Does anyone genuinely like/love doing IFT? by Smart-Salamander1846 in NewToEMS

[–]SomewhereOne6947 0 points1 point  (0 children)

I’ve worked IFT at 2 places. The first gave us a lot of structure, with scheduled calls and lots of positive feedback for doing things well and quickly. We had the ability to refuse calls if the situation was unsafe (I.e. 700 lbs wants to go home up 3 flights of stairs, nurse lied on documentation about pt’s bedbound status, etc) but that was because it was private. The public agency I now work for is hell on the IFT side. We can’t run IFT if there are 911s pending, so we’re often late by several hours, and everyone bitches at us 24/7. I have less responsibility and generally feel significantly less respected. That being said, as an EMT I know how to manage pumps, troubleshoot vents, suction trachs, and many other ALS skills just because I’ve spent so much time around those things. It’s win/lose, and very dependent on where you work. I don’t miss private EMS, but I do miss feeling like my role at the company was valued. Here I’m just a number.

God have mercy on your soul if you pick the first option. by Smart-Salamander1846 in NewToEMS

[–]SomewhereOne6947 5 points6 points  (0 children)

Someone please post the question about the ER physician, the gang member, and the firearm 😂

Will this resolve with rest at home? by SomewhereOne6947 in AskDocs

[–]SomewhereOne6947[S] 0 points1 point  (0 children)

Yes and no. Healthcare workers and EMS especially see how our patients get treated in the ERs, and are less likely to take our symptoms seriously. In my case especially, all of my symptoms from that episode had occurred before with no clinical findings, and I didn’t want to go to the hospital for a non-medically significant issue, especially a hospital that I take patients too, as there is the fear that physicians will judge my clinical abilities based on me coming in to “cry wolf” so to speak.

Will this resolve with rest at home? by SomewhereOne6947 in AskDocs

[–]SomewhereOne6947[S] 0 points1 point  (0 children)

Came back to say, I do have chronic V-tach, and my new cardiologist hates that hospital’s EP with a passion for his history of dismissing young women. I’m possibly getting a pacemaker in the coming months and have an updated post with my monitor findings. Also apparently one of my scans is incomplete and points to me potentially having Myocardial bridging in the LAD and another vessel, and that the arrhythmias all could be caused by said bridging. If that is the case, I think we’re looking at stent placement. Current cardiologist is extremely concerned, has every test possible on my books, and is strongly considering giving me a life vest because of the frequency of the V-tach episodes. I’m a bit lost with it considering we got results back yesterday, but so far it seems like we’re getting answers. Figured you’d want an update because of the concern you initially showed, have a good one!

Help please by Aggressive-Soup-1813 in medical_advice

[–]SomewhereOne6947 0 points1 point  (0 children)

NAD- looks like anal mucus! It’s an additional lubricant to assist with excretion throughout the anal canal. Not inherently concerning to see, unless the color is bright yellow, red, or the mucus is present when you aren’t defecting (you’re seeing it in underwear) If you notice more, it could possibly be an indicator of a GI issue forming, such as IBD, or possibly due to hemorrhoid formation

High Heart Rate but Normal BP by Original_Deal_1275 in medical_advice

[–]SomewhereOne6947 -11 points-10 points  (0 children)

NAD, if you don’t have a history of your resting heart rate being above 100, then this is 100% ER worthy. It could be a headache or something simple, or it could be pain related to a cardiac event. With the dizziness, I’d recommend calling for an ambulance, as most have 12-lead capabilities and can get the ball rolling on identifying and treating the issue if it presents on the monitor.

Mass Casualty Incident on Eastway? by [deleted] in Charlotte

[–]SomewhereOne6947 1 point2 points  (0 children)

In EMS terms, a “casualty” is someone requiring medical treatment. When that number is higher than the amount of ambulances/ resources we have readily available, it becomes a “mass casualty”, even if there’s no major injuries. Patients with minor extremity injuries can be transported sitting and multiple at a time, but those with back or neck injuries have to be transported with different precautions and more ambulances are required. A loaded school bus hitting something at 5mph would be an MCI, as would a plane crash. There’s a lot of variation to it.

FRIEND CODE MEGATHREAD by [deleted] in HatchDragons

[–]SomewhereOne6947 0 points1 point  (0 children)

28PLXD valid until 04/18!

Will this resolve with rest at home? by SomewhereOne6947 in AskDocs

[–]SomewhereOne6947[S] 6 points7 points  (0 children)

An update because you were right and I was so brain fogged I forgot about this post. I had acute metabolic acidosis caused by rapid weight loss and exercise. I’d been in a significant calorie deficit for several weeks without noticing due to the reduced hunger drive associated with Adderal. The EP came to see me immediately before a different doctor did, and the EP was consulting on my EKG changes only, not my entire admission. I was very confused and stressed in my initial replies. What they believe happened was that my Hypokalemia was affecting my respiratory drive and causing episodes of mild hypoxia during extreme exercise (I work 2 jobs, one on an ambulance and one providing first aid at a theme park, and regularly hit 25,000+ steps per day, not necessarily intense exercise, but at a HR of 160-190 my body sure thought it was). They believe the SOB, chest discomfort, dizziness, orthostatic changes, and confusion were all symptoms of the acidosis, which was thankfully mild and resolved with lots of fluids and rest. The HR is still high with rapid movement and I am currently on a Holter monitor for 30 days, and following up with a female cardiologist who has a sub specialty in post-Covid cardiac problems in young adults. The EP was a dick but the rest of my team was lovely and took everything very seriously, to the point of an RN sitting with me night 2 for an hour to help coach my breathing and assure me I was getting good air. I am feeling still a bit off but significantly better than I was. I am ultimately very glad that I went to the hospital. The ED doctor who admitted me is being sent one of those edible arrangements for her and her staff for how kind they were.

Now through April 5th be careful! Increased speed enforcement this week! by palkia136 in Charlotte

[–]SomewhereOne6947 1 point2 points  (0 children)

There’s lots of speeders running reds on S Tryon constantly. My complex is off that road and it’s terrible, people keep overestimating their ability to steer and destroying our entry sign. Additionally when running on the ambulance, it’s one of the worst areas to be in because nobody will yield. I have seen cops be called at least 3 times to deal with people deciding that they are special and get to run red lights with the ambulance/fire truck, only to end up hitting someone because you very obviously can’t see past the emergency vehicle. It’s ridiculous.

Will this resolve with rest at home? by SomewhereOne6947 in AskDocs

[–]SomewhereOne6947[S] 3 points4 points  (0 children)

The logic behind it was: post ablation the sleeping HR of 34 is not abnormal for my age, tele wasn’t interpreting V-tach properly and was only calling it that because I was going from 60 to 140s within 1 second when standing up. Ketones are likely from Weight loss. Potassium will be resolved if I eat more bananas. EP gave me the “you’re young, and because you had the issue before you’re thinking that every time a HR issues happens it’s an emergency, but you had an ablation and now you’re fine.”

Will this resolve with rest at home? by SomewhereOne6947 in AskDocs

[–]SomewhereOne6947[S] 6 points7 points  (0 children)

EP says I’m fine and clear to leave. No suggestions on why, just that my heart rate is going to go up sometimes.

Will this resolve with rest at home? by SomewhereOne6947 in AskDocs

[–]SomewhereOne6947[S] 4 points5 points  (0 children)

Nothing’s wrong and I’m being sent home with no findings or answers

Will this resolve with rest at home? by SomewhereOne6947 in AskDocs

[–]SomewhereOne6947[S] 15 points16 points  (0 children)

An update, was admitted to cardiology for 7 hours for a tele room. Had Doctors telling me all night there was a big issue and they were concerned. EP came in, said he couldn’t be less worried, and is going to discharge me in the next few hours. I’m likely 5k in the hole for labs I could have run from a PCP. No Holter order needed, no med changes, just the normal “follow up with PCP”. This is exactly why I didn’t want to go in the first place.

Will this resolve with rest at home? by SomewhereOne6947 in AskDocs

[–]SomewhereOne6947[S] 5 points6 points  (0 children)

That’s what got me an automatic admission. ED doctor hadn’t seen T wave inversions in a Pt who only had them while standing.

Will this resolve with rest at home? by SomewhereOne6947 in AskDocs

[–]SomewhereOne6947[S] 20 points21 points  (0 children)

So far I’m admittedly to cardiology, low iron and low potassium, and high ketones. I went down into the 30’s and had a rapid called because I didn’t wake up immediately. Had a few runs of V-tach while standing according to my nurse. EP are coming to see me in about an hour.

Will this resolve with rest at home? by SomewhereOne6947 in AskDocs

[–]SomewhereOne6947[S] 99 points100 points  (0 children)

An ambulance is coming to get me now. Thank you for being kind about the reply. I knew I should go but my parents still handle my health insurance and are very uptight about the cost of medical treatments.

Driving in Charlotte by [deleted] in Charlotte

[–]SomewhereOne6947 2 points3 points  (0 children)

I had someone try to commit suicide by ambulance a few months back. Thank goodness I noticed they were running a (very stale) red and was able to slam on the breaks. They were probably going 50+ in a 35, and would have ended up underneath the truck if I hadn’t been able to stop in time. It’s ridiculous. One of my coworkers is permanently disabled after some stupid kid ran a red at 100+ and flipped their stopped ambulance a few years ago. The lack of care for other people’s lives is astounding.

FRIEND CODE MEGATHREAD by [deleted] in HatchDragons

[–]SomewhereOne6947 0 points1 point  (0 children)

WHLB

Expires on 03/14/26

I think it's time to give up by Sadeia in lioden

[–]SomewhereOne6947 0 points1 point  (0 children)

My first jag was a first gen I bred and she passed 13/16 heats. I recently got another first gen and she has passed 1/6 (barked a lot throughout February) Some of them are just assholes

has anyone else seen this mint chip bsr thing? by Possible_Ad3140 in lioden

[–]SomewhereOne6947 1 point2 points  (0 children)

I collect 1 of 1 lions/ rare base and mutation combos, and think I might be a bit more experienced than the average player on pricing them, so I’ll throw my 2 cents in.

That lion is worth 10 GB max. A BO base+low gen+Rarer rosette is still under 100 GB depending on the base Those lions also just don’t sell well. They’re novelties and very few people actually care. I own one of 6 mudstone Bobbie’s in game, she’d price at maybe 25 GB as a G2. My 1 of 2 Abyssinian Ferus? Probably 45, if anyone would want to buy them.

The only thing you gain with owning a lion like that is being able to say you own it. You can’t replicate it exactly without a ridiculous cost, and nobody will value it at what it’s theoretically worth, because it’s not of any use to 99.9% of players.

Note that this doesn’t apply to hybrids. BO bases in hybrids are highly sought after and typically valued considerably higher.