Showing posts with label San Antonio. Show all posts
Showing posts with label San Antonio. Show all posts

Sunday, November 6, 2011

I'll Save You!

About a year ago I partook in the military's Combat Casualty Care Course also known as "C4." A week long academic and field training course designed to prepare us for combat medical care as it is provided in the first and lowest echelons of care from the battlefield itself to the first triage and staging areas such as the Forward Operating Base (FOB). In summary: it was cold. The rest of the details I may or may not eventually get to later, but first a story.

Much of our practical field training consisted of forming up in our platoons (see below) and undergoing marches which would take us into various situations where invariably someone's legs would be blown off. Each platoon was broken down into four security teams (X1-4) which provided security and two litter teams (L1 and L2) which provided the actual medical care, collected blown off limbs, and carried the stretchers. All teams had individual leaders (marked by *.) The entire platoon itself was additionally headed by a platoon leader (P). A march would begin in two columns with two security teams in the back and two in the front, the litter teams dispersed somewhere in the middle. It would inevitably end with the litter teams running about in varying degrees of order or chaos while the security teams provided some degree of perimeter cover -- or, as in this last case, just watched the mayhem with an amused curiosity. The missions always changed in detail, but they always consisted of a march to an objective, an attack by our various training instructors (TIs) on the platoon, and people getting their legs blown off.

X1 X1 X1 X1* L1 L1 L1 L1* X2 X2 X2 X2*
P
X3 X3 X3 X3* L2 L2 L2 L2* X4 X4 X4 X4*

Two columns of two security teams and a litter team each form a platoon. Or a bunch of random letters.

After the initial orientation and a few dry runs where we mostly just stared at each other in confusion, the majority of our exercises went off relatively well. The first where I was leader of litter team one was uncomplicated thanks to my impeccable leadership skills and, more likely, simple luck and good fortune. The latter exercises also went off without too many casualties save one surgical intern who had a helmet dropped on her head after stepping on a land mine. The helmet was real, the mine just covered her entire left side in red dust which would never come off. Our second mission, however, was a colossal failure, but for those who were there watching it all unfold as part of the perimeter security teams -- of which I was one of them -- it was like staring at a slow moving, never ending train wreck of comedic folly.

The mission as described was to find a downed C130, locate casualties, secure the scene, and evacuate the wounded. Pretty straightforward it sounds, but not so much in action. At least for us. After a short march we reached our designated stop point where our reconnaissance team was sent to evaluate the scene. After returning with the information of what they saw the team leaders and platoon leader collectively deliberated for a number of minutes before coming up with the simple plan of sending the two front security teams to secure the perimeter alone while everyone else just sat back and waited. That was it. No more plan than that. Not surprisingly it all started to fall apart when 5-10 minutes later we began to hear gunfire and explosions about a half mile down the trail where our forward security teams had so nobly previously wandered off to.

Not having any contingency plan for what to do in case of explosion we briefly fell back to the tried and true action of staring at each other in confusion for a few seconds before we all made the collective decision to simply get up and run as fast as we could towards the scene of the action. So off we ran, all sixteen of us in two rear security teams and two litter teams and all in various states of disarray, not entirely sure where exactly we were going or what we were to do when we got there.

We arrived to find a half erected security perimeter set up around a lightly smoking C130 and a few ramshackle cement houses all surrounded by the scrubby trees and dust which make up the majority of south Texas. Carrying only our plastic rifles, canteens, and the same Kevlar helmets and flack jackets that everyone else had, my rear security team passed by the column's litter team in an attempt to complete the half ass parameter that was already in place before they got there. This placed me immediately adjacent to the C130 and privy to all the action which was about to unfold.

The litter teams arrived shortly after we did to what was still a relatively unexciting scene of smoke, sound effects, and people lying around with rifles staring off into the trees pretending to provide cover. One litter team diverted off into a gully on the left to assist some wounded there while my column's litter team headed directly to the right to the downed C130 where, presumably, the bulk of the wounded would be waiting. This latter team, litter team 1, was composed of a motley crew of four: one young, fit, and tall male Army nurse; one young, fit, and tiny female Navy nurse; one older, overweight, and enthusiastic Army physician assistant (PA); and one very old, very huge, and very Colombian Army nurse. Together they approached the smoking aircraft in a disorganized run, but whereas most the team slowed on approach, the PA ran full steam ahead into the back of the craft GI Joe style yelling a heroic, "I'll save you!" This was followed by a loud bang from deep inside the dark aircraft and all went silent.

"I've been shot!"

"Who is it? Where are you?"

"It's me! I've been shot in the chest!"

"How do we know it's you? .... Who won the 2007 Super Bowl?"

"How the fuck would I know! Come get me out of here!"

So went the back and forth between the faceless voice in the front of the blackened plane and the skeptical litter team waiting reluctantly outside the ramp doors of the back of the craft. Finally, either sufficiently persuaded or for lack of anything they could think of better to do, they decided to go in after him.

*BOOM!*

Immediately after their collective decision to enter the C130 the two hundred pound Colombian Army nurse stepped on a land mind placed right outside the plane and was out of action. Within just a few minutes litter team one was down from four medics to two.

"Ahhh! My leg! I lost my leg!" screamed the Colombian clearly enjoying the opportunity to pretend to be wounded as he rolled around the loading ramp of the airplane. His comrades attended to him and began applying tourniquets as taught while he continued to thrash about as imaginary blood loss led to imaginary hysteria. Their task was not made any easier by an impressive size differential as the remaining medics had over a one foot and hundred pound size differential between them. The platoon leader who had been supervising attempted to instruct them towards cover while simultaneously seeking assistance from litter team two who had just recently secured their wounded in the gully. He had mixed results.

Treated but still lying exposed outside the airplane, the bulging Colombian Army nurse was left to wait while the two man litter team one went back into the smoking darkness to retrieve the rest of the injured. The explosions around the landing zone had mostly tapered off by this point, but the sporadic gunfire and incessant yelling from the TIs who offered mostly unproductive or entirely terrible advice continued. The platoon leader continued to shout instructions most of which were either unheard or unheaded. Around this time litter team two came to assist. Not sure of what was going on exactly and hesistant to act they loitered outside the plane.

*Crack!* *Crack!* *Crack!*

Fed up with the chaos and clear lack of command and control, the TIs decided to add to the situation by having one of the newly arrived litter team's legs shot out. Counting the PA still in the front of the plane, the Army nurse bandaged and bleeding outside the plane, and three more disfigured mannequins in the plane itself there were now more wounded than medics. What order there had been completely fell apart as the medics attempted to carry, drag, and pull whatever wounded they could to any semblance of cover available. This was made all the more difficult by the fact that the inside of the cargo jet had been heavily coated with fake blood for the fake bodies. When the medics emerged they would as often as not be covered in as much or more blood than the mannequins themselves, and frequent stops were necessary to reposition and regrip the slippery wounded. The inability to effectively move the heavily lubricated mannequins eventually earned them the term of endearment, "greasy Ken dolls." One more land mine went off, and the mission was over.

The post-mission debriefing was an unhappy and frustrated attempt to explain what exactly went wrong -- essentially everything it turned out -- and what could have been done better -- maybe not step on so many land mines? It was an excellent example of how not to execute a rescue mission which was not too much of a surprise considering none of us had ever done anything at all like it before. I'm not entirely sure if I was supposed to leave my post on security to assist with the moving of bodies, but it likely would have just led to my legs getting blown off. In either case it was an amusing story since in the end we all kept all of our limbs. "I'll save you!" became the catch phrase for our platoon and the battle cry for all further field training during the course.Thankfully no further mannequins had to lose their lives in rest of training.

Thursday, October 13, 2011

The Amazing Race for the Amazing Race

This week the Amazing Race started, one of the few television programs I've ever cared to remember to watch. Although never truly as good as the one, single season of Amazing Race: Family Edition, the Amazing Race: Vanilla is still a pretty good time. Especially if you enjoy strangers yelling at each other in taxi cabs. This series' first episode was relatively unremarkable, but I imagine it achieved what it meant to -- that being to identify the snowboarding dudes as dudes, the cocktail waitresses as bimbos, the grandparents as slightly senile grandparents, the Survivor couple as scheming soon to be scoundrels, the male flight attendants as the token gay couple, and the twins, apparently, as not having memories that can last longer than thirty seconds. I imagine the climax of the season will be when either of the brother-sister duo runs the other over in their brand new, special edition 2012 Ford Focus.

The episode reminded me, however, of a friend and I's amazing race last spring in an attempt to have the most amazing movie marathon ever: an Amazing Race amazing movie marathon. What could be better than spending a whole day watching a whole season of Amazing Race? The answer is a whole lot of things, but in San Antonio not much. Being the master planner of this party I was assigned the task of obtaining the videos, and so I devised a plan.

Plan A: Go to Blockbuster and rent it.

Genius in its simplicity. Unfortunately no Blockbuster admitted on their website to owning any Amazing Race DVDs in the entire San Antonio area, and sure enough none of them actually owned them when I visited their stores and demand they show me where they kept them. Blockbuster does own a surprisingly large number of Firefly copies, however, which is why I imagine they went into bankruptcy.

Plan B: Go to another movie rental chain and rent it.

Very similar to Plan A, Plan B was different in that it involved going to other movie rental chains. Not surprisingly it too failed. People do not want to watch Amazing Race in South Texas. Not when there's sweet Tejano music weekly at El Mercado at least! Seriously, what can compete with an accordion?

Plan C: Go to any other store I can think of and buy it.

This plan was admittedly devised on the fly while driving about in my fruitless pursuits of Plans A and B. I visited two separate Best Buys, a Walmart, a Target, and even a used booked store which for whatever reason also sold movies. The end result was no Amazing Race, but a decent book on the Soviet Union's war in Afghanistan and, somehow, a 2000 piece puzzle of a castle in Germany.

Plan D: Use NetFlix to rent the series.

Brilliant idea in that NetFlix has multiple seasons of Amazing Race for rental. Terrible idea in that you can only rent one of 3 or 4 DVDs in a season at a time. Not ideal for a one day marathon. Aborted.

Plan E: Use NetFlix streaming video via Laura's giant television.

Laura has a gigantic television. Its size is measured in yards and the weight of it has ruined the foundation on that side of her house. Assuredly inside of all that plastic and hardware there would be a means of connecting directly to the Internet. There was not.

Plan F: Use NetFlix streaming video via Paul and Rachel's Nintendo Wii.

Easy to obtain. Easy to hook up. Already wasted a whole heck of a lot of time previously setting up a NetFlix account for Plans D and E. It seemed pretty flawless to me. It was at this time that we noticed NetFlix does not stream any of the Amazing Race series over its streaming video.

Plan G: Screw it. Let's watch The Pacific instead.

Around back up plans five or six is generally when I consider giving up, and so way gave up after Plan F. Clearly someone, divine or otherwise, did not want us to have an Amazing Race marathon. It likely would have been too amazing. There probably wouldn't have been anywhere to go after that and the rest of our lives would have been lived in listless boredom and indifference knowing our best day was already in our past. In either case we watched The Pacific instead and it was confusing. Too many guys with dark brown hair and average height. Thankfully most of the difficult to tell apart characters got killed off early in the series so by the end I had some idea what was going on. It turns out the war with Japan was rather wet. Or at least that's what I believe the take home message was.

Our amazing race ended in failure, but in the process I learned a lot about Laura and together we learned a lot about ourselves. We didn't win the grand prize, but what we lost we more than made up for in friendship. I wouldn't have run the race with anyone else. Mostly because no one else has a love for the show and a gigantic TV. But also because of the friendship. It is its own reward, especially when you don't have a real reward. Or a television movie marathon to watch.

Wednesday, June 29, 2011

A Celebrity Appearance

The Jenkins, made famous by shows such as Molokai Gleeks and the Jenkins College Road Trip, made a guest cameo appearance a few days ago as part of Moriah’s transcontinental publicity tour. Although it is a well known fact that I am a fan of the Jenkins and their work, I unfortunately just barely missed them during their show in Chicago a few weeks back. Finally getting to see them live again, then, was fantastic. Although their standup has changed some over the years with less of the slapstick sister beating sister that gave them prominence early on, the more mature nature of their current performance has really helped provide character development. During this latest event they arrived early while Patrick and I were still desperately working to get everything packed and ready for my move to New Hampshire. Despite this haphazard way they were introduced into the series, their poise and comedic timing carried the day. Between the way they stuffed every nook and cranny of the moving truck with the remaining debris of my apartment, to the way they all seven (with their uncle and cousin) bunked down for the night on the cement floor of an empty studio apartment, to the way they hurled random objects at each other’s faces when they ran out of better things to occupy themselves with, it was pure comedic gold. The one scene where Sarah walked down to the moving van with arms full of nothing more than random wires was classic Jenkins and certainly a highlight of the evening. Although I was disappointed they didn’t play up the offer for ice cream scene – who doesn’t want ice cream while on an evening stroll in the hottest city on the planet? – I was overall very satisfied with their total product. I look forward to seeing them live again, hopefully during their upcoming Christmas holiday tour in December, and I'll definitely be buying their t-shirts. If only there was a Jenkins family coozie....

Sunday, June 12, 2011

Sing A Song Of Celeberation

Glory, glory, hallelujah! I have graduated residency and will soon by shedding off the chains of oppression. Loosening the bindings which have held me down. And getting the heck out of these dry barren, South Texan lands as swiftly as possible. (To be fair San Antonio *does* have four seasons: early summer, summer, late summer, and not summer.) The indentured servitude is coming to a close. Truthfully I have one more week of medicine consults till I am truly free, but I plan to defer all medical management questions to my consult monkey who I have trained in the use of both Essentris and the red pocket medicine book. My only regret is that I will not be able to see the old hospital pancaked through controlled explosions, and my one great wish for the future is to see via video feed the old hospital pancaked through controlled explosions. People tell me New Hampshire is going to be cold and unbelievably snowy, but people don't know that for the seven years I've prayed for cold and unbelievably snowy. I'd rather get sweaty shoveling snow off my car than simply because I am sitting inside of it.

Seven more days of work. However many days of military out-processing. A day or two of packing. And freedom!

Monday, January 25, 2010

The Prettiest Squirrel


That is one pretty squirrel. I went to the San Antonio Zoo recently and happened upon this guy. The Asian Tri-Colored Squirrel. Also known as Prevost's Squirrel, I didn't know these things existed. There're flying squirrels, yes, and regular squirrels, true, there're even collared squirrels that I am familiar with, but tri-colored squirrels? What was the purpose of my elementary education if not to accurately name and identify small furry animals? Oregon Trail you have let me down. I saw a lot of things at the zoo -- they even got new jaguar cubs or kittens or baby jaguar things -- but my favorite was the fancy pants squirrel.

And speaking of pretty, I've got too much bling! On my right arm at least. Whereas previously my shiny gold Aggie ring glared brilliantly in everyone's eye, now I have my shiny gold Aggie ring and a shiny new silver watch. It too is beautiful; perhaps too beautiful. Especially in relation to my completely naked left arm. I briefly tried moving my watch to my left wrist in an effort to be all right-handed like, but it felt wrong. I feel I must either alternate jewelry daily or embrace decorative excess and get myself a grill. With sapphires. There can be no room for compromise.

Lastly of note, I just got my medical license. This colored squirrel is now officially licensed to practice medicine in the great commonwealth of Virginia! Next stop, selling my credentials and credibility to late night infomercials.

Friday, October 10, 2008

The Gold Standard

"The gold standard." A descriptive phrase in medicine -- and I'd imagine probably in other disciplines as well -- used to such excess that a little scowl briefly crosses my face whenever anyone says it. With the high value placed on communication in health care and the tendency to imitate I needless to say spend quite a bit of my day scowling. What it refers to, if it is not already clear, is the test, study, drug, whatever, considered the best and most effective in accomplishing whatever task it is you have in mind. For finding vascular blockages it's usually angiography or venography. For identifying offending pathogens it's usually bacterial or fungal culture. For treating penicillin sensitive Staph aureus infection in a non pen allergic patient it's penicillin. When it comes to medical students, I have learned recently, it's Dan Marino. No, not Dan Marino the former Miami Dolphins quarterback -- I am fairly certain he either passed away shortly after filming Ace Ventura or he was immediately cast in bronze and shipped to the football hall of fame shortly after retirement -- but the Dan Marino from Jersey. Or maybe it was New York. I am not entirely sure where Dan Marino the fourth year medical student was who worked with us for two weeks in the Cardiac Care Unit (CCU), but he certainly set the industry standard. Why? Partly because he was always so pleasant, helpful, and interested in his work. Partly because I am pretty sure he was always smiling. But mostly simply because I liked introducing to people my medical student: Dan Marino. Good kid that Dan Marino.

This last week I have learned that although San Antonio has the gold standard in small Spanish missions used in acts of rebellion from foreign powers, it does not in zoos. Nevertheless as San Antonio generally sets the bar pretty low for most things, the Spurs aside, I was mostly impressed. The zoo here it turns out is pretty nice. I was expecting a glorified petting zoo with a taco bar, but actually got something close to a world class zoo, research center, and wildlife repopulation program akin to the San Diego Zoo in California. Except for the fact that, their extensive bird collection aside, they only seemed to have one of every animal. Even when the descriptive plaques would state, "always found in herds of ten or more, the social such and such" would almost always be found alone. Maybe with a single ostrich or antelope to keep him company. So even though the giraffes and zebras had impressively large exhibits. There was just one. One zebra. Hanging out. Probably bored out of his mind. I don't know if animals can go crazy, but they just may here. The scarcity of certain animals animals aside, however, it was a fairly nice place that I would recommend everyone go to. Everyone. Even yo mamma.

Anyway, the gold standard of Pembroke Welsh Corgis ladies and gentleman:
(Her name is Ahi. Or Cupcake. Or Bailey. It depends on who you ask.)