The career archive of a NYC paramedic

Category: paramedic (Page 3 of 3)

The Sign In Sheet

One of my favorite partners was a notorious serial dater. I loved working with him for many reasons but his dating life really added some entertaining spice to our day. His social life left little time for sleep or recreation and I was fascinated with how he juggled his long list of romantic entanglements. Most of his relationships tended to overlap and sometimes the various women involved would find out that their romance had not been exclusive. “I never said it was,” he’d tell me, confused as to why women would get so angry when they found out about the others. As EMS people, with unusual scheduling issues, these conflicts, of course, found their way to the workplace, since that is where his pool of date-able women often originated.

The furious aftermath of their short term alliances led to many angry women showing up at the station after work and during. Some left nasty letters on the ambulance and several would develop stalker behavior. He was always very unbothered by all this. Their problem was never going to become his, he told me. He had such a pleasant, cavalier attitude to everything. One of his ex’s threw a very thick milkshake at the ambulance windshield that used up all our washer fluid to remove. “She always had a very good arm,” he’d tell me.

Seeing how women were drawn to him was incredibly interesting as well. Women would come on to him while we would be treating their husbands family members. He told me about taking one woman out who had been the daughter in law of a previous patient. “The mother in law babysat her kids that night so she could cheat on her son!” he told me, almost as shocked by this as I was.

There was an ER doctor that he was seeing who was very comfortable with having a casual relationship. She seemed like a fun, nice woman and she also had a difficult schedule as well so my partner’s no drama personality suited her. But she also wanted a baby. She was getting older and the biological yearnings for a child were constantly warning her that her time was running out. She offered him a no-strings-attached deal to father the child she desperately wanted and was happy to raise alone. My partner said he would love to ‘help her out’. There were many shifts that were cut short as he left work early to provide his biological material. “She’s ovulating right now. I better hurry,” he’d tell me with all seriousness.

He had neglected to tell her, as he neglected to tell many of the woman he was dating, that he’d had a vasectomy years before, after the birth of his daughter. “Don’t you feel guilty?” I asked. “You’re robbing her of possibly her last chance to have a child of her own.”

“I’m doing this woman a favor,” he told me. “Kids are a lot of work. She has no idea what she’s in for.”

Sometime later she moved on to in-vitro fertilization, believing that all the issues to conceive were on her side, given that he had fathered a daughter.

Many of the women he dated would come to him with worries that they were ‘late’ and he would light up, telling them “that’s WONDERFUL! Maybe it will be a boy, and my daughter can have a brother! But I’m pretty sure you’re just late,” he would tell them, confidently.

There were some people who used the word misogynistic to describe him and his nefarious ways with women but I never thought so. In fact I felt he was very much the opposite. Most of his friendships were with women and he never said anything negative about the ones he dated. In fact he adored them, all of them, at the same time. His positive attitudes towards women could be found everywhere. A group of us were complaining about a much despised captain and conversation had spiraled downwards to making fun of the way her uniform would never fit in any flattering way, causing her to be compared to a misshapen garden gnome. My partner’s contribution to the discussion was to point out that she had lovely eyelashes, the kind any woman would die for. He said it with complete sincerity. He could always find something positive about anyone’s appearance and could offer styling tips to improve further.

But for a time his dating life caused us some issues at work, at least I felt they did. One of his ex’s, who was a nurse at a hospital we went to every day, was extremely hostile towards him, and I by association. I felt a bit uncomfortable talking to her because her personality around us was very curt and short and sometimes rude. But my partner took it in stride, refusing to acknowledge any difficulty and treating her with either saccharine friendliness or as if she were a complete stranger.

One day she was working in the non-urgent area where she was doing triage. We had brought our patient in, sat him in the waiting area, and put his name one the list. Wanting nothing to do with us she made every effort to make us wait as long as possible. Normally the triage nurse would listen to our presentation, sign for us so we could leave, and the patient would be registered by the time she called on him when it was his turn. But she would only talk to us when our patient was called in the order he was on the sign in sheet. She made sure that all the other people on the list ahead of him would be fully taken care of first, with detailed interviews, several sets of vital signs, writing on the forms very slowly, ripping them up and starting anew when she made a mistake. She seemed to think she was punishing us by preventing us from going out and getting another call. When she finally did get to our patient, the slow, lengthy triage process moved forward with lightning speed and without even looking up, she quickly signed her name in anger, almost ripping the form. I doubt she even heard one word of my synopsis.

None of this bothered my partner. But when our next non-urgent patient wanted to go to the same hospital and seeing my oh-here-we-go-again reaction he told me not to worry, things would be different.

At the hospital my partner took my paper and went over to the small triage room. He gave her a big smile through the small cut through as he took the sign in clipboard. Knowing that the last name on the list was our patient she would, as last time, go through every name before it slowly, calling everyone before ours, even those who had been called earlier and had not answered. My partner wrote several names on the list, using different handwriting, and ended with our patient. He quietly replaced the clipboard, handed me our call report, and remarked that even though we might wait a long time with this patient, he doubted we would with any future patients that day. He gave me a smile and went off to flirt with the girls at registration.

When his ex-girlfriend-triage-nurse came out she gave me an unappreciative glance and took the list. With her stalwart look of efficiency she stood before the waiting room with the clipboard and called out for Peter File. I could see the frustration in her face as Peter File failed to come forward. “Peter File!” she called loudly. “You’re next!”

When Peter File didn’t answer, she asked for Clea Torres. “Hello? I’m looking for a Clea Torres!” she shouted. Did she really not hear herself yelling out these juvenile fake names?

Apparently not, because she continued down the list asking for Hugh Jassol. She was getting a bit desperate because there was only one name left on the list before our patient. Hugh Jassol was called many, many times. The entire waiting room looked around smiling, wondering if there had really been parents so mean as to name their child in a way that would subject him to much bullying, no doubt.

The only name left now was Jack MeHoff. Jack MeHoff had to show or she’d be forced to deal with me after a normally short waiting period. How would her ex learn that he shouldn’t have ended things with her if his partner wasn’t mildly inconvenienced?

“Jack MeHoff!” she yelled. “Jack MeHoff?” She was pleading for there to be a real Jack MeHoff to come forward. Everyone in the room except her seemed to realize she was calling out a crude masturbatory term. You could hear the desperation in her voice. She even went so far as to ask several of the men in the waiting room. “Jack MeHoff?” she asked one man sitting in the back.

“Certainly not!” he indignantly told her.

Arrest Me, Please

A man had called 911 for an accident he had. He said he was on a median and gave the street name that he was on, but instead of “street” it was really an “avenue”. When NYC likes a street name they tend to give it to several other roads as well, often parallel and in the same vicinity. It’s all part of the charm.

At some point our crash victim called back. Text in the call information stated he was “still waiting and getting impatient”. This time around he gave some landmarks and a few other street names nearby and we could figure out what area he meant. He had driven his car over a curb and into a light pole on the median. He would never give a good reason for the collision; no talk of swerving to avoid an obstacle, or another car forcing him off the road. He wanted us to just accept that the event had happened and just deal with the aftermath.

The front end of the car had a bit of damage and was leaking. There was also a screwdriver wedged into the front passenger door by the window. Inside the car we saw an open beer can in the cup holder and several stuffed animals lined up in the rear window that didn’t seem to have been affected by the impact.

The driver was a young man in his early 20’s with brown hair and brown eyes. He was walking around the car casually and talking on his phone. When we approached him he did that annoying finger thing rude people do to indicate they will be with you in a moment. Eventually he finished his call and complained to us about how long he had to wait. “What if it were an emergency?” he said.

We brought him over to our ambulance so we could check him out. He didn’t have any real medical complaints. He said his hand hurt somewhat but he could move it normally without much pain. Then he mentioned his ankle. He remembered it twisting when the car hit the pole. But it too seemed OK and he had walked on it without any issues.

When the police arrived our patient seemed unconcerned when they asked him for his drivers license and registration. He only handed them his license. “The car’s not mine,” he told them. “It belongs to my cousin. I was just borrowing it.”

“We still need the registration.” said the officer.

“You do?” he asked, very surprised.

“We’re going to move it out of the way and then we’ll talk about it.”

Again, the patient seemed unconcerned. When the police came back they asked if he was going to go to the hospital. The man decided that he didn’t want to go. The police waited until he signed our paperwork refusing transport and then they read him his rights and arrested him.

The car had come up as stolen. There was every indication that it was even without checking a database. The car had been running but there were no keys. The car had been hot-wired and there were an assortment of tools in the car that were geared towards car theft. There were also some other stolen goods in the car that were not connected to the car theft.

Could our impatient driver not have known how suspicious everything would look when he called? Initially we thought his cousin had perhaps stolen the car and our patient had taken it without knowing. But it didn’t explain the creative starting mechanism. And it turned out that, of course, there was no cousin. After coming up with several different versions of events that were easily discredited with the slightest follow up questions the patient admitted that he had done everything alone. When the police searched his jacket later they would also find a substantial amount of narcotics.

Was this his first stolen car? Was it his first time doing something illegally? I can’t imagine he would have ever been successful as a criminal. Our guy (not so) patiently waited for a 911 response he had initiated. He called several times for an accident he could have very easily driven away from. But instead he was going to jail.

“Why did you even call 911?” we asked him.

He looked at us like he couldn’t believe he had to explain it. “Because I had an accident. You call 911 when something happens.”

The Polygamist

Along with smoking and poor diet there are other factors that can endanger one’s health and longevity. Although not cardiac in nature, one man’s poor lifestyle choices led him to call 911 for chest pain on several occasions. His heart problems began when he complicated his life by sharing a 700 square foot apartment with the three girlfriends he was juggling. “I’m a man who loves too much,” he would say. “I can’t help it. No one woman could handle all that I have to give. My heart is just too big.”

“He’s having a heart attack,” said one of the girlfriends as we arrived. She said it with no great urgency, just matter-of-fact, and directed us behind her. We entered an apartment whose decorating scheme centered around large storage container boxes doubling as furniture. In addition to the containers being used as tables and stools, one held a small toddler who would be pushed around the apartment by 5 or 6 other small children while we were there, all happily oblivious to the events going around them. The place was already chaotic and we hadn’t even met all the wives yet.

We found our 42 year old male sitting in a chair flanked by the other two women in his life. They were each holding an arm and stroking his hair. He was hyperventilating and clutching his considerable belly. A plethora of prescription bottles were found on a bright red plastic storage container that doubled as an end table.

“Please,” he said looking back and forth to each woman with a pained expression on his face. “Please get me a cold wet rag for my forehead.” The two ladies looked at each other for a few moments before one of them reluctantly got up. She must have known doing so would cause her to lose her spot. When she got up the woman who had answered the door took over the left arm position which clearly annoyed the woman getting the wet rag.

As we cleared some space for our equipment a chubby little arm attached to a curious little girl stretched out with a lollypop for me. As I declined, I told our patient, Miguel, how cute I thought his daughter was and how we shared a proclivity for sweets.

“Oh she’s not his.” said one of the girlfriends. “Only three of these are his, two with me and one with her,” pointing to the other older girlfriend.

“And another on the way,” said the youngest one, proudly patting her belly.

As we extended our congratulations we noticed the other two women looked at each other and rolled their eyes in displeasure. The younger woman saw this and smiled even more. There was definitely and underlying dynamic going on here.

“I got other children too,” said Miguel. “They just don’t live with me.”

This man had quite an extensive love life, obviously. What kind of charm did he hold? He definitely wouldn’t be considered attractive in the conventional sense. He was overweight and missing a front tooth in a set of broken yellow teeth. Hygiene didn’t seem to be an priority, including the food clinging to an oddly shaped handlebar moustache. How did this man have three women fighting over him?

And what of these women? What was in this for them? Were things that grim in the dating world? I felt that they could probably do better. They were more than moderately attractive with pretty faces. It seemed that Miguel had a ‘type’ in that all three of the ‘wives’ looked as if they could be sisters, or at least related.They were on the tall side, taller than Miguel, heavy-set and had long curly hair. Two of the women were probably in their late 30’s. The younger one was in her early 20’s.

As I attached our cardiac monitor to Miguel and took some vital signs my partner approached one of the older women and asked if they could assist by providing some basic information. The other older woman shoved her out of the way and said “Ask me. I’ve been with him 11 years. I know him better!”

The first one then shoved her way back over and said “Well I’ve been with him NINE years! So you should ask me!” Perhaps she was just bad at math or maybe the seniority rules worked differently over here. The two argued briefly over who should be giving out his information, each insisting that they were more knowledgeable, based on their many years clutching his arm and providing wet rags. Another tangent they went off on centered on how slow the other was in obtaining the damp rags and not holding the arm supportively enough. My partner looked over at me with the same pained expression Miguel had when we walked though the door. The younger one walked over with an ID or Medicaid card and attempted to hand it to my partner. One of the other ladies took it out of her hands and threw it on the ground.

“Stay out of this!” she told the newest wife. She shrugged and walked away, resuming her seat on a futon.

“Good luck,” she told my partner.

“I get heart attacks all the time.” Miguel said to me. He handed me his latest discharge paper from the local hospital. It was dated only a few days earlier.

“ACUTE ANXIETY” was the diagnosis. The paper showed he was prescribed another anti-anxiety drug with instructions to “reduce stress.”

“It feels the same now as it did then?” I asked. He nodded. “What was going on when this came on?”

“They was fighting.” he said casually.

“Ahhh…” I said.

“Oh that’s nothing,” he said. “They always fighting. Every day. This is nothing new.” Then he took off the oxygen mask we had given him and said very loudly towards the women, “But I love all my wives EQUALLY!”

The woman kind rolled their eyes a little but the nine year veteran looked at the younger one and said “That’s right! We are all EQUAL”

The youngest just patted her belly and nodded with a sly expression that made me think that she had a slight advantage over the other two.

I went through the medications that were next to the lamp on the storage container table and noted they were all for anxiety and acid reflux.

“Oh yeah,” Miguel said. “I get a lot of anxiety. And acid from anxiety. I had it a long time. I get disability for it.

“So you don’t work.” said my partner, not as a question but as a statement. “And you’re home all day. Here. With the wives. And they’re home all day too. With you. And each other. And you’re all just together. Here.”

Miguel nodded. The wife with 11 years pointed out that she and the 9 year wife don’t work either. “We are here all the time to take care of him,” she said. “He’s a very sick man. He needs help. That’s our job. But she works. She’s out working a lot of the time.” she said pointing to the youngest with contempt.

“Hell yeah!” said the youngest wife. “And be here with you all day? How do you think we pay for this place? And your QVC habit?”

The tension had just gone up a few notches. “Take me to the other room,” said the 11 year wife to the 9 year wife, “before I get arrested for slapping down a pregnant woman.”

“You do like the QVC.” the nine year wife told her as she walked away.

With the exam wrapped up all signs pointed to another anxiety attack, with some possible GI issues as well.

“So I don’t have to go?” asked Miguel.

“Oh no,” yelled my partner from the other side of the room. “There’s no way we are leaving you here.”

Miguel’s symptoms seemed to decrease considerably when we left the apartment. I found it strange that none of the women offered to accompany him but I learned later that a previous crew had made this a rule and it seemed to work out better for all involved to not have anyone go instead of having a huge fight over who would stay with the children and who would go to the hospital.

We returned to the same apartment a few months later on Valentines Day. The three wives had gotten into a brawl over the gifts Miguel had chosen for them. As another testament to his high desirability he had made sure it was the thought that counted, rather than the price of the gifts. The three women had each gotten some kind of NYC tourist trinket, the kind sold by street vendors. A clock highlighting the Statue of Liberty lay broken on the floor. Miguel’s love for NYC, or perhaps just NYC souvenir items, was an unsaid point of consternation, I felt. There was also a difference of opinion on the amount paid for each item with the consensus being that the little replica NYC taxicab cost more than the clock and the “I Love NY” t-shirt, which was 2 sizes too small for any of them. An argument ensued regarding the t-shirt with the recipient implying it was meant for one of the others as a hint that she was getting too large. It seemed lost on her that all three of them would have been considered too large by that reasoning. It was the same woman who had been confused about whether 9 or 11 was a longer duration of time.

Despite some scratches and disheveled hair none of the women wanted to go the hospital. Miguel did though. He practically ran to the ambulance. We suggested that his toxic home life may be to blame for his numerous hospitalizations and he acknowledged that it did. But he simply said “There’s nothing I can do about it. I am a lover. I cannot choose who I am.”

But I Could Die

The door was opened by a young child. Several children of various ages stood behind him, two in diapers. It was a little after midnight and they weren’t in bed. But I had long gotten used to young children being up when they, really all of us, should have been sleeping. We were all ignoring our circadian rhythms. One of the older boys made his way to the door, to act as spokesman for the rest of the group.

“We had a problem waking up our mom. That’s why we called 911,” he said. He led us to the bedroom where the young mother was laying in bed.

“They told me I should wait here, in bed,” she said. Who had told her, the dispatcher? “No,” she said. “The children.” She apologized for ‘bothering’ us and said she was fine.

We asked what had happened and the oldest boy, who we found out later was 11, explained that the kids were watching television but there was a problem with the remote. They tried to wake up their mother to fix it but she didn’t respond right away. They were very concerned she was unconscious because it took repeated prodding to wake her up. They had never seen their mother have such a difficult time getting up and when, after a few minutes, she did wake she seemed disoriented at first.

“We kept saying ‘MommyMommyMommy’ but she kept sleeping.” said one of the smaller children.

When we asked their mother about the incident she explained that she had been up for two days straight because of a very long list of circumstances, including repeated trips to the ER with one of the younger kids who had asthma. She went into great detail as to how hectic things had been and it was exhausting just listening to her struggles. I am always in awe of single parents and the way they juggle the needs of their children with the day to day needs of daily living. She had finally been able to lay down and despite having only gotten 45 minutes of sleep she had had very intense dreams. We asked her how she felt now and she said, simply, “Tired, just very, very tired.”

We did a short exam and established that she had excellent vital signs, no medical history and took no medications. She said that she had eaten properly, despite her rigorous schedule. When asked about the ‘disorientation’ she experienced getting up she said she hadn’t been confused but that her eyes had had some difficulty adjusting to the light. Her explanation was extremely understandable and reasonable. We were completely on board with letting her get back to sleep.

When the oldest son heard that their mother was getting ready to refuse transport to the emergency room he became very upset and pleaded with her. “But mom,” he said. “You GOTTA go. What if something happens?”

The rest of the children agreed. “You got to go get checked out! We don’t want you to get sick.”

“But mommy is not sick,” I explained. “Just tired. Sometimes it’s really hard to get out of bed when you haven’t slept in awhile and get woken up. She would probably feel better if she got some rest.”

“No.” said one of the children. “Hospital.” All of the others unanimously protested as well.

“I’ll get my coat,” said the mother.

I’m never one to discourage someone from going to the hospital but in this case I felt that her needs would definitely not be served by spending several hours in a waiting room only to be told it’s normal to resist getting up when your body is craving rest. I was sure that the mother knew that too.

“I really don’t want to go but they want me to and I don’t want them to be mad,” she said. I can understand giving in to pressure as a path of least resistance but the pressure here was being exerted by very young children. But if she wanted to forgo sleep to placate her children who was I to argue?

“It’s OK,” she said. “I should go anyway. You never know what could happen.” I understood it could be the sleep deprivation talking but she elaborated. “Next week or something, I could be on the bus and just die. I better get checked out.”

The premise that getting checked at an ER with no specific complaints could somehow prevent an impending, random death is something we hear often enough. The logic of it doesn’t really pan out. A busy staff dealing with the constant influx of emergencies isn’t generally able to do the entire battery of tests that would weed out a hidden life threatening problem.

She got dressed and called her neighbor to take care of the children while she was at the hospital. The neighbor was very concerned when she rushed over and I wonder what she was thinking when she hurried over in the middle of the night just to find out that there is “nothing really going on, I’m just getting checked.” The neighbor looked at her watch but even she agreed that ‘you never know.’

The two older boys instructed their mother that she was not to return until she was better. The mom smiled and nodded and we went to the hospital.

After the triage nurse took all the patient’s information and did her vitals again she was at a loss as to which category to place her in and what part of the hospital to send her to. She called over another nurse to ask what to do and, in seeing the mini conference, a doctor came over as well. The triage nurse asked the patient to give the story of events leading up to her arrival at the ER, which she did. The doctor became increasingly exasperated. “So you are tired?” he asked. She nodded. “And why are you in an emergency department and not at home sleeping?”

“Because my kids don’t want me to die.”

The two nurses and the doctor looked at each other incredulously. It always makes me smile when novices are introduced to my world.

“I’m sorry to be the one to have to tell you this,” said the doctor. “But one day you will die. But right now, there is nothing a reasonable ER can do you for you. There is nothing to fix, there is nothing we can change, there is no reason to change anything. Why don’t you just go home and get some rest?”

“I’ll just wait.” she said. “My kids will know that I came right back and they will be upset if I didn’t at least get checked out.”

“You are the parent!” the doctor was becoming increasingly frustrated. “You were checked out! We checked your vital signs, you have no issue to investigate further. I prescribe rest for you! Is that what you need to hear? Do you want documentation for your children? I will write a note if that will give you peace of mind.”

“Maybe it’s good now, but what if I’m in a store or something next week and something happens?”

The nurse signed my paperwork as the doctor stormed out and the other nurse shook her head. She directed the woman into the waiting area and just shrugged at me as she walked away. I came back to that ER several more times that night and each time the mother was still in her seat, wide awake and waiting.

Fast Food Baby

The manager of a fast food establishment had called 911 to have a couple removed from one of their rest rooms. The police arrived and then requested EMS when it was discovered that the woman was in labor.

In one of the most bizarre situations I have ever encountered, the couple wanted to have their baby in the bathroom. When they heard the officers calling for an ambulance they had begged them to cancel us. No one quite knew what to make of the situation.

It was the first pregnancy for the woman and her contractions were far apart. She was a small, slim girl who, with her gingham dress, looked more farmer than fast food aficionado. She had the face of a teenager although her ID said she was 21. The mother-to-be, it turned out, had been brought up in one of the most expensive and exclusive neighborhoods on Long Island.

The boyfriend had probably not grown up in affluent circumstances. He had face and neck tattoos advertising gang affiliations and a long, wide scar on his abdomen that you could see through his wife-beater tank top. There was also a big gold chain that matched the grill on his teeth. We could only guess how their paths had crossed and how it had come about that she decided to have his baby in the bathroom of a place known for its belly bombers. It was his fifth, as he proudly liked to tell everyone from time to time.

The dad-to-be-for-the-fifth-time was ecstatic. It was his great idea to have the baby at the exact location where the baby had been conceived. He couldn’t understand why no one else thought it was a fresh, fun, original idea.

“Last month she was here, in the bathroom,” he said. “We thought the kid was gonna drop. But it was a false alarm and then we thought, how cool it would be if it had happened here.”

This time, though, they had planned it out by bringing with them a few towels, a baby blanket, and a hemorrhoid donut.

“We never wanted to have him in a traditional hospital,” said the girlfriend.

“People have their babies all time in different places,” said the boyfriend. “In kiddie pools, in their living rooms. We come here a lot,” he winked at his girl, “why not at the White Castles?” His vast experience as a father of four, as he fondly told us repeatedly, gave him more than enough ability to assist with the birth. He didn’t think they would have any difficulties.

“If we do,” he said, “we’ll call you back.”

Good lord…

When asked about pre-natal care she said that she had seen an ob-gyn but he was affiliated with a hospital on the eastern end of Long Island and it was much too far away. She said it was never even a consideration. Her boyfriend had had a bad experience in one. “A hospital is for sick people and I’m not sick. Having a baby is a natural experience. Bad things happen in hospitals and I don’t want my baby to be surrounded by a toxic environment as soon as he’s born.” I felt the bacterium swimming around in our surroundings constituted a toxic environment but I suppose she was being metaphorical.

Some of the people who were sitting and eating expressed support for this unusual set up. “What’s the big deal?” they asked. One woman got up and walked out in disgust, though. Who would have thought it would be so difficult to convince someone not to have their baby in a restroom?

“We even told the manager that we would name the baby after the restaurant if they let us do it.” said the boyfriend. This caused a sharp change in the girlfriends demeanor.

“Only the middle name, not the first!” she said.

I tried pointing out the complications that could happen and why a hospital would be the better choice. I told her to think about how many people had stepped on that floor only 3 inches below her inflatable donut seat. Consider the commitment a part-time minimum wage earning employee has to sanitizing a rest room utilized by junkies, I asked, hoping the visualizations I was creating were having an effect. When she cried out in pain I pointed out that the hospital could be helpful with pain management.

“She don’t need no pain management,” said the boyfriend. “Pain is what happens when you have a baby. I should know, I had four of them. It’s perfectly normal.” It seemed interesting to me that an apparent pharmaceutical entrepreneur was rejecting pain management.

We all just looked at each other with blank expressions. Even the strangers eating nearby, if they were within earshot, had the same expression. Support for the bathroom birth was dwindling. I could tell that even the girlfriend’s enthusiasm for the idea was waning as well.

I was curious if his other children had been born outside the hospital and he said no. Apparently, the other baby mothers in his life had all been vanilla in their approach to birthing. That’s why he loved this one more.

We spent a little more time arguing the pros and cons of hospital vs bathroom floor. The contractions increased and the woman eventually consented. This upset the father greatly.

“Oh come on!” he cried. “We had it all planned out. Think of how we could tell everyone we did something no one else did.”

“There’s a reason no one did it,” we pointed out.

Eventually he resigned himself to the idea that his trailblazing scheme had fallen through. He seemed so dejected and sad. He was going to have to settle for his kid being born in a sterile facility assisted by professionals with years of training and experience. It wouldn’t be anything to brag about, sadly.

The fast-food chain would have to abandon the marketing potential of a new name trend for babies. Everything had changed. Priorities were shifted. He decided he would meet her at the hospital later. He suddenly remembered he had other things to do.

En route to the hospital the woman told us he probably wouldn’t meet her at the hospital. He probably wouldn’t even visit. She didn’t seem too upset by this and said she understood why he was disappointed.

The staff at Labor and Delivery was friendly and encouraging and the mother-to-be seemed a little taken aback by the whole triage assessment and care process. She became more comfortable and seemed at ease with her change of heart.

The hospital staff was delighted to learn that they had beat out one of the biggest food franchises to bring this baby into the world. It led to big debates as the staff argued the merits of one chain over the other as they tried to figure out what to get for their next meal break.

While one of the nurses was helping us wheel her into one of the rooms she expressed distaste for their choice of restaurant. “It’s not even good fast food. That should have been the first red flag about your relationship,” she told her. “You should have tried harder to find a better man to be a single mother with. Someone who won’t feed your kids garbage when you drop them off on alternating weekends.”

Quick Flow

The marketing people who come up with names for pre-colonoscopy prep medications probably think that they’re a funny group of creative geniuses. The products all seem to have names like “Quick and Clear”, “Flow Freely”, and “Coming Through” which should probably help the user mentally prepare for what is to come. But, sadly, this is not always the case.

When we reached the home of one such person, we didn’t know he was doing his pre-colonoscopy cleanse. His wife let us in and explained that the patient was in the bathroom and had been in there all day. But, she said, he’d be out in a minute. That minute turned into many minutes. When he did come out he had a face that told of agony and he said he had never had bowel issues like he had now. He had been on the toilet all day. Not knowing what was actually going on we questioned him about his eating habits and other possibilities that could have caused these issues. But then he told us he was fasting for a procedure the next day. What kind of procedure? A colonoscopy.

He was going in for a routine procedure because he had just turned 50. His MD had prescribed something called “Quick Flow” which was designed to completely empty his bowels. “Did you read the box?” I asked. He nodded. “It looks like this is supposed to happen.” We proceeded to do a quick exam and evaluation.

“Oh no,” said the man, “There’s no way this is normal. This is way too much. It made me sick. There’s something wrong.”

I studied the box. “I’m pretty sure this is exactly what is supposed to be happening.”

“How would you know?” he snapped. I asked if he had called his doctor. “I did,” he said. “My doctor wouldn’t even talk to me. The girl in the office told me everything was normal too. BUT HOW DO THEY KNOW?! This is awful. That stuff, they must have given me a bad box. I’m bringing it with me so I can show them at the hospital.”

He just needed to use the bathroom one more time before we went. We could hear him moaning behind the door. When he came out we made sure he really wanted to go to the hospital. He looked at us like we were crazy. “Of course! I’m a sick man!” he yelled. We eventually went to the truck and although we made it to the hospital quickly, as soon as we got there he ran out to use the bathroom in the ER. Unfortunately it was occupied.

“Nurse!” he begged the first person he saw, “Please, tell me where there is another bathroom!” She told him there was only one and directed him back to the occupied one. He went over and started pounding on it. “Please! Please!” he yelled. Soon his begging turned into anger. “What the hell are you doing in there?!” It was only a matter of time before a brawl ensued.

He had traded in his nice, clean, familiar bathroom for a less desirable one in a crowded hospital.

It turned out that there was another person at the ER at that time using a similar, snarky named product for the same reason. It was just one more person our patient would have to fight with over the same toilet. An ER doctor noted that they frequently get this situation. He rolled his eyes over it. I asked if maybe the procedure wasn’t explained fully but he shook his head. “This is the biggest thing they do, I’m sure they go over everything step by step.” He then asked me to read the box. It was very accurately spelled out in capital letters:

“WILL CAUSE SIGNIFICANT DISCOMFORT AND FREQUENT BOWEL MOVEMENTS. LEAVING THE HOME IS NOT RECOMMENDED.”

“The sad thing,” said the doctor, “Is that, because they’re here, a lot of them miss their appointment the next day. And then they have to do it all over again.”

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