Obama honeymoon draws to a close, but it isn’t his fault

Reading Newsweek today, it looks as though the mainstream media is finally tumbling to the fact that his administration is going to be inept, and no different than the last. Huh, I pointed that out during the election.

There is no difference between the Republicans and the Democrats- they both want to take your money and your liberty and give it to someone else. They only differ in who they are giving it to.

According to Salon, it isn’t Obama’s fault, it is the fault of his advisers. Isn’t that what President Bush said when he finally admitted that there were no WMDs in Iraq? The mainstream media didn’t give Bush a pass on that one, so why is Obama being given so much leeway?

Still, 50 days into the Obama Presidency, and the first cracks are beginning to show.

Idiot doctor, again

In this post, I wrote about the “Doctor” who did not even know what SVT was. Well, the same Doctor is at it again.

My crew yesterday included a paramedic who is actually a fairly good medic, but he has less than 2 years as a medic. There was also a new EMT and an excellent EMT who has been getting pushed by me to attend medic school.

We arrived at the home of a 90 year old woman for a reported fall. It seems that her neighbors stopped in for a visit and found her on the living room floor, and the victim stated that she had fallen, and her back was hurting. She also said it was difficult to breathe. She was on the floor, and was pale and diaphoretic. She has no radial pulses. Her BP was 86/p, pulse was 40. Out in the truck, the monitor shows:

(If you look closely, you can see where we were preparing to pace)

An IV is established, a 12 lead EKG is established, and the Pacer pads are placed on the patient. Pacing was begun, and we got capture at 50mA. Three minutes later, she became apneic and went into PEA. We started chest compressions, and gave her a 500ml fluid bolus. Pulses returned.

When we arrived at the hospital, the same doctor from last week did not believe us, and felt that our rapid return of pulses indicated that the patient could not have coded, and we were mistaken. It went like this:

Dr: Why did you start CPR? What made you think it was PEA?
DM: She did not have a pulse.
Dr: Why did you stop CPR?
DM: We did one minute of CPR, and got ROSC.
Dr: How did you know that?
DM: She started moving her arms.
Dr: So you were doing CPR on a woman who was moving?
DM: No.
(In the background, the nurses have removed the pacer, per the Dr’s orders- the patient has now gone into cardiac arrest again)

A code is called, and they get pulses back. I left. That Doctor is going to kill someone.

Being a Doctor doesn’t mean you know what you are doing

I had a call to a local amusement center for an unresponsive 26 year old male. On arrival, we found a confused 26 year old patient (doesn’t know his name, the date, or his location, but does recognize his wife) who had been bowling with his wife, and bystanders claimed he was bowling and fell over unconscious, and remained so for about 2 minutes. The only history she is aware of is a syncopal episode that he had two years ago, and states that her husband’s physician could not find the cause when he went to the doctor the next day. She denies any history of seizures, drug use, or alcohol use.

We put him on the monitor and get the following vitals: HR 177, BP 156/72, RR 22, SaO2 98% on room air.

(click to enlarge)

I had a new medic with me who was being precepted, and she interpreted this rhythm to be PSVT. Valsalva maneuvers were ineffective. We considered cardioversion, but decided that he appeared to be somewhat stable, even with the confusion. She started an IV, and administered 6mg of adenosine, with no effect.

She then administered 12 mg with no effect. There was another preceptor/instructor on scene, and after we talked about it, decided to go with 150mg of amiodarone given IVPB over 10 minutes. (We both wanted to go with cardizem, but we don’t carry that any longer). Nothing worked. We soon arrived at the ED.

The doctor at the ER questioned our treatment and told us that we were wrong, because (in his words) PSVT does not have P waves. (He said that the rhythm was Sinus Tachy)The National Institutes of Health seem to disagree with the good doctor, as they claim:

PSVT can be initiated in the SA node, in the upper heart chambers (atria), in the atrial conduction pathways, or other areas.

The doctor then went on to tell us that our treatment of adenosine was not correct, because we were not dealing with SVT. Again, the NIH disagrees:

Emergency treatment of PSVT may include:

  • Medicines through a vein, including adenosine and verapamil.


He also claimed that amiodarone was in appropriate, even though the AHA and multiple source claim otherwise.

What a waste of a decade of education. Please, if you are a doctor, take an ACLS class and know what you are talking about before you hurt someone.

March to stop hate?

It seems like criminals are having a march and protesting the fact that the Sheriff is enforcing the law. Perhaps a march where bank robbers. In fact, according to this page, one of the criminals was illegally carrying a concealed weapon, an LAPD badge and a pair of handcuffs. He made threats against the Sheriff.

One of the attendees of the march, a Salvador Reza of Puente, said this:

“We are excited to see such a strong and peaceful showing of opposition to the wrong-headed policies of Sheriff Joe Arpaio,” Salvador Reza of Puente said in a news release after the march. “… 5,000 marched today to make sure that the abuses that we’ve suffered under for far too long move from the local to being dealt with on the national level as well.”

A google search of that name produces this page, where this is said about Mr Reza:

After graduating from the University of California, San Diego, he worked for California immigrant advocacy groups and was drawn to Phoenix because he is among those who consider the city the center of Aztlan, the original land of the Aztecs before they moved south to what later became Mexico.

If you remember, we first talked about the Aztlan movement here. Isn’t it funny that the press interviews a figure who advocates the overthrow (what the Illegals call “reconquista”) of the United States, and they fail to mention that fact?

March to stop hate? No, it is not a march, it is an invasion.

Repo men come under fire

The Associated Press reports that Repo men are becoming increasingly violent with debtors.

This is the story where Repo men claim that they are defending themselves when they repo a car, by shooting at debtors that are defending their property. A few thoughts on this:

It is not the bank’s car. It is not the bank’s property that the car is on. The bank has a security interest in the car, but gun play in a debtor’s yard is not the place to settle a civil dispute. That is why we have courts.

If this is typical of how repo men operate, I can see the problem. Sure, people need to pay their bills. With that being said, no one has the right to use force in a CIVIL dispute.

As a homeowner, if someone is on my property at 2 AM, I am going to investigate. If a man istrying to take my car with force, he is an aggressor and he will be dealt with, and I will meet force with force.

In Florida, it is illegal for a repo man to be armed. It is Federal law that a repo man is not allowed to create a “Breach of the Peace” in affecting a repo. I would say that a shootout is a breach of the peace.

The bottle Imp

There was a story I read when I was younger, a short story by Robert Louis Stevenson. The story is about a working class native of Hawaii, Keawe, who buys a strange bottle from a sad, elderly gentleman who credits the bottle with his wealth and fortune, and promises the imp in the bottle will also grant Keawe his every wish and desire.

Of course, there is a catch — the bottle must be sold at a loss, i.e. for less than its owner originally paid, or else it will simply return to him. The currency used in the transaction must also be in coin (not paper currency or check). The bottle may not be thrown or given away. If an owner of the bottle dies without having sold it in the prescribed manner, that person’s soul will burn for eternity in Hell.

The bottle was said to have been brought to Earth by the Devil and first purchased by Prester John for millions of dollars; it was owned by Napoleon and Captain James Cook but each sold it. At the time of the story the price has diminished to eighty dollars, and declines rapidly to a matter of pennies.

The problem here is that as the price approaches a penny, it will become harder and harder to sell the bottle, as the buyer will be in fear of being left holding the bag.

This tale reminds me of our current national debt. As our debt increases, the interest payments will balloon. They can only get so large before default is inevitable. At that point, anyone in possession of a US bond will be stuck with worthless paper. Because of this, the returns for these bonds will have to increase, so as to entice people in taking the risk of buying them, which will make the interest payments higher, thus making the end that much closer.

I wonder when the Imp will win…

On education

When I was a child, I failed the seventh grade. In order to keep me from repeating the 7th, my parents had to enroll me in a private school for the next three years. It was not that I was dumb, or unruly, or that I could not do the work- far from it. I was going through the papers in my mother’s scrapbook, and found my papers from that year.

We were given a standardized test in March of the year I was in seventh grade. I maxed out the test in Reading Comprehension, Vocabulary, Language, Social Science, and Science. According to the test, I was functioning in those subjects at a college junior (15th grade) level. In math and spelling, I was functioning as a high school senior(12th grade). I scored in the 96th percentile. The total battery score showed that I was functioning at a 12th grade level.

Yet I was to be retained in the 7th grade. Why? I had an F in Social Studies, a D in Math. Both teachers told me that I had a poor attitude.

My social studies teacher gave me an F in the class project because I wrote a report on the Vietnam war in which I said that the United States abandoned its obligation to South Vietnam, and allowed the country to be overrun by communists. This action, I said, damaged U.S. credibility worldwide. The teacher told me I was wrong, and that it was the oppression of the US and South Vietnamese governments that caused them to lose face. I failed the class for that. (in part)

My D in math was because the teacher accused me of cheating. I was in an advanced placement algebra course, and I was not showing my work when solving equations. I told the teacher (in the parent-teacher conference) that the reason I showed no work was because I was solving the equations in my head. The teacher insisted that this was impossible, so my mother asked the teacher to give me 5 sample problems on the spot. I solved them in my head faster than the teacher could on paper. For that, my grade was changed from an F to a D.

My teachers would constantly argue with me because I refused to do homework. My thought was that I was in school to learn, and since I could consistently score 85-95% on exams, I did not need the practice, especially considering that the “homework” was a ditto where we were expected to color a picture of a Roman soldier- in the 7th grade, for crying out loud. Homework was 60% of our grade, the assignment on Vietnam was 20% of our grade, and our exams were the other 20%. In other words, it was possible to get a C in the class if you did your homework, but scored a zero on every test.

My son had similar problems, and I argued with one of his teachers, who insisted that Egypt was not in Africa. I assured her that I had actually been to Egypt, and that is exactly where it was when I was there. I even showed her a map. She still insisted that I was wrong.

I have no real point to this, except to say that our educational system is awful. Do your homework of coloring the pictures, get a zero on your tests, graduate from school. No wonder we have so many idiots in this country.

But hey, at least we can sit back and drink our Brawndo, because it has what we need- electrolytes.