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MongoMedic2

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Everything posted by MongoMedic2

  1. I have to concur, thanks thisgirlisamedic, I thought I had the winner. Now I have to go out and trip someone and make up a story of what happened to them. But first, it is time. MongoMedic
  2. Kiwi...??? are you even in NZ? you know a lot of people tolerate your arrogance, "talking the piss", because you had some pretty solid post. There was no reason that I would of ever thought that you were not a Medic. I am truly at a loss of words. Because as others have said, with the type of forum that this is, what you say here is taken not only did you research it, but also had some type of practical experience with the knowledge that you share here. Had I known, that you were not a Medic I probably would not care. You apparently have a good science background and a good understanding of "para-medicine". that in itself can be a valuable asset, maybe to give a young Medic/EMT a resource to to go to for a science based answer. But it would be nice to know that this is all booked based knowledge and not that of personal accounts/experience. I am really taken back as well that you were giving this guy the dump load of shit, for his mis-representations. Whether it is by omission, stating that you are when you are not, or whatever...if you put forth the effort to present yourself as something, and you are not it is a misrepresentation no matter how you look at it. MongoMedic Certified Texas Paramedic (exp. 2013), ACLS Instructor (not the best in the world but still am one), Currently a Remote Duty Medic/Clinic Manager in Khushuut, Mongolia
  3. New Years Eve 2005, sitting in my station with a Basic that had just cleared his orientation three hours before this call. At about 1215 the tones go off for a single vehicle roll over in a field....bystanders will show you the way to the accident...AAAAH Shit (when that sinking feeling just hits you). Get to the field, sure enough bystanders guide us in to this backwoods gulley. In the gulley is a mud buggy of sorts flipped upside down with about 7 people spread out all over the scene. I have two VFD types and an off duty police officer doing CPR on the driver. The rest of the passengers fine other than some minor broken bones, cuts, bruises, etc. The story I got after this was all over and the J.O.P. (Justice of the Peace) had taken over the body of the driver goes as follows. The driver and the wife had been working on buying this piece of land for about 4 months. They had just finalized the deal that day and signed the paper. The driver during this time had been making this homemade mud buggy to cruise the land and have some fun. Well he took a wrong turn and apparently a tire or two had went flying off, he lost control and the mudbuggy ended up on top of him. The problem with this whole mess, was that the couple had never before took a full tour of the land in the daylight and this was actually their first time to "explore" the land in detail. But they decided to do this one when it was dark, in a homemade mudbuggy, after they had decided to get tanked up in celebration of the New Year. A common phrase from my Director at the time..."Here hold my beer and watch this". Just a note, my partner did great handled the scene like a seasoned pro. MongoMedic
  4. Wendy, I have had it to where I have had guidlelines/protocols to go by. If you see this, give them that.....if this test says that, give them this (cookie cutter medicine). I have also had access to Medical Direction via phone. What I have tried to do is come up with some kind of plan with about two or three options for the Doc to choose from or sometimes I will say this is what I think it is, how about I give them drug xyz. The Doc will either say yeah or nay and give me their recommendation. Most often if they have dealt with certain Medics enough, then they will pretty much go with what you say, unless you are just off your rocker. From my understanding, most Remote Medic jobs work pretty much the same. MongoMedic
  5. Kiwi I think that we have found something that we agree on as far antibiotics being used wrongly, however I think that starts in the Doctors office. Now my disclaimer: I am not a doctor, nor do I claim to know more than a doctor, with that being said.....I am not sure what it is like in NZ, but in the US if a patient wants an antibiotic and the Doctor disagrees, then the patient just goes to the next Doctor until they get what they want. So what happens is business gets in the way of good medical decisions. They don't want to loose their patients, because that hits them in the pocket book in private practice. One of my biggest hang-ups doing these RM gigs is when an antibiotic is given for the "because I can" with no other medically nec. explanation available. I often try to explain this to my Mongolian Doctors, if you give a medication be sure to document your findings in your chart that would suggest the need for the medication. This is especially true for antibiotics. My concerns come from two angles, first and foremost the patient care. I don't want a patient to receive a medication (i.e. antibiotics) for something that will resolve itself with OTC's in a few days, or that needs to take its course. Well a distant second is that supplies are a continous problem here where I am at, and that presents its own problems. I also have a short coming when it comes to what anibiotic to give for what, that is why before I do I consult a PDR or hell even the internet. That way I have some basis for my decision. Now I will say this I have been lucky enough to have done this job with some pretty good guidlines, that says if you see this give this and expect that (call it cookie cutter medicine if you will). However, I still try to look up information so that I can educate myself maybe on a particular case. Maybe the next time I encounter such a case I can pull that out of the memory bank, the next time I encounter a similar case. MongoMedic
  6. I remember reading about a program in Main or Mass. (I don't remember which) where Paramedics would go to homes to do house calls. They would have a pretty expanded scope of practice (similiar to that of a Remote Medic). They would do antibiotic therap, minor suturing, along with a whole host of treatments right in the patients home. I have no seen much press on how it faired or if it even still exist in that area. I do know that this is becoming a popular idea in Texas. I personally know of a company that is starting up right now that will be doing this exact thing. They will be using tele-medicine to speak with a "coordinating doctor" (for lack of better terms) along with a very expanded protocol system and armed with all kinds of cool things (monitor, I-stats, etc.). They will also be following up with patients that have visited the ER, admitted and then sent home. Kind of a follow up program. This will in the long run assist hospitals from receiving these patients after being discharged from the hospital and the hospital having to pay medicare back. Example: granny goes in suffering an MI. She gets admitted and treated for her MI, now (according to my sources) if granny goes back to the ER for any reason that hospital has to pay medicare a said amount (sorry I don't know figures). So instead this service will basically follow up on granny ensure that she is taking medications as they are prescribed, do a physical exam, report back to the coordinating doc with findings and possible treatment plan and implement it with the coordinating doctor's approval. That is basically what I am being told, I don't have any facts, figures, or documentation to prove/disprove this. Although I think that it is a great idea. I mean if we as Paramedics could do these sort of things and help drive down health care at the same time, I say about time Mongomedic
  7. After reading the threads from this article, I am just simply amazed. First off, this was during an ATHEIST parade. In order to have a parade (at least in any community that I have ever lived in) you have to have some type of permit in order for that parade to take place. truth be known, that is not even the most important factor in this debate and that is that this person (a Muslim) attacked this other guy (an Atheist) for his dressing up like a zombie Mohammad. The judge in this case (according to the article) ruled in favor of the Muslim, because he was acting in accordance with Sharia law. The First Ammendment of the Constitutions of the United States strictly prohibits this. This is from my extensive research via Wikipedia (sorry did not take from the actual document) The establishment clause is "[t]he First Amendment provision that prohibits the federal and state governments from establishing an official religion, or from favoring or disfavoring one view of religion over another." Which this was interpeted by the US Supreme Court as meaning "government should not prefer one religion to another, or religion to irreligion." This judge acted in accordance with the fact that the US recognizes Sharia Law (which governs a sect of the Muslim religion) over that of the US Constitution. This is wrong, anyway that you look at it. Could the act of dressing up like a zombie Mohammed be offensive to someone, well sure? Just as all the jokes about Catholics could be, or making fun of someone’s kid. The point is that we live in a country that allows for this freedom of speech, expression, religion, and that of the press. Legally speaking, we cannot go hitting folks for things that “offend us”. If that was the case I would be hitting a lot of folks every day, and telling the judge they offended me. Now if someone made fun of my child, hurt my child, or did something that I found offensive enough would I hit them? Maybe, but then I would have to face the consequences legally. The simple point in this debate, is the judge ruled in favor of one religion over another. By the US Constitution, which is what our land is governed by, is wrong. Mongomedic
  8. Just for your info, nothing more, but I have a little over 20 years in this field...I have seen plenty of changes (some to the good some to the bad) in this field. It is like I said in my last post, I have a lot of respect for the job that fire services do. However, I do not like arrogant, pompous asses telling those of in EMS that our job is any less important than theirs. Like I said not all FF's are assholes like that and are all around good guys. That was my main point, other than educating the young lad on some the history of EMS. At least that I am aware of. Although I was a little confused on what my duration in this field really has to do with the rest of your post. Maybe just a little clarification? MongoMedic
  9. Simple words, I am absolutely disgusted with this decision. The judge just needs to be removed and tried for treason under US Law. Just my simple thoughts. MongoMedic
  10. If you read my earlier post, you would of seen that I was defending the FF/Medic that was on the plane. However, that is pretty much where my defense for the fire services ends. Because, it is arrogant asses like you that give the fire services it's much needed reputation. If you really want to know where modern EMS evolved from, it was from the Medics that served in Vietnam. Yes it is true that originally the EMS service for the civilian world was devoloped within the fire services. However, it was seen that the fire services could not handle the call volume and that is why it started to going to mortuary service and devoloping into the ever expanding private services. The funny thing about "fire based EMS" is that even back then they did not transport, they had to call a local ambulance company to transport their patients. If you bother to get hell off your high horse and see that the number of fire service run EMS in the US is dwindling and the private/hospital based EMS services are gorwing then you will see that maybe the fire services are not as "key" in the devolopment of "modern American EMS systems" as you like to think. It took hospitals, private services, in a very small part the fire services to devolop EMS into what it is today. I have a lot of respect for the fire services, as I do for the law enforcement community. However, trust me on this there is no jealousy on my part. There is also limitless possibilities with the job that I do. So before you go bashing the private/hospital based EMS, read a frickin book and open your mind!! MongoMedic I approve this message!!
  11. I am sickened and disgusted at all the negative conotations, condomnations, insuations, multiplications, resignations, and perpetuations that are being brought up with this topic....It goes against the independant decloration, the proclomations, and the gudiance of the siloconation. You might be ghetto if you try to protest like this...
  12. hmmmm that is what I thought...
  13. Is your telescope powerful enough to look at the stars....or is it just to look at the building accross the street...Just askin?
  14. When I am not working, or spending time with beautiful family, I really just enjoy getting on the open road on my motorcycle (2011 HD Ultra Classic) and riding. There is no feeling like it in the world!!
  15. I came accross this this morning, posted by one of my friends from FB...This sort of thing really just trips my trigger. This is just as bad as those who steal valor from the men and women of our Armed Forces. http://news.yahoo.co...-192558839.html MongoMedic
  16. I think that a Paramedic can save a life, we have received training and put that training to use everyday. When a Paramedic administers a drug, pushes the button on the monitor that delivers a shock, etc. they can very well "save a life". Is this heroic, no I see it as being a lifesaver. By performing the steps the Paramedic did not go above and beyond "the call of duty" to save that life. They simply did the job that they were called to do. I feel a sense of accomplishment when I have taken someone out of the clutches, but I do not feel heroic. I just feel that I have done my job. I define arrogance as this; acting as if you have been there done that, got the t-shirt, and not having a clue of what you are talking about. If one feels that their act was heroic and can justify why they feel that way, I think that arrogant would not nec. be the word I would choose. However, they definitely are not humble. Hero vs. Lifesaver: I truly believe that what we do is save life. We use tools such as our teaching, protocols, medications, monitors, etc. to accomplish this. This by no means puts us in mortal danger. We were just lucky enough to have gotten the call, remember our teachings, referred to the correct protocol, and used the correct tool. The Hero is willing to give up his/her life selflessly in order to ensure the preservation of anothers life. If by their act that it put them in mortal danger and they did so without regard for their safety, that to me is what makes a hero. Just my thoughts MongoMedic
  17. This is what EMS is about right here. As we advance in our carreers in EMS, some of us simply become jaded and hardened to the feelings of family members. We never intend for this to happen it just does. We need to pay special attention to request of family members in times such as this. By allowing them to have that extra 2 minutes of spiritual connect with their mother, you and your partner experienced the bond that probably holds that family together. By talking with the son, while driving to the hospice center, you connected with him during what is a difficult time for him. In all honesty they will probably remember the experience with you and your partner longer than you two do. By connecting with this family the way you did, you experienced the emotions that family is going through as they have now accepted their mother dying. That in itself is a powerful time and to see that closeness, that love that they feel for this woman, and the presence of the God that they believe in, and this is sure to stay with you for a long time to come. As Paramedic Mike said, don't loose that compasion. It is what will make a difference in other people's life that you come accross not only in this job, but also your life. MongoMedic
  18. Really truth be known, it comes down to one thing and that is what is your character based on? Considering that you posted the question, I am pretty sure that you have some basis of character. Which also tells me, that you know the right thing to do. If this guy is doing this for a First Responder's test, then he probably is doing this for other test as well. One thing with any instructor, is that they like to see their students get high marks. Whether it is on test through out the class, state test, national registry, etc. It not only shows that the students are learning the material, but also that they are teaching the material well. In a way it gives them bragging rights, if it be for a better position within their department, creating a business, or just for reasons of egos. I mean would you want an instructor where only 75% of his students passed or one that 98% of their students passed? With that bieng said, I believe the right thing to do is blow the whistle on this guy (yeah I said it). If you choose to remain anonymus then great, but at least you know that you did the right thing. Good luck!! MongoMedic
  19. VentMedic you are actually wrong. Just because it may not be the case in your area, there are a surprisingly high number of EMS professionals that have a DUI conviction on their record, I am fortunate not to have on mine. I look at this way, he has paid the price served his time. Yes, he got lucky and did not hurt or kill someone and he got caught. It was stupid, yes, but the man is trying to make better of himself. He faces many challenges to get into this field with that on his record, as it is. He does not need to be belittled and given a bleak outlook. I am all for you do the crime, now do the time. Now he has done the time, paid his fine, and is now trying to make good of his mistake. Most states require at least five years before you can hold a professional license. Employers have a little less control over this, since insurance companies will have a hard time insuring those with a DUI conviction. The best thing to do is talk with different EMS services and get their imput. I feel this is the best way to get an idea of the challenges you now have to face. MongoMedic
  20. ROFLMAO!!!!!! Although I am pretty sure the translation got skewed just a little bit...all I heard was F(*&(*& F((*& F(&(&(&....maybe my German is a little weak though. MongoMedic
  21. In all of the public services....especially in EMS.....there are times that we go above and beyond to bring credit to the service that we have chosen, or have been called to. To me this guy could of just sat in his seat and ignored the call, but he did not. In order to help with the situation at hand, he had to identify himself one way or another. He in the end said "I am not a hero, just doing my job. Even though I was not working". Dwayne, you are absolutely right Fire services get all the credit and praise for the job that they do. EMS hardly gets a mention when it comes to saving lives. The only thing that I can contribute this to, are shows like "Emergency", "Rescue Me", etc. My thoughts are not that of hatred or dismay, that we don't get credit and the fire services do. My thoughts are: I am thankful for being called to serve the people in the capicity that I do. Whether it is to work on a bus back in the states, hold a lady's hand while she is ill, or working in Mongolia as a remote medic. I do not sell what I do short, I actually take it as an awesome responsibility. I get great pride in knowing that I/we (my team-mates) have made a positive difference in somebodies life today. The rewards that I receive in this life, will not compare to the rewards that I will receive in my life in heaven (my belief). I have to agree with DFIB on this one, this guy was not tooting his own horn, although I know of plenty of FF's that would, he was just trying to make a positive difference in someones life. He did this by doing what he knows best. If the other people on the plane saw him as a hero, then so be it. It could as easily been you or I on that plane and doing what we know best. Just my thoughts on the first article. As far as the second article, well joke or no joke this guy should be hung. I know how the fire services treat rookies, noobs, neops, or what ever you want to call them. However, if you are being harrassed, embarrased, or "abused", then take it up the chain, and if you don't think that as an option.....grow a set of balls and settle the problem man to man. Don't sneak and put something in his drink, whether it is to just make him sick or otherwise. Because those actions can not only cause harm to that person, they can bring harm to fellow firefighters, other public servants, or the general public in which you serve. Just my rant on the second article. MongoMedic
  22. Before I give my thoughts and reveal the answer, I will say this I have been chatting with Dwayne on this matter and to tell you the truth there are some alarming symptoms that presented in his scenerio that it took me a while to catch onto. I will be honest I went through a long list of DD's before I came up with the answer to this one. Good presentation Dwayne. My first knee jerk was heavy metal poisoning, but there was no nausea, headache, or vomitting. Then I read the scenerio again and the fact that these folks stand on a concrete floor for very long periods of time, without a lot of movement, had me considering DVT's. But from what I gathered this guy was not c/o pain any where. There were a few others like K+ deficiancy/depletion, but the EKG was normal. Then I read the scenario over, probably about 6 times to say the least, and something hit me like a lead baloon, actually a couple of things (not to mention the area Dwayne is in is known for this particular ailment). Then I had this statement: me: I don't suspect vector borne illness cuz there is no fever unless he is having re-occuring fevers just not at time of his visit.... 12:24 PM but I am sure that you would of stated that fact Dwayne: Nice!! The patient had a form of malaria that could kill you he had Malaria Plasmodium falciparum (which is the only variety that is known to cause death). This variety of malaria (if left untreated) crosses the blood brain barrier causing...what this guy actually had....cerebal malaria. CHBARE, you were spot on, just did not say the flavor. Dwayne asked me to share this site with you, for those of you that wanted to read more on it. http://www.davidson.edu/academic/psychology/ramirezsite/neuroscience/psy324/rebergner/what_is_cerebral_malaria.htm Good case Dwayne, MongoMedic
  23. Toni, Out of all the conversations, I think that is the key when treating the patient. Explain what you are doing what outcomes you are looking for and keep the patient and family informed of what is going on. This way the family member whether they are a HCP or not should feel more confident that their love one is being cared for by someone who has a clue of what they are doing. One other little trick that I do, if I have a family member hovering is send them on an errand for me. No not to get me a cup of coffee, but something that may help me out like a list of meds or find that patients lucky teddy bear. Something like that allows them to feel involved in the care of their loved one. As far as a family member taking over medical care of my patient, I have never in my twenty years had that attempted. However, I think that communication is the key to not running into this situation. Just my thoughts. MongoMedic
  24. I just have a few comments on this video...First and foremost we have no idea what this father deals with on a day to day basis. I mean kids these days are so focused on the social media, that maybe that is the only way to reach out to them. If that is truly the case for this father, I feel sorry for both him and his daughter. Maybe this was a desperate act to basically beg for her attention. As happiness had mentioned, he uses it as a fun way to communicate to his boy and keep up with them in their lives away from the nest. I am sure that there is more than one of here that use to communicate with our families while away on remote gigs or with friends while at work or even accross the room from them. I mean I have even been guilty and text from about three feet away from her to say lets get the hell out of a party that I was completely bored at. Now DFIB I agree with you, with the whole praise in public punish in private. But lets face it we can't sit in judgement of this guy not knowing the whole (I mean the absolute truth) of his relationship with his daughter. I mean obviously this is a broken home with the parents being divorced, and an obvious disconnect between himself and his daughter. Lets face it there is not one of us here that are perfect parents (not meaning to bash anybodies parenting skills). We all make brash decisions and even sometimes end up regreting them. The unfortunate part is these things that we call children do not come with manuels. You can read every self help bood from Dr. Spock's how to raise a child to Marilyn Manson's nightmare of raising kids (no idea if that one even exist) and there is not one child that will ever fit that mold except the one they wrote about. Our parents (well at least mine) used to get on to us about playing atari and watching MTV all day and wasting our time. They said it was the plague that was kill off a generation. Social media is great tool. It can be used in a very positive aspect, a way to send a condolence, or just tweet that you just twitted for the first time. With parenting we often look at different ways to communicate with our children. Although I think that most would agree that face to face is the best way, but when push comes to shove we need to cut the guy some slack, he is obviously deperate to reach out to his daughter. MongoMedic
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