Our Personal Health - Who is Really In Charge

We're living in a time when we seem to be fighting about the rights we are accorded by our Constitution. Some argue that our Founding Fathers knew all they needed to in order to create a constitution which would forcefully and clearly demonstrate that we had thrown off the mantle of Colonial rule and that our citizens would be free and equal. OK, maybe free. OK, maybe mostly free.

Two hundred forty one years later, it appears that we're using the amendments as weapons of war - against each other, more than we use them to actually secure the rights and freedoms I believe our Founding Fathers intended. There are the arguments about the First Amendment that is supposed to guarantee our freedom to speak...about any topic we choose, other than outright treason, and even then, to just talk about it, might be protected too!

Then there is the constant bickering over the Second Amendment - the right to bear arms. Some argue that we have the right to bear any arms we want, because the Constitution did not outlaw any weapons. Still others want to forbid anyone except for the police and military to have arms. And we are no closer to working on a solution that we are for a manned expedition to Saturn's sixth moon, Enceladus.

Now I come to the crux of the matter - who is in charge of our health? Since we all agree that we use the possessive pronoun, "our," the answer should be perfectly clear, each person is in charge of their own health! But ask yourself, "Is that really true?" Let's say you are an accountant. Would your employer have any need to assure that you are in peak physical condition? Other than wanting you healthy so that you may do your work, we would probably agree, "No."

What if you are a teacher in a middle or junior high school, teaching math? Would you agree that what applied for the accountant, applies here? What about an attorney? A mayor? A refuse collector? A computer programmer...and so on?

But what about a firefighter, a LEO and/or an EMT/Paramedic? Forget what you feel; would you still claim that you are in charge of your personal health? If you, then I believe you are in the wrong profession. Because these three professions need you to be at your very best physical condition to perform your assigned tasks. And there is the very real risk of a domino effect if you aren't!

In any of these three professions, besides all else, you have taken an oath to protect the lives of others. We all know the saying, "A chain is only as strong as its weakest link." So what happens in the middle of an emergency situation in which not only a citizen's life is depending on you, but your partner and/or colleagues are depending on you, and you give out? Now the dominoes begin to fall.

The victim is in more trouble, your colleagues have to stop what they were doing to cover for you. And now, either instead of or besides the initial victim, your colleagues have to start taking care of you. You mumble beneath the oxygen mask, "Oh, I'm OK, I'm just a little tired" as you try to sit up, but find you have less strength than a piece on linguine. You're not OK. 

Now, one team is rushing you to the nearest ER. To hell with the scene of the emergency, they are focused on you, taking your vitals, administering medications, driving quickly, but carefully to the hospital. You realize for the first time that the siren you hear is not getting you to the emergency, you're the emergency it is screaming for.

When the initial emergency is over, instead of going back to patrol, the firehouse or the rescue base, most of your coworkers make their way to the hospital. They are going there, because of you. They are waiting for news about you. And as they wait, slowly at first, then more quickly as the info gets passed around, they realize that  your emergency was not due to an accident, fall, burn, collision at the location, it was because  you were ill! As they realize this, they pause for a moment and look inwardly at themselves. 
"Geez, could that happen to me?"
"Wow! We're about the same size - we switch clothes all the time. Am I like that, too?"
"Damn, I can't remember the last time I really looked at myself in the mirror!"
"I've been meaning to stop smoking, really I have!"

And then silence. Everyone stands a bit taller, but looking down. No one knows how to look directly at your spouse as he/she quickly walks up to the sliding doors of the ER, carrying one child in his/her arms and hold the hand, almost dragging a second one. The doors close. All is quiet.

And then, the scream.

The rules and regulations of your job will tell you what your physical requirements are. And when you signed up, you met most, if not all of them. But today is now - not then! You don't meet those  requirements any more. You've stopped trying. Or you say, "I'll start doing some exercises next week!" Yet, strictly interpreted, you do not meet the departments qualifications any longer.

Could you be threatened with being docked a couple of days? Sure, but what difference will that make. You'll stay home, do a few chores, then do exactly what you've been doing for ages, that got you written up in the first place!

YOU...AND ONLY YOU CAN BE IN CHARGE OF YOUR HEALTH! IF YOU WANT TO MAKE A CHANGE TO IMPROVE YOUR HEALTH, THE DEPARTMENT ISN'T GOING TO DO IT FOR YOU, YOUR DOCTOR ISN'T GOING TO DO IT FOR YOU,  YOU have to be in charge of your health. End of story.

We're At It Again - A New Episode of "5-Alarm Task Force" on Firefighter Fitness!

We're  happy to let you know that we've completed and posted our third episode of "5-Alarm Task Force." On this podcast our guest are Dan Kerrigan and Jim Moss, authors of "Firefighter Functional Fitness." You've seen them on Twitter at @firefighterffit. 

These two firefighters were hurt by and tired of reading so many LODD notices and seeing that 40%-60% of those deaths were caused by preventable health issues! How could any firefighter who realizes he/she has a health problem, ignore it, just so they do not lose their firefighting privileges? However,  none of us are ever alone when we're on the job. If something was to happen to any one of us, we become the first, in a long line of dominoes, that begin to fall.

If you get sick on the fireground, it will effect your colleagues, as they will have to pick up your tasks that you cannot complete. They graduates up to your line officers and your chief officers. You are an important part of their plan to control and conquer this fire or rescue. Worse of all, the next domino to fall is your own family! Who will tell them what happened to you? Maybe you told your spouse or significant other about your health problem, but again, failed to do anything about it as you didn't want to appear as though you were "wussing" out on your duty!

Well Dan & Jim have written this book, not just to provide you with a few regular exercises, as if you were watching a Richard Simmons or Jane Fonda video! They provide you with a complete lifestyle change and include all the information you need, from working and eating at home to working and eating on the job.

Medical conditions such as hypertension (HTN - High Blood Pressure), cardiac arrhythmia, or diabetes, can be either overcome and/or controlled. I know of what I speak. For although I've been off the job for thirty years due to my injury, I went through over five years with HTN. Yet, with specific meds and exercise, I kicked its ass and have been off all blood pressure medication for over 7 years! Add this - a retired line officer from a department here in the South Florida area, has read Dan's & Jim's book and has lost over EIGHTY POUNDS!

You have no excuse other than continued denial . Give them a listen on our podcast at 5-Alarm Task Force , and see for yourself. If you're interested, their book is available through their website or on Amazon, both as a paperback and as a Kindle book.

Our podcast is brought to you by The Firehouse Tribune. Find them on twitter at @FHTribune or their webisite The Firehouse Tribune!

Coming up...we are proud to announce that our next guest will be Chief Dennis Rubin. Make you you tune in for that one!

One last note: We know that many of you check out our blog when you receive the posting alert via Twitter. It is very important for us to be able to show the numbers and that you like what you see. To that end, please, please, please, leave a brief message or comment after reading a post. Thank you very much for your understanding and participation.

Stay Safe and Let's Make Sure That Everyone Goes Home!

 

The Heavy Toll of Who We Are and What We Do

September 27, 2016

Who could have known that the past seven days would exact such a toll on the Fire Service? The answer? None of us. Another answer? All of us.

As of today, we have lost six of our comrades in the last seven days, including FDNY Battalion Chief Michael Fahy, who died this morning as the result of an explosion at an apartment in the Bronx that was very likely a grow-house. The others include two firefighters from the Wilmington DE Fire Department, Lt. Christopher Leach and Senior Firefighter Jerry Fickes who died fighting an apartment fire early Saturday morning; West County MO EMS & Fire, Firefighter Sean McMullin who was found unresponsive in his station on Saturday; Ventura County CA Fire Engineer Ryan Osler, who lost his life in a tanker rollover; and North Belle Vernon PA Safety Officer Charles E. Horan, who died as a result of a fall at his home while responding to a call. 

As we know all too well, unlike many occupations, the loss of a firefighter is like throwing a large rock into a quiet and smooth pond. Upon impact unnatural waves are pushed up and out; their ripples continuing in every direction until finally ending on the nearest shore. Each of the losses noted above exert a terrible price on the families of those who have been lost. However, the effect moves on, spreading wider as it hits the departments these brave firefighters were members of; continuing ever outward, they hit the friends of the victims, who did not look at them as just firefighters, but simply as "buddies." Finally, the ripples spread across their largest journey, as they arrive at us, the members of the fire service across this country, both current and/or retired. Thus, in our own way, in our own place, we find our own time to mourn; we mourn comrades that we very likely did not know on a personal basis. Yet we mourn, nevertheless.

If there is anyone who still doubts that firefighters really are a family, all they have to do is drop by their local firehouse. There, they will find some representation of our connection to these six firefighters; as simple as a flag flown at half-mast, to banded badges or even black or purple bunting. They will see us raising funds or collecting items to send out to help the families or their departments, to assist in any manner necessary, to several of us in a small group, talking about Line of Duty Deaths and what we can learn from each and every one.

Our "love" exacts a terrible price from us. Yet, after each tragedy, we steel ourselves and vow to do a better job, take better care of ourselves, learn more and of course, be more careful. The sad truth is sometimes, no matter how careful we are, we can still be knocked down. Let us realize that "Everyone Goes Home," is not just a colloquialism, it is our prayer every time we respond to a call!

Let us remember these six brothers and honor their bravery and dedication. Let their souls be bound up in the Bond of Life and may they rest in peace. Amen.

Who are They? Really? And Who are We? Really!!

The other day I was talking with a close friend who is going through some difficult times. During this chat, we both agreed that as we travel the roads of life, we meet many people. And we often catch ourselves calling them "friends." It's a form of speech that has become very commonplace in our society.

The truth is though, (and we both agreed on this point) that the vast majority of the people we meet on life's highways are actually acquaintances, not friends.
How would you define a friend? Is a friend the person you had coffee with after you bumped into each other at the supermarket? Is a friend the one you call when you really need help, who replies, "Not today, Bill. But ask me another time and I'll be there?"
On these highways, many of these people identify themselves as your friend. And in the "ME" environment of today, some are so starved for attention or companionship that we just accept their self-label of "friend."

However, my friend and I agreed that we don't know who really are our friends, unless there comes a time when we are in need. And when we do call upon them for help or support, the faux-friends will be there as long as you're not asking them to do something that other "friends," may not approve of, even if you really need them.

Thus, we posit that these people are merely acquaintances. When we are in need, whether it's someone to talk with, money problems, family illness, and other severe troubles of the day, your friends are there with you, before you even call them. They are there to comfort you, to support you, to be a strong shoulder for you and, to protect you; not necessarily physically, but emotionally, to act as a shield like a super-hero may carry, so bad words that come your way are deflected.
We may be too old to wear super-hero PJ's to bed anymore, but most of us know who are real friends are. Just like the "Bat Signal," we know that our friends will always be there to help us and support us.

However, we in fire-rescue services have an advantage. And that is that whether you're a career member, a volunteer or an on-call, we are blessed, for unlike the majority of people with a family, a few friends and many acquaintances, we gain a second family. A family we live with, eat with, joke with, and yes, even argue with, from time to time.  

And just like our "blood" family, the fire family are probably the strongest, most loyal friends anyone might ever desire. They are usually the first ones to know when we have lit up our "Bat Signal," calling for help. They will be first on the phone, first on your doorstep, first at your church, synagogue, mosque or other place of your worship. And they do so, without even being asked.

Why? In my humble opinion, it is due to the fact that we do not choose to be fire-rescue members. We are chosen. Whether it's biology, astrology, magic, genes, etc. something drives us to follow this path in our lives. Sometimes, we may try to pull in another direction, yet we almost always wind up coming back.

Now, think of the people that you can unquestioningly label as a friend. Examine their personality. Look at their vocation. You will often see that they too, are dedicated to something very important. And the acquaintances? They probably flit around from one opportunity to the next. Now do you see the difference?

Have a enjoyable and safe holiday weekend. 

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?
  

A Day of Mixed News 3/25/2015

Our Toughest Job

As emergency service workers, whether active or retired, one of the hardest tasks we are constantly faced with is, balancing our emotions. Each dispatch, run, call, etc. holds the promise of a surprise that often bears no relation to our initial call, as described by our dispatchers. 

If we were or still are on the job for any decent amount of time, we have all had to deal with loss. Sometimes it's health related, others it's an MVC. Still others are common (OK, some uncommon) accidents that can happen to anyone. The worst of course, is when the loss involves a child. They often think they're indestructible and we pray to the Lord that they are. While we are working the call, we do our very best to remain stoic and unmoved, yet still trying to be comforting, to the public. When we get back to our station, cruiser or home, that stoicism often melts, as we feel that knot in our guts, our eyes water and our bottom lip quivers.

Then comes the day like today; one that we all dread, yet often feel powerless to stop or prevent. That is when we hear about a line of duty death. No matter where we are or what we doing, when the news, social media or a colleague notify us of an LODD, it's like a punch in our guts; one that reaches inside of us and twists our intestines into knots.

It makes no difference which emergency service we serve; police, fire, EMS, or the colors we wear, the blue, the red, the green. Neither does location have a bearing. Even if the loss occurs completely across the country, it still hits all of us hard, as it did this morning, when we all received word of the LODD of Fire Apparatus Officer Daryl Gordon of the Cincinnati Fire Department. And that's because, beyond our jobs, we are a family.

Nearly 40 years ago, I lived in Cincinnati while attending grad school at the University of Cincinnati College Conservatory of Music, where I studied for a masters degree in broadcast education.Our apartment was outside the city limits and in that small town was where I tried to join my first volunteer fire department. Had I been able to join, so they told me, I would have been the first college graduate in the department. It never came to pass there, as they needed daytime responders, but  I was in class.

However, it was probably once every couple of weeks that once I was done with class and didn't have to rush anywhere, I'd visit a CFD barn. What a great bunch of characters they were. I wasn't even a probie or a member of another department. However, they always welcomed me. And looking at FF Gordon's picture today and that smile, it was easy to see that that same tradition is true today. A great bunch of firefighters who love the job they do and the people who love it, as well.

So, we pause for a moment to remember FAO Darryl Gordon. We remember his family, friends and colleagues. We hope and pray that the Heavenly Sovereign of all will welcome him in sheltering care, bring solace and comfort to his family and may the memories of his devotion and love for his family, his job and the community he protected, be for a blessing and inspiration to all.

A Job We Love to Do

There's no doubt that we love to talk about our jobs, especially firefighters, EMT's and paramedics. There's something that we get out of reliving the call, poking fun at our colleagues, arguing over details, etc. However, something is missing. Because, if we look to our primary source of entertainment, televisions, we don't have much of a presence there. There are probably over a dozen shows that deal with law enforcement, in one manner or another, but where the hell are the firefighters?! Currently there is "Chicago Fire," and I'm sure most of us remember, "EMERGENCY," from it's initial run or through reruns. There was also some short-lived series, "Code Red," and "Firehouse.."

We want to change that. And today, for the third time on a Thursday, 2 weeks after another Thursday with good news, we got more good news this morning. Our partner in L.A., Jesse, dropped us a line at 4:30 AM, EDT, that the producer and a rep from the talent management agency were calling him all afternoon. Jesse has a great project on a major crisis event in NYC and these calls were primarily dealing with the fact that all these people were calling because they love it and it's targeted to be a motion picture.

However, because Jesse is also our partner at DalmatProd, they also are very interested in our project as well. Let me say this: Jesse has been in the production business for a good long time. He's sharp in the ins and outs, the phonies and the real deals. And he doesn't get excited easily. But there was no doubt from this email that he was really excited, as the interested parties see, not only his movie, but our TV show, because they love the premise and because Jesse is the one bringing the project to them, along with his own. 

Also in our favor is the fact that we have both the pilot script written and a three-year plan for the direction of the show. The producer loved it from his first read of the premise. Then, after reading just the first 10 pages of the script, he jumped on it. And it's been Jesse who's been out there in Tinseltown, carrying the "ball" for us.

We'll keep you posted via this blog and through our Twitter account @DalmatProd. Join us and see where we go. 

Till next time....

"EVERY ONE GOES HOME!"