I don’t write much about the day job in these pages, for many reasons:
One reason: If it’s war stories you want, there are plenty of other Paramedic blogs out there, rife with blood and guts and strange stories. The tall tales I have to tell you’ll only hear in person and over a pint.
Another: It’s hard to write about calls and preserve my patients’ privacy, so I generally don’t (with only the occasional, still-anonymous exception).
And: It’s even harder to write about the sort of calls that get me excited without causing my readers to go faint with ennui as I try to explain the implications of a particular heart rhythm or assessment finding.
Another one: The politics of the system are dirty enough and aired in plenty of other places–and I bang my head against that particular brick wall often enough while on the clock; I have no desire to do it on my own time.
More reason: This may be the internet, but I’m not in the business of trashing people in my writing. It’s why I don’t choose Dick Cheney, Lars von Trier, or Bill O’Reilly as topics, though all are richly deserving of sharp criticism and/or swift and repeated groin kicks. It’s also a good reason to avoid writing about some of the people I encounter in my line of work. If you can’t say anything nice… you know the rest.
There are a lot of reasons.
And yet.
And yet, faced with the prospect of a hiatus from the business (it’s a time-consuming process, transferring a license to a new state, and I’m wading into a much smaller job pool. It may take time for something to come open), I’ve been reflecting on what it is that makes me keep doing what I do. (Incidentally, this might be just the sort of thing one would share with someone who is considering going to P school…)
No other job I’ve had compares as an intellectual challenge. The sheer breadth of the knowledge required to do this job well is astounding. Think of all the ways the human body can be sick or injured, all the medications we pump into it to treat those problems, and all the complications said illnesses, injuries, and medications can cause. This is the well a Paramedic draws from. It is a deep one.
The work is dynamic. Remember the “neither rain nor sleet nor snow” promise of a certain government agency that is cutting services right and left to remain afloat? That’s us, and then some. You work at all hours, in all kinds of weather, in every environment… and you never know what will happen. Pumping on someone’s chest one call, dodging a fist on the next. Or just holding a hand, or applying a band-aid, or answering a question. Navigating more tempo changes than a conductor at a Haydn festival. I would say there’s never a dull moment, but that’s not true. Sometimes there are lots and lots of dull moments; sometimes you yearn for dull like Sisyphus yearns to coast downhill.
I’ll never get rich, but I can pay my rent and buy exotic produce to boot. There’s no prestige, in case you were wondering. You are occasionally mistaken for a security guard, but lots of places give you free coffee, so it evens out. You become a champion napper, able to suck hours of refreshment from those five minutes you nodded off between calls. You make friends with your alarm clock, because you have to. You find how terribly interesting the most unassuming people can be. You see parts of your city you would never, ever have ventured in to. There are sunrises too glorious for words, and you are the only person you know awake to see them.
But, maybe most importantly, being a paramedic has been among the most important, deeply personal work that I have done. Dare I say it has been part of my own spiritual journey? I don’t know if that is the most accurate way to put it–I’m not religious, and we’re not talking about god here (big G or little, singular or plural), but we are touching on the matter of salvation. On love. On deep compassion for those around us. I read Eat Pray Love on the recommendation of someone I respect, and questions of class and race and privilege aside, I enjoyed the story for what it was–but I couldn’t help but thinking, Sure, it’s easy to love the world from an ashram. Try doing it when a sixty-year-old grandmother high on crack and meth is trying to scratch your eyeballs out, in front of her grandkids. I’m an imperfect soul trying to love an imperfect world, and EMS is a unexpectedly perfect platform for that work–as a rule, you see people on their worst days, and without the usual filters. Sometimes the view is hard to bear.
Yoda be damned, under some circumstances the try is more important than the do.
It is a challenge, every day, to see the blessing in what I do. But I keep trying–sometimes succeeding, sometimes not–to remind myself about how I am rewarded and how I am able to be of use just by doing this work. It is a path to be grateful for, however rocky it may get.




That one sits framed just outside the home office, where I can see it every day. My “real” job demands that I remember its message every day, if only to keep my own sanity. The emails come to me wherever I am, and it’s amusing how often they are exactly what I needed to hear, either for inspiration or just for a good giggle. Today, I found this message in my inbox: