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!

 

Do You Get It Now?

If you subscribe to any of the fire service news services, e.g. Firehouse.com, Fire Engineering, etc., the news hit us across the face this morning. The State of Wisconsin lost another firefighter to cancer. But not just any firefighter. Firefighter/Paramedic Marcia Rosecky was the first female firefighter in the State of Wisconsin. And her death has been judged as Line of Duty, due to the fact that her cancer was a direct result of her work and exposure during her firefighting service.

I might venture now, almost fifteen years after 9|11, many of us either know a firefighter who has contracted a line-of-duty cancer or know of someone who has. "Back in the day," in the relative short period of eight years I was active, we had virtually never heard the words, "firefighter" and "cancer" in the same sentence. And those of us who also were in EMS work had not yet heard the word, "AIDS," either. But we sure as shit know it now!

If you've had some significant time in the fire service, think back to some of the crap you've dealt with. Think of all the stuff on your PPE. Think of all the times you took your rehab break and went back inside to help with overhaul, no mask, no turnout coat. You're pulling those walls and ceilings and all the toxins and other shit that have been carbonized, start falling on top of you or is inhaled by you. What is it doing inside you right now? Ever bother to wonder?

Some of the best voices in the fire service today have called on all departments, career, volunteer, combo and on-call, to begin a prophylactic program to help shield firefighters from this type of exposure. Additionally, each of us has a responsibility to make sure all of our PPE is properly and thoroughly cleaned at regular intervals.

Today, March 3, 2016, we begin the third month of the first quarter of 2016. Many people are in the habit of making resolutions for the new year. Here we are, over two months in and what have you done to take better care of yourself?

Started an exercise regimen? ("Naw, I get enough exercise on the job!)

Started a weight loss program? (What? And give up the great food that we cook in the barn?)

Made an appointment with your personal physician or the fire surgeon for a physical or an evaluation of vitals and blood? ("I don't have time to go see a doctor. I got 2 jobs beside the 'Job, three kids and a wife!")

There are probably another half dozen or more questions we could and should ask ourselves. And most of us will have the same excuses to answer those questions, as well.

We're all slow to adapt to change. It's in our human make-up. But that doesn't mean we can't change. Take a look around you. See your buddies in the firehouse, see your family and other loved ones. What will you tell them if you're diagnosed with some form of job-related cancer? "I coulda, woulda, shouda?"

Think about it. Make the FFHI2016 (The Firefighters' Health Initiative 2016) a vital part of your life.

 

#FFHI2015 - FireFighter Health Initiative of 2015

I'm sick and I'm sick and tired of being sick. No really, I am actually sick with a bad URI, that's on the verse of bronchitis. But I'm sicker even than that. Though I'm on the mend, I awoke this morning to find two #LODD notices in my mailbox, both for basically "middle-aged" men and both due to preventable health issues. And those two obits come on the heal of a third, that occurred over the weekend, when another brave FF passed, after nearly a week in the hospital following his collapse on the scene of a run. Again, due to preventable health issues. Well, we're tired of reading those #LODD notices and their subsequent obituaries; about the families left behind and hundreds, if not thousands who show up at their funerals. 

Listen, we all know and understand that this is a big, dangerous "game" that we play. It's always the same, us (Humans) versus him (The Red Devil). And because we play this game, we know the Red doesn't always play by the rules, so it is up to us to do so. And we do, day after day, we do. However, we have a good idea as to how this game is played, and thank Heaven above, the winning percentage has gained year after year in recent time. That's right. Fewer of us have lost the game and therefore, fireground fatalities are being reduced most years. Although a great many of us were reluctant to accept all the
"modern" safety codes and requirements issued by the #NFPA, more and more do and thus the lessening of the losses.

But if you ask me, we're missing the boat. We are so gung-ho to get on our apparatus when those tones sound off in the station or on our pagers, that we have lost sight of the most important factor: What happens if we don't take care of ourselves well enough to allow us to even stay on the job? It appears that we're nearly at 60% of the #LODD for 2015 have been health related. And sadly, our own colleagues are the ones to respond to those terrifying calls, at our home, at the firehouse, on the fireground, etc. It's too much....IT'S TOO GODDAM MUCH!! AND WE HAVE TO MAKE A CHANGE!!

With that, we creating a hashtag, #FFHI2015 - The FireFighter Health Initiative 2015. THIS IS WHERE WE WILL DRAW A LINE IN THE SAND!! 

We're asking you...no, we're begging you to join us today. Make this hashtag #FFHI2015 part of your life. If you are a Chief officer reading this, this applies double for you. Why? Because this both applies to you as a firefighter and applies to you as a leader of your department to see to it that the #FFHI2015 is implemented in your department. If your a line officer, you're in the same boat as are the chiefs, you have to be willing to participate yourself and motivate your front-line members to do the same. And if you're an engineer, truckee, nozzle-jockey, or whatever, you owe both to your family and the community that you protect, to protect yourself.

No matter what your role is in firefighting, do you not owe it to your family, your friends, your co-workers to do the best job that you can? Ask yourself this: Is there anything you wouldn't do to? Would you walk into a fully involved buiding without full PPE? If you don't start taking care of yourself and soon, you might just as well! 

Are you afraid? Are you afraid that if you have to undergo a physical, it may disqualify you from active duty? Well, is that it? Tough to think about, isn't it. How would you care for your family, the house, etc.? That is a tough question. But here's one that even tougher...if you don't start taking care of yourself now, who will when you're dead and buried?

Look around you. See all your friends from work. See all your family. Do you think they'll think you any less of a person because you decided it's time to lose a few pounds and work out a bit?

OK, I've been able to vent this horrid feeling in me since this morning. But I will tell you this, we at Dalmatian Productions, Inc. believe in this issue so strongly that it will be worked into the long-term story line of our new TV show, "Cause & Origin(c)"

Now #StaySafe and Let's Make Sure #EveryOneGoesHome

Steve, Rich, Tom & Jesse

Progress....Follow by the Results From Hitting a Brick Wall

We had a very productive week. After attending to my religious observances, one of my partners, Tom, joined me at a meeting with the Greater Philadelphia Office for Film & Television (www.film.org). We met with the Executive Director Sharon Pinkenson and her Production Coordinator, Erin Jackson Wagner. They were very cordial and welcoming and are looking forward to the production ramping up. They also are very helpful as they coordinate all the meetings with the necessary departments from the city and the various departments we will be working with. They know their stuff and are very, very good at it! As matter of fact, we closed the meeting my asking for some suggestions for the location scouting we were going to do the next day, and after we explained what we were looking for, they both chipped in with numerous suggestions.

The next day, Tom and I headed out bright and early to visit some parts of the city. Philly is a good-sized city so we decided to find the area that would be most appropriate to the three different active fire scenes that will have to be shot. Reviewing my notes, I have nearly 20 specific areas to consider, but there is one that really stood out. The Film Office will also help us in searching the records for the properties to see which ones might be available for use. We are very lucky to be working with such professionals and I'm sure their guidance will be a major asset to our efforts.

Now, we must concentrate on the work that needs to be done to get ready for the launch of our crowdfunding effort to raise the necessary funds for the shoot. The first thing we have to do is create what is referred to as a "pitch reel" or a "sizzle reel." It is a short video in which we explain why we're making this effort to shoot our pilot episode. We have no more than two minutes to convince a viewer to support our efforts financially. However, don't think that that is the only way for you to help. You can also assist us by telling your friends and family to follow us on Twitter (@DalmatProd). Additionally, if you or someone you know is affiliated with a company that works with the fire-rescue service in any manner, let them know about our efforts. We will be looking for corporate sponsorship in return for promotional consideration in the show. 
==============================================================
Those of you who have been reading our blog regularly know that one of our major concerns and causes is firefighter health and wellness. Sadly, just this week, we lost a 50 year old, battalion chief from South Carolina to a cardiac episode.

A couple of weeks ago, I told you about my neighbor, a 17-year veteran of the fire service and four more with EMS. He was scheduled for a knee replacement and was sent for his pre-op evaluation. During the EKG, the doctor saw an irregularity and told him he had to get his butt over to the office of two "interventional" cardiologists. He was scheduled for a full thalium stress test. The results that showed up were so critical that they stopped the test and had him admitted right away. When all the tests were done, he found out his capacity was at 35%, he had a thickening of atrial wall, had suffered a silent MI and needed a stent immediately. He also found out that he had to put in his disability retirement papers.

Now I don't care who you are. When you are passionate about the job you do and you love to do that job, getting this kind of news is like running into a brick wall. And that is the way it hit him.

I had the chance to chat with him a short while this morning. He's begun the disability paperwork. He's following the doctors' orders, taking his meds and most of all, working hard to lose weight. But he told me that a few weeks ago, he found himself in that "dark place." Some of us know of what he speaks and some of us don't. But we'll just call it a bad depression. Here he was, going great, loving his job at a very busy station, with 17 years under his belt and looking forward to those last three to retire under the Florida state plan. Instead, his entire world collapsed around him. 

The same thing happened to me twenty-three years ago, when I finally had a good job paying me very well and two years into it, I had a backache. Next thing I know, I have two herniated disks, multiple surgeries and am diagnosed with "failed-back syndrome." I was disabled. Once I got past all the surgeries, injections, etc., and I was back home all alone, with my kids in school and my wife already working three jobs, I felt like the biggest loser in the world. True, I had a private disability policy that covered me, however it didn't pay anything near what I had been making before I got hurt. And the worst part was that by now, the doctors concluded that my back was probably damaged when I partially fell through the floor of a burning house during a training program by the State of North Carolina. But it was only a presumption. No way ti prove it, though I did cause me to blow one knee out and that was covered. 

As my neighbor was explaining this to me, I interrupted him for a moment and said, "I know you absolutely hate having to put in your papers, but I'm damned glad you are still here to put them in."

So, what about you? Are you going to make it to retirement?  No one can make any guaranties, but we can do all we can to remain or get ourselves healthy. Please....for your family, for your friends, for yourself, embrace the new Firefighter Health Initiative. 

Thanks for stopping by.....Stay Safe

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.

 

Another Week and Life Goes On

Welcome...hope all has been well with you and yours since your last visit. We sincerely appreciate each and every one of you that arrive here to read our posts. Yes, we too, wish there was much more news about our show that we could share here, but as our partner Jesse says, "The wheels of Hollywood turn very, very closely!" We had hoped that either yesterday or today we'd have an update today. Then again, it's only 4 o'clock in L.A. as I write this. So maybe I'll be interrupted by a phone call and.....
Right...sure! LOL

More importantly, there have been some excellent conversations on Twitter this week regarding firefighter health initiatives. Those of you who read our blog and/or follow our Twitter feed at @DalmatProd, know that this is one of our prime topics. As a matter of fact, it is so important to us that it will be written in to episodes of our show, along with arson prevention, childhood arson intervention and remediation, among others.

Approximately two weeks ago the statistic that nearly 50% of LODD's are caused by preventable health issues. FIFTY PERCENT!! That is the highest level in recent years. And why? Why do so many of our brothers and sisters lost to this? Would we willingly and knowingly walk into a wall of flame without PPE? Of course not! Would we smoke a cigarette while filling up at the gas station? Don't be silly! They why-oh-why do we allow food, lack of exercise, and other external factors to rule our health?

Yesterday, after reading one of the positive remarks about rededicating ourselves to a strong health initiative, I tweeted that one of the best and easiest exercises that one can do is to use your arms to push yourself away from the table where all the food is! There was another good post that really showed that we often create our very own problems when we're on shift. How many times has the "cook" for the shift made an extra-large table of delicious eats, featuring everything that you really know deep inside, are no different than shoving a needle in your arm and inject a syringe full of trans-fat.

Sure, our job, whether we're career or volunteer, is stressful. The calls we respond to are often so sporadic that we either miss one or two meals all together or, we never get to finish when we do sit down. All of that throws our natural hunger symptoms off-track and it seems as though we're either hungry all the time or we can't satiate it. 

Listen, we all know and realize that this situation didn't happen overnight and it cannot be remedied overnight. Yet, for our families, friends and the job we love so much, we have to "draw a line in the sand." We must decide to make a start. Sit down with the gang on your next shift and talk it up. Sure, someone might be pissed off, but think about it. If one of your co-workers gets pissed because you start a discussion about being healthy, then do they really care about the well-being of their co-workers? If they'll back you up on the fireground, why aren't they willing to back you up in the barn?

And that's not all. You have to go home and have the same talk with your spouse or significant other, or roommate. This has to be a team effort. Another member of the "team" has to be your doctor, whether it's the department surgeon on your own personal physician. He or she will be happy to provide direction and ideas, as well as give you realistic targets to shoot for. This is very important, for sometimes, we believe we need to do this or that, but in fact, your doctor will tell you that you're actually OK in the area and to focus on something else.

Our jobs are dangerous enough. We can't control all of the unknowns that are started in motion when we're toned out. From distracted drivers to kids running out into the street, to the person who can't hear an EM Q2B, an electronic Q and two Grover airhorns, either because the music is too loud or they have hearing problems.

But when it comes to what we put into our bodies and how much, we can indeed, exercise control. Let's do it.

Remember...Everyone Goes Home!

 

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?

The Sadness of Coincidences

I've been writing this blog plus another for several years now. I don't write every day or every week, and usually, not every month. But as it turns out, I'm writing this post one month after my last. So, what would bring me to this point?

Some of you may know that under our Twitter handle of @DalmatProd. All too often, my Tweets begin with the hash-tag, #LODD (Line Of Duty Death). I send out the info only upon confirmation of the loss and it includes the person's name, age, department, date of last alarm, and a compressed URL with details of the notice.

Sadly, all four of the line-of-duty-deaths that have occurred over the past five days have been health-related. No one died while battling a massive blaze; no one died in a collapse. Apparently, all four of our brothers were lost due to medical causes. And this is exactly what I wrote about in last month's column. For goodness sakes, just a month or so ago, we lost a firefighter who was 22 years old, to a health-related cause. 

Last week I was watching, "The View," and actor Kevin Sorbo, who used to play Hercules in a show of the same name, was appearing as a guest host. And during his segment, he mentioned that near the end of the show's sixth season, he suffered  several small strokes, due to a ruptured aneurism near his shoulder. He talked about having to relearn to coordinate his motor skills so he could walk again and speech therapy to help him re-tune his speaking ability. He considers himself one lucky guy and has even written a book about what he has been through, "True Strength: My Journey from Hercules to Mere Mortal & How Nearly Dying Saved My Life."

For at least a decade many of us connected with fire-rescue and EMS, along with many in various specialties of the medical community, have worked hard to promote stroke awareness through the re-phrasing from "stroke," to "brain attack." And the reason is simple. Almost everyone older than 13 knows a little about the symptoms of a "heart attack." However, ask them, "What is a stroke?" and many will be lost. However, most of the time, a stroke is exactly the same medical occurrence as a heart attack, except that it happens in the brain, to wit, a blockage of blood flow to the organ. 

Now in Sorbo's case, his stroke was caused by an rupture in an artery near his shoulder. When the artery ruptures, it allows blood to escape its normal path. When that happens, the blood cells don't have the "flow" behind them to push them along. The cells start to "crowd up" and eventually, like the proverbial snowball rolling down the hill, a mass of these loose cells get sucked up back into the blood vessel. The problem is that the vessel is built to handle a certain size cell, the like lanes on a highway. When this "clump" of cells re-enter the vessel, the clump is too big for the vessel and stops it up, like your bathroom seek. That stoppage, interferes with the blood flow the brain needs and BANGO! you have a "brain attack!"

While aneurisms can occur on their own due to a weakness in the blood vessel's walls, they are often the by-product of HTN or "hypertension," which we know is a curable and preventable medical condition. You can't walk into most supermarkets or pharmacies and not see one of the blood pressure machines. While they are not always the most accurate readings, they can provide you with a range that you may want to advise your doctor of. Additionally, brain-attacks are often a sign of CAD (Coronary Artery Disease). But all too often, people often relate CAD to heart disease, not brain disease. 

Worst of all, too many of us, male and female alike, still suffer from this "macho" image that we are invincible and that the only danger to us is on the fireground. Do you still fight a fully-involved car fire without wearing SCBA (Self-Contained Breathing Apparatus)? Or a dark, smoke-charged 2nd story window  of an apartment building? Why are you willing to take care of yourself on the fireground, but fail to care enough about your health to do so off the fireground?

If you have a family, do you make sure your kids get their shots? Take their vitamins? Do you call the doctor if their running a fever and complaining about ear pain? If so, why? Because you want the best for your children, the best for your family. Are you not a member of that same family? Are you not one of its very leaders? Then don't you owe yourself the very same diligence for your own health that you demand for your significant other and children!

It's time for us to put on our "big-boy" pants and schedule a visit with your family doctor or the department surgeon. Find out what your blood pressure is; learn what your total cholesterol is and if you need to change your food and alcohol intake, as well as salt, exercise, etc. to get it under control. If you are already on blood pressure or cholesterol meds, you owe to yourself, your family, and your colleagues, to do what you need to do to clean up your physical act and get as healthy as you can!

I never want send a Tweet about you!

The Tough Road Ahead...

One of my relatives recently asked me, "Why are you writing this blog? Does anybody really read it?"

I thought for a moment, (perhaps so I wouldn't bite her head off) and replied, "Because it's about the fire/rescue service. That's important to me and I hope it's important enough to my friends on Facebook and the followers on Twitter, because it's important to me and all most every other firefighter out there."

"Oh," was her sole reaction, as she turned and walked away.

I don't know why I was thinking about that little episode today, but as I did, it appeared to me that her reaction is symbolic of the general public's reaction to the fire/rescue service today in 2011. Unless you're a volunteer in a relatively small community, most of the residents you protect are better acquainted with their exterminator than they are with you, the person who just might save their life! However, that's not to say that your residents don't know about you!

If you're in a career or combo department, there's every chance that the paid crews are members of the IAFF, and rightfully so. However, whether your union initials are "IAFF" or "UAW", your residents pronounce those initials as "U-N-I-O-N." And to them "U-N-I-O-N" means money out of their pockets through their taxes, fire access fees, etc. Because as we all know, firefighters get paid for doing very little. We sit around the firehouse 95% of the time and occasionally respond to an alarm. And for that little amount of work your salary (which is also too high, to them) is augmented by this huge pension you're accumulating, so that you can retire in your mid-to-late 40's, receive a juicy pension, and then work in a new profession. You'll be living in the high class at their expense. Never mind that besides working your shifts, you work another full-time job and/or grab as many overtime shifts as possible, all just to make your mortgage payment each month. Oh, and your wife is working two jobs, as well.

Yet, no matter how many times those bells ring during the middle of the night, you're up out of your bunk and on the wagon, rescue, or truck, to answer the alarm. And you never know what that alarm is going to bring to you.

Thus, your section of the "tough road ahead," from the title of today's posting, is that every member of your department must do whatever it takes to convince your government officials and the public, that we earn every penny of our salaries and pensions. And to remind them that we NEVER say NO to answering an alarm. No strikes, no "sick-outs;" we answer every alarm. When they dial 9-1-1, they know that we will show up as quickly as safety allows. We will care for them and their property. We will comfort them. We will assist them. This is who we are and what we do.

Now, if you're a member in a combo or volunteer department, your road is going to be just as difficult, if not even more so. And that's because beside your dependence on your municipality's funding, your department cannot and will not function without increasing the number of volunteers that will serve your department and your community. In a volunteer department, we must invest our time in successful recruitment and fund raising campaigns. We must take both of these responsibilities seriously, or we face the dangers of being under-staffed and ill-equipped.

Very few volunteer departments receive enough funding through their municipal tax base. That money may be augmented by insurance taxes, i.e. New York State's "Foreign Fire Tax," which mandates that any foreign or alien insurance company that writes fire insurance in New York State, must contribute 2% of the fire premiums written on property located in NYS to be distributed to the fire departments and fire districts statewide, or other types of assessments. More importantly, a lot of the necessary additional funding comes from fund-raising projects run by the departments, from direct-mail campaigns, to annual carnivals, barbecues, etc.

Yet, without enough volunteers, all the money in the world will not make a difference. And those recruitment efforts are also facing difficult, uphill battles. In this economy, the person who used to work one job, is now working two, as is their spouse. The kids are are more involved today in extra-curricular activities than ever before and the family depends on carpools to shuttle those children. And for the family where a parent or parents are unemployed, they need to spend almost every waking minute seeking employment. Who has time to respond when that siren goes off?

Listen, it's up to us. No one is going to "sell" us to the public better than we can do it ourselves. However, to do so, the first thing we have to do is stop feeling sorry for ourselves. Yes, both of these situations stink. We can either bury our collective heads in the sand and wallow in the muck and mire of the situation, or we can task ourselves to rise above the negativity and educate the public about who we really are. How hard we work each and every shift or on each and every call. We all know that the simplest of calls have resulted in the ultimate price being paid.

Be positive, be strong and remember, 343 of our brothers will always have our backs.

Till next time...

"In Sickness and In Health..."

There are several subjects I wanted to address in this post. First of all, we finally have the additional video that we shot in early spring at the Ft. Lauderdale Museum of Fire & Safety. I've reviewed it a few times and looks like it will add some better explanations, voice-overs, etc., to what we shot in San Francisco last year. I might be overly optimistic, but I could see the new "teaser-reel" being reading in the next 4-6 weeks. We'll be sure to post some snippets on the web site or Facebook in the near future.

(If you have an interest in the fire service and you're heading to South Florida, you should make a point of stopping by and visiting the museum  http://bit.ly/p5VA0U)

Whether active or retired, the four letters that no firefighter wants to hear, are LODD - Line of Duty Death. When this tragedy happens on the fireground, as happened in Worcester, MA, Pompey, NY, and Charleston SC, to name a few, the stories are usually spread all over the media. From the live reports of "Eyewitness News," to large, dark headlines in daily newspapers, the news of a firefighter or firefighters dying "in the line of duty," is all-too-often understood to mean that they died from the fire, or a collapse, entrapment, etc.

However, that understanding is actually a misunderstanding, for the majority of firefighter LODD that occur in this country often happen no where near a fireground or rescue scene. Instead, they happen in the firehouse, at home, at the gym, and other mundane locations. For many of these tragic losses might have been prevented if the person/people concerned had taken better care of themselves.

Look, we all agree that those of us in the fire service are the crazy ones - we run into a building everyone else is running out of. And we're also the ones ready to rush to someone's - anyone's aid, at the drop of hat. But who rushes to our aid? Who takes care of the firefighters who do not take care of themselves?

One of the leading industry magazines is "Firehouse," under the terrific leadership of long-time editor, Harvey Eisner. Each month's issue contains one dedication to firefighters who died in the line of duty and a second and separate listing of firefighters, rescue personnel, and affiliated civilians who died in the line of duty. And in almost every dedication or listing, the smallest number is attributed to an actual occurrence on the fireground. The rest are often either road accidents and/or personal health issues. And with nearly 70% of this country's life and property protect by volunteer or paid-on-call firefighters, the men and women dying are our neighbors and, God forbid, our family.

So, how are these deaths attributed to LODD? The actual standards are developed by government and professional organizations, such as the NFPA (National Fire Protection Association). Thus, if a firefighters dies on the way to a call, on the way home, during the night after a call or a strenuous training exercise, etc., the death is classified as LODD. In a recent issue, a rescue responder, who had developed Hepatitis as a result of performing mouth-to-mouth resuscitation more than a decade ago, was declared an LODD. But those type of attributions are few and far between. All too often, it happens either on the way to, or subsequent to, a training exercise or actual call.

And we, the firefighters and rescue personnel, are our own worst enemy. Because we will always make time ti help someone else, but we're too damned busy to take care of ourselves! We're told we have to lose weight, improve our conditioning, stop smoking, reduce stress, etc., but we're too busy to do so. And if today's American fire-rescue crews do not start taking better care of ourselves, our families, neighbors, and communities are going to suffer. Being a firefighter is not the once glorified job it used to be when I was a kid, or even ten years ago after 9-11 and the loss of our 343 brothers. Weeks later, fire departments across the country were swamped with applications. Yet today, with civil cut-backs, loss of benefits, both union and personal, and the ever-growing need for the heads-of-households to work two jobs each, the "job" isn't as attractive as it once was. And please, visit the National Fallen Firefighters Foundation at www.firehero.org

It's time we take care of number one or we'll all be stepping in "number two."

Speaking of 9-11, it's hard to believe that the 10th anniversary is almost upon us. The pundits and "news" stations are already rolling the videotapes of that terrible day and it seems that after what this country just went through regarding our debt crisis, we should be ashamed of ourselves to look back and see our "loyalty" after that tragic time; flags fluttering from almost every vehicle and flying from homes and buildings. No "red"  or "blue" states, just one country of Red, White, and Blue!

Is history bound to repeat itself? Are we all going to be Americans for just one day, again and then return to our bickering and squabbling? Are we not greater than this? What will it take for us to join hands as a country again, and come together to govern and lead our country?

With that in mind, what are you going to do on September 11, 2011? There's a national organization you can check out, http://bit.ly/nx53vA or check with your own communities to see what they are planning. At the very least, visit a local firehouse, whether it's on a shaded, rural road or in the heart of "Da Bronx," and say, "Thank you." Oh, and it wouldn't hurt if you also added, "And please take care of yourselves, too!"

A brief post-script here: A big "hello" to a great friend of mine from my early firefighting days in Guilford County, NC, Roger Brooks. Roger was one of three, rotating duty-men, who worked the 24/48 shifts. He's a great guy and was a terrific mentor to me. We were able to get together for the first time in nearly 20 years, a couple of weeks ago. He retired as a Captain, from the Greensboro Fire Department about three years ago. At his home, he showed me a beautiful "life-line" plaque, with every badge, stripe, and bugle he earned in his career in the fire service. But he also told me about a new project called, "The Thin Red Line." While it started by promoting the NC Fallen Firefighter Foundation, it has grown way beyond that. The thin red line represents us, the firefighters of your community, who always show up to face the "thin red line," and hold that line to the best of our ability, for as long as we can. Roger was kind enough to give me my first "Thin Red Line" wristband, and I've been wearing my own and passing new ones out to other firefighters or telling them about the project. For more information, visit www.ncfff.org. Thanks, Roger!

Till next time....