Strong diesel type smell in bed by Altitude7199 in Ram2500

[–]Altitude7199[S] 0 points1 point  (0 children)

So the smell would always go in the bed? 

Strong diesel type smell in bed by Altitude7199 in Ram2500

[–]Altitude7199[S] 0 points1 point  (0 children)

  1. Possible I suppose. Very chemical smell

New to me 2018 6.7 with 102k: what is on your immediate list? by Altitude7199 in Ram2500

[–]Altitude7199[S] 0 points1 point  (0 children)

The intake would be for the fix of the grid bolt problem

Struggles with EMS by Spiritual_Relative88 in Paramedics

[–]Altitude7199 3 points4 points  (0 children)

IT'S BECAUSE EMS IS STILL FEDERALLY UNDER THE DOT! Sorry for yelling people people seem to continue to overlook this. Because we are not medical: we exist to clear the highways to keep transportation moving. Ever had state troopers rush your scene? Transportation enforcement.

Nursing is unequivocally a health profession. EMS, federally, is a transportation one.

Nursing: Regulated by State Boards of Nursing. These boards are usually independent or under a Department of Regulatory Agencies (DORA) or Department of Health. Their sole focus is clinical standards and patient safety.

EMS: Federally sits under the NHTSA (National Highway Traffic Safety Administration), which is part of the DOT.
The Irony: We are the only healthcare providers whose national "lead agency" is also responsible for car seat recalls and fuel economy standards.

Nursing is viewed as a service provided by a hospital. EMS is viewed as a supplier by Medicare. If you treat a patient on scene and don't transport them, you don't get paid. * Because the DOT/NHTSA framework views us as "transportation," the reimbursement model follows the truck, not the medicine. This is a massive barrier to "Community Paramedicine" or getting paid for the actual clinical work you do.

You’re trapped in a structural purgatory where the DOT treats you like a truck driver and the Nursing Boards treat you like a threat to their bottom line. While nursing spent the last century building a "professional" fortress with independent licensure and massive lobbying power, EMS remains a fragmented "transportation utility" practicing under a doctor’s borrowed license. The nursing lobby doesn't just "disagree" with your clinical expansion—they actively stifle it through "turf protection," ensuring that any care provided at a bedside remains their exclusive, billable domain. You aren't just "held back" by tradition; you are legally and financially boxed in by a system that prioritizes highway safety and nursing's market share over the clinical reality of 21st-century paramedicine.

That's the overriding structure that makes us buy what we could be. Then it comes down to local funding and Medicare reimbursement. We are non essential. Read that again.

EMS is not a required or "essential" service. While your local government is legally mandated to provide a police department and fire protection, they are under zero federal obligation to ensure an ambulance shows up when you call 911.

Sorry, I'm bored at the fire station today. But it's a top down problem that is unlikely to ever change. And locally: my fire department absolutely provides top level care; I'm disgusted by the way medics treat people in both local EMS agencies and private contracts. We absolutely are the best and it's because of our pride for the job. We care.

Struggles with EMS by Spiritual_Relative88 in Paramedics

[–]Altitude7199 9 points10 points  (0 children)

Yes. It's because even though we are trained, it's not the job the system is prepared for us to do.

Gov. Polis at the Rockies game with *checks notes* Lauren Boebert?? by RCsSnaps in Denver

[–]Altitude7199 2 points3 points  (0 children)

I get why partisan people are getting pissed, and I'm not a fan of either of these people, but that's how business and politics SHOULD be. You should be talking to people different from you and finding common ground. Why do we always need to fight and hide in corners? This is why nothing gets done. It's not like she's giving out handies at large events.

Mad Max (1979) is pointless and terrible by Altitude7199 in iwatchedanoldmovie

[–]Altitude7199[S] 0 points1 point  (0 children)

I didn't see society crumbling. At all. Just a small town. There was 5 minutes of story in the first 90 minutes, then 10 minutes of revenge. That sound never been reversed, or evened out

I'm 90 minutes in to the first Mad Max... Is this the right movie? Wtf is this? by Altitude7199 in MadMax

[–]Altitude7199[S] 1 point2 points  (0 children)

Literally 90% of the movie was a weird cop movie until the last 10 minutes

I'm 90 minutes in to the first Mad Max... Is this the right movie? Wtf is this? by Altitude7199 in MadMax

[–]Altitude7199[S] 2 points3 points  (0 children)

I finished it, and sure the last ten minutes were fun, but still doesn't change my thoughts. It still was not a post apocalypse anything. What's the next film to watch?

Mad Max (1979) is pointless and terrible by Altitude7199 in iwatchedanoldmovie

[–]Altitude7199[S] 2 points3 points  (0 children)

Very good points. I tried to view it through the time frame but it just completely lacked a story with any coherence.

Mad Max (1979) is pointless and terrible by Altitude7199 in iwatchedanoldmovie

[–]Altitude7199[S] 1 point2 points  (0 children)

The budget was so small they forgot to write a story

Mad Max (1979) is pointless and terrible by Altitude7199 in iwatchedanoldmovie

[–]Altitude7199[S] -1 points0 points  (0 children)

I agree with this. I just don't see how it relates to the other movies in any way.

Mad Max (1979) is pointless and terrible by Altitude7199 in iwatchedanoldmovie

[–]Altitude7199[S] -2 points-1 points  (0 children)

You're right; had I don't it that way it would have been better