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My Odd Disconnection With The Reality Of Death

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llamma69

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Given the nature of my job as a paramedic, my shift can consist of anything from mundane boredom, to complete chaos and insanity. I have delivered a baby on one call, and the very next call watched someone die with no hope to bring them back. I have always had a bit of "dark humor" and more so when I am surrounded by other who also share it. If you have ever seen the show "1000 ways to die", then in some small sense you understand what I mean. Seeing death has become a dark everyday occurrence some weeks. We will all take that journey, some when we are old and it time, some too young by accidents or at the hands of others, and some by their own hands. However it is that we go, is generally out of our hands.

There are a few calls that stick out in my mind that I do generally think about almost everyday. The first one was an elderly man who had passed in his sleep. He was laying there dead and had a slight smile. It seemed like he went very peacefully. His wife was completely devastated, his daughter lived just down the street and was there also. It was my job to go to the living room where she was sitting and explain to her that her husband was dead. In between her tears she told me they were married for 65 years and didn't know what life would be like without him. I was kneeling down and she took one of my hands when I was explaining to her that he was gone and there was nothing that can be done. She was almost inconsolable and again told me they "were" married for 65 years. I decided to correct her on something. I told her to make no mistake, you are still married. He has been called and moved on to a better place and someday when the time arrives, you will be together again. A strange thing happened then. She took a deep breath, stopped crying and actually smiled at me through her tears. She told me "No one could have said a more beautiful thing and such a horrible time and God himself must have sent you to tell me this." I then dismissed all the responders except for my partner and 2 policeman. I'm not a very religious person by any means, but those words seemed to help her.

Another call I had was a family tragedy that no one should ever have to go through. A pair o 4 year old twins had gotten out of their grandmothers house and fallen into the family pool. When calls go out for kids, everyone reacts with much more adrenaline, and seems to sometimes forget simple things given the matter at hand. We arrived at the same time and the fire dept and all ran into the backyard at the same time. The kids were lifeless and side by side on the concrete beside the pool. I was the lead medic in charge and generally have to tell other medics and fireman what do to and sometimes yell at the and this call was worse. 6 people there right off the bat and more on the way. I ended up kneeling between the boys and was doing chest compressions on each with each of my hands. The problem was no one was listening no matter how much I yelled at them. They were running around like beheaded chickens. To make things go from bad to worse my supervisor showed up and tried to dictate everything and undermine my calls. Putting a breathing tube in a person I have always done before we leave the house or scene. I had the tube in my hand when he was telling everyone "get em up lets go!" The kid I was about to put the tube in was lifted from in front of me and put on the stretcher despite me telling everyone to "STOP!!" I had to grab the stretcher while they were pulling it away and stop them before we lost the IV's that they left on the ground that were still in the kids arm. People were in such a hurry to get up and go, equipment I would need was being left behind. The scene I was in charge of was now completely chaotic and I had no control.

We had 2 ambulances there along with about 4 fire trucks, supervisors, police, battalion chiefs, and the geniuses completely blocked in the ambulances so we couldn't leave. Now add every neighbor on the street and the crowds that saw us doing CPR on the little boys and you get the idea. Finally enough trucks were moved so that we could leave, we had a 3 car police escort to the ER for the 2 ambulances and supervisor which we generally don't have. I was able to get the breathing tube in, medications, all the protocols were done. The same drama was happening in the ambulance following behind me. In the end neither of the boys survived. We got a brief heartbeat back on my kid, but it didn't last long at all.

I guess where I'm going with this is that with all the people I have seen die in one way or another, these 2 stick out in my mind the most. Others I have completely forgotten about and even if you told me the story I might not remember them. I have more or less disconnected myself from this. After each call I move on to the next call, maybe grab some food, maybe even get a nap in. My day goes on like any other, but the families I just gave the horrible news to are just beginning their nightmare, and will be dealing with it for some time.

I have always been told from a young age that I was an "old soul". Ex girlfriends would get mad at me because I didn't show much emotion thinking that I didn't care. The thing is I do care, I guess I just have a very matter of fact way of showing it. Someone could walk through one shift with me and maybe be scarred for life, I just seem to go about my day and bumble along and existence until my next shift. I guess thats what I feel I am doing right now, just existing. I am trying to show more affection, more emotion, seem more like a person and less robotic. I feel less stressed lately in some ways, and more in others. Divorce is almost looming in the background. I am sleeping on the couch and not really allowed nor wanted in the bed anymore. Where I had inadvertently put up emotional walls, my wife has put up physical ones.

I'm not forgetting I created this mess with my depression, lack of emotion, lack of physical intimacy. My wife has told me she resents and is really angry with me for allowing myself to get like this and not getting help or medications. I want to see my counselor again, just a lack of financial resources to do this right now. My family is about to fall apart and I am solely to blame on this. I am no angel by any means, and my wife has every right to be mad for this. I mean who wants to or deserves to be married to a shell who is more like a roommate than a husband.
 
I empathize with you and what you are going through. I hope the finaces pick up so you can go to counseling. I am hearing and supporting you. Please keep on talking and getting it out of you ok? Hugs.
 
I'm a Paramedic in the UK, and can totally relate to what you say in the first part of your post.

I have always had a bit of "dark humor" and more so when I am surrounded by other who also share it.
We do have dark humour - it's the only way to survive the job that we do. And you are so right that we are surrounded by it. We have to joke about things when the time is right, otherwise our whole lives would be 'doom and gloom'.

The scene I was in charge of was now completely chaotic and I had no control.
I've been in that situation too, and it's horrible. I've been first on scene, then had 'every man and his dog' turn up. All running around like headless chickens and taking over. So many scenarios come into my head, when I think about that point.
There are a few calls that stick out in my mind that I do generally think about almost everyday.
Others I have completely forgotten about and even if you told me the story I might not remember them. I have more or less disconnected myself from this. After each call I move on to the next call, maybe grab some food, maybe even get a nap in. My day goes on like any other, but the families I just gave the horrible news to are just beginning their nightmare, and will be dealing with it for some time.
I think every paramedic has calls that they remember vividly, and a whole lot more that they have forgotten about completely. And every memory is individual. So many times my crew mates have recalled a story, saying "you were there, you must remember that", and I don't have any recall at all. And vice versa when I talk to them about a job I remember.

Being a paramedic is a really tough job, at times. Other times it is easy and mundane, but you never know what's going to happen from one minute to the next. And there kind of lies the problem. I don't know how busy you are, but where I work, we are 'working' every second of the day or night, apart from meal breaks. The second we clear from one job, we are sent on the next. There are always jobs waiting from the minute we sign on at the start of the shift. We only get meal breaks when we are legally entitled to them, and we only get to go home when we clear from a job after our official finish time. Now you can't work day in day out fuelled on adrenaline expecting worse case scenario 24/7, because the burn out would be ridiculously high. So we act fast when we need to, and sometimes that leads to 'headless chickens', particularly if too many resources are thrown at one job, which tends to happen with sick kids. In my opinion control rooms need to take more care with sending the right resources to a job, rather than just sending everyone they have available (but that's kind of getting off the point - sorry)

People become Paramedics for different reasons, but for most that stick with it, it's a desire to help people. We want to help people because we care. In the second half of your post you describe yourself as a 'shell', with problems with emotion and intimacy. You clearly are a caring person, you have emotions. If you didn't have emotions you wouldn't have described those jobs . . . you wouldn't have remembered them.

Honestly, I think you need a break from the job. Can you take any leave? Being a Paramedic can be emotionally draining, and it's all too easy to become burnt out. Can you get any support from work?

I think you need to try to be a little bit more honest with your wife as to how you are feeling, and open some lines of communication there. We can go through the motions of work, do and say all the right things, but if it's at the expense of our family and our health, is it really worth it??

I sincerely wish you well.
 
Just a few things came to my mind, have you shared what you wrote with your wife? Things may be tough, but love and commitment are a choice. Honestly, sometimes going through the toughest periods, even when it doesn't feel like it, can make a marriage stronger if both parties are ready to roll up their sleeves and do the work.

There have been a lot of great suggestions here about looking for counseling through your employer. Also, there are sliding scale services available. Whatever route you choose, I wish you the best.
 
My day goes on like any other, but the families I just gave the horrible news to are just beginning their nightmare, and will be dealing with it for some time.


This is where I am now. I got the horrible news and am dealing with it now.

I cannot imagine being a paramedic and I think that the mental and emotional strain of it should be taken care of by the county you work for. Unfortunately, it doesn't work like that and I don't know why.

I have no advice....just wanted to say I hope that you can make it financially feasible to talk to someone soon. My insurance is crap so I get it.....I'm not able to talk to my therapist either. Thanks for doing what you do....so many of us couldn't/wouldn't do it.
 
We are so very lucky here in Aus, we have all of these services in place for paramedics, police, firies etc. I just can't imagine what it's like in other parts of the world where nothing is in place, and health care is so expensive. We have a program here that provides free, or cheap, medical care for everyone. I think maybe us aussies take it for granted sometimes...
 
I think it would be hard not to take that home with you. Dividing the two lives is not easy.

My mother was a nurse and I grew up with nurses. I think I got my dark humor from all of them. Being around them and hearing the things they went through on a daily basis one can't help from being effected.

My mother also called me an old soul, since the day I as born she would have said. I commend you for the job you are doing. Not everyone could do your job. I know I could never be a nurse or work in the medical field, sociology or psychology. Thing is, for me, I know it would hurt too much. I always thought that business would be my thing, but, apparently, life hasn't left me immune to that.

You are still being effected by your job. Call around. If you are in America, there are often free places you can go or places you can be hooked up with like support groups. Check your local hospitals Post boards. Sometimes they have group meetings on there.

From what I've heard from people that have gone through similar traumas, it's not uncommon to have difficulties. I would think especially because of your old soul that some things would be difficult. You are not alone.
 
Thank you all for the posts and and personal inputs. Yes there are free programs in place through my work, the problem is they are through my work and I have seen it twice where someone has used them and been found "unfit for duty" and taken off the street. There are no "light duty" areas we can work so what happens? You have no income and possibly no job down the road and a long shot, but maybe even being reviewed by the state and have your license suspended until you are "fit for duty". Yes the city I work in is quite busy, since I wrote this post I have had 2 fatality car wrecks, a shooting, stabbing, CPR and your usual day to day calls. Not much in the way of downtime and there is none alloted for us. If you don't get to eat or sleep, well you don't get to and do it after the shift.
 
llama69, I hope things work out for you in the future. From my experience, witnessing death took a toll on me. When I was 15, my mother had a brain aneurysm and was hospitalized for a week before she was let go. Two years later, my father passed away from a massive heart attack and I witnessed the aftermath. Personally, I developed a lack of ability to cope with the reality of both deaths. Maybe, in your case, you are experiencing too much to properly process. Maybe you need to take a break and talk about it. You may have hidden feelings of grief or guilt. It's good that you are aware that you are dealing with this. It takes a man to confront things like these. I wish you the best and hope you gain some peace. All the best.
 
I haven't read the OP and have skipped quite a bit throughout because I like to limit my trauma exposure but I found the title intriguing.

My "disconnect" with death is still there - I mean, I've seen it happen so many times, young, old, it's all the same, there is an extinguishing of something....then what? I am still baffled by it, fascinated and oddly, no longer afraid of it.

It's no longer my place to try to change it and I'm finding peace in that.

This may be irrelevant but the thread title just caught my eye.
 
We have a program here that provides free, or cheap, medical care for everyone. I think maybe us aussies take it for granted sometimes...

I'm in Aus and I don't have free or cheap access to mental health care for PTSD, as far as I know. I have to pay for counseling and can only be admitted to hospital if I'm actively suicidal and then will just get pumped full of meds and let back out.

If you know of cheap or free services, I would love to know so I can access them as I have no insurance.
 
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