18 December 2006

Christmas Music

A very slow day to begin with. We didn't do anything until the evening. I was hoping to keep it that way. Although quite boring, I would prefer to do nothing and get paid for it sometimes than cart around people that should be taking a taxi. Oh well.

All hell broke loose around 1800. We were called to a nursing home for chest pain. We got on scene, did our workup and determined that it was most likely a respiratory problem and not cardiac. Our patient had crackles in his lungs, just on the right side...probably pneumonia.

We had just made it back to quarters and got into bed (by this time it was around 2200 after getting dinner, etc) and we were called to a stand-by emergency room for a psych eval. Okay, no biggie. Just grab and go, drop 'em off and go back to bed. Well, it wasn't that easy. The nurse only gave us like maybe 1/16 of the story. She was actually an overdose. On cocaine, meth, trazadone, a bunch of psych meds, and pain killers. She was dizzy and nearly fell over getting onto the cot. Then she was hallucinating in the back of the ambulance. She said, "I really like what you've done with the place. Those curtains are beautiful!" Now mind you, we don't have any curtains, and our rig is definitely not beautiful. Then she asked why we were outside, and starting flipping out again trying to get the blanket over her head to suffocate herself. A little Narcan did the trick (kinda) but she was still hallucinating when we left the ER.

Made it back to quarters again. Laid down for 15 minutes. Called to transfer a psych to the state mental hospital. I was cursing and going on for several minutes because it is over 60 miles away. We got to the ER and I walk with the stretcher past the nurses station. The nurse grabbed my arm and was like, "you can't go in there without security!" I was like, "well, I wasn't planning on it, I'm just getting the cot out of the way." Whatever. So, we wait forever for paperwork, as usual, and finally we meet our patient. Before we even get a chance to open the door she opens it and yells at my partner, "you don't need to be knocking on my door, it is rude!" He never even touched the door. It took a lot of convincing, or rather several large security guards, to get her onto the cot. She loved the four point restraints. Ha. And even made my partner swear which takes quite a bit. The ride was actually quite funny. First I was listening to like pop/rock music, but I can't stand commercials, so then I changed it to country. Then that had commercials eventually too, so I changed it to Christmas music. Ooooh...that's when the fun started. She hated the music. So what did I do, you ask? I turned it up. And we both started singing, quite loudly I might add. For over 40 miles of the trip :). When we got there she said we stole her candy and that my partner's sister was a bitch, which she was referring to me. Then she got to fight with the guards at the mental hospital, so we headed home. Another life saved.

We did another transfer to a nursing facility out of the ER. This place is quite creepy. We always call the buildings bomb shelters. They are very funny looking and out of place, and there are maybe 50 of them. Very hard to find the one you need. And the lady was hacking and coughing all over my rig. Ugh. Disgusting.

We got back to quarters at 0654. At least I wasn't held over.

12 December 2006

Your patient

Busy day. We did a four hour ALS MRI. Those are my least favorite calls. In fact I hate doing them. It drives me crazy every time I get dipatched to one.

Lots of silly transfers....mostly rehab, psychs, and a few going back to nursing homes.

And I forgot my coat at home today so I froze to death until the evening. Then we got a call going to a nursing home near my house so we stopped afterwards and grabbed it.

Then we were dispatched for chest pain at a nursing home two towns away. The roads were kind of slick and it was really foggy out, so it took us a little while to get there. The lady was fine. All her vitals were good. She said it just hurt when she would breathe. She was just diagnosed with pneumonia/bronchitis last week.

When we were leaving the ER the FD was bringing a guy in that I had taken last week with chest pain. He was out of a nursing home. And one of the guys said, "yeah, we had to pick up your patient." Like the nursing isn't in their district. Dummies. That was the first time we had seen them at the ER all day, and we had been there at least 5 times already.

Took a crazy pysch patient that reminded me of a toddler because she asked "why" about everything. And she was being an ass, so we cranked the Christmas music and sang all the way to the psych hospital. The best song is actually a Hawaiian song called "Melekelikimaka" which means merry christmas, or happy Christmas. Yep. I went to the national fire academy and met some really cool guys from Hawaii. And I learned a lot. But anyways, it was an okay shift.

I was only peeved when we were woken at 0430 for a medicar call going to same day surgery...which doesn't even open until 0600. The nurse had a fit and flipped out on my partner and I, like we wanted to bring him early, like we didn't want to still be in bed. Hmph.

08 December 2006

No...just call 9-1-1

I started work as usual at 0700. We got a call at 0712. We were called for shortness of breath. The only bad part was that the nursing home we were sent to is about a 30 minute drive even with lights and sirens. So, we get down there, making decent time, and pull into the nursing home. We hit the "on scene" button on the computer in the rig, and just as I am taking off my seatbelt and opening the door, my dispatcher beeps us on the Nextel, "You guys can disregard...the facility is calling 9-1-1." I told dispatch, "But, we are already here...we're going in right now." She says, "Well, now they don't want us they want to wait for 9-1-1. You guys can stand down and return to quarters." I was like, whatever. We got back in the rig and left. I don't understand the nurse's logic. You call a private ambulance and accept a 30-40 minute ETA. The ambulance pulls into the parking lot as you are on the phone with dispatch asking for another ETA. They tell you that the crew just pulled up. So now you decide that the patient is too critical to wait and call 9-1-1, after 30 minutes? What the hell. I mean, if that floats your boat, by all means, but it just confused the hell out of me.

We left there and got back to quarters about 40 minutes later. I had just gotten my boots and socks off when dispatch, once again, sends us lights and sirens to a nursing home about 30 minutes away. We get dressed, get in the rig and head out. We are called for "Tachycardia...the pt is also complaining of SOB, fever and altered mental status." Okay.....

We get on scene after dealing with every single idiot in the world on the road we were on, and head inside. We get to the room and speak with the caregiver. She says that the patient was up, talking, eating and even brushed her teeth this morning. When she came back to check on her she was, well, not herself. Our patient was slumped over in her wheelchair, wasn't speaking, had a blood pressure of 70, a blood glucose of almost 400, and had a heart rate around 130 with an elevated T-wave. Yeah. Needless to say we didn't stay and play long. We were heading out to the rig and the caregiver hands me her cell phone, and said, "It's the family, they want to talk to you." I politely declined and said that I couldn't share any patient info over the phone. The caregiver asked me if we were going to go to her desired hospital (which was about 30 minutes away). I told her we would try, but there was a 99.9% chance we would be diverted. She got pissed and told us they didn't like the closest hospital. I aksed if she was a DNR, and the caregiver said yes...but of course she couldn't produce it. To make a long story short we went to the closest facility. We got her blood pressure up to 100 systolic, but she was big time messed up. I'm sure she's in ICU right about now.

We did a transfer for a hip fracture.....

Then a psych transfer. This woman was absolutely disgusting. She was psychotic. Very upset about everything. She had been smearing feces and menstrual blood all over the walls and her body. Her hair was all matted. And she had sores on her feet from never wearing shoes. Ugh. She was completely uncooperative, then laughing, the yelling, then asking about our credentials, and asking to see another doctor. Yeah. So, we ended up cranking the Christmas music up and singing aloud for the whole three mile transport. :) Yeah, we're evil...going to hell on the express bus.

All in all, a good shift.

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