Tag Archives: Anxiety

“It’s Not Your Fault”….I Lied….

Wow, is this powerful….The video in the link below describes a scenario that probably almost anyone who has spent a few years on an ambulance can understand.

While I don’t remember any specific time I told this type of lie, I am quite certain that I did. How can you not? “It’s not your fault…..” “It’s not as bad as it looks….” And any number of little (or big) white lies we tell to comfort the patient or the family……

And our selves……

Here’s the link to “It’s not your fault”

I do not belive I ever told the lie he describes, although I dealt with at least my share of SIDS. However, I was in a very similar situation – the only difference was that Mom already knew….and lying to her would not have changed anything……

(I have written about the emotions surrounding my experience and how it effected my for years, here, , if you are interested….)

 

 

 

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Article: 5 Stresses of Firefighters

Great article…..

http://uniformstories.com/articles/opinion-category/5-stresses-firefighters-deal-with-that-non-firefighters-should-know-about?fb_comment_id=861044530640807_861192523959341

A Pause to Honor….

I find this very interesting. It is a fantastic idea. And, at the same, possibly a horrible idea.

The article linked below talks about hospital emergency workers “pausing” to honor a patient that has not responded to their efforts to save their life. Essentially, a moment of silence for someone they did not know at all.

In many cases, probably most cases, I think this would be a great way to bring a different kind of closure to a situation that is, in itself, so final – and yet, possibly not completely resolved for those who worked so hard for a different outcome. Taking just a moment to come to grips with what has just happened, might make it easier to step away and move on….

On the other hand, at least for me, there were many times that stopping to accept what had happened would have put me over the edge. The scenarios that were just so utterly horrific……If I stopped to think about it, I would not have been able to get back in the ambulance and run the next call…..

The article is about hospital workers. I wonder if it would have the same effect on field crews. Not to take anything away from the hospital folks – the death is just a real – but it is a different situation. Chances are pretty good that the patient the ER staff has stopped to honor was brought in by an ambulance crew who has already left the room to do paperwork and clean up the rig. Would it be effective for the crew to come back to the patients room? Or stop where ever they happen to be when they get word? If they even get word?

Yep, definitely interesting……….

http://www.npr.org/sections/health-shots/2015/09/27/443104073/trauma-workers-find-solace-in-a-pause-that-honors-life-after-a-death?sc=tw

PSA: No warning for PTSD

Yep……

http://www.emsworld.com/video/12105247/no-warning-ptsd-and-first-responders-psa

Article: Pictures of PTSD

This is incredibly powerful. It is focused on members of the military, but I think any first responder dealing with PTSD can put themselves in most, if not all, of these pictures. I know I can…..

http://www.buzzfeed.com/emaoconnor/this-is-what-a-veteran-looks-like?bffb&utm_term=4ldqphx#.qkrqZapX4

Article: What Happens When You Feel Nothing?

Yep – This article shares a perspective that only those who have been there can appreciate. Reminds me of a call I responded to for a rock climber who had fallen quite some distance and landed on his head. Needless to say, there was nothing for us to do – so we went back to the station and made spaghetti….

The last sentence of the article is perfect: “But I can’t help but wonder if we’ve already gone crazy.”

I think you have to be at least a little bit crazy to do this job. The trick is to keep from going completely crazy……

http://uniformstories.com/stories/ems/what-happens-when-you-feel-nothing

Article: First-responders pay a price for saving lives

I found this to be a rather interesting article. It mostly discusses how a specific fire crew, at a specific fire department, deals with the emotional toll of the job – especially when it comes to kids. It also touches on what the fire department is doing to help the guys on the front lines.

Essentially, it seems this crew and department have a very good and productive attitude about how calls can affect the responders. According to the article, they are open and willing to talk about their feelings and emotions after a horrific call. If this is truly the case, I applaud everyone involved.

Forgive me if I seem skeptical, but this was not my experience. I was never involved in an emotional conversation after a call. It just didn’t happen. Sure, each and every crew I worked with was a very close-knit group (well, with one glaring exception – but I won’t get into that). I have no doubt in my mind that everyone on my crew would drop everything to help me – with things like moving furniture, building a fence, fixing my car……But I would have never brought up how I was feeling after a call…..

Yes, I definitely hold most of the responsibility for never asking for help. But, it was the culture. I am absolutely convinced that a big part of that culture was (and still is), lack of education. Even towards the end of my career, when I was really struggling, no one noticed. Not even me. In hind-sight, I see it clear as day, but at the time I had no idea what was happening. And neither did my crew. Or, if they did, they were afraid to say anything.

This is what needs to change. Every crew needs to be like the one depicted in this article. Talking about every aspect of a call is crucial for growth. Reviewing the technical aspects will help you do your job better. Reviewing the emotional aspects will help you do your job longer……

http://tbo.com/news/breaking-news/first-responders-pay-a-price-for-saving-lives-20140802/

 

An incredibly humbling experience…..What do I do with it??

Tonight at a neighbors Christmas party, I had the honor to spend several hours talking with Randy and Gary. Both served our country in Vietnam.

Gary served one year “in theatre” as a Sargent in the Army. He told me stories about how he and his fellow soldiers were assaulted day after day – by Americans. Guys would pick fights with them  just because they “looked military”. I’m happy to report that Gary and company were undefeated in bar room brawls.

Gary told me about friends who were “messed up” when they got home, but insisted he was fine. Yet, with eyes watering, he shared story after story about how he and his friends were attacked and forced into fights they never wanted – at home. It seemed as though Gary was more effected by what happened after he returned than what he saw when in combat.

Randy, a small and soft-spoken gentleman with intense eyes, made the biggest impression on me. Randy spent three years, two tours, as a Marine in Vietnam he re-enlisted shortly after a field promotion to Sargent when his superior, and most of his team, were killed in action. He wanted to go back and, with an intensity in his eyes that I have never seen before, told me that he “made good – two for one”.

Almost six years ago, Randy was diagnosed with bone marrow cancer – an aggressive and incurable form – and given less than five years to live. He has gone through many rounds of chemo and stem cell transplants. Today, he looks very healthy, but moves rather slowly and speaks very softly. He says, at this point, no one knows how much longer he has left. As he shared this information with me, Randy took a sip of his beer, looked me square in the eye and said “I don’t know how much longer I have left, but I’m not done yet”.

Randy honestly believes he was exposed to something, perhaps Agent Orange, while in Vietnam that lead to his diagnosis. However, he does not cast blame. Randy feels that, while it really sucks, this is just part of serving his country.

Randy, Gary and I spent the evening talking, drinking, laughing and sharing stories. Through the course of the night, I eventually told them about my “past life” as a fire/medic. Most of the stories we shared involved “off-duty” partying, but certainly we all shared some of our more intense experiences. For the record, my stories did not hold a candle to what they experienced.

At the end of the night, both men shook my hand and thanked me for a great evening. Randy, however, held my hand. He looked me square in the eyes with the intensity I had seen earlier and said, “Thank you for letting me share my story with you”. He said he does not very often get the opportunity to talk with someone who is willing to listen and who understands his background. An incredible compliment from an unbelievably strong and brave man.

This filled me with pride, satisfaction, gratitude, and humility. This is a true American hero – thanking ME for simply talking to him……

And then, still firmly gripping my hand, with a firm thump on the shoulder and a renewed intensity in his eyes, Randy said to me: “And thank you for your service and what you did for our community”……….

With that he turned, waved to the host of the party, and walked out the door……

Wow……..completely speechless…….

Article: The Man Who Saw Too Much

This is a fantastic article about a guy with whom I can completely identify. Many of his experiences are very similar to mine – especially when things started coming apart for him. While I did not have the same addiction problem as he, my struggles pretty much mirror his.

It is a long article, but well worth the time. It will answer a lot of questions about PTSD and show you that there is light to be found.

http://www.outsideonline.com/outdoor-adventure/outdoor-skills/survival/The-Man-Who-Saw-Too-Much.html

 

A Look Back: The Bookends of a Career

It occurred to me last night as I was laying in bed trying to fall asleep, that this week marked a major anniversary for me. On July 30, 2000, I ran my last call……

That call was not the “worst” call of my career – far from it. But it was quite memorable. Intense.

I spent 20-ish minutes in the back of an SUV that had been broadsided and rolled onto the passenger side, trying to protect and treat a young woman while the rest of my crew cut the vehicle apart around us. As I tried to start an IV (yes, I was successful)  and administer oxygen, I remember her repeatedly trying to punch me in the head – she had a significant head injury – and all of the dust and debris blowing through the car as Flight for Life landed on the road behind us ….Oh yeah – she was also seven months pregnant.

As we watched the helicopter fly out, the A/C on scene gave me shit about not shaving that day. I told him to F-off and then told him I quit, but agreed to finish the shift. Of course, he knew it was my last shift anyway, so we all laughed. Then went back to the station for lunch.

That was my last call…..

I ran my first call on January 19th, 1988. A commercial plane crash. I was a college student who had signed up for the county search and rescue team so I could learn how to rock climb. I obviously had no idea what I had really signed up for…..

I was studying for an accounting exam when I got the call. It was about 830pm and we were in the middle of a “mild” blizzard. The plane simply hadn’t shown up at the small, mountain airport as expected. Radar had it until just a few miles out. So, we did not know exactly where to look – only a general flight plan to go by and a lot of unpopulated mountainous terrain to search.

So, here I am…..a college student with no clue, snowshoeing through the wilderness, in the middle of the night, during a blizzard looking for a plane crash. We found it – thanks to footprints left by a survivor who literally hiked out to a nearby farmhouse. Over the course of just a few minutes, the scene went from dark and quiet – only the sound of a handful of rescuers trudging through the snow and their headlamps – to a level of commotion and controlled chaos that I had never before experienced. Flood lights and generators appeared very soon after, followed quickly by all the tools of the trade – axes, pry bars, the “jaws of life”……

We worked through the night extricating people. Half the people on the plane survived – the other half did not. Only one of the survivors was seriously injured – the rest pretty much walked away from it. Literally and figuratively.

After many hours, the first crew on scene, us, was relieved by the next crew. I sat down in the snow with a few others not too far from the plane, but out of the reach of the lights. We ate sandwiches that had been brought in…..Then we hiked back out. About two miles, if I remember correctly.

The trip back was again dark and quiet. But, as we crested the last ridge, we were inundated with noise and light. As the first group out, we were immediately attacked by TV reporters looking for a story.

By lunch time the next day, roughly 5 or 6 hours after leaving the plane, I was back in class listening to classmates and professors recount the stories they had heard on the news about the crash. None was very accurate. I passed my accounting exam – but only just barely…..

Both of these calls shared one very obvious characteristic – surreal. I think most of the really “bad” calls share that trait. Surreal. Many times I remember going straight from an especially nasty call to the grocery store to get food for the next meal……..Just 30 minutes earlier I had someones life in my hands and now I’m standing in line to buy lunch meat……Surreal. Towards the end of my career, the surreal-ness of it all became more and more apparent. Impressive even. Towards the end, it even bothered me at times. How could we move on so quickly from the most horrific things imaginable and get back to a normal day? I just pronounced that guy in his living room and had to tell his wife – but man am I hungry! Oh hi old friend who I haven’t seen in a couple of years…..What’s new? How are you? Oh, and by the way…..your mom and your dad are both upstairs in their bed – both dead. Looks like one shot the other but I can’t tell which one did it….But it’s great to see you…..

Yes, that actually happened. No, the conversation did not go exactly like that….but, believe it or not, it was very close. Surreal.

Maybe, as things became more surreal, I should have noticed and realized something was happening. Something was changing. Maybe that was a sign.

I think it is quite safe to say that my struggles with PTSD started with the plane crash. I remember going back to my dorm room and trying to get some sleep before class…..All I could hear was the very loud hum of the generators and tools. And all I could smell was the jet fuel that had been spilled all over the mountainside. I won’t go into what I saw when I closed my eyes….

My struggles however did not end with my last call.

During the years between my first call and my last, I saw and dealt with things I could never have imagined. The kids are what really got to me. I don’t know if I saw more pediatric horrors than any other medic – several medics have told me I did – but I did see more than I could take.

As I look back at that part of my life, at that career, it was an amazing experience. Every moment of it. I loved it! And I learned more about myself in those years than I ever would have had I pursued any other career. However, it did take its toll. I continue to work every day to win the battle with PTSD. I am succeeding. Everyday.

My only regret – I did not recognize the signs that something was wrong before I left an incredibly rewarding career that I loved. If I had known, if someone I worked with had known…….I would probably still be doing the job.

What do I want you to take away from this post? It all adds up and compounds starting with the very first call you run. And every single one of us is susceptible to PTSD.

Every. Single. One.

So, pay attention to yourself. Pay attention to your co-workers. Learn about the signs of PTSD and don’t be afraid to talk about it. Share what you learn with your co-workers. If you see someone who is struggling, step in and help. Most importantly, be open to others helping you.

The career you save may be your own……

 

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