Monday, January 03, 2011
Sunday wasn't any better... still no exercise and lots of patients.
As soon as I called in, I got a call from the crew that transported my drunk kid earlier that morning. I guess the hospital chewed the crew a new one for not doing this and that. I will tell you, the gray areas of my job really make me nervous. I asked the patient if I could perform said procedure on him and he said no so I didn't because if I had, in the eyes of the law, its battery. If I had said that I am going to make him have said procedure done, its assault. The hospital told my crew that he could not make those decisions for himself and that we should have performed it anyway. I rarely disagree with doctors, nurses, etc. because I truly respect their positions, but quite frankly, they weren't there, they did not see the situation we were seeing and I believe that attempting the procedure would have been detrimental to overall patient care and with the disposition of the patient, I was afraid that he would become combative and/or violent. Its moments like these after a long day and one ahead of me that I want to hang up my trauma shears and go back to enjoying my weekends off being lazy and seeing my family.
After all that went down, we checked the truck off and I think I laid my head down for about a half hour when my fire captain showed up needing computer help. I helped him right up to our first call... and it was just one after another. By the time I made it back to the station, I had 8 sets of paperwork to do. I was finishing my last narrative when we got another call. It was around 7. I took her to the hospital and by the time it was all said and done I was technically off duty. The other crew who didn't have a medic got paged for a chest pains call, which requires a medic. I called the operations manager and said, "I'm sorry, I can't do it." We went back to the station, cleaned everything up and went home. I didn't get to bed until after 11.
I said "I can't". It killed me to say those words, but I realized I was so tired and mentally sapped, that I was forgetting small things. Things that, in the overall picture, were superficial, but how long before I forget something major? I needed a timeout... I had to say "I can't".
I had to be up early for this job today. 0545 came a lot earlier than it normally feels, but at least I'm not getting kicked, punched, cussed at, bled on, puked on, etc on/at/toward.
I am bound and determined to get a run in today. I'm hoping the cemetary is melted off, but if not, my Mom gave me her yak tracks to run with. I downloaded the week 4 of gateway to 8k and put it on my iPod.
I have to go by our main station tonight which is a fair ways out of the way to replenish the medications I used yesterday on my patient. I have a fire meeting tonight. I need to go to the grocery store tonight. My house is a wreck. That overwhelmed feeling is creeping up on me again.
Trying for positives:
-I made it to work early
-The roads were clear this morning
-My Mom is making dinner
-I should have a hefty paycheck from EMS this go around
-I lost 3 pounds over the weekend (probably fluid retention, but, hey, I'll take it)
-I'm looking forward to our trip to Columbus, OH this weekend
Be safe, my friends.
Sunday, January 02, 2011
Yesterday, I did not get any cardio or strength training in, unless you count my work day as exercise.
First thing yesterday, my partner and I checked off the truck. No problem. My partner decided he was going to check our backup unit and accidentally locked the keys in it with in running in the bay... and then we got a call. It was just one of those days. The call was on the other end of the county.
We got back for about 20 minutes and were called out for an unresponsive patient. Patient was first time seizure patient, was extremely combative when I got to the house, kicking at me, punching at my dad (my dad is a medic too). Fortunately, he became more complacent as time went on and was able to get him to the hospital without incident. While we were at the hospital, my other partner forgot to shut the main power off to the unit and drained the battery. We had to get our ambulance jumped.
On our way back from the hospital we were called for an allergic reaction. We were probably 40 minutes away. Fortunately, the night crew came in early and took the call.
We got back to the station and forgot to call ourselves off duty. About 10 minutes after our shift was over, we got a call that there was a patient at the sheriff's office. I decided to take it even though we technically were off shift. It was a psych patient and the police didn't want to deal with him. Needless to say, he did NOT like me, screamed at me for a while, etc. Fortunately, he liked my partner and so he dealt with him.
So, my 8-8 shift was over at 11PM last night. I got to bed a little after midnight.
I was woken by one of my friends coming in around 0230 from the bar. I'm not sure what the deal was, but he went up and down the stairs several times. I was getting slightly irritated.
Finally got back to sleep and was woken again by my fire pager. Car wreck with injuries just a few miles from my house. I knew the ambulance crew was at least a half hour away, so I went and assessed and treated the patients. Wow, all I can say is don't drive drunk or ride with a drunk driver. The passenger's face was laid open, maybe a broken arm and broken knuckles... The driver was not injured, but he went to jail. There was a lot of lying going on which was aggrevating some of the other firefighters, but I had to concentrate on patient care. I made it home around 0630.
So, needless to say, I didn't get any exercise (structured) yesterday and I didn't get any sleep last night.
I have to be back at the station at 0900. I was going to try to get some more sleep, but I don't think its going to happen. Then I thought I would get a quick 10 minute workout this morning, but I'm afraid with as tired as I am that I would injure myself.
I am taking my resistance bands to the station again. There isn't a nice place to walk at this station like at the other one, but I can still make it work if I have time.
I have paperwork to do still from yesterday. My trainee is coming up to the station at some point so he can do his paperwork from yesterday. My captain from the fire dept is coming to do some computer work with me. It doesn't really sound like I'm going to get much rest or exercise, especially if you throw any patients into the mix today. :)
Still, I am staying positive:
-I get to go in later today, 9AM instead of 8AM
-I got holiday pay yesterday and had 3 hours of work over
-I am working at the station closest to my house (about 5 miles away)
-I got to see all of my brothers at the fire dept that I haven't seen in a long while
-I was able to help someone that needed my help
Have a wonderful and safe Sunday!
Friday, December 31, 2010
Be safe tonight. I will be back tomorrow. I am enjoying the evening with my mom and grandma.
Thursday, December 30, 2010
That's right folks... bye bye size 8 jeans... I went to my favorite jeans store and yessir, size 6 fit like a champ! (and I bought two long sleeve shirts, size S).
8 years ago when I decided I didn't want to have to STUFF myself into a size 18-20 anymore, I thought, I will lose weight, but I will never be single digit sized. I was never single digit sized.
2 years later, when I hit my goal weight, I was wearing a 4-6. I still couldn't believe it. As much as I despise clothes shopping, I would stand in the dressing room ad nauseum, basically staring at myself in disbelief. Oh, the delight I felt when I had to ask the attendant to bring me the "next size down". I was giddy.
Fast forward to 2ish years ago when my life imploded on itself and 22 of those pounds came screaming down the hip and thigh-way. I had kept some of my size 10s and they were getting tight. It was time to find my spark. Sparkpeople, the spark in the heart, the spark in my determination to be healthy, the spark in my drive to be a role model for my friends, family and coworkers.
Fast forward again to present day. I'm back to a 6, probably a 6-8. Still aiming for that 4-6, but I won't obsess this time around and have to cut my size tags out of my clothes. :) I don't get on the scale everyday anymore... a huge accomplishment for me.
Random thoughts for the end of the year:
I am happily married to my best friend.
Asparagus is really good raw!
According to the fitness website I log my time and miles to, I've burned 217.47 donuts since June (I love how they put things in perspective).
I ran my fastest 5k ever this year
I have learned to enjoy running
I have plenty of more random thoughts, but maybe I will save them for tomorrow... or some other day.
I'm really looking forward to running today. I'm going to go a little later in the afternoon hoping that the ice will be melted (and snow!) so I can give it everything I have. It will be an interval run. I am planning on the same course as Tuesday.
In 2 days, my blog will be my goals for 2011. I have been thinking long and hard about them. They will be high, but reasonable... Challenging, yet attainable.
Have a wonderful Thursday!
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