Skip to content


Overheard On The ‘Bolance

15 comments

Patient: “I don’t want to go to no hospital. I ain’t got no ride home. I’ll just go stay in my neighbor’s trailer tonight.”

Deputy: “The medics just told you one of those cuts might need a couple stitches. Ain’t there somebody you can call to give you a ride home from the hospital?

Patient: “There would be, if I could find my cell phone. Muhfucka threw it somewhere ‘long with all them bottles he throwed at me.”

Ambulance Driver: “There’s a cell phone right there next to you on the sofa, Ma’am. Problem solved.”

Patient: “That’s my government phone. It only calls 911.”

Ambulance Driver: “Wait, you have a government-supplied cell phone, and a personal cell phone? That you, like, pay money for?”

Patient: “Yeah.”

Deputy (disgusted): “Remind me why my taxes are higher this year? Something about needing more revenue to fund essential government programs?”

Public Service Announcement

9 comments

If you are 25 years old, with no appreciable health history…

… and you’ve been sleeping in an awkward position for several hours…

… and the limb you’ve been sleeping on is numb and tingling when you finally awake…

you are not having a stroke.

You most certainly are an idiot, and quite possibly a candidate for forced sterilization to prevent you from further contaminating the gene pool and raising a passel of mouth-breathing, knuckle-dragging, booger-eating cretins that bear a strong familial resemblance to yourself…

… but you are not having a stroke.

Although now I am.

A Helpful Hint From Your Uncle Ambulance Driver

10 comments

Protip: If you have imbibed a bit too much of the spirits, and you pass out naked in bed, whereupon you suddenly realize you are about to lose control of your bowels and bladder like a veritable Vesuvius of feces…

… then the place to run is the bathroom. The. Bathroom.

Whatever happens, do not – I beg of you, do not – run around your apartment like the flight of the shit bumblebee, and then hasten to the farthest reaches of said apartment, hastily pulling on your clothes while you are still erupting.

If you do, expect that neither will I be sympathetic to your plight, nor the slightest bit inclined to help you clean up.

Then again, perhaps I’m expecting too much of someone who thinks it’s appropriate to call 911 when they have the tequila splatters.

Chief Complaint of the Night

7 comments

Patient: “I play too many video games.”

AD: ” … ”

Patient: “And they make me itch.”

AD: “And?”

Patient: “And it kinda scared me.”

AD: “And?”

Patient: “And I think I need to go to the hospital to get checked out.”

AD (sighing): “Get in the ambulance.”

Patient: “Can I bring my video game?”

AD: ” … ”

As you may have surmised, his mental cheese was none-too-firmly affixed to the reality cracker.

Makes me glad to be an intrepid lifesaver, yessiree…

Soul Callus

30 comments

0600, only a few minutes from shift change. It's been a long night, and we're finally getting around to washing the rig and completing station duties when the call comes in, "Cardiac arrest."

Betty Rubble's demeanor vacillates between excited and pissed off. That first part comes from the natural adrenaline rush that accompanies true emergency calls, where speed and skill really do matter. All rookies get that rush. The second part comes from the realization that we're going to get off shift late, yet again, and we wonder why it's always our truck that gets fucked with the late calls.

That second part, she gets from me.

"It's a 'woke up dead' call," I tell her tiredly, attempting to rein in some of that enthusiasm.

Or perhaps quash it, I can't really tell anymore.

She looks at me questioningly, and I explain. "It's 0600. Somebody just woke up and found their family member dead. Likely as not, they've been dead a while, and all we're going to do is pronounce it."

En route to the scene, the data temrinal flashes new call info, "Law enforcement officers on scene, CPR not in progress."

"See what I mean?" I tell her, pointing to the screen. "Cops aren't even doing CPR. Probably rigored up and everything. All we'll do is gather information and run an asystole strip for the coroner, maybe explain the situation to the family. We'll be done in ten minutes."

And as we pull up to the high rise, I see a body crumpled on the lawn, and crime scene tape being strung around the scene. Officers are staring up at an open fifth floor window, lighter than the others around it because this one is missing its screen. Relief floods me as I realize, "Oh great, it's a suicide. Crime scene – even less paperwork for us."

I say as much to Betty Rubble.

She looks at me questioningly, and I point my flashlight up to the open window. "Somebody took the Nestea plunge out their window. Cops aren't gonna want us in there contaminating their scene. We can clear from this as 'no patient found'. No paperwork at all."

Still, I think it prudent that I examine the body, at least, perhaps check a pulse. I tell Betty Rubble to stay outside the tape to limit scene contamination, and carefully approach the victim. From ten feet away, the misshapen body and livor mortis tell me he's far beyond resuscitation. I check a pulse, feel the coldness of his skin, and back away.

Outside the scene tape, the crew from the backup unit is chatting idly with Betty Rubble. Nearby, a cop's radio crackles, "Door was unlocked, found the suicide note on his bathroom counter."

"Wonder what it said?" muses the medic from our backup crew.

"I dunno," I speculate. "Maybe 'Goodbye, cruel world?' Or perhaps, 'If my calculations are correct, these wings should provide me with just enough lift to…'"

Everyone within earshot dissolves into fits of laughter, and I grin.

And then I look up to see the faces staring down at us from other windows, and my grin fades in a wash of shame.

And I ask myself what sort of example I'm setting for Betty Rubble, and the answer is all the more shaming.

"Come on," I say brusquely, "let's go before we catch another call."

On the way back to the station, I stare out the window and wonder when the hell I lost my humanity, and why I didn't miss it when it left.

Overheard On The Bolance

6 comments

Dispatch Drone: "Head quarters to Borg Cube 69."

Ambulance Driver: "Go for 69."

DD: "69, we need you to respond to Fydallo Ho Expressway eastbound near the Chili's, red Chevy Silverado pickup pulled over in the emergency lane with his hazard lights on. 38-year-old male with a spider bite."

[sounds of AD banging his head against the dash]

AD: "Aaahhh, Dispatch, could you repeat your traffic? That came through kinda garbled."

DD: "Fydallo Ho Expressway, eastbound,  at mile marker 29. Red Chevy Silverado pickup, driver says he's – "

AD: "Um, yeah, Dispatch. Guess you weren't garbled after all. 69 responding to the emergent spider bite pulled over one mile from the hospital."

[more sounds of AD banging his head against the dash, whimpering in despair for the human species]

*** five minutes later ***

DD: "69, you can cancel your call. Patient says he's gonna try to make it on to the hospital himself."

AD: "I'm sure it'll be an ordeal, but here's hoping he makes it alive, Dispatch. Godspeed to you, Spider Bite Man, Godspeed…"

Mother Of The Year

20 comments

Thirty years old.

Eight months pregnant with her tenth child.

At a bar.

At 5:00 am.

Medical history: Significant only for polybabydaddia, chronic and apparently uncontrolled.

Mechanism of injury: An altercation with a candidate for Inseminator, 2011 Edition.

I'll not describe her further, but let's just say that "employed" and "privately insured" are terms rarely used to describe her socioeconomic demographic.

If OSHA knew how much traffic her vagina gets, they'd make her install hand rails.

America: Land of the Free, Home of the… Jingoistic, Bitchy Triage Nurses

29 comments

I brought a patient into the ED early this morning with a medical issue. It was a serious, potentially life-altering medical issue, but the exact condition isn't important. Somehow, during the course of hand-off report to the triage nurse, I mentioned that the patient was fasting during Ramadan. The triage nurse rolled her eyes in disgust.

"Whatever," she spat, "I'm so sick and tired of dealing with these fucking people and their religion."

Yeah, whatever, bitch. I'm kind of sick and tired of dealing with Yankee triage nurses with bad attitudes, but you won't catch me showing it in public. Our mamas taught us to be more polite to people down here in the backward South.
 

I'm quite sure that, if she were to take ill in a middle-Eastern country, she'd be squealing in indignation if the nurses there treated her like an animal because she was Christian. She'd probably use it as moral justification for condemning Muslims as barbarians.

Some people I just wish would get the hell off my team, you know?

And She Gets a 2.5 From The East German Judge!

16 comments

I think the next seizure faker I get, I'm going to gather the EMS crews and ED staff around to hold up little score cards for when she comes out of her "seizure." (wink wink, nudge nudge)

Only problem is, no one has yet devised a scoring system. Should there be compulsory elements, like in figure skating? Maybe we could require a minimum of three compulsory elements to be chosen from a list; urinary incontinence, genuine-appearing postictal state, non-purposeful movement, a tonic phase that does not include flopping around like a fish, eyes open…

Ooh, oooh, then we could add style elements!

We could add or deduct points for the style and panache of the seizure routine, and how dedicated they were in playing their role! Then our color commentator and analyst could break down her performance for the untutored boyfriend / family / arresting officer the faker was trying to impress:

Announcer: "Johnny, was it just my imagination, or was this routine not up to Latwanda's usual performance standards?"

Color Commentator: "No, it wasn't your imagination, Roy. Not the level of malingering and attention-seeking we've come expect from Latwanda Jenkins at all this season, Roy. She'll be lucky to get bronze in this competition."

Announcer: "So what went wrong, Johnny? It looked to me like she got her minimum three compulsory elements, but the style just wasn't there."

Color Commentator: "You're absolutely right, Roy, she phoned this one in – a really perfunctory performance. But if you look closer, she didn't get all of her compulsories. If we roll back the tape here; there's the urinary incontinence, and there's the non-purposeful movement, and… see that, Roy? Right there! The paramedic leans down and whispers something in her ear in mid-seizure, and her eyes snap open and it's obvious she's fully aware of what's going on around her, Roy!

Announcer: "That look in her eyes would cut glass, John. I've never seen such a look of pure hatred in a competitor."

Color Commentator: "That's Ambulance Driver, Roy. He brings it out in them. Whatever it is he says to them, it really throws them off their game. She's got to hope the judges missed that. It was only a split second, but enough to sink her chances at getting into the medal round."

Announcer: "And what a shame that would be, John. She was Methamphetamine Acres Trailer Park's best shot at a medal this year, after being shut out the last four games."

Color Commentator: "Meth Acres has fallen on hard times indeed, Roy, but she had all the ingredients in place for a bravura performance tonight; a sympathetic family, a rookie cop, a boyfriend she's fighting with, a big crowd of drunken onlookers, and a brand-new EMT on the ambulance. You couldn't ask for a more favorable audience. She just didn't get it done."

Announcer: "A rookie EMT with Ambulance Driver as her partner, John. Let's not forget that."

Color Commentator: "And that's the only thing I can think of that could have derailed her performance, Roy. He shakes up a lot of competitors in this competition, and he's a harsh judge, but if you aspire to be a world class faker, you gotta get by the Ambulance Driver. Let's look at the tape again while we wait for the judges to tabulate their scores… Look at that, Roy. That's not even really good foaming at the mouth. It's… it's almost spitting, and that's dangerously close to – "

Announcer: " – Purposeful movement, John. Good eye, catching that. It also looked like her eyes were closed the entire time, too. If you really want to sell a seizure act, you gotta keep those eyes open."

Color Commentator: "Exactly, Roy. And when he did manage to pry her eyes open, she moved her eyes every which way to avoid the penlight. Rookie mistake there, Roy, really rookie mistake."

Announcer: "And here are the scores… and that's a 5.0 from the ER Tech…"

Color Commentator: "She's an inexperienced judge, Roy. That was way too generous a score."

Announcer: "… and a 3.5 from the ER doc… 2.0 from the triage nurse…"

Color Commentator: "Those triage nurses are brutal, Roy. They are not easy to impress."

Announcer: " … and a 2.5 from the charge nurse… 3.0 from the pharmacy tech… and, wow, only a 1.5 from the admissions clerk! That's gotta hurt!"

Color Commentator: "And rounding it out with a 2.5 from the Ambulance Driver, Roy. After we throw out the high and low scores, that's… 3.2 composite, Roy. That's not gonna be enough to get her into the medal round."

Announcer: "And a huge disappointment for Latwanda Jenkins at the 2011 Malingerer Games. She'll have to wait until 2015 for her shot at redemption, John. The folks back home at Methamphetamine Acres have got to be heartbroken…"

Yep, definitely need a good scoring system, but once we iron out the kinks, this might be as entertaining as the Blood Alcohol Betting Pool, don't ya think?

 

Overheard On a Skype Chat

5 comments

While getting ready to record this week's episode of Confessions of an EMS Newbie, Ron Davis and I had the following exchange:

Ron: "So man, how was your weekend?"

AD: "Not bad. Taught a PALS class on the other end of the state, went jet-skiing on Lake Bruin, took the kids to Poverty Point…"

Ron: "Poverty Point? What's that, some kind of amusement park with a homelessness theme?"

AD: "More like a drive-through safari park, except the animals rush the car with squeegees and beg for spare change."

And now he's got my mind awhirl with what kind of rides a homeless-themed amusement park might have…

Everybody’s Got a Diagnosis

36 comments

Verbatim conversation from last shift:

Patient: “My arm was kind of numb and aching from where I was sleeping on it, and it scared me.”

Ambulance Driver: “Okay. So why all the jerking and flopping around, and the catatonic act?”

Patient: “I have conversion disorder. That’s how I deal with fear, pain and stress.”

Translation: “There is nothing physically wrong with me, but I have such poor coping skills that I react to the slightest emotional distress or physical discomfort by flopping around on the ground like a Tazered fish and making a spectacle of myself. Once I have garnered a sufficient audience of concerned friends and onlookers, I will fake a catatonic state until the ambulance arrives, whereupon I will react to the skepticism of the paramedics by suddenly awakening and declaring my symptoms resolved.”

Nowadays, they have official diagnoses for such conditions; convenient pseudo-scientific nomenclature that absolves people of responsibility for their actions. “I can’t help it, it’s a medical condition!”

Back in my day, we just called it “Being a pussy.”

I think the U.S. would be a better place if our next President would appoint Chopper as Surgeon General. He’s got the cure for what ails us:

YouTube Preview Image

Vote for me! Click Here

Polarized sunglasses, Flashlights, and Hiking boots.