Monday, May 30, 2011
Sunday, May 29, 2011
It was a kittenpalooza there--and it's not just Wayside Waifs. All the shelters in the metro are reporting in with lots of kittens.
Here is the smallest "cone of shame" I have ever seen...probably weighed more then this little girl.
They are better in pairs really--if you have no pets now, and are considering adopting young ones, consider two...
Saturday, May 28, 2011
Wednesday, May 25, 2011
Tuesday, May 24, 2011
Now, I view this more from the point of the first responder. I could give a care about the "optics" of a situation. I think that President Bush was 100% right in his call to not go on the ground too soon after Katrina. I think President Obama hit just the right time in Alabama, after the majority, if not all, of rescue and recovery was completed, but before too much clean up had happened. He could do all of it: be a consoling presence, show leadership and get the really cool pictures in the rubble, without being disruptive to what was going on.
So here are my parameters: The visit must not complicate the lives of the fire service, EMS, or law enforcement at all. The president should be as "self contained" as possible--bringing as much of his own logistics as he can. Saving of life and property must always be the first priority; if a president's visit will slow that, it needs to wait. There are other ways to show that you care--videos, radio addresses, statements in speeches, etc. etc.--that can be used until a ground presence is not a major hindrance. People do appreciate the president coming by, I think that is true, but it must not take resources from the immediate task at hand.
We in Missouri will welcome Mr. Obama when he comes--currently scheduled for Sunday. It might be sooner if conditions in Missouri can tolerate it and the president has to return from Europe early due to the volcanic ash cloud's affects on air travel.
Monday, May 23, 2011
Saturday, May 21, 2011
The storm went through the Ruskin Heights neighborhood sometime between 7 and 8 pm, perhaps around 7:20 or so. Before that the tornado hit Spring Hill, KS and Martin City.
Friday, May 20, 2011
The setting of dates by individuals claiming to have knowledge goes against the biblical record. Jesus Himself takes up the topic of His return more than once and His thoughts were recorded in Scripture. Matthew 24 in particular records the Lord's thoughts on the matter. My favorite verse, because it creates a picture that we all can relate to, is 40 and following. In v. 36 Jesus tells the disciples: “But about that day or hour no one knows, not even the angels in heaven, nor the Son, but only the Father." He follows that with this illustration. "Two men will be in the field; one will be taken and the other left. Two women will be grinding with a hand mill; one will be taken and the other left. Therefore keep watch, because you do not know on what day your Lord will come. But understand this: If the owner of the house had known at what time of night the thief was coming, he would have kept watch and would not have let his house be broken into. So you also must be ready, because the Son of Man will come at an hour when you do not expect him." (NIV) Believers must be careful about any teaching that claims to know any specifics about the end times. It appears to this simple Christian that such go against the teachings of our Lord Jesus Christ. Paul writes similarly in 1 Thessalonians 5. I like the image of the thief. If we know when a thief might come, we would be prepared. Since we do not have any idea when--or even if--a thief will come, we prepare as if he could come this day. We lock our door every day, because this might be the day someone tries to turn the knob. So it is with spiritual preparation for Christ's return.
I have trouble thinking of some of the subtle damage this sort of thing will do. People who believed and then witness it not happening will be hurt spiritually, hurt in their faith in ways that are both obvious and subtle. The trust is shattered in so many ways. There is also fear--maybe I am still here because I am not good enough for God? The scrupulous soul may live in anxiety of not measuring up to God's requirements--a position completely opposite to the reality of God's forgiveness and grace.
The Lord's Prayer also rings in my ears: Our Lord taught us to pray in this way, as recorded by Matthew 6:9-13 NIV:
Thursday, May 19, 2011
Monday, May 16, 2011
Saturday, May 14, 2011
Friday, May 13, 2011
Tuesday, May 10, 2011
For listings of all things automotive, I recommend visiting Craig Hover over at Hover Motor Co. for a run down of all things old car happening in the KC and surrounding areas. Linked here, or permanently over on one of the blog rolls to the left. He has lots of other cool stuff too.
Monday, May 9, 2011
"Give me a general example of how someone dies and a paramedic sitting a few inches away doesn’t notice he's dead," Wright said."I think that there are a variety of things that can happen, just as in a health care setting and depending on the degree of illness, the patient who has been medicated and appears to be comfortably sleeping," Salamone said. "You know we're not watching every, every heartbeat and respiration ....""Don't you think people will be surprised, though, that if you're in an ambulance someone's not necessarily paying attention to you?" Wright asked."Continuously paying attention to you? I don't think that's any different unfortunately than any health care setting in the country today, if not the world," Salamone said. "Nurses may sit at your bedside and document. They may not be watching you absolutely every second. And that's just part of medicine because unfortunately medicine is actually practiced by humans, too."
Friday, May 6, 2011
A transfer from one hospital to another can be an emergency trip or not. Typically hospitals transfer patients they are unable to provide optimal care for, either because they simply do not have that ability to do that type of care or they are out of room. Transfers to specialities such as cardiac care, trauma or psychiatric care are common. Most transfers can be done non emergent. Some are "non-emergency without delay"--a wonderful phrase from the KCFD dispatch center that describes the middle zone. Of course, some are flat out emergencies. The transferring hospital will tell the EMS provider what is needed for the patient: an EKG monitor, oxygen, IV medication and/or fluids infusing, restraints or no equipment other than the cot. There is a concomitant elevation of monitoring--those more urgently ill will be placed on a heart monitor, with oxygen saturation measurements and perhaps BP checks.
During the report the phrase "just inches away" is used with reference to the medic "teching" or attending to the patient during the call. It could be inferred by this that the medic was not sitting in the back with the patient. During an interview on KMBZ radio this morning reporter Wright made it clear that the medic was sitting in the back with the patient. They were in the seat that is behind the patient's head--the seat looks at the back door of the ambulance, just as the patient does. I am not sure of the exact layout of the KCFD ambulances--exactly how far this seat is from the patient, or what kind of sight lines the medic had--some of that would be dependent on the medic's stature. A shorter person would have to likely shift position to get a really good look at a patient lying on the cot, especially if the head of the cot is elevated 30 degrees or greater. Yet in a way this is more troubling; if the medic was in the "box" with the patient, did he/she just miss the change in condition during the blizzard prolonged drive?
The second part is tonight, with the reporter talking to the medical director for the KCFD EMS. Now we get down to it--has there been a change in the expected standard of care since the city took over or is this event a sad outlier, a one-off, that with proper problem solving will not happen again?
The real question: Is this a one time event or an overall trend? How is the care given by the KCFD in terms of quality--better than MAST, the same as MAST, worse than MAST?
In the meantime, the fire department needs to man up and take responsibility and then do the things needed to make sure that this never happens again. Because this sure was a crappy unacceptable outcome.
5/6/11 3:22 PM
Thursday, May 5, 2011
So I say to the Obama administration: Please shut up now. Too many explanations are raising too many questions. Too many explanations are exposing things to the world that we should have kept to ourselves--what we found, the tactics used, the stealth helicopter, etc. Just tonight the New York Times talked about how bin Laden had hands in terror plots over the years. My reaction was just stop, stop feeding the media.
One thing should be done: The photos and videos of bin Laden's death should be released. That is why we risked the lives of the SEAL team, to be able to prove without a shadow of a doubt that we did indeed kill Osama bin Laden. I understand the objection that radical Muslims will use it to gin themselves up, but they already can do that with just the fact of OBL's death at our hands. I also understand that it will not put the skeptics to rest, but nothing would. We might as well reassure the sane among us that we did this thing to completion.
Wednesday, May 4, 2011
Monday, May 2, 2011
Now, I got my news of bin Laden's death the very old fashioned way, via the radio, but a lot of people got the news via social media. Twitter led the way, peaking at an astonishing 5,100 tweets per second at one point during the hours of 9:45 p.m. CDT to 1:20 a.m. CDT. I imagine that Facebook was pretty busy too, people linking the early news stories and posting status changes. Facebook set records when the birth certificate was released for number of status updates in a time period; that may have been a very short lived record.