May 18, 2012

EMS and ADD

I had an interesting conversation at work recently about getting through school, working, and simply living with Attention Deficit Disorder (ADD). This prompted me to browse through some EMS forums to see if this is common among the folks in our industry. I knew that there are plenty of adults out there that are treated for it, but I never realized how many EMS and health care professionals have it. I grew up with it, and faced my share of challenges as a result. Needless to say, it was cool to hear several other people share the same stories and listen to the different ways that people deal with it.

I was initially diagnosed sometime around 5th grade after one of my teachers made an observation about my behavior and mentioned it to my parents. At the time I was falling behind with my school work, and I simply wasn’t paying enough attention in class. I was put on medication for a while, which seemed to work, but I eventually stopped.

For most of high-school, it didn’t seem to be much of a problem. When it popped up again was when I started my first full-time job. I think a lot of the reason is because I spent the majority of my time at a desk working on a computer. I didn’t think much of it as it was a boring job so I figured it was normal to “drift off” and give in to the various distractions that the Internet offers. What wasn’t normal, is that I had a hard time getting anything done.

The problem only compounded once I started taking college classes. I would find myself having to read paragraphs 4 times before I actually remembered what I had just read. I couldn’t focus on lectures or power-points to save my life and as you can imagine, studying was turning into a nightmare. I suppose the sensible thing to do would have been to seek care from a doctor and go on medications, but I was a bit too stubborn for that.

EMT school was exciting and interesting to me, which made focusing a bit easier, but I still had a hard time reading on my own. I ended up joining a study-group that met a couple times a week, and that worked wonders to get through class. I responded much better to group conversations and “quizzing” each other than reading and trying to quiz myself.

After EMT school, I started work for a rural ambulance service and the attention problem seemed to disappear. Paramedic school was quite another story……

Paramedic school was obviously much more difficult being that the material was more advanced, but what was even more of a challenge, was the fact that I had to be in the classroom 8 hours a day, 4 days a week. From day-one, I knew I had to come up with a way to improve my attention span or else I wouldn’t retain any of the information that I was trying to take in. I joined a study-group again, which certainly helped me study, but it didn’t do anything for me in the classroom.

To solve the problem in the classroom, I ended up buying a laptop and using it to type notes while the instructor did her lectures. Fortunately for me, our instructor loved power-point presentations so I was able to essentially copy the material from the slides into a word document. Of course, the fact that I could type fast really helped. I figured at the very least, I would have the content of the lectures saved on my computer to review later with my study-groups. What I didn’t initially realize, is that I had hit the jackpot with my idea. Not only was I retaining the material on my computer, but I was forcing myself to pay attention to the instructor in order to keep up with her. To this day, I swear that my laptop is what got me through paramedic school.

So, returning to present-day life, I still have issues “spacing out” and focusing on projects, but I manage to get by. The interesting part, is that the majority of my issues revolve around my home-life. Carrying on conversations in the car, paying bills, cleaning the house, and yes, blogging are all tasks that I struggle with when I’m having “an ADD moment”. For the longest time I couldn’t figure out why I struggle at home, but not work. It wasn’t until I evaluated exactly what I do on a daily basis that I realized why.

If you think about it, EMS is the perfect job for a guy like me. There are large amounts of down-time that really don’t require any attention other than driving or listening to the radio. This is usually followed by short-bursts of tasks that require ALL of my attention. Patient care is interesting to me, and it’s done in an environment that has little-to-no distractions. The constantly changing environment works wonders for my attention span and I very rarely find myself “spacing out” or losing interest. Having realized this, it now makes sense that so many people with ADD work in EMS and health care. I can only imagine that firefighting and law enforcement also have the same share of folks with ADD.

I would be very interested to hear other people’s stories of living and working in EMS with ADD. Have you had the same experiences that I have? How do you overcome the challenges?


So maybe I’m a little late….

….but as Ambulance Driver pointed out, I have been busy! As many of you might know, us EMS bloggers have been participating in Kilted to Kick Cancer in an effort to raise awareness for Prostate and Testicular Cancer and to raise funds for research.

To be perfectly honest, prostate and testicular cancer isn’t something that I thought about until recently. And I never thought that I was considered part of the age group that is at risk! Here are a couple facts about prostate and testicular cancer that I shameless stole from Ambo Drivers page you should know:

Prostate Cancer:

  • About 240,890 new cases of prostate cancer will be diagnosed in 2011.
  • About 33,720 men will die of prostate cancer in 2011.
  • About 1 man in 6 will be diagnosed with prostate cancer during his lifetime.
  • More than 2 million men in the United States who have been diagnosed with prostate cancer at some point are still alive today.
  • Prostate cancer is the second leading cause of cancer death in American men, behind only lung cancer.
  • About 1 man in 36 will die of prostate cancer.
Testicular Cancer:
  • It most often affects men between ages 20 and 39.
  • It affects 8,000 men a year, and kills 390 of them.
  • It is the most common form of cancer in men ages 15-34.
  • 95% of cases can be cured if detected early.
Like I said, I’m a late bloomer in this challenge so I am going to have to step up my game over the next 5 days to catch up with Ambo Driver. He has done an amazing job raising money and awareness, but it’s my time to shine.
Looking back on it, I really wish I had started at the beginning of the month. I mean, how cool would that have been to drive half way across the country wearing a kilt? Regardless, I’m in the game now and I need your help. Click the link below to donate. Anything helps and the money is certainly going towards a worthy cause.

Volkslauf 2010 – Team Medic Madness

A while back I wrote an article preaching about the importance of good health for EMS providers. At that time, I actually practiced what I was preaching. This hasn’t exactly been the case lately. Unfortunately over the past few months I haven’t been exercising regularly or eating right. I came across my article and realized that I need to get back into the swing of things and get in better shape.

Sounds great right? Sure, except that I seemed to have little-to-no motivation. Being faced with this problem, I set out to find a good motivator. What I found is the upcoming Volkslauf 10k mud-run in October. I ran this race back in 2007 and it kicked my ass! Roughly 6 miles of running, crawling, climbing, and everything in between. The event is put on by the Marines and it benefits the local “Toys for Tots” organization. The course encompasses several military-style obstacle courses separated by long stretches of running.

I have decided to sponsor the event and form a team of EMS professionals that will put forth the effort required to get in shape for this event. I really want to promote health and fitness amongst my peers in the EMS industry. I will regularly post my progress in preparing for the event. If anyone is interested and truly motivated please feel free to contact me about joining my team. The tentative date for the race is October 2nd. This is subject to change as they are still building the course at their new location. I will post the official race date when it becomes available. The race will take place in Bakersfield, CA.

If you are interested please e-mail me at sean@medicmadness.com.


EMS – Bad for Relationships?

It’s probably no surprise that public safety work from all aspects can have negative effects on relationships. Long hours, mandatory overtime, irregular work schedules and work-related stress can certainly wear on your partner over time. Does this mean that our line of work makes it impossible to maintain a healthy relationship? Absolutely not.

Yes it is true that most ems jobs come with long hour shifts. But let’s not forget that it usually includes more time off. For example, people working 48 or 24 hour shifts usually get stretches of 6 or 8 days off. It’s all of the overtime that we pick up that causes problems in the household. Now I live on private ems pay too and I truly understand the need for extra money. But it must come in moderation. Try not to live outside of your means and make what time you have with your spouse quality time. Being apart from each other can actually have positive effects if it’s not excessive.

We all get irritated when we get held over to run “late calls” or support a busy system. Trust me, your partner feels the same way. The last thing your significant other wants to hear after you have been away for 2 days is that you are not coming home on time. Not to mention the fact that you probably just want relax or sleep for a few hours to recover from your shift. Rather than fight over this, try talking about it and come up with a set of agreements. For example, you can set rules like not making plans immediately after your shift or designating some time for rest when you come home. Now on the occasions that you do come home well rested and on time, you can surpsrise your partner and do something special.

Everyone knows that our line of work comes with its share of stress. High work loads, financial trouble, critical incident stress and desicions concerning promotion or relocation can take its toll on a person. Unfortunately, most of the time we keep it inside. Trust me when I say that it shows, and it can negatively affect your behavior. Always make sure to talk to your partner about stress in your life. Try including them when it comes to important decisions abour your job or your life. Call your partner throughout the day to tell them about your shift and talk about stressful calls. This will keep you on the same page and will allow your partner to have a better understanding of what you are going through. Let your loved one support you. Don’t let your work issues become home issues.

Working in ems doesn’t mean the end of the world for your love life. It certainly isn’t easy. It’s no surprise to me that many ems professionals date and marry nurses, firefighters or other ems professionals. Communication and quality time are going to be your best friends when it comes to maintaining your healthy relationships.

I would love to hear about your stories or experience with relationships and the ems field. Please feel free to comment below or email me.


Good Health – A Must for EMS Providers

Good morning readers. Today I am going to discuss the importance of good health when working in the EMS field. Good health is something that is often ignored amongst many EMT’s and Paramedics. The truth is, we need to stay healthy to truly perform our jobs effectively. Regular exercise and good nutrition will ultimately equate to more energy, better concentration, more strength and will lower your risk for injuries.

For the purpose of this article, I am going to focus on nutrition. Having worked in EMS for many years, mostly on night shifts, I certainly understand the difficulties in finding healthy food while working the streets. I have been guilty of late night 7-11 chili dogs, “Big Gulp” sodas and large bags of chips. It almost seemed like healthy food disappeared when the sun went down. I have since learned to tone it down on the artery clogging snacks.

Meal planning is going to be the first step to your nutrition plan. I plan on 5-6 small meals a day. This helps to kick the urge to snack. Eating 6 small meals a day also helps to maintain a faster metabolism, which translates into less fat retention. Target and other major stores offer many decent sized coolers from 20-50 dollars that would easily fit all of your meals and drinks for a shift.

Eating 6 meals a day is great, but it wont do you much good if you aren’t eating the right stuff. We all know that fresh fruits and vegetables are good for you. I could write a book on the importance of eating fruits and vegetables. But the truth of the matter is, if you don’t like it, you probably aren’t going to eat it. I personally enjoy eating apples, carrots, oranges and salads. They can be filling and have a good source of natural sugars for energy. Try browsing around your local grocery store for healthy foods to eat. You might be surprised at how much is out there that you will actually enjoy eating. A good rule of thumb is to consume no more than 2,000 calories a day. You be the judge, find what you like and keep it below the 2,000 mark. Remember, you can’t go wrong with fresh fruits, vegetables and whole grain foods.

Try to avoid foods and drinks with high sugar content. While sugar is important, excess amounts will lead to less energy and more fat retention. Try drinking more water and diet sodas instead of regular sodas. Diet sodas are good, but they contain a decent amount of sodium, which wont do you any good if you consume an excess amount. It doesn’t take a genius to figure out that candy and sweets can be bad, however a treat every now and then isn’t going to hurt anything.

Ever since I started to focus on healthy eating I have truly improved my job performance. I require less sleep, have more energy and I am able to concentrate better than before. Good health isn’t the only upside to a good nutrition plan. You will also save a substantial amount of money. Nutrition planning doesn’t have to be rocket science. Most people know whats healthy and whats not. Don’t try to over-complicate things. Experiment around a little and find a nutrition plan that works for you. As always, have a great week and please feel free to e-mail me with any questions or comments.