It's not always better to be older,

We dream of it when we're young but getting just old is a drag to most.

67M - Regular dialysis.
38F - With a non traumatic back pain, we got called off for,
96F - With everything failing and hurting.
28M - Alcohol seizures.
92F - May of had a faint in the dining room chair at the home but otherwise well and fit when we examined, so she didn't want to go to hospital and we didn't want to take her so she stayed.
87F - Dementia pt who wanders and had a fall and suffered and small lac to her head and family wanted her seen.
81F - Lung disease with exacerbation of SOB.

And that was all we did for the day.

Be Excellent to Each Other and See You at the Big One!

 Taz

Had to get one Psych job in.

But it took us until the last job of the day,

78M - Dialysis.
48F - Haematuria, called off for,
??M - Intoxicated and just lying on the footpath, got called off for,
52F - Airline staff member with some minor respiratory irritation.
71F - Peripheral Vascular Disease Hx and there is no blood in one of those feet when we arrived but en route we discovered that the occlusion was not total and with certain posture of the limb circulation would return.
60F - Minor posterior neck lacerations from a glass door shattering, very lucky lady. Nothing really that an A&E would do and she was totally capable of self management of the wounds.
49F - MS who just needed a hand.
??M - At a medical centre with what sounds like an inner ear complaint, we got called off for,
46F - C/o sciatic pain but also presenting as a septic pt.
47M - Wants to kill himself and lunges for a Police Officers weapon, twice. He is boozed up but there is more than the drink talking.


Be Excellent to Each Other and See You at the Big One!

 Taz

More testing out the new bike.

From a ride with the Trouble and Strife.

Not too close, your not supposed to recognise me.

This site was used to junk old ships.

Her bike.

And mine.

That's her.

Look I think we found the African Queen, but where's Bogie?

Ah, my Queen photographing the African Queen.

Look at the sunshine, it got to 30C and we clocked up 65km in just under 4 hours.

Be Excellent to Each Other and See You at the Big One!

 Taz

One year ago,

Ambowife and I had our last cigarette.
Never been tempted.
Never back slid.
Never faulted.

But not easy.

Be Excellent to Each Other and See You at the Big One!

 Taz

And in complete contrast,

The next night was quiet and had seemed to have done to the dogs!

Another of those 'I think they're unconscious but I'm not going to stay with them' calls and once again the unconscious have risen and departed,,,, like are no longer with us,,,, you know BUGGERED OFF!
68F - Who it seems knows that loud noise and crowds seem to make her nauseous/vomit and faint (you jump straight to inner ear don't you) so WTF is she doing out on a harbour cruise at night with lots of drunk party goers??? The Capt had to make an emergency docking and off load her after which she got better.
37M - Dog attack, yep it was too. wounds to upper arm, abdo and both legs. A second victim that we didn't transport had a small chunk out of her lower leg. After spending time with the owner who was the alleged victim the dog should have its stomach pumped and be given an award, some people should not breed, be in relationships with normal people or own pets.
71M - Depressed, it's sad really, he has an acquired brain injury, (>50yrs) and every day is harder and more lonely than the last and he has lost direction. Not something we can help at 2 AM on a weekend. He wanted help and all we could do was complete a job sheet and leave a note for his carer's to make a Dr's appointment and try and get him out some more.
27M - Behavioural and drug effected.
24F - Would make Mummy and Daddy proud, got drunk and vomited, can walk and did up two flights of stairs and does a very graceful impersonation of a dying swan and needs to go to hospital and couldn't be told reason.

Be Excellent to Each Other and See You at the Big One!

 Taz

Only two needed and deserved transport.

The others?

54F - Chronic alcoholic, currently intoxicated makes a comment about having a belly ache and a headache so then wants to go to hospital which as I have said before once they make that statement my hands are kind if tied. I give her some simple analgesia en route and she walks out of the waiting room. Why bother?
54F - Intoxicated in her motel room, this is what I read in-between the lines of their story. Had a meal across the road at the pub, had a few drinks and came back to the room. She's doing a little dance for him before they retire to the bedroom and slips and bangs her head on the coffee table. All innocent and it's just a scalp lac that is more embarrassing than dangerous.
21M - Birthday Boy won't remember tonight but before his mates take him home the pub security called us to give him the once over? Yep his pissed and they say he's taken a pill, he's had a chuck (normal) and they appear straight (not drug effected) and are stepping up to the plate to look after him, bloody good mates.
Your right boys take him away.
30M - Has taken usual meds that have an occasional side effect of a mild dystonic reaction of his eyes rolling up. Tonight it's lasting longer than before and becoming a little painful so he called us. I've got nothing so we transport. Having just left he rings his Mummy and she says come to my place because all they apparently do at hospital is give him some Valium and it stops. She lives in the next street, we drop him off because frankly he needs his Mummy more than us.
25M - Who security at the Pub where he was drinking, said was drunk (dah!) didn't want to wait so left. UTL
31F - If the equipment isn't yours DON'T TOUCH!

This image from the web is similar to her finger that got sliced by an oscillating fan she tried to move at a bar. It was a clean cut that took some of the bone too and was hanging on by just a strip on flesh.

25M - A multi-victim brawl on the street left this one with a # wrist, everyone else were just scraps and bruises

30M - Found in a back alley in the red light area refusing to give Police details of what happened. Again this is my take between the lines. Rather than pay for a short stay motel room (by the half hour) he wanders into the alley for a quick game of hide the sausage and gets robbed possibly by the prostitute judging by the relative minor nature of his injuries. He's fine just wants to get the hell out of here and forget the whole thing and make sure his girlfriend doesn't find out.

25M - Attention seeking self harmer who's playing games with the Cops and us, UTL.

45M - No officer he's not mental he's just pissed and angry and if he wants to sit but naked on the tiled bathroom floor of his hobo dive hotel and rant, I'm happy to leave him. In fact after I had shut the door and we were making our way door stairs I think I heard him go back to his room. See the audience had left.

25M - Yep officer this one is a Mental Health pt. Jayz (sorry if I got that wrong) the rapper leaves white minivans on the street with evil messages on them so the pt has to smash them up but Barack has told him that it's ok and he just wishes that Taylor Swift would understand that their relationship is over and they can only ever be friends and unless you get him onto these topics he is an intelligent high functioning individual. Scary how normal they can be. He was a violent threat to white minivans and possibly anyone he saw in them and I saw the destruction he had caused to the one up the road, that's why the cops were there in the first place.        

Be Excellent to Each Other and See You at the Big One!

 Taz

Search your patients!

39F - Headache, tourist just in yesterday, not responsive to simple analgesia, transported to a little hospital close to the tour groups hotel. Transferred later to a big hospital for management for the aneurysm that had ruptured possibly due to the long haul flight.
93M - Fell while making his porridge. Didn't hurt himself and wanted a chat but we left him at home with the wife.
53F - Abdo pain.
57F - Fell down the front of a ladder giving herself a nasty lac anterior proximal tibia, fleshy spot on the top of the shin.
54F - Homicidal, yep that's not a typo!

From a GPs rooms after she became concerned by the pts conversation and had phoned the pts psychiatrist who agreed she should be scheduled and transported to hospital, she also informed the GP of the pts Hx of carrying knives. Pt told her she didn't have any on her,,, PATIENTS LIE! 1st rule of House.

When I asked her why she had it, quite calmly she told me to kill people, most likely former work mates, she was planning to go US Postal! Take care out there it can be very dangerous from the most unlikely places.

64F - Transfer hospital to hospital.

90M - Respiratory distress, his lungs are shot what more can I say, it's just a matter of time.

50M - Who stupidly took drugs and drove. The collision brought him to the attention of the Police and his decreased GCS got him tasked to us. While I can usually pick what they've taken I'm going to follow this one up because his cocktail wasn't clear. 

One last word on the safety issue people,

We are hyer-vigilant on the clear threats but the little 19F who had snorted half a pill and her friends couldn't handle so they called us and then she attacked and scratched my partners face wasn't seen as a threat to person. 

The seemingly normal 45F who has a long mental health Hx usually of self harm, who came to the Red Light area in which I do a lot of work armed with a 12" fillet knife hoping that someone dangerous here would kill her with it, looked and spoke like a suburban house wife.

Do you get my drift?

Be Excellent to Each Other and See You at the Big One!

 Taz