The career archive of a NYC paramedic

Tag: NYC

The Two Roslyns

I met the first Roslyn a year or two after I started working in Manhattan. The first time we went to her apartment she had accidentally broken a crystal vase and had cut both of her hands significantly. One wound on her wrist was bleeding badly enough that she thought she may have severed an artery and she was very distraught about it. Despite being upset, she was polite and mostly friendly. There was a lot of blood in her modern living room which had sweeping views of the East River. As I started the paperwork I leaned on her grand piano and glanced at the framed photos on display. They illustrated an enviable life. There were photos on safari in Africa, skiing photos in what looked like Switzerland and several happy pictures of friends and family. In one photo it appeared that a young Roslyn had gotten some kind of award riding horses. There was also a wedding photo with a handsome man. The man was not present and when it was time to go to the hospital she was asked if they could notify her husband.

“Oh no,” she replied, somewhat bitterly.

We took her to the hospital and while we were waiting to be triaged another crew of EMTs, who were leaving, saw her and said hello, using her name. She said hello back in the embarrassed kind of way a person does when they think they’ve been mistaken for someone else and are just trying to be polite.

“Do you know her?” I asked later.

“Yeah, sure,” they said. “She’s a regular.”

Really? Most of our ‘regulars’ are either homeless or have chronic medical conditions requiring frequent hospitalizations. Our homeless regulars are, almost without exception, people with substance abuse issues. She didn’t seem to fit either of those categories. What could make Roslyn a regular?

“You’ll see,” they said. “She calls all the time.”

She calls all the time? For what? Is she accident-prone?

I had forgotten about it until the next time we were summoned to her apartment, which was not too long after. This time her apartment was messy. It wasn’t ransacked but it looked more like someone hadn’t picked up after themselves in a long time. The wedding picture was gone and some other things looks slightly different but I couldn’t tell exactly what.

Roslyn was intoxicated and rambling about having things stolen from her apartment. Her statements didn’t go together and went off on tangents that had to do with her job or her family, both of whom she hated at that moment. A long time was spent deciphering everything she said but eventually it was determined that the missing items were taken by her now ex-husband thanks to a “misogynistic, two-bit, loser judge” who had sided with him in the divorce. It wasn’t clear what she had called for since she didn’t want to go to the hospital and there was nothing actually ‘stolen’. The police abandoned their report but stayed on to assist us in taking her to the hospital as she was in no position to make an informed decision to refuse. She was furious about going to the hospital. We were accused of working for her ex. Our previously friendly and polite lady had turned into a cursing, spitting lunatic.

Each trip to Roslyn’s home for the next year or so also involved alcohol to some degree of another. There were stints in rehab, relapses, and long periods when she was sober, when she’d call 911 for relatively minor things every now and then. On these types of calls, I think she thought of us more as company and tried to serve us food and played the piano for us. She told us about her stressful job that she liked, despite a boss who had gotten promoted over her. She complained about her ex, who she felt had made out too well in the divorce. She gossiped about her neighbors. And once, when I admired a painting in her hallway, she mentioned she had painted it, saying that her first dream was to be an artist and that someday she was going to try again. Getting to know her during these sober periods made it all the more heartbreaking as we watched her decline years later.

Eventually we were called to her home when she had relapsed and discovered she had acquired four new roommates-other alcoholics who were clearly taking advantage of her. At some point she had lost the job she loved when the same man who had been promoted over her fired her. She told us of her struggle to find another job even though, she said, she didn’t need one. It was just something she wanted to do because she was good at what she did. I suggested that she could now pursue being an artist and she berated me. There was a huge personality difference between sober Roslyn and drunk Roslyn.

She may have misjudged how expensive Manhattan living is or perhaps her roommates had drank her savings away, we could only speculate, but sometime later we ran into Roslyn at a different hospital, on the west side, where we found out she was living somewhere else. She had lost her modern apartment with the East River views and was temporarily staying with a friend until she got back on her feet. She was genuinely optimistic and I desperately hoped she would be able to improve her situation soon.

Every once in a while we would see her again in different places. If we were driving around and spotted her we’d get her some food or give her a blanket. She was very well known by most of the EMTs who worked in midtown and we’d hear updates from each other after periods of not seeing her. Sometimes when we did see her, she acted like we were long lost friends. Other times when we picked her up she didn’t recognize us. And many times she was extremely mean and abusive. Knowing her backstory led me to be more sympathetic towards the many other alcoholics we dealt with on the job, who were similarly frustrated and angry at anyone whose existence validated their fear that they didn’t have control over their day to day life.

I would eventually leave Manhattan to go to paramedic school and after that I worked in Brooklyn. I never saw Roslyn again. At the time I left, Roslyn had used up all of the favors her friends owed her and was now exclusively living on the street. It had taken only the short time that I knew her that she had gone from having what seemed to be a fabulous life of the rich and privileged to becoming one of the many overlooked and forgotten people living in the street begging for change. It is my great hope that she eventually did turn things around.

There was another Roslyn I remember from my days in Manhattan, also. The second Roslyn’s trajectory went in a decidedly opposite direction. She also became a semi-regular during the time I knew the first one. This Roslyn had only called 911 for herself once, after her leg was injured by a bicyclist as she sat on a curb begging for money. Roslyn Two became familiar to us because many other people called 911 on her behalf.

A very large percentage of calls to 911 for people living on the street are made by a sympathetic or concerned person who sees something that bothers them without often knowing the whole situation. Calls come in for ‘unconscious’ people who are sleeping or ‘not breathing’ when they definitely are. Despite the large number of these calls leading to interactions with people who take their annoyance out on you for being woken up or interrupted I still found it a redeeming quality of humanity that so many people were concerned enough for strangers to have someone check up on them.

People called for Roslyn because they thought she was abused. Our second Roslyn had a discoloration on her face that could be construed as a black eye if you only looked at it quickly. She seemed to have parlayed this birthmark to her financial advantage.

The first time I met her we were responding to a 911 call for a woman who was beaten up and left in a garbage bag. The location given was in an area of high tourist traffic near Rockefeller Center. When we arrived we saw a small woman wearing a black garbage bag as a dress. There were cut outs for her arms and she had shorts on underneath. She also had a cup that she used to solicit donations. When she saw us coming she ran up to us and asked “Did someone call for me again?”

When we said yes she said that she felt that someone who had given her money may have called. She apologized for inconveniencing us and assured us she was OK and did not need an ambulance. The garbage bag, she said, served to garner her more sympathy and had gotten her more ‘tips’ which is how she referred to the money she made panhandling. We made the call an unfounded but came back again later when yet another call came in fitting Roslyn’s description.

When we returned, she apologized again and reaffirmed that she did not want to go to the hospital or anywhere else. The man I was working with was very curious about her panhandling lifestyle and Roslyn was happy to talk with us about it. She said she could “take a break” but even while ‘off the clock’ and talking to us several people went out of their way to put money in her cup anyway. The ‘tips’ she was getting were not in coins, but in bills of $10 and $20. She told us this kind of donation was typical and that the summer months were very lucrative for her. During the Christmas season, however, she made much more, enough to pay her rent for the entire year.

We met her several times after that. Each time she let us know she as OK and each time she offered to buy us coffee for our trouble.

We learned much more about her enterprise when the bicyclist ran over her leg and she went to the hospital. She didn’t want to go initially but we convinced her by suggesting a cast and crutches could be helpful to her career. Her face lit up and she immediately hopped in our truck. As we wrapped up her leg she told us more about herself.

For a while she had lived in subsidized housing getting every government benefit available. She was very proud of the fact she no longer was, and that her kids went to private school. She said she had someone who helped her manage her income and that she had a diverse portfolio that included a 401K heavily invested in municipal bonds. She had worked it out that she only had to ‘work’ for 10 more years and at that time she would be moving to Florida to retire. She would be 38. Asked if she would continue to panhandle in Florida she said wouldn’t and was looking forward to picking up some hobbies like ceramics and painting.

A few months later I ran into the second Roslyn off-duty. I was out with some friends ‘in the city’ and as we were walking along a sidewalk she was there, sitting in front of a closed storefront with her outstretched cup. She looked very sad, almost in pain, as we approached she asked for some assistance. She didn’t recognize me without my uniform and with my hair down.

“Hey, it’s me!” I said. “EMS.”

Her whole demeanor changed. “Hey there, Nancy. Good to see you!”

“How is business going?” I asked.

“Pretty good,” she said. Then she winked and said “But it could always be a little better!” She stretched out her cup.

“I should be asking YOU for money”

She laughed and admitted that was probably true. I introduced her to my friends and made a little joke about how in a few years we’d run into her in Florida, sipping fruity cocktails with little umbrellas in them

“I’ll be in Florida all right,” she said. “But no fruity cocktails. I don’t drink. Ever. Drinking killed my father and I’ve never touched it. I’ve seen what it can do.”

I thought of the other Roslyn and agreed with her about the devastating effects it can have.

The Beeper

Back in the olden days, when access to a web-less internet was obtained through a company called CompuServe, the hottest status symbol of the day was a high tech device called a “pager”. People of importance would never think to leave their homes without the elite electronic device clipped to their waistband.

In the egalitarian age of the early tech boom, having a pager didn’t symbolize importance by being wealthy. Having a pager meant that you were important because you were someone people needed to get in touch with. Doctors, deal-makers, and your pot supplier; anyone who kept the supply chain moving. My partner also had a ‘beeper’ because he was a union delegate. As someone who tended to shun excessive social interaction it was nice to vicariously experience the marvels of the modern age through him.

Despite newer technology some beeper stores are still thriving. (photo taken in 2020)

He had his newly upgraded alpha-numeric pager when we were called to a building on the Upper West Side that is renowned for its famous architecture. One of my favorite things about this job is the access it gives us to see the inside of amazing homes and places that most people only hear about or see on screen. Many of the pre-war building in Manhattan have subtle intricacies that are never given enough prestige when presented as part of a background to a movie or news story. Being inside these beautiful old places gives you an historic feeling of old New York and I like to try to imagine what the world looked like to people who lived there decades before.

The call was for an EDP or ’emotionally disturbed person’ who, the caller felt, was not taking care of herself. (When you’re wealthy the term for this is ‘eccentric’). The woman was obviously well off to be able to afford an apartment in this exclusive building that had famous artists and celebrities living it. We took the elevator up with several people dressed in expensive clothing as we wondered if, perhaps, our patient was someone we might have heard of in some way. We knocked on the door and it was opened by a little white-haired woman with the biggest, sweetest smile. She looked at us with awe, as if we were the celebrities and were here to fulfill a spectacular wish.

“What do you freakshow motherfuckers want with me now?” she said. She went on to elaborate that any requests for sexual favors were not going to be met. Her big smile never left her face.

She was wearing a stained, purple printed house-dress that was over a set of thermal long-johns. She had uncoordinated socks on her feet and her long nails were dirty. Behind her, we could see what seemed to be a huge, mostly empty, apartment with bare walls and bedsheets haphazardly duct-taped to most of the windows.

“Do you know who called 911?” my partner asked.

Somewhere in the apartment a Jamaican accented voice yelled out “I called for her. I’ll be right there. Let these people in, Miss Jensen.”

Miss Jensen silently opened the door wider and moved to the side. She never took her eyes off us and for a while she fixated on me.

“You better get yourself to a good dermatologist, your face is disgusting,” she told me. “I’m just being nice, seriously, I don’t know if anyone can help you. You really need one of them, plastic doctors. And you should get yourself some cocaine. That would take care of those rolls. You’re a big cake and cookie eater, aren’t you?” She gave me some more advice that she felt might assist me in “getting laid”.

“Why, you’re just a lovely beam of sunshine, aren’t you?” I remarked.

“You don’t have to thank me,” she said calmly. “Just get the fuck outta my house.”

“Now, now, Miss Jensen,” said the lady with the accent. A tall, slim, well dressed woman emerged from a room taking off a pair of latex gloves. She reminded me of Iman, the fashion model. “Forgive her, sometimes she’s real mean,” she whispered to us.

“I ain’t mean. I’m honest.” said old lady Jensen. She turned around picked up a plate. “Cookie?” she offered.

The woman with the Jamaican accent gave us a wide eyed serious look and shook her head, as if warning us they were loaded with poison.

Miss Jensen, seeing her plate of cookies rejected, casually threw them in the garbage, along with the plate. She then wandered off into another room. The apartment had a peculiar foul smell, like rotting food, but when the woman went away the odor seemed to travel with her.

“Thank you for coming. I’m Tanya,” said the other woman. “I work for Miss. Jensen’s family.”

“Are you her home attendant or a visiting nurse?” said my partner with a tone indicating that he didn’t believe she was. She wasn’t dressed like a home attendant or visiting nurse.

“No,” said Tanya. “I… I just sort of bring Miss Jensen the things that she needs. You see, her family doesn’t really deal with her anymore. But Miss Jensen isn’t in control of her finances. They give her a number to call, it’s a service, she is supposed to tell them what she needs, then they page me on this device and I go out and buy it for her.” She showed us her pager that looked just like my partner’s newly upgraded beeper. “But she doesn’t know what she’s doing. She calls the poor people at the service and talks to them about nonsense. So I come here from time to time and fill up her refrigerator and ask her if she wants me to bring her anything.”

Miss Jensen emerged from one of the many rooms of her apartment and went up to my partner just to inform him that he should expect to remain single for perpetuity. He informed her that he was already married.

“Poor woman,” she remarked, shaking her head.

She turned around and went back. The apartment was mostly empty. There was nothing on the walls and only a few scattered chairs for furniture. There was a path, however, that had been created with two rows of Lladro figurines leading to another room. There was no TV, no books and I wondered what Miss Jensen did all day.

Tanya continued, “I think I am the only one who comes here. I was originally told she had more people, a nurse, a housekeeper, but I think if she did once have them that they no longer come here. Miss Jensen needs help, much more than I can give her. But when I talk to the family, they say she is fine. She is not fine. She hasn’t taken any medicine in a long time from what I can see. She’s not taking care of herself, and I can’t do it for her. I’m not qualified and they don’t pay me for that. I do all kinds of other things around here because I feel sorry, but I’m not giving her a bath or combing her hair. She sometimes scratches with those long nails of hers. You can’t tell her anything. She won’t listen.”

“Do you know what she’s supposed to take?”‘ I asked.

I heard Miss Jensen yell from wherever she was, “COCAINE! I use cocaine, that’s why I can get a man and you can’t, girly!” She cackled like the evil villain in a Disney movie.

Tanya looked at me, slightly embarrassed and slightly smiling. “She’s supposed to take psychiatric drugs. I do not know what kind”

I went over to find Miss Jensen to see if she would let me take some vital signs. She was actually very pleasant to me and allowed it, rolling up the sleeves of her dirty clothing and revealing a dry, frail arm. Her vitals were pretty good. I asked her if she would go to the hospital with us.

“I’d love to get out of this place for an afternoon,” she told me. “Let me change my dress.” She walked over to a large closet and when she opened it, it appeared that many of the contents of a normal home were stored inside. There were unopened appliances, a large television, boxes of clothing, dishes, and random objects. They were all piled in, seemingly arranged in an intricate balancing act. I feared that while she was digging out an identical purple house-dress from a box, everything would come tumbling out of alignment but thankfully they didn’t.

Her new going-outside house-dress was also stained and unwashed. She turned her back out of modesty as she took off the old dress and put the new one on over her long johns. Tanya came into the room and asked Miss Jensen if she might want to take a shower or bath before leaving. “It’s my only chance,” she looked at me, pleading. I was very much in favor of the idea.

“What for?” Miss Jensen scowled. “I’m quite lovely just the way I am.” Then she gave us all a big smile. As she walked around her barren apartment she stopped near one room, pointed and said with another big smile “That’s where the… accident happened.”

Tanya looked at me seriously and whispered, “Her family thinks she killed her husband. A big wall unit fell down on top of him. That’s why they want nothing to do with her. I don’t think she was ever strong enough to crush him like that. But I think she wants everyone thinking she could. Then again, she is very resourceful.” She also added, “I don’t think it was a happy marriage.”

Maybe we were in the home of a noteworthy individual. If Google had existed I would have checked her out. Scanning through miles of microfiche at the local library didn’t hold the same instant gratification.

Tanya said she had to go, she had some errands, but promised to meet Miss Jensen in the hospital. Miss Jensen was ready to go shortly after. She seemed to be happy to go outside and said she hoped she’d see the same MD she saw the last time Tanya made her go.

When got into the elevator to go down there were four other people already inside. As the doors closed, their faces indicated that they had gotten a whiff of the malodorous cloud that surrounded our patient. We slowly went down another few floors before stopping to let another person in. I could see the people in the back considering whether to get out or not but they didn’t decide quickly enough and were stuck with us for the duration. The person who got in clearly regretted it. Suddenly my partners beeper started beeping loudly.

“What’s that?” Miss Jensen asked angrily, looking around.

Without missing a beat, my quick witted partner whipped out his pager and checked the message. He looked at Miss Jensen and said, “Why, it’s my smell-o-meter. According to this, you are exceeding acceptable clean air standards by 65%. It might be time to do something about that.” I burst out laughing. The others in the elevator didn’t seem to know what to do. They looked scared but also seemed to smile a little.

Miss Jensen considered this, for the first time thinking about taking advice instead of giving it. She demonstratively sniffed the air, and herself. “You might be right,” she said quietly. “It might be time.”

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