Welfare check. The superintendent lets us in. The apartment is a poor man’s hoarderville, open boxes and dirty clothes stacked as high as the unwashed dishes in the sink. The man is sitting at a table with his head in his hands; a chess board in front of him. For a moment, I fear he…
Friday night in the city on a dead end street. Light beams out of the ambulance’s open back doors. Inside the EMT spreads a clean white sheet on the black stretcher mattress. He hits the exhaust button on the wall, and then exits from the side doors. My masked patient steps up into the back where…
On the Sunday morning sidewalkWishing, Lord, that I was stoned‘Cause there’s something in a SundayMakes a body feel alone.“Sunday Morning Coming Down” – Kris Kristofferson Twenty-six people in Connecticut died of overdoses on the four Sundays of this past April. Twenty-one males. Five females. One was aged 15-24, eight were 25-34, six 35-44, four 45-54,…
I am on my stomach intubating, staring down the throat of a still warm body, looking at the vocal chords. COVID is invisible, but I imagine him there behind the folds, taunting me, giving me double barreled middle fingers, then unleashing a dragon’s breath torrent of viral load, a hot water cannon of death and…
There is a cartoon hero named Narcania created by the same guy who wrote Lil’Dope Fiend Overdose Prevention Guide. In the mini comix, Narcania rescues people who have overdosed and gives them new life. As one character who has been resuscitated remarks, “I don’t know if there is anything worth living for, but at least now,…
The Hartford Courant this week noticed what most everyone else around here has– panhandlers are on nearly every corner of big intersections these days. Many carry the standard signs drawn on ripped cardboard “Homeless and Hungry.” Some wear masks, others don’t. Some make eye contact, others look down at their feet. They almost universally say…
Years ago, I did all of my writing at a desk in a lonely room. I would write on yellow legal pads and then when I had something, I would type it out on my portable smith corona. When my daughter was little, I showed her my old typewriter and she was fascinated with it….
In Connecticut, when EMS responds to an opioid overdose, after they have taken the patient to the hospital, accepted a refusal, or presumed a patient dead, they are required to contact the state poison control center and answer a series of questions about the overdose. The program, known as SWORD (Statewide Opioid Reporting Directive), that…
I heard today that Opiant, the company behind the 4 mg Narcan Intranasal spray, is at work on a new product to combat opioid overdose — Intranasal Nalmefene. Nalmefene Nasal Spray Nalmefene is an FDA approved medication to reverse opioid overdoses when used intravenously. It has yet to be approved in a nasal form suitable for…
We are told to keep six feet of distance from each other, but how effective is this the distance in preventing the spread of COVID-19? The answer may well be, yes, it helps, but it is not the full answer. In a new article published in the British medical Journal provides a fuller view of…
In 2013, I wrote a post called Get Another Job. Here’s how it went: We were dropping off a regular patient at one of the hospitals the other day. A chronic PCP user. The “crusty” old nurse in the psych ward threw a fit complaining that she had just dealt with him two nights before. The…
For over twenty-five years I was a full time street medic. I have been part-time now for only a few months. I have tried to work at least 20 hours a week, but there have been a couple of weeks when I have only worked once, and one week where I did not work at…
From 2012-2014, I kept up a blog called A Paramedic’s Guide to Take out in Hartford. I haven’t updated it since then, but am considering doing so. In the meantime, I came across this old entry called Bizarre Foods Hartford, and since all five restaurants are still operating (open for carryout), I thought I’d post…
Last week, (due to medic vacations) the company put me into a volunteer town as the paid paramedic (on an ambulance staffed with volunteers) for my shifts. Many years ago, I worked three days a week in the same town in addition to three days of overtime in the city back in the days when…
Interesting article on NBC news about the use of ketamine for sedating patients in police custody. Elijah McClain was injected with ketamine while handcuffed. Some medical experts worry about its use during police calls. The reporter centers the story around the tragic case of Elijah McClain, who was apparently walking down the street, wearing a…
In 1999, I wrote a letter to the editor of the Hartford Courant about a police shooting in the city. The newspaper reported that an unarmed 14-year old black boy had been shot in the back by a white police officer. They put the story on the front page under the headline Family, Police Want Answers: No Weapon…
Connecticut’s harm reduction workers are out on the street everyday trying to make the world safer for those caught in substance use. This is particularly important in this time of COVID-19. I am often questioned whether or not harm reduction – syringe services, community naloxone, overdose prevention sites, drop-in centers– are not just enabling users….
I was accused of being racist. This was about fifteen years ago. At the time my main assignment was working as a contract paramedic for a volunteer service in Bloomfield, a volunteer town to the north of Hartford that like Hartford had a predominantly black population. I was working that day with a black partner/friend…
With all that is going on these days, I thought of Kevin Andrews, one of my first partners in EMS. I first posted this in January of 2011. *** In EMS, we cannot help but be shaped by our earliest partners. They are the ones who show us the way. I was lucky in that…
Many years ago, I watched a long video of a police scene in California, where a man who was reported to be on “angel dust” (PCP), was being held down by police officers. The officers chatted among themselves while the camera focused in on the man who was pleading for help. I watched as the…