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View Article  Naked Apes
Channel 4 has commissioned two new drama series for 2011, as part of the broadcaster’s commitment to double its output of original drama from next year.

Camilla Campbell, Channel 4 head of drama, said the series had been commissioned using money freed up from the cancellation of Big Brother, which has seen the drama department benefit from a £20 million boost to its budget.

The new series announced today are Naked Apes, which will air on Channel 4, and Beaver Falls, for E4.

Naked Apes is penned by Brian Fillis, who wrote Fear of Fanny and The Curse of Steptoe for BBC Four, and is inspired by Tom Reynolds’ book, Blood, Sweat and Tea.

It follows a group of paramedics and is being made by Daybreak Pictures, which produced Britz for Channel 4.

Yep.

I had lunch with one of the producers earlier this week where he told me that the chances of this actually making this to screen are pretty good. Although, as in all things TV, there is also a chance that it will all fall through.

At some point in the near future I'll be having a meeting with the writer and producers.

I haven't seen the script yet, although it is a *drama* based on my book rather than a literal filming of the episodes. TV, and drama as a whole, works in it's own way so there have got to be a lot of changes in order to turn the book into interesting television. Also it has to be something that will be interesting to the Channel 4 demographic.

So I'm not going to be precious about it.

This is now Daybreak Pictures baby and I'm interested in what they are going to do with the source material. It should be fun.

View Article  Not Gone

Pupa
Originally uploaded by Daniel Garcia Neto
Back Soon.

(In week or so)
View Article  First Week

Wow.

My brain overfloweth.

The new workplace is lovely, the staff are nice, I have a lovely boss and there is a real opportunity to deal with patients and make them happier and healthier.

It's pretty much perfect.

-----

Well, I say it's perfect - but there is but one pubic hair on the bar of soap of pure awesomeness.

All the patient notes that I make are typed straight into a computer, it is a paperless office (apart from the information leaflets that we give to the patients). I have no problem with that as, surprisingly enough, I'm quite happy around computers.

The problem is... It's all Windows systems.

Urgh.

So there will be some retraining while I try to get used to typing on 'cherry' keyboards and remembering that the key commands are different from everything that I use at home.

Also, due to being unable to install any software I don't think I can sync Outlook 2003's calendar with Mobile Me/Google.

Oh, and the browser is IE6.

-----

More seriously though - I'm really looking forward to getting my teeth into working here, the boss is already trying to get me onto a week-long course for minor illnesses and I'm keeping my fingers crossed as it is apparently a really good one and gets me 35 points towards a degree (for my nursing is a lowly Dip(HE)).

I've another three weeks of being 'supernumerary' which means following people around and generally learning things. For example today I learnt more about knee assessment than I have ever dreamt possible from a brilliant physiotherapist who is seconded to the Urgent Care Centre.

My day ended with another man's testicles in my hands so I could examine them - which is a first for me as normally the only reason to have someone else's testicles in my grasp is for the purposes of 'self defence'.

-----

While I'm only working eight hour shifts at the moment I'm finding that I'm more tired than twelve hours of ambulance work - I suspect it's because my brain is, for the first time in ages, consuming huge amounts of energy while I take in both the formal learning and the more 'soft' informal learning that is necessary when trying to integrate yourself into a new group of people.

So basically it's all brilliant (apart from having to use Windows) and I am incredibly happy to have made the switch.

View Article  My Last Shift

I would like to start with an apology.

A little while ago, I asked the question 'What is it that makes an ambulance'. I then went on to inform you that the only equipment that an ambulance requires is a defibrillator and a bag-valve-mask. I may have made the suggestion that this shows the priority that the LAS has on patient care.

But I must apologise, for I made a mistake.

You don't need the defibrillator.

-----

Yes, on my final shift I found myself on an ambulance without a defibrillator, going to calls of elderly patients with chest pain. Then our tail lift stopped working, so there was no way to use the stretcher.

We we refused our request to go 'unavailable' in order to return to station in order to get replacement kit.

So the last shift continued my tradition of trying to give good healthcare despite management policies.

-----

The patients were also a fair mix of the normal sorts of patients I've spent the last eight years going to - a fall, a drunken and abusive alcoholic, a homeless chap with chest pain, a runny nose, and two hospital transfers.

My last call was for one of those transfers, an elderly chap that the doctors at a local hospital suspected was having a heart attack that we blue-lighted to the heart-attack centre.

They didn't think that he was having a heart attack, but given his long, complicated and somewhat obscured medical history I still think that the local hospital did the right thing.

-----

So, no bangs, no whimpers, just a continuation of what my shift has been like since I joined the service.

I'm going to hold off on writing about my new job for a while until I get settled in a bit, I think that it's important that I get the lay of the land, and besides, it's better to reflect than immediately report.

I've still got a few things to write about the ambulance service sitting in my notepad, so that will keep me going for a bit.

(Plus I need to work on a new banner for the blog, maybe a new layout and who knows what else...)

View Article  Nobody Likes Us

I've not been writing because I've been incredibly busy of late, working my normal LAS shifts (my last shift is on Friday, three more to go and, yes, I'm counting the hours), plus the paperwork for my new job (currently filling out the second Criminal Records Check form because I was sent an out of date one earlier), as well as all the normal stuff that keeps us busy, like laundry and shopping and making sure my Sky+ box doesn't get filled up with too many programmes.

Hopefully this will all soon change, giving me more time to put finger to keyboard.

-----

I've been talking to a lot of people about my upcoming change in jobs to the local hospital - both ambulance and nursing staff, and the thing I've noticed is that sometimes people just don't get on.

For example - I explain to one of my ambulance friends that I was talking to Nurse Smith about my upcoming job change and that she was very happy for me. 'Ergh', says my ambulance colleague, 'Nurse Smith? I can't stand her...'

And I find that on both sides, nurses and ambulance staff that I consider good clinicians and good people looked on with some disdain.

I think I've worked it out.

It's because we don't know what each other does.

Many of the nurses that aren't liked by ambulance crews are those nurses that expect more. They forget that, for a great number of us, our training is 16 weeks in a classroom. We've never been taught 'reflective practice', or how to read a research paper, or learnt the meaning of the word 'holistic'.

These nurses get annoyed when an ambulance worker doesn't know about a certain obscure disease, or something happens that highlights something that was lacking in our initial training.

And if nurse gets annoyed, then you can be sure that the ambulance worker concerned will get annoyed as well.

On the flip-side, there are the nurses who think that we are little more than removal drivers - we pick people up, wrap them in a blanket, and take them to hospital. They can't see the reason why we bring to hospital some of the dross that we do (personal favourite call from last night - '33 year old male with cold'). These are the nurses who have asked me in the past 'can you do a blood pressure'.

To be fair, that is from a ward nurse, A&E nurses have a better idea of what we do, but can still have some strange ideas of what our work is really like. Some don't realise that we refer vulnerable children and adults to social services. They may not realise exactly how many patients we leave at home (endless panic attacks, diabetic hypoglycaemia and epileptics). They also may not know that if someone wants to go to hospital then we can't refuse them.

-----

It's not particularly anyone's fault - certainly it works both ways, ambulance staff don't really understand the pressures that A&E nurses are under. I know that I have a privileged knowledge, coming from both worlds.

What is annoying is that the solution is very simple - nurses spending some observation shifts with ambulance staff, and ambulance staff spending some time in A&E, but it'l never happen because of those self-same pressures. Ours to hit eight minute arrival targets, and A&E to cope with understaffing and having too many patients to deal with.

And our free time is precious - spent sleeping rather than volunteering to go rattling around London in an ambulance, or being asked to do ECGs on endless patients in A&E.

Besides, it's not that important to deal with little episodes of misunderstanding brought about by not knowing each other's jobs.

Is it?

View Article  CCTV And Drunkeness
'Male, collapsed in street - cannot see if he is breathing'.

Once more I found myself speeding towards a drunk in the street. It's *always* a drunk in the street, except of course on the one occasion when we don't whizz to scene - then they will be dead.

The Sod's Law of collapsed or deceased patients.

Like many of the drunk calls, we also had the information that 'caller will not approach patient', of course not, because the 'possibly dead' person is drunk, smelly, and possibly violent. That, after all, is why we are called to wake them up and move them on.

In this case however, it was much more reasonable, the caller was a CCTV operator.

So we rolled up and found our man snoring gently in the middle of the pavement. Hopping over the fence between us and the patient I went up to him and woke him up.

The man was apologetic (or at least I think he was apologetic, but then sheepish smiles and a bowed head are pretty universal despite the patient not speaking English). He then walked off to catch a train.

I looked around to see which CCTV camera had 'caught' him, and spotting the only one I could see I gave the camera a thumbs up, and then mimed drinking from a bottle.

The operator obviously got the message as the camera nodded up and down in acknowledgement.
View Article  Last Night

I recently had my last ever night shift, I would have written abut it earlier but the effects of the shift work had basically knocked me on my arse and made me incapable of doing anything except sleeping and dozing on the sofa.

It was, ultimately, a not unusual shift - no jobs that leapt out as being anything out of the ordinary.

My first job was to a woman who was intensely isolated because of her being unable to speak English, the only person she knew was her daughter who has a full time job. We were called because the woman was 'behaving strangely'. We arrived with the police to find her crying on the floor. We did the only thing that we could do, take her to hospital to see a psychiatrist.

It was handy to have the police there, because initially the woman wanted to refuse to come, but as she was distraught and had threatened suicide it was important that she see a professional.

The next job was to someone who'd been minding their own business and then been punched in the face with a knuckleduster. Often you can tell when someone is hiding something (because, let's face it, a lot of assaults in my area have a reason behind them. Not a good reason mind you, but there is normally a reason). In this case he didn't seem the type to be in a gang, he didn't appear to be a drug dealer and I don't think that he was secretly sleeping with someone else's girlfriend.

We took him to hospital in order to rule out a fracture of his facial bones.

The next patient had been indulging in some cocaine, some cannabis and a lot or alcohol. So had his friend. We had been called because he was 'off his legs', or as it was described to us 'he had been on his hands and knees like a dog'. I may have resisted the urge to ask if he had taken to barking.

As he got to the doors of the ambulance he let forth a huge spew of vomit, simultaneously passing flatulence. 'Better out that in' goes the old saying, and truly it is better out than in, as in outside the ambulance and not inside it where I need to mop it up.

During this he had developed a bellyache, so we assessed him and took him to hospital where, a few hours later, he was feeling much better.

(Seriously, is Red Bull and whiskey a sensible drink?)

Our next patient. Oh dear, our next patient...

The short version is that she was faking a panic attack in a pub. Once more I'm left wondering why people think that they can fake medical conditions in front of people who've seen them all before. This patient was very trying as she refused to get onto the ambulance (until she realised that her audience were bored and going home), then she alternated between not telling me anything and telling me about everything.

At the hospital she refused to get out of the ambulance until I had sweet talked her, then she refused to enter the hospital, then she refused to go to the toilet while crying that she needed to pass urine.

She was put into the waiting room (eventually) where she then argued with one of the nicest nurses in the unit...

I'll be the first to admit that it was very hard for me to remain the consummate professional that I am.

The last I saw of her she started by telling her new audience that her four year old child had called the ambulance (rather than the bar manager who'd actually called us), and that everyone was against her. She then went on to try and damage a police car before drunkenly disappearing off to the local bus stop.

I think it's called 'personality disorder'.

A much simpler job followed - a man who was stuck in the bath. The FRU had got there before us and had already solved the problem. We didn't even see the patient, as he'd gone to bed, so we caught up on some gossip with the FRU responder and made ready for our next job.

A nightmare job. Not because of the patient (who was confusingly suffering from a mish-mash of symptoms that had us blue-lighting her into hospital). No, the nightmare was the spider on the wall of the staircase that was the size of my hand. Garden spider or escaped tarantula in disguise, who knows what it was?

One of the elderly relatives saw the look on my face and managed to dispose of the creature in a piece of kitchen roll - as he walked into the kitchen with the ferocious monster I listened out for any screaming as the spider broke free of the paper and tore the old man's throat out...

An interesting job as there was a mix of heart problems, probable sepsis and undiagnosed diabetes - the best thing for the patient was for us to treat her symptoms as best we could and get her into hospital as quickly as possible so that the doctors could sort things out.

And a nice family, adept at dealing with the sorts of giant spiders only seen in horror movies.

Then I had a nap for twenty minutes in the passenger seat of the ambulance as, for a few minutes at 5 a.m, it seemed that people were getting some sleep and not filling their time calling ambulances.

Our final job was a transfer of a patient from our local hospital to the heart specialist unit. A nice patient, a nice family member and an uneventful journey finished the night off lovely.

-----

And that was it, my last night shift. I drove home with a huge smile on my face - no more would I need to feel sick in the stomach after a long night shift, nor would I need to batter my body clock into submission any more.

No more night shifts means that I will be able to rejoin the human race, no longer will I have the constant feeling of jetlag dragging me back.

As I write this I have another stupidly big grin on my face and an urge to dance a little jig around the room.

Welcome to Random Acts Of Reality, a Blog based in London, England, written by an E.M.T working for the London Ambulance Service. Also, number one search result for "Womble porn". All names have be changed to protect the guilty. This Blog was previously known as "Why I Hate Humanity" but the antipsychotic medication seems to have kicked in.

All opinions on this website are mine alone, and may not reflect those of the L.A.S or other ambulance crews

Find out more about me here.

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