When Your Body Attacks

Warning: I am heavily medicated, please excuse any errors in this post. Thank you.

I am miserable! I never call off of work, ever! I have called off once in 6 years because I had strep and I have called in to say I’m coming late because of a migraine, I got there 2 hours late. When I miss work, it’s serious. Today I got sent home from work. Yes, sent home from hell job by Wannabe Chief Bitch. She said I look like shit, I said thanks, I feel like it too. She said go home. I felt too horrible to argue. I desperately need the money but I can’t function. My chest is so tight I can’t even get out of bed without getting winded. This is horrible!

I am on more medicine that any person should be and I’m STILL miserable! I still itch everywhere and my sinuses are still draining. My doctor is considering add more! How? I’m on everything! I take a Singulair, Claritin, Benadryl, Advil allergy sinus (mix of ibuprofen for inflammation, sudafed, and another antihistamine), plain 12 hour sudafed, antibiotic, AND an inhaler! I take the Singulair every night. The Claritin, sudafed, benadryl, and antibiotic twice a day, the Advil every 4 hours, and inhaler 4 times day! Even with ALL that I still itch, everywhere! Sneeze, cough, can’t breath, and just feel like shit! I get this every year but this is by far the worse!

Back to work tomorrow, at one of the jobs I enjoy. I picked up the shift for someone but right now I’m sort of wishing I hadn’t. Oh well. Maybe I will take double benadryl tonight because I’m desperate for sleep! It has been almost a week since I’ve gotten more than 3 hours of sleep in a 24 hour period…no wonder I’m sick! My body just won’t sleep! : (

My Baby

It’s been a bad couple weeks and it just go worse today. Sorry I haven’t been around blogging much. My puppy has been sick and I’m just heart broken! That’s my boy!! My baby! : (

Two weeks ago I took him to the vet after he hadn’t been acting like himself for a few days. Normally he is very independent, but when he gets sick he hogs your lap and wants to be with someone all the time. He was extra clingy, then I noticed his body was much warmer than normal so I took him in. After some tests he showed positive for a viral infection, which doesn’t produce a fever normally. So they put him on antiviral for that, an antibiotic in case he had something else causing the fever, and also a pain medicine because he has a knee problem where it pops out of place and he can’t walk.

A week later he was done with all those meds but was still walking funny, so I called the vet. They called in more pain meds, to use as he needs, as well as glucosmine. Well, this morning I was sleeping nicely when I heard my dog jump off the bed and start throwing up. I thought, great…now I have to clean that up. So I get up and he’s whining at the end of my bed which isn’t normal. So I turn on the light and saw bright red blood. I started screaming. I must have scared him because he tried to take off running when my mom came rushing in. It was the first time every my mom scrubbed a floor! But I was scared.

I had to be an hour away for plans so I was impressed my mother agreed to take him to the vet. I called, got him an emergency appointment. 2 hours later, tests all done, they had no idea what cause the bleeding, but it had stopped. They put him on a special diet again, more meds, and to be monitored. They also found his knee out of place, which is why he was walking funny, and put that back for him. I’m sorry worried and because stupid ass people are fucking flakes I can’t even be home with him right now! I’m fucking old people sitting, that doesn’t need sitting! In a house with people I hate and too many fucking rules! I just want my dog!!!!! And I want him better!!!!!!

Rural Medics vs City Medics

Around here there a many debates about which is better. We have one particular city department that swears they are way better because they treat way more patients. This is a department that has a hospital without 5 minutes of EVERY part of their venue, and I’m serious when I say that, they are NEVER more than 5 minutes from a hospital. They rarely start IV’s, they are arrogant, they have piss poor attitudes, they won’t give medications. Hell, I witnessed them bring in a full arrest patient, NO monitor, NO IV! How can you be better than someone when you pull shit like that? Not everyone is the same, I have seen a FEW decent people on this department, but that is rare and those people never last more than a few months.

There are a few medics I know that consider themselves “city” medics, however they have a bit more time to get to a hospital. These medics usually have anywhere from 10-30 minutes of transport time, depending on the hospital the patient chooses. These medics have told me before that rural medics are way better than city medics. Why? For many reasons. I’m currently in Critical Care Paramedic class. It’s kicking my ass some, but one student in there is really struggling, he’s a “city” medic. He has more than 10 minutes to get to a hospital. The drugs we are learning in this class…I already know them because I’m one of those rural medics and we have this stuff

Quick lesson here to help you understand better. There are 4 classifications that hospitals can have and you are about to learn about them, they are Level 1, Level 2, Level 3, and Level 4. Let’s start with the lowest level and work our way up.

Level 4 – Do you have an Urgent Care near you? Or a hospital near you that is so small they have 2 ER room beds and can not admit patients for a long stay? Chances are you don’t, not unless you live a good drive from the big city. I have one, at 2 different jobs I work at, they each have one in their area. This is basically like going to visit your doctor. You show up there with anything more than a paper cut and they are calling 911 for your butt! Yes, hospitals call 911 for ambulances, mine do all the time.

Level 3 – This is just a step above the Level 4 class. These hospitals can admit patients, are larger, and have the power to do more, they just do not have the staff. These hospitals usual accept sick patients for long stays but if you broke anything you are going to be sent else where. If you have a heart attack or stroke, they only have the ability to diagnose these problems, if you need it treated then you will be sent else where, either by helicopter or the bandaid box. How many of these do I have in my area? One job has 3 of them, the other has 1.

Level 2 -This level has a significant increase in care over the other two. They can treat just like the highest level, a Level 1, however the staff to treat is not required to be in house. Meaning, they are required to have the capabilities ready within 20 minutes. So, you have a heart attack, go to my local Level 3 center, they diagnose it as a heart attack. The weather, naturally, is shitty so they whirly bird won’t come pick you up, now you get the bandaid box with my partner and I. We can’t bypass the Level 2 center, because they can treat you. On our way we call them, say we have a heart attack and to activate the cath lab, they have 20 minutes to have that staff ready if they want to keep their Level 2 status. Level 2 centers tend to be in the outer layers of the city, also known as the suburbs.

Level 1 – This is the highest classification of hospital. They are usually, though not always, teaching hospitals. They have every capability in the hospital, waiting 24 hours a day. They can treat everything, and treat it well. It so happens that my “area” has some of the top adult and pediatric hospitals in the world.

Now, when I am working and you come in really sick to the hospitals here and have to be transferred out, we have to take you to the city. We call them “city trips” or “city runs”. You know how long it takes me to get from this Level 3 hospital to a Level 1 for you to get the help you need? If the weather is good, 1 hour and 30 minutes! Yes, you read that right. If the weather is good, you’re flying most the time, but not always, each patient is different.

So what do you do during that time? Well you can type all this up like I am, because this patient is sleeping. Some sleep. I had a 4 hour and 45 minutes transport time for special care…yes, I spent almost FIVE hours with this patient and she was amazing! You’ve read that story. We entertain ourselves, bring cards, have movies on our iPads for the kids when we get them. I bring my computer and DVDs sometimes. This weekend alone, in two days, I have traveled over 500 miles in an ambulance! But what else makes us better? Our treatments, we constantly have to watch the patient, change our care, think like a doctor. I can tell you from experience, it is way more challenging to be a rural medic! And way more fun!

A Life Changing Event

Ok, so maybe it isn’t exactly “life changing” but today was a very important day for me. I tested for a new job at a very well paying location. If I get this job, I can get the hell out of dodge and me and my OM don’t have to hide anymore! And, if all goes well here, I am considering finding a house down in that area more. I like it there, quiet, away from everything…it’s where I belong I think. I am not a city living person at all! I hate the city! Love visiting, hate staying! I like the area I live now, just far enough away, but not too far…however I could stand to go away from everything a bit more. But let’s not get ahead of myself…I have to make sure I tested well first and get the interview, then I have to pass that…

Other than that, life has been pretty blah. I get my boys tomorrow, sure to be some geocaching involved as long as it’s not too cold. I hate the cold with a passion! I hate to be cold, I’d rather be hot. I love heat! My OM always says my thermometer is off because I’m always so cold, which it probably is. When I was about 12 or so, I got sick, real sick. It stated out with flu like symptoms and then turned into something more. It just kept getting worse and worse and I was so out of it. My parents, naturally, weren’t watching me much, just let me care for myself. I wasn’t eating, wasn’t drinking, and was so cold, like shaking under 3 thick covers.

Finally one of them, and I have  no idea which, decided it would be a good idea to check my temperature. 106.7 F…yep, you read that correctly, 106.7 F! I was basically dying, in fact when they called the doctor, she was impressed I was breathing. My body was over heating from the inside and killing itself. The doctor ordered me in an ice bath that instant and said to call 911 for an ambulance if it doesn’t come down in 10 minutes. Now with my paramedic background I’ve seen pediatric febrile seizures at just 101F…but 106…I honestly couldn’t tell you if I had one, I should have based on everything you read about it, but I have no idea if I did.

Anyway, ice bath for me and fortunately it went down, rather quickly too. 15 minutes later I was sitting at 101.5F, not so weak or tired, and burning up! It was great, I wasn’t so cold! Every since then I haven’t had a temperature over 99.2F and my “normal” body temperature is 96.1F. The few doctors I have talked to about this can’t believe I’m alive, can’t believe I’m fully functional, and can’t fully explain my low core temperature all the time other than the fact that my body must have killed off the ability to maintain my temperature at a normal level. Thanks doc…explains SO much…

So, tomorrow let’s hope for warmer weather to geocache or it’s going to be all MW3 for us, in my room with a nice warm heater and some blankets!