Old pictures, whatever.
Me visiting my friend in Alexandria at the brand new station 210! That station is amazing.
Second, me from behind, checking out my phone while at a marathon. So exciting.
And I'm speaking specifically about alcoholism and how it fucks up the family.
My mother is an alcoholic, and has been for most of my life. It was different when I was younger, somehow, because it was a combination of rage, alcohol, and mental and physical abuse. At the time, we never attributed her manic behavior to the alcohol. She finally stopped hitting me when I was about 12 or 13 years old, because I threatened her right back; "If you hit me again, I'll finish this fight for good, Mom." And I fucking meant it. I didn't really have anything to lose, and at that age we were the same height, but I had muscle and age in my favor.
When I was 15 I moved from VA to Colorado to live with my Father; I essentially ceased communication with my Mother, and everything was getting better for me. My Father described me as a 'feral child', and if I'm honest, that is probably being too kind. Living with a narcissistic, violent, alcoholic control freak is difficult. Living with the threat of violence is, literally, trial by fire. Anything could set her off, and that fucks a kid up.
Anyway, that was ages ago. She has since chilled the fuck out, somehow. Very different person now, except she drinks A LOT. Mostly wine, some bourbon, and vodka. She's killing herself, for some reason and it's shitty.
Depression is a piece of shit disease.
In reference to my last post- what irritates me about lazy staff is that when you call 911 at midnight for a patient who has an injury from a fall, but then you don't have any relevant information about this patient, I'm going to be a little less than courteous to you.
Things to think about when you have a geriatric patient who just fell:
-Why did they fall?
-Did they lose consciousness? Was that before or after the fall?
-How are they acting? Is this normal for them?
-History of seizures? HTN? Strokes?
-What medications are they on?
Look for obvious life threats and address those before you do a trauma assessment. Determine transport priority and appropriate destination (Take into consideration meds and complicating factors like time of day and traffic..)
Essentially you're just running down the SAMPLE history with added ASPN- do this, ask follow up questions and continuously monitor your patient. Vitals are (obviously) important. A geriatric patient on blood thinners has a higher index of suspicion for a possible head bleed, and the only way you're gonna see that is reflected in the vitals (depending on incident time and transport, and severity of the supposed injury).
If something doesn't seem right, work that angle- the 'staff' of this place regularly don't know anything about the patients who live there, and when asked it's: "This isn't my patient", "I just started my shift", "I just got back from break" or whatever bullshit they think we haven't heard.
Document everything, objectively.
You are your patient's advocate, remember that above all else. Do what is right, and what is in your scope of practice to provide.
I've received my EMT B, and my EMT-Intermediate, and I'm halfway through my Paramedic training.
I've worked 7 CPRs and gotten ROSC on two of those, attended many MVCs, helped intoxicated people to the hospital and geriatrics from the floor, and what I've learned is that we, as a generation and as a people, have little time or respect for our elders. One of the worst calls is when we have to go to the local 'shit house' retirement home- not because I don't like my patients, but because of how shitty the staff are. They literally don't care.
Breaks my heart.
Be nice to old folks; not because it'll be you one day, but because the great lie we tell ourselves is that old people are different. The truth is that unless they have some kind of organic brain disease, they are the same people they always were- it's just that now their body is betraying them. It got old. It broke down.
It's been a while; I'm turning 30 relatively soon. I'm also taking my practical and written certification tests for EMT-B. I'm volunteering at a not-so-local rescue squad for clinical hours, which will be over soon.
Had my first code on 11/17; one handed CPR while riding on the rails of the gurney isn't easy and I wish I could say we resuscitated this individual, but we did not. He was DOA and remained dead.
I think the most humbling experience of that call was the unfiltered emotion from the patient's daughter, who is one of the medical directors from our service area. How terrible must it be to have all your schooling, all your knowledge screaming at you that your father is dead and nothing is helping, but you keep giving yourself false hope? Maybe more epi, maybe more calcium... She made sobering eye contact with me, at one point, and I couldn't say anything because I knew how it was going and I knew that some part of her knew it too- she was looking for hope.
How many times had she said 'there's nothing we can do' to her patient's survivors?