Category Archives: Overheard

Southernese In A Northern State

I work with a Southerner transplanted to the Pacific Northwest.  He ‘s a hoot on scene, as he brings a different perspective to things.

I knew we’d bet along just fine on our first call together.  We were outside next to the rig when we looked at each other and simultaneously blurted out “What.  The. Fuck.  Over.”   It was spontaneous and set the tone for our working relationship.

So we found ourselves on another call recently.  The trailer was not the cleanest in the world, and we were treading in some feline feces.

So Southern Boy turned to the occupant, and in his normal loud, boistrous voice, pronounced that there was ‘cat poop’ on the floor.

Damned if he didn’t hear him the first time.

Southern Boy hitched up his pants and said even louder:

“CAT POO-OOP!”

It was all I could do not to snicker out loud.  Thank heavens I had a patient to attend to.

It was just that I’d never heard the word ‘poop’ said so loud or in two syllables! 

Now, I am not totally ignorant of the genteel southern ways.  I’m a big fan of sweet tea.  I love Waffle House.

And I’ve definitely heard the other term for feces, and it was most certainly said using two very clear and distinct syllables. 

“Shee-It”

 I was in tears retelling the story to Hilda later that evening.  Southern Boy has just got to come up for some adult beverages in the Tiki Lounge…

 

Snippets In/Around The Ambulance

At the old folks home: 2 LOLs in wheelchairs, doing laps up & down the hallway. The LOL in back with a running commentary “Get the hell out of the way! You’re too slow! Go faster, dammit!”

Headed in to work this morning – saw a guy on a bicycle. Now, that’s not unusual (cue Tom Jones), but this guy was on o2. Yup, nasal cannula, pony bottle slung over his back. Seriously.

Wondering at the real need to shackle the ankles of a paraplegic prisoner…

Code 3 to a breathing problem. Arrive to find a crusty old fart on his porch, smoking. He tells me he needs a ride to Walgreens to pick up his inhalor! I tell him I must be having vision problems, ‘cuz I don’t see that happening…

Just now recovered after a very long night of non-stop calls, wacko patients, trying to keep up with charting, and a parrot who kept asking me what I was doing as I was starting an IV and pushing D50 to stop a seizure.

Just now recovered after a very long night of non-stop calls, wacko patients, trying to keep up with charting, and a parrot who kept asking me what I was doing as I was starting an IV and pushing D50 to stop a seizure.

‎”I want to go to sleep and not wake up.” ‘Yeah? Well, I just want to go to sleep. Looks like neither one of our wishes is coming true tonight…’

“Oh, oh! I’m dying!” ‘Well sir, dying in the ambulance is considered bad form. We’ll be at the hospital in 2 minutes, if you can wait, you can die then.’

Tonight, just for once, I was the ‘nice’ partner! I honestly think that’s the first time that happened.

just had the best response to the “Is Mickey Mouse a cat or a dog?” question: a delightful LOL said “oh, who of us can say? Who am I to judge?” I almost fell off the bench seat…

An assessment I occasionally use to gauge cognition is: is Mickey Mouse a cat or a dog? (Thanks to Brett – a former co-worker/supervisor for that tid bit). Anyway, after using it on a patient today (who failed miserably), I was explaining it to a nurse. Sadly, she had to pause & think about the answer… And yes, she’s blonde.

Todays Redundency: “…currently, at this time…”

True Stories From EMS

Today’s episode:  Hooked On Phonics Worked For Me!

From the CAD:  Patient has Ulcer Ritas Colitas (added italics for emphasis)

I’m assuming that’s a GI term for stomach problems brought on by use of alcoholic beverages (boat drinks) and the ganja.

‘Warm smell of colitas, rising up through the air’

Priorities

A very big, new requirement of my job is to obtain a social security number from my patients.

Seems that the hospital can’t/won’t share them with us. 

Priorities?  Hell, we brought ‘em the patient, you’d think they could do this one little thing.

Anyway, so now I find myself asking every conscious and/or alert patient for his or her SSN.

Seems we just can’t bill without it.

Now, I’m all about being a paramedic and doing the best for my patient and for my employer.  Especially with Private EMS and dwindling resources, every dollar helps.  Hell, my old employer actually gave out performance pay that was partially dependant on how well the calls you ran were reimbursed.

We’ve been told that the SSN is vital to billing.  That it’s the only piece of information that is essential to sending out a bill.

But it seems sometimes that patient care takes a back seat to documentation to optimize reimbursement, to making sure you obtain a signature, to making sure you’ve got the correct information, and even to noting whether or not the red lights & siren were on.

Anyway, this emphasis on 9 digits is new.  I’m still having to remind myself to get the info on the way in to the hospital.  Sometimes I forget.

So I’m doing my best with a recent patient.  I actually remembered to ask.

Oh, I don’t give that out.  You can’t be too careful these days” was the response.

‘So you trust me to come into your house, see you partially clothed, rummage through your belongings, give you medications, and just possibly do obnoxious, painful things to save your life, BUT YOU WON’T GIVE ME YOUR SOCIAL SECURITY NUMBER?”

Well, ‘Dear’, you don’t have to yell at me!”

But I got the number after all.

Sometimes I hate being a bully… but it’s what my employer expects.

Priorities…

Not In So Many Words…

I’d just given report to the nurse, and was waiting patiently for her signature to acknowledge the hand-off and verbal report.

She finally turned away from the patients’ rambling, realized I was waiting, & quickly scrawled her initials on the screen.

Grabbing the laptop, I was headed out the door, when the patient asked me if the nurse had just written ‘get the fuck outta here’ on my chart…

Overheard On The ‘Bolance

“Patient is so short of breath today that he cannot smoke.”

What seems to be the problem today? “I’m self-inebriated…”

“It’s either a diabetic problem or a cranial mass.”

Why do you have a prosthesis?  “I got no leg”

“M-1, we need a backboard, a K.E.D., and a stair chair.”

Aye, Carumba!

“I’ve got Castrophobia!”

‘A fear of Communist Cuban leaders?  Join the long line of American presidents…’

Left Coast EMS

Are you stoned, or just stupid?”   

       “I don’t know…” 



 

When you try to tell the nurse that the patient has ‘wheezes’ and ‘crackles’, while tongue-tied, it sometimes comes out as ‘wheezles’, and they look at you very strangely, indeed… 



 

The RevMedic postulates that the seriousness of the patient’s condition, multiplied by the time of day, is inversely proprtional to the number of working vehicles and capable drivers surrounding his/her address… 



 

Best headline of the day: LONGVIEW, Wash.—Cowlitz County authorities said a 17-year-old Longview boy was burned when he lit a cigarette while trying to siphon gas from a car… 



 

Did you know that the Oculocephalic muscle is the weakest muscle in the body?  Unless passing boobs are involved… 



 

You know it’s a bad sign when you have to decon your seat in the FRONT of the ambulance, because of the nastiness from the patients’ RELATIVE… 



 

The RevMedic charted “turned the wrong way on the right leg”, then sat back and pondered that for a moment… 



 

The RevMedic just got done watching two firefighters successfully (barely) try not to hurl in the patients’ closet… 



 

The RevMedic was staged at a house fire, listening to the firefighters talking like pirates… 

             Belay that inch-and-a-half, ye swabs! Lively now! 



 

Quote of the day: “I’d REALLY like to thank you, but your wife would probably beat me up…” 


Actual Questions & Comments From Students (And Others)

“So, what’s the difference between V-Tach & Pulseless V-Tach?” 


 

“You mean you can use the small handle on the big laryngoscope blades?  What about the other way around?” 


 

“All you have is Succinylcholine?  Can’t we use Anectine?  My last department used Anectine…” 


 

“Who’s Eric Clapton?” 


 

ekg 

“OMG!  I’veNeverSeenThisBefore!  OMG!  GetHimInTheRig!” 


 

“Mary!  What’s your name, Mary?” 


 

Just after I asked the driver to not put on his/her exam gloves while simultaneously driving Code-3/RLS: 

“Oh, it’s OK.  We practice this all the time” 


 

“Dispatch, was he on foot or was he walking?” 


 

“I see on your paperwork that you have a congenital heart defect.  How long have you had that?” 


 

“Dispatch, Command is dissolving…” 


 

“We’ve got a 32 y.o. female with a chief complaint of cervix pain.  We’ve applied a collar and have the pt. immobilized.” 

And the response?  “Copy, but we’re kinda wondering how you got a collar around that…” 


 

“Patient is a 189 y.o. female in her 4th trimester…”

EMS Quote Of The Day

“My blood sugar goes down every time I get excited.”

Oh, really?  What got you excited?

“I was gonna take a dump.”