Focus, people!

I have seen a lot of strange things in my time. And I have seen a lot of stupid people in my time. But what I witnessed today was one of the strangest and stupidest things I have ever seen a person do.

It has always irritated me when drivers are too ignorant, lazy, stupid, careless or in too much of a hurry to slow down and pull over when an emergency vehicle is blaring its siren for people to get out of the way. Virtually every time there is such an emergency, there are drivers who blatantly disregard the fact that their failure to give way could mean someone loses their life.

On this day, I was approaching the street (as a pedestrian) when I heard a nearby siren. I looked in the direction of the sound and watched an ambulance slowly cross against a red light. As it approached a second traffic light very near me, the light turned red. It stopped at the intersection with its siren blaring away, waiting to make sure the way was clear to proceed. Simultaneously, a teen-aged school girl stepped off the sidewalk perpendicular to the ambulance across the street. All cars and pedestrians had stopped and looked on at the scene unfolding.

The girl nonchalantly strolled across the street seemingly oblivious to the blaring siren and flashing lights of the ambulance stopped not 30 feet away. She did not stop and signal for the ambulance to pass. She did not quicken her pace so as not to delay the ambulance further. In fact, she did not even look up at the ambulance. What she did do, and I imagine it was because she felt all eyes were on her and she was feeling self conscious, was raise a hand to her hair and lightly brush it aside. It was so surreal that it seemed I was having a dream.

As she reached the opposite side and the ambulance finally started on its way again, I wanted to rush up to her and scream "WAKE UP, YOU MORON!"

Here's a visual aid of the scene:

The horror...the horror

First, I want to apologize for sporadic postings. And further apologies for the lack of lighthearted material. There's not too much humour in serious medical problems. Well, maybe if you dislike the victim. And if that's the case, here, I'm glad to have provided a few grins.

A lot of people totally disregard the information about healthy living generally and heart health specifically. I was one of them--even if I was doing well in recent years. As boring as this subject may be, I beseech you to read on. I won't tell you how painful a heart attack is. There's nothing new there. What I want to explain is that the aftermath, at least in my case, was far, far worse than the symptoms that took me to the emergency room in the first place.

You may be tough enough to withstand a mild or medium heart attack standing on your head. In fact, I endured mine for a second day before heading to the hospital, as I wasn't sure the pain was heart related at first. But everything that comes after arriving at the hospital is enough to make a grown man cry.

So, I'm having chest pains that keep coming in waves, going from discomfort to fairly substantial pain. Soon after arriving at the hospital, they take my vitals (BP and ECG), and my BP was very high (186 over 120) but I guess the ECG did not show conclusive evidence of a coronary problem. That would explain why they made me wait three full hours before I saw a doctor. Another round of vitals and a blood test shows that my BP was now a ridiculous 205 over 141. If you're unfamiliar with the scale, normal readings are about 120 over 80.

I won't go into the ugly details of the hellish week that followed, but I do want to give you a small taste:

Every 8 hours they poked me to take blood, anywhere from 2 to 6 vials each time. Sometimes, it took as many as 3 tries to get a good insertion. 3 or 4 times they moved the IV lead to a different vein. For the first 2-3 days, I was on an IV drip. They maintained an IV lead until minutes before I was discharged "just in case".

I was on a heart monitor the entire time. For a couple of days, I had to pee into a urinal on my bed. The rest of the time I had to get disconnected before I could drag my tired ass to the bathroom.

Sleeping was almost impossible.

Constipation was yet another discomfort.

Honestly, on about the second day, I was ready to die and came close to signing myself out. Of course, a doctor heard of my request and came by to tell me that he has the power to hold me if he had reason to believe I would do harm to myself. I guess leaving the hospital without treatment for a heart attack is tantamount to doing yourself harm.

The food wasn't of great quality to begin with, but when my appetite returned, the coronary care unit menu was enough to starve you. Breakfast alternated between a single piece of whole wheat toast and a muffin.

Now, we're getting to the fun part. I was shaved in the groin area by a nurse. If that's not your idea of fun, maybe having a catheter stuck into an artery in your groin and pushed all the way up to your heart and spraying basically a poison dye so that they can take x-rays of your major heart arteries is. They give you some vile-tasting stuff that I feel is the worst tasting crud I have ever had the displeasure to swallow, that is supposed to protect your kidneys from the dye. The best part is yet to come.

You need to lay flat on your back without making the slightest movement, especially to the leg they used for the angiogram, for a full four hours. That would be difficult enough under the best conditions, but the pain in my lower back slowly increased and then went to my kidney. I asked the nurse for some pain reliever which she brought and I took, but the pain increased faster than the pills could take effect and about 2-3 minutes later, I literally whimpered that I couldn't stand the pain. She came and administered morphine into my IV drip. While there was a slight improvement almost immediately, the full pain did not subside until about 15 minutes later at which time, gratefully, precious sleep came.

I didn't mean for this post to be so long. I'll give a few more highlights probably tomorrow and then explain the reason for posting all this.

Shazzam!

There is an amusement park that is open 24/7, 365 days a year. The queue for their best ride, Shazzam!, is more or less constant and the average wait time is one hour. Still, people can't resist it's allure. The ride itself lasts five minutes (including two minutes for collecting tickets and safely securing and disembarking passengers). There is only one man servicing passengers. In any given period, the same number of people exit the ride as join the line waiting to get on. Occasionally, the line increases or decreases a bit but not dramatically so.

One day, Freddie, the ride operator, had an idea. He figured that since the line moves pretty well at a constant rate, the reason there is an hour wait is due to the constant backlog. So, he went to management and explained "If you put another man on the job to help me with the passengers until there is no queue left, I could then maintain the same pace as now--same number coming as going, and never have anyone wait longer than the five minutes it takes to operate the ride."

Management agreed and hired a temp for Freddie. Sure enough, within a few days, the line had dwindled, the temp was sent on his way (hopefully to do some equally helpful job) and the ride was operating smoothly. Well, you can guess what happened next. As word spread of the decreased wait time, more and more people wanted to ride Shazzam!, including people who had just gotten off. It wasn't long before the queue reached its previous and constant length and the wait time went back to an hour.

This story is not about an amusement park. It is about hospitals. And Shazzam! is not a ride, it is the Emergency Room. Waiting an hour to go on a ride may be unpleasant, but doing so in the ER waiting room could be life-threatening. People have literally died waiting. Why do we accept the unacceptable? Especially when there is a very simple solution?

"But, Vinny", you may be saying, "won't the wait times eventually go back to where they were as in your example?" Absolutely not. People don't decide whether to go to the hospital based on the wait times (or how much they enjoy "the ride")--they go to the ER when and because they have an emergency. Reduce the backlog and you should be able to maintain much faster service times with the current staff going forward.

This solution may not apply to rural hospitals where the number of ER patients fluctuates greatly, but then wait times are probably not as big an issue there, either. In big cities that don't sleep at night, the ER is almost always jammed. This is where it applies. This is where it's needed. Is anyone listening out there?