Wednesday, September 30, 2020

Meditations of an Overcast Day

 

It has been a great summer here as far as COVID goes, low numbers, very few cases.  On the ambulance we all wear our face masks, and I wear a face shield when I remember to grab it, and while I carry my isolation bag into the scene with me, I haven’t put on a gown for months.  The fire department, who used to gown their crews before it seemed they even stepped out of their trucks, is rarely seen in gowns anymore.This week, the NBA finals begin, the hockey Stanley Cup was decided, a full slate of college and NFL games were played and major league baseball begins its playoffs.  Not that long ago, it seemed they were talking doom and gloom that all these seasons would shut down again once they tried to start.  Those declarations haven’t proven true.  Yet.  Breaking news today of an NFL team -the Tennessee Titans - who have had a number of players test positive putting next Sunday’s game in jeopardy.

It is overcast this afternoon with periods of misty rain.  I’m sitting in the car watching my daughter’s soccer practice while reading the news on my phone.  

Today Connecticut had its highest test positivity rate (1.75%) since late June.  New York City also hit its highest rate (3.25%) since early June.  The news is full of talk about a second wave this fall.  While many attribute the rise to kids being back in school, I have also heard that a rise in youth positivity may precede a rise in the elderly positivity, and that’s where COVID had done most of its damage.  At the hospital where I work no sooner did they finally reach 0 COVID patients than two new ones came in yesterday.  Not elderly from nursing homes, inmates from jails or residents of group homes, but middle aged working folk with shortness of breath, fevers, positive tests and chest x-rays showing the lung opacities consistent with COVID pneumonias.

Daily coronavirus updates: COVID-19 positivity rate, hospitalizations hit highest levels in months; Connecticut to use new contact tracing tool

N.Y.C. Reports Large Uptick in Virus Cases

This weekend at a sporting event, I stood in line behind a young woman whose temperature was 101.  This was the first time I had ever seen or even heard of a person record a fever at one of these checkpoints.  I usually always test at 96 or 97.  The thermometers run low.  They told her to come back in ten minutes for a retest and I later saw her walking about in the facility.  One of the teams was from a quarantine state, although they certainly didn’t play like they had any disease.  In Connecticut if you plan to stay more than 24 hours and are from one of the states on our quarantine list, you must quarantine for two weeks or face a fine.  If you are staying less than 24 hours, you are apparently free to do whatever you like as long as you leave the state before the 24 hour timer goes off.  The facility we were at was well ventilated and everyone wore masks and there was adequate spacing, so I wasn’t too concerned.

Here in Connecticut even as our rates tick up, the state is about to raise its restaurant occupancy limits to 75%, despite studies that show restaurants are among the highest risk places to get COVID.  Will this be okay -- our state has been very conservative in its approach and I believe lives have been saved by it--or is it a terrible mistake, a sign of our tiredness of COVID and desire to get on with our lives at just the moment that COVID is about to strike again?

Here’s a joke.

Dr. Faucci and I walk into a bar…

Just kidding...We’re not stupid!  That’s where you get COVID!

Speaking of which, today I read an article where the head of the CDC Dr. Robert Redfield is overheard on a private phone call saying of the president’s top COVID advisor Scott Atlas,  “Everything he says is false.”

CDC director takes aim at Trump's Covid adviser: 'Everything he says is false'

Doesn’t give you a lot of confidence.

Florida just opened up all its bars.

Fauci Says Florida Is ‘Asking For Trouble’ By Fully Reopening Restaurants And Bars

I have a bad feeling.

  

Tuesday, September 29, 2020

Coming in April 2021

As posted a few days ago, I am pleased to announce Johns Hopkins University Press will be publishing my newest book, Killing Season A Paramedic’s Dispatches from the Front Lines of the Opioid Epidemic.  The book will be released in April 2021, but is available for preorder now on Amazon.

Preorder Here

The book tells the story of how I went from a new medic 25 years ago who believed that heroin users had major character flaws and that telling them to just say no or they will end up dead or in jail was the solution to the problem, to a proponent of harm reduction, which recognizes that addiction is a chronic relapsing brain disease and whose victims deserve our compassion and not our scorn.  In the book I share the stories that users have told me after I have resuscitated them, stories that show how they were all normal like the rest of us until fate, usually an injury or illness sent them down a difficult path they couldn't have imagined and which many were powerless to stop.

Topics include Stigma, the History of the Opioid Epidemic. The Science of Addiction, Naloxone, Fentanyl, Provider Safety, Harm Reduction, Safe Injection Sites, the War on Drugs, Pain Management and much more.

The book is a mixture of calls I have done, intermixed with a discussion of addiction and public policy issues.  There are footnotes, but the book I believe reads easily, and is full of EMS scenes.

I am grateful to the editors (Robin Coleman) at Johns Hopkins for choosing to publish the book and to my agent, Jane Dystel for championing the project.

I am also thankful to all the readers of this blog who have supported and encouraged my posting about the opioid epidemic. 

Sunday, September 27, 2020

Twitter and Social Media

 

At the behest of the people at Johns Hopkins University Press, I will be expanding my social media presence to help promote my new book.  I have done this blog for over 16 years, but have not yet ventured onto Facebook or Twitter, which I will now embark to do.

Today while watching football (Go Pats!) I have set up my Twitter account and even tweeted twice.

My Twitter account will cover all topics paramedic, including addiction and COVID, as well as a few personal tweets.  I also have a fledgling Instagram account.  I will appreciate anyone who wishes to follow me.  Thanks for your support.

Medicscribe on Twitter

Medicscribe on Instagram

Be my first Twitter follower!  I have 0 at this moment!

GOAL!

 Over the years I have missed many sporting events of my children, although I have always done my best to try to get there.  Since I went part time earlier this year, I have made every one of my daughter's softball, basketball and soccer games.

Instead of being in the front seat of an ambulance posted on a street corner, I was sitting near the corner of one of our town's soccer fields watching my daughter's team when she got this breakaway.

https://www.instagram.com/p/CFp5Rn6nLFW/?utm_source=ig_web_button_share_sheet

After she scored, the coach looked around and seeing me said, "You saw that?"

Yes, I did.

Friday, September 25, 2020

Reporting on EMS Opioid Data

 Great article in The Hartford Courant about the first year's worth of data from the SWORD project, which collects EMS reports of opioid overdoses.

First report on Connecticut’s real-time, opioid overdose tracking system reveals higher number of cases in Hartford County

I was also interviewed by the local FOX news channel about the project.

UConn Health: Opioid data reporting project is saving lives

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(The long hair and mustache are my COVID look.  One of these days I will get back to the barber.)

Thanks to the Hartford Courant and Fox 61 for reporting on this important project and issue.