Thursday, January 25, 2018

Mother and Son

 

She curls on the couch sobbing. She found her son not breathing when she came home from her midnight shift. He is on the floor now.  The fire department first responders do compressions on his bare chest.

The man is lean and muscled with jailhouse tattoos on his arms, chest, and neck. It isn’t a stretch to think heroin.

His mother’s boyfriend confirms this to us. The man on the floor was a user.  They argued about it every day, but he kept using. Two torn heroin bags are found on the floor.

We work him for twenty minutes with no response.  Asystole throughout.  His skin is cool, his pupils fixed and dilated. There is already some stiffening in his jaw. We call the hospital for permission to cease the resuscitation. It is granted.

We remove the airway,  electrodes and defib pads and place them along with our gloves in the bag the ambu-bag came in.

His mom kneels over him now, kissing his face, her tears falling on his cold skin. “Vente conmigo, vente conmigo, “ she cries.  Come with me, come with me.  “No te vaya, no te vaya.” Do not go, do not go. “Mi nino, mi amor, mi corazon, te quiero.” My son, my love, my heart. I love you. “Vente conmigo, no te vaya.”

I stand by his feet holding a clean white sheet.  I am motionless.

Mother and Son

 

She curls on the couch sobbing. She found her son not breathing when she came home from her midnight shift. He is on the floor now.  The fire department first responders do compressions on his bare chest.

The man is lean and muscled with jailhouse tattoos on his arms, chest, and neck. It isn’t a stretch to think heroin.

His mother’s boyfriend confirms this to us. The man on the floor was a user.  They argued about it every day, but he kept using. Two torn heroin bags are found on the floor.

We work him for twenty minutes with no response.  Asystole throughout.  His skin is cool, his pupils fixed and dilated. There is already some stiffening in his jaw. We call the hospital for permission to cease the resuscitation. It is granted.

We remove the airway,  electrodes and defib pads and place them along with our gloves in the bag the ambu-bag came in.

His mom kneels over him now, kissing his face, her tears falling on his cold skin. “Vente conmigo, vente conmigo, “ she cries.  Come with me, come with me.  “No te vaya, no te vaya.” Do not go, do not go. “Mi nino, mi amor, mi corazon, te quiero.” My son, my love, my heart. I love you. “Vente conmigo, no te vaya.”

I stand by his feet holding a clean white sheet.  I am motionless.

Tuesday, January 02, 2018

Happy New Year

 

On a private employees’ group Facebook page, an EMT posts a video of a man standing on a street corner, clearly on the nod, asleep on his feet. Another man sneaks up on the nodding man.  He reaches back and then slaps the heroin user hard across the face with an open fist. The victim grabs his head and starts running blindly down the street as if he has been attacked by aliens. The assailant meanwhile has hidden on the other side of the street. The video is captioned: The New Narcan.

The video gets a few almost instantaneous laugh out loud positive comments before it is taken down by a board administrator for being inappropriate.

An EMT has a bumper sticker on his car that reads “I Narcaned your honor student.”

A first responder gets suspended for 90 days for a Facebook rant about how he hates giving Narcan and declares, “Let the s-bags die!”

When people talk about the stigma of being a heroin addict, this is what they are talking about.

Nearly every case where I bring someone back with Narcan, the response is “I don’t do drugs. I don’t know what you’re talking about." Addiction is a club not even its members want people to know they belong to.

Imagine:

A paramedic posting a video of a stranger stomping on an old woman laying on the ground with a hip fracture.

A bumper sticker that says "I CPAPed your grandfather!"

A paramedic posting on Facebook: "I hate giving epi to anaphylactics. They chose to eat those cookies without checking to see if they were produced in a place that processes nuts."

In the HBO documentary Heroin Cape Cod USA, a mother jokes that when a family member is sick, neighbors usually bring casseroles. She has never gotten a casserole, sympathy card or offer of help for her daughter's severe illness-- an addiction to heroin.

Imagine the note:

"Thinking of you, hope Sally Ann beats the Dragon. We're praying for you."

I try to imagine a better world.

A video of EMTs giving jackets to homeless people.

A peace sign bumper sticker.

Facebook posts about volunteering at the local shelter.

A Go Fund Me page for a family devastated by addiction.

I look around. I have seen all of these things too.

It is easy to complain about the bad, but the world is full of goodness and good people.

I hope 2018 brings out our country’s best.

Happy New Year everyone!

Stay safe.