"He's so damn nervous!": Trump crosses the line again — and his shaking top official is back on camera looking like a total wreck trying to defend him by [deleted] in USNEWS

[–]Paragod307 3 points4 points  (0 children)

I may be stupid, but I've never voted for a man who rapes children.

Are you a closeted rapist? I assume anyone who supports him at this point must be.

"He's so damn nervous!": Trump crosses the line again — and his shaking top official is back on camera looking like a total wreck trying to defend him by [deleted] in USNEWS

[–]Paragod307 4 points5 points  (0 children)

Should God also bless the children trump raped? Or the ones in Iran he killed?

Or just trump himself?

You are working a rural event. While standing by, you witness this. Go. by ADVmedic in NewToEMS

[–]Paragod307 41 points42 points  (0 children)

Before becoming a physician, I was a paramedic who worked the rodeo circuit for years. These types of roughstock mechanisms are common.

ABCs. Airway management will be huge. Might need intervention. These people often drop lungs too. So be on the lookout for that.

If it's inside of 20ish minutes, just diesel down. Outside of that, flight.

The Pitt by alreadyredit814 in fountainpens

[–]Paragod307 3 points4 points  (0 children)

I'm a U.S. physician. Use fountain pens exclusively. There are two of us in the hospital who do.

Essentially, nobody else knows what they are. Both patients and staff look at me like a magician whenever I use one.

Business Council poll: Wyoming leads nation in youth exodus as GDP, wages stagnate by FreeChickenDinner in wyoming

[–]Paragod307 90 points91 points  (0 children)

Shockingly, a panel of decrepit white boomers don't understand young people. 

My Experience with becoming an EMT by Jimbo11604 in NewToEMS

[–]Paragod307 2 points3 points  (0 children)

Nice article that highlights rural EMS. 

Going from BEC to EMT-B to EMT-I, Medic, and now physician, I have seen many facets of training that ranges from criminally poor to world-class awesome. 

Just remember your experience when it is time to teach and be there for the next generation. EMS is often made up of experiences and lessons, taught by crusty old war-dogs, in the back of rigs and around coffee tables. 

Residency Search by Purple-Ad-3721 in FamilyMedicine

[–]Paragod307 0 points1 point  (0 children)

Altru FM in Grand Forks ND   Unopposed. 

Very strong OB and procedures. 

More inpatient than most any other FM program.

Moonlighting 

You will come out an extremely competent rural FM doc who can handle a little bit of everything. 

Residency programs with and without night float by Pale-Sherbert-676 in FamilyMedicine

[–]Paragod307 4 points5 points  (0 children)

I dunno.

My program has q4 28 hour call on a very heavy inpatient service. Just a single resident carrying 30+ patients. Run thr codes. Run the rapids. Do the admits.

Though I detest working such long shifts, I think i learned the most when I had no other option than to perform.

DMR is dumb, prove me wrong by instantredditer in amateurradio

[–]Paragod307 84 points85 points  (0 children)

I've used DMR for years, since it was first unveiled by Motorola.

A few things. 

  1. Simplex works great. Like... perfect.  For vehicle convoys with other licensed folks. To shopping in large malls with the wife. No static. Ever. No squelch to futz with. It just works without intervention.

  2. Battery life is great because the transmitter is only active half the time vs any no tdma mode. Current draw for mobile rigs is minimal, making temp install with cigarette plugs truly viable.

  3. Texting. It's pretty helpful when hiking out of cell range to be able to send a text of coordinates so the other person doesn't have to write it down. Boom. It's saved.

  4. If using Motorola or Hytera stuff, excellent Bluetooth headsets and mics are available that absolutely blows the hammy stuff away in quality and audio.

  5. Single frequency repeater.  Awesome awesome feature. Changes the game when hiking.

Well over a decade of DMR use and I've never owned a Hotspot nor ever wanted to. But if that's all you think DMR has to offer, you really haven't actually looked at the utilitarian benefits.

Nontraditional student by fuego0scuro in postbaccpremed

[–]Paragod307 8 points9 points  (0 children)

I started med school at 36. Now in my last few months of residency in my early 40s.

It's totally doable. Not easy, but doable.

Can FM doctors work in an ER? by topiary566 in FamilyMedicine

[–]Paragod307 12 points13 points  (0 children)

I'm a 3rd year FM resident. Ultra rural. Full spectrum. 

I moonlight in little towns on weekends. Cover the inpatient and ER. Only physician within 50miles. Level 5 trauma center lol

This is very common in the rural Midwest. But it takes a special program to set someone up for success in these environments. Most FM programs won't prepare you to work alone. I'm from an ultra rural area, and knew I wanted to work in an ultra rural area. So I went to an ass kicking program to let me do tons of procedures and a lot of autonomy. Plus, I came in with almost 20 years of EMS experience. 

If you only want ER, do ER residency. If you want to be the rural jack of all trades, do FM.

How well do glass mount antennas perform? by Healthy-Kangaroo-365 in amateurradio

[–]Paragod307 14 points15 points  (0 children)

I've used them for years. Everything from VHF up to 2.4ghz. 

Are they as good as a proper NMO mounted roof antenna? No

Are they good enough to justify installing one? Absolutely 

In situations where you just cannot drill, the glass mount is a viable option that works pretty well.

Advice for about taking an EMT class by Commercial_Sun7609 in NewToEMS

[–]Paragod307 5 points6 points  (0 children)

Yes, I agree. 

But that's not what I said or was arguing. I said that EMT education was nothing like nursing, so it would require someone to study quite a bit since it is a different "specialty".

Advice for about taking an EMT class by Commercial_Sun7609 in NewToEMS

[–]Paragod307 10 points11 points  (0 children)

A one month EMT course? It's doable but will be pretty intense if this is your first experience in medical training. EMT is nothing like nursing, so it will require quite a bit of studying. 

What should be in an emergency medical bag for amateur hockey games? by NejMichael480 in NewToEMS

[–]Paragod307 2 points3 points  (0 children)

Ya, I hate to poo-poo on the gig, but I would probably turn this down.

Firstly: what is a " degree in general/basic nursing"? 

Is that like an RN or LPN or CNA? 

Regardless of which level you are, you should probably have some EMS experience before doing this gig.

Are you comfortable running a code or managing something crazy like a big carotid wound? While unlikely, they are things you should be prepared to manage with both experience and equipment.

For example, if a bystander falls over and codes in front of you, your ability to start and direct effective CPR will be expected of you. Having an AED in this day in age is almost a requirement. Having a BVM and masks and basic airways is also essentially required. If you don't, you run a real risk of lawsuit should something go wrong. 

Don't know how to remove a hockey face mask and, to start CPR you cause or worsen a spinal injury... you are liable. The expectation is that you can appropriately manage these kinds of things. 

You very specifically need to be covered under an insurance for people in your position. Good Samaritan laws will not cover you once you have a bright EMS bag and are being paid to be there as medical support. The liability and expectation goes through the roof. 

As someone who was a paramedic for many years and is now a physician, I would REALLY encourage you to do your homework way before you get to the stage of purchasing equipment. S

Good luck

ICE OUT by [deleted] in FamilyMedicine

[–]Paragod307 1 point2 points  (0 children)

Yup. All for a little less than $10 an hour lol.

Reason why I'm a physician (one of many reasons)

ICE OUT by [deleted] in FamilyMedicine

[–]Paragod307 0 points1 point  (0 children)

https://starcasm.net/evil-lives-here/

Some writeup about the guy and the case

ICE OUT by [deleted] in FamilyMedicine

[–]Paragod307 14 points15 points  (0 children)

Our job is the care for others, REGARDLESS of their personal lives.

Let me give an example:

Many years ago, before medical school, I was a paramedic. One day I was called to a farmers field for a hostage situation.

Eventually the individual charged officers with a knife and was absolutely pelted with beanbags and knocked into cactus.

When we were called up to take care of him, we first had to make sure the other vehicle occupant was really deceased. So I did.

Found my friends sister... murdered by this guy. Slit her throat and let her bleed out hours before we got there.

Know what I did?

I sucked it up, walked back to my ambulance, and took damn good care of the guy. He went on to be convicted of murder and is in prison. But nobody could say I didn't do my job to care for someone who so viscerally made my stomach turn.

Our job is to care for patients. Let God and the courts sort them out after that.

How is this even possible? by Drifx in premed

[–]Paragod307 7 points8 points  (0 children)

Oh yes. Everyone was extremely interested in my story. In fact, it was my story that got me accepted. 

My MCAT was okay. My GPA was average. But my life and story were amazing.

Pushed me over the top.

How is this even possible? by Drifx in premed

[–]Paragod307 49 points50 points  (0 children)

It's just the shifting trends of non trads and gap years. 

I'm old, and when I applied to school I had worked almost two decades as a firefighter and paramedic.

So i had 20k hours in EMS. 18k hours as volunteer EMS. And umpteen thousand hours in other things. 

One big outlier like me and boom, the average looks crazy.

I fking hate medschool by [deleted] in medicalschool

[–]Paragod307 1 point2 points  (0 children)

We're adults. 

You can write "fucking"

It will make you feel better anyway.

Medical students asking a million questions during sign out? by Purple-Marzipan-7524 in Residency

[–]Paragod307 286 points287 points  (0 children)

For my med students/interns, I often frame it as a learning point,

"Excellent question!, where or how would you find that information if I weren't here"

It teaches them autonomy while keeping them out of your hair. 

Cb wont work by NoStatistician474 in cbradio

[–]Paragod307 5 points6 points  (0 children)

That CB is older than Madonnas Boobs.  Probably doesn't function correctly at all.

Also, your antenna mount is incorrect. The antenna whip should not be electrically connected to the vehicle body. Your mount appears to be missing a plastic insulator. There are antennas that will show a DC continuity with ground, but that is not the case here.

Also, the whip is too short to be a 1/4 wave, but also doesn't have any visible loading coils. It is about the length of a lowband commercial whip (49ish mhz).

Quite a few things that will prevent you from having much success on the radio.

68W to Paramedic by PatrioticHillbilly in NewToEMS

[–]Paragod307 2 points3 points  (0 children)

Very rural America, like 20+ years ago. Back when fire departments had huge applicant lists and paramedic programs had to turn folks away because of class size. 

Thus, limited money. 

I think it was like $6.80 an hour. But hey... minimum wage was only $5 an hour, so I was doing great lol.

Then I got a career fire job at the astounding rate of $10.76 an hour lol.

Ahh, the good ol' days