Oct 30, 2010

Gone Hunting

The early morning fog begins to burn off as the groups anticipation dies down. Settled into the weeds and shadows they sit and wait. The echoing of quacks from down around the bend travel up to the waiting ambush. The sun begins to break over the horizon and the group knows that the gaggle would soon be on the move. The calling between the members of the gaggle can be heard clearly now as the flock moves up along the river. Hands shaking with jitters as the unsuspecting victim approaches from the north. With target in site, the order is given.

Take Them!  

Guns drawn from along side

Target in the cross hair




And with down feathers floating though the air, the success of the ambush is known. 
The flock scatters through the side yards and the hunters head for their cars and dart away. 

The injured Goose brushing its self off takes flight only grazed in the opposite direction. 

Near the river in the middle of the street lays an unintended target. A young Duck fatally wounded, only 16 years of age on his way home from choir practice. Still dressed in his slacks and dress shirt wearing his down feather winter coat.

Only now with a 9mm hole left in it and no future thanks to an early morning ambush.

Be Safe
Ambulance Junkie

Ambulance Junkie's Blog now in Kindle Store

For any of you Techies out there that may be interested. 
The Ambulance Junkies Blog is now in
Amazon's Kindle Store.

I know, not really a huge deal but its all part of the changes/additions coming in November.

Kindle Store Badge will be located on the right hand column
and under the My Digital Imprint Page.

FYI: I don't set the price!
and it is a monthly subscription
Auto Sync's the blog with your Kindle.

I promise more's to come in November.

Oct 28, 2010

Vegas Series: Don't leave a man behind.

I still remember it like yesterday.

"Hi there" Fly boy uttered while taking a share of the glistening bar top set before him.
"I'm married" the reply from a lone woman sipping her drink of choice through a stir straw. Now she was an attractive lass, but no means had the right to be so persnickety. After all last I check it was nothing more than a greeting to make small talk by.
"Thats good cause I have a FiancĂ©e, besides all I said was Hi" Fly Boy responded.

As simple as that the conversation began and the acquaintance was made, all sitting near the bar we chatted about nothing and everything it seemed. Until the young lass had to break it off because she had to work.
"Come over by the tree and take up refuge while I work" she invited. Dumb founded the conversation continued as she had to explain to us that it wasn't and actual tree we were going to.
"Like an imaginary tree? or like a magical one?" was uttered, neither to be exact. Being in the Paris Casino, it was mocked up like the base of the Eiffel Tower, park benches, fake cobble side walks, Merchant carts, and of course Metal trees. One of these fair trees was the landmark we were set to find to see our newly acquainted friend work. Though we really didn't know what she did, but honestly didn't care because of course what happens in Vegas stays in Vegas.

As some in our party staggered, we found our way to what was a lounge and our Lass standing up front with a band of guys preparing to take the stage. An honest to god lounge singer had invited us to watch her, what an honor. We settled in and prepared for what turned out to be a long night of singing, dancing and antics. "This first song is dedicated to my new friends, Fly Boy and his guys" she announced, The music started and we cheered.

"I love myself; I want you to love me

When I feel down; I want you above me

I search myself; I want you to find me

I forget myself; I want you to remind me"

Blondie's I Touch My Self, the minutes had turned to hours, our group of five guys had now included a group of ladies we had befriended. One who was getting hitched that coming weekend and her friend who liked Appletini's. While Nerf Herder and Fidney wore out the dance floor reenacting the Charlie Brown Christmas dance, the rest of us were thirsty. Convincing our lovely drink server Tatiana to continue our tab on Fidney's card, Which of course included free drinks being handed out to perfect strangers walking by the lounge. 

As the night progressed, a slightly inebriated Fly Boy walked the young bride to be and her friend back to their hotel room. In his mind set Paris at night was a dangerous place, Fidney had no doubt chased some tail to the other end of the casino and as for M.S, Nerf Herder and I, we were playing a game of hide and seek. More like me trying to find the two drunks through rows of slot machines. Unknowing it at the time I was searching, N.H was being kicked by a security guard threatening to be thrown out if he didn't stay awake. I knew it was time to call it a night. Finding M.S I told him to form a conga line with me and N.H, Calling Fly Boy I had to navigate him from the Hotel portion back to the casino. This being no easy task, seeing I didn't comprehend that there was a hotel at this casino. Finally finding Fly Boy, we discussed our option and noticed the swagger of Fidney with a lady under each arm heading for the bar once more. Fly Boy headed for him to continue the night of fun, "We don't leave a man behind F.B." I shout as I lose sight of him. To my surprise from around a slot machine reappears F.B sprinting back to us. "No Man left behind, AHHHH" Fly Boy with imaginary mortars and bullets speeding by in his mind, reminiscent of any memorable War Movie. "If N.H needs to get out of here then we go" Fly boy states, "* hiccup* agreed, but what about Fidney?" M.S says. "Bro's before Hoes, He made his own bed" I say "Agreed" in unison each chimed with N.H moaning in the background.

We head off to find a taxi back to Henderson, with drunken directions to the cab driver, finally arriving at the apartment complex, I fireman carry N.H who was way to drunk to be walking his ass the 500 yards to the front door. Fly Boy and M.S in tow doing their drunk renditions of songs and dance.

Our last night in Vegas went off with out a hitch. Tomorrow we return to the city that never sleeps!

But Fidney has our tickets and he's lost in Vegas!

Be Safe
Ambulance Junkie

Oct 25, 2010

The Manor

Through the cold dark air the melody of the hustle and bustle begins to fade as time begins to slow to a more simple pace. A stately manor illuminated in the soft flickering glow of amber lights. Casting shadows to the street below, the silhouette's of the flames weave an insightful tale only to be consumed by the night itself. A peaceful breeze has set in from the west wind, with only a faint rustling of the fall leaves speaking with undertones of sorrow and grief.

The doorway is simple, yet elegant, opened as to reveal a glimpse into the life of this most distinguished guest. Entering, the magnitude begins to set in though not a word is spoken. Pillars adorn the entry with masterpieces of the past hung inbetween, a testament to there own wealth and success not lost to those who pass. Draped in white and left as pristine as humanly possible the furniture is not for comfort rather a serene place to pull ones self together.

Up the staircase reveals the master corridor in which this story takes refuge. An elegant yet simple expanse of walls, tile, paint and closed doors is set forth. The design relays comfort and compassion though only implied and never intended. Sconce's adorn each of  the ten solid oak paneled doors. The eleventh door cracked open at the end, with the faintest of light drawing you closer.

The solitary marching boots of the changing guard echo's from down the marble hallway. The soft and methodical tik-tok of hymn's can be heard from the room. Drawing ever closer, the aroma of burning incense lingers in the air as the remnants of the dancing smoke spirits escape into the darkness and to their eternal resting place. Never knowing anything more then to innocently dance on the ever wisp of air they will never struggle with the pressures of this world.

The door opening with out hesitation to reveal the red velvet carpet adorned with rose pedals. Pedals from days past which gleamed in the warmth of a summers day, discarded now along with the thoughts of yesterday. Skirting the carpet, set two by two, stand gold pedestal's as an image of strength and set with white candles on top. Each free willed flame dancing in the chill of the air, ever unable to stand still, they toss onto themselves, breaking into itself and trying to jump off the wick but never able to leave the constraints of their simple existence.

Two by two they are set forth leading the path up to the royal chest circumscribed with the bounty of the memories of yesterday and thoughts of the tomorrows never to be. The shined Mahogany wood top half closed half open. The inside inlaid with dark blue velvet, him in his Easter's best, Peaceful, At Rest from the fight he had endured. A single rose embraced in his hands.

She stands as if carved from stone, slender, motionless and reserved. Her back to those who came before her, who were now seated and had paid their respect's. They all knew him but not like her, not this way, Not like she knew him. She had never gotten the chance to really tell him how she felt and time slipped away. She had always meant to let him know but she got caught up in the enjoyment of their interactions. A chance to tell him how much she liked him had slipped away, leaving nothing but a tear in her eye.

He had always told her with a smile that "It was only Fair-well not good bye, Because Good-bye was forever and he'd see her tomorrow" But not this time, it really was Good-bye, the boy she had fallen in love with, the boy she batted her eye's at, the boy who's sheer thought would make her smile......was gone.

Standing there in line it seemed so simple now, to have just told him how she felt. The life they'd have, the children, the memories, the happiness. Now just a distant memory laid forth in front of her. He had always been that boy she fell in love with.

She stood in front of him silent and still as to not be overcome with the emotions of the life changing event. He was handsome as she knew he would be, dressed in his best with the joyous smile gracing his lips. The guy she had felt so strongly for was now so innocently waiting for her to join him. With a kiss on his lips and  wedding bells in the background they pledged their vows to each other in this very site fifty four years ago.

She reached out to touch his hand like so many times before, to gain the comfort and assurance she truly needed. Her fingers drawn over each and every wrinkle of his skin without recognition of who she was, a cold and empty understanding lost in his past. She waited for the response that would never be returned as the fear set in of all the unknowns. Now truly alone in this world without the man who was her strength, she would now have to make the decisions alone for he could no longer help. He was only a shell, once his mind had gone, but she did her best to take care of him before she too became to old and fragile to provide for him.

As she bowed her head over her husband, the boy, the guy, the man she loved, the tears began to run. Down her cheeks through the air and onto his chest as they had for years. As she weeped she longed for his embrace to comfort her and to mend her breaking heart as he had done so many times before. She felt his strong hand, heard his assuring voice comforting her. "It was only Fair-well not good bye, Because Good-bye was forever and she'd join him tomorrow"

Bringing a smile to her face, she kissed him and uttered it was a date.

Oct 20, 2010

Bell's Palsy

Oh Me Oh My! Would you look at that! Bell's Palsy, I got's it, don't want it, and truly hope its nothing worse!

What is Bell's Palsy?
Well it is the dysfunction of the 7th Cranial nerve also known as the Facial nerve. While the true cause is unknown for Bell's Palsy, it is is believed to be the inflammation of the Facial nerve as it enters through a small opening beneath the ear. This then seems to compress the nerve and effectively inhibit it from functioning. It is typically associated with a viral infection and can be seen with Upper Respiratory Infections.

How does Bell's Palsy Present?
Well of course every one is different, and presentation also will be different. It presents much like I think a stroke could, Facial paralysis of one side with abnormal smile, inability to raise eye brows evenly and the inability to blink the affected sides eye spontaneously. As for me though it started with a generalized numbness of the left side of my face. It felt as though I had facial swelling around my eye along with pressure behind my left eye, though no trauma had been incurred. I felt that my face was bloated with increasing tingling but it would come and go. I began to notice that I had a metallic taste in my mouth and food tasted strange, actually it lacked taste all together. I shrugged it off thinking it was all associated with my lack of sleep from taking care of my ill Son. Late Thursday night I noticed that I had total tingling sensation on the left side of my face, along with the feeling like I had just been given Novocaine on the left side of my upper jaw.

When did you realize something was wrong?
Let me tell you drinking from a straw (which is invokes childhood joy in me) was impossible! I mean the simple act of a proper seal and suctioning of liquid through a plastic tube felt like 11th grade Chemistry chapter on Organic Chemistry all over again. I mean my son has mastered the dynamics of ratio control needed to suck juice up a straw and I was having extreme difficulties with it. This is when I became scarred but tried so hard to not let on to my Wife. I knew something was wrong, I went upstairs to the bathroom and looked into a mirror for the first time that evening. I took a long hard look at my face wondering what could be wrong. I smiled as to laugh it off and tell myself it was in my head. That's when I realized that my smile was exactly like that in the picture on Wikipedia. I went back down stairs and pointed it out to my wife, I even had my wife preform a modified Cincinnati stroke scale on me much like I would preform to a patient who had a similar complaint in the field. I doubted I was having a stroke simply because my affected area was only in my face and had no other coordination issues of the arms or legs or increase of confusion. I felt confident that I was going to live and still thought it would get better if I got a good nights sleep. It was suggested by my wife about Bell's Palsy just as we fell asleep, who has seen it in her line of work with the elderly.

Course of action?
Well in my case, I woke up Friday morning and found to still be having the symptoms. So I headed to the walk-in, where I was diagnosed and given a course of Steroids and Anti-Viral medication's. A follow up with my Primary Doctor was scheduled a few days later. Now much of the literature I have been reading has conflicting ideas as to the proper course of treatment whether or not the Anti-Viral's are effective. There is even a stance that with out any treatment the affects will begin to return to normal all by itself. Much of the reading has said a return can be expected in a months time. I'm no doctor and am not to familiar with Bell's Palsy to begin with and trust the course of treatment currently.

Insight for EMS
Its sudden onset is startling and can present much like a stroke, working your patients anxiety up. Slurred speech, drooping facial features, drooling and abnormal smile will be noted though no further motor defecates are seen. This can still be the beginning of a stroke and by no means an all inclusive assumption whether or not it is Bell's Palsy versus a stroke. Bell's Palsy is only a diagnosis of exclusion, meaning that after all other possibilities have been ruled out can its diagnosis be made. Further insight into the case will be needed but in the field its best to apply our base knowledge and work up the patient. The condition is not overly "popular" but in no means rare, effecting roughly 20 in 100,000 or 40,000 people annually in the US. So the instance of seeing it in the field will be limited and often miss treated. Though this is not a bad thing, by all means play it safe and assume that it is a stroke until proven other wise. The reverse side is you assume its Bell's Palsy and found to be a stroke or other neurological problem.

As for me?
I am awaiting my secondary follow up with my primary MD to see where I stand and what, if any, the continual course of treatment will be. In this case, time is what is important to reduce the inflammation of the facial nerve. If no significant change is seen in another two weeks or approaching 3 weeks of onset further testing will be done to determine the extent of whats going on. So as long as I do not see any changes for the worse I will sit and wait.

Be Safe
Ambulance Junkie

Oct 19, 2010

A Mid Fall's Night

The sun has set some time ago,
The night before last,
And all through county not a call was being placed, not even an "I've fallen" 
Ambulance plugged in, wheels ready to roll, hopes of a stroke emergency will soon be here.
EMS providers comfy are all snug in their seats.
Thoughts of diabetics and traumas of past were dancing through medics heads. 
Suddenly with out much warning, came a tap tap tap at the window. 
Waking the snoring dispatcher in such a startle. 
Getting up from my desk, eyes filled with joy, I head to dispatch to see what was the matter.
The glow from the neon light shows us what the noise had been.
Could it be, A patient in need?
A call for help? maybe it is an assault? 
Or maybe a chest pain
But no, it is none of these
Twas a drunk cold urban nomad slurring as he speech.
"Its Nisss un.....warmth and conthy."
Looking for a warm place to stay no doubt on this chilly fall night.
The aroma of booze lingered off his breath
Before we had a moment to think the door opened again
In came the officer to escort our late night visitor away to his sleigh
"I'll take him" he said with a jolly chuckle
With a spring in his step, and away with his catch
"Sorry to disturb you and have a good night"

Be Safe
Ambulance Junkie

Oct 15, 2010

Fly Boys Rant: Snooky

With the absence of the author due to medical leave, I took it upon my self to help out his Blog with a post of my own. Now Ambo Junkie is doing fine and just fighting some...well facial paralysis associated with Bells Palsy but I assure you is doing fine. So I will take it upon my self to enter the Blog world and introduce me as the character deemed as the funniest and handsomest.

I am Fly Boy, a long time partner, friend and head ache of Ambo Junkie.

So now that introductions are done, I'm gonna rant about this Snooky thing.

It would make more sense to me if this local university invited Chewbaka to their establishment.....AKA insitution of learning..... Chewbaka has more of the characteristics of someone you want to be speaking to America's future; he's loyal, trustworthy, smart and was willing to risk his life for his friends and their cause for freedom from the dark side. 

Snooky as far as I can tell has no attributes that you would want to promote and on top of that the university paid her for her appearence. 

It actually sickens me that with all the amazing people in this world a university could invite to speak on behalf of making impressions on students. They choose snooky, a drunk uneducated drama queen who makes a living out of binge drinking. 

These are the type of people americans are fascinated with. In the last several weeks President Obama has awarded three Congresional medals of honor to three American heros who gave their lives fighting in wars their country sent them to. They were all around the same age as snooky, and acomplished more in a split second then she will in her lifetime. Who gets more press? I bet over 90 % of people have no idea what the congresional medel of honor is let alone what these men did to receive it. 

Whether you agree with the wars America is, and has been fighting is something that should be debated in public and with elected officials. No one can deny that the best of America's youth have been fighting Americas wars. They carry out amazing feats of heroism and bravery all the time, they do their duty and they do it well. Thousands and thousands of amazing stories that never reach the news desk. 

Its sad that these are not the types of people americans are interested with.

I could never blog I cant put what Im thingking into writing, But I rather enjoy the ranting!

Guest Poster 
Fly Boy

Oct 10, 2010

The Boy Next Door

You would think that one of the safest places on earth would be living next door to the ambulance station.  I don't mean in the rhetorical sense of next door either, literally twenty feet away, building to building. No matter how close the help was, it wouldn't have made the difference. He never reached out, He must have known we were here. He saw the ambulance's parked in the lot underneath his window. I'm Sure he saw the glow of the lights at night as we backed in the garage. Surely he heard the echoing of the sirens while he watched television. 

Did he not know that there is always some one here? Did he not know that we are well versed in assisting people in need? Depression is a disease like any other. Why did he not reach out to ask for help? It is not his fault that he felt this way, its not something to be blamed for. Was he under that much stress that it blurred his vision of reality? He left this world in a cold and dismal way, in hope to escape the social confines of this world. 
With the last words he uttered to his mother

I'm Sorry

Be Safe 
Ambulance Junkie

Oct 7, 2010

Flaming Dog Doo

Dear Pranking Adolescent's,

       I am a child of the Jack Ass Era, frankly you'd be surprised that the Jack Ass 3D movie coming out isn't the first movie they made. Actually they made two others and heres news for you it was a regular airing Series on MTV, post all music videos but Pre-current "reality" garbage. If those movies have taught me anything it is this: When pulling a prank in todays day and age it is all about doing the next bigger, better thing.

    Flaming bag of dog doo on the front step is not new, nor can it be considered the next big thing. I would think that even the poorest of third world countries have pulled this prank on neighbors to lighten the mood about the state of their economy.

    A few subtle mistakes I noticed in your attempt of hi-jinx. First a burning piece of paper doesn't really invoke panic to a former Volunteer Firefighter of 8yrs who loved going on interior attacks. Second as mentioned above being a child of the Jack Ass Era, I potentially may have partaken in my own amount of pranks though I refuse to confirm or deny such allegations at this time. That being said, flaming bag of dog doo is an obvious and predictable prank thus not accomplishing the mess which was intended. Thirdly if a home has a fence with dogs in the back yard, chances are he's stepped in Dog Doo before and its not a big deal. Lastly you need to commit to the prank!

   For crying out loud, if you expect a guy to run out and stomp on the flaming object on the door step and then get his shoes messy don't drive away in such a hurry that you don't get to watch. The best part of this old time prank is the moment he realizes he stomped on Dog Shit and the panic is replaced by sheer disgust. This is why so many "Older" people feel that your generation lacks the ability to see things through to the end.

Your Unimpressed prankee
Ambulance Junkie

Oct 5, 2010

Happy Birthday Doll

To the woman who stands by my side through thick and thin, My Wife,
To the girl I gave my heart to,
To the woman who can get me to smile when no one else can.
Today is her Birthday. 

I want to wish you a happy Birthday from the bottom of my heart.

My tribute to you. Sums it all up WAY better than I ever could.

"I'm not in it to win it, I'm in it for you"

Oct 1, 2010

I've answered the challenge

As Posted by The Happy Medic

October is Breast Cancer awareness month. 

I've decided to take a creative stance, which I hope is not offensive, by changing my logo slightly.
My back ground hopes to signify that
I think that every one can get on board with this fight, and not only against breast cancer but all cancer's. 

EMS for a cure is how this all began, and the support is called for until October 15th. 

To show my support to the fight for cancer I pledge to keep my background changed until October 30th.  

I have not lost any one from Brest Cancer but have lost two of my Grandparents to the horrible disease known as Cancer. 

I will support the fight!

Has the system failed?

I know this is a bit late from the signing of the bill but it still grinds my gears thinking about it, and I think the story still needs to get out there.

Drunken drivers cause about 9,000 accidents and kill approximately 400 people annually in New York State.

NY State has taken several steps over the past year to strengthen its drunken and impaired driving laws. For instance, Leandra’s Law made it a felony to drive drunk with a child in the car and, as of August 15, will require everyone convicted of a misdemeanor or felony drunken driving offense, even first time offenders, to install and maintain an ignition interlock device in any vehicle they drive. On 13th of July, 2010 the Jack Shea’s law went into effect which expands who can draw blood in suspected NY drunk driving cases. Which now includes advance EMS practitioners.

It seems that the stance by several of the agencies in the state will be one of no compliance towards the law.

Why is EMS going to drop the ball here?

Simply put LIABILITY. Since when does our service to the population we serve take a back burner to the perception of legal terror that may occur.

Let me shed light on the history of the law here. Jack Shea a former USA Olympian gold medalist was involved in an accident. The 91 year old male was struck by an intoxicated driver, both transported to a small area hospital with no Physician in house. With two injured patients, Mr. Shea being the worst off, the Physicians assistant and RN worked on him. The NYS Trooper asked the Advanced EMT to draw the suspected DUI drivers blood, blood draws already being in his/her scope of practice . The drivers Blood Alcohol Content (BAC) was found to be 0.15% or nearly twice the legal limit. The driver was charged with vehicular manslaughter, criminally negligent homicide, and driving while intoxicated, after Mr. Shea's death.

Seems cut and dry right? I thought so too, but apparently the loop hole created by the devil spawn known as DUI defendants shed light on the fact that the law required all DUI blood draws be supervised by a Physician in NY.

The defense motioned that because no on duty physician was in this small hospital at the time the blood draw to supervise, that the sample collected had to be thrown out!!! 

The man who killed Jack Shea had charges dropped. 

Now if blood draw is already in the scope of practice then I would hope you would comply with the law, regardless of liability. Unfortunately I know there are some who may disagree with me, case and point being talk on JEMS Connect about Taking a blood sample for police in a DUI regarding similar legislation in Ohio. I feel that any way we can close a loop hole and can commit these scum who drive drunk we should.

Unfortunately its only my opinion.

Be Safe
Ambulance Junkie