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Another day on the job

Tonight, I came to work, I intended to have a bit of genious. I know my partner would be sleeping, as she is starting a 24 hour shift backwards, she is starting the first 12 hours at night. I had all intentions again, no joking, to be all insightful, and boasting with insight, WOW such words for 0500 hrs. We have been moderately busy, a febrile seizure here , cough/cold there, irritated eyes, foley displacement, ya we see it all. I am just happyto have a job, where I can do my own thing occassionally. I do enjoy meeting nice people, nurses, elderly, who are friendly, friendly ticket writing state troopers. One thing I will miss if I switch jobs, is the connection to the police, fire, other ems, and other groups. As I am writing this I hear a neighboring area receiving a call from an Inbound ambulance, from the sounds of it the Pt's only doctor is a psych doctor, she has requested admission to their unit, pt was involved in an argument with her boyfriend, she threatened to kill herself, with EMS on location tried to take pills, Police were on scene and wanted her taken to a pysch ward. They gave the initials of T.W. And a birthday of arond 1974, Is it wrong when that is a neighboring county and just by the story and the initials you can know the patient? I don't work in that county, I never have, I don't know many people in that county! I just heard history of psych admissions, and the initials, that did it for me and I was set I knew who it was. Okay I am not positive I know who it is, but I am pretty dang sure.

The day crew had an interesting call today. They received a call from 911 asking them to transfer a patient from the doctors office to the ball field. Sounds goofy but I swear it is the truth. Well the crew went en route, requested first responders to get on scene ahead of them to get things under control. Well they find out en route why they were going to the ball field. A helicopter had been dispatched by the doctors office, and the patient had told them to land at the ball field. He was apparently having chest pains and wanted to go to a facility he deals with like 2 1/2 hours away by ground. About 1 hour by air. So he had the clinic call the chopper.

The chopper was amazed when they got there, I guess that is what happens when you let anyone dispatch a chopper. They had their dispatch call the ambulance which didn't end up getting there to the LZ until after the chopper was on the ground. The ballfield was locked up so they had to land at a school nearby. The flight crew was amazed at the call, and a bit upset. The EMS crew was too. He refused to go to the local hospital, because of the fact that he had issues with the "Administration" Well I hate to tell him but he is going to have issues with his insurance company once they tell him bypassing the local cardiology location will end him up with the $10,000 aircraft bill! Sorry about your luck buddy. The guy's Blood pressure was like 170/110, he had taken 3 nitro, no shortness of breath, I guess pretty stable except the chest pain. The flight crew called their medical control for facility bypass, and got refused, they called again later, and medical control heard the guy complaining and yelling and approved the bypass. I see this guy ending up in cardiac arrest when he gets his bill.

A few days later I went to a great EMS conference, great coverage, great speakers. My first conference. It revived my love for EMS. I realize now some staff's work great together, they don't have that days, and nights rivarly. Days hates nights most of the time here. They work 24's so no one is a day or a night person lol. I hear this month we will have to take some vacation and cut back on time, because of some lack of revenue coming in this month. We will end up getting sent home instead of getting to makeup for our 15 min prior to shift and 15 post shift to get back the 30 minute lunch they take out, that we aren't getting, they take it out of our checks, and we aren't allowed to clock out and take our lunch because we don't have a crew to cover us while we were to eat. We could likely most nights take it off the clock, but some nights we don't so when we are really busy, we are sure to mark the schedule with no lunch, so the boss doesn't take it out.

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