Urbanmedic461

Why would anyone want to bash a medic God :roll: Why are people afraid of him?

I've worked two different rotations in Ontario services. First, 2 on, 2 off, 2 on, 3 off, 3 on. this alternates between nights to days each two week pay period. Second (my current rotation) 5 off, 5 on, 2 off, 2 on. This repeats from days to nights as above. I never work Mondays and Tuesdays. I work every Wednesday and Thursday. I have every second weekend off from Friday to Tuesday. We end up working 84 hours/pay period, but only get paid for 80. Therefore every few pays I get equalization days. They usually give us the 2 day block off which gives us a stretch of 9 off total. It's like multiple hoildays throughout the year. Add in your 2 weeks vacation and if you time it right you can get almost the whole month off.

Here is a good 'readers digest' version site about dextrocardia. Not an in depth site but covers basic information. http://www.laughs.com.au/sid/ I had this one in my favorites list after having a patient with dextrocardia. Picked him up with accelerated a-fib. The a-fib was most likely 'Holiday Heart' and not related to the dextrocardia, as per the ER doc that night.

Dandy-Walker Syndrome (sp??) - I was in a small community at the time. I was able to spend a lot of time with this patient and learn a lot from her...unfortunatly as with all cases of this syndrome she passed away before age two. Wreaked me up a bit. Chiari Malformation (my cousin currently seeking Tx. for it) Charcot-Marie-Tooth syndrome And many more, these three came to mind when I seen the thread title.

I was going to ask when you were switching to fleetnet. Much better system IMO. We've been using it since October. Most agencies are on it now (except a lot of fire departments). Dispatch can setup channels for multi-agency use. Works great during MCIs. Nice pics 8)

Does it have seatbelts? Shame on you!

Question: Why do we have the ability to formulate opinions? Just to have something to talk about?....why does one need an opinion....why do people care so much what others do....thats my opinion! I am catholic and it seems people think I'll be against homosexuallity, abortions, etc.... really I couldn't care. In my opinion people need to stop having so many opinions on issues that won't change their lives...have a BBQ and get some sun, enjoy life. *I did make this post sound contradicting on itself on purpose, just a little fun* :wink:

Doctor's arrest upsets his nudist neighbors ST. PETER5BURG TIMES, 1986 By ADAM NOSSITER, St. Petersburg Times Staff Writer LAND O'LAKES-Resident of a Pasco nudist resort are "extremely upset' about the jailing of one of their neighbors, Dr. Dale Dubin, on child pornography charges, a resort official said Monday. Dubin, a well-known plastic surgeon in Tampa, bought a $104,000 condominium in the Paradise Lakes resort in 1984 but rarely used it, vice president Chuck Foster said. The luxuriously furnished condominium was searched by postal authorities last Mondav but they found no pornography, the official said. But in a search of Dubin's $310,000 house in Lutz, police found more than 200 explicit films and videotapes, including videos of preteens in sexual acts. Dubin, 46 was arrested and jailed last Monday night in Tampa. On Friday, he surprised his lawyers by opting not to seek bail, and is now in the custody of U.S. Marshals at a secret location. He was charged with two counts of receiving child pornography through the mail and one count of using the mail to distribute obscene material. Although few at the resort knew him, the residents are "very upset, extremely upset, because they don't want any black mark on our community," Fosler said in an interview. Paradise Lakes, the second largest nudist resort in the country, is self-conscious about its image. The 4-year-old resort bills itself as a family place, and a sign by the swimming pool says overt sexual behavior is not allowed. "Overt sexuality is not condoned," a brochure says. Applicants are screened before being allowed in, according to the brochure. Both Foster and general manager James Lake said Dubin came to his condominium only a few times during the year. Neighbors said they never saw him. "The man's a recluse," Foster said. He said he had never met the doctor. Dubin has already been barred from the club, and the condominium owners association will consider his expulsion at its next meeting, said Foster. Residents have been thankful that the doctor's connection to Paradise Lakes had so far not been noted, Foster said. "We have to be protective as far as the people who live here are concerned," he said. "They like to be anonymous." Dale Dubin Sentenced To Five Years Proprietary to the United Press International 1987 March 7, 1987 A federal judge sentenced millionaire plastic surgeon Dale B. Dubin to five years in prison for what the judge called an obsession with pornography and cocaine that turned the doctor's life into a tragedy. U.S. District Judge William J. Castagna told Dubin at a sentencing hearing Friday he could not see how a ''person of your talent, ability, education and interest in art,'' could have turned his life into such a ''tragedy and waste of such a rare and needed talent.'' Dubin pleaded guilty six weeks ago to 22 counts of child pornography and cocaine charges. Eleven of the drug counts involved a 16-year-old girl who was seduced by Dubin with the help of pills and vodka and eventually agreed to participate in sexual encounters with Dubin, another 17-year-old girl and a 23-year-old woman. Dubin videotaped some of the encounters for his pleasure. The incidents took place at two of his condominiums and the Pasco County nudist resort of Paradise Lake. He is expected to serve his time in a minimum security facility where he will be able to receive drug counseling. U.S. Attorney Robert W. Merkle, who prosecuted the case, told Castagna that no crimes ''are more violent than the use of child pornography and the distribution of narcotics.'' He said Dubin's attempt to minimize his activities as just a ''lifestyle'' was a ''new low in euphemisms.'' Merkle said it was particularly aggravating that Dubin used his medical knowledge to satisfy his own appetite and risk the lives and mental health of his victims. Dubin, 47, stood with his head bowed throughout the 40-minute hearing Friday. Except for a few mumbled words about a letter to the judge, he did not say anything. In that letter, Dubin complained of the ''lurid display'' of his case by prosecutors and claimed details of his activities were ''egregiously distorted'' by the press. He also spoke of his sexual escapades as examples of ''an occasional clandestine soiree.'' Dubin was arrested Aug. 11 at the mansion in Lutz, Fla. he called Hassle Free, after being sucked into a child pornography sting by sending off a $100 bill to buy films including ''Barbarian Girls.'' The Dubin story received extensive news coverage as his doctors unsuccessfully tried to have him committed to a mental hospital for treatment of what they called potentially suicidal depression, and Merkle countered by adding details of the case into the court record.

Interesting While on one hand I agree we should have a little more say...but, on the other hand this could be dangerous. I think a better avenue would be the EMS workers have more say in billing cost. Example being Ontario; Full cost (I believe is around $240) for misuse of emergency system. Rather then the $45 surcharge for regular usage. In the past Paramedics were able to determine this, recently revoked to only be approved by receiving MDs. Then we can debate that tax payers have the right to call anyway, or job security, etc....many avenues to look down. *Sorry to have so much Canadian reference in the U.K. forum. I am unfamiliar with the billing setup in the U.K.*

I can't order there...."Yes, could I get a Grande Tacho Burrito Caramel Mocha Lata Frapa Cino Something-or-other?" And I still don't know what I'm getting OR @ Timmies "Could I get a large Double Double" Too much ordering anxiety at starbucks

Phrase for mushrooms: Hanging out with the "FunGuys" Why do I have thoughts of highschool reading this thread :?

Sounds like you worked in James Bay too

Here is some equipment we use. Scoop: My partners look at me like I grew a tumor on my forehead when I suggest its use. http://www.canada.ferno.com/ie/sub_solutions.php?c=41 Stair Chair: Swivel front wheels, extendible handles, overall better angles for hand grips. http://www.canada.ferno.com/ie/sub_solutions.php?c=1 I use both very often. I would think the KED is the least used in my service. I have only used it about 10 to 15 times myself.

Well I wouldn't be calling B.S. (as you called it). Ontario provincial protocols are 140 systolic and above for NTG (for pulmonary edema) without a line in place. Now with chest pain it is 100 systolic min. The 140mmHg systolic is not uncommon practice when using NTG for pulmonary edema. Relax a bit.

Here is my 2 cents: Right now picture putting a gun to your head and pulling the trigger. Seriously sit for a second and think about doing it... Hard to imagine right? (If not seek help right now, I in no way intend for someone to actually do this) To be at that point where you can pull the trigger is far beyond being selfish. To be able to do this means you are not thinking about yourself or anyone, only to end pain, great sadness, suffering etc.... This is a mental disease in which ones mind will not let them get past the situation in question. I had a bad situation when I was in highschool, I came very close to ending my life. Thinking back now I am very happy I got through things. BUT, at the time I was unable to think, had no energy, had only blank thoughts. When the you change a TV to a channel that only gives you white and black specs moving around with the static sound and the volume full, that is the closest way in which I can describe my mind at that time. There was no tomorrow, there was no today, there was no yesterday, there was no time, there was nobody else, there was only me...alone...scared! I couldn't sort out anything, I couldn't gain a rational for anything, I couldn't see a way. I had anger at nothing. I would become frustrated all day long, at nothing, at nobody, for no reason. I would seclude myself from people, events, everything. I remember laying on my bed looking at the ceiling for hours on end, for nothing. No thoughts would come to me. I did not think of suicide...it just came. At no time did I ever think I want to die or I should just kill myself. I just ended up in that situation. I needed (not wanted) my rest. It took my mother to see a pattern, and to find me at the right time. It took months to regain clarity. As the medications took action I would often think with anger..."I'm not crazy", "Why am I like this?", "Why do I need medication?", "Why me?". Thinking back I can see why people finally get strength to commit suicide at this phase of recovery. I had energy, and anger at myself and my mind. I use this point in my life with patients who are suicidal. I have been thanked by some and feel made some impact on others. I tell them things like: "You are not alone with these feelings". "Be open to treatments". "Be open about your thoughts and feelings". "I know you may feel lost, confused and alone, people are here for you, let them help you." I rarely tell them about my own past situation unless they tell me I don't know what I'm talking about. I sat down with one teen aged patient when I worked in a small rural service without access to crisis or mental health programs. I must have talked with him for over an hour (we had no obligations to be anywhere, my partner was ok with it). We worked out a lot of issues, made light of some thoughts. He was willing to have treatment, went on medications, came to me at the ambulance base on a few more occasions and made it through. From not talking and withdrawn to relating to my situation and overcoming depression and thoughts of self-harm. People need to feel compassion, PERIOD! Even though we may not be with a patient for long durations, it can start with us. Open the lines of communication and trust with a medical provider. We are total strangers to these people, in uncharted territory, it can start with us. I understand that some are attention seekers, and so on. I think we can all truly tell when the situation is much more serious. Unfortunately we usually see those individuals after the fact. I know it can be hard, but please just offer them a hand, an ear, and compassion.

8X8 Argo rescue unit. With a #9 stretch mount, full enclosure, full set of trauma bags, immobilization devices, KEDs, Sager traction splints, normal "medical bags". And an assigned Zoll 'M' series monitor/d-fib unit. Option to have all wheels exposed or tracks on the two front, two back, or all tracked. With the roll cage it losses it's amphibious capabilities. Not saying it no longer is amphibious, just not as safe to do so. IMAGE BELOW DOESN'T WANT TO WORK FOR ME, PLEASE COPY AND PASTE INTO ADDRESS BAR OR CHECK THE APPARATUS SECTION OF THE IMAGE GALLERY

Last year I made $138,000cdn/$119,000usd (remote north job with big bonus'). I ended up with a take home at the end other year of just under $100,000cdn/$86,000usd. This year I made just over $104,000cdn/$90000usd and took home around $70,000cdn/$60000usd. (I should point out that I'm good with paper work maximizing my returns). As for housing. I just purchased a house, today actually. It'll be built by July with a closing date of August 13th. It is a 2600 sq.ft. 3 bedroom/2 bathroom home with hardwood floors throughout kitchen/dining/living, ceramic tile in entrance/2 bathrooms/laundry room. Upgraded cupboards and counter-tops. Vaulted ceilings. Heated 2 car garage. Walkout basement. 16ft X 20ft deck with built in gas line for BBQ. As well as many other features, all on a 0.8 acre lot in a very distinguished area. Nature trails, sports fields, beaches, schools, colleges, university, shopping district etc... most within a 2 minute walk with the college, university, and shopping district within a 5-10 minute drive. Work is about a 15 minute commute for both my wife and myself. (Sorry to keep going, I'm a little pumped up about this house ) This house costs $284,000cdn/$245,000usd with all extra costs (closing costs, lawyers etc...) Hope that helps

My service is currently using the 'M' series, but slowly switching to the 'E' series. From the amount of times I've used the 'E' all I can say is I'd still much prefer the LP12. Less user friendly, push and hold buttons are a waste of time, alarms for everything. The alarm feature on the LP12 was great, set the alarm silence time and other features with a quick turn and click. On the 'E' and 'M', I have no idea how to keep the alarms off. They just keep coming back. The 'M' and 'E' series are bulky making them difficult to find a good place to set it. I've seen the platform some services have. I find the platforms make the stretcher very top heavy. The LP12 design of "the white bar" had the LP12 hanging lowering the center of gravity (relative to other attempts to raise various monitors/d-fibs). I don't like setting the monitor on a patients legs, even if they're unconscious or VSA. Having the monitor on the back mesh is alright, but still not ideal. ie: wires hanging over the sides or pulling over the head of the stretcher, hard to reach and/or see if on the bench seat beside patient. Also with some new models of the #35X ferno stretcher having the monitor on the rear mesh actually triggers the release mechanism to lower or "crack the back". One more point to mention is the battery of the 'E' will drain fast if you do not turn off the ETCO2 monitor. Not sure if it's just our programming, but it starts warming ETCO2 as soon as you turn on the monitor every time. So it's manual mode and waste some time with press and holds then ETCO2 off and 30 seconds to 1 minute later you're good to go. Great for a VSA but for only 2-3/week not worth the hassel on every other call.

Mine is black. The stripes give the asshole who hit me no leg to stand on in court. How could you not see me, f**king rubber-necker! Sorry back to the thread.

Anything with blue dye? Seen it once and it washed off. Seems plusable.

Some do

What colour was his football gloves?

Another .02 cents for you....why would you make someone who is coughing and gagging lean back their head with fluid in their mouth??? That should not have been a suggestion!

Where will you be taking the program?

We have an average of about 15-20 vehicles running at a time with switch off times starting (depending on the location) at the following times 0600 - 2 transporting units (PCP/ACP) and 1 ACP first responce vehicle (aka the clock stoppers) 0630 - 1 transporting vehicle 0700 - 6 (sometime 7 or 8 ) transporting vehicles (2 PCP/PCP all the rest PCP/ACP or ACP/ACP) 3 ACP first response vehicles 0730 - 1 transporting vehicle (PCP/PCP) 0800 - 1 (2 during up staff) transporting vehicle (ACP/PCP) 1 ACP first response vehicle 0900 - 1 PCP B!tch crew (PCP/PCP) for out of town transfers and interfacility transfers (we have 3 hospitals and 1 psych hospital and many other places for pt's to go) Also 1 supervisor (ACP) first response vehicle which does actually respond quite often. The 0700h and 0730 vehicles are usually the busiest being in the city core, except today I was 0600-1800h and I did 9 runs 6 of them high acuity.