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Please Vote, For a Good Cause!

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Guys, my good friend and fellow EMS blogger Chris Kaiser has put up the Bat Signal.

Chris is in a contest for a bathroom remodel, one that is sorely needed but he can't afford on his salary. His soon-to-be stepson, Connor, is a special needs kid and needs assistance that cannot be provided in the current iteration of his bathroom.

Now, you guys know about KatyBeth, so it goes without saying that I have a special fondness for children with special healthcare needs and the dedicated parents who care for those kids. I'd really, really, REALLY like to see Chris, Amy and Connor win this contest. 

We need your help. It doesn't require any money from you, just your support.

Go hit up his site and read the post to learn how you can help, and please, vote early and vote often.

Like the Facebook page while you're at it, and spread the word to your network of Facebook friends. He's only a few hundred votes behind, and I'm dead certain that my readers and our extended network can overcome that gap.

So please, do me and Chris a solid, and go vote for him. I know Connor and his parents would appreciate it, and I can't think of a family I'd like to help out more than them.

Did I forget to mention that you should vote early and often, and tell your network of friends to do the same?

Onward, my legion of flying monkeys! Together, we shall put Chris over the top!

 

Overheard On The Bolance

1 comment

AD: “Heh. She doesn’t seem delusional and paranoid to me.”

Deputy: “Trust me, she is.”

AD: “Based on what?”

Deputy: “Well, for starters, this isn’t her house. The owner of this house found her this morning hiding in her kitchen cabinets, afraid people were after her.”

AD: “Um, yeah. Well. Wow, what do you say to that, ‘Hand me my muffin tin, and check my mousetraps while you’re under there?’”

Logic Fail?

19 comments

Our favorite hoplophobe, Lucy Hornstein, the physician who refers to Second Amendment advocates as sociopathic domestic terrorists, has been heard from.

In comments on this post, Dr. Hornstein writes:

Non-events are wonderful. Too bad they (and concealed carry in general) have nothing to do with 32,000 firearms deaths last year (20,000 suicides). You sound like the folks who refuse flu shots because they’ve never gotten the flu. Logic fail.

Actually, we’re not like anti-vaccine activists at all. In fact, the guns we lawfully carry are our vaccine against firearms deaths.

And given the abysmal rate of effectiveness of the flu shot against this year’s strain, ours might even be more effective.

I was talking about encounters with lawful gun owners. Lawful gun use, either by police or in lawful self-defense by civilians (and that doesn’t count defensive gun uses in which no shots were fired, which outnumber defensive shootings by several orders of magnitude) comprise only a small fraction of yearly firearms deaths.

Those so-called “assault weapons” she wets her britches over comprise only a tiny fraction of annual firearms deaths, even counting mass shootings like Aurora and Newtown, and despite the fact that they are the most popular sporting arm in America today. There are many millions of AR15 rifles out there.

In fact, long guns only account for 300-odd yearly firearms deaths, and AR15 pattern rifles only represent a small fraction of that number.

The demographic most responsible for firearms deaths are young, inner-city, unemployed black males engaged in the sale or purchase of illicit pharmaceuticals.

If we really wanted to do something meaningful to reduce firearms violence, we’d target that demographic, by some means other than passing yet more ineffective laws to add to the laundry list of the ones they’re already ignoring.

Dr. Hornstein cannot seem to grasp the fact that the firearms restrictions she wants will only affect the 99.88% of gun owners who are law-abiding, and affect those who are committing gun crimes not at all.

In fact, concealed carry permit holders have proven to be far less likely to commit a crime than her allies in bedwetting hysteria, Mayors Against Illegal Guns.

So yeah, there is definitely a logic fail involved here.

But it wasn’t mine.

For Tamara

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You may be so physically and emotionally drained right now that you don’t realize this, but…

… the hard part is over. The cancer is gone, and the dread and uncertainty is over, and the recovery is going to be much less daunting than you imagined.

Because ultimately, a small skin graft on your nose doesn’t make you one bit less Tamara than you were before this all started, and your friends know that Tamara kicks so much ass they have to import foreign ass to meet the demand.

Why else do you think they brought Piers Morgan over here?

A Non-Event

31 comments

My last patient was carrying a gun. Scary-looking biker type, complete with beard, bandanna and leathers.

I saw him hand the state trooper his Louisiana Concealed Handgun Permit along with his driver’s license, just like he’s supposed to.

The trooper’s reaction?

He asked my patient if he was currently carrying, which my patient answered in the affirmative. “Fair enough,” the trooper shrugged. “You don’t go for yours, I won’t go for mine.”

When I started to remove his leather vest and riding jacket, the guy told me, “I’ve got a pistol in my left inner vest pocket.”

Other than to think, “Won’t do you much good there if you need to get it out quick,” I was okay with it.

“Is it holstered or just in the pocket?” I wanted to know. “Anything in the pocket with it that might snag the trigger?”

“Nope,” he grunted, grimacing as I splinted his arm. “It’s in a pocket holster.”

“Fair enough,” I allowed, stashing his leathers on the pass-through shelf behind my captain’s chair. “I’ll have to turn it over to hospital security when we get to the ED. You’ll get it back when you’re discharged.”

The guy said little else, spending the rest of the trip wrapped in the sweet, sweet embrace of Fentanyl.

When we got to the ED, I told the charge nurse, “Might want to radio security. We’ve got a weapon to secure.”

Charge nurse shrugged, held out one hand for the man’s leathers, and keyed the radio mike with the other.

As we wheeled our patient to his room, the charge nurse nonchalantly thumbed the cylinder latch and unloaded the weapon. Gun and five rounds went in a Zip Loc specimen bag on the desk next to the computer where the nurse was charting.

Another nurse walked by and peered at it. “Smith & Wesson 642,” he grunted in approval. “Got one just like it in stainless in my truck console outside.”

Security guard ambled up, took possession of the weapon, briefly jotted down an inventory receipt and had the nurse witness it, and moseyed back to his office to finish watching his television program.

No cops were called. No pants were shat. No one treated the weapon as if it were radioactive. A couple of patients’ family members were standing nearby, and witnessed the whole exchange. I can’t be sure, but one of them might have yawned.

It was a non-event.

And why should it be anything but? What’s the big deal about a guy exercising his Constitutional rights? Similar episodes play themselves out all across the country every day, probably hundreds of times a day.

Nobody looked askance at the guy. Nobody looked at him as being particularly threatening just because he happened to have a gun.

He was just a guy.

A guy with a gun.

To the hoplophobes, the gun makes him dangerous.

Well, I should certainly hope so, to the right people. If a guy is trying to do him harm, rob him of his possessions and make him pray for the criminal’s restraint in stopping at possessions rather than his life as well, well I hope he’d be friggin’ lethal to that guy.

I hope he’s badassed enough to stick five of those +P hollow-points in Bad Guy’s left ventricle with a smile on his face and a song in his heart.

But to the rest of us? He’s just a guy. Nothing especially threatening about him at all, unless you’re a bad guy, or so unreasoningly paralyzed by fear of an inanimate object that you can’t tell him and the bad guys apart.

For the rest of us that master our fears, they’re not so hard to tell apart at all.

For You EMS Types…

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… Gene Gandy and I drag the first of a few EMS sacred cows to the slaughterhouse in EMS World Magazine.

This month, it's analgesia for abdominal pain.

Look for other closely held dogma and false assumptions to be rudely hacked to pieces in future columns.

Sumdood’s Army

6 comments

More leftover free ice cream:

**********

"What is your last name, Sir?" I ask, watching the guy with the dank, greasy hair sitting at the triage desk, nervously wringing his hands.

"Gol," he simpered. "G-O-L."

"And your first name?"

"Smea. S-M-E-A," he answered, baring his rotted teeth in an obsequious grin. He grimaced and cleared his throat painfully.

Eeeeewwww. Somebody has the meth mouth.

"So what brings you to the ER today, Mr. Smea Gol?" I ask absently, looking over his shoulder at the gathering horde in the waiting room.

Jesus, it must be a Malingerer National Holiday or something. Every drug seeker in three parishes is out there.

"My handses," he whimpers. "Oh, the pain in my handses…"

"Did you recently injure them somehow?" I ask, examining his long, gnarled fingers. He smells vaguely of fish.

"No, nobody hurtses," he assures me, shaking his head vehemently. "Nobody hurtses us! Chronic, it is!" Again, he swallows and clear his throat painfully.

What is it with this guy and the repetitive swallowing? And what's up with the drool?

"Something wrong with your throat, Sir?" I ask. "You seem to be having some trouble swallowing. We can swab your throat and run a quick test, maybe see if it's strep…"

"No!" he snaps, then swallows again. "My handses hurt! Fibromyalgia, it is! It's Vicodin we needs, yes Precious! We mussst have Vicodin!"

I fucking knew it. Do these people think we're stupid?

"Vicodin, huh?" I grunt skeptically. "Who's your doctor? Do you see a pain management specialist?"

"Dr. Simmons it is, Precious – gollum! – Dr. Simmons! Always, always he gives us Vicodin! We wants it. We needs it!" At the mention of Vicodin, his eyes took on a feral gleam.

"Uh huh," I grunt noncomittally, "and Dr. Simmons prescribes Vicodin for your chronic pain? Are you out of your pain meds?"

"No more," he moans mournfully. "Someone stole it, they did. Filthy, tricksy thieveses! Baggins stole it, he did, and leaves poor Smeagol to suffer… no more Vicodins we has – gollum! – no more Somas, no more Xanaxes…"

Riiiight. It's always someone else's fault.

"No problem," I say cheerily, flipping the chart closed and sticking my pen back in my pocket, "all we have to do is call Dr. Simmons, and see about getting your prescription refilled. We don't do that in the ER, you see."

"Nooo!" he cries in desperation, "Mustn't call Dr. Simmons – gollum! – Mustn't believe Dr. Simmons' lieses. Wicked! Tricksy! False! Gollum."

"You look awfully familiar to me," I muse. "Have you been here before?"

"No! – gollum! – Never been to nice hosspital before! We just needses Vicodin for our poor, aching handses…no one cares about usss – gollum! -no one knowses what it's like having fibromyalgia," he whines pitifully.

"I have seen you before!" I accuse, remembering the exact occasion. "You were in here a couple of months ago, trying to score Lortabs for your kidney stones! Smea Gol…Smeagol?? I gave you 50 of Demerol and 25 of Phenergan in good faith, and your fucking renal CT scan was negative! Oh yeah buddy, I remember you."

"Wassssn't usss," he hisses, eyes darting shiftily.

"Sure it wasn't," I sneer. "Well, have a seat in the waiting room, Smeagol. We'll be with you as soon as we can."

"Smeagol wants Vicodin now," he hisses threateningly. "Complain on you, we will! Fuck up your Presss-Ganey scoreses, we will! Oh yes we will, Precious!"

"That's spelled D-R-I-V-E-R," I furnish helpfully, holding out my name tag. "As in Ambulance Driver. Be sure to spell it right on the complaint."

"Massster will not be pleased," he snarls. "Smeagol needses his Vicodin. Smeagol wasssn't supposed to come back without his Vicodin! Master Sum-" Too late, he guiltily claps his hand over his mouth and stares at the floor.

"Master who?" I demand, grabbing him by the throat and pinning him against the wall. "Who sent you? Tell me!"

"Smeagol doesn't know what Fat Paramedic isss talking about!" he whines in protest. "Smeagol just wants his Vicodin! Gollum!"

"Sumdood sent you, didn't he?" I demand. "I want an answer! Where is he?"

"No one can find the Massster," Smeagol sneers spitefully. "Fat Paramedic is too late! And Smeagol brought friendses, yes he did!" he gloats, eyeing the waiting room.

I look at the bloodthirsty horde in the waiting room, and from the corner of my eye I catch a glance of my trauma shears in the pocket of my scrub top. They're glowing with a pale blue light.

Shit, that means fibromyalgia orcs, and now we're surrounded. Sumdood has changed tactics and caught us unprepared.

"Bar the doors and call the ambulance!" I yell desperately to the bewildered clerk as I fling Smeagol bodily through the ER doors into the waiting room. "We need reinforcements now!"

I turn and sprint back into the ER nurse's station. Dr. CandyMan and the Ex Missus both look up from their charts.

"We have a problem," I tell them grimly. "Sumdood has recruited an army. They're massing on our doorstep as we speak."

"Sumdood doesn't work that way," Dr. CandyMan yawns, unconcerned. "He's strictly a solo act."

"He's using surrogates now," I insist. "One of them as much as admitted it, right out there at the triage desk!"

"Let me tell you how Sumdood operates," CandyMan smiles condescendingly. "Sumdood jumps people with no warning, and for no reason. Sumdood plants drugs on innocent citizens. Sumdood steals -"

"He knows how Sumdood operates," Ex Missus cuts him off. "He was thwarting Sumdood when you were still memorizing the cranial nerves in gross anatomy class."

"Oh- Oh- Oh- To- Touch- and- Feel- a- Virgin- Girl's- Vagina- and- Hooters," Dr. Candyman quotes automatically. "It's a really good mnemonic for – "

"Shaddup, Doogie," Ex Missus says dismissively. "We have a real crisis here. How many are out there, AD?"

"Company strength, at least," I answer, my eyes betraying my concern. "Mixed forces. Toothaches, fibromyalgia, migraine patients. Maybe a dozen more wanting work excuses. Throw in maybe thirty with viral gastroenteritis, and probably a good twenty-five more involved in minor fender-benders a week ago that just want to be 'checked out.' And four cave trolls wanting free pregnancy tests."

"Shit, we'll be overrun," Ex Missus breathes. "We need reinforcements. They outnumber us 10:1. We'll be like the Spartans at Thermopylae."

"I've got the clerk calling the ambulance service, and I've barred the doors. Can we get the sick patients transferred out? We need everyone here who can wield a Foley."

"All the other ERs are on diversion," Ex Missus says, fear and realization dawning in her eyes. "There's no place to send them. And the ambulances are all tied up on calls. Medic One is bringing in a combative meth head, and Medic Two is on scene with a frequent flier with toe pain."

"This is not just a probing attack," I confirm. "He's massing an all-out assault on all fronts. He'll stop at nothing short of the total collapse of our emergency health care system."

"Now we don't know that," Dr. Candyman admonishes. "I'm sure they're all just simple sick people, in need of prompt and professional relief of their pain and suffering. We should welcome them in. That's why we got into health care."

"You make a move toward opening those doors, and I'll strangle you with your fucking stethoscope," Ex Missus warns. "I'm not so sure you're not a collaborator. I've seen how they tend to come around when you're on duty."

"I am most certainly not!" he huffs. "Besides, how do we know Sumdood sent all these people?"

"They come bearing the Mark of the Beast," I inform him. "A Medicaid card. And several of them were asking for you by name," I accuse.

"That proves nothing!" he cries desperately, looking at Ex Missus for support.

"No, it doesn't," she agrees, looking at him appraisingly. "But there's one way to prove your loyalty. Go out there and use It."

"No, not that!" Doc CandyMan shakes his head vehemently. "It's…it's too drastic!"

"Desperate times call for desperate measures, Doc," I inform him. "Sumdood has shifted tactics. We have to adapt."

"But surely there's a better way!" he whines, desperately seeking an out. "People will complain! Our patient satisfaction scores will suffer! I'll risk my bonus!"

"Sumdood has gotten inside your OODA loop, Soldier," I tell him flatly. "He's dictating the terms now. We have to take back the initiative. You have to go out there and tell them that we require a $50 copay for all non-emergent cases."

"I won't do it," he says obstinately. "You can't make me."

"You're the doctor," I retort. "You're supposed to be our leader."

"You must understand, AD," he whines. "I can't do it! I would use this Copay out of the desire to do good, but through me it would wield a power too great and terrible to imagine!"

Pussy. We need a tougher wizard doctor.

I look at Ex Missus for guidance, and she nods decisively.

"Do it," she orders. "I'll keep an eye the traitor."

I pull a document from the file cabinet, march out to the ER entrance, and gird myself for battle. The ER clerk, fear and desperation etched into her features, stands with her back to the barred door. Outside, the howls of the fibromyalgia orcs herald their thirst for blood.

Stout heart, AD. And if you go down, go down swinging.

I heft the six-foot, carved rosewood caduceus adorning the ER hallway off of its hanger, and hold it before me like a scepter. Taking a deep breath, I nod for the ER clerk to clear out, and I fling open the doors.

The patients charge.

Standing resolute, I plant the caduceus on the scarred linoleum at my feet and wave the piece of paper in their faces. Taken aback, they screech to a halt and eye my paper suspiciously.

"YOOUUU SHALL NOT PAAASSSS!"I bellow fiercely, eyes glinting with the light of battle.

This is my moment of truth.
 
"What is that he has in his handses?" Smeagol sniffs suspiciously. "Fat Paramedic thinks he can drive usss away, he does? Kill him and takes all his Vicodins, we will! Gollum! Yess, yesss and all his Demerols and Morphines too, Precious! And we won't be paying for it, no we won't, Precious! We gets them for free, because Masssster gave us The Card!"
 
"I hold in my hand a magic talisman to defeat your card," I shout boldly, waving the paper for all to see, "for I stand here before you with the requirement of a CASH COPAYMENT OF FIFTY DOLLARS if your condition is not deemed to be an emergency!"

"Gah! Get it away!" Smeagol recoils in horror. "It freezes us, it burns! It aggravates my herniated discs, it does!"

Behind him, a murmur of fear and disquiet ripples through his comrades. What seemed to be certain victory only a few seconds before, now doesn't look so sure.

Emboldened, I stride forward and sweep the crowd with a piercing glare. Smeagol cowers in abject terror, and Sumdood's Army quails before my wrath.

"Let it be known from this point forth, all throughout Middle Earth, or whatever part of it is our catchment area! Those who would utilize the Emergency Department of this fair hospital as their 24-hour free clinic or personal pharmacy shall now be required to remit cash payment in the amount of $50 at the time of services rendered for all conditions deemed by the medical staff to be of a non-urgent nature! At most, you will receive your medical screening examination as set forth by the Emergency Medical Treatment And Labor Act, and be given instructions to follow up with your Primary Care Provider!"

Blank looks abound as I glare triumphantly.

Shit, forgot who my audience was.

"Yo yo yo, that mean if we think yo problem is bullshit, homey ain't gonna be gettin' no free drugs or pregnancy tests up in here! This be a cash bidness, bitches! Noamsayne?"

And just like that, Sumdood's Army runs squealing into the night, leaving only empty coffee cups, Doritos bags and mangled copies of last year's Time and Newsweek to mark their passing.

"Get thee gone, hirelings!" I shouted at their retreating backs, "And tell your Master Sumdood that I'm coming for him! And Hell's coming with me!"

********

"…and that's when I woke up," I tell Ex Missus as I thumb quarters into the Coke machine. "Pretty freaky, don't you think?"

"I think you need to stop reading Lord of The Rings to unwind after work," she answers, shaking her head. "Call Nancy or something. Oh, and about you talking to the hospital board in support of the copayment plan?

"Yeah, this Thursday at 1:00, right?"

"Never mind. The last thing I want Is you speaking to the hospital board. Thanks, but no thanks."

Sumdood: Evil Criminal Mastermind

3 comments

I'm at a speaking gig at the ESCAPe 2013 Conference in Pipestem, WV for the rest of the week, so I figured I'd post some leftover free ice cream for you guys. Here's an oldie but a goodie, from way back in 2007.

**********

“So what happened, man?” I ask the guy as I shine a penlight into his eyes, checking his pupillary responses.

“Got hit,” mumbles the guy, stating the obvious. With one hand, he’s holding the absorbent gauze pad I’ve given him against the big laceration on the side of his head, as he absentmindedly tugs his shorts up with the other. Not too far up, mind you – just enough to perch precariously on his ass cheeks and still leave about four inches of boxers showing. Scalp wound and abrasions be damned, he has street fashion to consider.

“I meant, what happened exactly,” I explain patiently, suppressing the urge to roll my eyes. I palpate the back of his neck. “What did they hit you with, and did you get knocked out?”

Hell no!” he blurts indignantly, pulling away. He starts getting wound up, because now he has a story to tell. He gestures animatedly to the porch behind him, and to his buddies currently being interviewed by the police. There is a small crowd gathered on the street. “See, I was just sittin‘ here, kickin‘ it with my peeps, noamsayne? Mindin‘ my own, noamsayne? And then…”

…And you were just sitting there with your Bible study group, drinking a wholesome glass of milk and holding your weekly devotional, when all of a sudden and for no reason…

“…and then, I just got jumped, noamsayne? And I di’int do nuthin!

No doubt there were seven of them, far too many for you and your homies to defeat in a stand-up, fair fight.

“Then, dude just drops the brick and runs off!”

Whoa, just one guy! He must have been a baaaaaaaad ass…

“Did you get a look at this guy?” I ask. “Would you recognize him again?” Immediately, his eyes turn shifty and evasive.

“Nah man, I ain’t ever seen dude before,” he lies. “He just some dude.”

Sumdood?” I ask with sharpened interest. “You say Sumdood jumped you?”

He’s close, I can feel it. I knew it when the hairs stood up on the back of my neck when I got out of the rig. Evil lurks nearby.

“Yeah man,” the guy confirms. “Some dude.”

“There he is, over there!” the guy’s girlfriend says helpfully, pointing toward the crowd, “just standin‘ over there like he ain’t did nuthin‘!”

Shhh, don’t point at him!” I hiss, pulling her arm down. “Just be cool, a’ight?”

Aww girl, that ain’t him,” the guy says, feigning disgust. “Siddown and shut yo mouf.”

“That is him!” she insists. “I seen tha‘ whole thang!”

Shut. Yo. Mouf. Woman!” the guy warns through clenched teeth. The girlfriend, chastened, clams up.

He recognizes the guy, he just doesn’t want to admit to it. He’ll round up his posse and try to exact some street justice as soon as all the cops have gone. But he doesn’t know who he’s dealing with. All of them together are no match for Sumdood.

I catch Farting Partner’s eye and jerk my head toward one of the cops. He nods in understanding, hands me the two-inch tape he’s holding, and saunters over to one of the currently unoccupied police officers. Attempting to look casual, I finish taping up the gauze helmet FP has applied to our patient’s lacerated cranium.

“What’s up?” Officer Friendly asks quizzically as FP steers him over to us.

“Don’t look too obvious,” I tell him sotto voce, “But the perpetrator is standing over in the crowd. It’s Sumdood.”

Officer Friendly’s eyes narrow, and he casts a surreptitious glance at the crowd. “Which one?” he asks, rolling the toothpick to the other side of his mouth.

“The guy in the wifebeater shirt, baggy black denim shorts, with all the bling.”

“And which one of twenty would that be?” Officer Friendly asks, mildly exasperated.

“Sorry,” I apologize. “The one second from the left, toward the back. About five-ten, 160 pounds, corn row braids. It’s Sumdood, I know it.” The girlfriend nods in confirmation.

Him?” Officer Friendly asks incredulously. “Sheeeeeit, that’s just Tyrone. He’s a low level crack dealer. I’ve busted him a couple of times. He’s harmless.”

“I don’t care what his street name is, I’m telling you it’s Sumdood!” I insist. “The victim identified him!”

“He doesn’t fit Sumdood’s description,” the cop informs me. “I’ve got a composite sketch of him in the cruiser. Sumdood is at least six-three, and weighs 235. And he has an Afro. Besides, they just had a sighting of him not five minutes ago, all the way across town, at a drive-by shooting. No way he made it over here that fast.”

“You underestimate Sumdood,” I inform him sadly, shaking my head.

Oh, little does he understand the nature of Evil. Am I alone able to sense his presence? Will I forever be cursed with the burden of thwarting Sumdood? Oh well, with great power comes great responsibility.

Sumdood is all around us,” I educate the cop. “I have spent lonely years wandering the wilderness in my quest to stop him. It’s what I do. Picking up little old ladies who have fallen and can’t get up is just my cover.”

“Are you okay?” Officer Friendly asks, concerned. “You got a fever or something?”

“Listen to Ambulance Driver,” FP says solemnly. “We have seen things that would turn your hair white. Uh, that is, if you had any, I mean. Sumdood possesses powers that – “

“I got this, FP,” I say, interrupting my trusty sidekick. “Look, Officer Friendly. This is really beyond your level of experience and training. Sumdood has powers you can’t begin to fathom. He’s nearly immortal. Our only hope is to capture him when he takes physical form. You get the cuffs on him before he dissolves into smoke, I’ll bind him with the Sacred Three Inch Tape, anoint him with saline, and stab him in the heart with a sharpened caduceus made of rosewood. We’ll be heroes.”

“You guys have lost your fucking minds,” the cop replies in disgust. “That guy’s name is Tyrone Rockslinger. He’s lives over on Lee Street, and he’s been locked up in the parish jail for the past six months on possession with intent.

“You poor, deluded man,” I sigh tolerantly. “I realize this may sound unbelievable to you. It’s almost unbelievable to me too, and I’ve pursued Sumdood across the sands of time. Consider the fact that every description of Sumdood is different. Think of how Sumdood is often in two places at the same time. Think of how widely varied his modus operandi is. It’s obvious we’re dealing with a master criminal here, someone with superhuman powers.”

“We think he may be the third coming of the AntiChrist,” FP pronounces solemnly. “Only way to be sure is to examine his scalp.”

“Oh, he’s responsible for a lot more than that, my friend,” FP says darkly. “He towed the iceberg into the shipping lanes, directly into the path of the Titanic. During the sacking of Jerusalem, he was directly respons -”

“He’s a bad dude, okay?” I interrupt, casting a warning glance at Farting Partner, “and this is as close as I’ve been since the Chicago Fire of 1871. We have to act now.”

The Chicago Fire of 1871?” Officer Friendly asks skeptically. “Bullshit. Mrs. O’Leary’s cow started that fire, and – “

“There was a cow there, yes,” I explain urgently, my patience wearing thin. “There was a cow, and Sumdood was…well, he was trying to…see, he had the cow backed up to this stool and he was standing on it, and…well, I tried to stop him, and in the struggle a lantern got knocked over, okay? Satisfied?”

“But that was over 120 years ago,” Officer Friendly protested. “You don’t look much older than thirty-five!”

“I am far, far older than I appear,” I explain wearily, “but my soul cannot rest until Sumdood has been banished back into the depths. I am trapped on this plane until I have defeated my enemy.”

"Who are you?” the cop hissed, eyes bright with curiosity. And fear.

I have to level with this man. I need him.

“I am one of an ancient and secret order of paramedics,” I level with him. “Even the mention of our existence is forbidden. We live among you, and always we are watching. We have tracked Sumdood for milennia, seeking ever to thwart him in his quest.”

“And what quest is that?”

“The end of civilization as we know it,” I say flatly, meeting his gaze. “We managed to stop him when he sabotaged the bilges on the Ark. He released the first rat that started the Black Plague. He started the flu pandemic of 1918 when he sneezed into an all-you-can eat mutton bar in Madrid.”

“Ask anybody around here where they bought their methamphetamine, heroin or crack,” FP suggests. “What do they all say?”

Sumdood,” Officer Friendly muses thoughtfully.

“And who is the babydaddy of half the unwed teen mothers around here?” I ask.

Sumdood.”

“Sumdood was the second gunman on the grassy knoll,” FP informs him.

“He kidnapped the Lindbergh baby, and let poor Bruno Hauptman take the fall for it. He has to be stopped.”

“And we’re pretty sure he was the source of the faulty intelligence that led us into Iraq,” FP furnishes. “We can’t let him get away.”

“We have to take this fucker down,” Officer Friendly says decisively. “He must be stopped.

“Glad you saw it our way, Officer.”

“Hey you, Sum – I mean, Tyrone!” Officer Friendly bellows. “Get your ass over here!” FP and I take up flanking positions and don dark sunglasses, hands at the ready.

Waaaaazzzzaaaap, Officer Friendly?” Sumdood brays as he sidles up. He casts a sidelong glance at me. I smile grimly, poised on the balls of my feet.

I know who you are, scumbag. And soon you’ll be mine.

“These EMTs here say you did this,” Officer Friendly says curtly, jerking his thumb at our gauze-helmeted patient. “As a matter of fact, they say you’re responsible for a lot more. I want some answers.”

Whaa, me?” protests Sumdood, the picture of innocence. “I ain’t did nothin‘!” He fixes the crowd on the porch with a piercing stare. “Ain’t that right?”

“Uh huh,” gauze head agrees vacantly. “Musta been somebody else…”

Ooooh, my bad!” chimes in his girlfriend with a glazed look in her eyes. “Gurlfriend wuz wrong.”

“See, Officer Friendly?” Sumdood grins triumphantly. “Just a case of mistaken identity. I can go now, right?”

“You can go now…” drools Officer Friendly as he stares into Sumdood’s eyes, slack jawed.

Sumdood throws us a mocking salute and does the pimp limp back into the crowd, fading into nothingness as FP and I stand there, mute in our rage. Sumdood is too strong for us to take on alone.

We were thisclose, people. Just a pair of handcuffs away from capturing the greatest threat to human health since AIDS or the Anopheles mosquito, and we missed our chance. But I’m still on the job, and I’ll never quit until I run Sumdood to ground.

But until then, Sumdood is still out there. And he’s only getting stronger.

Charades: The Emergency Department Edition

4 comments

Coming into one of the local Emergency Departments a few minutes ago:

Triage Nurse:: [raises eyebrows questioningly]

Ambulance Driver: [clutches chest dramatically, indicating a patient with chest pain]

TN: [cocks one eyebrow skeptically, indicating disbelief that our 22-year-old patient is actually suffering from an acute coronary syndrome]

AD: [makes drinking motion with one hand, followed by back of hand to forehead theatrically, indicating a drunk female patient with Status Dramaticus]

TN: [peers musingly at status board, presumably looking for available beds]

AD: [clears throat, then looks significantly at a nearly empty ED, as if to say, "Dude, really?"]

TN: [sighs in resignation, then points in general direction of cardiac telemetry beds]

AD: [raises eyebrows questioningly]

TN: [growls and points more emphatically]

AD: [turns and scans the row of available beds, then looks at Triage Nurse questioningly, as if to say, "Which one?"]

TN: [shrugs diffidently, as if to say, "Pick one."]

AD: [smiling innocently, but not moving, because I can't resist twisting Triage Nurse's tail every now and then]

TN: [gesturing forcefully toward the first bed in the row]

AD: [striking my best Saturday Night Fever pose]

TN: [gesticulating frantically like a flight deck controller fighting a lightsaber duel with an invisible Darth Vader]

AD: [doing the YMCA]

TN: “OH FOR PETE’S SAKE, PUT HER IN TELEMETRY FOUR!”

AD: “You know what’s wrong with you people? No sense of whimsy, that’s what.”

It’s All Relative

3 comments

Conversation about our last patient:

AD: “Seemed like a pretty nice guy.”

Partner: “Yeah. Well-groomed, sober, financially stable… not the sort of guy you’d expect to find walking stark naked down a public highway in broad daylight.”

AD: “For a lucky few of us, every day is Nekkid Day.”


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