You are dispatched to a grocery store in the middle of the night in a neighboring town for a male in his 20s who is dizzy. Upon arrival you see an unkempt male patient who hasn't seen a shower in weeks and who appears to be in no acute distress standing outside of the closed grocery store with a suitcase next to him and holding a bag labeled “patient belongings” You interview the patient to learn that he is not from the region and home is about a 7 hour drive away. His vitals are good, in fact they’re better than yours. His pulse is 62, strong & regular, his blood pressure is 114/68, he is breathing 18 times a minute and his lungs are clear in all fields, the cardiac monitor shows a normal sinus rhythm consistent with his pulse, 12 lead ECG is unremarkable, finger stick blood glucose is 112mg/dl and his pulse ox is 97% on room air. What is going on with this patient?
Saturday, May 31, 2008
Wednesday, May 28, 2008
The more I sit and think about moving home the more I think about the relationship I have with my family and the more I realize how blessed I am. My parents are great and amazing, they are the two most supportive people and coming out to them was way easier than I thought it would be. They know that I’m gay and they’re cool with it. My mom doesn’t wish that I were straight, she just wishes that life were easier for me. My dad is fiercely protective- a few years ago when I was living at home there was a group of kids walking down the street and one of them dropped an F-bomb (that’s f*ggot, not f*ck), he leaped out of his chair to see who the hell said it and to discern whether or not it was directed at me because he knew I was sitting out on the front porch.
I get along great with my two sisters. I don’t see my eldest sister nearly enough as she and her husband and my nephew live in
Tuesday, May 27, 2008
So I've been away for the past week. I took a little trip back to
So, over the past week I've been faced with some new questions to answer, namely whether I want to move back to
It was at this point that I decided that I might want to move back home. You see, my friends and family are everything to me. Without them I cannot live to my complete potential. In the time that I have been gone I have missed out on one quarter of TCBE's life. This child was born 10 weeks premature and prior to my move I saw him at least twice a week and watched him grow from a tiny 3.5lb preemie to the little hellion he is now at the age of two. - 1 point for moving to
In the following days I visited friends and family and went to see a good friend and former coworker while she was on duty at the base. It was there that she let me see the photo slideshow she's been working on for
I went to visit my old boss and talked to him about the open positions and he more or less sold me on the idea of the open "senior medic" job which would allow me to set my own schedule and go back to school - 1 point for moving back to Maine.
Upon arriving back home I realized that in my absence my parents and grandfather have aged and I have missed out on valuable time with them. Now, of course I don't expect my parents to kick over any time soon as they're only in their late 50s, but still I'd like to spend as much time with them as I can - 1 point for moving back to
Of course I voiced this desire of mine to my friends and family and my dear friends
The other thing that I need to take into consideration is the fact that I currently have a job where I have absolutely no stress whatsoever. I go to work, I do my job and I go home. I don’t have other people to worry about; I don’t have any supervisory bull to deal with. I just go to work and do my job. – 1 point for staying in
Here it is now Saturday evening. I've been back in
Wednesday, May 14, 2008
The initial weigh in was last Wednesday and today marks the results of the first week. I started out last week at 317lbs, 45% body fat, 40% body water, with 39.6 for my BMI. Today's weigh in shows me at 308.8lbs, 43.7% body fat, 40.7% water and a BMI of 38.6 this translates to 8.2lbs lost and a 2.6% reduction in weight. This week I'm tied for first place with another employee for the percentage of weight lost. The Wednesday Weigh in will be a regular feature of this blog because the more people I'm held accountable to the more likely I am to stick with this plan.
This whole process is not a diet, it is lifestyle modification. When I return next week from my vacation to Maine I'm going to start working with a personal trainer who is going to evaluate my eating and lifestyle habits and put me on a workout plan to maximize my weight loss, when the three month challenge is over I plan to continue the weight loss until I reach a healthy weight and BMI.
Wish me luck!
Monday, May 12, 2008
Today is also International Feel Sorry For Yourself Day. Coincidence?