AuDHD Medic
@adhdmedic.bsky.social
I've been quiet my entire life; that was what was expected of me. I'm very tired & very angry.
I'm an AuDHD emergency medical professional who's pro-vaccine, pro-mutual aid, pro-planet...
My tone and RBF hurt big egos.
The profile pic is Chaos, the cat.
I'm an AuDHD emergency medical professional who's pro-vaccine, pro-mutual aid, pro-planet...
My tone and RBF hurt big egos.
The profile pic is Chaos, the cat.
It becomes more of a question of how many skilled medical hands may be needed for initial stabilization versus transport. A skilled paramedic can do a lot on their own, but really sick patients often require more skilled hands for best care
December 11, 2025 at 6:46 PM
It becomes more of a question of how many skilled medical hands may be needed for initial stabilization versus transport. A skilled paramedic can do a lot on their own, but really sick patients often require more skilled hands for best care
They may be! The UK has their paramedics get extra driving certifications that are listed on the backs of their licenses. Some US firefighters are assigned drivers for engines due to the required driving certs based on weight/axles or special operating skills like running water pumps.
December 11, 2025 at 6:33 PM
They may be! The UK has their paramedics get extra driving certifications that are listed on the backs of their licenses. Some US firefighters are assigned drivers for engines due to the required driving certs based on weight/axles or special operating skills like running water pumps.
911 EMS unions are very new in the USA, and even the best of them have a steep uphill battle to fight. The public often conflate 911 ambulances with those that do scheduled transfers, or they assume they are part of the fire dept, which has a very strong, established union for the *firefighters*.
December 11, 2025 at 6:24 PM
911 EMS unions are very new in the USA, and even the best of them have a steep uphill battle to fight. The public often conflate 911 ambulances with those that do scheduled transfers, or they assume they are part of the fire dept, which has a very strong, established union for the *firefighters*.
Ah, I was wondering if we resided in different countries! In the USA, calling an EMT or paramedic an "ambulance driver" is considered disrespectful by undervaluing their pre-hospital medicine skills. "Attendant" falls in that same category and suggests the dawn of EMS: driving fast in white hearses.
December 11, 2025 at 6:11 PM
Ah, I was wondering if we resided in different countries! In the USA, calling an EMT or paramedic an "ambulance driver" is considered disrespectful by undervaluing their pre-hospital medicine skills. "Attendant" falls in that same category and suggests the dawn of EMS: driving fast in white hearses.
Critical care paramedics have an advanced scope of practice equivalent to that of a flight nurse. They perform the same skills on the same helicopters for far less pay and respect.
Paramedics lack public respect and a strong union system that would help demand the compensation that they deserve.
Paramedics lack public respect and a strong union system that would help demand the compensation that they deserve.
December 11, 2025 at 4:42 PM
Critical care paramedics have an advanced scope of practice equivalent to that of a flight nurse. They perform the same skills on the same helicopters for far less pay and respect.
Paramedics lack public respect and a strong union system that would help demand the compensation that they deserve.
Paramedics lack public respect and a strong union system that would help demand the compensation that they deserve.
Ambulance "attendants" in the USA are, at minimum, Emergency Medical Technicians. (6-month class.)
Paramedics do the higher-level care (IVs, cardiac) and generally have the equivalent length of training (with a different scope) as a Registered Nurse. (Both can be 2-year Associate Degrees.)
Paramedics do the higher-level care (IVs, cardiac) and generally have the equivalent length of training (with a different scope) as a Registered Nurse. (Both can be 2-year Associate Degrees.)
December 11, 2025 at 4:42 PM
Ambulance "attendants" in the USA are, at minimum, Emergency Medical Technicians. (6-month class.)
Paramedics do the higher-level care (IVs, cardiac) and generally have the equivalent length of training (with a different scope) as a Registered Nurse. (Both can be 2-year Associate Degrees.)
Paramedics do the higher-level care (IVs, cardiac) and generally have the equivalent length of training (with a different scope) as a Registered Nurse. (Both can be 2-year Associate Degrees.)
I hope you don't think that an ambulance is just a fast ride to the hospital.
The only time you will find an ambulance "attendant" is in a very resource-poor system (large National Park or underpopulated region with volunteer Fire/EMS) when someone's sole assigned role is to drive the ambulance.
The only time you will find an ambulance "attendant" is in a very resource-poor system (large National Park or underpopulated region with volunteer Fire/EMS) when someone's sole assigned role is to drive the ambulance.
December 11, 2025 at 4:42 PM
I hope you don't think that an ambulance is just a fast ride to the hospital.
The only time you will find an ambulance "attendant" is in a very resource-poor system (large National Park or underpopulated region with volunteer Fire/EMS) when someone's sole assigned role is to drive the ambulance.
The only time you will find an ambulance "attendant" is in a very resource-poor system (large National Park or underpopulated region with volunteer Fire/EMS) when someone's sole assigned role is to drive the ambulance.
Very good advice.
It is very possible that we may have had this discussion before (or at least I may have 📌 that prior thread), and *I wouldn't even know* due to a combo of sleep deprivation and a clinically significant lack of essential neurotransmitters. My brain jettisons data with wild abandon.
It is very possible that we may have had this discussion before (or at least I may have 📌 that prior thread), and *I wouldn't even know* due to a combo of sleep deprivation and a clinically significant lack of essential neurotransmitters. My brain jettisons data with wild abandon.
December 8, 2025 at 11:43 PM
Very good advice.
It is very possible that we may have had this discussion before (or at least I may have 📌 that prior thread), and *I wouldn't even know* due to a combo of sleep deprivation and a clinically significant lack of essential neurotransmitters. My brain jettisons data with wild abandon.
It is very possible that we may have had this discussion before (or at least I may have 📌 that prior thread), and *I wouldn't even know* due to a combo of sleep deprivation and a clinically significant lack of essential neurotransmitters. My brain jettisons data with wild abandon.
Also, I'd be shocked if people didn't want to help out the woman who created a brand new food bank. She might not be willing to ask for help, but if she needs help with funding repairs, I'm sure people would donate to that cause. It's certainly something I've been known to do. Good luck to her. ♥️
December 8, 2025 at 5:24 PM
Also, I'd be shocked if people didn't want to help out the woman who created a brand new food bank. She might not be willing to ask for help, but if she needs help with funding repairs, I'm sure people would donate to that cause. It's certainly something I've been known to do. Good luck to her. ♥️
Wetting down the plaster is gloopier but far preferable to The Plaster Dust that will invade every space that isn't protected by a two-sheet airlock system. If they don't have extra drop-cloth sheets, they'll want them.
Good time to see whether any knob-and-tube wiring is in there, too.
Good time to see whether any knob-and-tube wiring is in there, too.
December 8, 2025 at 5:21 PM
Wetting down the plaster is gloopier but far preferable to The Plaster Dust that will invade every space that isn't protected by a two-sheet airlock system. If they don't have extra drop-cloth sheets, they'll want them.
Good time to see whether any knob-and-tube wiring is in there, too.
Good time to see whether any knob-and-tube wiring is in there, too.
This both sucks & is also extremely normal. Betcha it's a lead soil pipe. They like to die *dramatically*. My childhood home had many similar events, but it wasn't on a register, so who's to say whether permits may have been required?
December 8, 2025 at 5:21 PM
This both sucks & is also extremely normal. Betcha it's a lead soil pipe. They like to die *dramatically*. My childhood home had many similar events, but it wasn't on a register, so who's to say whether permits may have been required?
Barging in from the past to ask: does this help? (Like, do you ever get a phone call double-checking whether things are chill at home before a SWAT team assembles?) This is a genius preventative move.
December 8, 2025 at 5:00 PM
Barging in from the past to ask: does this help? (Like, do you ever get a phone call double-checking whether things are chill at home before a SWAT team assembles?) This is a genius preventative move.
As for the other, less helpful neurotransmitter drugs: my brain developed such a solid dependency on them that I am on an extremely long-term taper to prevent the debilitating withdrawal symptoms. Fun with chemistry!
December 8, 2025 at 4:52 PM
As for the other, less helpful neurotransmitter drugs: my brain developed such a solid dependency on them that I am on an extremely long-term taper to prevent the debilitating withdrawal symptoms. Fun with chemistry!
Over the past 7-ish years, I have tried every major drug. I also recently did the genetic testing (it was not helpful for me). Vyvanse keeps the random songs from looping in my head for approximately 12 hours, if I also consume steady amounts of caffeine. Task avoidance doesn't improve though. /sigh
December 8, 2025 at 4:47 PM
Over the past 7-ish years, I have tried every major drug. I also recently did the genetic testing (it was not helpful for me). Vyvanse keeps the random songs from looping in my head for approximately 12 hours, if I also consume steady amounts of caffeine. Task avoidance doesn't improve though. /sigh
Looks like seasonal sprinkles should live in the baby sock drawer now.
December 7, 2025 at 7:56 PM
Looks like seasonal sprinkles should live in the baby sock drawer now.
The potato has vitamin c stores just as The Towel was soaked in nutrients for emergencies.
December 4, 2025 at 4:07 PM
The potato has vitamin c stores just as The Towel was soaked in nutrients for emergencies.
I especially enjoy having this conversation with patients who definitely DO NOT have dementia! HOW DARE YOU ask questions that unintentionally highlight their inability to recall their current meds, diagnoses, reason for visiting a medical professional today...
December 3, 2025 at 5:36 AM
I especially enjoy having this conversation with patients who definitely DO NOT have dementia! HOW DARE YOU ask questions that unintentionally highlight their inability to recall their current meds, diagnoses, reason for visiting a medical professional today...
I think I failed the sentence diagramming segment, because I had already read far more than my teacher and I didn't need to know how to label words in order to read or write well. Reading a library book under my desk was standard operating procedure. That did not help my participation grade.
November 30, 2025 at 9:43 PM
I think I failed the sentence diagramming segment, because I had already read far more than my teacher and I didn't need to know how to label words in order to read or write well. Reading a library book under my desk was standard operating procedure. That did not help my participation grade.
And to your other point, they did have a growing network of people with similar health issues, which has been helpful for them. I provided some recommendations for new lines of inquiry during normal office hours. Then, we discussed what ChatGPT is good at and why medicine isn't one of those things.
November 30, 2025 at 12:15 AM
And to your other point, they did have a growing network of people with similar health issues, which has been helpful for them. I provided some recommendations for new lines of inquiry during normal office hours. Then, we discussed what ChatGPT is good at and why medicine isn't one of those things.
They did appreciate me & *had* been disappointed by the nurse line before. But I would expect anyone staffing that service to be able to help evaluate for anaphylaxis & not make up fake signs of impending death. ChatGPT: Do your pupils look larger than normal? Are your ear lobes tingling? Epi pen!
November 30, 2025 at 12:06 AM
They did appreciate me & *had* been disappointed by the nurse line before. But I would expect anyone staffing that service to be able to help evaluate for anaphylaxis & not make up fake signs of impending death. ChatGPT: Do your pupils look larger than normal? Are your ear lobes tingling? Epi pen!
My recent UK houseguest brought "everything needed for a Sunday roast" in cans (I'm not sure if there was tinned beef). I gathered it was their family comfort food due to tradition, not due to high quality flavors or skilled preparation.
Also, their custard doesn't involve eggs. Mystifying.
Also, their custard doesn't involve eggs. Mystifying.
November 24, 2025 at 2:37 AM
My recent UK houseguest brought "everything needed for a Sunday roast" in cans (I'm not sure if there was tinned beef). I gathered it was their family comfort food due to tradition, not due to high quality flavors or skilled preparation.
Also, their custard doesn't involve eggs. Mystifying.
Also, their custard doesn't involve eggs. Mystifying.
Thanks for answering that unspoken question for me. Having treated the pain of *so many* SCD patients on the East Coast, I've been befuddled by the apparent lack of SCD patients in central Texas.
November 17, 2025 at 3:34 AM
Thanks for answering that unspoken question for me. Having treated the pain of *so many* SCD patients on the East Coast, I've been befuddled by the apparent lack of SCD patients in central Texas.