CalPig Updates On Fading Cleveland Ward Heeler

[GOBUCKS]

Mon Jan 27, 2014, 12:58 AM
Star Member CaliforniaPeggy (107,612 posts)

****WCGreen Update -- Sunday January 26, 2014****


From his wife

Chris scared us yesterday with a very high temperature and other problems. Amy (Chris' sister) and I stopped to see him today and he mouthed, "I feel like shit" in response to Amy's question of how he was. Chris answered me with nods when I asked what hurt - his chest? hip? back? All were yes. I leaned over to kiss his cheek and he wanted to kiss me!

http://www.democraticunderground.com/10024394036


We need an authoritative analysis of the DUmmy's condition:

Response to CaliforniaPeggy (Original post)
Mon Jan 27, 2014, 01:50 AM
nadinbrzezinski (129,250 posts)
5. He is conscious what hurts

And that he feels like shit. As counter intuitive as it sounds, that's good.

Yeah, it's good. Excellent, in fact.

Response to nadinbrzezinski (Reply #5)
Mon Jan 27, 2014, 02:01 AM
Star Member CaliforniaPeggy (107,612 posts)
6. As a former RN, I certainly agree! He is fully aware and that is good.

I agree. It's peachy.


Time for the nutcase to put CalPig, a lowly nurse, in her place.

Response to CaliforniaPeggy (Reply #6)
Mon Jan 27, 2014, 02:19 AM
nadinbrzezinski (129,250 posts)
7. Exactly, this former medic is actually smiling for him and the family.

Now find what is the source of the infection.

Poor, poor DUmmy.

Get to work, Elad, you worthless schlub.

[franksolich]

I think the cousin overstepped herself, and that the CalPig primitive has good reason to feel indignant.

A medic is a wonderful thing, but it in no way compares with the knowledge and comptence of a registered nurse, especially one who's been one since Franklin Roosevelt was president.

[BattleHymn]

I think the cousin overstepped herself, and that the CalPig primitive has good reason to feel indignant.

A medic is a wonderful thing, but it in no way compares with the knowledge and comptence of a registered nurse, especially one who's been one since Franklin Roosevelt was president.

I like what you did there.  That was funny.   

[franksolich]

I like what you did there.  That was funny.   

A medic's contact with a person is, usually, abrupt and short-lived, until that person gets professional medical attention.  So yes, a medic's a good thing to have, at the initial stage of something.

A nurse on the other hand usually has longer-term contact with a person, and over the years, decades, generations, acquires an understanding of long-term conditions.

Despite that she's a vain, silly, pompous, senescent old woman, I suspect the CalPig primitive knows considerably more about all this than the cousin does.....if nadin were ever, really, a medic (I still have my doubts; this "Vlada Mitty" complex of hers).

[BattleHymn]

I own a copy of Gould's Practitioner's Medical Dictionary, published 1918. 

I just checked the inside front cover in hopes that Calpig had put her name in this one, and was disappointed to see it was a Mrs. Chas. Fink's book instead.  I'm sure Calpig and Mrs. Chas. Fink got along well in class together.

[GOBUCKS]

The nutcase always uses the term "medic", never "EMT" or "paramedic".

Those latter two classifications require very specific formal training, while nadin purportedly just rode a mexican meat wagon.

The likelihood of her having had any formal training at all is vanishingly slim.

But then, of course, she would never need formal training in any subject.

  

[franksolich]

The nutcase always uses the term "medic", never "EMT" or "paramedic".

Those latter two classifications require very specific formal training, while nadin purportedly just rode a mexican meat wagon.

The likelihood of her having had any formal training at all is vanishingly slim.

But then, of course, she would never need formal training in any subject.

That's why I've always been, uh, somewhat skeptical of the cousin's alleged accomplishments.

Maybe one time she drove by a horrible motor vehicular accident.....out of which she then created this fantasy.

That "Vlada Mitty" complex of hers.

[franksolich]

I own a copy of Gould's Practitioner's Medical Dictionary, published 1918.

Those old medical textbooks are a hoot, aren't they?

I wish I'd kept those of my father, published in the late 1930s through the 1940s (my father had intended to become an M.D., and as was common at the time, males went to nursing school first so as to prepare themselves for medical college, but then other events obstructed, and that never happened).

I'm sure there's a lot in those old books that has since proven nonsense, but at the same time there's probably been valuable--and accurate--medical knowledge that's been forgotten; the trick would be to knowing what's credible, and what's not.

However, I suspect those old books on psychiatry might still have practical uses--after all, Sigmund Freud (among others) is ageless, and the old guy hasn't been proven wrong yet--especially as pertains to possible treatments for the subway cat.

[BattleHymn]

The nutcase always uses the term "medic", never "EMT" or "paramedic".

Those latter two classifications require very specific formal training, while nadin purportedly just rode a mexican meat wagon. 

Wait a second.  I'm seeing a logistical issue materialize here. 

If nads were in the back of an ambulance, how much room does that leave for other people, much less the patient? 

[GOBUCKS]

If nads were in the back of an ambulance, how much room does that leave for other people, much less the patient? 

Not a problem, because while nadin is spherical, she's also dwarfish.

She would not require an unusual number of cubic feet.

And besides, a mexican ambulance is most likely something like an open bed '83 Chevy S-10.

Secure the stretcher with bungee cords, shoehorn the nutcase into the passenger seat, and vamanos.

[Purple Sage]

A relative did her RN training in the ER at a huge county hospital in north Texas.  She claims that all patients that come in via EMS are immediately stripped of anything done by the EMS unless there was an RN on board.  For example, if the EMS thought a patient should be intubated, the ER removes and redoes said intubation unless a qualified RN placed it.  Reason being is that paramedics are woefully unskilled for such procedures.  The hospital does not want to be sued for a paramedic mishap.

She claims that paramedics are basically torturing patients due to doing unnecessary procedures for practice, thinking themselves helpful, and for some to feel competent.  Removing and redoing is tough on the patient, but they lost a few patients in years past from failure to do so.

Whether this is just silliness or the truth, I have no way of knowing.  I do know I'd rather be intubated by an RN than a "medic" but that's just me.

[fatboy]

That's why I've always been, uh, somewhat skeptical of the cousin's alleged accomplishments.

Maybe one time she drove by a horrible motor vehicular accident.....out of which she then created this fantasy.

That "Vlada Mitty" complex of hers.

I'm reasonably sure that she was an EMT-B

All of the parammedics I know (quite a few) and being on staff (PT) at my regional EMS council in PA, EMT-P's are always referred to as paramedics. One thing that you cannot do is call yourself a paramedic when you are not. It is however ok (but tacky) for an EMT to call themselves a medic if they are not in the company of other first responders. Complicated I know but you are right, nadin never refers to herself as a paramedic, past/present/future and I recall once reading something she wrote where she said she was an EMT.

But to put the whole EMT/paramedic thing in perspective, an EMT has about 150 hours of training and passes a state test. I'm an EMT (volunteer) and basically we package the patient for transport. We do a set of vitals, treat life threatning conditions, colllar and board, o2, and so forth. EMT's can administer 5-10 drugs or medications.

A paramedic trains for a year after being an EMT. Some are very good, some suck. They can start IV lines, read EKGs, give about 25 narcitics, advanced airways and so forth.  For what is is worth, nadin doesn't talk like a paramedic, rather she talks like an EMT who ran on a BLS truck.

ON EDIT: just to be clear there are several levels of EMS, they are:

First Responder (40 hours first aid training)
EMT-B (EMT Basic- 150 hours training)  <----- nads?
EMT-I (EMT Intermediate- some states allow EMT-Bs to do more with extra training--IVs, C-PAP, combi tubes....)
EMT-P (Paramedic- 1 year after EMT school)
PHRN (Pre hosp RN- an RN with 6 months extra training)

alot I know, thanks for listening!
Tom

[fatboy]

A relative did her RN training in the ER at a huge county hospital in north Texas.  She claims that all patients that come in via EMS are immediately stripped of anything done by the EMS unless there was an RN on board.  For example, if the EMS thought a patient should be intubated, the ER removes and redoes said intubation unless a qualified RN placed it.  Reason being is that paramedics are woefully unskilled for such procedures.  The hospital does not want to be sued for a paramedic mishap.

I wouldn't go to the wall on that one. It is easy to verify proper placement of the tube and if it is wrong, the patient is dead by the time they reach the ER. The tube can be in 1 of 2 possible places, properly placed in the airway or improperly placed in the stomach. The ER personel can read the numbers on the tube to verify that the correct tube was selected.

What the ER might do and probably will do if the patient is going to be intibated for a while is replace it with their own so that they  know exactly what appliances are being used or because they need to perform other procedures that require removal of the tube. The paramedic placed the tube in the field, which is not ever the best of conditions and always in a rush because that patient has major health issues and time is of the essence. I seriously doubt that the ER will remove a tube that is doing its job, properly placed on a patient that has normal saturation until all other life threatning issues have been addressed.

By the way, I love RN's and if I were 20 years younger I would be an RN. An RN is a two year college level training schedule although many go on to get a BS degree. In medicine, there are lots of egos and pride. There are some paramedic trucks that run with PHRNs (pre-hospital registered nurse) and or paramedics. Generally, RNs choose that path because they want to work a regular shift, paramedics generally are EMTs who want to make more money.

ON  EDIT: let me add this also, both EMTs and paramedics notify the receiving hosptal in route and so the ER knows what is coming through the door, what was done and why. Paramedics can and do routinely ask the ER doctor for instruction in particular with respect to medications. An ER nurse can only take an incoming patient report and assign a bed, a doctor who is approved to give command is needed to advise on meds and so forth.

[franksolich]

I didn't mean to come across as being critical of paramedics, EMTs, and "medics;" I've never had a bad experience with one.

But if the cousin had been one--which I still doubt--she would've been aware of "protocol," and observed it on this primitive thread.  For example, rather than telling the CalPig primitive this:

He is conscious what hurts

And that he feels like shit. As counter intuitive as it sounds, that's good.

she would've phrased the comment as a question to the CalPig primitive, as a student to a teacher, an inferior to a superior, not as a fact.

It must be aggravating to professionals, to be "schooled" by their lessers.

nadin needs to learn some people skills.

[fatboy]

frank I know you are not being critical and there is no offense. Let me tell you this, I'm also volunteer fire/rescue and my wife and kids have strict orders to not be involved in motor vehicle accidents in about hald of our county fire districts. I have seen some very bad patient extracations.

I would be shocked if nadin was ever an actual paramedic. I have read almost everything she writes related to her supposed EMS experience and as I said before, she doesn't pass the stink test.

[Purple Sage]

I wouldn't go to the wall on that one. It is easy to verify proper placement of the tube and if it is wrong, the patient is dead by the time they reach the ER.

I seriously doubt that the ER will remove a tube that is doing its job, properly placed on a patient that has normal saturation until all other life threatning issues have been addressed.

I have no way of knowing if she's full of it or not.  She is indeed rather prideful.  She is adamant that it is hospital policy, but who knows?  It sounds torturous to me to remove a tube already properly placed and redo it when unnecessary.

[franksolich]

It sounds torturous to me to remove a tube already properly placed and redo it when unnecessary.

But medical care being given under different conditions, remember; the "medic" at the scene, whose primary interest is in having the person survive, as compared with the professionals in the emergency room, who have somewhat more tools to work with, and in a better environment.

A "medic" (quotation marks not sarcasctic) has to work in haste; emegency room personnel can take it more slowly and more carefully.

And so one can see where the wrong things--but forgiveable things--are done.

When my esophagus exploded four and a half years ago, all that the rescue squad did, had to be undone and re-done in the emergency room, but this was no reflection on their skills; they were working with urgency, and at any rate, despite doing the "wrong" things, they saved my life.

[Purple Sage]

When my esophagus exploded four and a half years ago,

Goodness!  What caused your esophagus to explode, if I'm not being too nosey?

Thank God for the "medics"!

[BlueStateSaint]

nadin needs to learn some people skills.

Coach, there's a better chance of a snowball surviving a full second in Hell, than of your advice happening.

[fatboy]

I really don't mean to come off as a know-it-all. I'm just trying to give the perspective of an EMT. And none of this has anything to do with the OP so I appreciate you all allowing me to add my insights on the matter.

I have no way of knowing if she's full of it or not.  She is indeed rather prideful.  She is adamant that it is hospital policy, but who knows?  It sounds torturous to me to remove a tube already properly placed and redo it when unnecessary.

It might be that she is just repeating what she was told. Obviously if the patient is on a spine board, the ER is going to unboard since they cannot do much for the patient otherwise. Many paramedics will start two IV lines, one on each arm, what would be the purpose of pulling one or both to start a third if both are correctly placed? And once meds such as pain killers are given, the ER, try as it might, cannot un-medicate simply because they know better. Patient treatment starts once contact is made but EMS is charged with transporting the patient safely to a place where higher level of care can be given.

In addition to being a FF and EMT, I also have an EMD (emergency medical dispatch) cert. I don't do 911 dispatch but I have completed 1000s of medical command links between ALS and command Docs. Yes, I have listened to many strange command requests but just last friday I listened to two medics in the field report to command that when they made patient contact the pt. was afib and pulseless but now headed to the ER with a rhythm.  If those two medics were that bad, the local obits would have had two more names then they actually have.

EMS in general and Paramedics in particular are under the supervision of the medical command Dr. at a receiving hopsital.

[fatboy]

When my esophagus exploded four and a half years ago, all that the rescue squad did, had to be undone and re-done in the emergency room, but this was no reflection on their skills; they were working with urgency, and at any rate, despite doing the "wrong" things, they saved my life.

Praise God!

[Big Dog]

Wait a second.  I'm seeing a logistical issue materialize here. 

If nads were in the back of an ambulance, how much room does that leave for other people, much less the patient? 

It would look something like this:

[franksolich]

Goodness!  What caused your esophagus to explode, if I'm not being too nosey?

Thank God for the "medics"!

The initial diagnosis, by the neighbor (who's an EMT but not a paramedic), was that I'd sustained several gunshot blasts in the chest, it was such a bloody mess, and that's the way he announced it to the county sheriff via telephone.  The local rescue squad, more used to answering calls for accidents, heart-attacks, and childbirth, had no trouble, no trouble at all, summoning its full complement of volunteers.

But they did what they had to do--it wasn't their job to take care of the problem, they not being physicians and nurses.  Their job was to get me stable and to the hospital with no further damage being done, and they did an excellent job.

There's a real name for it, but I didn't catch it when it was told to me, and then later when seeing it written down, it slipped out of this mind as quickly as it'd slipped in.

Our colleague BlueStateSaint had the same thing happen, and he knows the real name for it.

On Skins's island, the defrocked warped primitive, Ms. Hindenberg, described it some months ago, but failed to give its official name.

[BlueStateSaint]

The initial diagnosis, by the neighbor (who's an EMT but not a paramedic), was that I'd sustained several gunshot blasts in the chest, it was such a bloody mess, and that's the way he announced it to the county sheriff via telephone.  The local rescue squad, more used to answering calls for accidents, heart-attacks, and childbirth, had no trouble, no trouble at all, summoning its full complement of volunteers.

But they did what they had to do--it wasn't their job to take care of the problem, they not being physicians and nurses.  Their job was to get me stable and to the hospital with no further damage being done, and they did an excellent job.

There's a real name for it, but I didn't catch it when it was told to me, and then later when seeing it written down, it slipped out of this mind as quickly as it'd slipped in.

Our colleague BlueStateSaint had the same thing happen, and he knows the real name for it.

On Skins's island, the defrocked warped primitive, Ms. Hindenberg, described it some months ago, but failed to give its official name.

I didn't have an esophageal problem, that time--I had a bleeding ulcer.  The Friday before the Super Bowl in '06, when the Steelers won.  My blood pressure fell to 75 over 50.  The main thought on my mind as I was being intubated by my primary care doc was, "What the f*** did I get myself into?"

My esophageal problem is that I have 'hot spots' from time to time, from GIRD, and they could develop into a pre-cancerous condition known as Barrett's esophagus.  So, I have to back off the really spicy stuff, and if I was still drinking alcohol, I'd have to do that in moderation.  But, as I alluded to, I have a problem with alcohol, so I avoid it entirely.  51 months sober as of last Saturday.

I've heard of a so-called 'folk remedy' for GIRD, called 'apples.'  Strangely, it does seem to work.

[Purple Sage]

The initial diagnosis, by the neighbor (who's an EMT but not a paramedic), was that I'd sustained several gunshot blasts in the chest, it was such a bloody mess, and that's the way he announced it to the county sheriff via telephone.  The local rescue squad, more used to answering calls for accidents, heart-attacks, and childbirth, had no trouble, no trouble at all, summoning its full complement of volunteers.

Holy cow!  Sounds like you are a very lucky man.  Glad everyone was there for you when you needed them most.