Category Archives:

Searching for Serenity

I seek a state of grace. I want to do every call the way it should be done. I’m not talking about the medical aspect, although I try to do everything right. It is in my case or maybe in anyone’s case, not possible. I do the best I can. What I am talking about […]


Georgia Johnson has been our most frequent flyer for the last year. Georgia calls five or six times a month with a complaint of being tired and hurting all over. She never calls her doctor, just 911. She is a big woman who walks with a cane and lives in elderly housing. The entrance to […]

Rant and Rude Business

I have been thinking about all this rant business, and promised some thoughts on it. I was on the phone the other day trying to get an issue resolved with a telephone person and I was frustrated and trying to get her to understand my dilemma and how it wasn’t my problem, but their problem. […]

Coming Soon

Why do we rant in EMS? That’s what I want to write about. I want to write about it in a way that is not a rant, and I want to write about it in a way that will help to stop me from ranting because I don’t think it is a particularly attractive quality. […]


My plan today was to write a response to Baby Medic’s rant Bad Day — a rant I have had myself on too many a day, week, month and year — but in order to write what I really feel — about the privilege of this job despite all the bullshit — I need not […]


I’ve been doing a serious garage and house cleaning. I do it a couple times a year. I always manage to throw a good bit out, but never quite get control. I’m no pack rat. Paramedics won’t find my rigored body underneath a collapsed stack of yellowed newspapers, but I have stuff. A month ago […]

The Gear

I’ve pretty much been a stickler over the years about carrying gear. You get a call — whether its chest pain, a fever, or a fall — you bring all your gear in. Monitor, house bag, 02. You never know. Many years ago, I was working with a partner named Steve. Good partner. We had […]


I consider myself on the cutting edge of pain management. I have worked within the state and region to increase the amount of morphine paramedics can give patients on standing order and I am very aggressive with my use of morphine. You have pain, I want to take it away. Instead of screaming with pain, […]

Hey, Look at This

The call is for a possible stroke — a fifty-year old cancer patient can’t move her right side. I’m thinking it’s not a stroke. Maybe weakness, maybe a tumor. But it could be a stroke. We’ll see when we get there. The woman is lying in bed. Her eyes look up at me as I […]


For years I have been on the regional medical advisory council. One of our responsibilities is to come out with the regional paramedic guidelines. It is always very exciting for me to get to use a new guideline for the first time. I think we worked on this for so long, went though many drafts […]

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