Hey AD, did you know you and I share a birthday? Can you believe we’re about to turn – hey, let’s go ride our bikes!”

Well, You Can Tell By The Way I Use My Walk…

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…I’m a woman’s man, no time to talk.

You know, here at The Borg, the original uniforms were just right for this kind of CPR cadence:


Someone Explain To Me Again…

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…just why it is that a 13-year-old seizure patient had to be flown, when the destination hospital was an hour away by ground ambulance?

And while you’re at it, Mr. Omniscient, explain to the families of the four people who died in the crash why it was necessary, and why more stringent regulation of the medical helicopter industry isn’t desperately needed.

That makes 14 crashes this year, with 29 fatalities.

And it’s only October.

At this rate, Discovery Channel needs to replace The Deadliest Catch with Medical Helicopter Insanity, because the most dangerous profession in America is starting to look like flight nurse or medic.

Edited to add: 13 years or 13 months, she was still a simple seizure patient, and probably could have gone by ground.

Anniversaries, Part II

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When a young couple gets married, there are always adjustments. Ours was no different. Oh, we thought we knew each other pretty well, and I suppose we knew as much as any young married couple.

But it’s those little things that you never knew you didn’t know, if you know what I mean.

Still, our respective weaknesses were offset by our individual strengths. That’s what a successful marriage ought to be, I think.

I hated handling the finances, so she did it. She was much more fiscally responsible than I. Not that I threw money away, but sporting goods stores and drive-through crawfish stands were my weakness. So she put me on an allowance, and she bought my guns and hunting gear. She’d ask a seemingly innocent question in April like, “So, for the money, what’s the best shotgun for duck hunting?”

And I’d tear my attention away from whatever Outdoor Channel hunting show I was watching and say, “Well, everyone’s in love with Benelli automatics these days, but personally I’d rather have a pump shotgun. Simple to maintain, and they can take a lot of abuse. Every duck hunter ought to have a Remington 870.”

When Fall came, she’d present me with a new Remington 870 Express in 3 inch magnum and a case of steel shot. “Happy Birthday!” she’d announce. “Now go kill something. I’ve got Christmas shopping to do.”

Now I ask you, who couldn’t love a woman like that?

Left to my own devices, I’d have bought the damned gun the moment I saw one on sale, and then tried to smuggle it home and sneak it into the gun cabinet unnoticed. And I’d have bought a sling, a floating gun case, an extra turkey hunting barrel for it, and a new GPS to help me find my way in and out of those great new hunting spots I’d not yet discovered. And I’d have found a way to rationalize every purchase.

It took me a couple of years to figure that her way was better.

Because she was an inefficient housekeeper and marginal cook, I handled the housework and meals. The Missus had Housework ADHD. She’d pick up a ketchup bottle I had carelessly left sitting on the counter, grumble about how I never put anything away, and then open the refrigerator door…

…and suddenly be struck with the notion that the condiment shelf was hopelessly disorganized, the baking soda box needed replacing, and the freezer needed defrosting. Right then.

Ditto for clothes and closets, food and the pantry, and dishes in their respective cabinets.

Luckily, I learned this valuable piece of intel before we ever married, when I returned from a trip to discover that she had let herself into my apartment in my absence with the intention of surprising me with a clean apartment when I returned.

I walked through the door right when I was expected home, to find her in tears, still cleaning furiously. She’d been steadily working for twelve solid hours.

Mind you, this was the same apartment where I had to step outside to change my mind, and had to climb into bed from the foot, because there simply wasn’t enough room on the sides between the mattress and the bedroom wall.

This was an apartment I could take from hazmat zone to spotlessly clean in three hours, tops. Yet after twelve hours of her diligent labor, I still needed a bush guide with a machete to help me hack my way to the bathroom.

Yet if a guest had wanted to inspect my sock drawer or find AAA batteries in my utility room, he’d have found them immaculate and well-organized. And probably packed away in a clearly labeled Tupperware container.

Being half-Cajun, tasty cooking was encoded into The Missus’ DNA. I’d eaten enough of her mother’s meals to know that. But, like I learned way back in biology class, all the information in the genotype is not necessarily expressed in the phenotype, and thus owning an impressive collection of family recipes does not necessarily mean you’ve ever had the opportunity to actually cook anything.

So, knowing this, I told her before we married, “I’ll handle the cooking and cleaning. When you come home for work, there will be a meal and a hot bath waiting, I promise.”

Kept that promise, too. The sock drawer may not have been organized to her liking, and the AAA batteries were denied their own dedicated Tupperware container, but she rarely had to do anything resembling domestic chores when she got home.

Of course, there were the occasional hiccups:

Missus [yelling]: “What on Earth is an eggbeater blade doing under the couch???”

Me [absently]: “Huh?”

Missus [trudging to the kitchen, muttering under her breath]: “Now I know how the chocolate frosting got on my clean sweater!”

[washes eggbeater blade and puts it away]

Missus [musing]: “Damn, this utensil drawer needs to be reorganized. I need a drawer organizer, liner paper…and where the hell is the other eggbeater blade?”

[opens refrigerator]

Missus [horrified]: “Hey, what’s this lump of stuff on the paper plate with the green fuzz growing on it?”

Me: “Beats me, baby! Looked that way when I cooked it! Sure was tasty though, wasn’t it?”

Missus: “It just called me Zoul!”

Me [absently]: “Huh?”

All of this, of course, is to say that I thought I knew the major obstacles to a happy marriage and had a plan for dealing with them. But, we fell into all of the traps that newlyweds fall prey to, the first of which can be summed up as:

“Hey we’ve got twice the income, so we can spend twice as much!”

We learned the hard way that, invariably, expenses grow to match your income. Money was always tight, so we worked all the time. As a registered nurse, she made a lot more money than I did, so I supplemented my paramedic income with teaching and consulting gigs on the side.

And saw damned little of my wife as a result.

To spend more time together, she started helping me with classes, tagging along on teaching trips and the like. I put her through one of my EMT classes, then put her through my paramedic class. She got certified as an instructor in all the alphabet soup medical courses. We became a pretty formidable teaching team.

And if you’re wondering where all the love and affection is among all this work, work, work, you’re not the only ones. We saw it too.

In that first year, we moved from my crackerbox apartment into a charmingly delapidated old colonial house and proceeded to renovate it, deducting the expenses from our rent. It didn’t take me long to realize that The Missus was powerfully turned on by three things: sweat, snoring and paint thinner.

There I’d be, sweaty and reeking of paint thinner, and collapsed in an exhausted heap in front of the television. No sooner would I doze off than she she’d cuddle next to me on the couch and purr, “Smooooochie Poootie…”

…bow chicka wow wow!

You know that old saying about the jellybean jar and the first year of marriage? The one where you put a jellybean into the jar every time you have se
x that first year, and thereafter take one bean from the jar every time you have sex?

Folks, we put a lot of jellybeans into that jar before our first anniversary. After the first year, though…well, let’s just say that we’d always have a jar full of jellybeans in case the nieces and nephews came to visit.

By the second anniversary, though, bills began to pile up. So I taught more classes, worked extra shifts, and drug her along for the ride.

And we both had a blast. We were newlyweds, after all. We loved each other, and we still spent quality time together, even if that quality time happened to be in a Day’s Inn outside of Tallulah, Louisiana.

Or El Dorado, Arkansas.

Or Minden, Louisiana.

Or Natchez, Mississippi.

Or Greenwood, Louisiana.

Or Bridge City, Texas.

Or Columbia, Louisiana.

Or New Orleans, Baton Rouge, Shreveport or Alexandria.

Jesus H. Christ, I spent more time on the road than I did at home! And if she wanted to spend some time with her husband, she had to go with me. What a selfish ass I was.

Before too long, she came to me with a proposition. “We’re never going to be financially stable with you just working as a paramedic,” she told me. “I think you should go back to school. You should quit work, quit teaching, go back to college, and try to get into medical school. If we tighten our belts, I think I can cover our bills with my nursing income.”

“Even if I make it into medical school,” I warned, “we’ll still be poor as church mice for another twelve years.”

“So what?” she grinned. “It’s not as if we’re not used to being broke now. Besides, I’ve always wanted to sleep with a doctor, and this looks like the only way I can make it happen now,” she winked and stuck out her tongue at me.

And so I went back to school. I studied hard, and when I got home, I started dinner and did the housework. When she came home from work, she had a hot bath waiting and dinner ready. And after dinner, she’d lie on the couch with her feet in my lap and I’d massage her feet while I studied a book propped across her legs.

And then we’d go to bed and make love and lie there with each other afterwards and whisper our dreams to one another, and make our plans for the future.

I’d be an ER doc one day. We’d find a remote town somewhere that would hire me and pay off my med school loans in return for a five year commitment to practice there. And I’d modernize their ER and become the medical director for their EMS system, and she’d go back to school to become a nurse practitioner and start a little clinic in that town, and we’d get to know the locals and build a little house on forty wooded acres, somewhere we could sit on our front porch in the evenings and watch the sun set behind the mountains.

And we’d grow old together in that town, and one day I’d be taking care of the kids of some of the kids I delivered in that little mythical hospital somewhere on the edge of nowhere. We’d both die happy, because all we really needed was each other.

And I couldn’t even imagine the man I was before I met her. I wasn’t that guy any more. I didn’t even know who that guy was. He was just some empty shell that had merely existed for twenty seven years, but had never really lived.

I’ve mentioned before the concept of us, that union of two people so profound that the boundaries between you become so blurred that you can’t define yourself without the other person as part of the terms.

I wasn’t AD any more, I was The Missus’ Husband. I was her lover, confidante, helpmate, partner and best friend. And everything else I was, or wanted to be, was secondary to that.

I figured that was the way marriage is supposed to be. Still do, I suppose. No matter how much you squint your eyes, there are no gaps in a wedding band. It’s a perfect circle, enclosing all of you within it.

My family could see the change in me, too. The Missus was the first, and only, woman I’ve ever dated who I allowed to meet my parents. They liked her so much, they proclaimed that, in the unlikely event of a divorce, I was the one who’d be booted from the family. The Missus would stay. They got along fiendishly well.

Twenty minutes after she met my mother, Mom was instructing The Missus in proper blowjob technique, using a popsicle as a prop.

The Missus blushed like a tomato through the entire demonstration, and afterwards I explained that if Mom had inherited a decorum gene from Grandma, it was probably recessive.

The Missus replied that apparently, Dad hadn’t contributed another recessive decorum gene either, because it certainly hadn’t expressed itself in me.

But she married me anyway.

She taught me to reconnect with my family, reconcile with my parents, and put to rest all the hurts of my childhood. To put it as simply as I can, and cribbing a line from Jerry Maguire, she completed me. She made me whole. She was the piece of me I never knew was missing.

It’s hard to put to words the effect that had on me.

It’s even harder to put to words the feeling I had upon realizing that I had let it die on the vine.

I didn’t stay in school. As always, life’s responsibilities intruded. The first time money got tight and I caught her crying at 2:00 AM while she tried to decide which bills to put off and which ones to pay, I got a part time job. She protested, but I did it anyway. I stayed in school full time, and manned an ambulance on the weekends.

Soon, it was the job that was full time, and college was a part time gig.

Soon, there was nothing but the job. We told ourselves that I’d go back as soon as we were in better financial shape.

That day never came.

We moved back to north Louisiana, away from her roots and closer to mine. She made new friends, got a new job at a new ER. I was asked to come back to The Little Ambulance Service That Could, as its Education Director. It was good money at the time, so I accepted their offer.

We moved into another charming old 1890’s farmhouse and set about renovating it. We were building a life together. From across the room, we were a perfect couple.

Only there were cracks. I was just too blind to see them until it was too late.

Not to put too fine a point on it, but we weren’t having sex. Ever. The Missus had changed contraceptives, and for a solid year, the changes in her hormone levels had proven to be a more effective libido killer than even wedding cake.

So I tried to be supportive, and understanding, and deal with it. And I did. I was her husband, after all, and what I got from our marriage was far more than just a steady sexual partner.

So with the help of Danni Ashe and a high-speed internet connection, I soldiered on.

After a year of this, we decided to stop birth control altogether and try to have a baby. I was developing repetitive motion injury in my elbow and wrist and she could hear her biological clock ticking, and we both decided that if we waited until we could afford to have a child, we’d be childless forever, so we might as well stop waiting.

Don’t think that we conceived KatyBeth as some misguided attempt to revive a shaky relationship, however. That wasn’t it at all. I still believe that, at the time, we still were very much in love with one another, and there was far more good than bad in our marriage.

So the contraceptives went into the trash, certain internet bookmarks got deleted, and we got down to business. I’d dab a little paint thinner behind my ears, we’d cuddle on the couch and…

…bow chi
cka wow wow!

It was just like our newlywed year. We were in serious danger of emptying that jellybean jar. And even though it took us a couple of years to conceive, I never wavered. I never got discouraged. I was diligent. If at first I didn’t succeed, I’d try and try again.

And again.

And again.

And perhaps even again, unless my hips got tired or she decided to order a pizza.

I’m a giver that way. It’s just who I am.

And eventually, I hit her with the golden BB, a little Michael Phelps sperm swimming far ahead of his competitors, straining to touch the ovum in a flash of fertilization glory…

…and thus KatyBeth was conceived.

I remember the night we found out, just like it was yesterday. We were eating dinner with friends after a long day of teaching paramedic class. We were clustered around a table at the local Ptomaine Palace, eating boiled crawfish and disturbing the other diners, and The Missus remarked that she had been tired a lot lately.

“That’s cause my boy done knocked you up!” Pardner drawled with his customary charm, one arm looped affectionately around my neck. “Ain’t you learned not to take it serious when he pokes a little fun atcha?”

“She’s tired because I wear her out,” I pronounced smugly. “I’m the Love Terminator. I don’t feel pity, or remorse. And I will not stop – ever! – until she’s barefooted and pregnant.”

Little is the operative word,” she retorted to Pardner, holding up her forefinger and thumb to demonstrate. “And he’s actually the Wal Mart of Love: volume, volume, volume, because he’s not up to snuff in the size department.” She smiled winningly at me and winked.

I retaliated by hitting her in the face with a spitball. One does not falsely represent the size of her husband’s winkie and expect to get away with it.

The Missus wound up driving one of my medic students home after she’d had a few too many beers with her crawfish, and I wound up driving Pardner home. On the way back to Casa de Ambulance Driver, I noticed Cindy’s car parked in the hospital ER drive.

Curious, but not all that alarmed, I pulled into the ER to see what was the matter. Cindy wasn’t that drunk when we left the Ptomaine Palace, after all. Inside, I found ten female EMTs and ER nurses all cooing, hugging The Missus and giving me knowing looks. The Missus held up an EPT test and said two words, “Congratulations, Daddy.”

They heard my whoop down the hall at the nurse’s station.

There is nothing like the imminent arrival of a baby to put a sense of urgency into getting your house in order. And we did. We worked like fiends, finished the renovations, paid off our bills, shopped for baby clothes. At night we’d hold each other, and think of baby names.

“Michael Keith, if it’s a boy,” I mused.

“And Katherine Elizabeth if it’s a girl,” she countered. “Are you okay with having a little girl?”

“Little girls can hunt and fish with their daddies, too. I’ll be happy either way.”

“My little girl will not wear camouflage,” she vowed. “She will be dainty, and ladylike. We’re gonna dress her in frilly stuff.”

“Evidently we need to go to Cabela’s,” I grinned. “They have the cutest little Mossy Oak baby onesies. Trimmed in lace, even.”

We compromised. Sometimes I think we’re raising a tomboy adrenaline junkie with a Barbie fetish.

Those were heady days, planning for the arrival of our child. I was never more content, or excited about the future. Neither was she.

All of that changed in November. The Missus went in for a checkup and ultrasound the day before I was scheduled to fly to Pittsburgh for two weeks for my CCEMT-P course. The news was worrisome. Her blood pressure was too high, and KatyBeth wasn’t as active as she should have been. The Missus was put on total bed rest for two weeks, until she could be evaluated again.

I wanted to cancel my trip, but she insisted that I go. “I’ll be fine,” she assured me. “I’ll go to my mother’s and she’ll wait on me hand and foot. It’ll be fine.”

Only it wasn’t fine. The day after I got back, we went to the Ob/Gyn’s office for her followup visit. We were then ushered, shell-shocked, directly from the office to the perinatal ward at the major hospital across the street, and informed that The Missus would be hospitalized until KatyBeth was born.

And we’d be damned lucky if that didn’t happen before Christmas, let alone Valentine’s Day.

The Missus’ blood pressure was still too high, and her urine contained trace protein, both ominous foreshadowings of pre-eclampsia. Even more worrisome was the fact that KatyBeth still wasn’t very active, and far too small for her gestational age.

“Well under two pounds,” the doc informed us grimly, “about half what she should be.”

Consider that I was one of a pair of eight-pound twins, and that all my other siblings tipped the birth scales at over ten pounds. Ditto for The Missus. Both of us had brothers who weighed over thirteen pounds at birth.

A two-pound baby was totally outside our frame of reference. I’ve delivered six-pounders and thought them to be impossibly small. I couldn’t imagine a baby a third of that size.

I was scared shitless. So was The Missus.

And things spiraled downward from there. Her condition got progressively worse, finally reaching the point in three days that it became obvious that KatyBeth’s best chance at living was in a sterile incubator and not The Missus’ womb. We were going to get our Valentine’s baby before Thanksgiving.

And through all of that, I was strong for my wife. I held her and quieted her fears, and assured her that we’d get through this, and that God wouldn’t give us a gift so precious and then take it away before we even got the chance to know her.

I’m not sure I really believed it, though. And after I signed the consent papers and they prepped The Missus for an emergency C-section, I snuck downstairs into the hospital chapel, and I laid myself bare before God like I have not done before or since.

I wept, and I prayed, and I offered futile bargains, knowing all the while that God didn’t bargain his blessings.

And somehow, I felt assured that, no matter how things turned out, my daughter would be okay. It was an overwhelming feeling of peace.

Take from that what you will. I’ll not preach to you here, and I believe that every man’s relationship with God is personal.

But it was with utter certainty in a good outcome that I watched the doctor pull KatyBeth from my wife’s womb, a wrinkled little Smurf scarcely larger than a 20 oz Coke bottle. I held The Missus’ hand and gave her a play-by-play narrative as they whisked her over to the warming table and the nurses – some of whom I had trained – feverishly worked on her.

And soon she turned a gorgeous pink, and let out an angry wail.

“Was that her crying?” The Missus asked in disbelief, clutching my hand even harder.

“Yep,” I choked. “She’s a little pissed, it sounds like.”

“She’s not supposed to be able to cry, or even breathe,” she whispered reverently. “She’s too young. Her lungs…”

“Apparently they forgot to tell our daughter that,” I grinned. The nurses paused long enough to let us plant a small kiss on her forehead before they rushed her to the NICU, and left us to ponder the miracle we had wrought.

And that was the happiest day of my life, comparable only to that day I knelt on wet knees at the jewelry counter at Dillard’s and she said “yes.”

Not that there weren’t bad times ahead. We got bad news, and worse
news, and when they started using words like seizures and cerebral palsy and profound mental retardation, The Missus broke down.

I held her and comforted her, and cried along with her. And then I took her by the shoulders, and lifted her chin until she could look me in the eyes. “These are the last tears we’re going to shed about this,” I told her. “This is the last time we’re going to give in to despair. We have a child to raise. We don’t have time for grief.”

“But what if she’s handicapped?” she sobbed brokenly. “You heard what they said…”

Yeah, and I heard what God said, too, I thought to myself. And the child I see is not the one they’re describing. We won’t let her be.

“Will you love her any less if she’s in a wheelchair?” I asked gently, and The Missus shook her head. “I won’t either,” I assured her, “and I want us to make a promise to one another. From now on, can’t is a word we won’t speak. If our daughter has limitations, they’re going to be defined by what is physically possible, not fear, or money, or lack of effort. Okay?”

And we made that promise to one another, and we set about raising our daughter to do everything it was possible for her to do. I firmly believe that God gave us KatyBeth as a challenge, a way to learn and grow. Any other child, and we’d have simply been any other set of parents.

We got KatyBeth to show us the parents we could be, and I think we’ve met that challenge.

What we forgot to be was Husband and Wife.

Somewhere in all the worry, and work, and endless therapy sessions, and astronomical medical bills, we lost sight of us.

I developed a medical condition, a peripheral neuropathy that had me in constant 24/7 pain. Nothing worked to alleviate it. Even wearing pants was painful.

Making love to my wife was torture. While I discovered that gritting your teeth in agony throughout the entire act does wonders for your sexual stamina, it does very little to enhance the mood for your wife, nor does it make you relish the prospect of Round Two in a couple of hours.

So we stopped making love.

And KatyBeth’s therapy regimen necessitated changes in our work schedules, so we got to see each other only in passing, when she was coming home from work or when I was leaving. I’d come home exhausted, mentally and physically drained, and stare blankly at the television while she slept.

Then we stopped talking.

It wasn’t a conscious decision. There weren’t any fights. No hurt feelings, no arguments. No bitterness or rancor. Just everything about us dying a slow and quiet death due to lack of nourishment.

I have a major character flaw. In times of extreme stress, I withdraw. At the times of my life when I needed my friends and family the most, I instead turned away and shunned all help. When I become overwhelmed, I focus on one goal, one task, to the exclusion of everything else. That goal is my beacon, my psychic lifeline back to the land of the living. Only once I’ve reached it can I pause to look at what has happened around me. In my case, that goal was raising a special needs child. I pursued it to the exclusion of everything else in my life, including my wife. I was totally oblivious to her pain, utterly blind to her loneliness.

On the nights she cried herself to sleep, I was a total stranger, lost in my own private Hell in the next room.

It’s not that I didn’t love her. I did, as strongly as I ever had. I just assumed that she knew, and that she realized that my focus was for us, our whole family. And if she had just let me know how she was feeling, I could have fixed it.

But you see, The Missus had her own major flaws. She didn’t communicate. In her times of extreme stress, she’d suffer in silence. In our infrequent arguments, I’d always confront the situation in typical guy fashion; define the problem, approach it rationally, hash it out until we got it solved. Don’t go to bed mad. As soon as the argument was over, for me it was forgotten.

She, on the other hand, would pretend it was over, then spend the next two days stewing over it in her mind. And when she could think about it rationally, she’d bring it up again. By then I had usually forgotten what the argument was about.

For her, avoiding a confrontation was preferable to facing it, and she’d let it fester until it became a much bigger problem, one she couldn’t ignore any longer.

And then she’d blow up.

We laid down ground rules for arguing shortly after we got married. I like to discuss things, and I prefer give-and-take. You say your piece, and then I’ll say mine. I hated being interrupted when talking, to the point that I’d raise my voice to talk over her, or even say “shut up” so that I could finish what I was saying.

I soon discovered that nothing made her head spin around more than being told to shut up. She hated it. And so she’d respond with “fuck you!”

And there is nothing I hate more than trying to calmly, rationally debate a point with someone and being told to fuck off.

So we reached an agreement: I’d stop saying shut up, and she’d strike fuck you from her vocabulary. It worked, after a fashion. We’d occasionally argue, and her rebuttal to my point was often, “Fine! Whatever.”

“That’s cheating!” I’d squeal in frustration. “There’s a little cartoon balloon over your head that says fuck you!”

Even so, we learned to settle our disputes like two people who love one another should.

But after KatyBeth was born, we grew so far apart that we even forgot how to argue.

There was a conversation shortly before we left, one that she reminded me of long afterwards, that was the impetus for her leaving. We were washing dishes together, and she was unusually quiet.

“Are you happy?” she asked mildly. I didn’t spot it for the loaded question it was.

“Of course I’m happy,” I assured her, stooping to kiss her on the forehead.

Silly me. I didn’t realize my marriage hinged on a trick question. I wasn’t happy with our present situation. I hated the fact that we didn’t see each other enough. I hated the fact that we worked ridiculous hours. I hated the uncertainty of not knowing how my daughter’s life would turn out. I hated the fact that I couldn’t even make love to my wife.

But I figured all of our problems were just an obstacle to overcome, something that we had to buckle down and get through so that we could realize all the dreams we’d whispered to one another in the wee hours of the mornings.

But I thought she was asking me if I was happy with her. And I was. I’ve never regretted marrying her.

But she was really asking, “Are you happy living like this?”

And my answer convinced her that it was time to leave. True to her nature, she avoided a confrontation. She didn’t argue, she didn’t ask for marriage counseling, she didn’t tell me she was suffering. She just waited until I left for a trip, had a friend haul a trailer to the house, and moved out. She left behind my favorite pieces of furniture, my guns and clothes, and a note explaining why she left. />
The only thing worse than coming home to find your marriage is over is reading the note and seeing the truth in her words. I was a stranger in my own home. I was a ghost that barely acknowledged her. I had sat staring hollowly at the television while she cried herself to sleep in the other room. We had become more like roommates than lovers and friends.

And it took her leaving to make me see it.

Oh, she’s not entirely blameless. It wasn’t long after she left that I discovered she had a boyfriend, a guy I tutored through his EMT class.

She swore they had only started as friends, and didn’t become intimate until after she left me. She just needed someone to talk to, and he was there. It grew from there.

I didn’t believe her. The timeline didn’t matter then, and it matters even less now. She shared the things that she wouldn’t share with her husband, with a stranger. Whether or not they slept together, that was the ultimate act of betrayal.

And I’m here to tell you, it put me in a murderous rage. When I wasn’t busy trying to crawl into a bottle, I was plotting his grisly demise.

Let’s just say I developed an inordinate fascination with secondhand wood chippers and rifled shotgun barrels that fired saboted slugs, and that I had meticulously mapped all viable routes of ingress and egress from a certain mobile home parked in a certain wooded lot in a certain town in north Louisiana.

But in the end, I pulled back. I quit drinking myself to sleep and tried to pull out of my funk. I realized that I’m a lousy drunk, and an even less inspired murderer. I was still a wreck, but a sober one.

I sat down with a physician friend – one who had attended our wedding – a couple of months after she left, and over beers I asked him, “If you had a patient who told you he worked all the time, and slept nineteen hours a day on his days off, and barely got out of bed until it was time to go back to work, had no appetite and felt tired all the time, what would you say was wrong with him?”

“I’d tell that patient that he was clinically depressed,” he answered soberly, “and tell him he needed to get help, right the fuck now.”

“Shit,” I sighed. “I had a feeling that’s what you were going to say.”

The antidepressants he prescribed didn’t do much for me. Maybe they work for most people, but for me it became obvious that the only thing that was going to rescue me from despair was me.

So I pulled up my big boy Underoos, sucked it up, and got about the business of living again.

I worked. I tried to socialize. I did everything I could to maintain some sense of normalcy for KatyBeth. On those slow night shifts, sitting in the passenger seat of an ambulance, parked on a street corner at 3:00 am, I’d write on my laptop to keep my mind occupied.

I’d write about various calls I’d worked in my career, and one story would remind me of another, and another, and pretty soon I had a book.

My career took off as well. I got invitations to lecture at EMS conferences around the country. Landed a consulting gig or two. Learned the value of true friends, brothers from another mother like TOTWTYTR and JB On the Rocks who always had my back, even though they were thousands of miles away. I learned that I had friends I could indeed rely on, if I’d only reach out and ask.

Of course, the temptation was there to be bitter; a nagging voice in my head that kept saying, “See? I told you that you couldn’t trust people.The moment you do, you’ll get hurt.” And I came very close to reverting back to the guy that I used to be, the closet misanthrope who smiled and joked with everyone to mask his scorn and distrust.

But I still wanted my wife back, and I figured the way to do that was to go back to being the man she had fallen in love with. The man she thought I could be.

So I tried to be that man. And since The Missus wasn’t having any reconciliation, I tried to be that man with anyone who’d show me affection. Lots of failed relationships that first year, believe me. I was unconsciously searching for everything I had lost, looking for my wife in every new girl I met.

Pretty much all of them told me the same thing: “You’re a great guy, AD…but you’re still in love with your wife.”

And so that first September 23rd passed with me slowly healing, but still harboring a faint hope that I could somehow reclaim my wife, if I could only be…whatever it was that she wanted me to be. I was still learning how to be by myself. It’s like having a great big hole in your mind, and even though you can perceive that it’s there, you know that you can no longer think through it, only around it.

There were days that were almost normal. Days when I barely even gave her a thought. Yet all it took was the mention of her name, or that of my rival, and it felt like a knife in the guts. And as September 23rd approached, the knife twisted.

The next year saw a lot of growing up on both sides. I had finally begun to accept that we weren’t going to reconcile, and she tried to reach out several times. I resisted at first. It took me almost the whole year to come to the conclusion that a bad act does not make a bad person, and that despite every hurtful thing that had passed between us, she was still very important to me.

She tried to include me in things, invited me to family gatherings, Easter services at church so I could see KatyBeth in her Easter dress…but since I knew my rival would be there, I stayed away.

That second September 23rd was the Year of Separate Birthday Parties.

The third year was the Year of Divorce Haggling.

No, not two lawyers duking it out over who gets to keep the dining room set and what weekends KatyBeth spent where, but two separated people reminding each other periodically, “Hey, we haven’t cohabitated or touched each other in two years. Don’t you think it’s time we made our split official?”

But every time I was ready, she wasn’t. Every time she had the money to hire a lawyer, I was broke. She had moved back to Podunk to be closer to her family, and I still lived in north Louisiana. We lived three hours apart, and our schedules were still impossibly hectic. The schedule we had worked out for my visitation with KatyBeth and her therapy regimen virtually assured that neither of us was ever off work at the same time.

And quite frankly, we were just beginning to become friends again, and we both feared that divorce proceedings would ruin that.

On that third September 23rd, she called me and asked, “Say, would you happen to know any paramedics down here who might be interested in working in a rural hospital ER? They’d get comparable income and benefits, and a much easier working environment. I know that you know medics all over the state, and I’m hurting for help down here.”

“I might know one,” I allowed. “Hypothetically, what would a 15-year medic with critical care training and every alphabet soup certification there is be likely to make at this rural hospital ER?”

“Hypothetically,” she answered, reading my mind, “that paramedic could pretty much name his price, especially if he helped his ex-wife write ER protocols and a policy and procedure manual.”

And thus I moved to Podunk and came to work at PGHNSTRACH, and that September 23rd marked the Year of Reconciliation.

I dated a couple of very nice girls, one of whom couldn’t get over the fact that I still hadn’t filed for divorce. She left be
cause she was convinced, wrongly, that I was unwilling to commit to our relationship.

Babs knew better, and the reasons we split up have nothing to do with me and my Ex Missus.

And during that year, I also came to accept my rival. The Missus and I had grown to be friends once again, and I dare say that she’s one of the few people I can truly count on. And in picking up KatyBeth from her mother’s, I came to know my rival’s children, the ones the Ex Missus was raising as her own.

His wife abandoned them all when the oldest was barely four, the youngest still in diapers. He raised three kids for ten years, by himself. And they’re pretty good kids, I must admit.

I firmly believe that good kids don’t develop in a vacuum. They’re raised to be that way, and the fact that he did it successfully bought him my grudging respect. We’re never going to be buddies, but I have to admit that the man treats my daughter well, and it’s obvious he loves the Ex Missus.

I can live with that.

We get along fairly well. We went squirrel hunting together a couple weeks ago, and I didn’t even have the urge to stage a tragic hunting accident.

When they were looking for a paramedic instructor at Angola State Penitentiary, he recommended me for the job. His boss made a few phone calls, and told him, “Your boy checks out. Everyone I’ve talked to said he’s the best. So how do you know him?”

Ray blushed and said, “Well, he’s my girlfriend’s husband. Actually, I’m the guy she left him for.”

“And you’d actually take a paramedic class from this guy?” the colonel asked incredulously.

“He used to hate my guts, and he might still,” Ray answered, “but he’d leave that at the classroom door. He got me through my EMT class, and there’s nobody I’d rather have as a paramedic instructor.”

When he got through laughing, the colonel immediately dubbed me “The Husband In Law.”

I kinda like it, actually. It fits us both.

Not that there haven’t been rough spots this past year. I had been pressing the Ex Missus pretty hard to get the ball rolling on our divorce. I found a lawyer that did collaborative divorces, the kind where both parties use the same lawyer to mediate a settlement. I even offered to pay for it myself.

For some reason she kept dragging her feet.

Finally, I drug it out of her. She was pregnant, with the Husband In Law’s child. She had known for months, and was afraid to tell me. Worse yet, we couldn’t even start divorce proceedings until after the baby was born.

“Why, for God’s sake?” I exploded. “Didn’t you think I’d find out sooner or later?”

And she broke down and cried, “Because I’ve already hurt you so much, and I didn’t want to hurt you again.”


As I stood there, dumbfounded, I realized with some degree of wonder that I wasn’t hurt by the news at all. On the contrary, all I really felt was pity for her. So much had passed between us, and here she was still repeating the mistakes of our past.

I took her in my arms and held her until she stopped crying, just like I used to. When she was done, I held her by the arms and asked her gently, “Tell me something. Has this ever worked for you? Have you ever avoided facing something and had it turn out for the better?”

“No,” she admitted.

“And do you pull this kind of thing with Ray?” I asked. “Do you keep secrets from him because you’re afraid of how he’ll react?”

“Sometimes,” she whispered as the tears began anew. “I tell myself I shouldn’t, but I hold back anyway.”

“Don’t,” I told her forcefully. “If you truly love him, trust him enough to talk to him. Don’t do to him what you did to me. Don’t ruin your second shot at happiness because you’re too scared to talk about your problems. You may not get a third shot.”

I think she listened.

If memory serves, I think I spent this anniversary bouncing her new baby on my lap while the Husband In Law heated up a bottle. Next week we have an appointment with the divorce lawyer.

September 23rd makes four years, and it was two weeks gone before I even registered the date.

That may be the first time that forgetting an anniversary is a good thing.

Disappointing…

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…yet also pleasantly surprising.

I’m planning to take KatyBeth camping and squirrel hunting next weekend, so I figured it would be wise to take the old Winchester Model 74 in .22 LR and the new (to me) Savage Model 93 in .17 HMR out to the range and check their zeros.

This isn’t my first .17 HMR. The Missus bought me a Ruger Model 77 in the caliber a couple of years before we split, and I fell in love with the rifle. It was gorgeous to look at, and it drove tacks. I routinely shot sub-MOA groups with it. Killed four hogs with it – all head shots – ranging from 200 – 325 pounds. None of them moved from their tracks.

When The Missus and I split up, I gave the Ruger to a friend as payment of a debt I owed. I missed that gun, and vowed that I’d get another one day.


Well, a little pawnshop crawling a couple months ago revealed a little rifle much like the one you see here, only with a sling and a BSA 3×9 scope – cheap optics, but serviceable. The price was agreeable so I bought it, and today was my first day to really burn some rounds through it.

*sigh*

This thang ain’t my Ruger 77.

Granted, the gun is new to me, and I’m sure that once we learn each other’s nuances, the groups will tighten considerably. Still, it’s far from being a tack driver. It’ll group into an inch at 50 yards, but it’s a 2 MOA rifle at 100. Here’s hoping I can improve on that.

That was the disappointing part.

The pleasant surprise was that the old Winchester Model 74, a gun made in 1940 that my Dad bought new for $60, will put every round at 50 yards into one ragged hole scarcely larger than the diameter of the bullet.

Just for a lark, I tried the Winchester at the 100 yard target. The scope is an old 4x Tasco, suitable for a rimfire plinker but by no means a good scope. The reticle just about totally obscured a 1 inch target dot at 100 yards. Still, I managed to squeeze off a five shot group that felt good when I sent them all downrange.

Went out to check the target, and all the rounds were off the paper – roughly six inches low – but there was a satisfying little cluster of holes in the post to which I had my target stapled. I dug out the arcade token I’d been using to make my scope adjustments and laid it over the group, and it covered every hole nicely.

That’s sub-MOA accuracy with a 68-year-old, $60 rimfire plinker fitted with cheap-assed optics, folks. Yeah, I think I’ll take that.

I used my (admittedly) weak Google-fu and checked some of the gun forums, and the consensus is that Model 74s in similar condition run in the $200-$300 range, with those chambered in .22 short fetching a premium price.

Not even counting my emotional attachment to the gun, if anyone ever offered to buy it, I think I’d have to set the price at…not a snowball’s chance in hell.

Sick

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Regular blogging to resume once I’ve stopped purging fluids from every orifice.

Quote of The Week…

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…and perhaps only funny to medical professionals, but it still nearly made me pee myself laughing:

Obviously, she only has three neurons: one is infected, the second is infarcted, and the third is inhibitory.

From Voodoo Medicine Man’s post on the entitlement mentality.

RTWT.

Yeah, But He'd Be Impossible To Pitch To…

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Anniversaries, Part I

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September 23rd makes four years.

Four years since the day my life came tumbling down around my ears. Every facet of who I am, who I thought I was, where I saw my life heading, who I’d spend it with…all reduced to mere illusions, cruel constructs I’d built in my head and heart, that, apparently, only I shared.

Most men aren’t good at anniversaries. Our internal calendar has only a few permanent, red letter dates in it – wedding anniversary, birthdays of our spouse and children, Valentine’s Day, and opening day of deer season. Everything else is just penciled in, and fades very quickly.

We don’t remember the anniversary of our first date, or our first kiss, or the first time we told someone we loved them.

And we damned sure don’t remember the restaurant, or what we were wearing, or what movie was playing. But it was probably a chick flick, because that’s what you wanted to see, and honestly, we could care less about the movie, anyway.

But the day a man comes home to find his wife and child gone, with nothing left behind but a note…

…that’s one that will be seared into your memory forever. Trust me on that one.

And when you read the letter and come to the realization that the reasons for her leaving were largely your fault, it shakes you to your very core. You look in the mirror and don’t much like the man you see there. You aren’t the man you could have been, or the husband you should have been, and the reason for being both of those things has gone forever.

But I get ahead of myself. We were talking about anniversaries. And to understand how this one came about, we have to go back to where I was when it all began…

**********

I’ve been aloof most of my life. My friends may have trouble believing that, but it’s true. I’m the youngest child of five. My parents were good people, but they had their flaws – big ones. My childhood was not idyllic, but neither was it abusive. There was pain aplenty, but there was also laughter.

But when I was a kid, I’d imagine my future, and see in it nothing but pain and misery. I saw failure. My mother gave her children many wonderful things, both inherited and nurtured, but she also taught us all the lessons we needed to fail. I was determined not to learn those lessons.

In my college psych classes, I learned of John Locke and the tabula rasa, and suddenly my childhood made sense. I may have been born with a blank slate, but the things being inscribed on it were hopelessly muddled. If I was going to have a clear path in life, I needed a new author.

Me.

In the great nature vs nurture debate, count me squarely on the side of nurture. I became a Lockean empiricist at age twelve, before I even knew who John Locke was. I was going to be the author of my destiny, and to do that I had to get as far away from my family as possible.

I suppose that’s where the aloofness comes from. When you’re twelve, you can’t just run away to join the circus, no matter how well it worked for Dennis the Menace. So when you can’t attain that physical distance, what you do instead is start distancing your mind. And your heart. When I was a child, my mother would often tease me about being off in my own little world.

If she only knew.

My brother Terry was my refuge. He was older than I, already a man when I came into this world. And when life at home became too difficult to bear, his home was where I ran. He raised me, taught me how to be a man. All the wonderful gifts my mother passed to us with her genes, Terry taught me how to use. For all life’s lessons my father tried, and failed, to teach me, Terry pointed out the same lessons in the example my father set. Dad was a poor teacher, but he set a good example. My brother and I were both grown men before we understood the importance of that example, and learned to forgive all the missteps Dad made along the way.

I’ve got three sisters. If I died tomorrow, they probably wouldn’t be at the funeral. Not because they don’t love me, but because I haven’t bothered to know anything about them for twenty-five years. I couldn’t tell you their addresses, or phone numbers. Whoever makes my funeral arrangements wouldn’t have a clue who to call. I have nieces and nephews I’ve barely met, and grand nieces and nephews whose names I haven’t even bothered to learn.

I don’t even remember their birthdays, Terry’s included. I have a twin sister with whom a feel absolutely no kinship, but at least it’s easy to remember her birthday.

In my family, I’m the arrogant asshole brother who thinks he’s better than the rest of them. And if I cared what they thought, that would bother me. But I don’t, so it doesn’t, and it’s probably true anyway.

I was confirmed in the Episcopal Church after being raised as a Methodist. Mom hated that. Terry and I attended an Episcopal church which had a rather affluent congregation, and my mother, predictably, saw us as social climbers who didn’t know our place. What should have been a joyful occasion was made less so by her bitterness and resentment.

Our priest was a gentle bear of a man named Frank Swindle, and during those tumultuous teenage years, he became more of a friend and mentor than simply the man in vestments we saw every Sunday at mass.

Shortly before I graduated high school, Frank took me to lunch. We were sitting on the levee watching the Ouachita River, eating our lunch, when I confessed to Frank that I felt alone. Not just lonely, but on life’s path all by myself, with no one to consult for guidance. And that was okay, because I was pretty sure of the accuracy of my own map. But sometimes, just sometimes, I wished I could see someone else taking that same road, just to be sure I wasn’t lost.

He didn’t answer me by telling me to seek God. He wasn’t that kind of priest. He knew I knew all those things. He sermonized on it every Sunday. He lectured us on it in confirmation class. Private conversations with Frank were a little, well…earthier.

Instead, he asked me a question that floored me. He just nodded thoughtfully, and quietly asked, “Are you gay, AD?”

“Gay??” I spluttered with all the shocked incredulity a male heterosexual teenager could muster. “What in the world would make you think that?”

“You speak of walking alone through life, of no one knowing who you really are. Of wishing that you could find someone out there who felt the same. Gays are forced to walk a very lonely path in our society. It’s even more lonely when you deny to yourself and your loved ones what you really are.”

“Uh, well,” I assured him, “I am most definitely not gay. I like girls.”

“And yet I’ve never met a girl you’ve dated,” he pointed out.

Yeah you have, Frank. Tracy Shipman from our youth group, in the back of a cotton trailer during our fall retreat. But if I told you that, you’d put an end to the youth group retreats.

“Well, that’s because the kind of girls I date aren’t exactly the type I’d introduce to my priest,” I said instead. It was even true. Frank was my priest, but I didn’
t tell him everything. I’m Episcopalian, after all, not Catholic.

“Okay, fair enough,” he said. “So you’d rather rely on no one in this life but yourself, yet you fear being alone.”

“Yeah, that’s it in a nutshell.”

“Life is hard,” he told me. “It’s a big shit sandwich, but we are given the choice of whether we want it on white or whole wheat. Going through it without a companion is most definitely white bread, with no condiments. It’s bland and tasteless.”

“I’ve had plenty of companions, Frank,” I protested. “Plenty.”

“You’re a seventeen-year-old boy,” Frank snorted, rolling his eyes. “Whatever number you give me, I can probably divide by three and still be on the high side. But that wasn’t what I meant. I’m not speaking of fucking. I’m talking about loving someone. Sooner or later, you’re going to have to trust someone enough to let them in. You can’t have joy in your life until you open yourself to the possibility of it. That means risking pain, too.”

“Maybe so,” I muttered dubiously. “Have you ever felt like that, Frank? Does it make sense to you?”

“I’m the son of an oilfield roughneck who grew up in Perryville, Louisiana and became, of all things, an Episcopal priest,” he chuckled. “Yeah, I know all about walking lonely paths.”

“And how did you find joy in your life?” I wanted to know.

“You’ve met my wife and daughter,” he winked. “You tell me.”

**********

I was twenty-seven when we met. I had just moved to Podunk after quitting the Little Ambulance Service That Could. I was cocky, arrogant, and thought my personal feces were not odorific.

You know, much like today, except that as I’ve gotten older I’ve realized that my feces actually do carry an odor. If you follow me into the bathroom, you may even catch a faint whiff of lilacs and jasmine. Sometimes honeysuckle, depending on what I’ve eaten.

I was also single, and busy sleeping my way through a growing collection of ER nurses. Not a playah, mind you, more like a serial monogamist with Relationship ADHD.

Okay, I’ll admit it. I was an asshole. Only no one thought I was an asshole, because I was charming and funny. Humor can be quite a useful disguise for misanthropy, you see.

And there was this ER nurse who had this…something that I couldn’t quite put my finger on. I first noticed her when I transported the husband of one her co-workers, an LPN who worked the med/surg unit. Or, more accurately, that was when she first noticed me.

I took the old man out of PGHNSTRACH’s ICU (so designated solely because it had a telemetry monitor and close proximity to the nurse’s station and the crash cart) to the Big City for treatment of his CHF. He wasn’t in good shape when we started, and got worse along the way. He crumped, and I had to intubate him and start a dopamine drip. He died a couple of days later.

She noticed me because I spoke gently to her co-worker, and took time to reassure her and coax a smile with a joke or two. I also took the time to call the hospital back and give them an update on his status. Apparently that wasn’t typical behavior for the medics in Podunk Parish at the time, and it got her attention. For me, it was nothing special. It was simply what I always did.

I didn’t really notice her, though, because once I took report and packaged my patient, the nurses just faded into the background. I didn’t see them as people; they were just a part of the furniture, wearing scrubs the same shade of institutional green as the upholstery. Unfortunately, that was also something I always did.

I first took notice of her when I brought an arrest into the hospital one day. I’d gotten a pulse back in the field, an all-too-rare occurrence in rural EMS.

My patient was still teetering on the brink of arrest when we arrived at the ER, and I anticipated having to hold the ER doctor’s hand and tactfully “suggest” all the things he needed to do in order to stabilize the patient, an all-too-common occurrence in rural hospitals back then.

Only I didn’t need to take over. The nurse did it for me. She gave orders like you’re supposed to give orders; calmly and politely, but with the undertones that say unmistakably I Will Be Obeyed. She cracked a joke or two, kept everyone loose, and ran the code. She was the Charge Nurse, and I say that with the capital letters because, rather than just being the poor nurse saddled with the responsibility for that shift, she was in charge, and everyone there knew it.

Including the doctor.

I remember thinking to myself, “Damn, she thinks like a medic.”

Thirteen years ago, that was the highest praise I could give.

And as I watched her work, it occurred to me that she reminded me of, well…me. I mean, not me as I muddle through the rest of my life, but me at my best, when I’m working with a patient. When I’m in my zone. She was all the things I’m most proud of about myself, only with big boobs and deep, expressive brown eyes. And long, dark brown hair. And a smile that lit up her entire face.

And I knew right then I had to go out with this girl. So I got Effeminate Partner to introduce us, and eventually I summoned up the courage to ask her out to dinner.

It didn’t take many dates before I realized what that certain thing was that I couldn’t put my finger on. Not only was she everything I liked about myself, she was also everything that I wasn’t, but wanted to be. She was warm. She was genuine. She was tender and caring. I was none of those things, but I had developed a knack for faking it.

And she was all of the above, yet still capable of ordering a burly and belligerent cop out of her ER, lest she kick his ass before she got him fired.

And she could make you believe it, too. She had spunk.

And despite my best acting, she could tell I faked it. She called it my Paramedic Face. It resembled whatever mask I needed to wear to get the job done, and it was convincing to everyone but her, but she recognized it for what it was – just a mask.

And she finally convinced me to drop it, and she didn’t run away. Every ugly thing I told her about my childhood, my past relationships, my career…all of that she countered with a gentle smile and, “So? That’s who you were. But who do you want to be?”

I didn’t know right then who I wanted to be, but I knew that night where I wanted to be.

When I dropped her off at her truck that night, she stood outside and asked me, pensively, “Soooo, what is this? This thing between you and me? Where are we going?”

I thought about it for a minute, and answered, “I suppose this ‘thing’ is us. Not ‘you and me’, but ‘us’. Like, boyfriend and girlfriend.”

“You sure that’s what you want?” she asked. “Because I’m serious. This is not casual for me.”

“It’s not casual for me, either,” I assured her. “I love you.”

She smiled big enough to light up the parking lot, but chuckled, “I’ll bet you’ve said that to every nurse you’ve dated.”

“I haven’t said that to anyone, not even family, in fourteen years,” I answered honestly.

And she recognized the truth in that, too.

So it began between us, and from that point forward, it was us; a whole that was greater than the sum of its parts. A couple of months later I proposed to her, kneeling next to the jewelry counter at Dillard’s in the Galleria mall in Houston, Texas.

Effeminate Partner had helped me pick out the ring the week before, and helped me carefully lay my plans for the big day. Four of us – me, Effeminate Partner, The Girlfriend and her cousin – went to Houston for the weekend. The plan was, when we went to Six Flags Astroworld, we’d have The Girlfriend paged to the Looney Tunes Village, and I’d have Bugs Bunny present her with the ring, and ask her to marry me over the park PA system.

Six Flags refused to do it. They wouldn’t let me ask her over the PA system, wouldn’t even let Bugs give her the ring. Bastards.

Hey, Astroworld? I’ve got three words for you: Disney World, bitches. That’s why people go to Orlando or Anaheim and wear their little Mickey and Minnie top hats and veils, instead of your park.

Anyhoo, I had to resort to Plan B, which was effectively summed up by EP as “whenever it feels right.” Whenever it felt right turned out to be the Dillard’s jewelry counter, me with wet ass and knees from falling at the ice-skating rink. Still, everyone who saw it applauded, The Cousin said, Awwwwww,” and Effeminate Partner cried like a little girl.

Most importantly though, The Girlfriend said yes, and became The Fiancee. Six months later, she became The Missus.

Effeminate Partner and Farting Partner and several other partners I’ve not mentioned were my groomsmen, although to be fair, we seriously considered EP for Maid of Honor. As it was, he bawled through most of the ceremony, and endured a merciless teasing from the rest of my groomsmen. Looking back at it now, I realized that my half of the wedding party was entirely EMS people.

I’m not really sure if that’s a healthy thing or not.

**********

To be continued…

Foolish

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When you decide to go squirrel/hog hunting in an area unfamiliar to you, it behooves you to a) bring your friggin’ compass like you do every other time you go into the woods, b) watch the weather reports for predicted thunderstorms, and c) bring the skeeter repellent into the woods with you, in the event that the torrential downpour washes off all that lovely DEET.

Because if you don’t, you may find yourself imitating a certain Ambulance Driver, who walked his soggy ass an untold number of miles today until he could find a logging trail that lead to somewhere, and who was so thoroughly lost that we he finally did hit a dirt road, he walked another couple of miles in the opposite direction of his truck. When he finally gave up and turned around, he discovered his truck parked around the bend only 300 yards from where he popped out of the woods.

Aaaarrrgggh!


Killed a few limb rodents, saw some fresh hog sign but no hogs, and saw plenty of mosquitoes big enough to shoot. I resisted the urge, though. I needed a .375 H&H for these skeeters, not a little .17 HMR.

And to the logging truck driver who passed me trudging down a muddy road in the middle of a monsoon, and didn’t even slow down?

I hope I meet you again, buddy. I really do.

Overheard at Work This Morning

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Black EMT (logging onto the computer): “Awww, shit. AD, they assigned me the racial and cultural sensitivity test!”

AD: “Yeah, me too.”

Black EMT: “Can you give me the answers?”

AD: “Lemme get this straight…you’re asking the honky for the answers to the racial and cultural sensitivity exam?”

Black EMT: “Yeah, can you help a brutha out?”

AD: “I would, but if you flunked it anyway, that would be construed as just another instance of The Man keeping you down.”

Prognostic Indicators

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Anyone who has been in emergency medical care for some time is aware of those clinical findings that herald instability; prognostic indicators that typically point toward a more stormy course of care when they’re present.

For instance, there’s the infamous “two word dyspnea,” in which the patient has to pause for breathe between every two words:

“I can’t – *pant, pant* – breathe.”

When you see that in your COPD or CHF patient, you know that the chances are high that your patient will be undergoing the PVC challenge* very soon.

Poor prognostic indicator.

On the other hand, if they say, “Well I can’t breathe and it’s been going on for three days now and it really gets worse at night and I’ve tried Vick’s Vapo Rub and a humidifier and I’ve been coughing up this green nasty stuff and I even tried my cousins inhaler and nothing seems to help and I think I may have pneumonia or Legionnaire’s Disease because I Googled it and it matches my symptoms perfectly…

…and they can do it without even pausing for breath, then you know that they’ll probably be discharged before you can complete your paperwork, or they’ll sit in the waiting room long enough to grow roots before they ever see a doctor. You just give them a little supplemental oxygen and a ride, and you try your best to keep the eye rolling to a minimum.

Positive prognostic indicator.

Well, I have discovered another prognostic indicator that we’ll dub “two whimper pain.”

If your patient has pain to such a degree that they must groan or whimper at least twice between every word of their history:

AD: “What’s wrong, Ma’am?”

Patient: “I – *groan, moan* -be hurtin’.”

AD: “Where?”

Patient: “My – *whimper, sniffle* – chest.”

AD: “What’s your name, anyway?”

Patient: “Sh’aronapathia – *whimper, yelp* – Smif.”

AD: “Uuhhh, can you spell that?”

Patient: “S – *moan, groan* – H – *whimper, moan* – apoxcrafee – *whimper, moan* – …”

…then they are more than likely full of shit. The more agonized groans and whimpers inserted between every word, the more full of shit they are.

Just call that a helpful tip from your Uncle Ambulance Driver, kiddies.


*endotracheal intubation

Y'all Please Welcome…

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Voodoo Medicine Man to the blogosphere.

If you follow the medblogs, you will posilutely, absotively luuuurve this guy. Think Scalpel, White Coat and all the docs from MDOD all rolled into one. He’s smart, he’s funny, and he’s going to make for some damned interesting posting.

Y’all go by and give him a welcome welcome, would you?

EMStock After Action Report…

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…in which AD spreads the linky love.

As soon as I got back from EMStock, The Borg got their hooks into me for an entire week, so I’m a little late in posting my after action report.

Folks, it was more fun than a room full of hookers and nitrous oxide.

Not only were there participants there from as far away as Edmonton, Alberta and London, England, but the conference faculty was as distinguished as any you’ll find at either of the two major national EMS conferences.

Well, aside from myself, of course.

The weather was gorgeous, the barbecue and chili were fantastic, and the beer flowed like water.

I’m not kidding there. No sooner than TOTWTYTR and I could deplete our supply of adult beverages, a jolly little elf would magically appear and leave a couple more cases of Rahr Brewery’s finest in my redneck beer cooler.

We had the privilege of being the first humans to consume Rahr’s new Blind Salamander Pale Ale (JB, eat your heart out), and TOTWTYTR pronounced it quite tasty. He tried to explain its unique flavor, but I’m afraid the lesson was wasted on myself and Mr. Fixit, who both seem to share the same basic requirements for beer: cold, wet, and paid for by someone else.

In between CEU sessions, we gorged ourselves on barbecue and free beer (and sometimes did all three at once), and swapped many an entertaining war story. As Mr. Fixit put it, you know that any EMS war story that begins with, “So we pick up one of the local transvestites…” has got to be good.

Saturday afternoon after our comedy routine, I had a chance to break bread with LawDog and Phlegm Fatale, and join Phlegmmy on her search for the truth behind the legend of the Waxahachie courthouse.

Or, as I like to call it, the search for the pudenda ’round the rotunda.

I am pleased to report that LawDog and I found the carving in question in roughly 30 seconds, flat.

Of course, the lights were on and there were no covers over my head, either. That always helps.

The vendors were particularly generous with the free schwag, and even I – unlucky sad sack that I am – was able to come home with a few nifty door prizes.

In fact, about the only thing missing in abundance was actual attendees. We had a decent turnout, but not quite what we expected. Part of that can be blamed on the aftereffects of Hurricane Ike, but most of it can be laid right at our own apathetic doorsteps. We had an EMT from London, England, who travels here every year just for this conference, yet the EMTs from the local service and fire department didn’t even bother to attend.

When it comes to EMS education, most of the rank-and-file EMTs I’ve met want something for nothing. They bitch about lack of quality CEUs (usually about 30 days before they’re required to renew their licenses), but they don’t want to actually, you know, pay for any of them.

You know what the registration fee was for EMStock this year?

Twenty measly bucks.

Aside from the money spent on gas, that was my total investment.

Need food? Either buy it cheap from one of the conference organizers, or just wander up to the nearest grill, introduce yourself and grab a plate. We did that all weekend.

Need beverages? Rahr Brewery had you covered, and the non-alcoholic stuff was plentiful and cheap too.

Need lodging? Either camp out like we did, or grab a cheap hotel room. The camping was free. The hotels cost about what you’d expect in a tourist mecca like Midlothian, Texas. Which is to say, dirt cheap.

Need entertainment? 281 South played a full concert, as did Steven Fromholtz, poet laureate of Texas. A certain couple of smartassed EMS bloggers even told stories about killer ostriches, Sumdood and his cousin Sumdoap, and the Modified Scrotal Lead.


Need fellowship? Folks, that’s the most fun about EMS conferences. Aside from the educational opportunities, you get to meet the coolest people, and discover that no matter where you work, patients are the same everywhere you go, and so are the EMTs. And yeah, Sumdood has been on a rampage in their town, too.

Y’all need to make plans to attend EMStock 2009, no matter where you live. And by the way, if you’re wondering what LawDog looks like…he’s the one on the far left.

Blatantly Stole This One From Rev Medic…

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…over at EMS Haiku, but it’s so pee-your-pants funny, I couldn’t resist.


For any of you EMTs who have ever worked systemic sadomasochism system status management, you probably feel our pain.

Lately, Rev Medic and Keep Breathing have really been rocking the medical and EMS demotivational posters. Y’all should go check ‘em out.

The Reviews Are In!

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…and here’s what the critics had to say about last night’s seizure performance by Tameka Rashonda Shopaqualethia De’Nae Guidry (but her friends call her ‘Boo’) of Malingering Acres FEMA Trailer Park and Crack Bazaar:

Absolutely unbelievable – and not in a good way. A wooden and unconvincing performance. Two thumbs down!
Ebert and Roeper At The Movies

A thinly drawn and poorly acted caricature of an actual seizure. I give this one one star out of four.
Rex Reed, The New York Observer

Dull and uninspired. Tameka appears to have graduated from the Mark Walhberg School of Acting. Steven Seagal looks more animated, and this woman was supposed to be having a seizure! I actually thought she was trying to clear a wedgie.
– Michael Medved

When we think of classic seizure performances, masterpieces like the Ranger Lieutenant in the barracks scene in “Black Hawk Down” or Robert Pastorelli’s spellbinding rendition of the burnt worm in the Schwarzenegger hit “The Eraser” come to mind. Well, Tameka Guidry is no Robert Pastorelli. Don’t bother seeing this one.
– Leonard Maltin

A bravura performance! An epileptic tour de force! Tameka Rashonda Shopaqualethia De’Nae Guidry turns in a harrowing, multifaceted performance of a woman felled by tragic illness, fallen through the cracks of society, abandoned by an uncaring and discriminatory healthcare system. Just watching her gut-wrenching portrayal of a grand mal seizure brought tears to my eyes! And when Obama is elected, he’ll make sure that people like Tameka all get free healthcare, and a pink unicorn that poops sparkly marshmallow rainbows. I give this one six out of five stars!
- Libby Blustadter, The Village Voice

This is a seizure? Where’s the bloody tongue? Where’s the urinary incontinence? Where’s the postictal period? You mean she conned some clown out of a Dilantin prescription for this???
– Nurse Cynic, Big City Memorial ER

Try method acting, Boo. This performance won’t even get you a whiff of a Valium syringe.