Not acute, but good to know.
I did some tour 2/day tour overtime today, mostly because I have $0.83 to my name for the next 7 days and I’d like to not have that happen again. So after I got over the initial urge to hiss at the giant ball of fire in the sky, and the smoke stopped rolling off my skin as the sunlight touched it, it wound up being an agreeable tour with an agreeable partner.
But we did have a patient who’s address alone made her go “oh not him again,” not because this gentleman was disagreeable but because he was huge. And not huge-for-a-90-something-year-old, just plain goddamn huge. There aren’t too many 200+ lb people over the age of 80 for a reason, but damn this dude apparently ate his way around natural selection.
So we walk in, the family goes: “They sent two girls?”
To which I reply: “They sent two girls to do the thinking, we have six boys coming to do the hauling.”
The way some engine companies get all fucking twisted over lift assists makes you wonder if theyve forgotten they get paid a stipend to assist on our jobs now. Tell you what, put 6 bls girls on a bus and pay us time and a half to go help cpr and lift pts and you won’t hear a peep out of us — I guarentee it.
… and the outside of my office. Taking house calls till 8 am every day of the week.
The inside of my office…
Cleaning the ambulance out due to BBP on a visit to Station 38.
So you getting on with your bad self and prepping for your housewarming party when suddenly your (insert hubby, fwb, roommate, pet fish here) comes up to you and says, “I can’t drink my beer; something’s wrong with my face.”
OK, you think. I know what to look for here, and you say: “Gimme a big ole smile!”
Which they do, and which looks kind of like :-\
Stroke! Or is it? Fun fact: the cranial nerves usually involved in stroke-induced facial droop don’t usually involve anything above the eyeline. Most stroke pts can blink, move their eyes, waggle their brows.
Also, strokes usually involve the entire side of a body (which most people know).
So, when my pet fish found he was unable to drink his beer because he couldn’t control the right side of his mouth, but could hold his solo cup in his right hand, he started to try to blink, and found he couldnt close his eyelid all the way. Now, since my pet fish is also a paramedic and a horrible patient, he explained Bell’s Palsey to me briefly mostly so I wouldn’t call him a bus and so he could still get his party on, but I would still recommend always calling 9-11 for facial droops of any kind.
Bell’s Palsey can still be a permanent change in facial muscle function, and it may be for him, it’s too soon to say. Other symptoms include changes in hearing or ear pain on the affected side.
REALITY: Bipolar indvidual who didn’t call for himself as per the text, was probably acting out on street but didn’t stay in once place — and isn’t at the specified cross-streets when we pull-up — because he’s not, actually, a tree. 10-96.
There’s nothing quite as sobering as being one doctor’s appointment away from being diagnosed with an autoimmune disease. Except maybe cancer, but hey — if you don’t die from cancer, they can usually get rid of it pretty effectively. Not so much with the whole autoimmune thing.