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My Johnny and Roy moment

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Back in the early 80s’, when I was just a kid, I would rush home after school, grab some Chips Ahoy cookies, a glass of milk, and turn on Channel 38 from Boston to watch reruns of Emergency! After the crew from Station 51 wrapped up the day’s adventures, my friends and I would hit the streets to play paramedics in the neighborhood. Our bikes were shiny, red, two wheeled versions of Squad 51, my dad’s old fishing tackle box  the med kit. I always played Johnny and my partner in crime, Mike Petroski, took the role of the more stoic Roy. Mike’s younger brother Joey was invariably pressed into service as the patient. Our favorite “rescue” involved Joey, feigning unconsciousness, on the roof of the the Petroski’s garage. Perched on that roof in a raincoat and plastic fire helmet, in my mind I was far above the ground on an oil drilling rig, getting ready to rescue a roughneck that had a bad day. As Mike was busy strapping Joey to a chaise lounge lawn chair, our version of the stokes, I would yammer about “Sinus Rhythm” and “Ringer’s Lactate” into an old telephone handset that we carried in a lunchbox that my dad had spray painted orange.

One of the best parts of Emergency! was that all of the medical problems were quickly solved with an IV of D5W or a defib shock. “Rampart, we shocked the victim, he’s in sinus rhythm.” The guys showed up, worked as partners doing some paramedic stuff and BAM! The patient was better. These guys were super medics. Plus, they had a bitchin’ refinery fire or chemical plant explosion in every episode! But I digress.

Who knew that yesterday, almost 30 years later, I would have my own, real Johnny and Roy moment.

My partner and I were watching an amazing TV show about amazing wedding cakes on A&E when the tones dropped for an “unconscious and unresponsive” patient. We arrived at a nice house in an upper middle class neighborhood to find a 72 year old female who had suddenly become unconscious during a canasta game with her husband and another couple.

When I walked in, a couple of fire fighters were attempting to obtain a BP on a very gray, diaphoretic woman who was half slumped in a kitchen chair. Holy shit. This lady looked sick. Her husband, standing behind her, holding her up in the chair, looked scared to death. The woman could be aroused only with painful stimuli and would only answer yes or no questions with a mumbled “yuhhh” or “nuhhh”. “OK,” I said, “Let’s get her lying down.”

A couple of firefighters quickly got her on my cot, took a pressure, which was 50 over nothing, and hooked up the monitor. Sinus brady at 42. My partner got a line established and I pushed half a milligram of Atropine. I started a fluid bolus and about 4 or 5 minutes later she was pink, dry and alert, wondering why there were so many people in her kitchen and wondering why we were making such a fuss.

Yeah, that was the stuff. That was my Johnny and Roy moment. It was smooth and pretty. Like an Emergency! episode. Everyone worked as a team. The treatment was fast and appropriate, the patient improved, the family saw some efficient EMS, and we did it all in about 7 minutes before we were on the road for the hospital.

Thanks again to my partner. Unfortunately, you’ll never read this, but you are the reason I was able to be a good medic yesterday. I’m new and still learning and almost unconsciously, you worked as my right hand, doing the things I needed before I could ask you to do it. You helped me more than you’ll know.

I’m not Johnny. He’s not Roy. We’re not super medics by any stretch, but, we work pretty damn well as a team and we do good stuff. It’s not a man trapped in a well or a 5 alarm refinery fire, but I’ll take it.

I’ll take it.

Dave and Tom

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I feel awful about not writing more frequently… but ya know what? This is time I need for myself. I need time to study and learn and process all of the new info that I’m sucking up every day. Just being around the medics I’m working with is great. I’m getting a lot of the nuts and bolts of day-to-day practice almost by osmosis. Just by working with them, and watching how they interact with patients and each other, I’m learning the art of having presence as a medic. And, to a lesser extent, I’m making careful note of the things I’ll never do when I’m a medic. These are valuable lessons my friends.

I’ve been on some excellent calls recently. Calls that I’m sure seem mundane to my preceptors, but present me with a new learning experience every time I step out of the medic unit. Every chest pain call is an opportunity to hone my assessment and interview skills and tighten up my IV skills. I’m working hard on delegating tasks to the EMTs and other medics with me. These guys and gals want me to run the scene and they’re poised, ready to jump when I say the word, all to help me succeed. I just need to tell ‘em what I want. And that’s a little hard, when sometimes I don’t know myself. But I’m getting better.

I made some mistakes over the past few days. I’m moving fast. Sometimes too fast. Going down the checklist in my head at a chest pain call at 2 in the morning…

“Okay, Tom, let’s get this gentleman on the monitor and some O2… Dave, can you grab me another set of vitals while I get the aspirin and nitro?”

Tom, my Medic preceptor, hops right to getting the patient on the monitor and some Os flowing on a cannula while Dave, the Firefighter EMT that’s with me, looks up from his BP cuff and says, “As soon as I’m done here, I’ll go spike a bag for you and set it up in the truck. I’ll make sure to set the nitro next to your IV roll.”

“That’s great, thanks Dave.” I mouth a silent “thank you” in his direction. He winks back.

And don’t think that Tom didn’t catch that. On the way back to the station after that call Tom asks in the headset, “So, how’d you do?”

I review the call in my head before I answer. I had a great rapport with the patient, we were laughing and joking on the way to ED. I did an great Q&A. Got a 12 lead in the first 5 minutes in the door, got ASA on board quickly, got an 18 gauge in the right AC while we were en route…

“Well,” I start.

Before I could go any further, Tom says, “It was pretty nice of Dave to save your ass with the Nitro, huh?”

“Yes. Yes it was.” I answer slowly.

These guys aren’t out to bust my balls. They’re working to make me the very best medic I can be. And I appreciate that. That’s why I don’t mind helping with chores around the fire house or cleaning up after dinner. These guys don’t get paid to teach me. They like teaching. And I appreciate it.

And yeah, I wasn’t gonna give that guy any nitro ‘til I had a line. I know better than that. But Dave was there to back me up.

I love riding with these guys.

More Partner Quotes

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Here’s more of the magic conversations I’ve had with partners… Why do these always seem to revolve around food?

While posting, talking about lunch…
Me: “Hey Dude, in the mood for lunch?”
Partner: “I’m in the mood for Dicks.”
Me: (incredulous look) “Wha…?”
Partner: “Dicks, man! I love Dicks!”

He meant “Dick’s Drive In

On a different day, the same partner wanted Bubble Tea.
Partner: “I love this place.”
Me: “Yeah” (busily slurping my tea) “It is pretty good.”
Partner: “Yeah man, they don’t skimp on the balls.”
Me: (another incredulous look)
Partner: “Damn it. I did it again.”

Partners

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Having a different partner everyday can be fun. The conversations in the rig are the best.

While I don’t write them all down, I do try to remember the classics. Here’s just of couple of the “WTF” things my partners have said to me in the past few weeks…

While discussing meal options…
Guy Partner: “Man, I love seafood.”
Me: “Yeah, I’m down with seafood. What do you like?”
Guy Partner: “I really like fish sticks.”

While parked and my nose buried in a text book.
Partner: (wistfully) “I wish we had some calls to run.”
Me: “Yeah I know, but at least I have some free time to study.”
Partner: ” Yeah, I noticed you read a lot of big books.”
Me: “Well, I’m studying for an A&P exam that’s coming up this week.”
Partner: “Oh, A&P. Is that a class?”

Again, on the subject of lunch…
Me: “So, what do you think about lunch today?”
Female Partner: “Anything is ok, but you should know I’m a vegan.”
Me: (joking) “I guess a steakhouse is out of the question then.”
Female Partner: (serious) “No, that’s fine, I’ll get chicken.”

Seriously. WTF?