We walked into the grocery store to buy food for the station for the shift. We split up, I went to the meat.
I'm walking down, not really paying attention I admit.
"Hey Lieutenant!"
I look up to see a fairly attractive woman, early 20's or so. She's standing with a husband/boyfriend, smiling. She looks at me like I should know her, and I feel like she's familiar. But for the life of me I can't figure out who she is. Patient? walk in? Dispatcher?
I said hello, and then it hit me. She is one of our firefighters. Off duty she had her hair down, and makeup on. Before I could stop myself, I said
"You look different with clothes on."
She laughed, the boyfriend stared. I turned and walked away leaving her to explain.
Mr Fixit
Thursday, July 9, 2009
Monday, July 6, 2009
Old School
This is mainly for my EMS type readers. Some of you "regular" folks might find it interesting...or not. Gals and guys, I'd really like some feed back.
Our department (combo fire/ems) has switched over to electronic clipboards for all EMS runs. What they have is a laptop computer with touch screen. It is able to download and integrate dispatch info, generate a 'run' form, and then the medics just fill it in. At the completion of the run, when the form is filled out, the computer report is done. They don't have to go back to the station and then input the info from a paper report into the computer any longer.
Now, so far what I have described to you is a good thing as far as I am concerned. I'm all for making it 'easier' on the guys on the box. They make more runs, so anything that helps them get the 'paper work' done faster is good.
But I've noticed some things that concern me. Not directly due to the use of the computers, but possibly a symptom of use. And maybe it’s just that I've turned into that old guy that used to ride the box. Help me out here folks;
back when I was on the ambulance.....
The old story about how things used to be. When I started as an EMT, and then 3 years later as a Paramedic, we used LP 5's, carried MAST pants, hung both D5W and Ringers....We had standing orders only for IV's if the patient was "alive", and the first round of drugs in CPR. We called and had to have a Dr on the radio for any further treatment. On that front, things have improved a lot! My system now has standing orders for about 80% of possible treatment options we have. We run a CPR and then call in for a report after. We've added IO's, CPAP, 12 leads.....we really are a progressive system.
We didn't have automatic BP cuffs, O2 sats, and end tidal equipment. WE had to figure out what was going on, not wait for a machine to tell us.
I don't know if it is the fact that there are so many machines that do things for us on the ambulance now, or maybe the way medics are trained. But I see lots of 'hands off' with the paramedics now. I have walked into several houses and heard the wheezing as we made the door, and then stood there while the medic waited to see an O2 sat before giving oxygen to a patient with SOB.
I've seen medics start IV's and push drugs, before they ever got the patients name or introduced themselves. I've seen them wait until they got a patient in the box, and when they were doing a 12-lead finally ask a name, only because they needed to put it into the 12-lead. I've watched a group of 4-5 medics talk all around the patient, asking each other what the sat was, the EKG showed, what the machine read the vitals were, and never explained to the patient what was happening.
It seems a lot of (not all) medics are only there to work the machines and follow a protocol, not to treat the patient.
Now I have to take a minute here and tell you how I work things on an EMS scene. When I arrive on the engine at an EMS call, my policy is to first make sure the scene is safe for my guys. I know they are focused on getting to a patient, so I survey and try to take it all in. After that, I am there to support the medics, either with my manpower (myself and my firefighters who are usually medics too), or with logistics (calling for more help, helicopters, setting up LZ'z and such). The medics are in charge of the patient and the situation.
I offer suggestions, just like the other medics, but I try very hard not to make them sound like I am trying to tell them what to do. It's kind of a strange duel role I play. On one hand I am the officer, but on the other hand I am a 'veteran' paramedic. I try to be careful not to give the impression I am taking over or giving orders. But on the other hand I've seen some things a few of the kids on the ambulance have only heard about.
Now with all the new gadgets and gizmos, especially the computer clip board (CCB), it seems to me that the guys on the ambulance are taking longer and longer to get things done, or to figure out what needs to be done. When they are taking a history, the CCB forces them to do things in a certain order. No more can you ask a question, get an answer, and then go off on a tangent because of what you suspect. You have to follow the order on the form, or it takes even longer to navigate back and forth to get all the information in.
The big thing is this; although I'm still a paramedic, I'm not riding the ambulance, and haven't' in a few years. I have no direct experience with the CCB, although all the other equipment was in use in some form when I was assigned to the box. I have a big question as to whether this is a good as it can be, or have things somehow changed.
I'd like to hear from you EMS folks. Spread this far and wide. Do you use an electronic clip board? How has it affected your patient interactions? Am I wrong to be questioning my medic’s behavior? Should I just accept that I'm no longer on the 'bolance and am now an "old guy"? I'd really like to hear your views on patient care/interaction now versus say 5 years ago. I'd also like to hear your opinion of having an 'old' paramedic on scene as a scene officer.
Mr Fixit
Our department (combo fire/ems) has switched over to electronic clipboards for all EMS runs. What they have is a laptop computer with touch screen. It is able to download and integrate dispatch info, generate a 'run' form, and then the medics just fill it in. At the completion of the run, when the form is filled out, the computer report is done. They don't have to go back to the station and then input the info from a paper report into the computer any longer.
Now, so far what I have described to you is a good thing as far as I am concerned. I'm all for making it 'easier' on the guys on the box. They make more runs, so anything that helps them get the 'paper work' done faster is good.
But I've noticed some things that concern me. Not directly due to the use of the computers, but possibly a symptom of use. And maybe it’s just that I've turned into that old guy that used to ride the box. Help me out here folks;
back when I was on the ambulance.....
The old story about how things used to be. When I started as an EMT, and then 3 years later as a Paramedic, we used LP 5's, carried MAST pants, hung both D5W and Ringers....We had standing orders only for IV's if the patient was "alive", and the first round of drugs in CPR. We called and had to have a Dr on the radio for any further treatment. On that front, things have improved a lot! My system now has standing orders for about 80% of possible treatment options we have. We run a CPR and then call in for a report after. We've added IO's, CPAP, 12 leads.....we really are a progressive system.
We didn't have automatic BP cuffs, O2 sats, and end tidal equipment. WE had to figure out what was going on, not wait for a machine to tell us.
I don't know if it is the fact that there are so many machines that do things for us on the ambulance now, or maybe the way medics are trained. But I see lots of 'hands off' with the paramedics now. I have walked into several houses and heard the wheezing as we made the door, and then stood there while the medic waited to see an O2 sat before giving oxygen to a patient with SOB.
I've seen medics start IV's and push drugs, before they ever got the patients name or introduced themselves. I've seen them wait until they got a patient in the box, and when they were doing a 12-lead finally ask a name, only because they needed to put it into the 12-lead. I've watched a group of 4-5 medics talk all around the patient, asking each other what the sat was, the EKG showed, what the machine read the vitals were, and never explained to the patient what was happening.
It seems a lot of (not all) medics are only there to work the machines and follow a protocol, not to treat the patient.
Now I have to take a minute here and tell you how I work things on an EMS scene. When I arrive on the engine at an EMS call, my policy is to first make sure the scene is safe for my guys. I know they are focused on getting to a patient, so I survey and try to take it all in. After that, I am there to support the medics, either with my manpower (myself and my firefighters who are usually medics too), or with logistics (calling for more help, helicopters, setting up LZ'z and such). The medics are in charge of the patient and the situation.
I offer suggestions, just like the other medics, but I try very hard not to make them sound like I am trying to tell them what to do. It's kind of a strange duel role I play. On one hand I am the officer, but on the other hand I am a 'veteran' paramedic. I try to be careful not to give the impression I am taking over or giving orders. But on the other hand I've seen some things a few of the kids on the ambulance have only heard about.
Now with all the new gadgets and gizmos, especially the computer clip board (CCB), it seems to me that the guys on the ambulance are taking longer and longer to get things done, or to figure out what needs to be done. When they are taking a history, the CCB forces them to do things in a certain order. No more can you ask a question, get an answer, and then go off on a tangent because of what you suspect. You have to follow the order on the form, or it takes even longer to navigate back and forth to get all the information in.
The big thing is this; although I'm still a paramedic, I'm not riding the ambulance, and haven't' in a few years. I have no direct experience with the CCB, although all the other equipment was in use in some form when I was assigned to the box. I have a big question as to whether this is a good as it can be, or have things somehow changed.
I'd like to hear from you EMS folks. Spread this far and wide. Do you use an electronic clip board? How has it affected your patient interactions? Am I wrong to be questioning my medic’s behavior? Should I just accept that I'm no longer on the 'bolance and am now an "old guy"? I'd really like to hear your views on patient care/interaction now versus say 5 years ago. I'd also like to hear your opinion of having an 'old' paramedic on scene as a scene officer.
Mr Fixit
Wednesday, July 1, 2009
A Firefighters view
I've been thinking about the recent Supreme Court decision about the firefighters. In case you didn't know, there was a promotional test given to all those qualified within the department. The test had been "pre-screened" if you will to make sure it was not in any way unfair to any of the various ethnic groups within the fire department. When, after the test was given, it was found that predominately white fire fighters had passed and were then eligible for promotion, the city threw out the test. The cities position was that not enough non-white members had passed so they wanted to give another test so that more of the non-white members could pass. The white firefighters sued, and now have eventually won.
What is racism? There are many definitions, depending on who you ask and what group they belong to. I would define it as thus: Any action that gives preferential treatment to any racial group beyond what is given to others.
Based on that definition, throwing out a test because not enough of any group passed is racism.
It's also an insult. It's insulting to those who passed, and possibly even more so to those who didn't.
If I had taken a test, not done well and then found that the test had been thrown aside because my group had not passed, and told that was the reason. I would be insulted. It would be saying to me "your not smart enough to compete with those white/black/red/yellow/brown/polka dot guys. We'll give you guys a special test, one that is easier so you guys can pass." It would be saying to me that I am a lesser person.
Now let's think about that a minute. If that were true that some are not as capable (which in no way it is), do you really want them to be promoted? Take for example an 18 year old new hire on the fire department. He has no experience, has not had as much education (both formal and continuing) as a 10-year veteran, so why not just make him a captain, or hell even a battalion chief? I don't think anyone would argue that he is as capable to be in charge as a 10 or 15 year veteran, so if you had the choice which would you want to be in charge?
If you said you would want the older more experienced person, how is that any different from those who passed the test versus those who didn't? In any promotional situation wouldn't you want the best qualified? How can we ever rationalize promoting a lesser qualified person, given that the test is a fair test?
Let me tell you folks a few things about the fire department. Around the station, unless the captain or lieutenant is as asshole, it's pretty much run by majority or individual choice. But when we go to an emergency scene, things change radically. On scene, the officer is the guy/girl with absolute authority. His orders are to be followed to the letter, or people (possibly his own) could get killed. That authority is based on his rank, but is followed because his men know that he has proven his knowledge and experience. He has proven it through his of her departments promotional testing.
How would it be if a crew arrived at a scene and doubted everything the officer said because they all knew he had been promoted not because he had proven he knew what to do and was able, but because he was of a certain race? Things would not be done, or would be done in such a way as to make them ineffective. For example, a captain orders a hose line to be placed inside to cut off the spread of fire. If the crew on that line doubts that the captain knows the dangers and possibilities of injury in that location, they will not hold that position as long as needed, if they take that position at all.
On the other hand, I know officers of 'other' races that I would follow into hell if he said to. Knowing that he is one hell of a firefighter, it doesn't matter what his skin color is.
And as an officer myself, I can't imagine how it would feel know I had been promoted based on my race because I was not able to pass a test. Honestly, I would have to turn down that promotion under those circumstances. I think any self respecting person would.
It's not racism to expect people to do well to be rewarded. It is not wrong to promote the best qualified candidate without regard for his or her race.
It absolutely is racism to promote based only on their race.
Comments always wanted.........
Mr Fixit
What is racism? There are many definitions, depending on who you ask and what group they belong to. I would define it as thus: Any action that gives preferential treatment to any racial group beyond what is given to others.
Based on that definition, throwing out a test because not enough of any group passed is racism.
It's also an insult. It's insulting to those who passed, and possibly even more so to those who didn't.
If I had taken a test, not done well and then found that the test had been thrown aside because my group had not passed, and told that was the reason. I would be insulted. It would be saying to me "your not smart enough to compete with those white/black/red/yellow/brown/polka dot guys. We'll give you guys a special test, one that is easier so you guys can pass." It would be saying to me that I am a lesser person.
Now let's think about that a minute. If that were true that some are not as capable (which in no way it is), do you really want them to be promoted? Take for example an 18 year old new hire on the fire department. He has no experience, has not had as much education (both formal and continuing) as a 10-year veteran, so why not just make him a captain, or hell even a battalion chief? I don't think anyone would argue that he is as capable to be in charge as a 10 or 15 year veteran, so if you had the choice which would you want to be in charge?
If you said you would want the older more experienced person, how is that any different from those who passed the test versus those who didn't? In any promotional situation wouldn't you want the best qualified? How can we ever rationalize promoting a lesser qualified person, given that the test is a fair test?
Let me tell you folks a few things about the fire department. Around the station, unless the captain or lieutenant is as asshole, it's pretty much run by majority or individual choice. But when we go to an emergency scene, things change radically. On scene, the officer is the guy/girl with absolute authority. His orders are to be followed to the letter, or people (possibly his own) could get killed. That authority is based on his rank, but is followed because his men know that he has proven his knowledge and experience. He has proven it through his of her departments promotional testing.
How would it be if a crew arrived at a scene and doubted everything the officer said because they all knew he had been promoted not because he had proven he knew what to do and was able, but because he was of a certain race? Things would not be done, or would be done in such a way as to make them ineffective. For example, a captain orders a hose line to be placed inside to cut off the spread of fire. If the crew on that line doubts that the captain knows the dangers and possibilities of injury in that location, they will not hold that position as long as needed, if they take that position at all.
On the other hand, I know officers of 'other' races that I would follow into hell if he said to. Knowing that he is one hell of a firefighter, it doesn't matter what his skin color is.
And as an officer myself, I can't imagine how it would feel know I had been promoted based on my race because I was not able to pass a test. Honestly, I would have to turn down that promotion under those circumstances. I think any self respecting person would.
It's not racism to expect people to do well to be rewarded. It is not wrong to promote the best qualified candidate without regard for his or her race.
It absolutely is racism to promote based only on their race.
Comments always wanted.........
Mr Fixit
Tuesday, June 30, 2009
I just heard....
at work that Michal Jackson's second autopsy found that he died of food poisoning.
Something about eating nine year old weenies.*
Mr Fixit
*....a special level of hell
Something about eating nine year old weenies.*
Mr Fixit
*....a special level of hell
Thursday, June 25, 2009
Department of Homland Security to pay me $6million
A new one showed up today in my email. It seems the Department of Homeland Security wants to help make me rich. Check this out:
It's gotta be real since it's from DHS, right?
I am gonna buy SOOOO many sport utility rifles!
Mr Fixit
Office Of Homeland Security
State Of New York
633 Third Avenue
New York,NY 10017
INFO: ARRIVAL OF YOUR PAYMENT HERE IN UNITED STATES OF
AMERICA
We wish to inform you that we are in public domain now as we are in
yahoo, hotmail,
Aol, Comcast,Juno,sbcglobal,Gmail to monitor most mails coming in and
out of USA.
We, the Entire board of Office of Homeland Security, U.S.A hereby write
to notify you that
we have received a payment in your name via a wire transfer meant to
be deposited in your
account. Note that we are here to look after every fund that comes into
this country for security
purposes especially on terrorism watch lists in conjunction with dept of
tresury. A serious instruction
was given to us by the government after the september 11, 2001 incident
led by Osama Bin Laden.
You can know more from this link below. www.september11news.com
However, we are here to inform you that we need the PRESIDENTIAL
GUARANTEE CERTIFICATE
and APPROVAL FROM FEDERAL MINISTRY OF FINANCE CERTIFICATE which you have
to obtain
and present it to this office.And it should be quietly known to you
that we cannot release this payment
of $6million to you until we get the two Certificates from the origin of
this ATM CARD.Be Informed that
once we receive the certificates from you, we shall commence the
immediate delivery to your account.
Confirm your bank account number and routing number for payment purpose.
Your immediate response is required in order to transfer the money
$6million to your account.
Treat this as urgent
Yours Truly,
Mr. David Sheppard
Director, Department of Homeland Security(DHS)
New York, U.S.A
Disclaimer: This electronic message may contain information that
isProprietary,
Confidential, or legally privileged or protected. Itis intended only for
the use of the individual(s)
and entity named in the message. If you are not an intended recipient of
thismessage, please notify
the sender immediately and delete thematerial from your computer. Do not
deliver, distribute or copy
this message and do not disclose its contents or take any action
inreliance on the information it contains.
State Of New York
633 Third Avenue
New York,NY 10017
INFO: ARRIVAL OF YOUR PAYMENT HERE IN UNITED STATES OF
AMERICA
We wish to inform you that we are in public domain now as we are in
yahoo, hotmail,
Aol, Comcast,Juno,sbcglobal,Gmail to monitor most mails coming in and
out of USA.
We, the Entire board of Office of Homeland Security, U.S.A hereby write
to notify you that
we have received a payment in your name via a wire transfer meant to
be deposited in your
account. Note that we are here to look after every fund that comes into
this country for security
purposes especially on terrorism watch lists in conjunction with dept of
tresury. A serious instruction
was given to us by the government after the september 11, 2001 incident
led by Osama Bin Laden.
You can know more from this link below. www.september11news.com
However, we are here to inform you that we need the PRESIDENTIAL
GUARANTEE CERTIFICATE
and APPROVAL FROM FEDERAL MINISTRY OF FINANCE CERTIFICATE which you have
to obtain
and present it to this office.And it should be quietly known to you
that we cannot release this payment
of $6million to you until we get the two Certificates from the origin of
this ATM CARD.Be Informed that
once we receive the certificates from you, we shall commence the
immediate delivery to your account.
Confirm your bank account number and routing number for payment purpose.
Your immediate response is required in order to transfer the money
$6million to your account.
Treat this as urgent
Yours Truly,
Mr. David Sheppard
Director, Department of Homeland Security(DHS)
New York, U.S.A
Disclaimer: This electronic message may contain information that
isProprietary,
Confidential, or legally privileged or protected. Itis intended only for
the use of the individual(s)
and entity named in the message. If you are not an intended recipient of
thismessage, please notify
the sender immediately and delete thematerial from your computer. Do not
deliver, distribute or copy
this message and do not disclose its contents or take any action
inreliance on the information it contains.
It's gotta be real since it's from DHS, right?
I am gonna buy SOOOO many sport utility rifles!
Mr Fixit
Wednesday, June 24, 2009
Texas Legislature special session
Gov. Perry will be calling a special session of the Legislature. It is possible that he might add the guns in parking lot bill to that session.
The Texas State Rifle Association is urging members to call. I'll post a part of the TSRA email I received here:
It might also be a good idea to call the Governors office as well. Ask him to put this bill on the special session. You can call Citizen's Opinion Hot line [for Texas callers] :
(800) 252-9600
I believe option 2 when you call will put you in que to speak to a real person.
Please pass this on to all.
Mr Fixit
The Texas State Rifle Association is urging members to call. I'll post a part of the TSRA email I received here:
The Governor will call a special session of the Legislature in the coming weeks to address state agency re-authorization bills that also failed to pass during the regular session. While the Governor has ultimate control over what is considered during any special session, it's unlikely that any issue will be placed on the agenda which doesn't have the support of both Senate and House leaders. We already know where the Governor and Senate leaders stand on this issue.
That's why its critical that you contact House Speaker Joe Straus at (512) 463-1000 and ask him where he stands on this issue: with corporate honchos, or with hard-working Texas gun owners and sportsmen who are prohibited from protecting themselves during their commutes to and from work every day?
That's why its critical that you contact House Speaker Joe Straus at (512) 463-1000 and ask him where he stands on this issue: with corporate honchos, or with hard-working Texas gun owners and sportsmen who are prohibited from protecting themselves during their commutes to and from work every day?
It might also be a good idea to call the Governors office as well. Ask him to put this bill on the special session. You can call Citizen's Opinion Hot line [for Texas callers] :
(800) 252-9600
I believe option 2 when you call will put you in que to speak to a real person.
Please pass this on to all.
Mr Fixit
From the "Hey, that's not funny" department
Just a quick true story:
I went into the hospital on a Friday afternoon. That night and Saturday I was very sick. Very sick like 104 temp, o2 sats in the 80's kinda sick.
I have the bad habit of wanting to know what's going on. I tend to be a 'bad patient', because I question everyone who comes in as to why they are here, what they are doing, and so on. I understand what they are doing and that tends to put people on the defensive for some reason. Nurses seem to really hate it when their patient questions what and why they are doing things, instead of accepting the nurses near-godlike knowledge and abilities. I ask questions and want to know the specific answer. I don't want to hear you are giving me 'medicine', I want to know exactly which med, dosage, effect desired, and possible side effects.
Much like being an informed voter, and informed patient is a "Bad patient".
So, Friday and Saturday of my hospital stay I was very sick. A couple of days later I'm talking with my wife about how much better I'm feeling. I mention that I thought I must have been pretty sick. She said that I was "VERY sick". I wanted to know how she knew, thinking that she had talked to a nurse or a doctor that I didn't know about.
She said, and I quote exactly: "I knew you were sick because you were being nice."
It's been over a week and I still haven't come up with a reply for that.
Mr Fixit
I went into the hospital on a Friday afternoon. That night and Saturday I was very sick. Very sick like 104 temp, o2 sats in the 80's kinda sick.
I have the bad habit of wanting to know what's going on. I tend to be a 'bad patient', because I question everyone who comes in as to why they are here, what they are doing, and so on. I understand what they are doing and that tends to put people on the defensive for some reason. Nurses seem to really hate it when their patient questions what and why they are doing things, instead of accepting the nurses near-godlike knowledge and abilities. I ask questions and want to know the specific answer. I don't want to hear you are giving me 'medicine', I want to know exactly which med, dosage, effect desired, and possible side effects.
Much like being an informed voter, and informed patient is a "Bad patient".
So, Friday and Saturday of my hospital stay I was very sick. A couple of days later I'm talking with my wife about how much better I'm feeling. I mention that I thought I must have been pretty sick. She said that I was "VERY sick". I wanted to know how she knew, thinking that she had talked to a nurse or a doctor that I didn't know about.
She said, and I quote exactly: "I knew you were sick because you were being nice."
It's been over a week and I still haven't come up with a reply for that.
Mr Fixit
little stinkers
Little stinker no.1: Sourdough
The 'wild' starter stinks. And I mean that literally. It smells like rotten ass. The research I did on it said that the first 'stuff' to grow may not be what really makes sourdough, and to give it a couple of weeks for the 'good stuff' to get a hold. Not sure how much longer I can wait.
On the other hand, the packaged yeast starter I made is doing well. I've made bread and it it time to make it again. Only thing is, it turns out like good home made bread not sourdough. Good on the one hand, not what I wanted though.
Little stinker no.2: The foot
The infection is gone. The swelling is gone-almost. The second toe just won't quite return to it's regular size. It's a bit annoying. Doc says 'It should be fine, don't worry about it and give it time." I'm not worried, but it just feels odd.
Little stinker no.3: Blood pressure
While in the hospital I was put on blood pressure medicine. It's working, BP now stays in and around the 118/68 range. But I seem to have a problem if I jump up and go to do something sometimes. I get dizzy for a second or two. The other night at the station I got up for a run and ran into the wall on my way out. Embarrassing. I know what it is, I understand why it's happening. But I don't have to like it.
Little stinker no.31/2: Weight loss
I need to get me some of that. Now that the foot is better, I can work on that, which will help me work on the blood pressure issue I hope. I have done a lot of research and study. I have found an amazing weight loss system that is guaranteed to work. I'm so excited about this plan that If I can, I may become a distributor. It's called the "Eat less, and work out more" plan. The way it works is you try to use up more calories in a day than you take it. They say that the weight just melts off!
Little stinker no.4: our EMS system
Lots of little changes, we have a new EMS Deputy Chief for one. Our paramedics are now using electronic clip boards for the run forms and reports. And I find myself having those "Back in my day..." thoughts about how they do their jobs. In fact I think I may use an entire blog post to discuss this situation
More deep thought soon.
Mr Fixit
The 'wild' starter stinks. And I mean that literally. It smells like rotten ass. The research I did on it said that the first 'stuff' to grow may not be what really makes sourdough, and to give it a couple of weeks for the 'good stuff' to get a hold. Not sure how much longer I can wait.
On the other hand, the packaged yeast starter I made is doing well. I've made bread and it it time to make it again. Only thing is, it turns out like good home made bread not sourdough. Good on the one hand, not what I wanted though.
Little stinker no.2: The foot
The infection is gone. The swelling is gone-almost. The second toe just won't quite return to it's regular size. It's a bit annoying. Doc says 'It should be fine, don't worry about it and give it time." I'm not worried, but it just feels odd.
Little stinker no.3: Blood pressure
While in the hospital I was put on blood pressure medicine. It's working, BP now stays in and around the 118/68 range. But I seem to have a problem if I jump up and go to do something sometimes. I get dizzy for a second or two. The other night at the station I got up for a run and ran into the wall on my way out. Embarrassing. I know what it is, I understand why it's happening. But I don't have to like it.
Little stinker no.31/2: Weight loss
I need to get me some of that. Now that the foot is better, I can work on that, which will help me work on the blood pressure issue I hope. I have done a lot of research and study. I have found an amazing weight loss system that is guaranteed to work. I'm so excited about this plan that If I can, I may become a distributor. It's called the "Eat less, and work out more" plan. The way it works is you try to use up more calories in a day than you take it. They say that the weight just melts off!
Little stinker no.4: our EMS system
Lots of little changes, we have a new EMS Deputy Chief for one. Our paramedics are now using electronic clip boards for the run forms and reports. And I find myself having those "Back in my day..." thoughts about how they do their jobs. In fact I think I may use an entire blog post to discuss this situation
More deep thought soon.
Mr Fixit
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