Archive for April, 2012

EMS

Isn’t this the truth.

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Diabetes (the discovery)

I have diabetes.

I rember the day very well. I had been having headaches and went in for my first check up in ages. I wouldn’t get sick often. The headaches had been coming pretty regularly and sometimes they would be severe. I was sure they were migraines.

I realized there was something wrong when I received my sugar check and they told me the number was 190 and I had been fasting. I’m in EMS and I know the basics of this disease. Fact is I knew only the basics. I knew 190 fasting is not good. I knew if it was my patient I would ask what medications they were using to control their diabetes and what they were eating last.

I felt a cold chill go through my body. Numerous amputated toes and feet that I have seen throughout my career came flooding in. I kept thinking it must be a mistake. I have read of cases where someone will rub the alcohol prep too soon to the actual puncture and the alcohol will produce a false high. I was sure that was what had happened.

Apparently the doctor also thought it might be a false reading and as I waited in a small,white and sterile room I was informed that the doctor was ordering another glucose check as well as a blood draw. The blood draw was something me and my wife had talked about before. It was used to measure your glucose average over a 3 month period.

My next finger stick glucose check came back higher. This time it was over 200.

The doctor tried to be as calm as possible. I was given a glucometer as well as a prescription for a few medicines. I could tell she didn’t like I had not seen a doctor in over a decade. I was asked if I had been having any symptoms such as drowsiness (I thought it had been just the after lunch regular sleepiness. How would I combat it? A Monster energy drink loaded with sugar!). She asked about my sexual performance because high levels of glucose for prolonged periods of time can affect performance (WTF!?! Where was that written?). She asked about my vision, the diabetes can blind me. She rechecked my blood pressure as diabetes can harden my blood vessels and cause hypertension. She ordered a 12 lead because diabetes can affect my heart, especially since I couldn’t say how long I’ve had symptoms.

Diabetes isn’t a war of victory or defeat. It is a war of attrition.

We are never cured of diabetes, we have it controlled.

Diabetes doesn’t go into remission, the number is just disciplined through eating habits, medications and activity level.

She told me I was overweight. Advised a 30 minute workout daily. I know she wasn’t trying to but I felt she was overwhelming me. As I walked out to my car I thought of all those patients I’ve had to “wake up” with dextrose. I thought of patients in DKA. I’ve always been a big drinker, and I don’t mean just alcohol, for a meal I could easily put away 3 or 4 glasses of whatever we were drinking. I now understood after lunch I wasn’t just sleepy, I was going into a diabetic coma!

The drive home was lonely. My wife would text but I couldn’t speak it yet. I was worried about infection. I was worried about the loss of my renal function. I was worried about gum infections and thought about losing teeth. I was hungry but I was afraid of eating. The doctor had told me to watch my carbs, but I just knew the basics of what a carb is. I was scared to eat.

My life had taken a turn and what I thought was going to be a routine check up with maybe a prescription for a stronger migraine med turned into something completely different.

Instead my whole world had been changed. I was me, I was still a father, a husband, a paramedic, an instructor, a writer, but now I was also a Diabetic.

 

Man dies from extreme testicular pain.

Any man knows how painful a kick to the groin is. Recently a man discovered that the pain associated with it can be deadly. A man involved in a fight with a woman died after she squeezed his testicles. What a horrible way to die.

Here’s the link:

gizmodo article

Government waste

Government waste is something we will always have. It is impossible to completely erase, just as vital to making a government function as politicians. I don’t think anyone will disagree that government spending is running crazy. It affects all of us and some of us in the EMS community are being affected more. Budget cuts are shutting down ambulance services, some that have been greedy are causing others to pick up the slack for patients that are being left to fend on their own.

I came upon this article by Andrew Napolitano and found it hit the mark right on the head. I am adding the link bellow but will quote him here:

The same Congress that professes outrage over the GSA and the Secret Service escapades does whatever it can get away with every day. It writes whatever laws it wants; it regulates whatever behavior it chooses; it taxes whatever events it thinks will keep it in power. And it does so with utter disregard to whether its work is permitted by the Constitution.

It isn’t everyday Fox puts up an actual fair and balanced article. I’m not picking on them, I understand each company has to protect their own interests. This one is a must read as we get closer and closer to the next election. We owe it to our future generations to buckle down and set up longer term objectives than just the next election.

Link: http://foxnewsinsider.com/2012/04/19/judge-napolitano-a-government-of-waste/?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+FoxNewsInsider+%28Fox+News+Insider%29

Using Blogsy

I have just bought a New IPad and was eager to start blogging with it. I bought this app Blogsy and am trying it out. It is kind of a one stop shop for many different blog accounts. I can post to my personal blogs as well as my EMS related ones very easily. Drag and drop pictures and even use links. It’s 4.99 so it isn’t the cheapest of the blogging tools but so far it has more features.

I’ve added a link to their website if anyone is interested.

Blogsy

It seems to be very easy to add links and pictures and have them show up just how you want. Even adding pictures from their built in web browser. And just FYI, no I am not getting paid by them. I just have really liked this app and think it could help other bloggers out there.

Do you guys have any applications you use for blogging? Any advice?

 

 

The hangover cure, medics to the rescue.

So now there is a bus, sanctioned by a doctor, who drives around the strip in Las Vegas and administers IV and meds for hangovers. Of course medics were hired to start the lines.

I’m not sure where I stand on this issue. For one it could diminish what medics do and trivialize treatments. On the other hand it seems that it’s so far a successful business model and shows and entrepreneur spirit.

What do you guys think? Should IV meds and hangover “treatments” be allowed? Is this trivializing what we do as medics? Let me know your thoughts.

Link to article bellow:

JEMS article

911 Abuse

Woman arrested after using 911 to complain about, “bad tasting burger.” Is this abuse of 911 going to stop with people getting fined or arrested?

Bad Burger