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This will sound harsh, but that's what the professional world is about. This guy sounds like a grade A douche. The first thing you need to do when dealing with a person giving you grief is to evaluate yourself. You say you're a professional in the Fire/EMS field. Yet you can't spell "lieutenant" or "chief", words that I would say would be in common usage for a Fire/EMS professional. If I were introduced to a new person in the service, and I read their paperwork with gross spelling errors of common words, I would lose respect for them. Its sloppy. Secondly, as a woman in the fire service, you are at a disadvantage. By that, I mean you are in a profession where basically upper and lower body strength and aerobic endurance are the key components you need for success, and genetically speaking, men are more gifted in that area, so it will be harder for you to achieve the same standards. I know many women in the fire service. Generally they are built like Angelina Jolie in Tomb Raider if she did all her own stunts, or are even bigger or bulkier. Male or female, if you cannot go up four flights of stairs, in full turnout gear, SCBA, knock down a door, and do a drag on a 200 lbs person, then you're not really cut out for the fire service. Now that may not be a popular or a politically correct attitude, but from a physics standpoint, that's the truth. Now I've never met you and maybe indeed you're like the person I described above and if that's the case, good for you, congratulations, may you do well in years of fire service. If not, if you are more like the smaller, less physically advantaged women I have also met who insist that they do just as good as the guy who can bench 200 lbs, then try to understand why others might have a poor attitude when it comes to working with you.

Don't feed flaming. He's just bitter at not having a family to be with on Christmas, so he's lashing out at people's desires to go home to their own. He is an unpleasant little man hiding behind his sexuality. Here's some eggnog, mate. Cheer up.

I call anyone attacking heterosexual couples on Christmas eve to be a lonely, bitter, little troll. I feel so bad for you. You're like the little kid in the corner throwing things at the rest of the world because he didn't get what he wanted for Christmas. You need to grow up.

What would some self-righteous child of privilege know about what influences gang members? Oh, I'm sorry, flamingemt, are you from the 'hood? Did you get out of the life but don't want to see your little homies go down the same path? I sense some deep rooted issues about relationships and families here. Someone didn't get hugged enough. Or maybe a little too much. You really are giving gay rights activists a bad name. Take your psychological issues some place else.

Wow, fighting bigotry with ignorance and prejudice. You're such a hero.

Take your censorship crap some place else. We adults can make our own decisions without your help. I'm going to come over and blare "April 29 1992" by Sublime as loud as I can. You can live in your own little arrogant world where every needs to think and act and believe the way YOU think is right, but you can't force it on others. I'm going to listen to Sublime, and Johnny Cash, and Ice-T and the Geto Boys and NWA, then watch an episode of Scarface and Saving Private Ryan, and then go back to being a very peaceful individual. Just because your brainless, coddled, infantilized generation doesn't know the difference between what comes out of the radio or TV or Xbox and real life doesn't mean the rest of us don't.

That's okay, I heard a song about a guy who shot a man in Reno just to watch him die. Hardcore stuff there.

So to express your uniqueness and individuality, flamingemt, you adopt the speech patterns and mannerisms of others?

I would be rather upset if I took my family to the St. Patrick's Day Parade and there were scantily clad women making out on the floats. I can be rather prudish that way. I would be more grossed out if I saw an overly obese female and man making out too. What is the point here?

Flaming, do you have any evidence of this phenomenon actually occurring or is this just something you "know" would happen. In actuality, I can count on one hand the number of municipalities where it is legal for a woman to go topless in any place that a man could go topless. So I think the more common occurrence would be that if you had a restaurant with bare chested waiters, you'd raise some eyebrows, but if you did it bare chested waitresses that's when the church groups come out with the pitchforks and torches.

Brainstem dysfunction. Seems to fit.

Actually, the safety of my crew is my first priority in any situation. I do take into consideration the risk to providers that transporting a cardiac arrest will entail. I am not the one who is going to be responsible for sending a volley crew full of teenagers to their doom on icy roads because someone was found asystolic. I think it is negligent to attempt such a maneuver in certain situations. EMS, like firefighting and law enforcement, is classified as an "ultrahazardous" profession. That means that no matter what we do the risk of death or injury to the operator will exist. However, and this is where a lot of providers get it wrong, that doesn't mean we have to take a risk any time one presents itself. Safety may be management's responsibility, but and I am the only person I trust with ensuring my own safety and those operating directly under me.

Yes. I have. Are you saying that gay people are no better than numb-nuts teenagers? Tsk, tsk.

Dieting is easier than you think. Figure out your caloric intake for the day. Usually its about 2,000 calories a day. If you are TRULY active all day, then you an get away with 3,000 calories a day. Simply keep at 2,000 calories a day and you will eventually reach a good body weight. If you start looking at the calories in different foods, you'll understand why you can't seem to lose weight. For instance, one Whopper with cheese (not counting fries, large soda, etc.) has 1,500 calories in it. Yes, if you eat one whopper, you're pretty much done for the day. Have two Snickers bars and don't eat anything for another 24 hours. Now Mr. Cheetos bag over here says he only has 160 calories per serving. However, there are 10 servings per bag. That means when I sit here and casually devour the entire bag while blogging I just ingested 1,600 calories. Snacking is the worst thing you can do. The reason the Atkins diet works isn't because of any magical properties of protein, its because protein has less calories by weight than carbohydrates do. For instance, 19 cooked shrimp (without butter) have only 60 calories in them. And 82% of your daily intake of cholesterol. Yeesh. So count your calories, no snacking, avoid fast food like the plague, and get some exercise. You'll weight in no time.

I am really starting to smell the distinct whiff of troll bait off of IHLPP. No one person can possibly be that dumb. Not even a manager from Georgia.

Is it possible IHLPP is a troll? Or just evidence my great-great-uncle Sherman didn't go far enough?

Well here's an answer for you IHLPP. I can't say unequivocally what I do. It would depend on the situation. I'd use good clinical judgement. I can tell you what I WOULDN'T do though. I WOULDN'T say "I don't care what in the heck its called its just a pet, that's all BS let's get on out of here so we can get back to catch Cinemax." I wouldn't do that. I think we'll just have to agree to disagree on that point.

Maybe the service animal can go grab the remote control or the lube for when the soft core porn on Cinemax comes on. Oh wait, were talking about the hospital, not IHLPP's EMS station. My bad.

You know, I'm really sensing a trend with you IHLPP. You have that arrogance of "knowing what its all about" despite what literature and the law and pretty much everything else says. I know its going to fall on deaf ears, but service animals are not "pets". Service animals are a necessity for people with certain disabilities. Now, I'm not going to debate whether dogs can sense seizures or not, or whether a patient needs one in the hospital or not, but basically if a physician tells me a patient needs something, and the law provides for its transport (like it does in PA), then unlike you, I'm not going to say "I don't care what them pointy heads think, I know that thar's a buncha BS." Kind of like how you don't really care if its unsafe and possibly illegal to transport an unrestrained patient, you "know" its okay. Or like how despite the rather obvious inappropriateness of watching hard or softcore pornography in the work place you assert "its all okay" because your firemen buddies do it. Ignorance and arrogance are a really deadly combination in the medical profession. I think you need to go back to school and grow up a whole heck of a lot before trying to be a manager of an EMS service.

Yes, we do, because I'm right. IHLPP's non sequiter will not throw me off. On one hand she said that it is okay to transport an unrestrained hyper-obese patient despite the obvious safety (and IMHO legal) problems, then on the other hand she says she will not transport a service animal because of the safety problems. I'm sorry if some of your crew members are scared of doggies, but the thought of several hundred pounds of living flesh compressing me to a pulp in a motor vehicle accident frightens the heck out of me. You can't have it both ways.

So IHLPP, it is okay to refuse a transport if you do not feel safe accommodating a service animal, but it is not okay to refuse a transport because you do not feel safe taking an unrestrained hyper-obese patient in your ambulance? Or are you only sympathetic to disabilities that CAN'T be controlled through diet or exercise?

Forget women or religious types. I, am a non-particularly religious, heterosexual male (not that it matters), and I would feel very uncomfortable in an environment where co-workers were regularly watching women describe sex toys and their uses. Its not so much about the fact that your TV gets HBO or Cinemax, (although if I was your CEO or manager I would be mandating that basic cable was plenty and you guys should be happy with that), or if they are capable of receiving it. Again, its a matter of if someone is sitting down and watching these things on company time. I may not have been to every EMS or fire station around the world, but I just can't get my head around the idea of people putting on Sluttly MILF Stories 14 on in the lounge and it being all a-ok. Even after 10 p.m. Seriously, I do not know what passes for normal down yonder, but I would feel very uncomfortable sitting around with a bunch of guys dressed up in firemen's outfits and watching porn. I used to work in the Village. I've heard about how those things start out.

IHLPP's, I have to ask, do you find it acceptable to view pornography in the workplace? I notice you are doing the same over generalization trend you did in the thread about keeping patient's properly restrained. Do you really not see the difference between viewing hard or soft core pornography or an explicit sex scene in a mainstream movie on your own time and doing so while in the workplace? I wouldn't be disturbed by the fact they were looking at porn. I would be disturbed that they were doing it in an area that no one would consider to be an appropriate area. That tells me that the viewer's standards of acceptable behavior are severely lacking. I would say the same thing if I caught my partner taking a whizz on the floor. I understand that everyone goes pee. I do not think the fact he was peeing makes him an unacceptable provider. However his choice of when and where to do it is the problem. Its the same thing with the porn.

Dwayne, I'm not saying that any use of the computer for non-work related usage is grounds for termination. But l think there is a big gray area between looking at a site that might have a dirty joke or too and looking at hardcore pornography while at work. I'd be rather skeeved out if my co-workers used their down time to look at porn. Really, I would not be comfortable with that. I wouldn't be comfortable working under a supervisor who thinks that people offended by coworkers looking at explicit material on the computer are religious types. I'm not religious. But doing that at work is just creepy! Like, asking a patient for a date because you got their number off of the ACR creepy! Let's have standards around this berg. These sound like behaviors of really disgusting people.

I reiterate, call me old fashioned, but I think anyone who looks at pornography at work should be fired on the spot. I A person willing to cross that boundary is one that shouldn't be placed in a position of trust. 'm not particularly religious but I would be very disturbed if during the vehicle check I came across what was described. If this had happened at a school, there would be no discussion. Well guess what? EMTs and paramedics are in even more of a position of trust than a schoolteacher.