Nov 29 2006

Because it’s a taped line.

Tag: AmbulanceKal @ 9:45 am

And you have to find ways of saying what you want to say without saying it.

Control - “Kal’s Vehicle, send your message”

Kal - “Control, we’re clear from this locus. This gentleman was complaining of feeling ‘weak’, but on further discussion it appears that he was looking for a lift to the South side of the city. We’ve had a chat about appropriate use of the treble nine services and he’s kindly invited us to go away. He’s currently stomping down the street in a manner which fails to support his claims of weakness. We’re clear for any further business.”

Control - “*laughing*”


Nov 29 2006

Falling Scales

Tag: AmbulanceKal @ 7:52 am

Every day I assess patients according to the Glasgow Coma Scale, a method developed in, you guessed it, to determine how concious or otherwise a punter is. There are various jokes about Glasgow’s reputation and it’s need to come up with a way of measuring the kicking you’ve received.

It splits into three sections, measuring your eyes’ response, your motor response and your vocal response to vocal and painful stimuli.

You can make up your own jokes about Bristol and it’s namesake.


Nov 26 2006

On ‘growing up’.

Tag: Thrilling Installment, Best Stuff, AmbulanceKal @ 2:44 pm

It was never going to end well, I was suspicious as soon as I’d hung up the phone in the station.

“Hallo mate, got a call round the corner from you, apparently a home help can’t get into her customer’s house, though she can see his feet sticking out from the bed. Can you go and check it out?”

Max and I popped round, pulled up. There were two worried looking women standing at the door, rattling the letter box, hammering on the window.

“We can see him, his feet are sticking out, they’re just visible under the curtains, but he won’t answer the door.”

I pounded on the front door, nothing. Standing at the adjoining fence was an older woman, she must have been in her sixties, she was doing an excellent job of dragging out the sweeping of her front step as she watched us with interest.

“Can I get to the back down here?”
“Oh yes, son, on you go.”

The door led through a communal stair into a back green, bound by low brick walls which I was able to clamber over to gain access to the back garden of the patient’s property.

He’d obviously spent some money, thickly double glazed doors and windows faced onto his back lawn, which had had somewhat less attention lavished on it; I picked my way through the broken slates and split bin bags, ducked under the blue nylon washing rope that threatened to garrote me and peered through the window.

Sure enough, there was a pair of feet visible under the drawn curtains.

They looked mighty still to me.

I rattled the door. It held.
I shoved the windows. They held.
Damn. This guy’s invested.

Over another wall I found a cheap, brown door that looked for all the world like it might open into his kitchen. Single glazed window, cheap pine panelling, I tried the knob. It didn’t turn, but I could feel the deadbolt jiggling against it’s housing. An easy access, a well placed boot on the doorhandle there and it would pop right open. Ooooh. Maybe Max would let me put the door in. I’ve not done that yet, it looks fun.

I scampered back over the walls, up the communal stair and found step sweeping woman.

“That brown door round the back?”
“The one that opens into the next stair along?”
“Oh. Does it? I thought it might open into his flat?”
“No, son, sorry.”

Bugger. Better call the police.

They were there in minutes. A tall sergeant and a young PC with incredible brown eyes, who we’ll call Sarge and PC Phwoar respectively.

They did all the same things that we’d done, shook doors, banged at windows, looked at each other with an “I’ll bet this bloke’s dead…” expression and eventually the four of us found ourselves standing at his back door, looking at his feet through the glass.

We’d offered Sarge a number of options, PC Phwoar had a windscreen hammer in his bag, I’d dug the crowbar from the toolkit in the vehicle (which caused Phwoar some concern - “What the hell is that for?”
“Moments like this.”
“Oh, right, I thought it was protection or something.”
“Nah mate, that’s what the oxygen cylinders and Maglites are for…*cough* Officer.”)

Sarge had made his decision. “Phwoar! Find a brick, preferably a big one.”
“But, Sarge, I’ve got…”
“A brick, please.”

A brick was quickly located and subsequently heaved at the back window.

It bounced off and landed in the mud, saying “Schwub” as it did so.

On it’s second flight it again bounced off the glass, but this time the casing failed, the window falling in at sufficient angle for Phwoar to squeeze an arm through and unlock the back door.

Inside the TV was blaring, there was food on the table, fresh milk in the fridge and a corpse on the bed. We checked for a pulse, confirmed the presence of rigor mortis and then undertook the peculiar dance we have to when people die. It’s a dance that goes “Mr Policeman, this is a body, we must confirm he is dead and try and acquire his identity and any medical documentation that is available. This will make our job easier.” while the police go “Mr Ambulanceman, this is potentially a crime scene, I have no interest in this man’s medical history, but I will get increasingly shirty with you if I find you moving stuff about.”

We quadrilled briefly, Sarge confirmed that nothing looked untoward, both doors were locked, the man had apparently suffered no injury, his clothes were intact and the house was reasonably tidy. I had a scout around, looking for any NHS letter-headed paper. The house was…strange. It was an old man’s house, there was no doubt about it, but there was a Playstation in one room, a packet of nappies in another, thing is, it wasn’t the sort of place you’d leave your kids, even if he WAS their Grandpa.

Max stepped outside to complete the relevant paperwork, leaving Sarge and I in the flat. Two further cops arrived shortly after, one bristling with grey stubble, the other wide eyed, pushing his chest out into his shiny stab vest.

“This is PC NewBoy.” said PC Stubble “He’s just new, never done a body before.”

The young cop stepped in, his Adam’s Apple jigged in his throat.

“What d’you see, NewBoy?” Sarge asked.
“Dead male on the bed.”
“Notice anything about the body?”
He peered closer, blinked, spoke quietly.
“No.”
It was blurted out, the accusatory, sullen “No” of a kid who’s asked “Are you feeling sad?”, because to answer in the affirmative might unleash the emotions you’re sitting on.

“Touch him.”
He stretched out a hand, brushed it against the corpse’s, snatched it back as though he’d been burned by the unnatural chill of dead flesh.

“He’s cold!”

Suddenly I felt so old, so long in the tooth; in photo flashes I saw the scene though this guy’s eyes, remembering my first body with Stu so many years ago. I saw the patient’s staring eyes, his slack jaw, the hyper-extension of his neck that pointed his chin to the ceiling. I felt experienced.

There’s all those jokes about “You’re getting old when the cops look young”, but there’s an extra facet there, you’re getting old when you see another’s horror, hear their visceral gasp and realise that your experience has dulled you to it.

I excused myself, walked back up the stair where Step-Sweeper remained, chatting to a friend over the fence. She must have suspected something was wrong when Max returned to the ambulance without me, when we didn’t load the patient into the vehicle and take him away.

“Is he alright, son?”
A deep breath. Patient confidentiality’s one thing, but she’ll find out soon enough from someone and I’d rather it was from a professional.
“No, no my love, he’s not. The gentleman’s passed away I’m afraid.”
She gripped my arms, took me in a hug.
“Oh son, I’m sorry, I’m so sorry.”

I was bemused, why was she so sorry for me? Deep down, I didn’t really care about the dead man inside, he wasn’t my family, this wasn’t my tragedy. I understood what Node meant when he’d told me on my first shift on the road “Care about your patient’s outcomes, but don’t care ABOUT them. You’ll go crazy.”
This was just my job, I get paid to deal with this shit, to roll up, deal with bodies in a grim faced professional manner and then zoom off somewhere else to deal with the next tragedy. I silently laughed her off, patted her arm and climbed into the vehicle. Silly old woman, how naívé.

Discussing the job later with OneHalfOfTheParents, I could hear her smiling patiently down the phone at me.
“Was this woman older?”
“Yeah, sixties at least.”
“So old enough to have kids your age?”
“Oh comfortably.”
“And you don’t think she was thinking “Jesus, this kid’s so young, what a terrible thing for him to have to deal with”? You don’t think she was seeing her own boys in your position and being thankful that they weren’t wearing your shoes?”
“Ah.”

There is no “Grown-up”, no Nirvana moment, no point at which we scale some golden ladder and find ourselves there, in the land of the adults. We plod upwards, always upwards and with each experience the rungs get closer together. PC NewBoy took a big step that day, I took one a few months ago.

We keep climbing.


Nov 25 2006

On asking FlatMateGiles for a ghost story

Tag: FlatMateGiles, Pish, JournalKal @ 4:13 pm

“Once upon a time there was a ghost called Jeff, who lived in a tall, tall house.
Jeff was a baker, not a ghost baker or anything like that, just a normal baker. He never really made much money, business turned over, but he never really tapped the lunchtime market properly. He was more of an artisan, focussing on a niche market. It’s a shame he didn’t do better for himself, cos ghosts can do really well in that sector.

Anyway, one day, in an attempt to drum up a little business, he made the biggest loaf of bread that had ever been baked. He set it up on a pedestal outside his house and on the side he wrote “The biggest loaf of bread ever, by Jeff, the ghost baker.”

People came from miles around to see the loaf, but since Jeff had only written on the side in small letters, they had some problems reading the inscription. Also, since the loaf was so big, it wasn’t cooked properly all the way through; as one man (called Bobby) leaned in to read the inscription…SCHLOOOOP!…he was sucked into the loaf, right there on the street.

And you know? They say if you go to that baker’s shop, sometimes you can hear him calling…..

“MMFFFFFMFMMFMFFFFBBPHHHT!”"


Nov 16 2006

Direct-Claims Moment*

Tag: UncategorizedKal @ 4:09 am

Blue Cross Dogs Trust Thingy Advert:

“Wilfie doesn’t know why he’s alone.
Wilfie doesn’t know why no-one will look after him.
Wilfie doesn’t know he’ll never see his owner again.”

That’s because he’s a fucking DOG!

*DCM - Any TV moment that causes you to want to put your boot through the screen, named after the insurance company who produced a nauseating series of adverts with voice-overs that went “I was installing an alarm system, but was given the wrong type of ladder.” which always prompted me to yell at the box “So why did you go up it, you money-grabbing twat?!”


Nov 16 2006

"I’ll bite your legs off…"

Tag: UncategorizedKal @ 3:19 am

Topher at YTRWT assigned me the “Black Knight” as my Monty Python and the Holy Grail moment when he linked to “Not as Green….” for this week’s Grand Rounds.

That makes me smile.


Nov 14 2006

"If there’s anything I can do…"

Tag: UncategorizedKal @ 2:59 pm

How many times have you said that?
How many times have you had it said to you?

We blurt it out, it’s a Hallmark phrase, it’s even found it’s way into songs, a stock quote for when your friends are having a rough time, we say it to salve our own conscience…and what’s worse is that we know we’re doing it.

The sentiment’s there, it’s absolutely there, but what those six words actually mean is “My impotence in your grief scares me, I wish to fortify myself against your grief by pretending I have a solution. I don’t actually have one, but if you can tell me how I can fix this, I will. I am, however, secure in the knowledge that there is nothing that can be done and as such, you won’t ask me to do anything.”

We’re scared of grief, we shy away from it like it’s contagious. We gulp back tears and apologise for our emotions.

Why?

Because we’re scared.

Scared shitless.

So help me, guys. Surely, out of all of us, we should be able to come up with another phrase that works and expressed what we mean.

PS -
The best response I’ve ever, ever seen to these comments came from my friend’s eight year old, the youngest in a family who’ve recently faced horrendous tragedy, who was apparently caught sending me an email asking for “£30 - a ten pound note and a twenty, please.”
When questioned, incredulously, as to why he was tapping friends for cash, he said “But…he said “If there’s anything I can do, anything you need…”"

Good lad, unfettered by convention he grabbed the statement and rode it all the way.
And you know what? If that email had come through, I’d've had my wallet out in a second.


Nov 13 2006

Open Mouth, Engage Brain

Tag: Thrilling Installment, Best Stuff, AmbulanceKal @ 6:01 pm

12 year old is hacked down by an opponent on the football field. The janny (why is it always the janny?) carries him back into the school and lays him, somewhat, bizarrely, on a short flight of steps in the reception/vestibule area.

We are called.

I have a soft spot for young guys with traumatic injuries, I think it’s something to do with how totally immortal you feel at that age and how terrifying it can be to have something pole-axe you. As a result I tend to slip into “uber-banter” mode, flipping rapidly between gentle sympathy and glinty-eyed teasing, playing every childcare card in my deck.

Kneeling by him, I see his left leg is swollen at the knee, he’s pale, eyes wet, lips trembling as he pours his heart and soul into not crying in front of his team mates. He whispers to me - “It really, really hurts.”

I’d grabbed the Entonox (laughing gas, to you) from the vehicle as we arrived. It’s great stuff, when it works, some people are completely unaffected by it, others take three breaths and are on cloud nine. I love giving it to people because not only does it remove pain, but it suddenly makes what was possibly the worst day of your life irresistibly hilarious. It’s a fun medication to administer, I tend to find people on Entonox very funny indeed, so often times will just end up giggling along with them as we roll them into hospital.

“Right, buddy, how’s about some drugs?” I said, without thinking. I’m used to giving Entonox to adults, the line is perfectly appropriate with them. Oblivious, I blundered on, popped my hands in the air in a mock victory salute and continued “Woo-hoo! Free drugs!”

*silence*

With gut twisting immediacy I remembered where I was. In a secondary school’s front hall, surrounded by impressionable twelve year olds and their teachers.

I stammered, “Ummm, I mean, ummmm, drugs are bad. Yeah, don’t do drugs. Unless an ambulance man gives them to you, then they’re ok.”

Whew. Think I got away with that one.

He popped the mouthpiece in, inhaled deeply and within seconds his pupils dilated massively, a beatific smile spread across his face and he starts to giggle.

“What’s so funny, wee man?” I enquired.
“Heeheeheeheee, I dunno!”
“Does your leg hurt?”
“Nope. Hehehe.”
“Is everything suddenly really, really funny?”
“Hehehe…yup.”
“Even though you might have broken your leg and you’re going to hospital?”

He collapsed into fits of laughter, unable to continue the conversation. His friends were extremely amused by this, even more so when I slipped into the vernacular of my teens - “Dude! You’re *wasted*!”

Drugs are bad.
Or good.
I forget which.

Hee….hee….hee.


Nov 13 2006

Reasons not to order pizza while reading med-blogs.

Tag: UncategorizedKal @ 1:35 pm

“I’ll have a small surgical chicken and mushroom, please.”


Nov 11 2006

Pop Quiz!

Tag: Journal, AmbulanceKal @ 11:55 am

You are the mother of a 25 month old boy who has previously been hospitalised with chest infections and asthma.

He has a restless night, waking up coughing and wheezing every half hour.

In the morning he toddles through from the bedroom and, in your own words, “lies down on the floor” where he continues to wheeze at a rate of approximately 60 breaths a minute.

Sometime later you undress him to change him and notice that “All the skin in between his ribs gets sucked inwards when he breathes in.”

Do you:

A. Phone an ambulance right-the-fuck-now?
B. Make a GP’s appointment for the afternoon, leaving your child tentatively tip-toeing a peri-arrest tightrope?

*head on desk*

I tried to give some advice once we picked them up from the GP’s office (where the GP had rightly gone “Holy shit!” and phoned 999) “See if this happens again? Don’t go to the doctor, just phone us on treble 9 and get an ambulance.”

“Is this serious then?”
“Well, he’s not breathing properly, so yeah, that’s pretty serious.”

“And what could happen?”
I didn’t have the heart to say “He’ll end up dead.” in front of the kid (who was remarkably articulate and was following the conversation along perfectly) so I restricted myself to “This is very serious, it won’t get better on it’s own, he needs medical attention.”

At no point, I believe, did the “My kid came dangerously close to death this morning” point ever hit home.

Who are these people and where did they come from?


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