EMS49393

I'm going to have to agree with Vent here. Most basics and paramedics have no idea what normal lab values are and have very little education in care of the elderly. Care for elderly patients is different then care for a normally healthy young adult, or middle aged patient. These patients are normally suffering from several life-altering disease processes. For example, a patient that has been a diabetic for forty years may now have kidney damage, be a dialysis patient, have poorly controlled hypertension, non-healing wounds, and a host of other effects. A change in lab values is can be a VERY big deal for these patients. As for NG tube placement, my question would be was this a feeding NG tube? Did a nurse attempt to use the tube, attempt to withdrawn residuals from it? What if she couldn't feed through the tube, flush, or withdrawn from the tube. How do you know that it wasn't dislodged, broken, or kinked in the time frame you gave? How would you like it if you were told you'd have to starve because it's demoralizing to have a paramedic come take you to the ER for confirmation of NG placement? Look, I understand both sides of the fence here. It's frustrating to feel that you are dumping on the ER's. It's frustrating to have several nursing home patients requiring total care in the ER at one time. The fact is, most of those nurses have ZIP for free-thinking. They assess and report. The physicians are the people that ultimately make the transport decision for them. They are required to follow their orders under medical direction or face loosing the license they worked hard to get. Critical care and emergency nurses are often afforded pathways to initiate treatment for specific complaints. This is not the case in nursing facilities. I hear paramedics constantly complain about having to take a patient to the ER for abnormal labs or a fever. Because I work in an ER now, I see those patients, and I know the outcome for them. I'm not going to go in depth in explaining why you need certain levels of potassium, sodium, calcium. I'm not going to explain that a hemoglobin of 5 is a medical emergency. That should be taught in the paramedic program, and if it isn't, then that program sucks. I also shouldn't have to explain how incredibly easy it is for a person that spends most of their day in bed to get pneumonia and become septic in a matter of a few days. Vent would be a better person to explain respiratory pathologies in the elderly. If you're trying to use the argument that it's uncomfortable for the patient, there is an easy way to fix that. Cover them according to weather. Move them gently. Drive gently. Treat them respectfully and with kindness. Giving them the impression that you are just too important to deal with their problem has to be the most uncomfortable, inconsiderate you could do to them. Honestly, the typical paramedic doesn't have the education (or freedom) to tell a nurse that their patient doesn't require transport to the ER. A doctor has ordered the patient be transferred, period. Standing there and arguing with the nurse only wastes time, you're still going to have to transport.

Wow, I didn't give you near the credit you deserve. You have called several of us delusional, when you just proved that you are the delusional one. You think everyone is on your big, bad fireman side. I'm a paramedic, I don't support the fire department. If you had read my initial posts on this subject, you would have seen that I don't need the fire department, and I've been known to kick them off my scene. In my humble opinion, there are too many of you. It's time these major cities wise up and start putting the money where it belongs, in the EMS that never sees a hot meal or a chair outside of the truck most shifts. If 80% of 911 calls are EMS calls, then 80% of the public safety fund should go to us, period. You need to get off your ego trip already.

Never argue with an idiot, they only drag you down to their level and beat you with experience. - unknown

I have a Ford factory installed AM/FM with Sirius satellite, CD, and USB port with the voice activated Microsoft Sync system. Is there really any other radio to have? :twisted:

I got to participate in my first code as an EMT nearly 15 years ago when I watched my partner (an intermediate) call medical control for orders while his patient was dying. As the doctor finally got to the radio and denied his request, the patient went into respiratory arrest. I remember vividly seeing him yell into the radio "thanks a lot doc, my patient just coded, finally I don't need your approval!" Maybe there is some talent in being an intermediate. You have to get a doctor to grant you orders before your patient crunks. You guys are right, no one needs us paramedics. They especially don't need paramedics that went to college. Someone has to keep the funeral homes in business.

I'm a PRN paramedic with MEMS, and I work full-time in a hospital. I came from one of the most progressive hospital based EMS systems in the country, St. John's EMS in Springfield. I have worked for every type of EMS system invented. I'm pretty positive you will find that a good number of us have tried out various EMS systems in search of the best one. I doubt many, if any, think fire-based is the best. Far and away, hospital based EMS was the best. We had mandatory education, mandatory skill requirements, ability to spend time in areas of the hospital, and respect from our peers within the healthcare system. Having access to a ton of free eduation and seminars had to have been the icing on the cake for that system. We were mostly double paramedic crews, and we were well-respected amoung the nurses and doctors because we spent so much time improving our education. I only left because my husband wanted to relocate back to the Little Rock area. I have restrained from my real opinion on why these fire departments want EMS, but since you seem to have think you know everything about everything, I'll share... You want our money. EMS bills, and what little money we get seems to mysteriously make its way to the fire side to buy new lazy boy recliners and such. The only reason the fire department that doesn't have EMS shows up on EMS calls is to get enough information to prove they are still needed and deserve EMS funding. They detest EMS and EMS calls. The most they carry is a little clipboard so they can get a patients name and birthday for their own records. They never offer any other assistance. It is a complete waste to have a firemonkey on an EMS call. So much a waste that I cancel them before I even arrive on scene. It doesn't take a mental giant to become a firemonkey. See fire, put water on it. What a challenge. I bet it took them all of six months of once a week night school to teach you that. Don't put us down because you are jealous that we want education and you want pints of ice cream. Don't put us down because some paramedic that I'm sure was smarter than you made you look like a wittle man on a call one time. God made us so you'd have a hero to look up to.

The Memphis fire department stinks of the Baltimore City fire department. They hire people under the guise of making them getting this rinky-dink, half-assed, 300 hour ALS class, which they provide. They're called "firefighter/paramedic" apprentices. They get this BS intermediate class, take another BS exam, provided by the state, and viola, they're "paramedics." It tricks the public into believing they're getting ALS care, when in fact they are getting sub-standard care performed by sub-standard providers that know they will be able to transfer to the fire side once their two year commitment is over. It's utter bullshyte. You Memphis hosemonkeys are part of the reason EMS is never going to get anywhere, and it's evident in your posts. Damn right I don't want to be a firemonkey, just like most of the people you are going to throw into this paramedic class don't want to be paramedics. Thanks for nothing Memphis. All you serve is to reinforce why I'm leaving this profession. I can't stand to keep watching my beloved career get sucked up by the fire department, where it doesn't belong. Thanks for nothing Memphis.

I don't proclaim to know how Memphis FD does their thing. I can say they had a chance at a really good paramedic that only wanted to be a paramedic a little over six years ago. Apparently, you have to become a firefighter, and you also have to UNcorrected vision of 20/200. I NEVER wanted to be a firemonkey, and I haven't had uncorrected vision that good since I was six. Incidently, I correct to just below 20/20 and 20/40 with lenses. I'm not trying to pilot a commercial plane here, I'm merely the provider of emergency medical care. I lost respect for them when I was discriminated against. MEMS in Little Rock makes their little patch puppies go to school five days a week and will not let them work during the six months (yes, I said six months) they are in their "paramedic" school. They give them a little anatomy book, something I think they got from a 9th grade biology teacher, and make them finish that class online (NO LAB) in the few months before the class begins. They then toss them the condensed, one volume paramedic text and they have at it for six months. After that, they get to ride on the ambulance as a student for about 100 hours, and they do a few hours in the local ER. Once they pass that pesky registry test they ride six shifts and are "turned loose" as a primary paramedic on the ambulance. This entire process takes 8 months. Don't get me wrong, if you want to be a paramedic quickly with as little effort as possible for free while getting paid 40 hours a week, this is your type of program. I hear this is pretty typical of places that want to put quanity over quality. It's one of the main reasons I've about left EMS. I can almost deal with low pay and crappy hours. I refuse to deal with incompetent idiots and companies that promote them. I decided early this year that I wanted out and I'm working on my bachelors in both nursing (because I need a job) and history (because I want it). I really do wish all the best for the people that will stay and try to make it a better profession. I'm just getting too old and cynical to believe it will ever change.

I had to post. It felt great, being able to lower myself to the volly-man and curse like a demon. It was exhilarating, it was magical, it was something I would probably never do again. I thought I might have heard the faint sound of wrestling or tractor pulls in the background. It scared me and I promise I'll never post like a tobacco chewing volunteer fireman again.

First of all, take a Valium, and get off of you high-horse. Spellchecker broken? Where'd you get that nice blurb on Wernicke-Korsakoff Syndrome? They might like some credit. I'm far from a protocol monkey. I know what I what I know thanks to several years in college. I know that hard to believe, but some American paramedics actually went to college, not a parapup mill. Lest ye be judged? Take a look at yourself with your condesending statement directed at me. Second of all, I'm not defending any postition but my own. I have yet, in nearly 15 years, seen a "good" nursing home. Take into consideration I have worked in the inner city slums nearly my entire career. Maybe surburbia is different. Maybe Canada is different. I wouldn't know, I live and work in the US. If you have never experienced any US nursing homes from a paramedic standpoint, you have no idea what I'm talking about, so before you make yourself look like a total ass, you should probably retreat. Lumping everyone in the same group? You bet. Everyone is an idiot until they prove to me otherwise. Good job.

I have run that call. In some inner city nursing homes, checking on patients is optional. Thaimine for a diabetic in a nursing home? Yes, and I'll explain my defense... How many nursing home residents do you see that are actually well nourished? I don't see very many. Most of the patients I see in nursing homes are dehydrated and malnourished. Thiamine is also indicated in malnourishment, not just alcholics. Lastly, COBRA is not insurance. It is a law created for several reasons. One point was to help people be able to continue their group coverage offered by their current or previous employer, if they qualify. Another part of the legislation was to protect people from being descriminated against, transferred to other facilities, guard against patient dumping, and make hospitals accountable for treating and not just transferring patients to other hospitals without a good reason, i.e. trauma, pediatric, etc. services. I now return you to your regularly scheduled off-topic postings.

I don't know another way to answer your question without presenting a case study to validate my response. Patient is a 25 year old female, with a chief complaint of "I just have the flu." Patient presents alert and oriented. Skin is pale, nearly white, including nail beds and lips. She appears to feel poorly and admits to being very tired for the past three days. Vital signs BP 90/50, which is normal for patient, HR 130's at rest, RR 24. Unable to obtain a pulse ox reading. Lung sounds clear and equal bilaterally. Patient is nauseated, however no vomiting, no diarrhea. Rest of physical assessment is unremarkable. Patient was strongly urged by paramedic to be evaluated at the ER. I guess it was a gut feeling based on experience and patient appearance. Patient is goes to the ER as a walkin. Apparently she stated to the triage nurse "I don't feel well" and looked bad enough that the triage nurse nearly set her pants on fire scrambling to find a gurney and a physician. The patient had a Hct of 12 and a Hgb of 3.2. She was also in heart failure secondary to lack of oxygen rich blood. The body can only compensate for so long. The ER performed a 12-lead and it showed ischemia and T-wave changes in every lead. The EGD showed several ulcers and mallory weiss tears in the esophagus, along with a lot of blood in the stomach. I have no idea why there was no vomiting since the stomach isn't a real fan of blood. Do you need to perform a 12-lead? Probably not, especially if you are a stones throw from the ER. If you have to trek the distance, for whatever reason, a 12-lead may serve to trend any changes in coronary oxygenation and perfusion from start of patient contact until the ECG is repeated in the ER. I know every physician I work with will order an ECG on a patient with that presentation and those labs. The heart not only needs blood, it needs oxygen-rich blood, and a decrease in hemoglobin that results from a GI Bleed can send a patient into heart failure. It's not a necessity, but I'm a trending type of paramedic. I know that case study backwards and forwards because I was the patient. The most recent ECG I've had performed still shows ST changes indicative of prior ischemia. I only respond because I keep seeing the age of the patient being brought up as a determining factor in whether or not to perform a 12-lead. After my experience, it cements the fact that heart failure secondary to GI bleed knows no age. You do what you feel is right. Perhaps I'm just a little overly cautious.

Go to www.nremt.org and print off the skills sheets. Memorize those and you'll pass without a problem. They even list the critical fail criteria associated with the station. They couldn't possibly spoon-feed the practical exam any more than that. :roll:

I love being a paramedic. I always wanted to be a paramedic, and it would have been the greatest job in the world if things went my way all the time. Of course, my way would be to eliminate anything that is not a paramedic with a four year degree (at least) on the ambulances, period. I don't see that happening anytime soon, and as a result of sheer frustration at the total crap I've had to put up with working EMS since I became a paramedic, I've opted to change directions and pursue another degree. I'm not waiting until hell freezes over for things to change. I'm getting too old to screw around anymore. The service I worked for where I currently live, puts paramedics through a six month medic mill class, makes them do some ride time, and some clinicals, and throws them into the fire after six whole shifts under a preceptor once they become certified. Did I mention a lot of them brag about getting signatures on clinicals they never actually went to? Did I mention the registry test is put on by the company? Did I mention most of them can't find their way around a patient with a map and flashlight? That's just the paramedic side... It gets worse. Oh yes, worse. The EMT folks are everyday people that come in off the street, get put through a months worth of class, including geography, map-reading, and some other BS they throw in there to make them seem special. They ride a few shifts, and get tossed into the mix for some poor, unsuspecting paramedic to end up with. That was generally me, since I picked the shifts I wanted to work for the last several months I was there. I'd get these brand spankin' new EMT's, and they would do several things in a shift that would cause me so much aggravation that I would nearly have a stroke by the time my shift was over. I'll list them, to make things easy. 1. They would haul-ass out of the truck with nothing more in their hands but their wee-wee's and start asking insane questions to patients, family, and anyone that would listen. I would be left attempting to bring in a monitor and drug bag, etc. I would then have to smooth over anything stupid these kids would say and begin a real assessment. 2. They have no idea how to put on a monitor, set up an IV, or perform a 12-lead correctly. They do not know the names and locations of all the equipment on the truck. I'd rather work alone, and often, I do. 3. They drive at mach speed. They think the lights and sirens affords them the ability to be completely visible to all the moron drivers, and that they have some cool shield around them making them crash proof. I get a sore throat from screaming "slow down a$$hole" 200 times in a shift. 4. They think it's okay to talk to their baby daddy while driving. Nope, nadda, not on my truck. Hang up and drive. Don't eat, don't talk, don't think about anything but how you are going to ensure I go home in one piece, and free of scratches. 5. They don't understand that "hold back" from a scene means you don't drive within a 10 block radius of said scene. They are not heros, they are not cops, they are not cool. I'm going home after my shift, I don't care where they go. 6. I know more then they know, period. I went to school for a very long time to know more. I went to an actual college and have a piece of paper quite a bit bigger than your little card. I'm not impressed by their month long achievement. I'm really not impressed when they contradict me in front of patients, family, or bystanders, especially because they will be wrong. I'm also not impressed when they give the wrong information to patients, family, or bystanders. They only need to go up front, be quiet, and drive us to the hospital when I say it's time. 7. They ask me how to get to the hospital. They ask me how to get out of the development they drove us into. While they were sitting up front being totally useless they could have been mapping out their course to the hospital. I do not like to take attention away from my patient to give them directions. I'm pretty sure my patient doesn't appreciate it either. 8. They are not "ghetto." They are not "boyz n tha hood." Neither I, nor my patients want to hear ebonics on my truck. They can speak English, or be silent. I put in a shift or two a month at this company now. If I can figure out how to acquire all the CEU's I need to maintain my paramedic without their refresher, I will work no shifts for them. When I work, it is exclusively with my husband, who is also a paramedic. I will not, do not, and will never again work with any of their EMTs. I plan on keeping my paramedic, and when I finish this degree, I plan returning my focus to EMS. I want to see it change, and I'd like to be a part of the change. In the meantime, I prefer to spend my required working hours in the hospital, around my true colleagues. I hate the leaving work feeling that I lost brain cells throughout the day. I hear all the B's and I's twisting in their undies calling me a paragod under their breath. I could honestly care less what any EMT or paramedic thinks of me. I know I'm not a "paragod." I'm a medical professional that knows the value of all that book learnin'. I put the time, money, and dedication into college. I'm still putting time, money, and dedication into college. I don't have time for excuses or sob stories about how you can't afford education, you don't need education, or you don't have time for education. It's funny how the people that do all the "paragod" name calling are the same ones that make the excuses for why they won't further their education to my level. Bottom line, if you want something bad enough, you'll figure out a way to obtain it. I have two sayings that I use frequently in my life. "Lead by example" and "talk is cheap." Put up, or shut up.

Depends, depends, depends. I know a lot of places that will not even entertain the idea of a person with any criminal convictions. On the other hand, I have a close friend in the Baltimore City Fire Dept with a felony conviction he got before he even thought about being firefighter. They looked at how old he was, what the conviction was, and how he was "punished." They took all that into consideration along with his stellar work history since he got into trouble. I guess they figured he had paid his dues. He is the only person I've ever met that is not a repeat offender. He learned from his mistake the first time. Good luck in your quest.

Maryland State Police Medevac has not had a helicopter crash since 1986. I am acquainted with several of their flight paramedics and they are a fantastic group of guys. Below is the updated story link from WJZ in Baltimore. Prayers for the surviving families. God Speed for the fallen. Maryland Medevac Crash Kills 4

I don't know how they do field amputations in FL, but I know how they are done in MD. We call for a "go team." The go team travels via medevac to the scene, they set up the most aseptic field they can and do their thing. The patient and team get a flight to shock trauma center, and the limb is accounted for by a team member. I was involved in MD EMS for over 10 years. Called the go team one time in a million calls, they were turned around halfway to the scene. One of our super-dooper rescue gurus arrived on scene and figured out how to extricate the patient and save the leg. His day for hero. In central Arkansas, there is no specific protocol on field amputations. At least, I have never seen one. Luckily, I'm smarter than the average possum here and I would impress upon the physician receiving my distress call that I needed a team similar to the "go team" to my scene, should all extrication attempts fail. When all else fails, I drop the ball in the hands of on-line medical control. I know my docs, they know me, and they know that when I say the feces has come in contact with the rotary oscillator, that the sh*t has truly hit the fan. It's kind of like a surgical cric... I'm 99.999% sure I'll never do one, but it's nice to know how. I'm 99.999% sure I'll never need a go team, but it's nice to know it would be there. I have a labrador retriever, and she loves to chase things. She is master of her domain, and she will sit on point and survey her land. She's killed a squirrel, or several. In spite of her love for rodent, I'm just not sure she'd be even remotely interested in a rotten limb from some poor guy that was probably pretty attached to it. Those guys are just sick and demented, not matter what rational they present about the incident. The sad part is that the medic might lose her license, but no big deal, they'll just transfer them to some cushy firefighting job. Ben & Jerry's behind, here she comes.

Oh... My... God... Dude, you are my new hero. Bottom line, this EMS thing is broken. It's been broken for a long time, and I'd love to say things are changing for the better, however I just can't. There is NO FREAKING WAY any paramedic I know is educated or qualified enough to make any of the aforementioned decisions regarding CPR, CVA or AMI. I tell a lie, I do know one. Of course, he's also an ER physician. MSB, keep spewing your load of crap on here and you'll quickly find it will win you no friends. We are looking to advance our field through dedication to education. Your mindless dribble and lack of factual statements does nothing but continue to prove how stupid most paramedics truly are. You can't even put together a fact-based post with source links for your information. You just copy someone elses half-retarded researched view and serve it up as gospel. Your posts suck, period.

Bad Grammar It's really not funny. It's my biggest peeve. I have an instructor this semester that has horrible grammar. Her lectures are like a metal fork grating across a dinner plate for two hours and fourty minutes. DUST, my college sucks, but the blonde in the video is hot. :twisted:

This is the most fun I've had reading anything in hours. What a hoot! I vote to do away with the EMT. I don't need one, I just need someone that is a great driver with a spectacular sense of direction. I do all my own patient care, always have, always will. I don't need some little know it all smartass trying to tell me that his little first aid class is going to save me. They can go get bent. I want someone that will sit down, shut up, and drive the ambulance. Yep, I'm arrogant. Nope, I don't care that people think I am arrogant. I'm staring down the butt-end of both a B. S. in nursing and biology. That little two week class you took in conjunction with your GED qualifies you to scrub toilets at the local ambulance base and little else. I'd be on board with this double medic idea, but I've met very few medics worth a crap. Besides, I hate driving.

Do you mean Catholicism, or Christianity as in Protestant Reformation? Catholicism was established in Palestine in AD 33. Protestant Reformation began in the 15th century, however many didn't live to tell about it until the 16th century. A Catholic is a Christian, however a Christian is not always a Catholic. Catholics are the "OG" of the Christian folks. It never ceases to amaze me how little people actually know about their religion. Anyway, in response to the question about St. Johns and their protocols... yes, they are the same across the service with the exception of the service area in Arkansas. Arkansas is an archaic, backwoods type of place. They just began to install indoor plumbing there. If that is any indication as to how screwed up that little service area really is. Last I heard, they wanted out of Arkansas, it's cramping their style.

Back where I was before my husband decided moving to Arkansas was a good idea. St. John's EMS in Springfield, MO. Why? Head of EMS education: Bob Page 52 drugs in the cache, including diltiazem, and a variety of narcotic pain medications. Liberal protocols - if I can support it, I could do it. RSI, Capnography, CPAP, aggressive AMI management including thrombolytics. Hospital-based. Low turn-over. An accessable medical director, and and even more accessible EMS educator. Ample educational opportunities, including a dozen different fluff classes, seminars, quarterly competancies. Being among my peers, paramedics that are more educated then any I have ever worked with. The only negative was operational management, but that's nearly everywhere. Besides, the education and ability to actually care for my patients is what mattered to me. I can handle a crummy supervisor, as long as they don't interfere with my patient getting the highest quality treatment available. I could go on, but it's making me want to cry. Besides, I have school tomorrow. I hate EMS so much since leaving St. Johns, (and having to make a living working for this craptastic company I moonlight with) that I'm now a biology student (with a really cool minor). What a pity, considering I wanted to be a paramedic since I was ten.

They have experts that will make every effort to find the cause of the crash. Personally, I could care less what caused the crash. What is important is that three people lost their lives doing their job. Now is the time to stop being pompous know-it-all pricks and pay tribute to the lives of those involved. Unless you're some high-tech helicopter mechanic/inspector extraordinaire assigned to investigate the crash, your opinion of the cause is worthless, and as voiced by others here, not wanted in this thread. GodSpeed to those three that lost their lives. Disclaimer - any of you people tell anyone I have a heart, I'll deny it, and there will be hell to pay. 8)

I'm sure everyone that is involved in EMS got into this job solely to help people. None of them got into it so they'd have cool stories of fake heroics to tell chicks at the bar. You're on here preaching about how you're going to carry your butts down there and help out without complaint. Good for you. While you're at it, forget about your own community. My hospital is knee-deep in the middle of opening a brand new ER. The Bishop came to bless the new ER and there was a huge celebration a few nights ago. It was a major happening, so major that nearly EVERYONE in my department felt the need to be there. I spent the better part of two hours trying to take care of the patients that were no longer important because something big and news-worthy was going on. I'd hate to see anyone miss their chance at fame because they weren't involved in some major event. I missed the clause that said it's perfectly acceptable to ignore our own patients for the chance of being involved in some major, attention-getting event. You bash me all you want. I have patients here that rely on me, and I'm not deserting them to go play in New Orleans. I don't need any cool war-stories.

My God, what a country of complete whiners. America is a FREE country. No one is telling you to live where there are tornados, hurricanes, earthquakes. It's a choice. It's a choice to drag your butts to these places and put yourself in harms way trying to help all the people that were too stupid to leave when they had warning. I've been through hurricanes before. I checked on my family, my neighbors, and I spent time evacuating people to areas where they were less likely to be harmed. I did my part. Other people did their part. We took care of it, and we took care of each other. We didn't whine about what we lost, and live off the tax-payers for years following. We got over it, rebuilt and moved on. Remember Katrina? Remember the National Guard helicopters? They shot at them. Those people were flying in supplies because people were too stupid to evacuate and they shot at them. Screw those people. I'm not killing myself to help someone like that. Likewise, I get sick and tired of lazy people sitting on their rumps calling 911 for butt pain, and pitching the story about how they lost everthing in Katrina and I OWE them a free ride to the ER so they can run up a bill they will never pay. I have seen this all first hand. I've seen our violent crime rates rise because of the refugees. Not a month after Katrina one of their refugees shot and killed several innocent people at a hotel in my town. They were commiting burglaries, stealing cars, and vandalizing within in my community after they were taken in and shown compassion for their losses. Now this time around, again there are "voluntary" evacuations. So there will once again be people that refuse to leave. When it's all over they'll cry and whine about how many are dead, how their homes are destroyed, and they'll take up camp in a large arena and trash it while robbing and beating other morons that wouldn't leave. I'm glad you reported me for having an opinion. It shows how close-minded and sensitive you are when your only defense is to go and hit a report button. Just because you don't agree with me doesn't mean I'm not entitled to my opinion, just as you are entitled to yours. I bet there are a lot of people that share my opinion about this but they are just too scared to be seen as insentive monsters so they remain silent. That's the big problem with this country these days. It's full of a bunch of liberal, touchy-feely whiners. Hit your report button. I didn't violate any terms. Besides, it's a website, get over yourself.