Tuesday, January 19, 2016

Fort Worth Dixie House drives customer crazy

The recipe for a good restaurant near me has to have balance. When the recipe has too much of one ingredient, then things can go bad really fast. This is the case for one of our southern restaurants near me. The customer service was a little off this day.

Our family at Full Happy Tummy likes to try out local family owned restaurants that are new to us. We have a friend that works at the Dixie House Cafe in Fort Worth, Texas. We had been hearing rave reviews from different people about the food. So we wanted to try this southern restaurant near me. 

Dixie House Cafe looks like an easy going family restaurant located at the end of Lancaster in Fort Worth, Texas. The decor is nothing to write home about but comfortable. They even made sure that large size women like myself have a place to sit without having to do the squeeze dance. We were seated at the cafe with a friendly smile. Then the constant questions started.

We were asked if we knew what we wanted before drinks were even ordered.
We were asked if we knew what we wanted before we could take the first sip of our coffee
We were asked if we knew what we wanted before we had two minutes to look at the menu
To make a long story short. I think we were asked what we wanted seven times in a ten minute time period.

This goes to show that sometimes too much customer service at a restaurant can be a bad thing. We ended up getting up and leaving without paying for the coffee. Which is a shame because we were looking forward to a good southern breakfast and lunch.

Monday, January 18, 2016

Fort Worth Starbucks Pumpkin Spice Frappaccino

Our EMT family always looking for great coffee houses near me. One of our favorite places is the Starbucks Coffee at The Sundance Square in Fort Worth, Texas. We recently stopped in to spend time together and order some of the seasonal menu items. Today I decided to try the Starbucks coffee Pumpkin Frappuccino and the Pumpkin Cream Cheese Muffin.

I really do love the atmosphere at this local Starbucks Coffee house. It's open space with dark foods. It give a very warm inviting look to the place. The people that work there are always friendly. The management is always full of flavor suggestions for your next Latte or Frappuccino drink. The only thing I would complain about would be the air conditioning. It just seems that the seating is set up where most tables are sitting right under the vents. It seems to get cold very fast when they are on. Be sure to bring a light sweater not matter the season.

What did my Full Happy Tummy think of the Starbucks Coffee Pumpkin Frappuccino and the Pumpkin Cream Cheese Muffin. I enjoyed both items. There were just some things that could have been a little bit better.

More cream cheese in the pumpkin cream cheese muffin
Less off a stickier texture for the pumpkin. Each time I picked up a piece of the pumpkin there was residue left on my finger.
Let seasoning and more pumpkin flavor in the Frappuccino. 

All in all the product at this particular Starbucks location is always fresh. Sometimes they don't have exactly what a person wants but that's due to it being a very busy location. If Starbucks was able to make the Frappuccino taste more like a pumpkin cheese cake flavor, then I think they would hit this coffee drink on the nose.

Sunday, January 17, 2016

You've lost that loving feeling Medic

The life of an EMT B is sad today. Do you know that song in the movie 'Top Gun'? The one that the Aviator serenades the woman at the bar with. It's a great song by The Righteous Brothers. Sure the song is about losing the intense love that you once had for someone. For me it has another meaning though.

What about the love someone showed you? Have you ever felt a love that touched every part of you? An energy that you just couldn't get enough of. You sighed in sadness when you separated and surged with emotions when you were together? I think Eminem said it best "It's like a Tornado hitting a Volcano."

Have you ever been in a relationship when you were called and felt beautiful every day. When you failed, and failed miserably, you were still made to feel like you were a rock star. You waited with excitement and anticipation for a simple text. It was just a couple of words but it spoke volumes. 

Then you had to say "Goodbye" to all of it. It's as if part of you has been ripped away. That reflection in the mirror doesn't seem so bright. The star doesn't glow as strong. You stare blankly at your phone. It's face as empty as your heart?

Saturday, January 16, 2016

3 steps to be in your child's life

Need some child/parent relationship counseling? It's amazing how important mother/daughter or parent/child relationships are. The degree of attention and guidance really influences how a person is going to be when they become an adult. I was reading a post about parenting at WadingThrough Motherhood that really struck a cord with me. I think that it could be a lesson for everyone.
I ask the question, "Are you really present in your child's relationship?" Or are you only half listening? What it boils down to is that obviously your children need you no matter what age they are. Looking back on my own relationship with my mother, I would have to say that she was the type of person that was present but not really present. 

I could never sit down with her and get the advice that I needed. This wasn't entirely her fault because we later found out that she has mental challenges that she was dealing with. Even so, I was a young adult that needed a mother to be my sounding board on my life. When I was unable to have these things that I needed, I felt unloved, rejected, and as if I was a problem to her.

So how can we all be active in a relationship?

Ask questions

Sometimes we tend to just listen to the conversation. It may seem like to the other person that we are not listening to at all. At my work, we call it the 20/90 syndrome. Some one is giving 20 percent of their attention when they should be giving 90 percent of their attention. Even if is a question such as "How do you feel about that?" questions open the door to conversation.

Turn of the extras

Put down the paperwork, turn off the computer, turn down the television, put down the cell-phone. Nothing says "Your not important" like allowing something else control the time spent together. Think about how you would feel if someone had their nose in paperwork when you were trying to discuss with them. How would you feel if someone allowed a phone call interrupt a conversation that you were having?

Schedule some time

I don't think that every conversation should be scheduled. If people in your relationship know that one point in the day, they will have your full attention, they would open up in conversation more.

These are just a few tips that have helped me in my relationships. I know that I'm no perfect parent. I know that I'm not a perfect wife. I know that I don't have a degree in relationship psychology. What I do know is that I have life experience that I hope will help other peoples relationships.

Tuesday, January 12, 2016

A serious career scare for this EMT

I seriously thought that my career as an EMT and future paramedic was over. I thought I was going to spend the rest of my days in Fort Worth, Texas at an unfulfilling job. Thankfully my job as security/first response is not unfulfilling but I know that it's not going to last forever. Nothing last forever in this world right. I know that my brothers and Sisters in public service know that all too well.

It was the first week of doing squats at the gym. I don't know if it was because of bad form, too much weight on the machine, or not enough cushion between my joints. I'm now dealing with a bad case of Sciatica pressure. The way that the P.A. explained is that two bones are grinding together and pinching the nerve. So I'm on ice patches, heat patches, pain relievers, muscle spasm medication, and rest whenever I can. Ha! That's like asking a three year old kid to sit still.

I just love how other Paramedics like to diagnose illnesses. I can understand that we have that tendency with all the information that we absorb about medicine and the human body. I have this EMT mentor that checks in on me from time to time. Of course I was asked about my chief complaints and symptoms that I was having. 

All I get from this EMT mentor is "see I told you!" Gee thanks ;p

Saturday, January 9, 2016

Paramedics nibbling at Carniceria La Altena

Our family is still looking for the top Mexican Restaurant nearby. Today we stopped into a local eatery called Carniceria La Altena. This family owned store is a meat market on one side and a small restaurant on the other. It seems to be the place where we go to get a Full Happy Tummy on Mexican food.

How is the decor at this restaurant? It seems to be an office space that was turned into a restaurant. There is old equipment stuck in the corner. There are inexpensive wooden tables set out with fast food chairs. There is a television on in the corner of the store. It always seems to be broadcasting one of the local Latino channels. Basically, Carniceria La Altena is extremely casual.

The true question is how is the food at The Carniceria La Altena restaurant! The food is 
decent in taste and price. The Menudo is my favorite Sunday meal. I love the fact that you can ask for the Menudo without homeny or with extra meat. 

Is there anything negative about Carniceria La Altena restaurant? Don't order the quesodias. They always seem dry and rubbery. The cheese doesn't string out like most quesodias should. Don't purchase anything an hour before the restaurant closes. The rice is always dried out by this time of night.

Would I recommend this restaurant to family and friends? Its a nice little family owned restaurant. The meat market has great prices on chicken all the time. Just be careful when eating here. It's in a rough part of town. My advice would be to take the food to go. But it's just one of the restaurants around me.

Friday, January 8, 2016

Today I saw by Diabetic Medic (Catherine Neal)

Today I saw a butterfly

For a moment I was not the me that I am today

Heaviness, darkness, roughness was lifted

Time seemed to stop

Returning to a moment of free spirited soul

Thank you universe for this moment

A reminder of who I truly am

Thursday, January 7, 2016

Delectable dishes for Diabetics at The Mexican Inn Cafe

One of the hardest things for me as The Diabetic Medic is eating out with friends and co-workers. I always have to worry about the carbohydrates that feed my body. Your diet can crumble like a broken china doll when other people make the decision on the restaurant. This is why it's important to make the most optimal choice.

It is my hope that by listing the menu items by the delectable with the least carbs will help you make better choices with your diet.

Burrito Bowl
This is a mixture of Mexican rice, charro beans, shredded lettuce, pico de gallo, corn and your choice of grilled chicken, fajita beef or brisket. All topped with Monterey Jack cheese and scoops of sour cream and homemade guacamole.

I personally would ask them to leave out the Mexican rice and add more beans and lettuce. Since corn is a starchy vegetable, I would ask for more pico de gallo. Of course I'm bias because I love pico de gallo.

Sizzling Fajitas
Your choice of beef, chicken or combination fajitas - served sizzling hot on a bed of sautéed onions and bell peppers, with refried beans, Mexican rice, fresh flour tortillas, sour cream, pico de gallo and your choice of cheese or guacamole.

There are three different things you can do with this meal as a Diabetic. Do not eat the Mexican rice. Do not eat the Tortillas. Or ask for more sautéed onions and bell peppers if you are going to eat the Tortillas.

The Mexican Inn Salad
A large flour tortilla shell layered with homemade chips, our special taco beef, lettuce and tomatoes. Topped with grated cheese and sour cream. Don't eat the shell! Why would you want to eat the shell as a Diabetic. Not only is the tortilla shell full of carbohydrates but it's been fried.

I really do hope that this help with eating at The Mexican Inn Café. I know that I find it hard eating at Mexican restaurants around me as a Diabetic.


Wednesday, January 6, 2016

Diabetic Medic eating at The Mexican Inn Cafe

Located at the top of a hill in Fort Worth, Texas is a family ran Mexican restaurant. It has been in business for over thirty years. The Lancaster location has won several Fort Worth Best awards for their fare. Just like Tiffin Hall did I and my friend gamble well with this Mexican restaurant near me?

Quality of food
When a restaurant is good, there is always a couple of menu items that catch a persons attention. Even with cute names like The Tiffin Hall, not a single menu item caught my attention. I decided to go with the Arozzo con Pollo plate. That's chicken and rice for readers that don't speak Spanish.

I do have to say that I was a little bias going into The Mexican Inn Café. I was looking for an authentic Mexican restaurant. I had been to too many restaurants that had been Americanized to attract customers. The Mexican Inn Café claimed that the Arozzo con Pollo is one of the most ordered dishes.

I'm surprised that the claim of greatness was true. The Mexican fare that I did order ended up not really being what I exactly ordered. The chili con queso did not have meat or beans in them. I don't know why the restaurant didn't just call it queso sauce.

The Arozzo con Pollo came with a Chalupa. A Chalupa in an authentic restaurant is usually ingredients like cheese, lettuce, and beans on a fried flat bread. I was not served flat bread. The ingredients were served on a tostada shell. I don't know if they ran out of Chalupa shells because of the time but this was not a happy exchange.

Would I return to Fort Worth Texas Mexican Inn Café? I'm willing to try other menu items. I am happy that this Mexican restaurant does offer a lower fat and lower carbohydrate menu item. So I am willing to at least give this restaurant near me another try.

Tuesday, January 5, 2016

Why Emergency Medical Technicians ask for consent!

Have you ever wondered why an EMT or Paramedic always asks for consent? Why do they always explain what they are doing? Maybe we don't want an episode like this.

There are five types of consent that an EMT, Paramedic, or Firefighter can obtain. They are an expressed consent, informed, implied, minor and involuntary consent. An informed consent consist of procedures being expressed to the patient and explicit permission is given before the medic proceeds.

Expressed consent is just like an informed consent. The patient has given the EMS personnel the right to proceed after he/she has been informed of the assessment, procedures and any related risks that might come from said procedures.

Implied consent is also known as an Emergency Doctrine. An Emergency Medical Technician assumes that a patient that is unresponsive or incompetent would consent to emergency care if he/she could.

Minor consent is obtained by the parent or legal guardian. There may be cases when a parent or legal guardian is unavailable. An EMT would then assume that an implied consent or Emergency Doctrine is assumed.

Last but not least is the involuntary consent. This is consent from a mentally incompetent adult or an individual in custody of law enforcement or the court. EMS personnel will need a third party, legal guardian, LEO, or officer of the court to deem the patient unable to make such a decision or take care of themselves.

Personally this last one can be a little tricky. For others, it might be smooth sailing on scene. Where I'm employed we have several clients who are part of the mental health department or on the verge of being quite senile. At times I wonder if an involuntary consent would come into play. Perhaps something I might need to bring up at work. Thankfully, those three famous questions come into play. "What is the date? What's your name? and Who is our current President always comes into play." If patients are unable to answer these questions there is a high degree of likeliness that they may not be able to express consent for treatment.

The important thing is that consent must be obtained due to the fact that it's policy, the client might be a minor, or there might be a "Do Not Resuscitate" or directive filed with the Pt. In the next blog post, I'll discuss the different types of directives that an EMT, Paramedic, or Firefighter might have to deal with. 

Monday, January 4, 2016

Other ways an Emergency Medical Technician can keep their legal obligations

Yesterday the topic of discussion was about gross negligence, Good Samaritan Law, and legal protection of Emergency Medical Technicians. What happens when every ounce of training is not enough. So how does an EMT and Paramedic keep their legal obligations to the public along with what they are already doing? 

Just like any other career the EMS industry has orders, protocols, morals and ethics. Ethics are a branch of philosophy directed to the study of morality. While morals are the scope of right and wrong.

EMS personnel have orders and protocols that they must follow. Thankfully, Medical direction is at hand. The doctors are there to work with every medic that is on duty. EMT's are to establish contact with a medical directive by cell phone, telephone, and/or radio communication. Personnel should communicate in a clearly and completely. If in question, consult a medical directive.

Why is this so important? Though some people think they know everything (rib rib hehe) Medics do not know everything. There is information that EMT and Paramedics may not have at that very moment. So they may receive an Advance directive in writing or by radio communication.

Sunday, January 3, 2016

Do Emergency Medical Technicians have legal protection?

Emergency Medical Technicians and Paramedics are not perfect. No matter how hard these men and women try, a mistake might happen. In a given year, a medic could be part of nearly three thousand emergency scenes. No one can have a success rate of 3000 to 1. 

Sadly our world is full of litigation happy lawyers and citizens. At times, it can feel like there is no legal protection for EMT and Paramedics in the United States. So do rookies in the field need to establish a relationship with one of the local lawyers. Thankfully there are a few legal matters and actions that protect people who work in EMS.

They are the actions of the medic on scene, the Good Samaritan Law, the Sovereign Immunity, and the Stature of limitations.

The Stature of limitations claims that a patient only has a certain about of time to file a negligence claim against the ambulance company or EMS personnel. The Sovereign Immunity clause prevents persons treated by governmental operated EMS systems from suing the government. Good Samaritan law provides liability immunity for emergency scene acts done in good faith unless gross negligence is involved. 

The key word is gross negligence. An EMT or Paramedic must render care to the best of their ability. They must act within the scope of practice and within their standard of care. EMS personnel must behave in a professional manner. EMT and Paramedics must be covered by adequate liability insurance.

The next couple of posts I will be discussing the legal obligations, ethics and morals of an Emergency Medical Technician. I don't bring up the subject to scare people away from becoming another member of the Emergency Medical team but to keep people informed.

Saturday, January 2, 2016

Mandatory yearly CPAT testing for Police, Firefighters, Emergency Medical, Technicians and Paramedics

Let's start off by saying that the point of this post is not to bash any Police Officer, Firefighter, Emergency Medical Technician and Paramedic. Take a look around at your fellow brothers and sisters. How many of them need to get in shape? 

The average EMS employee carries around an extra 20 - 50 extra pounds of fat. Let's face it, it's a tough world out there. Our job is to help people in the tightest situations. That's hard to do with added girth on the body. The author can not exclude herself from this group. Her biggest fear is to have a non-breathing patient on the floor, she kneels down to perform CPR, and she won't be able to get back up in front of 
fellow Firefighters, LEO, and Paramedics.

Yes it's important to remember that we are at risk, we put our community at risk. Ultimately Emergency Medical Services are examples every day of what a healthy body should look like. In two years, a certain facility in Fort Worth, Texas has seen nearly three thousand EMS personnel walk through the doors. A person can see the difference between healthy and unhealthy in the Paramedics.

The question comes to mind. How extreme is too extreme with the testing and results. Should jobs be put on the line? Should gym memberships and nutritionist be offered in the payment plan of EMS personnel? Should Emergency Medical Technicians, Police Officers, Firefighters, and Paramedics have to check in on the scale monthly? Or should it be left up to the partners to say something?

Another morsel of food for thought in the world of being an Emergency Medical Technician.

Friday, January 1, 2016

How much does an Emergency Medical Technician make?

You have decided that you might want to be a Paramedic. Along with the qualifications of an Emergency Medical Technician, the question of salary has come up. Of course we all can't work for free. Well there are volunteer positions but a paycheck is a nice thing right. So How much does an Emergency medical Technician make?

The answer to that question depends on many things. As a Paramedic, how much education do you have? Do you work for a private ambulance company? Do you work for the city as a firefighter/Paramedic? What city do you live in as an EMT? How much overtime are you willing to put into your schedule.

On an average, a Emergency Medical Technician gets paid 20K to 30K a year. Cities such as Los Angeles, California, Chicago, and Washington D.C. will pay a higher salary due to the fact that they are a larger population than other cities. While at this time, Florida is paying lower than the national average. 

With experience and options, an EMT and Paramedic can make up to eighty thousand dollars a year. This is due to several years of experience. The EMS personnel who make this kind of money are also involved in Fire Fighting, Search and Rescue, trained as divers, and have a skill set that goes above and beyond what is expected.

There is a caution flag in this industry. People who become EMS Personnel do not start this career for the money. They become Emergency Medical Technicians and Paramedics because for many reasons. Thrill of the job, can't deal with office careers, enjoy working outside, wanting to help people, and wanting to do more for the community are all valid reasons.

If a persons sights on becoming an Emergency Medical Technician is based on how much they make, then they are in it for the wrong reasons.