Kiwiology

I drink extremely rarely and only socially. I don't mind if people drink but it's not my thing, but then again I'm biased having seen enough drug abuse in my short life to last ten lifetimes. Now, if Dwayne would get his ass down here from whatever leper colony he is hole up on in the South Pacific I would be glad to fire up the barbie and get a bottle of something smooth from the liquor mega store for him. Knowing him he would end up unconscious on the grass and cause a scene or something.

Alcohol is the creator of and apparent (although misguided) solution to most of life's problems

bro'Town is heaps more choice than Shitty Street ow far bloody nunngered Australians Some kettymean might fix you up

Bro, Nana luks a bit cruk her ECG is pretty nunngered just luk at these ST changes and is that a nu bundle branch block? 479 handheld calls Sudney, transporting priority 1

I am physically young but mentally older than time itself. I have seen and experienced much more than a person of my age should and fight a constant daily mental battle to get the hell away from it and pretend the last quarter century of my life has, for the most part, not existed. No Around the place, I have a library of over 100 medical text books (Bates, Guyton and Hall, Rosen, Williams, every subject from Anaesthesia to Zoology (Anatomy)). I read and research extensively and in the past have had several friends in the Ambulance Service; I've got friends who are Consultant Physicians and they helped me out by getting me as much practical experience as they could but most of my knowledge comes from my own self-teaching. A few years ago I did complete some of the Paramedic (ICO) modules when it was still the old ICO course and not the "new" ILS pathway (which as soon as a degree provider is finalised will formally become a Degree qualification within the Ambulance Service). I think I've still got some of the work books and such around here somewhere. A certain shaggy haired bloke who will remain nameless has also hit me in the head with the oxygen and gone "you dumbshit, this is how you turn it on!" and one or two other things. It's amazing what you can teach yourself; not that I consider I actually much of anything really. I know very little and I'm not taking the piss, honestly, I don't think I know a lot. I have had people tell me I do, but I don't believe them. Ouch man, I have to go find soul analgesia now, best get on the biophone and ring up teh medical control about that one... You also forget I was the one in our relationship who could cook

If you say so mate Now, I expect that I run across you in a couple years and you tell me how damn happy the two of you are! <TTP> Best nick off, looks like some bloke stuck under his tractor Ambulance, Lifeline, airborne </TTP>

I'm down on the truck driving and redneck music blaring but chewing tobacco gives you oral and esophageal cancer Cancer is bad ju ju

Bitch please. you're not getting away with that this easy. Steve, if you have a problem with me, all you have to is talk to me. We have option A - spew hatred about somebody on an online forum, totally stripping them of privacy, posting their picture and bringing up irrelevant issues or option B - give them a call and talk to them nicely man-to-man, hmm Jerry which option is better? Oh wait before we answer I say the washer and dryer combo myself! Maybe Kat and you can use that in your apartment, heck I dno, I always did enjoy going to the laundromat myself, crazy people to talk to there always interesting. Can you please take that photo of me down or at least crop it? Ta He's met me once for twenty minutes during which time I specifically remember telling him that people tell me I know a lot, when in fact, I don't know that much. Exactly, look I'm the first person to admit if I've done anything wrong; I'm truly honest to God one of the most honest, good natured people you will ever meet. If I'd deliberately set out to spin the crap and got snapped I'd admit to it and take whatever was coming, but I did not so hence why I am not admitting to being deliberately deceitful ... because I wasn't. You can fact-check anything I say and I would encourage you to do so, because like I said I'm one of the most honest people you will ever meet and the first person to admit if I have done something wrong. I've known several Paramedics and spent plenty of time with them discussing a multitude of clinical and operational issues both pertinent to here in NZ and worldwide which has been both online and in person, sometimes even on the couch at the ambulance station. I've even been known to put on a yellow high visibility jacket with "AMBULANCE" written on it and lug a big green back pack around or put a drip into somebody but it did cost me pizza Oh and thank heck Stryker stretchers are used now those Stollenwerks were a pain in the ass to get out of the vehicle! "Our" or "we" was always in reference to New Zealand. I would refer to anything from the UK as "theirs" or "them" because I'm not from the UK. Good to see you found Tony Smith; you should talk to him as he is an extremely intelligent Physician, dual qualified as both a Consultant grade Anaesthetist and Intensivent (ICU) who has been involved with StJ since just before 2000 if memory serves correctly (I did read something like than in the Northern Region Forum magazine a few years ago). He is an outstanding and truly brilliant man very passionate about pre hospital care (heck not unlike me) and clinically the ambulance service has come leaps and bounds under his eye, and that of a group of dedicated and passionate people such as Craig Ellis, Doug Gallagher, Mark Deoki, Sue Gullery and Sarah Werner. At the turn of 2000 it was reality that "authorised competencies" for a National Certificate Officer (Ambulance Officer) included aspirin, salbutamol and entonox. Nasopharyngeal airways were an "authorised competency" for an Advanced Care Officer (Paramedic) and bloody hell New Zealand was still using PR stesolid (rectal diazepam). A decade later and viola, a third of a masters degree is required to become an Intensive Care Paramedic, New Zealand has one of (if not the) highest success rates with rapid sequence intubation (a procedure banned in many parts of the world because it can't be done properly) and we are unfortunately comparing ourselves to parts of the world where salbutamol and entonox are still considered "advanced" procedures despite the fact they've been entry-to-practice interventions here for maybe 20 years?. There are many, many positive and leading-edge things the Ambulance Service is doing here, many place our little nation at the forefront globally and a great deal of it is thanks to Tony Smith. So yes, you should talk to him because your time will be far better spend discussing clinical issues and developments than worrying about me, who really didn't do anything anyway. Sure seems it mate, you dragged a whole lot of other crap in here that has nothing to do with anything we are talking about and that isn't really accurate anyway but that is a discussion for another time and place What lies? You've still failed to provide any evidence that I have directly claimed to be associated with the ambulance service as an ambo Bloody hell mate, give it up, surely you have better things to do than worry about a waste of space like me?

I don't expect you to believe anything I say nor do I really care because your opinion of me matters little. Why do I not have an expectation that you'll believe anything I say? Because I am not privy to the inner sanctum of your mind and it's cognitive processes. It would be fair to say that an argument which sounds reasonable will be believed until proven otherwise but I can't guarantee that so you are free to make up your own mind regarding what I say. It appears you've done that so there you go. I'm surprised you haven't had a go at me about my avatar; for the record, that's one of the old patches that were used pre-2002 and I chose it because it is not current and does not have the name of the issuer on it as do the new ones. Why did I do that? Because I'm not affiliated with the orginisation whose name appears on the new patches. Please provide specific examples, you will more than likely be very hard pressed to do so, I may have said once or twice "X does this, Y does not" but that's totally different than saying "I know X does this because I work for them". How can I possibly associate myself to orginisations I've never mentioned using the terms "we" or "us"? In your interpretation Am I the only person you tell in such a matter-of-fact tone what they are thinking or what they were trying to do at X point in time? I wish I had your ability to know what other people are thinking and why so, it sure would come in handy! I won't disclose my comments of what I think of you, because that would be rude. You think I'm wrong and that's fine, you are more than entitled to your opinion and to question me about what I've said, you continue to make assumptions and twist my words around to suit your interpretation of them. I've got nothing to hide, never have, never will. Again, if anybody can cite specific examples of where I have out-and-out seriously claimed to be employed by a certain orginisation or hold a specific practice level in any of the 2,000+ posts I've made here then please, show me (piss taking aside). You won't find any.

I was trying to think of a screen-name that was not taken; I couldn't think of anything more original and seeing as how this is a medical website I dno at the time "medic" was the best I could come up with. I'm doing nothing more than trying to make meaningful contributions to rationalised clinical discussion and debate, something I think you could say objectively I have done successfully I am not sure. Not stating background, certification or employment cannot reasonably be extrapolated into purposeful deception Remember scientific research methods? Coincidence does not equal causation nor correlation I am not hiding anything. If you want to believe I have perverted intentions then go for it, you're wrong but I mean you're free to at least challenge me on it, no problem there. Between 1/10/04 and 13/4/09 I accumulated a total of 3,224.59 hours of LDS experience utilising 14 CFR 121 (IFR) whilst working as a simulator technician and project analyst for United, FedEx and Boeing. This breaks down to 524 legs, 354 ILS approaches (including 27 Cat II and 19 Cat III), 129 visual, 8 RNAV and 33 VOR or VOR/DME. Yes, I still have my log sheet. I have my CPL-FN(G), Met and HF. It was a pre-req of my work that I actually understood what I was dealing with so y'know that's how that came about. Oh let's not play that game or I could tell all the things I've heard about you too Sorry I was hitting my head against the wall to try and get this helmet off, what did you say? You're welcome to search out every post I have made on here in the five years I have been here and provide me with a link to specific examples to where I have out-and-out seriously "pretended" to be a pre hospital provider (piss taking aside) i.e. stated as much e.g. "I work as a Paramedic on New Lynn station green watch" or "I have completed the National Diploma (Paramedic) in 2007" and guess what, I know you will not find them because I have never said anything like that; why? because it's just fucking dumb and it's so easy to get caught out and I do not have some sort of sad mental disorder or terrible psychological problem requiring me to do that. I'm not here to seek respect from anybody nor do I respect it and in fact, I generally shy away from it and am the first person to point out I know very little and have only a small amount of practical experience with a small sub-set of my knowledge. I've never claimed to be anything I am not here, if you want to get searching through the 2,000+ posts I've made to call out specific examples you're most welcome to get to it, it'll take you a while because I haven't done it. Sorry I wasn't aware you had access to my actions throughout the entirety of my life to judge whether or not I am somebody of reputable character or not. You're more than welcome to objectively question me, but let's not get personal, we've had enough of that already. I haven't personally insulted you anywhere on this thread have I?. Some of the things I know about you might disgrace or cheapen the medical profession if they are in fact true but that's for another discussion Again, please, go through my 2,000 posts here from the past five years and cite specific examples of where I have openly and specifically claimed things that are not true in relation to my certification or employment, seriously, piss taking aside. We both know I don't work for LAS nor LAA and it doesn't take a rocket surgeon to figure out it's all in good piss taking. Seriously? You won't find any. You shouldn't talk about yourself like that Steve, it's not good for your self image! I'm not worried about you any more so why the continued excrement of hatred? You might want to reflect on your own words that cheapening others is an attempt to deflect from oneself, because I have heard lots about you that makes me wonder if you're not a liar and a fraud. I mean I'm sure you're not a bad person and so forth hell I would even buy you lunch again Please cite specific examples and we can compare them to Wikipedia together. Nothing I've ever posted has come from Wikipedia Bloody hell, dissing Frazier, nek minnit accusations Damn it to the bowels of bloody hell my blood is angry now, I'm going to KFC for artery clogging food and blast some redneck music and angrily pound the steering wheel

Needles you need to come have your certification party in NZ (or Canada or UK or AU) then you can get really pissed I'll even shove the funnel down your throat myself

I cannot fit in as many quote tags as are needed to address each point individually @ Mike; You've got quite the knack for telling people who are not you what they are thinking or trying to do Like I said, my original choice was "Kiwi", simple nice and generic but that was taken, so I sat there for a while trying to think of something else, "medic" was the first thing that came to mind seeing as how this is a medically orientated website. I've been thinking of changing it since 2009 but can't think of anything; but as Scott has pointed out, you chose to infer the American definition of the slang term "medic" (shortened from "Paramedic") to mean an ALS provider. You do realise the world doesn't end at Bangor, Maine right and that not everything the world over is the same as inside the US? Exactly which orginisation did I say I was affiliated with on the ketamine thread? in what context of affiliation? Oh that is right, I didn't say anything of the sort, because once again, I'm a real life honest person who doesn't go around lying his face off. It's a really stupid idea to do so because it's really easy to get found out. Oh and of course, I'm going to refer to New Zealand as "we" and "us" because guess what; I'm a Kiwi You need to stop twisting my words around to try and villanise me. I can't control what goes on in your head but perhaps you should stop trying to think you know how other people are thinking and listen to what the person themselves has to say. I was the camp medic at summer camp, does that count? As Scott has pointed out, you chose to infer the American definition of the slang term "medic" (shortened from "Paramedic") to mean an ALS provider. You do realise the world doesn't end at Bangor, Maine right and that not everything the world over is the same as inside the US? Why don't you go out there, search through the 2,000+ posts I have made and find me specific examples of where I've claimed to specifically be employed with the ambulance service, at a specific practice level, at a specific time, place, date, station, watch, or any other characteristic. You know what? You won't find any because I'm keenly aware that not only is it lying it's really stupid and just plain dumb, and I am not a lair, in fact I am one of the most honest people you will ever meet. I've never done it and I never will. Sorry if you wanted to make me out to be some lying fraud but you won't be able to do it here, with any actual evidence anyway. @ Spenac You're assuming I purposely embellished myself or purposely engaged in deception. I'm not sure where this rash of "we think we know what other people are thinking" syndrome has come from. My qualification is as follows: There, notice how nothing is written there? There is your answer Define "medic" and show me exactly where I have called myself a "Paramedic" and claimed to have done "advanced" procedures @Scott33 Finally somebody who gets it! I never stated I was anything with any serious intention because its just dumb, it's so easy to get found out and then you look like a giant dick. Looks like a giant dick at your 1 o'clock, keep coming down, bring the tail to me; Ambulance, Medevac, descending I don't consider my posting here some great noble crusade or nothing like that y'know nothing to be written about in history. There is a very clear difference between taking the piss and purposefully lying about yourself to make yourself out to be some big shot that you are not. The first I partake in regularly, the second I do not. As for the clinical content of my posts, sometimes us small flightless birds know things, sometimes we don't, most of the time we don't @Vorenus I did the AO and Paramedic (ICO) written modules way back in about ... maybe 2008? Never formally used them on road tho nor did I complete them. Infact I still have most of it under my bed. Perhaps I will complete them at our East London party flat @Mongo No, I am in not in NZ, I am in Yugoslavia ... yes, of course I'm in NZ I never said I did not have practical experience; I have a little experience over about 6 months back in 2009 Now come here and let me stick a 14 into your cube! Sometimes us small flightless birds know a thing or two, sometimes, not all the time, and most certainly not in a way that could be taken as the small flightless bird being pretentious or arrogant. Us small flightless birds are nothing of the sort. This Frazier dude has a history of lying his face off and intentionally misrepresenting himself as being a specific practice level, at a specific institution (several infact), at specific times, dates, places and for months and months and months spewed horrendous loads of verbal excrement to people to purport all of this as being true. He had Facebook, Google+, Google Voice, Twitter and numerous other social media and other such accounts associated with it and it went on and on and on to the point where it was just plain psychotic. I on the other hand have done none of that. @Denny See, you seem to get it. The "medic" part probably was a poor choice back in 2007 but I couldn't think of anything else to be honest because "Kiwi" was taken, I've actually been thinking of changing it since like about 2009 but I can't think of anything else to change it to. I know somebody else on here who has a user name containing the phrase "medic" and they are not a qualified pre-hospital clinical person; so why don't we go berate them about it?

I bet most of these students are also very young and inexperienced? In general my conversations and readings with Canadian Paramedics it seems there is a much greater respect for knowledge than in some other parts of the world, generally, exceptions will always exist.

Yes, MICA was a collaborative effort between the doctors and the ambulance service rather "led by" the doctors, I also like this

I hate to say it, but two or more hospitalisations in a year for asthma put you at an increased risk of death from asthma (as would previous intubation for asthma) Glad to see you got your asthma under control Bloody asthma plans and patient education, the rate of life threatening asthma has dropped off quite a bit here it seems ... what happened to the good old days?

I am curious, have you ever been intubated for asthma or have you been in hospital more than twice in any one year for asthma? Ketamine is actually the preferred induction agent in asthmatics due to its bronchiodilatory effect but, intubating an asthmatic can bring on a lot of bad ju ju as I've commented elsewhere at length about. It's something with a very fine line between help and hurt.

Why? Because this somehow makes my contribution any less valuable or less informed or less correct? Such is the world of the crazy, crazy internet ... you never know who is lurking behind their screens! Because it's in Kiwi-speak! Bloody hell man, do we need to get you a guide on translating things which sound a bit nunngered? Incorrect. I've never once said that, nor anything like it, nor anything even remotely resembling it. Why? Because I am a genuine, real-life, honest person who doesn't drivel shit to make himself sound big nor do I have some terrible psychological problem requiring I do that. Never said I was either, and that is the more important thing. That is also what this other Frazier guy did, he deliberately lied his face off from day one about what he was, blatantly told everybody how he was a super awesome trauma and flight nurse practitioner, claimed to be working here and there and every bloody where with all these big name people, on the helicopter, in a burn unit, on and on and on for months and months and months, deliberately lied his face off purporting massive grandiose delusions that did not exist. You're welcome to go and find examples of where I said what I was, who for, when, where, with whom, at what level and such but you won't find any, why, because I've never lied my face off ... it's very simple, I'm a genuine real-life honest person Oh and for the record, my username is what it is because "Kiwi" was already taken; I've actually been meaning to change it over a year because I no longer have anything at all to do with the Ambulance Service and do not plan to, but I couldn't think of anything to change it to. Again, incorrect. You're welcome to go and find examples of where I said what I was, who for, when, where, with whom, at what level and such but you won't find any, why, because I've never lied my face off ... it's very simple, I'm a genuine real-life honest person Incorrect, I'm not misguiding you in any way, shape or form because I've never said anything about myself insomuch as I am this practice level, on this station, for this orginisation, since this time, on this watch etc so whatever you choose to make up in your head about what you think I am is something I can't control for I am not you. I could come along and lie my face off to you and tell you I'm the worlds greatest Chuck Norris style bad ass Intensive Care Paramedic with 30 years of experience and a ton of knowledge that would make a Consultant Physician cower with tears of angst because his appears feeble but two things 1) that's really stupid and 2) what's the point, what sort of sad low-life with a head screwed on backwards would you need to be to do that? You're welcome to go and find examples of where I said what I was, who for, when, where, with whom, at what level and such but you won't find any, why, because I've never lied my face off ... it's very simple, I'm a genuine real-life honest person You'll get over it because nothing I say is any less well informed or meaningful because I don't have a flash piece of paper. Nope, never have been, never was, never will. Did a bit of the old AO/Paramedic (ICO) courses in my spare time, stuck a couple drips in people and lugged the green backpack around a bit while doing so but never went back to actually do anything about it. Don't plan to either.

Orthostatic hypotension is a non-specific indicator of low blood pressure which as we all know can be caused by 300 different things If it were my educated guess, it was removed because it's got no real value

Correct See, this is what happens when you talk to people who do not like me Oh I let this guy die ten pages ago when we embarked on a massive, wildly rampant piss take This guy engaged in deliberately lying to people with perverted intentions of misguiding them into believing he was what he was not and believe me if you could have seen everything this guy did it was at the extreme end of a psychotically disturbed level of purporting grandiose delusions Me? I'm just a small flightless bird who contributes knowledge and piss-taking to forum on teh internetz and am probably one of the most honest people you'll ever meet Now, let said piss-taking continue

I completely agree and strongly disagree with the "inverted triangle" that has traditionally been Ambulance education. The model Ontario has adopted with the two year University level education for Primary Care Paramedic is top-notch and one of the best in the world because you get all your basic bioscience downpat before you even touch patients and the experience base gained between PCP and ACP ensures you can actually apply that knowledge in practice! Damn Canada, so awesome eh? Woohoo 2000 posts, and I use up my 2000th post talking up Canada? Bloody usurping Canada, I should have been up talking us New Zealanders ... but I can't hate on Canada too much, being our northern cousin and all.

This thread long since departed from hating on Frazier and has degraded into a massive wandering super piss take It was quite enjoyable honestly I don't know what people believe, for I am not them but if I can influence them at all hell I'm far more interested in to making myself out to be some sort of Chuck Norris prodigy super awesome round-house kicking badass Texas Ranger type with a Lamborghini Diablo, big cowboy hat and aviator sunglasses than a bootleg, has-been NZQA educated tosser ~ICO from yesteryear You most likely heard because when I was recently asked if I was dragging people into the back of a large white vehicle with tinted windows and lights that made noises attractive to children with them strapped to a stretcher +/- giving them drugs, I said nope, cos I'm not, and haven't been for probably two years now

Can you go to Ottawa and tell the Ministry of Health and Long Term Care that the Symptom Relief Package designed in 1995 is no longer appropriate and given the high level of education for Primary Care Paramedic in Ontario there should be a sensible increase in scope of practice? Thanks!

This is exactly how many places in the world (AU, NZ, SA) are configuring their systems, combined with an aggressive approach to up-educating and upskilling their non "ALS" providers so that the top-tier ALS people are kept free to see more crook or potentially crook people to maximise use of their specialised knowledge and skill set. The OPALS study tells us what we already know or have long suspected 1. No difference in cardiac arrest survival when ALS is included, 2. No difference in major trauma survival when ALS is included, 3. Decreased morbidity and mortality in respiratory distress patients with ALS intervention, and 4. Decreased morbidity and mortality in chest pain/acute coronary syndrome patients with ALS intervention

Should you really have even been performing orthostatics? What on earth of benefit is it going to tell you in a patient with abdominal pain?

Can't crank one out to George Strait either ....