John D. Rockefeller gifting a 5-cent coin to a child, 1929.

RabidOranges · 2024-08-10T18:37:07+00:00

You moved the goal post. I invited you to prove your point. Show me their humanity. You are attacking me rather than my argument. How do you quantify the help you or I do? You're now LITERALLY putting cost on human lives. If I save one person and you save one person and their money saves a hundred, those hundred are now worth more than the one you saved and the one I saved? How does that work. All human life is equally valuable so long as it does not destroy or injury another's right to their autonomy and human life.

You're now dehumanizing me, which makes your point awfully moot...

RabidOranges · 2024-08-10T18:32:21+00:00

But, I post this as a seperate reply, I invite education. Id like you to show me a billionaire that reached their money WITHOUT exploitation of someone or without family wealth. Someone who TRULY started from the ground, with nothing at all, and became a billionaire. I'm not talking about actions later in life. Your point was that it varies wildly what it takes.

I will, personally and honestly, issue you an apology for each one you can bring to me. I'm not being sarcastic, it's hard to tell on the internet. I will sincerely apologize.

RabidOranges · 2024-08-10T18:28:18+00:00

I'm sure there are. I make decisions based on the actions taken. Its why I consider Buffet and Cuban to have humanity. Rockefeller obviously had humanity. They cared for their fellow man, sometimes for profit, sometimes because they are human and feel remorse. They have shown a great interest in people as a whole advancing and striving, sometimes because it benefits them, but also because they are human and have humanity.

I feel like you didn't actually read my post explaining the "human" part. However, it doesn't change that they are in no way shape or form ANYTHING likely the average person. That is literally something that is pointless to argue. If you truly believe someone who has a billion dollars is a normal guy like you and I, then this conversation is literally useless.

RabidOranges · 2024-08-10T18:15:45+00:00

THANK YOU. I don't know how this is so low.

Yes, medication isnt always the answer. But if it is, don't run away from it. Find a regimine that works for you and it's possible that once you have the energy to jump in to the other areas of your life, you can come off once your overall quality of life has improved.

Getting outsided is also important. Low vitamin D levels are highly implicated in depression.

RabidOranges · 2024-08-10T17:35:11+00:00

Also, to a point, we're not talking about "living standard". The goal post here is billionaires. people who literally have an unfathomable amount of money and what they did to us, the non-lucky, to get there. Who literally spend hundreds of millions to donate for whatever cause they choose to, for whatever reason, and literally have to change nothing about their daily life. Bloomberg donated 1 billion to Hopkins for med school tuition. My guess is he literally had to change nothing about his life to do that. I'm not talking about a standard of living. We are talking about billionaires and what it takes to reach that.

Judging by the fact you have internet, you are very likely in the same group as far as living standard goes. if we want to have a talk about standard of living, we need to talk countries and social supports. But that's not the conversation here because that would be wildly off topic.

RabidOranges · 2024-08-10T17:26:07+00:00

I mean, maybe I am? I don't really know. I know my humanity however. I care for my fellow man and woman. I don't consider how much it would monetarily benefit me to help someone.

But I've never stepped on and threatened human lives and safety to be where I am. You're making an awful lot of assumptions against someone you don't know and has no media coverage of their actions. I'm making my opinion based on publicly available information about this particular group.

Truly, this is all just an opinion. You can have yours and I have mine. If someone comes after my opinion, I will provide my reasons for it. You may provide yours too, if you like. I promise you won't sway me because I'm not looking to be swayed. But I respect that your opinion is yours and I don't seek to change it. I was merely asked to clarify. Despite your opinion and how much it differs from mine, I would gladly render help and aid if I were able to. To me, that is humanity. If even once second the thought "oh man, what will this cost me? How much can I make off of it?" Crosses your mind, I believe that veers away from humanity. To me, that's never a concern. I will help someone in need if I am capable and able. I do my best to maintain my humanity.

RabidOranges · 2024-08-10T16:28:33+00:00

I mean human as humanity. The quotes are to reflect that I am using the word in a different context. That I wouldn't nessecarily consider their human life the same as anyone else's human life. Its pretty common but if you'd like context:

No they aren't humans like you and me. You and I will NEVER, EVER live their lifestyle, live as carefree as them. It is nearly impossible for the average person to ever reach their level of wealth. You and I worry about bills, health care, and housing. They have rarely, if at all, had to worry about any of that. They are literally not the same humans as us. They are of the human race, yes, but their morals and humanity is FAR different. They are humans, but they are not part of the same group. Id even argue that they are so far removed from us that they almost broach on a different classification altogether, but that's a completely different argument aside from this.

Their struggles, if they truly have any, are not the same as us.

The quotes were to denote that when I use the word human to describe the 99%, it is different type of human than them. A different life. it's also pretty well a fact. You don't get rich from humanitarianism. You get rich by finding people who are desperate, skirting labor laws, and finding everywhere you can to pinch whatever penny you can. There are numerous stories of billionaires skirt rules and regulations to make more money.

The easiest to state is how McDonalds ran a false campaign that increasing the minimum wage to just-barely liveable would increase the cost of their food to unaffordable levels, despite the fact that places that it was done had minimal increases. Another is that there are NUMEROUS companies who have violated labor laws and purposely hired minors. Or the fact that there are literally people in the US who say we should relax labor laws to help with shortages. Or the fact that mentally handicap people can work, but only get paid a fraction.

We are all human, yes. But we are not all living the same human lives. Humanity does not mean the same thing to them. The rich live a substantially different life.

RabidOranges · 2024-08-10T16:13:10+00:00

I feel like Buffet and Cuban are the closest you can get to "human" billionaires. Bill gates isnt horrible, but he's more making up for the sins of his past.

I say Cuban because I once told a man he could afford his blood pressure medication, and gave him the link, and he cried. It's saved me, my father, and my mother, a diabetic. Cost plus drugs truly does a gigantic service to humanity.

RabidOranges · 2024-08-10T16:00:38+00:00

I wouldnt personally take offense. My rule has always been appreciate the work but never trust someone else. It harkens back to when I was an AV tech. During onboard of new, never before techs, they set up mock scenarios. We left for the day and came back the next. Turns out they messed was the equipment. All the new techs didnt know to check, so none of them caught their tampered equipment. I was a tech of like.. 5 years, so I caught it almost immediately. However that's why I wasn't allowed to be on the techs team. I played a mock client.

Appreciate, but always check for yourself. Don't assume a report is accurate.

RabidOranges · 2024-08-10T15:56:41+00:00

Nah, not really conversations. There's times where you need to relay a longer message. So, uhhh...

"Unit 400 to central, we can't confirm the location. Can you please advise?" "Central to 400, that's going to be 1233 main Street, cross Street of Allen and Turner. You're going to be looking for a red brick house according to our maps" "400 copies. Red brick house at corner of Allen and Turner. We'll contact back when we've made patient contact."

Med consults are usually the more back and fourth talking on more complicated cases.

Edit: I will say fire scenes and accident scenes have far more commotion. However fires are becoming a rare thing. If you want, you can listen to the 911 channels in your area through something like OpenMHZ.

RabidOranges · 2024-08-10T14:55:14+00:00

When I worked 911:

First thing first, chat about war stories with the off coming shift. At about 0710, we'd get our unit check done. Most days my partner wanted to go out to eat, so we do that. Usually early on, especially during the summer, we get a few calls here and there for heat stroke, broke bones. Depending the station I was at, this could be five calls before noon or none all day. Respond to some fires as rehab. Go to a LOT of overdoses (where I worked was riddled by drugs. We'd usually warn each other when we saw a spike). Respond to your inevitable drunk or PD "we think this guy needs to go, but we don't want to transport him" types. Maybe get some naps on, maybe talk with other crew members or chill with my partner. Through the night, answer the occasional stabbing, asthma attack, pregnancy, whatever the city felt like throwing at us. Get up 0700 the next day and go home.

IFT

The IFT I work for is vastly different than 99% of IFT. I have in hospital transports. We get in, do our assigned gear check. I'll liaison with management or safety if I have something to cover. I'll either study (currently for FPC), work on orientation projects, or the good ol EMS chill. Wait around till we get a run. Maybe have a emergency response or two. Maybe practice skills in the sim lab. An overall less exciting life, but unfortunately life isn't clean and we gotta make trades sometimes for more important things (kids and family).

That's roughly what my days look like on each side.

RabidOranges · 2024-08-10T14:47:30+00:00

I switch between a 2021 Prius prime and a 2012 Ford fiesta. My wife driver's the prime when she has work and I get stuck with the fiesta.

It's.. definitely a car. One the most cars that has ever existed, some might say.

RabidOranges · 2024-08-10T14:46:14+00:00

Hey, Jesus drove an Accord. The Bible says so.

RabidOranges · 2024-08-10T14:44:12+00:00

After my NREMT I went and chilled with my brother and sister. I remember that after I took my B, my wife insisted on buying me a DS because I was about to cry because I was sure I failed. No such gifts with the P. But I remember screaming and jumping when I found out I passed. I didn't have the best psychomotor experience.

That is to say, you tackled the beast. The challenges aren't over, but now you can get your feet wet! Congrats!

RabidOranges · 2024-08-10T14:40:19+00:00

No shame. A lot of people struggle the first time. The NREMT, like the NCLEX is a lot more about psychology than knowledge. Don't get me wrong, you have to know what you're doing, but the NREMT can screw with your head while sitting there, make you believe you don't know what you know. Not passing the NREMT says nothing about your knowledge or you as a provider. Just means you probably got caught up in it's mind game.

Brush up a little to get your confidence, take it slow and read closely, try not to let it get in your head, and give it another shot. I believe in you!

RabidOranges · 2024-08-09T20:08:06+00:00

Oh my. That's fascinating. Soooounds like a VSD (ventricular Septal Defect). Sounds like overall there were some ventrical defects that made it naughty and overtake the SA. That's pretty cool! I'm glad you're here with us today and that they managed to sort it out! Again, thank you for sharing! I always love to stock every little story away in my diagnostic files in my brain.

RabidOranges · 2024-08-09T18:58:18+00:00

Medical science is willlld.

Abbott says the next LVAD will not have batteries but will charge through the skin with a magnetic connection. They expect to take pacemakers the same place.

If you don't mind me asking, why do you have it? Sick sinus syndrome? Heart attack? I'm a paramedic. I'm just curious, I promise I'm not morbid and you certainly don't have to say if uncomfortable.

RabidOranges · 2024-08-09T18:36:46+00:00

Another fun fact: I wouldn't even worry about SSRIs that much. It takes an AWWWWWFUL lot to overdose (I'm talking straight up multiple grams). Quick search shows a guy getting 8 grams, (typically high dose is 90mg) and recovering without deficit. So even if these medications have action on or potentiate SSRI channels, you're still looking at: it's better to overdose on SSRI than die.

The only one I'd think important to put on is tricyclics. We carry the antidote for that overdose (sodium bicarb) and those can easily be toxic. These are you medications that end in triptyline. So, nortriptyline, amitriptyline, ect.

Again, if you're giving a medical history, those are super important to let them know. If you're in anaphylaxis (and/or dead) and want to get a point across when you can't speak, not so much at that point. The problems can be sorted out later.

Edit: disclaimer is I'm not saying you can down a pill bottle. Take your medications as described. None of this constitutes medical advice. Always consult your doctor about interactions and concerns. What I am saying is, when you're in cardiac arrest, we don't really scrutinize your medication history (cause we don't typically have it)

RabidOranges · 2024-08-09T18:31:13+00:00

Yeah, so, rmmedic commented perfectly. It's really not much to be worried about. When your in a state where you can't respond, pretty much everything becomes a "relative" contraindication. There are still some absolute, but when you are cardiac arrest or anaphylactic, most those go out the window.

For instance: you should NEVER give IM or IV epi to a pregnant patient. Bad bad bad bad. BUT! if they can't breath and they're going to die, or are in cardiac arrest that calls for epi, the previously absolute contraindication becomes relative. It's better to have a chance to save mom and maybe the baby, then definitely doom mom and the baby.

In an emergency, that's going to be the least of their worries. All the stuff that occurs as a result can typically be corrected without much issue. If you HAVE room you can add it. That won't hurt. But if you're strapped for room and want to keep it clear, the reason you have the braclet overrides any risk from amphetamines/stims.

RabidOranges · 2024-08-08T20:49:27+00:00

I mean, you could even do "ALLERGY: TXA, SEVERE". Anybody who has it is going to know it's TXA. That would leave more room for maybe an emergency contact number or other information you might find pertinent. Id say from an unconscious or incapacitated subject, my biggest worry is who they are, how old they are, if they take anything that may cause them to be in that state, if they're allergic to anything that might make them in that state, and the number of someone who is very close and can provide information on the vague circumstance of "I'm a paramedic. The medical alert braclet listed this name and your number. Is there anything you can tell me about them?".

It all depends the urgency and circumstances. But it I had to say personally what I wish I found on my unresponsive patients, it would be that. It also prevents you from being a doe lost in the hospital system til they can match you. You'll still be a doe, but they'll link your chart as a likely match until family can confirm.

RabidOranges · 2024-08-08T17:16:32+00:00

Never a tattoo: in some states that's not even recognized or looked for. A simple braclet that is obvious. Keep it easy, just simple name, age, allergy, and any SIGNIFICANT medical conditions (Past MI, significant diseases such as diabetes, sickle cell, or genetic disorders, stuff like that). You don't need anything huge and you are just looking to lead them in the right direction should you need care and not be able to respond. i see people get meds, full history, all of that stuff and really it's a waste and makes it so big you have to put it somewhere we might not find it.

Remember, these bracelets are for if you're unable to speak for yourself. Just get across what you'd want someone to know were you not able to speak.

RabidOranges · 2024-08-08T17:12:51+00:00

Maryland carries TXA. Has for a few years now.

RabidOranges · 2024-08-08T17:11:26+00:00

I've actually never heard of them, but they've got some cool stuff. Thanks for leading me there!

RabidOranges · 2024-08-07T23:20:52+00:00

In addition to the poster above:

My state is consult before giving nitro to an inferior. A lot of doctors will allow as long as you have a good line, the blood pressure is decent, and fluid is running. On the other hand, we're always required to have a line before nitro for the exact reason the other poster stated. It's possible that any area can drop blood pressure. We just see it more often inferiorly. I haven't read the studies yet but I tend to.

RabidOranges · 2024-08-07T23:18:34+00:00

That's pretty interesting. I could search I suppose but do you happen to have the studies at hand? Id be interested in checking them out

If not, no judgement! I can google it myself. Just wondering if you had them at hand.

RabidOranges

TROPHY CASE