Uncategorized

Memorial Day

May you all have a contemplative Memorial Day, full of gratitude for those who gave their last breath, to protect, preserve, and defend this experiment in self government.

Please consider this, a story of one such sacrifice.

https://www.google.com/url?sa=t&source=web&rct=j&url=https://tulsaworld.com/archive/mission-saving-mariam/article_caeece59-65cc-56a2-8558-867ee99161ce.amp.html&ved=2ahUKEwiVwujTz-3wAhVAKVkFHReVDngQFjAFegQICBAC&usg=AOvVaw1wJBISE5G8uolzvme0pfGP&ampcf=1&cshid=1622247821492

“Saving Miriam”, regarding Corpsman Chris Walsh.

I read it, and my damned allergies overcame me.

Duty · Sometimes You Get to Think That You Have Accomplished Something!

Parenting Win

This gentleman gets it, and kudos to him for Being The Dad.

https://ogdaa.blogspot.com/2021/04/sunday-video-2_01180543565.html#comment-form

As may prove to be no surprise, it reminds me of one parenting encounter of my own, years and years ago. One day, TDW-Mark I, our children and I were out someplace having dinner. It had occurred to me that TDW-Mark I might enjoy an evening NOT in the kitchen, and so we bundled up our brood, and went out to dinner. So, there we were, conversating and dining and generally having a nice time, when Number Two Son, whom we will call Charlie, apparently decided that he was not receiving enough attention. Now, Charlie was, at this point, something like 3 years old. I expected that he would know better, but, well, I was mistaken.

So, he was yelling, and standing up in his chair, and generally making a scene. I attempted to verbally redirect him, but, no-go.

My wife was not enjoying the shenanigans, and therefore I decided to remedy her dilemma. I stood, scooped Charlie up, placed him over my shoulder, “fireman’s carry” style, and walked out of the restaurant.

I could feel the eyes on me, as we departed, with a Bill Engvall-esque vibe of “somebody’s gonna get a whooping!” But, I had a slightly different plan. (don’t imagine that I was not tempted…)

Outside of the restaurant was a low stone wall. I sat Charlie thereon, and assumed my R. Lee Ermy persona. I placed myself nearly nose-to-nose with my son, and barked, “You are not a baby! You know how you are supposed to act! This acting up is NOT acceptable! You will sit there, quietly, until you are able to behave correctly! Do you understand me?”

His eyes teared up, and he replied, a quaver in his voice, “Yes, daddy.”

I snarled, “Very good! Now, you tell me when you are able to behave like you know you are supposed to!”

I stood, wrapped one hand in the other, behind my back, and paced back and forth before him, a scowl written large across my face.

After several minutes of this pacing, I turned to my son, and addressed him. “Have you had enough? Are you ready to act right?”

He sniveled, “No, daddy. Not yet.”

I had to abruptly turn, to hide the smile that burst across my face, and to hide my struggle to not laugh out loud.

Another couple of minutes later, he volunteered, “Daddy? I’m ready to behave, now!”

We re entered the restaurant and Charlie was subsequently the very model of proper toddler behavior.

Having A Good Partner Is Very Important! · Sometimes You Get to Think That You Have Accomplished Something!

The Apple Does Not Fall Far From The Tree

Long ago and far away, I married The Woman Who Would Become The Plaintiff. She brought two children with her, a son, hereinafter referred to as Adam, and a daughter, who we will refer to as Brenda. These children had two different fathers, Brenda’s being Of The African Persuasion, as an old medic partner of mine had termed it. TWWWBTP (“the plaintiff”) was, herself (as am I) of the white-bread heritage group.

This led, of course, to her mother referring to her brood as “My own little league of nations”.

Well, time passed, love bloomed (and, subsequently, withered), and my children (all four of them, notwithstanding that fact that two of them had my chromosomes, and two did not) all grew up, became adults, and set off to establish their own families.

Brenda had her own adventures, eventually settling down with a good man, who accepted her oldest daughter, treating her as his own. Brenda wound up having four children in total, ranging from melanin enhanced, to melanin deprived. (genetics can work out in surprising ways).

So, Brenda tells the story of having photographs of her mother (anglo), dad (anglo), oldest child (genes from 1/4 Africa, 1/2 Central America, and 1/4 Europe), and three youngest children (all of whom were paler, having no Central American genetics). You might imagine a picture gallery of “shades of gray”, if you wished.

Co-workers would wander past, and notice the chromatic array featured in her pictures, prominently displayed on my daughter’s (biracial her own self) desk.

“Who’s that?”, they would ask, gesturing at the children’s photos.

“My kids.”

“Who’s that?” they would ask, pointing at my photo.

“My dad.”

Who’s that?”, pointing at The Plaintiff’s photo.

“My mom.”

In Brenda’s telling, there would follow a metaphorical “tennis match”, and her interlocutor’s eyes would go from photo “A”, to her own visage, to photo “B”, and back to her face, and back and forth, for a couple of iterations.

“Were you adopted?”

“Nope.” (I never started adoption proceedings for my two oldest children, a failure on my part.)

More gaze-tennis, as they attempted to process this. And failed.

Brenda finished her tale, grinning. “I really enjoy spinning up folks’ minds! Most never seem to make sense of it!”

Which tale reminds me of another yarn, circling around my story of Carmen’s (the oldest child) surgery. I accompanied my daughter to Carmen’s pre op visits, both because she (Brenda) kind of wanted to focus on her child (imagine that!), as well as, I surmise, Brenda thought that having nurse-and-midlevel-Dad at hand, might be comforting.

So, TINS©, There I Was, sitting in the interview room as the intake nurse was interviewing Brenda, regarding Carmen’s medical history. The nurse asked Brenda, “Is there any diabetes, heart disease, lung disease in your family?”

Brenda responded, “Uh, no, no there isn’t”.

I chimed in (pay attention to this: Brenda is my STEP-DAUGHTER, recall!), “Honey, don’t you want to mention my cardiac stents?”

So, my daughter turned her gaze my way, and, gently, admonished me. “Uh, Dad? I really do not think that *your* genetics are going to affect Carmen. Do you?”

Brenda then turned to the nurse, and clarified. “He’s my step dad, you know.”

Fun And Games Off Duty

Mocking Spammers

Now, I am by no means any sort of authority in such matters, but, I cannot help wondering if, oh, I dunno, READING ONE ENTRY OF THE FREAKING BLOG might help you avoid appearing to be a (poorly programmed) machine?

Because, those of you who have read a single one of my posts likely know that they do not have word one (at least, not salutary word one) about “computer systems”.

Following is a “comment”:


Freebies
7 hours ago·www.cravefreebies.com/freebiesUser InfoSpamTai Chi: You’re Doing It Wrong!

I have seen loads of useful things on your site about computer systems. However, I’ve the judgment that notebooks are still not quite powerful enough to be a wise decision if you often do projects that require a great deal of power, including video enhancing. But for net surfing, statement processing, and the majority of other prevalent computer functions they are just fine, provided you may not mind the small screen size. Many thanks for sharing your opinions.

Reading and comprehending. It is A Thing!

Duty · Pre Planning Your Scene · Sometimes You Get to Think That You Have Accomplished Something!

You Call Me “Packrat”, I Call Me “Well Prepared”

So, TINS©, TIWFDASL© in the little, rural ER at Erewhon Memorial Hospital (slogan: “Both Nowhere, and Backwards!”). Remember (because, after all, y’all have read, studied, and committed to memory Every Single One of my blog posts, of course!) that long ago, and far away, I had been an orderly on the gen med floor of TBTCIDC. In that capacity, I had been presented with two keys, one of which would unlock a Posey brand locking vest restraint, the other of which would unlock a Posey brand limb restraint. The key to this latter resembled a handcuff key, only on a considerably larger scale.

One evening, in Erewhon’s ER, a local State Police trooper entered, seeking some assistance. It seemed that out towards the periphery of our county, some child had found Grandpa’s antique handcuffs, and has secured himself to a radiator or some such immovable object. This child had done so, PRIOR to identifying the key required to unlock the handcuffs, and, of course, said key was nowhere to be found. The officer was on the verge of inviting the local fire department to demonstrate their extrication skills, featuring property damage, destruction, and loud noises, but wondered if we might have something less dramatic, to release the child. The officer noted that the key required resembled a handcuff key such as the key he, himself had, only considerably larger in size.

Fancy that.

I observed that I was in possession of something resembling that which he sought, and he could give it a try. I rummaged around in my Bag Of Tricks, retrieved my Posey key, and presented it to the officer. His eyes lit up, as he noted that this appeared to be just what he was looking for.

He returned, a couple of hours later, reporting that indeed, my key had unlocked the offending handcuffs, the child had been released, no property damage had occurred, and everything ended happily.

Contributing to my legend, of “If McFee doesn’t have it, You do not need it!”

Pains in my Fifth Point of Contact

Cletus and the sick note

Perhaps you have heard of The Cornosvirus, aka The Wuhan novel Coronavirus, aka the WuFlu, aka The CCP Pox, aka The Shanghai Sniffles. Now known, PC-ly, as C.O.V.I.D. (sounds like a Bond villain, don’t it?). So, TINS©, TIWFDASL©, and Cletus, trivially ill, wandered in, requesting a test for the Coronavirus as well as a return to work note (he related that he had called off sick for a couple of days, and, and needed a doctor note in order to return to work). He related that he had run out of paid time off, and needed to return to work.

The next day, my registrar hunted me down, and presented me with the dilemma: his employer had called, asking what to do about Cletus. Cletus had evidently informed his employer that he, Cletus, had been tested for the WuFlu, and they (the employer) were asking what to do about Cletus returning to work?

“My note stated that he was medically released to return to work, once he had a negative coronavirus test result in hand.”

My registrar returned, “But his result won’t be reported for another 4-5 days.”

“Yep. And, once he has that negative result in hand, he can return to work.”

“I told them that. They are on hold, still asking me what to do about Cletus.”

“Lemme talk to them!”

I picked up, announced myself, and asked what I could do for them?

“We don’t know what to do about Cletus, since he does not have his test result, but your note says that he can return to work.”

“Ma’am, my recommendation is that you follow your organization policy regarding employees who have been tested for coronavirus, and pending results.”

“But, he doesn’t look sick, and we don’t know of any exposure to C.O.V.I.D.!”

“Uh-huh. So, what do you folks do about any other employee who has been tested for coronavirus, and does not have results yet?”

“They have to quarantine at home, until ten days or a negative test report.”

“Perhaps it would be a good idea to follow your organization’s policy in this regard.”

Fun And Games · Gratitude · Life in Da City! · Pains in my Fifth Point of Contact

Random Thoughts Part VI

Assessment of the elderly, sounding confused.

When I am assessing a patient, and ask, in my interview, ref location/day of month/day of week/name/etcetera, when you are not the patient, and YOU answer, talking over the patient, please realize that IDGAF about YOUR mentation, and when you coach the patient, it really, really interferes with my assessment. Plus, it is entirely likely that I myself KNOW the place/day/date/season/etcetera, because, you can bet your ass that if it were NOT Tuesday March the 41st, I would certainly be somewhere else, doing something else, other than attempting to struggle my way through your interruptions of my evaluation of your parent.

In a similar vein, when I ask Jim-Bob where he hurts, probably, when you coach Jim-Bob, admonishing him to “Tell the doctor where you hurt”, you are not really contributing any value whatsoever to the interview. If Jim-Bob indeed comprehends my question, you are only adding noise and distraction and likely, that is NOT helpful. If, on the other hand, Jim-Bob does not understand my query, your repeating it IN THE VERY SAME FREAKING WORDS, neither adds to the information that I require, so that I may care for Jim-Bob properly, nor facilitates timely implementation of that care. So, unless Jim-Bob does NOT speak Engrish, himself, please STFU, and allow me to interview the patient. Or, perhaps, go boil some water, gather a fresh newspaper and some clean shoelaces, right now, please.

Which will, of course, require you depart the exam room and allow me to complete my interview and examination.

Thank you.

Thoughts about Cost vs Price:

Lowe’s “bargain bin” AA battery powered cell phone charger: $10

Having several in your Bag-O’-Tricks at work, so you can hand one to a patient you’re sending to ED via ambulance, whose phone is dead: Kharma.

Having that guy get my cheap-o, bought-on-a-whim charger back to me, with a thank you: PRICELESS!

EMS LAW OF ALTITUDE: Patient’s weight divided by number of floors above street level equals a constant, “K”. Therefore, a 300 pound inert patient on the first floor is roughly equivalent to a 1200 pound patient on the 4th floor. With no functional elevator. And the first due engine company out on a working fire.

(redacted)’s Law: (I don’t have permission to use his name, but it’s not *MY* formulation) When responding to an EMS call, and you are pretty sure that you are on the correct block, but, for some reason, folks in this neighborhood do NOT have any house numbers, seek out the most tumbledown anonymous house on that block, and knock, Your patient awaits inside.

(redacted’s partner)’s Corollary Number One: The one house on the block with ghetto gates (bars on the doors and windows), is your call.

Corollary Number Two: Occupants of the house with the gates KNOW who is performing all the neighborhood B & Es.

Corollary Number Three: There is nothing inside the grilled house worth stealing. The decor is milk crates, cast offs, soiled mattresses on the floor. Even odds that the smell makes the place a haz mat scene.

Final Thought”

Please, please, please! If your physician has ALREADY prescribed a medication for your affliction, take the freaking med, BEFORE your come to my clinic stating that you require treatment for that selfsame affliction! Because, it could happen that my self control may lapse, and I may, indeed, ask you just how exactly I may help you, when you not only were prescribed, but physically picked up, the very medication that I would have prescribed (and, indeed, wound up prescribing) for your problem.

But, OF COURSE, you weren’t here to get a work note! Totally!

Duty · Having A Good Partner Is Very Important! · Life in Da City!

Paying Attention Is Important

So, TINS (c), TIWFDASL (c), and working in Da Corridor. This was Da City’s, well, let us say, in paraphrase of the immortal words of Old Ben Kenobi, “Da Corridor: You will never find a more wretched hive of scum and villainy!” So, not the nice part of Da City.

I was working “The Corridor”, and an academy classmate, let us call him Gordon Lightfoot, was detailed in that day from another house. At this point of time, TBTCIDC was closed, as they were in the midst of moving kit and caboodle to the shiny, new, and in-the-medical-center hospital they had just opened. (Well, it had not been opened, just yet, and that little detail will figure prominently in this tale!) The hospital that was TBTCIDC’s “stand-in” was NOT generally the trauma center, but was in the medical center.

We caught call after call, transported sick (and a lot of not-so-sick) people, and generally saved lives. Our next run was on an asthma patient, and off we went. In fact, this particular address was only a block from the medical center.

We arrived, announced ourselves, and acquainted ourselves with this person’s malady. I brought the stair chair, and we wheeled this soul out to the ambulance, and settled them onto the cot. I had JUST entered the cab, preparatory to a leisurely trip to The Stand In Hospital, when Gordon stuck his head through the window connecting the cab with the patient compartment, and bellowed, “Reltney! He’s arrested!”

I hopped around to the back, and helped Gordon get set up for a spot of in transit CPR. Once he was set, I re entered the cab, and called dispatch: “Medic One, Code One, Stand In Hospital. Cardiac arrest, witnessed. Eta One Minute!”

Dispatch acknowledged. I tuned in the hospital alert frequency, and called: “Stand In Hospital, come in for Priority One traffic!”

They acknowledged, and I started my turn out into traffic, lights flashing, and siren wailing. “Witnessed cardiac arrest! CPR in progress! ETA one minute!”

The nurse on the radio was not clear on the message. “Say your ETA?”

“Open the doors! We’re here!”

Fun And Games Off Duty

Toddler Logic

When my daughter was just a toddler, she began to dress herself. Of course, it had hit and miss days. This day, she would be appropriate, that day she would be attempting to go out doors in 50 degree weather in shorts and a tank top.

So, one day, her mother was off at school, I had the day off, and Brenda came downstairs in long pants, over which she was wearing a dress. Overtop this she had a long sleeved blouse, which was peeking out from beneath a sweater.

I stopped her. “Honey, you need to dress in one outfit, not several. You look like a bag lady.”

At three, she had her own mind. “I’m NOT a bag lady!”

I agreed. “That’s true, but you are dressed like you were a bag lady. Go back to your room, take that stuff off, dress in one outfit, and put the rest of the clothes away.”

She crossed her arms, and laid down the law. “I am *NOT* a bag lady!”

I repeated myself. “honey, I realize that you are not a bag lady, but you are dressed in something like a bag lady uniform. Now, go back upstairs, select one outfit, wear that outfit, put the rest of those clothes away neatly, and come back downstairs. You cannot go out dressed like you were a bag lady!”

She set her feet, crossed her arms, cocked her head, and set me straight.

“I’m *NOT* a bag lady, you fat old man!”