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WolfmanHarris

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Everything posted by WolfmanHarris

  1. WolfmanHarris

    Had a patient's family come by the base to thank us after a bad MVCl from a couple weeks back. Really nice and made the morning!

  2. WolfmanHarris

    Thanks to the awesome folks on Blue (and Steve Pallet) for a fantastic night out! Couldn't pick a better bunch of people to spend a huge chunk of my life stuck with! G'night!

  3. WolfmanHarris

    Back to work tomorrow for six. Thanks to leftovers already in the fridge not a lot of cooking today. Spaghetti squash done and a brisket marinating for the slow cooker in the morning.

  4. WolfmanHarris

    Who would have guessed that when you play around with bear spray... You just might end up sprayed with bear spray? What a night. One more to go.

  5. WolfmanHarris

    "Dorthy Mantooth is a saint!!"

  6. WolfmanHarris

    Day before back to work and that means cooking. Today's projects: chicken curry, beef stew, sausage jalapeño hash and paleo brownies. Six pounds of short ribs to pick up at the butcher tomorrow too. Slow cooker's getting a workout so I can sleep more.

  7. WolfmanHarris

    I was impressed when Carter loved the Shepherd's Pie doused in Sriracha that he mooched from me. I'm flabbergasted by him liking the avocado and red pepper tossed in chipotle powder and cayenne I had with my lunch. It was a little hot for me and way too hot for Julia!

  8. WolfmanHarris

    Google "Creepy Easter Bunny" and click images. Enjoy.

  9. WolfmanHarris

    Today we gathered to lay to rest Constable Jennifer Kovac, Guelph Police Service. Hero in life, not in death. May we never have to gather for such a purpose again.

  10. WolfmanHarris

    Cinnamon Bun Day!!! It makes the split bearable.

  11. WolfmanHarris

    Had a big day of pre-split cooking. Paleo bread, pumpkin muffins, spelt dough goat cheese pizza and Korean beef short ribs starting in the slow cooker for the night.

  12. WolfmanHarris

    Service Ontario could not be EASIER to deal with! Five minutes on the phone, pleasant person on the other side and two replacement Health Cards on the way.

  13. WolfmanHarris
    I'm a member of the Ontario Paramedic Association, which is a chapter of the Paramedic Association of Canada.
  14. WolfmanHarris
    Sorry, I think I may have misread what you were saying initially and took what you were saying about emancipation and applied it to medical decision making. On the topic of emancipation, I gotta ask if she's making medical decisions, making decisions on whether or not to keep her child and then on how to raise them, what decisions are left? If anything without emancipation we place significant responsibility in the hands of this patient while keeping the risk on the parents (financial, legal). I don't see how this is better than shifting full responsibility for their life to this minor.
  15. WolfmanHarris
    While I may agree that her decision making ability is suspect, that too is irrelevant to our ethical obligations as a provider. We cannot start passing judgement and taking a paternalistic stance with this hypothetical patient any more than we can with a drug user, a smoking obese heart patient, or a diabetic shovelling candy. Capacity is the ability to make a decision and appreciate the potential consequences. They may disregard them and still choose to not act in their own best interest but that doesn't automatically give the provider any right to overrule their wishes. The patient's right to autonomy and informed consent (or the absence of consent) is and must be the foundation of medical ethics.
  16. WolfmanHarris
    It's not common, but it certainly happens around here. With Paramedics still being a non-regulated health profession in Ontario, issues of certification related to this are still handled by the Base Hospital in conjunction with the employer. Any medic I know of who has been in this position has been told to seek treatment and counselling and after a leave on disability has returned to work eventually. I can only think of one somewhat notorious local case where a medic was a repeat offender and wasn't allowed to continue to practice. Unfortunately with the nature of the work you can't just restrict and monitor narcotic access.
  17. WolfmanHarris

    Instructions that should be part of a recipe for blackened chicken: "your house will fill with smoke. The range hood will not keep up. Best of luck sucker."

  18. WolfmanHarris

    Lesson learned, when doing a mid-day WOD really, REALLY, need to eat lunch before hand. Felt like crap after, had trouble getting home and Julia thought I looked shit. All and all a good WOD though.

  19. WolfmanHarris
    Worth noting for the sake of contrast that Canada does not have a legal age for consent for medical treatment. When challenged before the courts capacity to decide (or not) has been determined on a case by case basis. So in the case for me: consent from the patient as I would from any other, age is essentially irrelevant. Spouse is irrelevant in this case though if the patient is unable to answer and the two are common-law they would be my de facto next of kin. If parents to the patient arrived on scene and there was a dispute then I would act in the best interests of my patient as I saw them and treat/transport. Deal with the conflict on scene as I would any other and let the longer term implications be dealt with when either the patient is able to state their own wishes again. If that's going to be impossible (i.e. coma) than determining the substitute decision maker will have to go to court anyways since there's a dispute.
  20. WolfmanHarris

    Donald Glover on Sesame St is pretty much like having Troy on Sesame St.

  21. WolfmanHarris
    I hope the Officer makes a full recovery and returns to duty quicky. Bad for the Officer, but hopefully another kick for the service to get there business sorted out. The pressure a Police union can place from the outside, especially at a municipal level may help shake things loose. Then again, if all the garbage that's happened in that system so far hasn't done it...
  22. WolfmanHarris

    And I'm pretty sure it's Croup. Taking volunteers now to join me for the inevitable late night walks in the cold?

  23. WolfmanHarris
    I get weird looks from patients when I walk up to the door in my short sleeve uniform shirt in February. I always end up explaining, it's not that I'm not cold, it's that I'd rather be cold for the walk to the house than sweating buckets in your living room in a coat.
  24. WolfmanHarris
    I'm finding this story difficult to comment on in a way that's relevant to this case. The differences between retirement homes and nursing homes here vs California and DNR's here vs there may make that impossible. So I'll keep my input more general: Ethically I take issue with a facility making a general policy to exclude CPR on all residents and to make residents agree to that, especially if this is common practice (which it sounds like it might be). Regardless of our stance on the futility of resuscitation for a patient that elderly, the decision to withhold resuscitation should be the patient's and not a product of corporate policy. While it could be argued that the patient has the right to seek residence elsewhere, if this practice is common than the reality is their consent is not freely obtained. If I'm understanding some of what's been said correctly, in California you cannot obtain a DNR without a terminal illness? Here any patient can have a DNR, we even have a Ministry of Health and Ontario Association of Fire Chiefs approved confirmation form that is supposed to make honoring a patient's wishes by first responders even easier. Anyone can obtain one and it can be signed by an MD or RN. Patient's right to informed consent should extend to preemptively stating which resuscitative efforts they do not want.
  25. WolfmanHarris
    If there a memorial book where we can send our condolences for the memorial? Gonna be a bitch to bury or to cremate. Glad everyone's okay!
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