Wednesday, September 22, 2010

The Hot Nurse Scale


The beauty of a Nurse is relative to how many hours you’ve worked and how disgusting your patient is.

You see, in this field of emergency services, you are constantly surrounded by ugliness, especially working in poverty stricken south LA. Your day is filled with death, disease, sickness, poverty, crime, vomit, blood, and many other bodily fluids that need not be named. For this reason, when at a hospital, a female nurse with any resemblance of feminine beauty is made all the more gorgeous by comparison.

A woman who, if seen on the street, would garner a rousing “meh” quickly turns into a “I want to marry her” when your regular company consists of a vomiting homeless man with ulcers living in his own feces. Because my field consists almost entirely of men, most of the females I am around are nurses, and thus are the best example.

So I have figured an equation to show how much your view of a nurse’s beauty (b) is influenced by how many hours (h) you’ve been working and how disgusting (d) your patient is.

If the nurse is normally a 6 on the American beauty scale, when you’re on your 22nd hour of work, and your patient is a drooling elderly obese diabetic, she can easily go up to an 8.  Here are the steps of the equation:

  1. Take the number of hours (h) worked on your current shift (1-48) and Divide it by 10.
  2. Take the disgustingness (d) of your patient (1-10)
  3. Add the two numbers together and divide them by 10
  4. Add that number to the normal base beauty (b) of the nurse (1-10) scale.
  5. This gets you’re the relative beauty (rb) of the nurse

h/10 + d  +b = rb        example:       19/10 + 8    +7 =  7.99 (round up to 8)
     10                                                      10

Here, I learn better visually. Basically, in simpler terms…

This



Plus this



Equals this.


So thankyou to all you nurses, who brighten up our day after a bleeding crack whore with missing teeth tries to stab us . Beauty is essential to the soul, and God knows we need it.

Wednesday, September 15, 2010

Don't Go In The Water!


We rarely see what dangers lie beneath the surface.

A couple summers ago, I was traveling along the Amazon and working with different village communities. One day, my team and I were painting houses and it must have been 200 degrees out; plus the horrendous humidity made it feel like 300. 



After sunset, we went to the bank of the river where we had swum earlier that day. We were hot and drenched in sweat. The water looked so appealing and we just wanted to dive in and feel that refreshing coolness. The water was good and was meant to be pleasurable. But as soon as our feet touched that water, one of the locals came out yelling at us to get out of the water. We didn’t understand, but he said it with such conviction. So of course, we didn’t go in to the river.

When we asked him why, he didn’t give us the reason. All he said was, “No. You can not go in after sunset”, in the most mysterious foreboding tribal accent you can imagine. It always kills me when someone tells me no without saying why.

Aggravated and frustrated that we didn’t get what was good earlier that day, we went inside the boat.  That night as we moved down the river, we heard the captain call out, “Jackadae!”

Jackadae is Portuguese for Crocodile.

We looked to where to the water met the land and saw pairs of red eyes just above the water, illuminated by the spot light. As those red eyes submerged into the water, we realized why we couldn’t go in after sunset.
        
In that situation, the local was infinitely wiser than us and had our well being in the front of his mind. We just had to trust him. I think it’s the same way with God. He wants the best for me and knows what will hurt me. I just have to trust him. Even when he creates something good and pleasurable, like the river water, it may not be the appropriate time or scenario and he says no. 


I realized then that the jungle is a perfect example of this world. A place that is beautiful, exotic, and deadly. Wisdom keeps you alive. I think much of the bible is akin to worn map There is a rhythm and nature to this land and if you obey it you will live. As my Old Man taught me, "We don't break laws, we break ourselves upon them." If the world demands obedience of us to survive, like in Jungle Law, so then, wouldn't this be true of moral law as well? We don't always see everything. We'll never have all the info. But God does.


What I’ve found is, if I don’t listen to God, who is perfect, and I take my own way, sin can creep up on me and destroy me.

… Much like the Jackadae. 

Sunday, September 12, 2010

My Saddest Call

To date, my saddest call I’ve ever ran was watching someone lose the love of their life to death in front of their eyes.

I was in a hospital in Inglewood, and a patient a co-worker of mine brought in was in full arrest (heart stopped, not breathing) as a result of a heart attack. I hopped in and started doing chest compressions.

This man was a police officer in his early sixties. Emotionally, the hardest part of the job is not the patient, but the family and loved ones who are breaking down while you’re trying to save their loved one. In this case, the police officer’s wife was in the room while I worked on him. As I furiously pumped this man’s heart, trying to keep him alive and get it to start again, she was bawling. She cried out to God and repeatedly asked Jesus aloud to save her husband. She spoke to her unconscious husband, begging him to not leave her. It was the saddest thing I think I’ve ever witnessed, but I had work to do.

I think there’s something different about chest compressions. Physically touching, you are connected in a way to someone as they’re dying. You feel them as their life passes from them, but at the same time it’s such a violent act. You are using all your strength to keep someone alive. Him being a married police officer, I felt an even greater connection to him than I do when we’re working on say a gangbanger. I pumped and pumped, almost breaking this guy’s ribs as his wife watched, completely powerless to stop death from taking the love of her life.

Despite everything, he slipped into death. It’s very rare you can bring someone back. The doctors told me to stop. I relented. We called it. She lost it.

The nurse gave her a chair to sit in. As I took off my gloves and left the room, I stood in the hallway watching this woman. I had a front row seat to the worst moment of her life. This job gives you a view to a side of life few people ever see. It teaches you what’s really important. I don’t know how long they were married. I don’t know what her name was. But I do know she must have loved him with fierce conviction. Her life had just changed forever, and I was there to see it.

It’s the only time I’ve ever gotten choked up on the job.

Despite her praying, and crying out to Jesus, he did not answer her. People die. It’s what happens. I do not believe God ignored her cries. I believe his heart broke as much as hers.

This was my first week on the job.

Wednesday, September 8, 2010

My Craziest Call: GSW

People often ask me, as an EMT, what was my craziest call? As of now, it is my first Gun Shot Wound (GSW). My partner and I awoke at 2am to a GSW call in Inglewood. We threw our uniform on, kicked on the lights and sirens, and hauled to the call. We arrived to a chaotic seen of flashing red and blue police lights, caution tape, bystanders, and fire department rigs. The body, a male in his early twenties (could have been a teen) was lying on the front lawn of a home. I looked him over but couldn’t see a gunshot wound, but I did see blood pouring out onto the lawn. This meant the gunshot was to the back of the head.

We rolled him over to check the trauma on his backside. As we did, blood shot out the back of his head, almost spraying my partner. I checked for ID, but he had nothing on him other than pepper spray. With the utmost urgency, we put him on a backboard (gunshots can cause spinal trauma) and put him on the gurney while trying to stop the bleeding.

As soon as we got him into the back of the ambulance, he went into full cardiac arrest, meaning his heart stopped beating and he stopped breathing. At this point he is considered clinically dead. We take off for UCLA. With these calls you have to go to a trauma center, and this part of Inglewood is the furthest you can be from a trauma center in West LA. With a long way to go, I started doing chest compressions as the fire department paramedic but a bag valve mask over the patient and forced air into his lungs.

As I was pumping this guy’s heart, it caused the blood from the back of his head to go spewing out and for blood to start pooling on the floor of the ambulance. We threw down towels as to not slip on the blood. Doing CPR is much more rigorous that it would seem and after five minutes, you’re sweating. I looked through the window, and we were only at the 405 and the 10. There was not much hope.

Finally we made it to the UCLA ER. We pulled him out the back and I continued to do compressions while stuffing towels under his head to curb the bleeding all the way to the trauma room. In my field, having a full arrest is rare and so is a gunshot wound, but having both at the same time is near unheard of. We got him into the trauma room, threw him on the bed and a team of 12 trauma ER doctors went to work. They pumped epinephrine into his system, and he regained his heartbeat and started breathing. The guy made it. It was a good night,… except for cleaning the ambulance.

Wednesday, September 1, 2010

On A Wing And A Prayer: A Testimony of God's Providence in the Amazon




Recently I went with a Bel Air team to Brazil intending to work on a Medical Boat traveling up the Amazon River giving aid to the native villagers. Unfortunately, Brazil kicked me out.

On the 4th of July, our team flew from Los Angeles to Panama and then to the city of Manaus, Brazil. While going through customs, the Federal Police informed me there was a fine on my passport from an earlier trip – which turned out to be a clerical error. I offered to pay the fine, but it was no use. The Federal Police forced me on to the plane going back to Panama. I waved goodbye to my shocked team. I was going home. I knew that even if I could work things out to return, the odds of finding my team in the middle of the Amazon were slim to none.

As my flight to LA didn’t leave from Panama until the next day, I convinced the airline to put me up in a hotel for the night. They begrudgingly agreed, but inexplicably put me up in a hotel twenty-five miles from the airport. Traveling in a taxicab through the foreign county at night, I realized not only did I not know anyone within a thousand miles, but also no one knew where I was. I was on my own. Upon arrival, I received an email message from fellow team member Kyle Collier. He sent me phone numbers for Pastor Dejard, our Brazilian contact. When I called, he told me to work out the fine with the Brazilian Consulate in Panama, get back to Manaus, and he would somehow get me to the medical boat. As it was now midnight, and my ride to the airport leaving the next morning at eight thirty, this plan was ludicrous. But after a little investigating, I discovered the Brazilian Consulate was literally three blocks away from my hotel!

I now had a choice to make. Go back to LA, or attempt the most insane Hail Mary pass of my life and try to get back to my team. After much prayer that night, I decided to go for it. The next morning, the Consulate gave me the necessary paperwork so I could fly back to Brazil. I quickly hailed a cab and raced to the airport. Late for my flight, the airline Attendant ran me through the airport security and we made gate just as they were closing. Once on the plane, I knew I needed a Portuguese translator. I turned to the gentleman behind me, told my story, and told me that he and his newly wed wife not only knew Pastor Dejard, but they went to his church. By this point, I knew God was behind this.

After working things out with immigration, the newlywed couple drove me to the church office where I met pastor Dejard. He figured I had exactly one shot at meeting with the team. The next day I journeyed with a Brazilian guide, who didn’t speak a word of English or Spanish, 200 kilometers up the river. We took a ferry to a taxicab that drove for 2 ½ hours on a lone road through the jungle. Arriving at the river, my guide pointed to a speedboat, waved goodbye, and drove off. I got into a speedboat with a cross-eyed driver and we journeyed up the river for the next hour and a half.

Being on that glassy river, with the setting sun and brilliant cloudscapes, was one of the greatest moments of my life: a moment of experiencing God in all his beauty and providence. We finally came to the village and the driver pointed to a small chapel up on a hill. I took my guitar and walked into the back of this chapel to looks of disbelief from my team. I thought this stuff only happened in movies. After 48 hours and 2,000 miles, my journey had come to a close. I stood there realizing that God had worked in a real specific way in my life. Also, that I should have studied more Portuguese.