Wednesday, September 13, 2006

Real Stories of Real Characters

Two guys were trying some sort of process with illegal drugs. Apparently the process involved butane (flammable gas) and a pressure vessel. While working on the process, they decided to take a break and smoke (presumably some of their product). The fact they chose to combine the process of flammable gas and an ignition source is probably a testimony to the declining cognitive powers of those using illegal drugs. Anyway, the resulting explosion put both of them in the burn ward and burned down a significant part of their house.

Late in the evening, we were dispatched to a chest pain call in a working-class neighborhood. We were somewhat surprised to find a very well dressed middle-aged woman sitting on the steps of a house. It was apparent that she was very stressed and was having a hard time talking while catching her breath. She handed us an engraved calling card that indicated that she lived in California. When asked why she was having chest pain, she stated that she had been running (in heels and a smart business suit). That of course, led to "why were you running?" Apparently, she was in town to visit her sister, had been in a taxi, and that is when things got weird. The taxi driver (likely a relative of the guys above) seemed to be having a psychotic episode that included yelling and screaming, jumping curbs, and sliding corners. When the poor lady begged to be let out, he gave her a chance to make her getaway. She then "ran for her life" ended up on a stranger's porch and was having chest pain.


Note to self: avoid the taxi where is driver is talking to an invisible person without the benefit of a cell phone or radio...

Friday, September 08, 2006

Lots of Characters

People are interesting... we were driving back to the station today and saw a column of black smoke coming from a house. We immediately went into emergency mode and went to fight the fire. Only problem - it was a couple of intellectually challenged guys burning trash in their fireplace. Not only was it a warm day, but they were burning (illegally) some really nasty plastic junk. I am not sure really why, but it is common for people to burn things in order to not pay for garbage service. Really seems to make the neighbors angry.

Then of course there is the wise man who thought he would dispose of his Christmas tree by burning it in the fire place. The tree (being a tree of usual Christmas tree size) did not exactly fit neatly into the fireplace. The simple solution, stick the tip in, wait for that to burn off, and then advance the tree on into the fireplace. Theoretically, it could work, but not with a tinder-dry Christmas tree. It promptly detonated into a raging fireball, set the room of fire, and sent the frugal tree-disposer to the hospital.

Tuesday, September 05, 2006

Access to Healthcare

One of the on-going issues in my profession is the utilization of emergency services for mundane issues and minor health-related concerns. For example, I have had numerous requests for ambulance transport because the patient had visited their regular doctor, but since the patient didn't like what they heard, they wanted to get a second opinion from the ER doctor. Of course, they wrongly assumed that if they took an ambulance to the ER, they would get to move to the front of the line for treatment. Usually, this "treatment" is no more than a slight adjustment of the amount of a hypertension medication or some other similarly minor tweak in their treatment.

A parallel problem is trying to get access to a doctor to deal with these issues. It is obvious that a patient with on-going health problems really should be talking with their regular doctor. This brings us to one of our 'frequent flyer' patients. "Mary" was an elderly diabetic who lived with her 3 cats, bowls of candy, eclectic music collection, and her paranoia. She frequently called to request transport because she was tired, ran out of medication, was having a bad day, etc. One day about about 2 PM we were dispatched to her apartment because of "shaking". Once we arrived, she explained that the doctor had given her a new prescription (to add to the dozen or so she currently took) and it made her feel "funny". Because of that horrible reaction, she stopped taking ALL of her medications. Now after about 6 hours with no medication, she was not feeling quite right.

It was obvious that we were going to recommend she resumed her usual dosages of her medications and likely the symptoms would go away. Just to be on the safe side, I decided to call her doctor who practiced at a large nearby clinic. I picked up her phone, dialed the number, and was surprised to hear, "...the number you are calling is not accepting calls at this time". Since it was the middle of the day and this was a multi-office clinic, I felt I must have mis-dialed. I repeated with the same results. On a whim, I grabbed my cell phone and dialed the same number. It was answered on the first ring, and within 10 seconds I was on the line with the doctor who did not need any help in recalling this particular patient. He agreed with our plan and recommended that we should not transport.

Once we were on the road back to the station, I suddenly realized - the doctor had blocked her number!

I am not sure what to conclude from this, but some days I wish the 911 system could block a few more numbers.

Actual reasons for 911 dispatch from my own experience:
  • my cat is sick and I am afraid I will catch whatever they have
  • I burned my finger lighting a match and now the grocery store is closed and I can't buy any ice for my finger
  • I heard a noise - I think it was a car
  • while driving to the ER, three blocks away - I got sick and vomited, now I need an ambulance to transport me the rest of the way (nausea and vomiting had stopped by the time of our arrival)
  • roof fire (sun warming up the frost on the roof)
  • "the doctor said I should get my blood pressure checked"
  • I can't afford a taxi - can you take me to the next town?

And many more...