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MariB

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Posts posted by MariB

  1. To be this excited again. Research my old posts. I was too! 

    I love being an EMT, most of the time. Rarely is it ever too exciting. I've had calls where the patient had diarrhea and didn't want to poop in their car. So they called 911.

    i have had calls with people growing fungus up their legs and I didn't have Vicks in the rig so I smelled it all night. 

    In the end, if you still feel like you are helping people and enjoy it after holding bags of puke, getting screamed at because they believe they are the King of Hearts and you didn't bow or kneeing down on the floor, realizing you just knelt in human feces... it might be the life for you.

    As for becoming a volunteer firefighter, that is up to you. I provide support, but I'm terrified of fire

  2. When I first started I followed ever rule and protocol we had. Until I saw a very thin, 80+ year old man lay on a board for several hours in a hospital. He was in more pain from the board then the fall he took that fractured his arm.

    The next fall I encountered in the elderly I asked about pain, logged rolled and felt the spine and then put them on a mega mover instead.

    I was sternly reprimanded by the physician at the ED. After that, I started to ask my patients who were not complaining  of any neck or back pain if they wanted to be strapped to a board. When they said no, I then would ask if they were refusing? If I got  a solid yes, my verbal report stated as much.

    I am now at a different service but still transport to that hospital. I am no longer questions about it as they have caught up with the times more and I will still transport a severe MOI patient on one .

  3. Well no, but he will be losing 2 days of work.

    I am footing the bill for hotel room and food. He has his choice of everything he wants to do which is looking at skid loaders and tool stores. I am more familiar with the town than he is.

    No money. Just being good hearted

  4. Thanks you!

    Getting so excited! For what? Poop!

    I have to laugh, the guy donating is an electrician. When the office called they went through a whole speech about how honorable of a thing he was doing and how he could be saving her life. He kept responding "Im crapping in a bucket, I do it everyday, sometimes twice, if she needs it great " he couldn't imagine others not stepping forward. Trade workers, best ones to consider for donation. Ever.

    Little crude, but yay!

  5. I'm sure it did. C diff is something I had never heard of before this. Of course when she got it the first time, she was sick. Really sick. Her wbc was 38000 with 5 bands. She was transferred emergent by ambulance 67 miles to another hospital. Her vitals were crappy, and they were thinking it was her lungs at first. The diarrhea hadn't even set in quite yet.

    She has been hospitalized 4 times from the c diff itself. Many other times from the histo. Hopefully we can concentrate on just the histo after this.

  6. At first she was like "no way!" But after repeated episodes she was so ready to try. Finding someone who hadn't been on antibiotics was the hard part. I take one every day for chronic uti.

    My spouse tested positive twice for rotavirus so he was excluded for some time.

    Finally a friend of mine stepped forward and he tested great on everything. They pushed to get her scheduled right away as she is pretty sick girl with both illnesses.

    Who would have thought we would be all so excited?

    Her doctors are calling this a life saving procedure.

  7. After battling C-diff for 10 months, and 4 confirmed cases. We have a healthy donor for my daughter. She is having a fecal transplant Friday morning.

    She is resistant to vaynco now and has had a few unconfirmed cases where she called in and increased her medications without being tested. It is believed she has had c-diff 6 times.

    She takes vancomycin every day and has now for almost this whole time. Tapering doses has not worked. Stopping has been a nightmare.

    It was first told to us she couldn't do this with the meds she was on by infectious disease. I begged to try it anyway. Her gastrointestinal doctor said her medication should not cause any problems with the healthy stool.

    As for her lungs. Still not seeing much progress. Long term antifungal. Waiting for these things to calcify.

    Oh and through all of this, she had originally had to quit EMT class due to being ill on the last few chapters. I am proud to say she just finished her hybrid and is now a NREMT. And has returned to school to finish her LPN year. If she can get the c-diff under control and the antifungals keep the histoplasmosis at bay, they have held a spot for her in the ADN this spring.

  8. We have NPs in our emergency rooms now and I Love it! It freed up the clinic for more appointments, the NPs are not rushing and the few we have are amazing. There are times, with my daughter especially they go ahead and call in the physician, but in general, bringing the m into our hospital has been great. We are rural and really can't find doctors to staff an ER 24 hours a day.

  9. Ugly et al:

    Thats The reason to carry a RAD -57 and check every ones carboxyhemoglobin in addition to Oxygen saturation level.

    Especially this time of year when homes are closed up tight and various heating sources are in use.

    We all get those calls where the CC is weakness , general illness, Just not feeling right, possible having a headache for a couple days,

    Yes most providers would suspect Carbon monoxide poisoning.

    But how high a level???

    With a quantitative level provided by the RAD -57 transport decisions are made with intelligence and knowledge of whether they need to go to a facility with hyperbaric medicine availability or not.

    How many services are spending the money for this technology??

    We bought ours 7 years ago when they came onto the market.

    Also every Firefighter gets checked on the rehab scene as well as any occupants .

    Again It is just a tool and shouldn't be how you decide they have elevated CO levels, as we should ALL recognize the S&S of it, but a laboratory quality means of providing information to the ER docs and possibly change our destination to the appropriate facility.

    We actually have these. We do fire rehab. We are also a volunteer service, but my director felt it was an important piece of equipment. Believe it or not, I have used it quite a bit.
    • Like 2
  10. Ours, for my part isn't just daily, but after every run, whether once or 8 times a day. Its several things but consists of checking some things like :

    O2 psi in the tanks on board, on the cot and in the respir bag

    Running a user check on the defib

    Checking the lock and writing the number for the medic drug bag making sure it is intact

    Checking any equipment used and replacing supplies used on the run

    Sanitizing bp cuff, hand rails, pulse ox , clip board and all hard surfaces

    Remaking the cot etc etc.

    The driver does the truck stuff

  11. Jay, what else would work is for permission to transport and treat paperwork, tell them you need their full name, spelled out act like you are filling it out before you have them sign

    wow, that was incredibly arrogant Mikey

    especially since this has nothing to do with being gay
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