The career archive of a NYC paramedic

Category: lieutenant

The Predator in the Wall

This story takes place long before Killer, our station cat, moved in.

There was a large fire in my area and I was assigned as the Staging Officer. It was late into my tour, which meant I’d be stuck long after I should have gotten home. At one point during the incident, a firefighter, holding a box, moved past at least eight other EMS people and handed it to me. There was a cat inside, he told me, and he hoped I could take care of it.

I will always wonder why this stranger gave me, of all people, the cat. It’s as if he knew I had a bag of cat treats in my command car and cat food in my locker.

I brought the cat to the command car and slowly opened it. Inside a pair of wide eyes glared at me in fear. The all-black cat blended into the darkness of the box. I dug out my cat treats and dropped a few in the box. I also cut down my water bottle to make a little bowl out of what was left in it. The cat looked OK, no burns or breathing issues. He let me pet him cautiously. I tried to reassure him with the soft, cat baby talk that makes my own kitties know I’m wrapped around their manipulative, fluffy paws.

I closed up the box again, poked a few holes, and resumed my location at the fire as I tried to figure out what I was going to do with kitty. Taking him home was not an option. My house was already overflowing with furry and feathered housemates as a result of my terrible record of keeping animals ‘temporarily’ until other situations materialized.

It was an early Saturday morning and any rescues I knew of only had their answering machines on for the weekend. I was exhausted, had to be at work again in a few hours, and didn’t need a new project added to my day. I decided to bring him to my station, set him up in one of our large, empty storage closets, and postpone my rescue mission until the next day when I would be off. I let the day supervisors know of my plan and put a note on the door warning of the small predator inside.

The closet I put him in was a meter room. It was about 5 feet x 5 feet and the only things in it were meters mounted on the left wall and some pipes in various places. The pipes and tubing were mostly thin and vertical and the meters were at least 5 feet off the floor. The room could only be accessed with a key on the lieutenant’s key chain.

I didn’t see the point in telling our new captain of this small development because the cat would be gone before she came back in. I rationalized that she would, of course, be OK with it if she did know. At any rate, I ascribed to the philosophy of it being easier to beg for forgiveness than ask for permission.

That evening when I came back to work, the station was abuzz about the cat in the closet. Back in those days, an animal at the station was a real novelty. Everyone was interested in him and it seemed that throughout the day many people had opened the door to get a peek at our visitor. But when I opened the door to check him, he was missing.

“What happened to the cat?” I asked one of the EMTs walking by.

“I don’t know. He was in there before. He was real mean,” he told me.

I asked who had taken him out. No one knew.

I continued to ask when I saw another EMT who seemed to know.

“I went to check out the cat,” he said. “He looked scared and he jumped on the pipe. I think he’s feral. He kept climbing.”

“But where is he now?”

“I think he kept climbing,” he shrugged. What was that supposed to mean?

I gave the closet another look. Most people would assume that the ceiling and the walls were attached. It looked that way from the ground. Between the ceiling and the wall was steel beam that, from the ground, looked like it was attached to the wall. But could there be a gap? We got a ladder and discovered that, yes, there was about one foot of space between the ceiling and the wall.

What kind of misfit put this place together? What was the point of that gap? And how did the cat know?

I shined a light into the gap and heard a hiss. Once again I saw those eyes peering up in the darkness. I had no idea how the cat had made it up there. Most of the piping was vertical. The horizontal areas of pipe were very, very high up. This cat had skill. I stuck my hand in the gap to reach the cat and got scratched. It was going to be a long night.

Two other women whose shifts had ended came over to help. Behind the wall, there seemed to be a square made out of cinder blocks that the cat was in. It was about one foot below the top of the wall.

We took turns injuring our hands by trying to lift the cat out of the cinder block square. He was either stuck or didn’t like the idea of being rescued, or both. It took a terrible angle to get our arms in a position to pick up kitty and when we did he fought us. We tried wearing gloves to minimize the blood loss but he would slide out of our hands with them on. Things were getting desperate after more than an hour of trying.

I decided to go in naked, no gloves. I was going to take my bites and scratches and just get the cat out once and for all. I figured that I would just deal with the injuries. How bad could it be?

I stuck both arms in. I felt the cat and got my hands around him. I suddenly felt hot pain in my hands as the cat scratched me. I held on. I started to lift him up and felt him clamp down with his razor-sharp teeth, the ones that are designed to kill things. The pain was unbelievable. But I held on. I felt my hands get wet with my own blood. I almost had him over the wall. Then he squirmed and I lost him. The cat won.

I pulled my bloody hands out of the gap. It was worse than I thought. They were completely red with blood and swelling. Parts of my hands were blue. I could barely move my fingers. Blood continued to pour as I wrapped my hands in some trauma dressings. A small crowd had gathered for the rescue event and now they gathered around the spectacle of my injuries.

The mob told me I had to go to the hospital. I agreed to go though I stalled for a time, wanting to know what the game plan for the cat would be.

A collective decision was made to get in touch with ESU. The Emergency Service Unit of the NYPD is a specialty unit designed to handle unusual situations. They have all kinds of special tools and tactics. Surely they could help us with the cat.

We called them unofficially, at the precinct, to see if they could stop by and give us advice or loan us something that could help. They came over quickly and told us they would be taking over the rescue operation. There was no way, they told us, that cat was not going to be rescued.

One of them saw my hands and told me that I should have worn gloves. I told him about the friction issues and he assured me they had gloves that would be able to grip the cat. I was skeptical but they had experience with situations like this, probably. I was just grateful that people with actual tools were going to work on this. That cat was in good hands. I decided to walk up the hill to the hospital that was next to our station.

It was an eye-opening experience to be at the hospital for an extended period of time, instead of the shorter intervals we normally spend there.

The hospital by our station, on a weekend, is a madhouse of all kinds of mayhem. I witnessed an entertaining argument between two people who didn’t speak the same languages. I saw stitches being given to someone with a gash down the entire length of her leg, and I watched another family demand that their adult son be transferred to a ‘better’ hospital despite getting excellent, attentive care.

I was parked in the minor trauma area, far away from the influx of madness but close enough to watch. I sat in a comfortable chair with my hands wrapped in loose, bloody bandages awaiting my tetanus, rabies, and antibiotic injections.

I had been waiting a long time when I noticed one of the ESU officers walking into the ER. His hands were covered in trauma dressings as well and they were becoming red. The hospital staff parked him next to me.

“There’s no friction with those gloves,” he said. I nodded and showed him my hands again.

As we sat and waited, the officer told me that they do many animal rescues. He said it’s much easier dealing with dogs rather than cats because even though dogs are more dangerous they are also more predictable.

“All bets are off with felines,” he told me. I understood.

It was just the two of us for a short time until a third set of bloody hands made their way into our now-exclusive section of the ER. One of my coworkers had given the gap one last shot before they started using power tools to break down the wall.

“They’re breaking down the wall?” I asked, somewhat horrified. Good Lord, what was the new captain going to say?

This whole operation had my name all over it.

I spent much time sitting there waiting and imagining the various scenarios. I pictured myself giving our Captain an explanation of how her meter room had been dismantled. None of them ended with “Why Nancy, that was a great idea!” The pain in my hands lessened under the weight of what was to come.

It turned out, the remaining cop had only to remove two cinder blocks for kitty to be liberated. One of the women took him home. She planned on taking him to an animal rescue organization she helped out at.

In the meantime, three uniformed people sat in a row in the trauma room. Six bloody hands loosely wrapped in bandages awaited treatment. We looked as if we had all been victim to a horrific razor blade attack. People walking by would look at us with concern asked what terrible disaster had transpired.

“Cat,” we’d answer in unison.

One small cat had done all of us in.

ceiling gap with cinder blocks removed

The Panhandler’s Brawl

No one expects panhandlers to keep banker’s hours, but having someone bang on your window, cup in hand, at 3 am is more than a little unnerving (and unlikely to result in a donation). For a woman working alone, it’s a huge a safety risk to roll down the window for a random stranger in the middle of the night. Even though the possibility exists for it to be a real request for assistance, in finding an address or to alert me about a possible medical problem, it’s not something I would normally do. But sometimes, particularly in the summer months, the absent-minded desire for a cool summer breeze brought about by an open window can make you fair game for the cash-soliciting opportunist.

Like every lieutenant, I have my regular locations where I park to take a break from driving. For a time, I had a rash of men asking for cash at not just one of my “spots”, but all of them, as if I had a strange GPS homing device attached to my command car. The odd thing was that all of the men universally told me they needed the money specifically for the purpose of buying baby formula. The details of their stories varied but the ending always involved a poor infant somewhere being deprived of sustenance.

In my head I would wonder where one would even purchase infant formula in the early hours of a new day. The location was never near a 24 hour supermarket or any other stores that might carry it. It fascinated me how so many different men used the same story. Where had they all come up with this idea? How could there be so many babies suffering, waiting for these men to return after successfully locating kindly strangers to pay for food, food which is advertised all over the city as being available for free with certain assistance from city agencies.

Luckily, at our station we actually had infant formula. It had been left over from a recent food drive or humanitarian aid campaign after the person giving it missed the donation deadline. As the supply waited in limbo for the next charity drive I noted a soon approaching expiration date on one of the containers, making it perfect to give away to the next stranger that interrupted my midnight hour me-time.

I carried the little canister with me every night I was on the road but it wasn’t long before another dedicated baby advocate made his way to my vehicle.

“Can you help me ma’am?” he asked. “I’ve got a new baby at home and we are out of formula at the moment. It’s not like I can talk to the social services people to get another voucher at this hour. Just a few dollars and I think I can get enough to feed the little guy until tomorrow.”

He would probably wonder about the incredible coincidence as I made his day, I thought. “You know what?” I told him, “You are in luck! I would love to assist your baby. What’s his name?”

The man’s face lit up as he told me “Henry”. It made my heart swell knowing I could provide a real service to this man who would no longer have to wander the streets in search of food for his new addition.

“You tell little Henry that we at EMS have his back and welcome him to the neighborhood!”

“I certainly will!” he said happily as I dug around behind my seat.

Finally, I pulled out the prize: Baby formula! It was exactly what he had asked me for.

I was surprised the man wasn’t ecstatic. His search had ended, the long walk was over. He didn’t even need to go to the store. He could go straight home now. The hero EMS lieutenant had taken care of all of it!

And yet I had never seen anyone so disappointed to receive exactly what he had asked for. For a moment it looked as if he was going to say something else but thought the better of it before walking away, dejected. He turned to give me a quiet ‘thank you’ before he did.

**************

A few weeks later I was approached for a hand-out while I was waiting behind another car at a traffic light. It was near the corner of a major thoroughfare and on the weekend, in the summer. It was early, around 3 or 4 am when the panhandler spoke to me through my foolishly half-way lowered window.

“Hey there boss-lady,” he said in an extremely friendly tone. “Can you please help a man out?”

Another man immediately appeared after that first one. This man tapped the first on the shoulder. “You should know better than to bother a woman all alone in her car!” Finally someone got it. If I was going to search through the seat cushions for change, and I wasn’t, he would have been the one entitled to it.

“It’s not safe out here!” the second man continued. “It’s the middle of the night, early morning even. We can’t expect a woman to roll down her window to a complete stranger!”

“But she’s EMS,” said the first man, as if that alone precluded me from the general safety concerns of other women.

“It don’t matter,” said the second guy. “It’s not safe. Would you want your daughter doing that? You should be ashamed of yourself.”

The original panhandler didn’t seem fully convinced but backed off, away anyway. When he had retreated away far enough the second guy came closer to my window. “Can you believe this guy?” he asked me, shaking his head. “But since I got rid of that guy for you, how about a small donation?” That was quite a slick maneuver I had to admit.

All this time I was behind a large SUV at the light. But the light had changed and the SUV wasn’t moving. I came to realize he was double parked but I had no real way of squeezing in between the space he had left next to him. I was essentially trapped. I noticed this around the same time a third man approach my vehicle.

“Listen, man,” said this third man to the #2 man. “This is my corner. Who told you this was OK?”

“I’m just helping the lady out,” said #2 to an unconvinced #3.

“It looks to me like you’re helping yourself out,” said #3. “You need to leave.”

A short exchange took place near the front corner of my vehicle as I desperately looked for the driver of car the blocking the road get out of my way. While I was looking around I noticed the first guy watching the exchange with interest. He slowly made his way back over.

“I didn’t leave just so that you could come over and take what was coming to me!” he announced to the #2 man with anger and great indignance.

I felt somewhat like an impala carcass being fought over by lions and hyenas. If anyone should be indignant it should be me. I wasn’t planning on handing out cash to anyone at this juncture and I was desperate for an escape plan. Now a fourth man meandered over. He seemed to come over to assist #3. This caused #1 and #2 to become temporary allies.

The angry discussion escalated very quickly in a short period of time. Fingers were pointed dangerously close to faces. Then, it was bound to happen, one of those fingers came in contact with a chest. It was barely perceptible to the average voyeur (me) and consisted only of the light brushing of a fingertip onto fabric but it was a move quickly met with more fingers clenched into a fist backed with considerable force.

#1 was the unlucky recipient of the brutal blow. He would have been smart to have remained sidelined earlier. He was the smallest of the four men and seemed to have been drinking enough to already have been impaired. #2 rose to his defense, punching back in return but #3 was a large hulk of a man who obviously used his panhandling income on gym membership. After being shoved back, #2 retreated but continued to complain and shout out angry statements.

While this was going on, I got on my radio and requested assistance for the injured man and other anticipated casualties. The double parked car in front of me had finally moved but I was still trapped at my location now that I had patient here.

The brawl had attracted the attention of several others who now made their way over. The newcomers seemed to be curious about what was going on and followed behind slowly. Some of them used the opportunity to complain about other onlookers who they were familiar with. Small little groups were forming and they were taking sides. They could also, possibly be sparring over other disagreements. All I knew was that there was a growing group of men angry at each other. Where had they all been hanging out? Why weren’t they all at home, in bed, where I wished I could be? Was this a late night for them or were they early risers?

I noticed that one of the curious onlookers was the recipient of my baby formula donation from a few weeks earlier. Shouldn’t he be home with the baby? Had he run out of formula again, already?

The fight started moving further up the street with #2 yelling and #3 following slowly. I got out my tech bag and went over to #1 and started bandaging his head. As I handed him an ice pack he told me that I was to blame for everything that had transpired. He didn’t want to, he told me, but he had no choice. He was going to sue me, personally, for what had happened to him. Benevolently however, he recommended a lawyer for me. “You used them?” I asked. No, the jingle was just stuck in his head.

What about the man who had actually hit him? #1 told me he could find his own lawyer, should he decide to sue me. “You’re not going to sue him for doing the actual hitting?” I asked.

“No,” he looked at me like I was crazy. “He doesn’t have any money. If he did he wouldn’t be out here at three in the morning. How would my lawyers get paid if he don’t have any money?”

Two police cars came to the scene and the crowd started to disperse. Several ambulances showed up behind them. My injured man got in one of them but some of the other ambulances found themselves with patients as well. A few of the onlookers decided to use this opportunity to seek care for long delayed medical concerns of a low priority. With the fight called off, they decided, they may as well go to the ER.

The Cheese Sandwich

EMTs and paramedics are required to attend many training classes, exercises, and updates. Every few months, we receive orders sent to our stations notifying us that we have been scheduled to spend one of our days off at the training academy, usually for a full eight hour shift of overtime. It gives us the chance to meet old coworkers who may have transferred, meet others who work in different parts of the city, and sit side by side with colleagues of various ranks who are participating for the same reasons.

I was lucky to attend one of these days of training with one of the mentors I tried to model myself after when I became a lieutenant. So on that day, in addition to learning about whatever topic was being talked about, my favorite supervisor taught me the equalizing power of the ‘cheese sandwich’.

Possible recipients of the culinary delight usually make themselves known early in the shift, often when everyone is milling about, seeing who else they will be spending the day with. When we walked in, my mentor picked him out right away.

There was another lieutenant in our class who I knew was disliked by many EMTs and paramedics. As it usually turned out, those same people are also unpopular with others within their own rank as well. This lieutenant was complaining as we walked in, of being inconvenienced because he had to come here, overlooking, I suppose, that all of us were here on our day off when we could be doing other things. He bragged about how far he had to drive, since he lived in an exclusive Long Island zip code. The rest of us wouldn’t understand what that was like, obviously, because we all lived in the slums of NYC, but apparently, it was a long drive, a very long drive. And there was traffic, lots of it. Traffic, however, didn’t seem to be of concern later as he continued to lengthen our lectures by interjecting his ‘unique’ work stories, not for our entertainment, but to let us all know about the hardships he’s had to endure. He didn’t need this training day, obviously. He had more than enough experience. We should be learning from him.

Most of the time, training days follow a predictable pattern. At the beginning of the day, the instructor will come in, give a brief outline of what is on the schedule, and, before starting, circulate a lunch list. Our academy is located in Fort Totten and sometimes we do training drills on Randall’s Island. Both locations are extremely isolated and with only a half-hour for meal, it would be difficult to leave, get food, and come back in time to eat it. So one of the options they came up with was to send around a menu from a deli they have an arrangement with and place an order to be delivered in time for the meal. The deli they use is very popular and most people place an order.

The menu and the order list got passed around the room during the first lecture. When it made its way to us sitting in the back, we had an opportunity to review what the others were anticipating for lunch, and make changes as needed. Our inconvenienced complainer of the morning saw his “Roast Beef Sandwich with Mayo” swapped out for “One Slice of Muenster Cheese on White Bread, please”.

After it was delivered, the class got to enjoy the ramblings of the loudest complainer of the afternoon as well, as he was cranky from having nothing but a slice of Muenster cheese on white bread for lunch (peasant food). He was about to complain to the deli but on the order sheet, it was clearly written that he had received exactly what was specified.

“Someone’s a big joker, I see.” he told everyone, proving once again that he was the smartest man in the room. He sought solidarity with me, after reviewing the whole list, saying “You and I, someone’s got it out for us.”

“Um, I actually did order a cheese sandwich,” I told him quietly.

He viewed me with suspicion. Why would someone CHOOSE a cheese sandwich when there was roast beef on the menu? I was vegetarian at the time and he most likely considered me a suspect. Now that I’ve given up dairy as well I would have been way more annoying, of course. [And since I I’ve opened up this opportunity (***warning***) to be truly, stereotypically annoying I will add that as a connoisseur of the cheese sandwich, even though mine are slightly less enjoyable these days, it needs to be noted that meatless sandwiches are lovely in their own right. There are all kinds of substitutes out there that are great too, but seriously, salad on a bread is a wonderful and creative way to eat healthier. I’ve even provided a few links at the end.]

OK, we can get back to vengeance now…

Another variation that has been done involved calling the deli while they were making the orders and complaining in advance. When you call them you pretend to be the person who ordered #12. You tell them you have ordered the lunch list sandwich many times and they have yet to provide you with acceptable sustenance. You don’t have much optimism but you hope that this time they might possibly provide more than the few strands of shredded lettuce that you’ve become accustomed to getting. The bread will probably also be terrible and well. The cheese, there’s never enough cheese but what choice do you have? You’re stuck at training, you expect to be disappointed. Perhaps next time a more suitable vendor can be contracted. This all practically guarantees a nice sandwich on old bread that would have otherwise been tossed. Your recipient will receive far more of the necessary greens he is probably low on and it should also, most likely, come with an extra helping of saliva.

One accidental variation I have been told of, involved someone ordering a ‘cheese sandwich’ for someone else and then feeling bad when that sandwich was delivered. They offered their own sandwich to the recipient as consolation and became seen as a huge hero, getting kudos from many who witnessed the act of selflessness. There are probably many other variations out there and it is my hope that the younger generation will build on what has been created.

The ‘cheese sandwich’ eventually evolved to become an all-encompassing term that implied necessary vengeance and applied karma when it was said with relish. When the person you dislike who has been jumping through all kinds of hoops to get promoted suddenly gets denied, it can be said that he was handed a ‘cheese sandwich’ by management. But the term “cheese sandwich’ could also mean that you’ve gotten screwed over when said with disappointment or anger. If a person gets in trouble for something everyone does, like when they ask the dispatcher for a 10-100, which considered a bathroom break, but get caught buying food instead, the infraction paper that they receive from our enforcement arm is referred to as a “cheese sandwich.” Some of us have evolved toward using the ‘cheese sandwich’ metaphorical term in non-work environments, leading to either an elaborate explanation, or even better, a confused conversant who isn’t sure whether they want to know. Metaphorical or real, I think we can all agree that most cheese sandwiches should be avoided.

************

Even though this story wasn’t really about lunch itself, here are a few links for some great plant based lunch options and a video on why it’s best if a true cheese sandwich is avoided as well.

https://namelymarly.com/best-vegan-sandwiches/

The Kazoo

One of the worst parts of being a supervisor is being forced to answer an incessantly ringing phone. If you are a prank phone call enthusiast this fact allows for many opportunities to unite with your coworkers in a creative team-building activity that helps with morale. As someone who took part in so many of these exercises to improve station spirit, I knew one day when I took the promotion to lieutenant that I would eventually have to be at the receiving end at some point. So I accepted my inevitable pranking with professionalism.

At first I was disappointed in the lack of effort, then at the poorly thought out themes. I allowed for the fact the younger generations were more familiar with texting than calling but the fact that they still tried every once in a while should have caused them to come up with a better game plan. But eventually a formidable pranker rose to the fore.

The first round of calls involved someone trying to sell all of us chained to our desks a blender popular on the infomercial circuit. He called repeatedly causing most of my coworkers massive headaches as they were required to pick up the phone shortly after slamming down the receiver moments before. But I enjoyed engaging with him, acting immensely interested in buying a blender and asking for an extended sales pitch. My pranker was able to think spontaneously and keep up with my demands. My partner watched me during one phone call and started screaming at me to hang up. “It’s a scam!” she screamed. “A scam!” I completely ignored her as I prepared to give up my phony credit card number.

It was a nice change but just a step above amateur. But then one of my crews got the fantastic idea to hand their phones over to drunk patients after calling me. It led to some fun conversations. They eventually figured out the best person to give their phones to was a homeless man named Jorge.

Jorge used to ask me philosophical questions and answer me with completely unrelated topics.

“Hello, lieutenant.” he used to say. “Why do we need one million different kinds of wine? Do you think if someone was blindfolded they could really tell the difference? I call bullshit on that. Do you like vodka better? I do. Vodka makers don’t play the same kind of stupid games.”

“There’s like a million different brands of vodka.” I’d say.

“My doctor says I don’t get enough fiber.”

“Maybe they should put fiber in vodka. Vitamins too. Fortify it.”

“It’s been a long time since I had a smoke. I sure miss it.”

My crews would give me updates on Jorge from time to time since I never seemed to run into him on the nights I was on the road. I learned when he had broken a leg, when birthdays occurred, how many of the homeless women he was interested in and his luck with dating them. He was definitely one of the better regulars. One of my crews liked him so much they gifted him a kazoo.

For many nights thereafter I was serenaded on the phone by kazoo. Though I missed our intellectual discussions, I enjoyed the musical performances more. He really put his heart into them. My crews told me how much he loved learning to play new songs and give performances to anyone who would listen. Unfortunately one night, during a long drunken binge, he lost his kazoo. Or perhaps it was stolen by someone who did not appreciate his instrumental abilities. Either way, it made Jorge extremely sad.

When I found out about the missing kazoo I decided that it had to be replaced. Not only was I missing out on new Jorge material, I was sure the other lieutenants who worked the desk lamented the loss of our local talent. When I finally found one I carried it around with me and asked my crews to help me find Jorge so I could give it to him personally when I was on the road.

My crews called me the next night I was out and I met up with them. I got to meet my instrumentalist in person. He seemed like a friendly, happy man and I could see why so many homeless women found him to be a catch. Presented with my gift, he cried tears of happiness.

“The nurses,” he told me, “will be so relieved I can play again. The other patients in the hospital too. You helped so many to enjoy my songs again.”

I was grateful to share the gift of music with others.

After testing it out he took out his government-issued cell phone. It was a huge chunk of a phone, the kind most of us thought was a technological upgrade from the flip phone back when cell phones were just novelties. I watched him as he turned it on and went to his directory. I looked at his “recent calls” log and I saw the list:

911

911

911

(my station)

911

I discovered that he had called me on his own, not just when someone gave him their phone. It warmed my heart how my crews had set up perpetual calls for me. They were true professionals and I felt the torch had been successfully passed.

Social Media Hostage

I became a lieutenant around the time when a lot of young adults were abandoning their MySpace accounts and moving onto bigger platforms like Facebook and Twitter. Although it was recognized that most of us carried a phone we weren’t supposed to use them and of course, never on a call. Social media, on it’s own, also posed some new challenges to the department and a “Social Media Policy” was eventually created. It was during this time that I received a barricaded EDP job where the patient was locked in his grandmother’s apartment and holding his sister hostage.

The grandmother lived in public housing and had, at one time, allowed her 16 year old grandson to live with her for a while. Her son, she said, had “lost control and patience with ‘David'”. The grandmother thought she could help mediate the situation by having him stay with her since she had always had a good relationship with him. But unfortunately, not long after he moved in, he started doing things she didn’t approve of, including some criminal activity and drugs. Despite grandma’s best efforts he would not stop and she feared being evicted from her apartment should her grandson be arrested. She called her son and he had arrived that day to bring David back to their home in another state. After locking himself in the apartment (and locking his grandmother out) David’s sister, Mary, tried to get him to come out but instead became locked in the apartment with David. That’s when the family called the police.

Most of the time, these barricaded-type jobs involve waiting long periods of time for the police to get into an apartment. Before breaking down the door a lengthy negotiation often takes place either on the phone or through the door and while this is going on a long line of police officers stands by in the hallway. I and my crew also wait in the hallway, often at the opposite end. It seemed like an extremely long negotiation. The police were very much hoping David would open the door himself. So was I. It was summer, extremely hot, and there was no air-conditioning in the hallway. Everyone was restless.

My crew had spoken to the family and gotten much of the information for the call report already. All they needed was David, and possibly Mary. It was unclear at the time if David would be regarded as a mentally ill patient and a determination would be made based on things David said to the officer along with information the family provided about his history (and he had no history previously). All we could do was wait and see how things played out.

I made periodic trips to the other end of the hall for updates and on one trip back to our end of the hall, I saw that the female half of my female/male crew was using her phone excitedly. It looked unprofessional and I went to say something to her.

“But Lieu,” she said, “I found David online.”

“Our David?” I asked, pointing down the hall.

“Yes!” she said. “He’s livestreaming right now, acting like this whole things is a media event. He’s bragging that PD is buying them milkshakes and basically saying how he’s getting over on everyone.” I watched on her phone how our patient and his sister were interacting with their audience. Many of his friends were just downstairs filming things on their end and posting to David’s account. Both David and Mary seemed very comfortable being on camera and did not seem to be too concerned about the actions going on on the other side of the door.

I borrowed her phone and went over to my PD contact person. He was instantly mesmerized by the videos. He took the phone and moved up further in the procession to the negotiator. I watched the shocked and surprised expressions on everyone. They brought the phone back to my crew and asked them how to interact with David on this platform. The police were able to pretend to be followers asking him vague questions about their motives and were able to discern that there were no weapons. They continued to distract him while the Emergency Service officer got to work breaking down the door. This was also livestreamed on their end, as was David’s arrest a short time later.

We did not take David to the hospital as he was not considered to be an “EDP”. We did take his sister, Mary. She claimed to be deeply traumatized, despite her performance in the videos.

The police were extremely grateful for our assistance and the way it was handled through social media. I tried to put my crew in for some recognition from my department for their forward thinking problem solving but was discouraged by many officers up the chain of command. They noted that the use of the phone itself was problematic and felt that rather than getting a commendation we would all face some kind of discipline given they department’s distaste for social media. On the PD side, I speculate that the officers received congratulations and honors for the out-of-the-box techniques used on this particular call.

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