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e s persistent questions thursday september 10 2015 moving day this blog is moving actually moving day was yesterday i had a long hiatus that i hadn t planned on and i did some thinking basically what i realized was that i needed to change my writing venue if i wanted to start again i had to do it in another place with a different focus and a different intent my new place to post at is here i look forward to reading your commentary there and thanks for reading what i ve written over the past 10 years i really truly appreciate it posted by unknown at 6 02 am 2 comments tuesday february 03 2015 the blast of winter it is incredibly cold outside over the past week this part of the world has had considerable snow i believe the totals in the new england area vary between 36 and 40 inches since last tuesday not only has it been incredibly cold and snowy but there have been periods of high winds as well if you think about it there has been very little snow this winter until now and the predictions have been consistent that this is supposed to be a high quantity winter as far as the snow is concerned i would say that the weather over the past week has more than made up for any shortfalls that there would be as i sit writing this i am at work waiting for the phone to ring expecting nothing more than a busy day when all is said and done and i don t feel especially well i am tired and i m dealing with some mild to moderate nausea the only thing i can think is causing the nausea is the possibility that i picked up a stomach bug from my grand daughter she has been sick since sunday i am hoping however that she is starting to come around and feel better at the moment she is either with her father or well enough to have gone to school i don t know which there are some things that are better than winter actually there are many things that are better than winter like summer and warm days and the feel of the sun on your face in the morning also there is nothing like a good glass of lemonade on ice when it is hot or a cookout or being in the stands at a baseball game these are all good things i miss the summer especially when the weather is a cold as it is now i do know however that spring will come first the best part is that pitchers and catchers report in a little over 2 weeks posted by unknown at 10 51 am no comments tuesday january 20 2015 the oral station i imagine that some people when they read the title of this post will maybe have unsavory thoughts cross their mind if you do shame on you but i will admit that the title can be somewhat misleading the past two sundays i ve worked as an als skills evaluator at different testing sites both are always well run and the group of cadre that work as evaluators are a dedicated bunch of people not to mention interesting and always somewhat dysfunctional this exam is skills based as opposed to written there is one of those as well and as exams go it is among the most challenging exam i had ever taken all things being equal however the skills exam is just as daunting twelve stations total for paramedics a trauma assessment two cardiology stations two iv and a pharmacology station a random skills station a spinal immobilization station yes even though many states are getting away from long board immobilization the national registry still requires proficiency at least for now and two oral board stations my station of choice is the oral board hence the title of this post i do it for a couple of reasons the main reason is because it gives me a good idea how people think and whether or not they indeed think critically it is disappointing how many don t the other reason is somewhat selfish on my part it is much easier to set up and break down there are usually two evaluators one to handle a and the other to handle b i was on both sides of this in each place i worked at plus when there were retests i got to do this in different stations this is pretty normal doing the retesting can either be good or bad depending on the state of mind of the individual candidates i try to keep in mind that there is stress no matter what all of us who do this have been there ourselves and most of us do our best to not add stress to the load but it is stressful even for people who have experience but need national certification so when they come up again i ll likely be there posted by unknown at 10 18 am no comments tuesday december 30 2014 images statue of st benedict of nursia photo by w trachim i have always liked photography there is something to be said about artistry when talking about photographs as opposed to painting writing music or any other artistic medium i have never ever considered myself an artist of any sort even when i was working as a musician and while many people would say that music is indeed an artistic medium i would never argue that point by the way i think i ve always considered music to be more technical and i suspect i have this view because i have always believed that numbers and music are intimately intertwined photography is a whole other matter and i don t know how to describe it maybe it s because there are no numbers involved i think it s all about what you see interpretation viewpoint those things that make how you translate a picture into words martha gave me a camera for christmas a canon eos rebel plus a 300mm zoom lens in addition to the standard 35mm lens that came with the camera i really think that this is one of the best gifts i ve been given it has given me the ability to look at things from a different perspective and i have only just started playing with it some of the photographs i have taken over the past few days are on social media i m putting some of them here as well i know i m not unique as far as taking photos a number of my friends are phenomenal photographers in fact those folks are incredibly good at it i m just getting started it s funny i feel like i graduated from a smartphone it s not to say i won t use my phone to take photos anymore but i can definitely tell the difference jasmine and belle photo by w trachim california pine cones and a coloring book photo by w trachim i think i will be putting more of these up as i go on let s see if i can get better at this over time posted by unknown at 1 19 pm 2 comments thursday december 18 2014 the 2014 holidays i often find myself reflecting on this subject at least once a year and it only happens because of the difficulty that seems to be present when it does i am fully aware of the weight it adds to me figuratively of course and i am certainly not the only person who has trouble during the holiday season it s a hard time of year for many people two days ago tuesday was an especially difficult day for no apparent reason i got up went to work and proceeded to find myself feeling as though i d been grated by sand paper i don t know another way of describing the feeling but there it is plus i was feeling depressed really sad it occurred to me that part of the reason for this was that i have had a tough time during the holidays between working a lot of hours the stress that comes with the schedule i keep and the needs of my family it had added up not to mention the weather really wet and gloomy fortunately i have good friends i commented on my state of mind on social media and a number of people responded with words of encouragement and support i am grateful for that and i certainly won t forget it yesterday was a much better day and right now i am entering the home stretch two hours left of a ten hour shift in the emergency department the night watch little bursts of activity on a given overnight but not so much this past overnight i have had much much worse today i am working tonight at the firehouse after i get through with this shift i am going to go home and try to sleep for a while friday i am working the second of two 24 hour shifts for the week and i am off for the weekend hopefully i will be able to get whatever stuff that needs to be done completed the only thing that will be challenging will be monday december 22 that would have been my mother s eighty third birthday but i will get through that posted by unknown at 6 49 am 1 comment wednesday october 22 2014 searching for a subject i ve been working on this post off and on for about a week i have not been writing at all lately or even infrequently at best it s not because i ve lost interest but i seem to have run out of steam part of the reason that i write infrequently or sporadically is because of the difficulty i have in finding things to write about it s not that subjects aren t available certainly there are my problem seems to be that there is simply too much to consider at least i think that is what s going on but i can t be sure with that in mind i have some things percolating in my head that i may actually be able to put in a post over the past week my my work life has undergone a phase shift a couple of weeks ago i was offered a position with lifeline ambulance which i accepted and started at the beginning of this week they are an ems transport provider based out of woburn massachusetts that also happens to be where i will be working the two 24 hour shifts tuesdays and fridays i was happy with that schedule but i am having to shift everything else around because i accepted this job and i may end up with some of my work going away or maybe not i have had to make changes which for the most part have been reasonably successful but like anything else it is always interesting when change is effected other things are usually always impacted so you adjust improvise adapt overcome always do your best the weather here has fluctuated over the past couple of weeks a lot and my body is feeling it we are supposed to be getting a considerable amount of rain over the next two days i certainly can tell that this is happening due to the joint soreness especially in my shoulders my hips and the back of my left calf plus i have picked up a dry cough i m not certain where it comes from but i don t appreciate its presence it has to be due to dry air in buildings but i m likely wrong about that there has been a lot of illness around and i m sure i picked up something i shouldn t be fighting as i write this i am watching the sky continue to be dark at 6 00am over the past 6 hours the spice fairy has visited multiple patients in with issues related to it i m glad i haven t had to deal with most of the associated nonsense but i hear about it from other staff in addition i have no doubt it will continue i expect nothing less posted by unknown at 8 03 am no comments saturday september 27 2014 weekend s early start saturday morning and it s growing light i look out my window and remember the night the story is starting and this story ends and i feel like i need you again time used to mose softly when i was at home it went on without me and left me alone now it s sits at my shoulder and claws at my hand and i feel like i need you again well i recall september and leaves turned brown remember october left leaves on the ground and here comes december like an elderly friend and i feel like i need you again tom chapin it is nice to have weekends off for the most part i get to spend time with my family which is something that was denied to me for years due to the demands of the job and most of the time i can sleep in except for this morning i was awake at 4 30 for no reason but i ve been relaxing and watching peyton exercise her incredible imagination later on i think martha and i are going to go to the beach even if we don t go just being able to spend time together is enough there is enough to do here that i wouldn t necessarily have to leave either that s true enough however it is a nice enough day today and tomorrow is supposed to be nice also that i may get nothing done not a problem though sometimes it s perfectly fine to do nothing and i m fine with that posted by unknown at 10 50 am no comments older posts home subscribe to posts atom links photo pro manchester nh university of new hampshire the wounded warrior project marinelink national registry of emergency medical technicians critical care medic program at mcg the boston globe nh union leader sandy megas musician and arranger mike livingston not just another songwriter iii maf band 1982 1985 saint anselm college glastonbury abbey benedictine monks st joseph s abbey spencer ma trappists diocese of manchester twitter follow manchmedic at http twitter com emergiblogs powered by ringsurf blog networks blog life in manch vegas topics ems day to day life world view join my network medical blogs medic 22 first due named to the inc 5000 for the fifth consecutive year 17 hours ago street watch notes of a paramedic central line access 3 weeks ago life under the lights understanding why washington endometriosis causes severe and chronic pain 8 months ago gruntdoc gratitude 1 year ago medic three tài xỉu online nohu90 chế độ xanh chín đảm bảo an 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