Episode-1908- Listener Calls for 12-1-16 — 23 Comments

  1. A couple points as a first responder:
    -911 is a call center and doesn’t take anyone anywhere. They get ahold of an ambulance, police or fire and dispatch them to you.

    – First responders are ABSOLUTELY instructed to take you to hospitals that offer advanced stroke treatment like TPA if its appropriate. It gets problematic though, because sometimes strokes aren’t completely straight forward. They will drive 30 minutes to get to a stroke center instead of 5 minutes to a podunk hospital if they have that option. Now, where it gets murkey is… If the EMT felt you may die before getting to the stroke center; you need to be in A HOSPITAL right now so they may choose to just get you somewhere rather than get you someplace awesome.

    – There are criteria for getting treatments like TPA or cath clot removal and first responders should be asking questions to judge qualification for the procedure. If you don’t qualify, there is no point in going there beyond making you feel good. Time is brain. How much do you wnat to waste driving?

    – You 100% have a right to request to go to a specific hospital. If you know you want your loved one to go someplace specific, say so but you can be overruled.

    At the end of the day I’m very sorry this happened but this persons family members left hemisphere was destroyed by a blood clot not an EMT or a hospital. It is certainly possible a mistake was made, but you have to remember that we have forever to pick apart decisions made in the heat of stressful seconds.

    • My youngest son had a stroke in utero. A few years ago he had a siezure. When the EMTs were ready to take him to the hospital, we requested that they take him to Children’s healthcare of Atlanta at Emory. They had no problem doing that though it was 20 minutes further way than another hospital. Couldn’t hurt to know what care is available where, so that you can request to be taken there when needed.

    • The caller may have been correct. Different states can have wildly different rules. I’m a licensed paramedic in both Missouri and Indiana and have previously held a licence in Illinois and Kentucky. They all have very different rules for what is and is not allowed by your emergency responders.

      In Missouri and Indiana we have to take a patient to whatever hospital they choose, even if it is not the most appropriate facility for their condition. The exception is when the patient is unable to decide and there is no family present. Then we decide based on our written protocols our consultation with a medical control physician.

      I totally agree with the caller to find out what resources are available in your area before you need them. It can be difficult to find this info sometimes but I suggest getting in touch with your local fire and/or EMS station. They’ll probably be happy to discuss what they do and the limitations they work under with you. The more educated the public the easier it is for us to help people when they need it.

  2. That drug thing is so true, my experience is with inhalers, and medications for lung issues. They are flat out bad news, I take part of that back; they do save lives don’t get me wrong on that score, but you really have to be in a real asthma attack not just a little trouble breathing. You may be dehydrated, low on sodium, low on certain other minerals or vitamins, find out some how. A nutritionist is a good start.
    One day my lungs were burning, very irritated, a nutritionist told me to try a tablespoon of Organic extra virgin Olive Oil, that it would help my body produce the type of lubricant the lungs use. I did, and it worked. But there have been times when it didn’t work, probably because something different was going on.
    I have reverted to a remedy that someone told my Dad when he told them I had asthma, I was a very young child, but I was given the remedy all the time while growing up. A very simple onion syrup. It’s made by cutting up a small onion, about 1/2 cup, putting it into a small bowel, then you sprinkle 1-2 teaspoons of regular white sugar over the cut up pieces, shake it around a bit to cover the onions then let it sit for a few hours covered with a lid or saucer. The sugar draws out the onion juice, then you take it by the teaspoon, as an adult I use 2 teaspoons at a time. It still quiets my lungs and thins the mucus for expulsion.
    I’ve tried eating just onions, it doesn’t work the same, maybe it’s the sugar, I don’t know but I do know it works.

  3. I am a right handed person who found out later in life that I am left eye dominant. I was in basic training in 1981, and we had the old style M16A1. No one tested us for eye dominance, they just let us shoot, and I did well. I remember seeing one left handed shooter who had a big burn on his cheek because an ejected cartridge got stuck between his helmet chinstrap and his cheek. (Ouch!)
    When I got a little older and started shooting pistol I noticed I was using my left eye. I tried twisting my body more to the right, and another instructor told me to use what he called “modified gansta style…” (Tilting the pistol to the left at a 45 degree angle, not flat like in the movies. LOL)
    After hearing your show on eye dominance I went to the range with my pistols and tried left handed shooting. It was awkward as hell, but you know what? I was hitting center target better than when I used my right hand… I still carry on the right because it’s just where I’m going to grab when I need it, but i am trying to learn to be instinctive with my left.
    I haven’t tried left handed with my AR 15 yet, but I will next time I go to the range…

  4. On the comparison of the USA to Rome, I agree with your conclusion, but have one parallel that you may agree with. Each developed a technology that seemed to be beneficial, but eventually caused most to be poisoned.
    In Rome’s case, the technology was lead pipes for moving water. This might be a question for AlexShrugged but I have heard theories that one of Rome’s downfalls was pervasive lead poisoning. In the US, we do much the same with RoundUp.

    • The Romans knew of the dangers of lead poisoning. They made a decision balancing the danger against the convenience.

      It is difficult to quantify the danger from lead pipes although it is clear that there is a danger. The human body can expel a certain amount of lead on its own, but it soon reaches a saturation point and from that point, one is poisoning one’s self.

      European housing construction included lead piping until the 1920s. No one was poisoned to the extent that it became a widespread problem. Nevertheless, it was replaced by galvanized iron, and then other materials. I think that was a good idea.

      “Vitruvius, Lead Pipes and Lead Poisoning”
      by A. Trevor Hodge

      American Journal of Archaeology
      Vol. 85, No. 4 (Oct., 1981), pp. 486-491

      Alex Shrugged

    • One other thing… the Roman water system did not include a lot of valves. The water flowed continuously so the water itself was not exposed to lead for very long as it would be in a modern home where you turn off the faucet and the water remains in the pipe, absorbing the lead.

      Alex Shrugged

  5. I get tired of all the judgement of young people and parents from you. I guess you are the perfect father? How have you done with your son Jack? Is he still trying to clean pools and bartender for a living and Fathering illegitimate children?

    Am I being an asshole? Of course I am, but you have done it for years regarding this subject. Stop being an asshole Jack and stop throwing rocks, because your glass house isn’t the most stable in this regard either.

    • Well let’s see on my son. No he has fathered not a single illegitimate child. What he did was step the fuck up and take care of another man’s illegitimate child.

      He did run a side business for a while, likely more than you have ever done but just didn’t have the passion for it. He is now starting a career in the field of work place safety and has an amazing opportunity with a start up company. He is already doing training and installs on his own.

      He held his first job for over 10 years, has the respect of his friends. Just had his first daughter with his wonderful wife, the wife I had the honor of officiating his wedding to. The son he has adopted is doing wonderful due to his guidance.

      So how about you piss the fuck off, you sorry ass little fucking troll and if you don’t like what I do fuck the fuck off and don’t listen?

      • Oh and Dave, please do me a favor, please come stand eye to eye with me and speak ill of my son to me, please do this for me.

  6. Some reason I can’t reply to the thread above about EMS transport.

    I used to work in 911, most as a supervisor, in Michigan. The decision is based on protocol set by the county medical control authority. Often left to choice by the ER doc on duty. We recently had a pedestrian struck, 1 mile from our local hospital. By protocol he was medivac’d to a trauma center, and the bird landed at our hospitals landing pad, never entering the ‘lesser’ facility.

    Great info on knowing the resources in your area.

  7. On the note of running a right handed bolt action as a left handed shooter, check out Ian McCollum, who has been on two different episodes of TSP.

    Ian is left handed, but shoots competitive 2 Gun Matches, which you can watch at Forgotten Weapons and Inrange TV.

    I’d love to hear Ian and Karl be interviewed about competition versus training, as well as dealing with being left handed, and how many older guns, or “ban compliant” guns like SKSs in self defense.

  8. I have a question, I am left handed and left eye dominant(though my left eye is near sighted), and was wondering what are the negative effects of shooting with your non dominant eye, the only things that come to mind is trap, and maybe pistol as you’d naturally try to use your dominant eye(which in my case is my worse eye).

    • Shoot with your dominant eye, period.

      I don’t even get why you are asking ask you are left handed and left dominant.

  9. I 100% had the same problem Jack stated about leaving the military. I thought “Look at my 6 years of service, I did so much awesome stuff. Someone will hire me RIGHT away!” And then about two years later and 7 denied applications in my field of choice, I finally had to settle for an entry job in my field. Had to do manual labor for a year and a half to keep the lights on!

    • One thing though always missed in these comparisons again though is, “the fall of Rome” took longer than the US has existed.

      Can you draw parallels, sure you can draw parallels to any civilization from one to another. Don’t read to much into it however, because…

      Okay Mark Shepard is fond of saying, “every civilization based on annual grain production has ended in collapse”.

      Okay soooo, why is that true. Well because every society today has yet to collapse so “it just hasn’t happened yet”. As to every other society, they all collapsed. Because any society that did exist and now doesn’t…….well, you get it right?

      Rome, Sparta, Greece, Venice, they all sooner or later, end up the same way. But the reasons are many and varied.

    • Yeah, I subscribe to your take overall. Having read the book I figured someone might find it a worthwhile deep dive (although the author tries to do more of the direct relational stuff).

      It’s also interesting (?) to watch people reference Rome simultaneously in good and bad ways (“We’re the only superpower!” vs “The Barbarians Are Coming!”) Realities are always far more complex (as you’ve alluded to here and in the episode itself).

      Is that Mark Shepard quote from him or from someone else? I seem to remember hearing that before, but it very well may have been from him or on the show.

      • He is the only one I have heard say it (in several presentations) and I THINK it is in his book. Never heard him source it or frankly even provide evidence it is true, but of course it is true. Every modern civilization has been based on annual agriculture and all of them collapsed, except those that haven’t yet.

  10. Regarding the raccoon, if your concern is not wasting a resource, the chickens will be happy to turn it into eggs and chicken meat for you. An old man friend of mine told me 50+ years ago when he used to trap for the fur they just skinned the animal and then hung the carcass on a nail in the chicken run and all that would be left was bones.