image du jour

image du jour

Monday, August 29, 2011

Vegas, baby!

So I'm off to the EMSWorld Expo - honking big EMS conference in Vegas!
Jessi is meeting us there, Boone is on his way, and Joe, Lloyd, and I are catching a flight this afternoon. I'm getting really stoked about the whole thing.

Oh, and I will be blogging from the convention, so stay tuned for more about EMS than you can handle!

Friday, August 26, 2011

Get Kilted!!

http://www.kiltedtokickcancer.org/
C'mon boys - it's time to get checked!

Prostate Cancer Facts:

  • About 240,890 new cases of prostate cancer will be diagnosed in 2011.
  • About 33,720 men will die of prostate cancer in 2011.
  • About 1 man in 6 will be diagnosed with prostate cancer during his lifetime.
  • More than 2 million men in the United States who have been diagnosed with prostate cancer at some point are still alive today.
  • Prostate cancer is the second leading cause of cancer death in American men, behind only lung cancer.
  • About 1 man in 36 will die of prostate cancer.

Testicular Cancer Facts:

  • It most often affects men between ages 20 and 39.
  • It affects 8,000 men a year, and kills 390 of them.
  • It is the most common form of cancer in men ages 15-34.
  • 95% of cases can be cured if detected early.

Wednesday, August 24, 2011

Lyle L. Guiles, 1917 - 2011

Rest in peace, grandpa. We will miss you.

I tried to find a picture to post, but with moving and such I haven't found one yet. The one I will always hold in my memory (and one I hope I can get) was a snapshot of him building a runway on a nameless Pacific Island as a member of the Navy's "Seabees" (CB = Construction Battalion). He was standing tall during WWII, and that's how I would like to remember him.

He suffered a stroke 6 weeks ago and passed away at home under hospice care.

I am glad I got to spend so much time with him growing up, and wish I had spent more as an adult. He was a great man and will be sorely missed.

Monday, August 22, 2011

Berry Pickin'

Aims, Tuck, the dogs, and I headed out for some berry picking on Saturday. The huckleberries in Jardine are still very green, but Aims had heard about some good raspberries up Tom Miner basin so that was the plan for the day. We checked out some currants in Cinnibar briefly before going up to Tom Miner.
Let me just say, TM is gorgeous! It is also, unfortunately, mostly privately owned so there are a ton of "do not leave roadway, next 4 miles crosses private land" signs. We found a few good patches of raspberries and black currants, and the hucks up there are green or in flower as well. We should have an excellent crop if the frost doesn't get them.
Good day for us, dogs got to run crazy, and I think even Tuck had fun in the end.
Aims is going to make more jam, I think...

Thursday, August 18, 2011

I'm a sucker for puppies

http://www.nps.gov/dena/photosmultimedia/webcams-pups.htm

Denali's sled dogs. Dang cool.
Pingo had 3 pups this year, and they have their own webcam.
Makes me want to run up to AK and snuggle them, or at least adopt a few throwaway alaskan huskies at the pound. Guess that wouldn't go over too well in a house that's only allowed 2 pets...

I need to get back in to mushing. I miss it.

Thursday, August 4, 2011

Why must time be so elastic?

So I'm lying in bed this morning, relishing a few extra moments of sleep. Each time I open my eyes the clock has gone into fast-forward overdrive.

Now, though, I'm sitting at my computer at work. It's 1:23 pm. I work on a task, print out a map, deliver it, and return to my desk. Now it's 1:26 pm. Really?

At this point I'm convinced that clocks run more slowly between 1 and 6 every day.

Sunday, July 31, 2011

Another busy week



We had a delegation from the Kenyan Wildlife Service visiting the park this week to discuss benefits sharing. My boss made sure I was available to help (thanks to Ann!) and I had a really good time, minus multiple trips on Wednesday to the airport. Their plane was supposed to arrive at 10:00 in the morning, but they missed the connection in the Twin Cities due to weather and did not arrive until 11:35 that night. Ugh. They got to their hotel in Gardiner almost exactly 24 hours after they left their hotel in D.C.
Surprisingly they were in good spirits and enjoyed their time in Yellowstone. Meetings interspersed with field visits to Mammoth terraces, Norris, and Old Faithful rounded out their days. For the final night, Christie and I thought a casual bbq at my house would be a nice change from restaurants. Aims threw together a miracle spread of delicious food on VERY short notice and fun was had by all. Roast bison, bbq chicken, roasted lake trout, salad, fruit, appetizers, beer and wine all enjoyed in the back yard under beautiful weather by a crackling fire. Doesn't get much better than that.

Monday, July 25, 2011

The week in review

allergy cocktail stops working, switch to claratin = painful sinus headache
work (Claratin sort of working)
work (Claratin sort of working)
work (Claratin sort of working)
Claratin stops working = painful sinus headache
birthday party + alcohol = don't care about my allergies or sinuses
try allergy cocktail again - seems to be working
ems call
ems call

Monday again
tired, just trying to survive this season

Tuesday, July 19, 2011

Some days...

I find my solace in music.
Loud.
Driving beat.
Makes me want to keep hiking on and never go back.

Tuesday, July 12, 2011

I am thankful for Zyrtec, Flonase, and Zaditor

This allergy season has kicked my ass.
In years past, I would see my buddy Matt walking the halls of the YCR with red eyes, stuffed up and snuffling, and think, "wow, I am glad I don't have allergies like that!"
Prophetic, indeed.
I blame Kansas City. I had no allergies before moving to KC. While there, I got hay fever. Then I moved back to Yellowstone and started having allergies here, too. Damn you Missouri!!!
But this year has been like no other. A perfect storm of allergens assaulting me. Eyes itching so much I can't wear my contacts. Itchy nose. Solidly congested head (ears, nose, sinuses, cerebellum...). Can't breathe. Sneezing constantly. Sniffing.
Have I whined enough?
I tried every over-the-counter I could find. Claratin worked for a few days. Allegra did nothing. Benadryl was the only thing that helped. Unfortunately it turns me into a zombie (not great for being a productive member of society).
So after a few sick days and 3 weeks of suffering I bit the bullet and went to the clinic. I'm now on the Zyrtec/Flonase/Zaditor cocktail and am feeling almost normal. I love western medicine.

Wednesday, June 29, 2011

Advice for a new Paramedic

This is blatantly ripped off from The Happy Medic http://thehappymedic.com/
but it bears repeating. Just as relevant to a First Responder, EMT-B, or EMT-I/Parkmedic. My comments are in italics.

Advice for a new Paramedic
Over the years I’ve been asked by students, interns and other Paramedics for tips, tricks or advice that can either smooth things out or help the new folks adjust to this rough and tumble world we work in.
I can never stress enough the first and most important tip I have:

It’s not your emergency
No matter the incident, injury, illness or situation, you did not create it. It is not yours. There is no need to speed to the scene, run, shout, get upset or angry.
This one is difficult to follow. Adrenaline is pumping, you want to help, but the people I am learning to admire on scene are the ones who are un-ruffled, calm, and quiet. I need to work on this.

You will never know enough
There is a Paramedic you work with who seems to know everything, and not in that smug way, but leads by example and is a confident care giver. That person will never know everything about medicine and neither will you. They read, they listen, they learn. Do the same.
Don't need any help understanding this concept. The more I read, the less I feel I know...

Don’t tune your patients out
Many folks don’t know what is wrong and when they think they do, 50% are wrong. Listen to what they say but note how they walk, look at their living conditions, check the date on the milk in the fridge. Does she wince when she stands? Is the cough productive? How long? Don’t get stuck in the SAMPLE questions, but use them as a starting point.
This is another good one - I like talking with patients and am getting more comfortable asking the probing and leading questions. I try to listen to the more experienced folks, and am feeling more comfortable speaking up for myself. I need to stop interrupting people, though...one of my big faults.

The most important person in the room is you
Scene safety is paramount. It’s not as easy as simply saying, “We’ll wait for PD” like it was in P School. On the streets, the friends come running up to the ambulance screaming for help, the parents cry for you to hurry. Keep yourself safe, then your crew, then your patient, then the rest. Dead Paramedics have a horrible cardiac save rate.
Love the last line.

Don’t leave the hospital so fast
Just like you and your partner had a little palaver about the patient at the scene, the doctors at the ER will do the same. Listen in on their conversation. Learn from it. Are they asking questions you did not? Make a note of it and ask those questions next time it’s pertinent. Wait for the 12-lead EKG and see not only what it says, but what the Doc thinks. You’d be amazed how many times I’ve seen a Doc spot something the machine misses.
This is a problem for me. I always feel like I'm in the way in the ED. Easier just to grab the cot and leave, but I need to spend more time in the room when we get there.

Buy Dubin’s
Dubin’s Rapid Interpretation of EKGs is THE best resource for learning EKG rhythms. Without knowing what you have, it can be hard to formulate an action plan. Dubins will teach you the simple questions to ask yourself while staring at that 6 second print out.
Fast or slow? Regular or irregular? Does every P have a QRS? Does every QRS have a P? DONE. From those simple questions you can treat most arythmias.
Ordered it, got it, and started to read. Then I found out that my anatomy & physiology knowledge is so lacking that I need to read that first. EKG reading is still an intriguing mystery to me.

Find your comfort zone and avoid it
If trauma is your strong suit, focus on cardiology. If you enjoy intubation, focus on IOs. Expand your comfort zone until everything is only slightly unfomfortable. That means grabbing for the pediatric bag feels the same as grabbing the BP cuff. That means reading, drilling and asking questions you don’t know the answer to.
Ha! I don't have a comfort zone in ANYTHING yet, so no worries. Good advice, though.

Practice humility
People will thank you profusely for what they believe was a life changing moment in their lives. Accept their thanks and tell them it was your pleasure to help them. Then learn more about what ailed them so the next person doesn’t suffer as much. When you do an exceptional job, reward yourself by passing on the experience to another care provider. Not as a “war story” but as an addition to a lecture, lesson or discussion.
Again, great advice. I've been lucky so far with mostly grateful patients. The follow-up is awkward and mostly third-hand (through the medic)

Warm lunch, warm dinner, go home safe
Those are my only 3 requirements for each day. The first two are negotiable and the rest doesn’t matter.
Sounds like a good plan to me.

Thanks Happy Medic!
(btw, if you don't read his blog, you should)

Also from the Happy Medic:

Glossary of terms:

Jedi Vitals – When you know the patient is fine, but still need to record something, you pass your hand in front of them just like Obi Wan Kenobi and poof! the vitals come into your mind.

Mr Fishbiscuit – Husband of the ill fated Mrs Fishbiscuit, a rarity, but can be seen in the wild.

Saint Closest – The nearest hospital.

Saint Farthest – The farthest possible hospital we can legally transport to. This haul always ruins dinner.

F&B – Private ambulance company.

Erma Fish Biscuit – The elderly woman who needed a Doctor a year ago, but never went, and who’s symptoms don’t seem to match anything treatable, yet not in the green zone for signing a refusal. She’s often slightly altered, but good humored and has a list of meds longer than my…clipboard.

Fella – A person of the non-heterosexual community.

Bob, Bubba, Billy – The type of gentleman who wears a 3XL T-shirt and wonders why he is in such bad health. Also seen living in Erma’s basement well into his 40s.

Engine 99, Medic 99, anything 99 – If I tell you what unit I work on, then you’ll look me up on the busiest Ambulance list from Firehouse magazine and all is lost. Seems one rig keeps making the top 25 and it has a unique number. I’ve said too much already.

Steph – My BS Medic name. A name used by responders to communicate to one another that the incident they are working is, in fact, a no merit call. The names are used to avoid actually saying, “This is BS” in front of the patient. Other BS names I work with include: Johnny Ampersand, Fred Garvin, Ricardo Montecarlo, Woo Kie (Asian fellow who makes a dead on Chewbacca noise)

the Brass – Command Staff. The folks in charge. Many have been off the streets a little too long.

Monday, June 27, 2011

Visitors

My Pops is here visiting for a couple of days. Ostensibly for fishing with the Tuck man, but he's up shopping tax-free in Bozeman today.

Also got a call the other day from Kendra - she's finally filling up the part of the map in MT and NW WY, and visiting Yellowstone! Can't wait to meet the 'new' baby boy, too (well, new to me since I've only seen him on blogs).

So another busy week in Yellowstone. Summer seems to be here. Finally. And the tourons visitors are in their summer best - petting bison, speeding, walking into closure areas, ahh...summer!

Thursday, June 23, 2011

The webinar from hell...

How is it that some people can take a topic that should be interesting, and should be quick (less than 10 minutes) and stretch it into an hour-long boring diatribe of "um" "uh" and "so..."
??????????????????????????

Monday, June 20, 2011

WW2 People's War (BBC History Page)

http://www.bbc.co.uk/ww2peopleswar/

Histories written by those who lived them. Very interesting site, thought I'd share.

Friday, June 17, 2011

Announcement coming, re: Potter


If you click on the owls on pottermore.com, up pops a YouTube video with a countdown:


More Potter?

http://www.pottermore.com/

Confusing, but exciting as well!



A Mysterious Harry Potter Site


It's a bittersweet time for fans of Harry Potter. The eighth and final movie hits theaters this summer. The series of books concluded several years ago. What's a hard-core Hogwarts fan to do?

Fear not! A newly launched URL,pottermore.com, indicates that author J.K. Rowling has a few more tricks up her sleeve. As of now, there really isn't much to go on. The site is bare-bones. Two owls sit atop branches and there's a "coming soon" message. That's it. Click on the owls and you're taken to a YouTube link with a countdown to the mysterious announcement. As of now, the big reveal is a little less than a week away on Wednesday, June 22.

Clues are frustratingly scarce, but interest in the new URL is anything but. Over the past 24 hours, web searches on "pottermore," "pottermore.com" and "new harry potter web site" have all soared like a Nimbus 2000. Related lookups on "jk rowling announcement" are also spiking. She sure knows how to drum up interest.

The Associated Press talked with Rowling spokesperson Rebecca Salt about the project. Salt did say the site is not (repeat: not) a reference to a new book nor is it "directly related" to the upcoming Potter movie, "Harry Potter and the Deathly Hallows: Part 2." Alas, the Rowling camp isn't saying anything else.

Fan sites and blogs are, of course, not letting the lack of details slow the speculation. Among the possibilities being floated around: a new amusement park, an improved website for all things Harry Potter, or, perhaps, a new Harry Potter encyclopedia. The Leaky Cauldron, one of the top Potter fansites, has a slew of theories from readers. One or the most popular: a massive multiplayer online game. If so, we got dibs on "Dumbledore."

Expect an announcement on or around June 22.

Thursday, June 16, 2011

A Shady Deal

It's 9:30 pm and the phone rings. The woman on the other end tells me I'll be meeting my contact in the Albertson's parking lot in Livingston. He should be there in an hour or so.
Good thing I grabbed a nap. I wipe the sleep from my eyes and take a swig of water, grab keys, head for the car. I wake up on the drive down the hill. Driving in the twilight and just-dark night begs for animals to step out in the road. None do.
I arrive at the parking lot at 10:40. Pouring rain. I reach in my wallet and pull out the money, folding the crisp hundreds and shoving them in my right front pocket. And wait. Store will be closing in a couple minutes, so I run in to grab a few needed items. My phone rings as I'm at the checkout. He's in the parking lot. White truck, black horse trailer.
We exchange greetings and he digs in the back of his truck. Finds my package. I hand over the cash.

56.9 lbs of bison meat for my freezer. Yay!

What else would I be buying in the middle of the night?

rofl

So I ordered half of a front quarter of a tallgrass-prairie fed bison. The packages are stowed neatly in the freezer and I can't wait to try them. We ordered from http://www.tallgrassbison.com/
Will post reviews once we start up the bbq!

Sunday, June 12, 2011

Settling in

The house is slowly coming together.
The number of full boxes in the garage is down, the dryer is installed, and the place is starting to feel a bit more home-like.
My room is still a disaster (big surprise) and I need to do much more to get the chaos under control. I plan on getting rid of a bunch of books and DVDs, which seem to be the bulk of the mess.
I mean, really, do I plan on reading "The Cartoon History of the United States" ever again?

Friday, June 10, 2011

Yep, I'm up!

So its 0351 in the morning on Friday. I have to be to work in a few hours.

I'm getting used to the tones of my pager going off these days. For the first couple calls it was a struggle to clear my head and recall what the sound was. Is that my alarm? Is it time to go to the office?
But now, the first tones go off and my feet hit the floor. I'm throwing on my uniform and boots, checking pockets for drivers license, gloves, pen, gum (no time to brush those teeth...) and the obligatory ziplock bag with some spare cash so I can grab some caffeine and a snack after the call.
I grab keys, jump in the car and head up for the ambulance bay. Now that we moved up the hill I'm only a couple of minutes away. Almost there...and the call comes over the radio -- stand down. (aka - "We thank you for your quick response, but we don't need you")

Tell that to my adrenals at 0200!

I'm keyed up and ready to go, but there's no where to get to. No rush. I pull up to the bay, turn around, and drive back home. Get back in the jammies and try to sleep. No dice.
So I do dishes. Take the dogs out for a quick walk. Surf the internet. Read. Study Anatomy and Physiology. And wait for the sun to rise.

Monday, June 6, 2011

Meyers-Briggs Analysis - my life in four letters

OK, so I've taken a few of these lovely "assessments" over the years. I always come up the same.
ISTP
Four little letters that sum up who you are. According to the M-B folks, I am:

Portrait of an ISTP - Introverted Sensing Thinking Perceiving
(Introverted Thinking with Extraverted Sensing)


The Mechanic

As an ISTP, your primary mode of living is focused internally, where you deal with things rationally and logically. Your secondary mode is external, where you take things in via your five senses in a literal, concrete fashion.

ISTPs have a compelling drive to understand the way things work. They're good at logical analysis, and like to use it on practical concerns. They typically have strong powers of reasoning, although they're not interested in theories or concepts unless they can see a practical application. They like to take things apart and see the way they work.

ISTPs have an adventuresome spirit. They are attracted to motorcycles, airplanes, sky diving, surfing, etc. They thrive on action, and are usually fearless. ISTPs are fiercely independent, needing to have the space to make their own decisions about their next step. They do not believe in or follow rules and regulations, as this would prohibit their ability to "do their own thing". Their sense of adventure and desire for constant action makes ISTPs prone to becoming bored rather quickly.

ISTPs are loyal to their causes and beliefs, and are firm believers that people should be treated with equity and fairness. Although they do not respect the rules of the "System", they follow their own rules and guidelines for behavior faithfully. They will not take part in something which violates their personal laws. ISTPs are extremely loyal and faithful to their "brothers".

ISTPs like and need to spend time alone, because this is when they can sort things out in their minds most clearly. They absorb large quantities of impersonal facts from the external world, and sort through those facts, making judgments, when they are alone.

ISTPs are action-oriented people. They like to be up and about, doing things. They are not people to sit behind a desk all day and do long-range planning. Adaptable and spontaneous, they respond to what is immediately before them. They usually have strong technical skills, and can be effective technical leaders. They focus on details and practical things. They have an excellent sense of expediency and grasp of the details which enables them to make quick, effective decisions.

ISTPs avoid making judgments based on personal values - they feel that judgments and decisions should be made impartially, based on the fact. They are not naturally tuned in to how they are affecting others. They do not pay attention to their own feelings, and even distrust them and try to ignore them, because they have difficulty distinguishing between emotional reactions and value judgments. This may be a problem area for many ISTPs.

An ISTP who is over-stressed may exhibit rash emotional outbursts of anger, or on the other extreme may be overwhelmed by emotions and feelings which they feel compelled to share with people (often inappropriately). An ISTP who is down on themself will foray into the world of value judgments - a place which is not natural for the ISTP - and judge themself by their inability to perform some task. They will then approach the task in a grim emotional state, expecting the worst.

ISTPs are excellent in a crisis situations. They're usually good athletes, and have very good hand-eye coordination. They are good at following through with a project, and tying up loose ends. They usually don't have much trouble with school, because they are introverts who can think logically. They are usually patient individuals, although they may be prone to occasional emotional outbursts due to their inattention to their own feelings.

ISTPs have a lot of natural ability which makes them good at many different kinds of things. However, they are happiest when they are centered in action-oriented tasks which require detailed logical analysis and technical skill. They take pride in their ability to take the next correct step.

ISTPs are optimistic, full of good cheer, loyal to their equals, uncomplicated in their desires, generous, trusting and receptive people who want no part in confining commitments.

Jungian functional preference ordering:

Dominant: Introverted Thinking
Auxiliary: Extraverted Sensing
Tertiary: Introverted Intuition
Inferior: Extraverted Feeling

#################################################################


And for an alternate interpretation, try this website

ISTP- Introverted Sensing Thinking Percieving

Quiet, flexible problem-solvers generally unnoticeable until one of them is using forty slides of Power Point to explain something to you you never knew was a problem and don’t care about. Tireless combers of data and analyzers of cause-effect relationship with a powerful wish to make both processes more efficient if not more desirable. Rumor has it all of them work for corporations, agencies, and institutions usually abbreviated into some alphabetical combination.


And, my exact opposite. (You know who you are:)

ENFJ- Extroverted iNtuiting Feeling Judging

Empathetic, cooperative, responsive, and group-oriented. These people pick up every emotion and ripple in their social circle and will reflect it back at you twice as large. Good at group workshops. Less good at working in prisons.