Stalking posters

During the years I have been writing this blog, I have been asked to add links so that others can advertise their services and products. I have also been sent hundreds of comments that look as if they are genuine but often contain links to commercial websites or products.

I don't mind this because it is part of the downside to blogging, but I would respectfully ask those who have attempted to post comments, tagged with links to their businesses, to stop doing this on the one post that I feel deserves to be left alone... 'Goodbye JT'.

This post was written as a heart-felt farewell to my dead son, so I find it a little insensitive that those of you with no more than a commercial interest in posting on my blog would choose that particular post to comment on.

I have thousands of legitimate readers and they visit because they want to learn, engage, discuss and argue with me. Please don't bother if all you want to do is sell viagra, or skin lotions, or pay-day loans. I have allowed Google ads to transmit selected items here and that is all I am permitting, so give it up.

Thank you!

Xf

Gassy booze

Isn't it bad enough that we are dealing with more and more young drunkenness, with the prospect of alcoholism and liver failure creeping into those in their early teens, without the additional alcohol-industry-induced trauma that drinks like this can cause?

Gaby Scanlon, an 18-year-old who was given one of these cocktails, endured agonising pain and was rushed to hospital by her friends. A CT scan revealed a large hole in her stomach.

Surgeons found that the extremely low temperature of the liquid nitrogen had not only burned a hole in her stomach but had completely destroyed her stomach lining. Her whole stomach had to be removed and surgeons connected her oesophagus, which takes food from the mouth to her stomach, directly to her bowel.

Now her diet is restricted for the rest of her life.

Proponents of these 'theatrical' cocktails will say they are perfectly safe to drink and that Gaby was an unfortunate 'one-off', but is it really worth even one young person's health (and she could have died if this hadn't been dealt with quickly) for the sake of selling more booze to inexperienced drinkers? I mean, what's the point of having smoke billowing from your glass as you drink? It has no effect on the alcohol or its taste, so clearly it's a gimmick to push booze down the throats of the young and vulnerable.

If liquid nitrogen does not completely evaporate, it will instantly freeze living tissue and destroy it. You can lose fingers by just touching it. So why is it clever to add it to a drink and then hand it over to someone without controlling the situation by ensuring the evaporation process is complete? It's exactly the same as removing something from the microwave and allowing someone to eat it immediately before the cooking process has stopped.

There's too much emphasis on creative boozing these days. Educating our young about the dangers of overdoing it is hard enough but dragging them away from an attractive smoking liqueur on their rite-of-passage birthdays is going to be impossible: they drink it, they enjoy it; or they drink it and the live the rest of their lives with the consequences.

I don't want to be a kill-joy here; life is all about risk but we should not be creating and introducing those risks to our children.

Be safe.

Shut your mouth

THIS has to be one of the scariest pieces of legislation that has ever been created.

I've often ranted on the rights of everyone to say what they mean and for those who feel 'insulted' or 'offended' to deal with it because such things are emotive and personal and there is no way of measuring them fairly. In fact, this post will be offensive to some, simply because I have stated that!

The law is pushing us all into an abyss of fear, where only those who believe themselves righteous will have a say and those of us with an alternative viewpoint or a different opinion, will be arrested for speaking out.

Does this law extend to MP's? Aren't they forever insulting each other? Aren't they always causing some form of offence in order to make clear their opposition to a rival's opinion?

This is very, very dangerous indeed. It will spell the end of this blog and the very freedom of speech that we all have a right to practise. It will insult the memories of all those who gave their lives in order to protect us from losing our born rights, including the tyranny of a minority, hell-bent on being 'offended', whatever you say to them!

Please join me and get on board with Rowan Atkinson and Stephen Fry - two very outspoken individuals who've become famous for insulting others in the name of comedy. Go HERE and vote for this rubbish law to be repealed before you say something to the neighbour's cat and find yourself arrested as a result.

***

I am back at work but not quite fit for duty as yet... that'll take a few more months I suspect. Residual pain and limited strength has rendered me useless in the real world. But I'll be back. You know I will ;-)

Xf

Calling it

They have power to make this decision on the basis of knowledge and experience but I'd argue we are using a lot more knowledge and experience out there in the world because we keep going for as long as possible.

http://news.bbc.co.uk/today/hi/today/newsid_9749000/9749017.stm

However, we are pre-hospital and doctors factor in the time we've been working on a patient before calling it.

Good quality CPR over a long period if necessary is in everyone's best interests but there has to be a time limit, so doctors will need to be given guidelines for ending the attempt, just as we are.

Xf

Broken

Falling hard can have many consequences for the body but I really wasn't expecting to end up like this. It's going to take me another two months to get back to normal, so please bear with me.

I'm also being told that, unless you have a Google account, you won't be able to read my blog any more. Obviously this is not good, so I will have to consider moving this to my own website. I'll keep you posted once I'm repaired!

Xf

MIA

Well, kind of. I do apologise to all of you for the dearth of writing but I am on long-term sick leave and need to rest. I will be back as soon as possible and when I know I am ready for it again!

Xf

The shopping trip

The second night shift with the Welsh one....

A call to an 82 year-old female who is reported to have a fractured ‘P12’ (soon to be reasoned out as a misheard T12, unless there are new vertebrae I’m unaware of), starts us off. We arrive to find the lady in a lot of pain and a crew on scene. Our task is simply to assist with the transfer of the patient from her sofa to the ambulance down a few flights of stairs.

The poor old lady is unable to move or be moved without a good deal of discomfort and her anxious family stand around us, no doubt wondering how we are going to get her out of there. She’s been given 5mg of morphine but it’s nowhere near enough. The paramedic on scene is balancing the analgesic dose with the lady’s vital signs, but she gets another 5mg because pain is the greatest enemy of sustainable vitals, and the removal, or at least easing, of it can make everything much better; respiration rate, pulse rate, blood pressure.

Once she’s settled, we decide to transfer her onto a scoop stretcher by sliding it underneath her and pulling her gently onto it. Then we place her on the floor, wrap her up to secure her, and lift her all the way down to the ground floor and onto the trolley bed, which has been parked outside the uselessly small lift.

As soon as the lady was inside the ambulance, Naomi and I set off on the next call. The idea for these two shifts, is to clear as many of the waiting and minor calls as quickly as possible by running on them and either transporting the patient ourselves or deciding on an alternative pathway. Additionally, the options for most of the calls we receive are pretty straight-forward. We can leave the patient at home, treated and safe, or we can leave them at home awaiting a GP visit. Our aim is to hit and run, as it were, to reduce the number of calls that are clogging up the system and slowing down an ambulance for those who really need it.

A 49 year-old woman with chest pain in a train station next. She was a known asthmatic and she had a slight wheeze, but you can never tell with chest pain and so it was prudent to have a look at her ECG before making decisions in the direction of a cardiac origin. A crew turned up within minutes of our arrival and so they took this patient for further investigation.

Then a call to a 23 month-old child who’d ingested incense somehow was cancelled, so I did a quick U-turn. The call was reinstated and I did another U-turn.... then it was cancelled again. My U-turns are getting very good.

An aggressive 56 year-old male, with a special liking for harassing female crews, called for an ambulance but we were sent to suss it out because he rarely needs to go to hospital. When we arrived, I knocked on the back door of his house and he shouted for us to go in. I was a bit wary because the little room he stayed in was gloomy and unlit.

He was lying in bed; his island in a sea of debris and rubbish strewn all over the floor and around him. He told me he had high blood sugar and needed a nurse to come and give him insulin. Naomi checked his BM and it was normal – so he didn’t need anything.

He accepted that all his obs were normal and he asked if we could go and buy him some bottled water and a pay-as-you-go card for his mobile phone. He asked politely but routinely. He had clearly done this many times before.

I spotted about a dozen bottles of liquid on the floor and I drew his attention to them.

“What about this water? Why don’t you drink this?” I asked.

“That’s piss”, he answered.

He wasn’t insulting the water per se, he meant what he said. He urinated into bottles and just left them in the middle of his floor. A simple and efficient system I thought.

Naomi did his shopping (the local shop was only about 50 metres away) and returned to report that the shop keeper knew who she was buying the water for. This, indeed, was a regular habit of his.

I accepted the shopping trip this once but when he asked me if I could pop over to the GP surgery, which was in the same location as the shop, to check when the nurse could visit, I told him he’d reached his limit as far as goody-tokens were concerned. We bid our farewells and left before he asked us to spring clean his flat for him.

In an office more centrally located than the last call, a 28 year-old female had a faint, a fit or a panic attack – nobody seemed to know which. The evidence pointed in the direction of a panic attack because she admitted to having them and seemed poised for another if she didn’t get out of her environment quickly. Her colleagues were concerned and this was creating tension, especially when they spoke of her being unconscious and having seizures, none of which she could recall.

So, an ambulance crew took her off to hospital and by the time she’d reached the steps going in to the vehicle, she seemed much better. She’ll have tests done but I doubt they’ll find much wrong with her.

A drunken 70 year-old staggered into a bar, sat down, wet himself and then proceeded to annoy the customers, according to the manager when we met him. This call was literally around the corner from the last one and so we were on scene very quickly. But even our rapid response couldn’t beat the speed at which the tall manager had removed the drunk from his premises.

He was sitting on a chair outside the front door as people came and went and the street began to get busy with nightlife. He was a typical amusing drunk. That is to say, he was harmless but more than a wee bit annoying and clawing. He wouldn’t tell us where he lived or where he was heading. Neither would he admit to drinking much. We’d considered and abandoned a stroke possibility because he reeked of alcohol and his demeanour was of one who’d practised this art of boozy-clowning over the years.

Naomi went to get something she needed and I was left for a few minutes with the man. He pawed at me, grinned at me and then warned me that he was going to wet himself. Then he fulfilled his promise and a stream of urine trickled out from his trouser leg and onto the pavement. The local smoking women standing outside the bar were not impressed.

Luckily the ambulance arrived and I was able, with Naomi’s help, to get the man to his feet and away from the area before his dignity went the way of the meandering liquid he’d deposited. When I informed the manager of the bar that there was a pool of urine just outside the entrance, he was not pleased with me at all. “Stuart, I can’t believe you let him do that”, he chastised.

So, two lessons here: number one; paramedics cannot prevent nature from taking its course when it comes to drunks peeing. Number two; be careful who you give your name to.

The next call initially looked like it would need the assistance of the Fire Service. We arrived to find a 45 year-old man semi-conscious, with his arm trapped in between a railing and a wall, near the top of a flight of steps. It looked tightly stuck. Passers-by had noticed the man behaving strangely and had reported him being unconscious at times. Now he was semi-conscious, semi-standing and possibly risking the loss of a limb.

We carefully bore his weight and attempted to free him by sliding his body up towards the top end of the steps. It looked possible but was very tricky because his arm was being squeezed even tighter at times. Suddenly, however, the man woke up. He reeled around and seemed momentarily confused. He fought against us as we tried to keep him still, then he yanked his arm out of the space. If he’d done that before we’d taken his weight, he’d have ripped it off at the elbow.

Then things became very strange indeed. He didn’t want to go to hospital. He didn’t want to be examined and he denied being drunk. He did admit to smoking a little weed though, but he was very embarrassed. I can’t tell you what he did for a living for obvious reasons, but it’s not the sort of thing you do very long in your life after being caught under the influence of drugs.

An ambulance arrived and I explained the situation. The crew insisted on taking the man inside the vehicle for a chat about what to do next. He couldn’t go directly back into the hotel where he was staying (the hotel that the stairs and railing belonged to) because he’d almost certainly start to behave erratically and things would go bad for him. The idea was to persuade him to go to hospital and ‘dry out’ before going back. A fair proposition I think, don’t you?

A bit of a selfish one next. An encounter with an HiV positive patient who walked out to the car and demanded to be taken to a specific hospital because he’d been banned by the nearest one for ‘aggressive behaviour’. He then demonstrated this by getting angry when I told him we’d be taking him to the nearest. He stormed off but came back and relented.

I looked at the miles between one hospital and the other, and decided to give him a break. I’d take him to the next nearest and hope that would appease him.

He had bleeding open sores on his head and had been picking at them. He put blood on his hands and purposefully wiped them all over the back seat and head rest. I had warned him on several occasions to consider where his blood was going but he didn’t seem to care at all. I could have sat there and dressed each and every separate wound he had but it would have been pointless because he was determined to mess with them.

Eventually, he behaved and allowed me to take him where he needed to go, without further fuss.

Later on, after coffee and a bit of a break, we went to see a 63 year-old man with back pain. His front door was open and after announcing our arrival with a knock and a shout, we entered his flat. It was in darkness, so we tread carefully.

The patient shuffled out from his bedroom to greet us. He was naked except for his underpants, which were worn and freshly soiled. He was clearly not being taken care of and his first complaint was that his door was unlocked. Apparently his carers had been earlier but they’d left his door unsecured – allegedly anyway.

“That door is always locked when they leave”, he told us.

He had chronic back pain and was prone to falls. All he needed was his medication, which had not been given to him by his visiting carers, again allegedly.

I checked his blister pack, called his care team and then, after clarifying that he had been visited but nothing had been done, gave him his Tramadol. I made sure the care team knew that this man had been left exposed, in more ways than one, and that his meds had not been given, as prescribed.

He didn’t want, or need, to go to hospital but he was genuinely upset that he’d been neglected like that. I sympathised with him, as did the red-haired Welsh one. We’ve both seen this time and time again in our business. It’s sickening.

Finally, we get a call to a man who is inside a pink taxi. He’s either drunk or under the influence of drugs. Police are on scene and they want us to check him out because they’ve found a large number of tablets and paraphernalia on him when he was searched.

We arrive to see the pink cab driving away with a furious looking female cabbie behind the wheel. The man is being spoken to by the cops and his tablets – some prescribed, some illicit, are on the roof of the police car.

“He made the cab drive around for a while and he jumped in and out of several clubs, pretending he had business in them”, explained one of the cops. “But he was getting drugs or messing about. We found a crack pipe on him.”

They didn’t find any evidence of hard drugs on him, however. Most of the stuff they asked me to identify was his own or somebody else’s, but nevertheless harmless.

The man himself was unusual. I mean, he didn’t come across as a typical drug addict. Instead, he looked like a lost lamb; somebody with no purpose and the need to find one. He may have had (and I suspect he did) mental health issues.

He had no need of hospital and the police weren’t going to arrest him, so he was told to walk home. He pleaded for a lift but the cop’s order was quite clear.

“You aren’t wasting our time or the LAS’s time tonight. You are going to walk home.”

He only lived around the corner anyway, so it was no big deal.

This man had spent a few hours in that cab apparently. He had the driver take him from place to place in a circle until he’d run up a £100 fare, which he didn’t pay. I’m truly surprised that any cab driver would have allowed that to happen. I would have thought he’d be asked for at least some of it when he stopped for the first time and got out!

Be safe