Tag Archives: PTSD

Reliving Christmas’s Past:

I’ve had kind of a tough time really getting into the Christmas spirit this year…….Who am I kidding – I’ve had a hard time for years….This year has been a bit worse than the last several. For some reason the last Christmas day that I worked has been running through my head more this year than in recent years. I worked through a lot of the emotion surrounding that day in therapy several years ago, but the memories still come back every year. Not sure why, but more so this year. I thought maybe reading through an old post about it might help. Don’t if it is or not…But I’ll share it again…..

The post actually deals with two Christmas’s. The “original” one and one many years later when the emotions suddenly decided to make an unexpected appearance. I called the post “On the turning away….A trigger, a flashback, an incident at church, a sermon, and a Pink Floyd song…” I still find it very strange how everything came together how and when it did.

When I first started therapy, I had an almost uncontrollable urge to “journal”, or write about the emotions I was trying to work through. I hadn’t started this blog yet, so I just wrote….The Christmas after I started the blog, (in 2012), I had a major breakdown. Which, of course, prompted more writing – and one of my first few posts.

Here is the original post, which includes the initial “journal-ling”…….

Written just over a year ago, this was my first “urge to journal” and the result of a major breakdown – the worst in years. Several separate events came together to create a perfect storm of emotion. In the middle of Christmas Eve church service. Let me paint the picture, then I’ll share the writing.

A trigger and a flashback: The last Christmas I worked before “retiring” was horrible. I’ll spare you the details, but imagine responding to a brand new parents worst nightmare. On Christmas morning. Needless to say, Christmas has been rough ever since. Always very emotional for me. Always just a trigger away from a flashback and an emotional event.

An incident at church: I am not much of a church-goer, but my wife’s family has been going to the same church for decades. Through my wife and in-laws, my kids are very involved. I go any time they are performing or have something special occurring during a service. And Christmas Eve service is a must. both of our entire families go – we must have 15-20 people there.

The Sunday before Christmas my kids were singing with the choir, so I was there. One of the regulars at church is a young man with severe physical issues – very bad epilepsy among them. He has a seizure every couple of hours. Usually we are seated too far away for me to be of much assistance, but on this particular day, I was seated directly in front of him. When he had his inevitable seizure, I helped his care giver get him out of the chapel and stayed with them until he had fully recovered. No big deal. Until Christmas Eve.

At the very beginning of the service on Christmas Eve, the pastor announced that the young man with the seizure issues had been in ICU all week. There was no word on when he would be released or for that matter, when he would be moved out of ICU. The pastor told of a visit he had with the young man a day or two earlier that week. The pastor basically told the young man it was too bad he would be spending Christmas in the hospital. The young man said: “At least I get to enjoy Christmas – even if I am in the hospital, it is still Christmas.” For some reason, this hit me really hard and the flood gates started to leak.

A sermon and a Pink Floyd song: After delivering the news about the young man, the pastor started his sermon. It was an extremely unique sermon because it was based on a Pink Floyd song. He started by playing the entire song, then delivered his message. I’m not quite sure what his message was because I was lost in the depths of my own emotions. (I think he talked about not turning our backs on others in need).

The Pink Floyd song: “On The Turning Away”. I’ve heard the song a million times and I have never really listened to and thought about the lyrics. This time, the lyrics  hit me like a bus. I completely fell apart. Left the chapel in the middle of the service in tears. Had to squeeze past every one in the aisle to escape – my wife, my parents, her parents, my kids…..I left the building and spent the rest of the service balling my eyes out in the side yard of the church. I was an emotional wreck for the next several days until my next therapy session. That week was my 3rd session I believe – very tough session.

For me, this song brought up all of the emotion surrounding the lonely 15+ years I spent hiding from my PTSD. It was not about turning my back on others – it was about turning my back on myself and hiding from my emotions and struggles. Reading this now, a year later, I see that I have made a tremendous amount of progress. I am no longer hiding and fighting alone. I still have a long road ahead, but today, I know there is hope. For the first time in more than 10 years, Christmas this year was bright and happy – not dark and sad. The memory is still there. It always will be. But I have come to terms with what happened and accepted my role. I have started to move on….Finally…….

Here is what I wrote:

“On the turning away…..”

He says we should not turn away…..

He says it all matters….

He is half right…..It all matters.

But sometimes, there is only turning away….

“It’s a sin that somehow light is changing to shadow”

If this is true, then there is only turning away.

Light quickly becomes the shadow

If you don’t turn away fast enough…..

“And casting its shroud over all we have known”

The darkness is there – over all we have known.

The emotions are coming….

The pain is here……The memories.

The flood is here…..

If you don’t turn away fast enough they will see.

The kids will see.

The wife will see.

The parents will see.

If you don’t turn away fast enough, they will all see….

Sometimes, there is only turning away.

“We could find that we are all alone……”

There is only turning away….

But we are all alone…..

“In the dream of the proud”

There is no turning away…..

There is no more pain…..

There is no turning away……

“From the weak and the weary”

Is this who is turning away?

“Is it only a dream that there’ll be

No more turning away?”

There was no turning away.

Now there is only turning away…..

“On the turning away…..”

Then comes the guilt. The shame.

Rushing to turn away

Instead of pausing to remember.

Turning away is so selfish. So weak. Cowardly.

You should stand up. Face it. Be strong.

But there is only turning away.

20 Seconds….That’s all it took…

Twenty f@%king seconds of the intro to a damn TV show….That’s all it took to kick me in the gut, knock me completely off kilter, and throw me into a major tailspin…..

And I’ve been doing so well for so long!! I think that’s what really pisses me off. Sure, I’ve had a few anxiety attacks. But I have not had a full blown meltdown in several years. Shoot – I haven’t seen my therapist in at least three years. Maybe it’s been four.

She did worn me though. She told me that you never actually “get over it”. It never really goes away. You just get better at dealing with it. Develop better tools. Get better at anticipating the triggers. Better at controlling the reaction when you miss a trigger coming at you.

But what if I don’t want to keep “dealing with it”. What if I don’t want to keep developing the tools and fighting the reaction. What if I don’t want to have to worry that every TV show or movie I want to watch just might have 20 seconds hidden in there somewhere that I can’t handle. What if I’m just plain tired…..

No, I’m not contemplating something “permanent”. Not a path I’m able to choose. I will say, though, that I do have a much better understanding and can sympathize better in the last few years with those who have chosen that path. But I still believe it is not the right path. There are better options.

So, I guess I don’t have a choice. I have to regroup and figure out how to keep fighting. Tired as I am…..

The Ugly Truth About Firefighting The Public Doesn’t Understand….An Article From Uniform Stories

The ugly truth about firefighting the public doesn’t understand

They will never feel the profound sadness that we do as a result of seeing too much

Jul 17, 2016


By Michael Morse

We know what we see is real. We know how it feels. We live with the memories, and know that more will come.

We are tuned in to every aspect of the firefighting life. We know when a brother or sister is lost, and we mourn in our own way, no matter how far away the incident was that took them from us. We don’t have to know the name of the deceased, or their story, because we are the people who make the ultimate sacrifice. Inside every one of us lives a small part of the rest, and we feel the loss more profoundly than people could imagine.

(Photo/City of Olympia)
(Photo/City of Olympia)

The truth is, this is not the easy life that the general public wants to think it is. This is far more than shopping for lunch, parades, Dalmatians, and Fire Prevention Week. This is life, and loss, and tragedy. This is insomnia, and injury, and depression. None of us gets through it unscathed. None of us expect to. Some of us will not get out alive, and we know all too well that the someone could be us.

So we protect the public from whatever misfortune comes their way, and put out their fires, and tend their wounded, and keep them as safe as we can. We pull the dead from the car wrecks, and cover the bodies at fire scenes so the news cameras won‘t bring the horror into the nation‘s living rooms. We protect our people from more than just the physical; we keep them from knowing the truth.

The truth is ugly, and devastating. People will tell us that they can imagine how horrific it was for us, but they will never, in a million years, really imagine the depth of that horror.

They will never have to deal with the guilt — the constant mental playback, wondering if only I were a little bit faster, a little bit better, a little more poised, a little more heroic. They will never feel the profound sadness that we do as a result of seeing too much. They will never breathe in the smell of death as it lingers on the recently deceased, before the undertaker does his work. They will never wonder how they will even make it home, and get on with things after what they’ve witnessed.
They don’t have to know about any of it. We let them imagine how bad it can be, and allow them the luxury of thinking that they have imagined it right. They don’t have to bear the burden of life at its most raw and powerful. They have the luxury of watching the world go by through their screens — screens that don’t scream, screens that don’t burn, or bleed.
We let them think that life is fair, with an occasional aberration. We allow them the luxury of the illusion of safety and fairness as life barrels along. They do not need to know how often things veer out of control. They don’t have to know what we know. We remember how it felt to be innocent. We know exactly how good it feels to not see the brutal realities that linger just out of sight. We don‘t want them to know about any of it.
All we want is to keep the people who depend on us far away from the things we dread … and we want to survive this career with our hope, health and sanity intact.

A Very Real Fear of the Very Unlikely…..

I know full well that the chances of something horrific happening to my kids is extremely unlikely…..I also still by a Power Ball ticket every now and then – I know I am probably never going to win more than a few dollars. But I know SOMEBODY is going to win big. I also know families are going to lose loved ones tonight…..In both instances, I can’t help but think, “Why not me?”….

Tonight, my daughter is out having the time of her young life at her senior prom. For some reason, the school decided to have this major event at a venue on the opposite side of the city! A good 45 minute drive across two of our major highways! And I am sitting at home fearing the worst.  She is a great kid! Very responsible. Doesn’t play into the drama that most teen-aged girls do. And has equally smart, level-headed friends…I’m not so much worried about her making a bad decision – but I know bad things can happen in the blink of an eye.

You know, living “close to the office”, has some benefits. Short commute. Easy to swing by the house if you forgot something on your way out the door…..Although the neighbors always freak out at least a little when you park an ambulance or a fire truck in front of your house, even though they know what you do….But, in this profession, it also means that every day you drive by reminders of the things that can go wrong so quickly. It doesn’t matter which way I leave the neighborhood, I can tell you a story….Even driving to my mom’s house for dinner, there is a reminder. Although this one is from my high school days….

My class made it through all three years, (back then, high school was just 10th, 11th, and 12th grades), without any tragedy. That ended on our last day of school. Literally, on our very last day of high school…..There was a huge party that Friday night. Everybody was there – truly, I think the entire senior class, and probably most of the other two classes, were there. It was the party of the decade! Then, suddenly, all of the lights went out…

Of course, everyone was sure the “SWAT TEAM” cut the power and was about to “STORM” the house! Everyone ran. My group grabbed the few beers we could get our hands on and disappeared into the neighborhood to wait it out and see what happened. We hid out for quite a while, but when the SWAT Team never showed and the lights never came back on, we left and went looking for another party.

As we left the neighborhood, the main road was closed. Again, speculation that the cops had shut it down and were still getting ready to raid the house. We left via a different neighborhood road and continued the celebration somewhere else.

It wasn’t until the next day that we learned a classmate had been involved in a horrific accident leaving the very same party and was killed just a few blocks away. The vehicle she was riding in, ran a stop sign and hit, of all things, a deputy sheriff’s vehicle. The deputy in the vehicle was left paralyzed. I honestly don’t know if I ever heard about other injuries. Surely, everyone else in her vehicle was injured, but I just don’t know. None of the other passengers were from our school.

I don’t know that I actually knew her. I don’t believe we were friends, but that isn’t to say we weren’t friends. I just don’t think we knew each other. But, I can tell you I know her now, even 30+ years later. And have never forgotten how that tragic night played out.

We drive through that intersection every time we go to my Mom’s house…..

I have no doubt I would have remembered her and the details of that tragic night no matter what. But, the world of EMS being as small as it is, has made it impossible not to think of the events of that night every time my daughter leaves the house.

Roughly five years after that terrible night, I was working for a small private ambulance company that serviced that area. One of my co-workers was a rather twisted and dark individual – by far more so than most of us. Very nice, compassionate, caring guy and a great medic – but just not right.

One day, he showed up to work with several photo albums. Obviously, this was before the time of cell phones, when all pictures were on “film” and had to be “developed and printed”. These photo albums had very graphic pictures from all of his most challenging calls. And yes, you guessed it, this included pictures from the scene of my classmates horrific accident. Thank goodness I didn’t actually know her….

I know he had several pictures from the scene. Mostly just the mangled vehicles. Although I cannot remember any, but one…..of her. I will not ever get that image out of my head. Mostly because that is what I see every time my daughter leaves the driveway…..

I know that the chances are extremely good that she will make it home by morning safe and sound. But I also know that there is a chance she won’t……

So, for now, I’m sitting here waiting….Sipping whiskey – either preparing for the worst day of my life, or celebrating her safe return…..

 

 

A note to my kids…..

I am so, so sorry…..

You are not supposed to see your father struggle so much. Your father is supposed to be the pillar of the family. The example of how to persevere through the toughest of times. Not the one to fall apart because of a scene in a TV show or a movie….

I am not supposed to completely fucking lose it because one of your friends does something slightly stupid at your 8th birthday party….

You are not supposed to have to tell me that I cannot watch a TV show or movie because you know my emotions can’t handle it…..

You are not supposed to wonder why I go to the “doctor” (my therapist) every week. And then wonder even more why I don’t go any more when I think I’ve got things under control…….

You are not supposed to notice the evenings when I “need” an extra drink or two…..

I am not supposed to scream at you when you playfully startle me while I’m walking down the hallway….

When you come in to tell me good night, you are not supposed to find me hunched over the bathroom sink trying to decide if I need the “regular” or the “heavy” sleep meds to get me through the night……

I am not supposed to wake you up in the middle of the night because I need to see your eyes and feel your hug after a dream I’ve just had….

Thankfully, you were not old enough to remember some of my worst “episodes” – Like when I paced around the house with you in my arms for the entire night because I KNEW with every fiber of my soul, if I put you down something would happen and I’d never be able to hold you again….

I am so sorry I have not done a better job of setting a good, positive example for you. I have tried….I’ve tried to show you what a good work ethic looks like, but I’m not sure the 5 different jobs I’ve had since you were born really accomplishes that. I do my best to be over-the-top friendly and appreciative to wait staff, cashiers, and strangers in general – no matter how poor the service or how oblivious they are to people around them, and no matter my state of mind. Hopefully this example has been noticed.

You two, my kids, did not deserve to get stuck with a father who has so many issues and struggles so frequently. I truly hope that you both understand how deeply and fully I love you both, despite my emotional baggage. You are both much stronger than I am and I know you will be able to rise above the difficulties I have put on the family and succeed far beyond my greatest expectations.

You are growing up to be amazing people. Thank you for putting up with me…..

It’s been 19 years…..

This year, Christmas Day marked the 19th anniversary of one of, if not THE, most upsetting calls of my career. I am not going to share details. There’s no need or point. It was not a “horrific” call – it was not a car accident or a suicide, or anything like that. But it was inexplicably tragic. One of those that you just can’t make sense out of …..One of those that, if you are religious, makes you wonder how you can possibly maintain your faith.

Maybe part of what bothered me so much is, I was not even working on the ambulance that day. I was driving the engine (Acting Engineer) – a very rare treat and a fantastic Christmas present!

But, when we got on scene, and the true reality set in on everyone there….it quickly became apparent that I had more experience with this type of call than probably everyone else put together. So, I ended up running the call. Or at least guiding the attending paramedic and performing the most difficult physical tasks.

Needless to say, the outcome was not good. Despite our best efforts, and everything running as smoothly as you could possibly hope, we last that battle.

Generally speaking, the timing of the call made it a thousand times worse than it would have been on any other day of the year. That hit me very hard. It was made even worse, though, by the realization that I had run SO many similar calls during my career. Certainly none exactly like this – either in terms of the exact nature or the timing.  But to realize in the middle of this scenario that I had become so proficient in the skills required for this type of call……..I was not working with a bunch of newbies. Of the 5 of us, two had more time on the job than I did and one was not far behind me. But those three together had not performed these skills on this type of patient half as many times as I had…..

I ‘retired’ and worked my last shift just over 7 months later. I would not say that this particular call ended my career. It was one of many that sticks with me to this day. However, sitting on the tail-board of the engine, out in front of the ER while the attending medic finished his report, and thinking about how many times I had written a report very much like this…..It started to sink in – Maybe I had written too many…..Maybe more than my share.

I am actually composing this post very late on Christmas eve, while listening to my kids sleep peacefully down the hall. I am intentionally not posting it until after Christmas…..

Please make sure you hug your kids every single day. And extra tight on Christmas. You just never know…..

Article: I Have Ghosts in My Head

This is a powerful article about the inevitable party question: So, what’s the worst thing you’ve ever seen?

I can’t remember how many times I’ve been in this situation. I’ve been out of the business for quite a while now, so it doesn’t happen much any more, but man…..Always bothered me. My standby answer was: “Depends on your definition of worst.”

That could be followed with: “Do you mean how much blood was spread across the highway? Or how long it took to clean the puke, blood and other bodily fluids out of the back of my ambulance? Or how long it took to get the smell out of my nose? Or do you mean saddest – cuz I’ve got a bunch of those.”

Too many definitions of “worst”. And on the rare occasion when I do share some stories, it’s never even close to the actual worst……

Article: I have ghosts in my head.

“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….)

 

 

 

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

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