What About Now?

All too often as we glide through life, we hear about this unfortunate circumstance or that one and quite quickly, it disappears from our thoughts. Why? Usually it is due to the fact that whatever it was, had no bearing on the observer. So why bother, right? Wrong!

For our regular readers and followers on Twitter know, we take the concept of firefighter health very, very seriously. It's a subject that were are very passionate about. Why? That's a valid question and it's also a tough one to answer. 

Your author has been disabled since 1992 when I work up one morning with, what I thought was a run-of-the-mill backache. After seeing several doctors, I finally had an MRI and found out that I had a herniated disc at L4-L5. The question of how was more difficult to answer. I had been out of active service with a fire department since 1985. I was in a relatively sedentary job and was not required to move or life heavy objects. Today, 23 years later and after five back surgeries, too many injections to count and having a medication pump surgically implanted, the consensus of my doctors is that the underlying injury occurred in June 1978 when one leg fell through the floor of a house being used for fire training. At the time of that fall, I blew out my left knee, but I had no idea about my back. However, that was an on-the-fireground accident that could happen to anyone. So, no - my passion does not come from that occurrence. 

Even though I have been out of the fire service since 1985, it has and always will, have a role in my life. And I read Firehouse Magazine every month.And each month, the first column I read is the list of LODD's. A recent report regarding the LODD's in 2014 indicates that nearly fifty-percent (50%) of firefighter LODD's are caused my preventable health conditions. PREVENTABLE!!! No, I did not know any of these firefighters in any way, nor did I know any active firefighter with serious health risks...until this past week.

One of my neighbors is a career firefighter for a department about an hour north of where we live. He's a real nice guy, loves what he does and was working to put his "20" in, with just a couple of more years to go. However, my friend, whom we'll refer to as "Tom," is a big man, both height-wise and weight-wise. So each time I'd see him outside and wave or stop in to chat for a few, I never said a word to him, but inside, my guts were churning. Before me stands a guy who loves what he does, is good at it, but not taking care of himself with the same passion he uses to fight fire.

Two weeks ago I got a cal from his wife to come over to help them with a computer problem. I saw Tom's car in the driveway and assumed he was on an off-day. When I got inside, he's walking all bent over and I asked what happened. He said he threw his back out on a call a few days before, but he wasn't that concerned as the next Monday, he was going to have knee replacement surgery. I fixed the computer, wished them both good luck and told him I'd check in on Monday night or Tuesday morning to see how the surgery went. 

Early Tuesday morning, I get a call from his wife and I asked her how the surgery went. She said, "It didn't!" She then explained to me that when he went for his pre-op clearance, the doctor observing his EKG saw traces he was not happy with and scheduled him to undergo a supervised stress test that Monday (the day before her phone call) with a pair of cardiologists. Tom was upset, but more about missing the knee surgery than anything else.

He underwent the stress test and suddenly, the doctors told him to stop. They sat him down and helped him through the recovery phase. The doctor came over to him and asked, "Tom you're a firefighter, aren't you?"
"Yes, sir," he answered with the pride he had in his work.
"Not anymore, you're not!" the doctor said. "You're firefighting days are over."

Stunned by the news, Tom asked for an explanation. The doctor told him that his cardiac output was in the mid-30% range, where normal for someone his age should be in the 60's. There was evidence of ischemic damage, most likely caused by a silent MI. Finally, they were concerned about the condition of part of the septum.

That was that. Of course, as I said to his wife, the good thing is that these conditions were caught in advance of a non-survivable incident. He had an angiogram on Tuesday and came through it well. Moreover, he is beginning a course of medication and lifestyle change to get him healthy again. No doubt, it's going to be a long, slow road. None of us gain a great deal of weight overnight and we are not going to lose it that way either.

So, when's a good time for YOU to take stock of your personal medication condition?
WHAT ABOUT NOW?
  

Are We Taking Two Steps Forward and One Step Back?

Have you ever thought about the meaning of the words in the title of today's post? No? Well, try it. Pick two points in your home, in the firehouse, anywhere you choose. Now, walk with your regular gait and time how long it takes to travel from point A to point B. Easy, right? Now, do it again, but for every two steps forward, take one step backward, and time your journey again. Not so easy, eh? What was the difference in your times? Now, imagine living through your entire day, all your tasks, all your errands doing the same thing. For every two steps forward, you must take one step back!

The August 2015 edition of Firehouse^® Magazine notes that seven firefighters died with the classification of LODD. Each and every one of these deaths was classified as an LODD. Not one was a fireground or apparatus/vehicular occurrence. The magazine also has an article about the NFPA’s latest report of LODD’s from 2014. All together, we lost sixty-four brothers in 2014. This made 2014 the third year in the last four where LODD’s were below sixty-five and it was a significant reductions from 2013 where we lost ninety-seven firefighters.

As good as that news is the problem lies in the fact that over half of the deaths in 2014 were caused by sudden cardiac/health events. This was the highest number of health-related LODD’s since 2008.

We have been on our Twitter account (@DalmatProd) for approximately six months now. And we have made firefighter health one of our top priority topics that we look for and write about. As a matter of fact, we are so concerned about this that the subject will play an important role in the television program that we are currently working to sell in Hollywood. Moreover, if you have read this blog before, you know how important it is to us and how often we write about it.

The question remains if we are doing enough to prevent these types of LODD’s. I have no doubt that each and every industry magazine addresses this issue from time to time. Many departments have taken the issue to heart (pardon the pun) and developed excellent fitness programs for their firefighters, both current and future. However, many of those departments are larger, urban and suburban companies that may have a fitness line item in their budget or perhaps, they applied for and received a SAFER grant specifically for this purpose.

Yet two key issues remain. The first is the difficulty in promoting this health initiative in smaller, more rural departments, most of them being volunteer departments. As it is, they are having a difficult enough time just recruiting and retaining volunteers. Now, we push this health initiative on them and they back off because they simply do not have the resources to do so.

The second issue is how do we “encourage” the firefighters, mostly on-call and volunteers, who have been members of their departments for several years or longer and over the course of time have gained significant weight or developed other health issues that could lead to a morbidity level? And what about officers and command staff, who sometimes feel that since they are not performing any physical exertion at calls, their health is not of concern and they should not have to abide by a department’s health standards.

The issue of firefighter health is well publicized; there is no doubt about that. And we have some of the best leaders in this country working their tails off to bring this message to the masses. So, the question remains how we raise the level of attention of our target audience?

As I thought about this very question, the proverbial light bulb went off. How bright it is, well, that’s for you to decide. Every fire department in this country is well aware of the NFPA, its purpose, its mandates, etc. While we all realize that some departments are financially unable to employ each NFPA mandate, they do try to do their best. Why? Because they know in their hearts and minds that the NFPA is working to keep firefighters as safe as possible. Whether it is the semaphores on apparatus, PPE, standards for SCBA, etc. they are looking out for the safety of every one of us and the citizens we protect.

What if we can find a way to create a union of the NFPA and either an existing organization or a new one, even a new sub-department of NFPA to carry this health message to the boots on the ground, so that they see it as the same way the majority see the other safety mandates from the NFPA. Perhaps if we can create a Committee of Firefighter Health & Wellness as an offshoot of the NFPA, our messages will stop falling on deaf ears. Or, at the least, find a larger audience.

However, I sincerely believe that this must come from us, the firefighters, current and former, the departments and our own organizations. I do not want to see governmental bureaucracy involved in this endeavor. We have the experience, we have the knowledge and we have the influence that we can put to work to save our lives.

The goal is simple: let’s give the National Fallen Firefighters Foundation the least amount of work to do. Let’s do our best to live by our motto: #EveryOneGoesHome.

 

A Picture is Worth a Thousand Words & A Big "Thank You!"

First, I must thank my youngest daughter for a wonderful surprise. We were visiting her in NYC and we went out to lunch. She had wanted me to attend a show, but there was nothing that really called out to me. So, she, her boyfriend and my wife were going to the show after lunch and I was headed back to her apartment via a NYC cab.

After we finished lunch, we started walking so she could show us a couple of sites and, I presumed, to grab my cab. But we kept on walking, crossing this block and that avenue.Finally, she said, "We're here!" I looked around and found myself in front of the FDNY Store! That was the real reason why she shlepped me along. She wanted me to see the store. It was like taking your kid to a Toys 'R Us! So, thank you, my sweet Miryam for helping your Dad enjoy his visit even more!

As we were traveling this past week, I was able to catch snippets of news here and there. Several of the stories dealt with fire departments around the country. A couple were humorous and some very serious. Speaking of serious, it was great to see Fresno CA Captain Dern on television, after undergoing more than a dozen surgeries to treat his 2nd and 3rd degree burns he received when he fell through the roof of a blazing garage! We wish him a speed and full recovery!

I'm not addressing the actual news stories in this post. Rather, I want to talk about the several PIO's that addressed the press after various events. In the first case, the PIO was an older gentleman, with a full head of snow-white hair. Unfortunately, he must have weighed nearly 300 pounds. "Well, he's only a PIO. What are you bitching about?" you may be asking yourself. The viewers have no idea of the difference between a PIO and any other firefighter other than, perhaps, the chief. What they see is a fat fireman.

On another story, the person speaking to the reporter was quite obese and he was a lieutenant, a front line officer. Now, let's add 60 pounds of PPE, gear, tools and some heavy exertion. Hmm?? Any ideas?

We recently discussed the number, "40%," the percentage of FF LODD's that are caused by mostly preventable health problems. Obesity, HTN (hypertension or high-blood pressure, diabetes, asthma, elevated cholesterol levels, etc. are just a few of the causes being listed by those fighting this scourge of the brave men and women who put their lives on the line. 

Listen, we all know that almost anything can, will and has happened on the way to or from a call, and during the call itself. However, for the most part, we can reduce the number of LODD's due to health causes by taking better care of ourselves. When did you take your last CPAT test? Two years, three years, four years ago? Longer? What if on your next duty day your captain tells you that you have two days and will take it again? Can you do it? Can you even do part of it?

None of us can answer for anyone else. The only one you have to answer to is the man/woman in the mirror, because he/she never lies!

So, ready for that test?