ALTERNATIVES TO EMERGENCY EDICAL ERVICES M · 2020. 4. 12. · As we worked on this zine, one...
32
ALTERNATIVES TO EMERGENCY MEDICAL SERVICES the rosehip medic collective ANTHOLOGY 2 0 1 4
Transcript of ALTERNATIVES TO EMERGENCY EDICAL ERVICES M · 2020. 4. 12. · As we worked on this zine, one...
-
ALT
ERN
ATIV
ES T
O
EM
ERG
EN
CY
MED
ICA
L
SERV
ICES
the
rose
hip
med
ic c
oll
ecti
ve
AN
TH
OL
OG
Y
20
14
-
Alte
rnativ
es
to E
MS
Ant
holo
gy
Com
pil
ed a
nd
ed
ited
by
Ros
ehip
Med
ic C
olle
ctiv
e
Nove
mber
201
4
-
56
-
Table
of C
ont
ent
s
Intr
od
uct
ion
s
A
bou
t th
e R
oseh
ips
1
St
atem
ent
of V
alu
es
1
A
bou
t th
is P
roje
ct
2
Sec
tio
n O
ne:
Wo
rkin
g W
ith
in t
he
Sys
tem
6
F
ind
ing
Com
pas
sion
in
th
e D
ark
7
St
eth
osco
pe
10
P
assi
ng,
Pri
vile
ge, &
Mu
tual
Aid
15
M
edic
kin
g Is
olat
ion
17
T
reat
‘Em
Lik
e Fa
mil
y
23
Sec
tio
n T
wo
: Wo
rkin
g O
uts
ide
the
Sys
tem
32
A
Tal
e of
Acc
iden
tal M
edic
Bu
dd
ies
33
R
ooti
ng
for
the
Un
der
dog
37
G
uer
illa
Psy
ch
40
T
rigg
er U
p: St
op L
ocki
ng
Up
My
Fri
end
s 45
3 a
.m. H
ouse
Vis
its
48
Clo
sin
g "
ou
ghts
5
3
55
ken
tre
atm
ent
pro
gram
s, t
he
peo
ple
in
th
ese
stor
ies
rem
ind
us
of
the
e!ec
t th
at e
ach
per
son
wor
kin
g w
ith
in,
outs
ide,
or
agai
nst
ou
r h
ealt
hca
re s
yste
m c
an h
ave.
In
th
ese
pag
es,
we
read
of
acti
ons
and
ch
oice
s an
d s
olu
tion
s w
e w
ould
nev
er h
ave
dre
amed
of
by
ours
elve
s.
Let
’s ke
ep w
orki
ng,
an
d k
eep
sh
arin
g ou
r st
orie
s w
ith
eac
h o
ther
. P
rovi
der
s, h
eale
rs,
pat
ien
ts,
wit
nes
ses
– t
oget
her
, w
e ar
e so
mu
ch
stro
nge
r, m
ore
resi
lien
t, a
nd
mor
e re
sou
rcef
ul th
an w
e ev
en k
now
.
In S
olid
arit
y,
#e
Ros
ehip
Med
ics
rose
hip
med
ics@
gmai
l.co
mw
ww
.ros
ehip
med
ics.
org
-
54
T
rau
ma
and
bu
rnou
t in
car
e p
rovi
der
s is
an
oth
er t
hem
e th
at s
urf
aces
in
sev
eral
of
the
con
trib
uti
ons
we
rece
ived
. A
s C
har
les
says
, $rs
t re
spon
der
s an
d h
ealt
hca
re w
orke
rs a
re “
#e
keep
ers
of o
ur
tow
n’s
secr
ets,
” ch
arge
d w
ith
th
e ex
trem
ely
di%
cult
job
of
bea
rin
g w
itn
ess.
As
we
wor
ked
on
this
zin
e, o
ne
con
trib
uto
r ad
ded
a fa
nta
stic
re
sou
rce
to o
ur
con
stan
tly
evol
vin
g co
nve
rsat
ion
abou
t se
lf c
are
and
m
enta
l h
ealt
h o
f h
ealt
hca
re w
orke
rs.
#e
Cod
e G
reen
Cam
pai
gn
(cod
egre
enca
mp
aign
.org
) w
orks
to
rais
e aw
aren
ess
and
su
pp
ort
of
$rs
t re
spon
der
s fa
cin
g m
enta
l illn
ess,
in
clu
din
g re
cogn
izin
g su
icid
es
of $
rst
resp
ond
ers
acro
ss t
he
cou
ntr
y. O
ne
look
at
the
bar
rage
of
stor
ies
on t
hei
r w
ebsi
te s
how
s th
e n
eces
sity
of
chan
gin
g th
e w
ay w
e th
ink
of s
elf
care
an
d s
up
por
t fo
r ou
r ca
re p
rovi
der
s. W
e h
ope
our
con
trib
uto
rs’
wor
ds
serv
e as
a c
all
to r
ally
beh
ind
on
e an
oth
er a
nd
to
car
e fo
r ou
rsel
ves
and
ou
r fe
llow
hea
lers
in
ad
dit
ion
to
cari
ng
for
our
pat
ien
ts.
In
th
e $
rst
Alt
ern
ativ
es t
o E
MS
zin
e, w
e re
cogn
ized
th
e im
-p
orta
nce
of
sup
por
tin
g th
e h
eale
rs i
n o
ur
com
mu
nit
ies
as t
hey
fu
r-th
er t
hei
r ed
uca
tion
an
d t
rain
ing.
We
dre
w c
oncl
usi
ons
abou
t th
e n
eed
to
keep
th
ose
peo
ple
clo
se t
o an
d in
volv
ed in
ou
r co
mm
un
itie
s as
th
ey g
o th
rou
gh t
he
rigo
rs o
f in
ten
se s
choo
lin
g, s
o th
at w
e d
o n
ot
lose
ou
r am
ateu
r h
ealt
hca
re w
orke
rs a
s th
ey d
rift
aw
ay f
rom
us
and
in
to t
he
wor
ld o
f h
ealt
hca
re p
rofe
ssio
nal
s.
#e
stor
ies
in t
his
zin
e h
ave
show
n u
s an
oth
er s
ide
of t
hat
sa
me
con
clu
sion
– t
he
nee
d t
o m
ain
tain
tie
s w
ith
an
d b
etw
een
com
-m
un
ity-
dir
ecte
d c
are
pro
vid
ers
so t
hat
we
can
con
tin
ue
to s
har
e an
d
lear
n f
rom
eac
h o
ther
’s ex
per
ien
ces.
Wh
ile
it i
s ea
sy t
o fe
el t
hat
we
are
alon
e in
a b
roke
n s
yste
m,
rein
ven
tin
g th
e w
hee
l ea
ch t
ime
we
atte
mp
t to
pro
vid
e tr
uly
pat
ien
t or
ien
ted
car
e, t
hes
e st
orie
s sh
ow u
s th
at w
e ar
e fa
r fr
om a
lon
e an
d w
e ca
n l
earn
mu
ch f
rom
eac
h o
ther
. W
e h
ope
this
zin
e ac
ts a
s a
rem
ind
er t
o se
ek o
ut
and
mai
nta
in c
on-
nec
tion
s to
on
e an
oth
er,
and
to
shar
e le
sson
s le
arn
ed a
nd
mom
ents
of
su
cces
s an
d i
nsp
irat
ion
.
Fin
ally
, w
e ar
e in
spir
ed b
y th
e cr
eati
vity
an
d i
nge
nu
ity
in
the
div
erse
sto
ries
we
rece
ived
. F
rom
un
exp
ecte
d s
ourc
es o
f ca
re i
n
smal
l-to
wn
EM
S, t
o u
np
lan
ned
med
ic c
olla
bor
atio
ns
on c
ity
bri
dg-
es,
to p
atie
nts
ban
din
g to
geth
er t
o su
pp
ort
each
oth
er w
ith
in b
ro-
1
About
the
Rose
hips
#
e R
oseh
ip M
edic
Col
lect
ive
is a
gro
up
of
volu
nte
er S
tree
t M
edic
s an
d h
ealt
h c
are
acti
vist
s ac
tive
in P
ortl
and
, Ore
gon
. We
pro
-vi
de
$rs
t ai
d a
nd
em
erge
ncy
car
e at
pro
test
s, d
irec
t ac
tion
s, a
nd
oth
-er
sit
es o
f re
sist
ance
an
d s
tru
ggle
. W
e al
so t
rain
oth
er s
tree
t m
edic
s an
d p
ut
on c
omm
un
ity
wel
lnes
s tr
ain
ings
. W
e bel
ieve
in
dem
ocra
-ti
zin
g h
ealt
h c
are
know
led
ge a
nd
ski
lls,
in
red
uci
ng
our
com
mu
ni-
ty’s
dep
end
ence
on
cor
por
ate
med
icin
e, a
nd
th
at s
tron
g n
etw
orks
of
sup
por
t an
d c
are
are
esse
nti
al t
o b
uil
din
g a
sust
ain
able
, lo
ng-
term
m
ovem
ent
for
collec
tive
lib
erat
ion
. W
e ar
e w
orki
ng
to c
reat
e on
e fa
cet
of t
he
hea
lth
y an
d d
iver
se i
nfr
astr
uct
ure
we
see
as n
eces
sary
if
we
are
to b
uil
d a
not
her
wor
ld.
Ou
r gr
oup
in
clu
des
EM
Ts,
Wil
der
-n
ess
Fir
st R
esp
ond
ers,
her
bal
ists
, an
d m
ore.
T
o re
qu
est
our
grou
p’s
sup
por
t at
an
act
ion
or
even
t, for
gen
-er
al in
form
atio
n a
nd
qu
esti
ons,
or
to a
sk a
bou
t ou
r tr
ain
ings
, ple
ase
emai
l u
s at
ros
ehip
med
ics@
gmai
l.co
m.
Sta
tem
ent
of V
alu
es
We
sup
por
t al
l p
eop
le’s
righ
ts t
o u
nd
erst
and
, ac
cess
, &
dir
ect
thei
r ow
n h
ealt
h a
nd
wel
lnes
s.
We
envi
sion
a w
orld
fre
e of
all o
pp
ress
ion
an
d s
eek
soli
dar
ity
wit
h t
hos
e st
rugg
lin
g to
war
ds
per
son
al a
nd
col
lect
ive
lib
erat
ion
. W
e bel
ieve
th
at t
he
per
son
al is
pol
itic
al a
nd
th
at s
elf-
care
& m
u-
tual
aid
are
nec
essa
ry t
o su
stai
n r
esis
tan
ce.
We
emb
race
a p
hil
osop
hy
of h
arm
-red
uct
ion
an
d n
on-j
ud
gmen
-ta
l ca
re.
-
2
About
thi
s Pr
oje
ct
N
earl
y fo
ur
year
s ag
o, t
he
Ros
ehip
Med
ic C
olle
ctiv
e ex
-p
lore
d i
nst
itu
tion
al E
mer
gen
cy M
edic
al S
ervi
ces
and
exi
stin
g al
ter-
nat
ives
in
ou
r or
igin
al A
lter
nat
ives
to
EM
S zi
ne.
#is
pro
ject
pre
-se
nte
d c
ase
stu
die
s, h
isto
ry a
nd
th
eore
tica
l d
iscu
ssio
n o
f E
MS
and
th
ose
wor
kin
g to
bu
ild
alt
ern
ativ
e m
odel
s fo
r em
erge
ncy
car
e. I
n
crea
tin
g th
at z
ine,
we
sou
ght
inp
ut
from
str
eet
med
ics,
dis
aste
r re
-sp
ond
ers,
ou
trea
ch w
orke
rs a
nd
oth
ers—
bu
t m
ostl
y w
e cr
itiq
ued
d
i!er
ent
met
hod
s of
pro
vid
ing
emer
gen
cy c
are
and
dre
amed
abou
t w
hat
cou
ld c
ome
nex
t. #
is p
roje
ct i
nsp
ired
us
wit
h t
he
know
led
ge
that
alt
ern
ativ
e cr
isis
res
pon
se s
yste
ms
exis
t an
d f
un
ctio
n,
and
pro
-vi
de
care
th
at i
s p
atie
nt
orie
nte
d a
nd
com
mu
nit
y sp
eci$
c. A
nd
it
spar
ked
dre
ams
of w
hat
els
e m
igh
t be
pos
sib
le, a
nd
wh
at s
ust
ain
able
co
mm
un
ity
net
wor
ks o
f ca
re m
igh
t h
ave
in c
omm
on.
Si
nce
rel
easi
ng
that
zin
e, w
e h
ave
bee
n a
pp
roac
hed
ove
r an
d o
ver
by
ind
ivid
ual
s w
ho
hav
e to
ld u
s th
eir
stor
ies
– s
tori
es o
f w
orki
ng
wit
hin
th
e sy
stem
, of
bu
ild
ing
alte
rnat
ives
, of
$llin
g u
nm
et
nee
ds,
of
crea
tin
g co
mm
un
ity
reso
urc
es,
of b
urn
out,
of
re*
ecti
on,
and
of
mom
ents
th
at h
elp
ed t
hem
kee
p g
oin
g. F
rom
th
e beg
inn
ing,
w
e kn
ew w
e w
ould
nee
d a
seq
uel
to
our
$rs
t zi
ne
– n
ot a
not
her
sys
-te
ms-
leve
l an
alys
is, bu
t a
collec
tion
of
thes
e in
div
idu
al s
tori
es.
A
s so
man
y of
us
run
in
to s
imil
ar b
arri
ers
wh
ile
pro
vid
ing
and
rec
eivi
ng
care
, w
e h
ope
that
by
pri
nti
ng
thes
e st
orie
s w
e ca
n
shar
e ou
r le
sson
s le
arn
ed,
cele
bra
te o
ur
succ
esse
s, a
nd
red
uce
th
e is
olat
ion
in
stit
uti
onal
med
icin
e p
rod
uce
s. O
ur
call f
or s
ubm
issi
ons
for
this
an
thol
ogy
aske
d f
or s
tori
es o
f in
div
idu
al a
nd
gro
up
su
cces
ses
or le
arn
ing
mom
ents
in
wor
kin
g to
war
ds
com
mu
nit
y-d
irec
ted
car
e.
53
Clo
sing
Tho
ught
s
A
s w
e ga
ther
ed t
hes
e st
orie
s w
e w
ere
imp
ress
ed b
y th
e d
iver
-si
ty o
f vo
ices
an
d e
xper
ien
ces
we
hea
rd,
bu
t w
e al
so s
aw c
omm
on
them
es e
mer
ge f
rom
th
em.
In a
$el
d w
her
e m
any
of u
s fa
ce i
sola
-ti
on,
thos
e sh
ared
exp
erie
nce
s se
em w
orth
hig
hli
ghti
ng.
Her
e ar
e ou
r th
ough
ts o
n a
few
of
the
man
y co
mm
on t
hre
ads
thro
ugh
out
thes
e st
orie
s –
we
hop
e yo
u w
ill ad
d y
our
own
th
ough
ts t
o th
em.
A
com
mon
th
read
th
at w
eave
s th
rou
gh t
he
sect
ion
on
wor
k-in
g w
ith
in t
he
syst
em i
s p
osit
ive
exp
erie
nce
s w
ith
ru
ral E
MS.
#es
e st
orie
s em
ph
asiz
e th
e fa
mil
iari
ty t
hat
com
es i
n s
mal
l co
mm
un
itie
s,
wh
ere
pat
ien
ts s
tan
d o
ut
as m
ore
than
an
onym
ous
nam
es o
r re
cord
n
um
ber
s. W
rite
rs c
omm
ent
on t
he
pos
sibil
ity
for
com
mu
nit
y-le
vel
EM
S sy
stem
s to
giv
e bac
k to
th
eir
resp
ond
ers
thro
ugh
ed
uca
tion
, tr
ain
ing
and
ski
ll-b
uil
din
g, a
nd
to
reco
gniz
e ch
ron
ic e
mer
gen
cies
–
iso
lati
on,
pov
erty
, an
d l
ack
of a
cces
s to
car
e – a
s th
e se
riou
s an
d
pre
sen
t th
reat
s th
ey a
re.
We
are
curi
ous
abou
t tr
ansl
atin
g le
sson
s le
arn
ed f
rom
ru
ral E
MS
into
th
e sm
alle
r u
rban
com
mu
nit
ies
wh
ere
man
y of
us
wor
k as
str
eet
med
ics.
#ou
gh t
hey
are
loc
ated
wit
hin
la
rger
cit
ies,
man
y of
th
e sp
eci$
c ci
rcle
s w
her
e w
e w
ork
are
no
larg
er
in p
opu
lati
on t
han
a s
mal
l to
wn
. H
ow c
an w
e bri
ng
thes
e e!
ecti
ve,
ind
ivid
ual
-sca
le e
mer
gen
cy r
esp
onse
sys
tem
s to
th
e p
eop
le w
e kn
ow
and
su
pp
ort
in o
ur
own
com
mu
nit
ies?
A
not
her
th
eme
in t
his
col
lect
ion
is t
he
role
of
EM
S as
a s
afe-
ty n
et –
som
etim
es f
un
ctio
nal
, so
met
imes
ver
y d
ysfu
nct
ion
al –
for
in
div
idu
als
aban
don
ed b
y so
ciet
y. O
ne
con
trib
uto
r w
rite
s th
at $
rst
resp
ond
ers
“dea
l w
ith
th
e co
nse
qu
ence
s of
bro
ken
com
mu
nit
ies…
our
job
is
to p
ick
up
th
e p
iece
s.”
In d
oin
g th
at w
ork,
we
see
$rs
t h
and
how
th
e sy
stem
ic i
nju
stic
es i
n o
ur
soci
ety
are
con
nec
ted
to
one
anot
her
– m
aln
utr
itio
n t
o p
over
ty,
pov
erty
to
hea
lth
, h
ealt
h t
o en
viro
nm
enta
l des
tru
ctio
n…
the
list
goe
s on
. Rep
eate
dly
wit
nes
sin
g th
ese
stru
ggle
s an
d t
he
way
s th
ey a
re l
inke
d i
s a
di%
cult
rol
e, b
ut
also
on
e $
lled
wit
h p
ossi
bil
ity.
#e
hea
lers
in
ou
r co
mm
un
itie
s ar
e u
niq
uel
y p
lace
d t
o re
cogn
ize
thes
e sy
stem
ic o
pp
ress
ion
s, a
nd
th
eir
very
con
cret
e co
nse
qu
ence
s. A
nd
als
o to
bu
ild
sm
all, c
omm
un
i-ty
-lev
el s
olu
tion
s th
at c
an b
egin
to
$gh
t th
em.
-
52
3
In li
ne
wit
h R
oseh
ip’s
core
val
ues
, we
de$
ned
th
is a
s bei
ng
care
th
at:
Bel
ieve
s co
nse
nt
and
bes
t p
ract
ice
are
equ
ally
im
por
tan
tR
esp
ects
th
e p
aram
eter
s of
car
e se
t by
the
com
mu
nit
ies
wit
h
wh
om w
e w
ork
Sup
por
ts a
ll p
eop
le’s
righ
ts t
o u
nd
erst
and
, ac
cess
an
d d
irec
t th
eir
own
hea
lth
an
d w
elln
ess
Em
bra
ces
har
m r
edu
ctio
n a
nd
non
-ju
dgm
enta
l ca
reP
rior
itiz
es s
elf-
care
of
pro
vid
ers
W
e as
ked
als
o fo
r st
orie
s of
ind
ivid
ual
s an
d g
rou
ps
that
hav
e or
gan
ized
to
con
fron
t, c
hal
len
ge,
dis
man
tle,
or
subve
rt h
arm
ful
and
op
pre
ssiv
e h
ealt
hca
re s
yste
ms
– s
tori
es o
f bro
ken
ru
les,
col
lab
-or
atio
n,
re-a
pp
rop
riat
ion
of
reso
urc
es,
insu
bor
din
atio
n,
and
les
son
s le
arn
ed t
he
har
d w
ay.
W
e re
ceiv
ed s
ubm
issi
ons
from
pro
fess
ion
al a
nd
vol
un
teer
di-
sast
er r
esp
ond
ers,
str
eet
med
ics,
nu
rses
, EM
T/P
aram
edic
s, o
utr
each
w
orke
rs,
villag
e h
ealt
hca
re w
orke
rs,
her
bal
ists
, d
octo
rs,
and
peo
ple
of
oth
er b
ackg
rou
nd
s an
d h
eali
ng
trad
itio
ns.
Som
e p
arti
cip
ants
su
b-
mit
ted
wri
tten
wor
k, w
hil
e ot
her
s ch
ose
to b
e in
terv
iew
ed.
In
th
is z
ine,
we
shar
e th
e w
ord
s of
th
ese
ind
ivid
ual
s w
ho
hav
e in
spir
ed u
s th
rou
gh t
hei
r st
orie
s, t
hei
r w
ork
and
th
eir
visi
on.
#e
anth
olog
y is
div
ided
in
to t
wo
sect
ion
s –
th
e $
rst
exp
lore
s h
ealt
hca
re
wor
kers
cre
atin
g ch
ange
an
d $
nd
ing
pat
hs
to p
atie
nt
dir
ecte
d c
are
wit
hin
th
e h
ealt
hca
re s
yste
m,
wh
ile
the
seco
nd
cel
ebra
tes
mom
ents
of
ch
alle
ngi
ng
opp
ress
ive
syst
ems,
su
bve
rtin
g in
e!ec
tive
car
e, a
nd
b
uil
din
g al
tern
ativ
e n
etw
orks
of
mu
tual
aid
an
d s
up
por
t.
-
4
W
e h
ope
thes
e st
orie
s w
ill s
erve
as
a re
min
der
of t
he
stre
ngt
h,
resi
lien
cy,
and
res
ourc
efu
lnes
s w
ith
in u
s al
l; w
het
her
we
are,
at
any
give
n m
omen
t, c
areg
iver
s or
pat
ien
ts,
wor
kers
wit
hin
or
subje
cts
of a
bro
ken
sys
tem
, th
ese
wri
tin
gs p
rove
to
us
that
, co
llec
tive
ly,
we
hav
e ag
ency
, kn
owle
dge
, an
d p
ower
. Her
e’s
to s
par
kin
g m
ore
visi
ons,
d
ream
s an
d p
ossi
bil
itie
s.
Tak
e ca
re, gi
ve c
are,
#e
Ros
ehip
Med
ics
51
trea
tin
g vi
olen
t in
juri
es a
nd
wor
kin
g w
ith
peo
ple
ou
tsid
e of
ou
r [r
adic
al/l
iber
ator
y] c
omm
un
itie
s. I
n t
he
even
t of
a s
ocia
l u
ph
eava
l,
thes
e w
ill
be
real
ly g
ood
peo
ple
to
know
(w
ell-
arm
ed,
orga
niz
ed,
and
wit
h a
cces
s to
lot
s of
res
ourc
es).
#ey
’re f
righ
ten
ing
alli
es w
ho
hav
e bee
n n
egle
cted
by
my
com
mu
nit
y. A
lso
it a
llow
s m
e to
do
this
w
ork
bec
ause
I d
on’t
wan
t to
wor
k in
th
e E
R.”
He
also
val
ues
bei
ng
able
to
‘sip
hon
’ th
e m
oney
o!
ered
to
him
bac
k to
oth
er g
rou
ps
and
th
at “
it’s
enga
gin
g to
be
par
t of
an
un
der
wor
ld.”
Ja
son
say
s th
at a
par
t fr
om h
is p
atie
nts
an
d t
he
inte
rvie
wer
he
has
tol
d n
o on
e ab
out
this
par
t of
his
life
. “I
hav
e to
kee
p t
his
sec
ret
and
it s
uck
s.”
Wh
en a
sked
wh
y h
e ag
reed
to
give
an
inte
rvie
w a
bou
t h
is n
igh
ttim
e ca
lls,
Jas
on s
ays,
“bec
ause
I w
ant
peo
ple
to
un
der
stan
d
how
I g
ot in
to t
his
– b
ecau
se o
ther
peo
ple
can
do
it.”
He
re*
ects
, “I
fell in
to it
– I
did
n’t
pla
n f
or it;
it
just
kin
d o
f h
app
ened
bec
ause
my
frie
nd
nee
ded
hel
p. B
ut
peo
ple
cou
ld p
lan
it
out
wit
hou
t to
o m
uch
w
ork.
I t
hin
k w
e co
uld
do
som
eth
ing
sim
ilar
fro
m a
n a
bov
e-gr
oun
d
pla
ce t
oo, w
ith
tra
c p
hon
es p
ossi
bly
.”
He
also
see
s h
is c
are
for
thes
e ga
ng
mem
ber
s as
fal
lin
g w
ith
in t
he
con
text
of
pro
vid
ing
acce
ssib
le
hea
lth
car
e: “
I’m
a m
edic
for
my
com
mu
nit
y. P
eop
le c
all
me
all
the
tim
e fo
r al
l ki
nd
s of
th
ings
. #
is i
s d
e$n
itel
y n
ot i
sola
ted
.”
-
50
oth
er m
an h
e tr
eate
d w
as b
ruta
lly
bea
ten
, w
ith
bru
ises
all o
ver
his
bod
y (i
ncl
ud
ing
the
frag
ile
abd
omen
). A
fter
ass
essi
ng
him
, Ja
son
sa
ys h
e w
as “
pre
tty
sure
” th
e m
an w
as n
ot b
leed
ing
inte
rnal
ly, b
ut
he
shar
ed w
hat
kin
d o
f ‘r
ed *
ags’
wou
ld i
nd
icat
e m
ore
seri
ous
inte
rnal
in
jury
(lo
cali
zed
sw
elli
ng/
pai
n i
ncr
ease
, ch
ange
in
Lev
el o
f R
esp
on-
sive
nes
s) a
nd
em
ph
asiz
ed t
his
wou
ld m
ean
a N
ON
-NE
GO
TIA
BL
E
trip
to
the
ER
. “
I tr
y to
sca
re t
he
shit
ou
t of
peo
ple
,” h
e ad
ds.
Ja
son
ow
ns
that
he
has
nev
er r
ecei
ved
form
al tra
inin
g in
mos
t of
th
e ca
re h
e p
rovi
des
. A
s a
Wil
der
nes
s F
irst
Res
pon
der
, w
ith
“lo
ts
of p
erso
nal
bac
kcou
ntr
y ex
per
ien
ce,
in t
he
bu
sh,”
he
has
lea
rned
to
imp
rovi
se h
is s
up
pli
es—
for
inst
ance
giv
ing
him
self
an
d o
ther
s su
-tu
res
wit
h $
shin
g li
ne
or d
enta
l *os
s. H
e ad
ds
that
a f
amil
iari
ty w
ith
yo
ga,
bod
y m
ovem
ent,
mar
tial
art
s an
d c
hro
nic
usa
bil
ity
issu
es h
as
give
n h
im “
a se
nse
of
wh
at w
ill
bec
ome
a se
vere
ch
ron
ic i
ssu
e – t
he
di!
eren
ce b
etw
een
in
tern
al b
leed
ing,
in
jure
d o
rgan
s, a
nd
sor
enes
s.”
He
also
lea
rned
a g
reat
dea
l w
orki
ng
as a
vet
erin
ary
tech
nic
ian
an
d
as a
dis
aste
r re
lief
vol
un
teer
, w
her
e h
e “w
atch
ed p
eop
le w
ho
wer
e re
ally
com
pet
ent
[in
pro
vid
ing
med
ical
car
e] d
o it
ove
r an
d o
ver
for
mon
ths.
” H
e al
so r
efer
s to
hav
ing
a bac
kgro
un
d c
arin
g fo
r u
nd
ocu
-m
ente
d p
eop
le a
nd
peo
ple
on
pro
bat
ion
or
wit
h w
arra
nts
.
Aft
er h
is i
nit
ial
trea
tmen
t, s
ays
Jaso
n,
“I a
rran
ge f
ollo
w-u
p
visi
ts e
very
few
day
s, t
hen
eve
ry f
ew w
eeks
.” O
ther
th
an t
hes
e vi
sits
an
d p
reex
isti
ng
frie
nd
ship
s, h
e ke
eps
his
dis
tan
ce:
“I t
reat
a l
ot o
f bad
peo
ple
...m
ost
of t
he
peo
ple
I t
reat
are
bad
peo
ple
, bu
t th
ey’re
n
ice
to y
ou.”
He
doe
sn’t
requ
est
mon
etar
y d
onat
ion
fro
m h
is p
a-ti
ents
, bey
ond
th
e oc
casi
onal
cos
t of
mat
eria
ls a
nd
gas
—th
ough
he
says
mos
t o!
er h
im m
ore.
Jas
on s
ays
he
acce
pts
th
is e
xtra
mon
ey
and
giv
es i
t to
com
mu
nit
y gr
oup
s h
e ca
res
abou
t, s
ayin
g “t
he
shit
th
at t
hey
giv
e m
e is
blo
od;
I d
on’t
wan
t it
. I
don
’t li
ke t
hes
e p
eop
le
bec
ause
th
ey’re
des
troy
ing
the
com
mu
nit
y: #
at’s
wh
at a
dru
g d
eale
r d
oes.
” H
e bel
ieve
s st
ron
gly,
how
ever
, th
at t
hey
sti
ll d
eser
ve c
are:
“It
su
cks
to b
e b
eate
n u
p, r
obbed
at
gun
poi
nt,
hav
e th
eir
hou
se b
roke
n
into
.”
Wh
en a
sked
wh
at m
ost
dri
ves
Jaso
n t
o ke
ep o
n t
akin
g th
ese
nig
htt
ime
calls,
he
resp
ond
s, “
Mos
tly
I se
e it
as
real
ly g
ood
pra
ctic
e;
I am
per
son
ally
try
ing
to p
rep
are
for
collap
se,
to g
ain
exp
erie
nce
5
-
6
Sect
ion
One
:W
ork
ing W
ithin
the
Sys
tem
W
orki
ng
wit
hin
th
e h
ealt
hca
re s
yste
m c
an b
e a
fru
stra
tin
g,
alie
nat
ing
and
iso
lati
ng
exp
erie
nce
. A
s st
reet
med
ics
focu
sed
on
pa-
tien
t-or
ien
ted
car
e, w
e se
e so
mu
ch t
hat
is
bro
ken
abou
t ou
r h
ealt
h-
care
sys
tem
, an
d s
omet
imes
fee
l w
e ca
n’t
do
mu
ch t
o co
nfr
ont
the
pro
ble
ms.
Bu
t ev
ery
once
in
a w
hil
e, a
s w
e st
rive
to
do
our
wor
k in
th
e bes
t an
d m
ost
pat
ien
t d
irec
ted
way
s p
ossi
ble
, w
e $
nd
un
exp
ect-
ed s
ourc
es o
f h
ope.
#
is s
ecti
on p
rese
nts
sto
ries
abou
t w
orki
ng
mor
e or
les
s ef
-fe
ctiv
ely
wit
hin
th
e sy
stem
– m
omen
ts o
f re
vela
tion
, of
lea
rnin
g,
and
of
wit
nes
sin
g sy
stem
s th
at f
un
ctio
n i
n s
omet
imes
su
rpri
sin
gly
pos
itiv
e w
ays.
We
look
to
thes
e st
orie
s fo
r w
ays
of b
uil
din
g sp
ace
for
our
bel
iefs
in
sid
e u
nfr
ien
dly
sys
tem
s, a
nd
way
s of
lea
rnin
g fr
om
each
oth
er h
ow t
o p
rovi
de
care
in
com
ple
x en
viro
nm
ents
. #
ese
auth
ors
rem
ind
us
of t
he
mom
ents
of
pos
sibil
ity,
wh
en w
e ar
e ab
le
to $
nd
th
e co
mp
assi
on a
nd
em
pat
hy
that
we
so o
ften
see
lac
kin
g.
#
ese
stor
ies
tell u
s ab
out
the
mom
ents
of su
cces
s th
at s
ome-
tim
es f
eel
few
an
d f
ar b
etw
een
. #
e au
thor
s d
emon
stra
te h
ow t
hey
$
nd
th
e st
ren
gth
to
keep
wor
kin
g, t
o bre
ak d
own
soc
ial i
sola
tion
, to
reco
gniz
e ch
ron
ic e
mer
gen
cies
, an
d t
o tr
eat
thei
r p
atie
nts
lik
e fa
mi-
ly. W
e sh
are
thes
e ex
per
ien
ces
her
e as
a s
ourc
e of
str
engt
h t
o an
yon
e w
orki
ng
wit
hin
a p
roble
mat
ic s
yste
m.
49
(1)
wh
o to
ld t
hem
an
d (
2)
wh
ere
they
are
. Wit
h t
hos
e qu
esti
ons
an-
swer
ed,
he
says
“I
hav
e n
o fu
rth
er p
hon
e co
nve
rsat
ion
.” J
ason
ad
ds
he
doe
s n
ot u
se a
pse
ud
onym
or
anon
ymiz
e h
is p
hon
e n
um
ber
.
Mos
t of
th
e ti
me,
res
pon
din
g to
th
ese
calls,
Jas
on r
elat
es t
hat
h
e fe
els
un
com
fort
able
– “
it s
uck
s to
be
wok
en u
p b
y th
ese
calls,
an
d i
t’s s
cary
—I
feel
th
reat
ened
.” S
omet
imes
th
e in
jure
d p
erso
n i
s su
rrou
nd
ed b
y fe
llow
gan
g m
ember
s an
d “
scar
y” p
eop
le; o
nce
wh
en
atte
nd
ing
to a
n i
nju
red
lea
der
he
was
con
fron
ted
wit
h 6
-8 a
ngr
y ga
ng
mem
ber
s “c
hes
t-p
um
pin
g an
d s
how
ing
sim
ilar
en
ergy
,” g
etti
ng
read
y to
rep
ay t
he
atta
ck.
“I h
ave
to p
sych
mys
elf
up
for
it,”
he
says
; “Y
ou’v
e go
t to
pu
t on
you
r ga
me
face
.”
Jaso
n b
egin
s ca
re b
y se
ttin
g bou
nd
arie
s: “
I sh
ow u
p in
med
ic
mod
e...
I am
not
you
r fr
ien
d,
I am
not
you
r cu
stom
er.”
He
has
ob-
serv
ed t
hat
his
pat
ien
ts h
ave
all b
een
men
an
d t
hat
th
ere’
s “a
lmos
t al
-w
ays
a w
oman
” p
rese
nt—
and
it
is t
hes
e w
omen
wh
o ar
e m
ost
read
y to
par
tici
pat
e in
pat
ien
t ca
re. A
fter
invi
tin
g th
e p
atie
nt’s
com
pan
ion
to
hea
t w
ater
for
oat
stra
w a
nd
lem
on b
alm
tea
, he
gath
ers
a n
arra
tive
of
wh
at t
ran
spir
ed fro
m b
oth
. He
then
exp
lain
s th
at h
e is
un
lice
nse
d
to p
rovi
de
the
care
he
wil
l be
adm
inis
teri
ng
and
th
at h
e n
eed
s a
full
agre
emen
t b
efor
e p
roce
edin
g – f
rom
bot
h t
he
pat
ien
t an
d “
mor
e im
por
tan
tly”
fro
m t
hei
r co
mp
anio
n, “
bec
ause
th
ey [
the
pat
ien
t] w
ill
like
ly g
et d
run
k or
dru
gged
up.
”
Jaso
n’s
agre
emen
t/in
stru
ctio
ns
incl
ud
e th
at h
is p
atie
nts
are
to
:1
. “T
ake
it e
asy”
2.
Avo
id s
ub
stan
ce u
se (
un
less
th
at m
ean
s go
ing
thro
ugh
wit
h-
dra
wal
, in
wh
ich
cas
e th
ey a
re t
o m
inim
ize
use
).
“Bot
h a
re b
ad
for
reco
very
,” h
e sa
ys.
3.
Car
ry o
ut
his
aft
er-c
are
inst
ruct
ion
s (J
ason
bri
ngs
“a
shit
-ton
of
gea
r” o
n t
hes
e ca
lls,
in
clu
din
g 2
han
dou
t ki
ts –
on
e fo
r th
e p
atie
nt
& a
not
her
for
th
e co
mp
anio
n.)
4.
Go
to t
he
ER
if
cert
ain
con
dit
ion
s p
rese
nt
them
selv
es.
Ja
son
say
s h
e h
as t
hre
aten
ed h
is p
atie
nts
—n
ot w
ith
vio
len
ce,
bu
t w
ith
con
sequ
ence
s—if
th
ey d
on’t
follow
th
ese
inst
ruct
ion
s. O
ne
of t
hes
e p
atie
nts
ref
use
d t
o go
to
the
ER
, he
says
, an
d t
wo
day
s la
ter
was
for
ced
to
by
illn
ess.
#at
pat
ien
t w
as d
epor
ted
aft
erw
ard
s. A
n-
-
48
3 a
.m. H
ous
e V
isits
an
an
onym
ous
inte
rvie
w
Jaso
n is
a s
tree
t m
edic
, W
ilde
rnes
s F
irst
Res
pond
er,
mar
tial
art
ist,
&
com
mun
ity
med
ical
pro
vide
r in
his
lat
e 20
s; he
ask
ed t
hat
both
his
na
me
& c
erta
in d
etai
ls be
om
itte
d or
cha
nged
, in
clud
ing
the
nam
es o
f pe
ople
and
pla
ces.
Ja
son
say
s h
e gr
ew u
p d
eali
ng
dru
gs a
nd
was
fri
end
s w
ith
d
eale
rs.
In h
igh
sch
ool, h
e w
as k
now
n a
s a
trou
ble
mak
er.
“I d
id a
sh
it t
on o
f d
rugs
too
,” h
e ad
ds.
#
ings
had
ch
ange
d b
y th
e ti
me
he
retu
rned
to
his
hom
e-to
wn
in
his
20s,
bu
t h
e li
ked
to
stay
in
con
tact
wit
h o
ld f
rien
ds.
A
mon
g th
em,
said
Jas
on,
“on
e of
my
frie
nd
s fr
om h
igh
sch
ool
mov
ed i
nto
bei
ng
a big
pla
yer
[in
dru
g tr
a%ck
ing
net
wor
ks].
”
“On
e n
igh
t, a
t 3 a
m m
y ol
d f
rien
d c
alls
me
up
& t
ells
me
he
nee
ds
hel
p;
he
tells
me
he’
s ju
st b
een
sta
bb
ed.”
Jas
on p
acke
d a
bag
an
d w
ent
imm
edia
tely
to
see
his
frie
nd
. Arr
ivin
g, h
e fo
un
d h
is fr
ien
d
had
in
dee
d b
een
sta
bbed
, a
clea
n b
ut
nas
ty w
oun
d—
the
frie
nd
had
bee
n a
pp
lyin
g p
ress
ure
. A
fter
th
e im
med
iate
sh
ock,
Jas
on w
ent
to
wor
k cl
ean
ing
and
sti
tch
ing
up
wou
nd
s. A
fter
$n
ish
ing,
he
inst
ruct
-ed
his
fri
end
to
“sto
p d
rin
kin
g,”
to c
han
ge t
he
ban
dag
es f
requ
entl
y,
and
pre
scri
bed
him
som
e h
erbal
infu
sion
s th
at m
igh
t h
elp
sp
eed
th
e h
eali
ng
pro
cess
. H
e p
roce
eded
to
chec
k on
th
e fr
ien
d e
very
oth
er
nig
ht
for
a co
up
le w
eeks
. Jas
on s
ays
his
fri
end
was
gra
tefu
l “w
hen
he
got
inju
red
, h
eale
d, &
did
n’t
hav
e to
go
to t
he
hos
pit
al.”
T
wo
wee
ks l
ater
, w
hen
th
is f
rien
d c
alle
d J
ason
an
d a
sked
to
refe
r ot
her
in
jure
d f
rien
ds
to h
im,
Jaso
n s
aid
he’
d “
thin
k on
it.”
A
few
day
s af
ter
that
, h
e ca
lled
his
fri
end
bac
k ag
reei
ng
wit
h t
he
con
-d
itio
n t
hat
“yo
u o
nly
tel
l p
eop
le w
ho
you
tru
st.”
Si
nce
th
en,
Jaso
n h
as r
ecei
ved
7-8
su
ch c
alls
, “l
ots
of k
nif
e w
oun
ds—
to t
he
shou
lder
, ar
m,
foot
—an
d b
lun
t tr
aum
a.
No
gun
w
oun
ds
than
kfu
lly,
th
ough
I’d
lik
e to
lea
rn t
o tr
eat
them
.”
Ove
r th
e $
rst
few
cal
ls,
a ki
nd
of
syst
em e
mer
ged
. N
ot
know
ing
man
y of
his
late
nig
ht/
earl
y A
.M. c
alle
rs, J
ason
ask
ed o
nly
:
7
Find
ing C
om
pass
ion
in the
Dark
by
lau
rel p
eña
C
omp
assi
on i
s as
nec
essa
ry f
or t
his
job
as
a st
ron
g bac
k.
Bot
h g
et d
estr
oyed
by
rep
etit
ive
mot
ion
s.
W
e ca
ll i
t th
e “M
ike
ph
enom
enon
” in
my
par
amed
ic c
lass
, af
ter
a st
ud
ent
wh
o ad
mit
ted
to
tru
ly n
ot c
arin
g ab
out
mos
t of
th
e p
atie
nts
wh
o ca
ll w
hen
he
is t
ryin
g to
sle
ep. H
e w
orks
24 h
our
shif
ts
in a
cit
y w
her
e h
eroi
n a
nd
met
h h
ave
des
troy
ed m
any
of t
he
com
-m
un
ity’
s re
sou
rces
. Bu
rnou
t is
exp
ecte
d a
nd
tu
rnov
er is
hig
h. I
wor
k in
a q
uie
t ru
ral
syst
em w
ith
a s
up
por
tive
cre
w.
Bu
t d
on’t
I al
so h
ave
a m
omen
t ju
st a
fter
op
enin
g m
y ey
es w
hen
I c
an’t
$n
d c
omp
assi
on
in t
he
dar
k? W
e ge
t u
p, w
e p
ut
our
boo
ts o
n,
and
we
try
not
to
let
our
pat
ien
ts k
now
. We
cou
ld h
ave
nam
ed it
afte
r an
y on
e of
us
– h
e ju
st a
dm
itte
d i
t $
rst.
EM
S se
rves
as
the
safe
ty n
et.
We
pic
k u
p t
he
peo
ple
wh
o h
ave
fallen
ou
t of
th
e sy
stem
. We
also
dea
l wit
h t
he
con
sequ
ence
s of
b
roke
n c
omm
un
itie
s. W
hen
a c
omm
un
ity
can’
t d
eal w
ith
th
e il
lnes
s of
a m
emb
er,
we
are
called
. So
met
imes
th
e th
resh
old
is
hig
h,
for
inst
ance
an
eld
er b
ein
g ca
red
for
at
hom
e w
ho
sud
den
ly g
ets
sick
an
d n
eed
s m
ore
care
th
an f
amil
y ca
n p
rovi
de.
Oth
er t
imes
a p
erso
n’s
sim
ple
exi
sten
ce s
eem
s to
be
mor
e th
an a
com
mu
nit
y ca
n d
eal w
ith
. #
e th
resh
old
is
low
er f
or t
he
dis
enfr
anch
ised
. A
nd
som
etim
es t
he
com
mu
nit
y it
self
is
so d
isem
pow
ered
th
at i
t d
oes
not
hav
e th
e re
-so
urc
es t
o d
eal w
ith
mem
ber
s in
cri
sis,
med
ical
or
oth
erw
ise.
Ou
t of
bed
at
3 a
m, r
esp
ond
ing
to a
n a
dd
ress
my
crew
kn
ows
wel
l. #
e m
an is
hav
ing
nig
htm
ares
an
d is
all o
ut
of h
is p
sych
dru
gs.
All I
can
do
is d
rive
him
2 h
ours
to
a h
osp
ital
th
at w
ill d
o ab
solu
tely
n
oth
ing
for
him
. It
’s n
ot e
ven
th
e sl
eep
dep
riva
tion
th
at g
ets
to m
e -
it’s
the
futi
lity
. #
e p
atie
nt
called
bec
ause
he
was
hav
ing
an e
mer
-ge
ncy
, wh
atev
er t
hat
mea
ns
to h
im. M
y jo
b is
to
resp
ond
. I ju
st w
ish
I
cou
ld g
et b
ack
into
qu
arte
rs f
eeli
ng
like
I h
ad a
ctu
ally
don
e so
me
good
.
Som
eon
e h
as t
o p
ick
up
th
e p
iece
s. I
t’s w
hat
we
sign
up
for
w
hen
we
bec
ome
EM
Ts.
#e
pro
ble
m i
s th
at w
e ar
e so
bad
at
it.
It
-
8
is n
ot o
ur
fau
lt.
We
are
not
giv
en t
he
righ
t to
ols
and
in
form
atio
n.
We
are
not
em
pow
ered
to
mak
e th
e ri
ght
dec
isio
ns.
We
are
trai
ned
fo
r th
e h
igh
-th
resh
old
cal
ls -
th
e on
es w
her
e so
meo
ne
is in
cri
sis
and
th
eir
usu
ally
su
%ci
ent
reso
urc
es a
re o
verw
hel
med
- t
he
car
wre
cks
and
hea
rt a
ttac
ks. #
is is
usu
ally
wh
at g
ets
peo
ple
into
th
e w
ork,
an
d
the
real
izat
ion
th
at i
t is
a s
mal
l p
erce
nta
ge o
f w
hat
we
do
is o
ften
w
hat
get
s p
eop
le o
ut
of i
t.
“Wh
at p
erce
nta
ge o
f th
e p
eop
le w
ho
call y
ou r
eally
nee
d
you
?” m
y p
aram
edic
inst
ruct
or a
sked
on
e d
ay. “
I m
ean
, su
re, t
hey
all
nee
d y
ou, b
ut
wh
at p
erce
nta
ge n
eed
th
e sk
ills
you
are
her
e to
lear
n?”
T
en p
erce
nt
was
th
e n
um
ber
we
agre
ed o
n.
M
ost
of o
ur
calls
invo
lve
the
oth
er t
wo
situ
atio
ns:
th
e p
er-
son
th
e co
mm
un
ity
is u
nw
illi
ng
to c
are
for,
or
the
com
mu
nit
y u
n-
able
to
care
for
its
mem
ber
s. I
n b
oth
cas
es t
he
pow
er d
ynam
ic i
s u
nb
alan
ced
. E
MS
form
s it
s ow
n l
ittl
e co
mm
un
ity
and
pla
ces
itse
lf
outs
ide
and
abov
e th
e co
mm
un
itie
s it
ser
ves.
If
the
com
mu
nit
y is
d
isem
pow
ered
, or
th
e in
div
idu
al p
atie
nt
dis
enfr
anch
ised
fro
m t
he
com
mu
nit
y, t
he
pow
er d
ynam
ic i
s ex
agge
rate
d.
#
e m
edic
lea
ned
ove
r th
e d
run
k m
an o
n t
he
gurn
ey.
“You
ca
n’t
slee
p,”
he
said
. “I
f I
can’
t sl
eep,
you
can
’t sl
eep.
” H
e ru
bb
ed t
he
man
’s st
ern
um
wit
h h
is k
nu
ckle
s, a
tec
hn
iqu
e to
eli
cit
pai
n u
sed
on
u
nre
spon
sive
pat
ien
ts.
#e
man
gro
aned
an
d o
pen
ed h
is e
yes,
th
en
clos
ed t
hem
aga
in.
“Hey
,” t
he
med
ic s
aid
, an
d r
ubbed
him
aga
in.
Wh
en t
he
pat
ien
t tr
ied
to
twis
t aw
ay, th
e m
edic
gra
bbed
a lar
ge n
a-sa
l ai
rway
. “I
f yo
u g
o to
sle
ep,
I’m
goi
ng
to p
ut
this
up
you
r n
ose.
” O
ne
of m
y cl
assm
ates
was
rid
ing
alon
g an
d t
old
th
is t
o m
e la
ter
as a
fu
nn
y st
ory.
It’s
thes
e ca
lls
that
we
suck
at.
Oft
en in
volv
ing
chro
nic
hea
lth
is
sues
, beh
avio
ral
pro
ble
ms,
an
d/o
r la
ck o
f ac
cess
to
hea
lth
car
e, w
e ju
st d
on’t
like
th
em.
It’s
esp
ecia
lly
har
d t
o ca
re f
or t
hes
e p
atie
nts
w
hen
th
ere
is n
o ti
me
to t
ake
care
of
ours
elve
s.
#
e w
orst
sou
nd
I’v
e h
eard
is
the
wai
l of
par
ents
wh
o h
ave
bee
n t
old
th
eir
chil
d i
s d
ead
. #
e w
orst
fee
lin
g ca
me
righ
t af
ter
the
cod
e w
as c
alle
d a
nd
th
ere
was
not
hin
g m
ore
to d
o. C
lean
up,
get
ou
t of
th
e w
ay,
go t
o th
e n
ext
pat
ien
t. N
ause
a an
d v
omit
ing.
Pro
bab
ly
food
poi
son
ing.
Lis
ten
to
the
stor
y, s
tart
th
e IV
, p
ush
th
e Z
ofra
n.
47
jeop
ard
ize
thei
r sa
fety
by
dis
clos
ing
this
in
form
atio
n t
o ot
her
s w
ith
out
per
mis
sion
.1
3. P
rovi
de
sup
por
t fo
r th
em (
if t
hey
wan
t it
) w
hen
th
ey g
et o
ut,
if
pos
sib
le.
that
can
loo
k li
ke:
mak
ing
them
coo
kies
, le
ttin
g th
em
cras
h i
n y
our
spar
e ro
om, w
hat
ever
you
wan
t it
to
look
lik
e.1
4. S
et a
nd
mai
nta
in b
oun
dar
ies.
#is
hel
ps
keep
you
hea
lth
y.
Wh
en t
alki
ng
wit
h y
our
frie
nd
, use
you
r ac
tive
list
enin
g sk
ills
. Don
’t gi
ve t
hem
a f
uck
ton
of
advi
ce u
nle
ss t
hey
ask
for
it. W
hil
e th
ere
are
som
e m
enta
l h
ealt
h f
acil
itie
s th
at o
!er
not
fuck
edu
p c
are,
if
you
r fr
ien
d w
as in
carc
erat
ed w
ith
out
thei
r co
nse
nt
I ca
n a
lmos
t gu
aran
tee
you
th
at t
hey
are
dea
lin
g w
ith
som
e le
vel
of t
rau
ma,
so
don
’t m
ake
it w
orse
by
bei
ng
a je
rk! Yo
u d
on’t
hav
e to
val
idat
e ev
eryt
hin
g th
ey
say,
bu
t yo
u c
an l
iste
n.
Som
etim
es t
his
is
one
of t
he
mos
t h
eali
ng
thin
gs o
f al
l.
-
46
thei
r p
hon
e b
ill, o
r co
mp
lete
som
e ot
her
tim
e se
nsi
tive
tas
k fo
r th
em?
Som
etim
es i
t ca
n b
e si
mp
le a
s le
ttin
g th
eir
swee
tie
know
w
her
e th
ey a
re.
6.
Ask
(d
on’t
insi
st!)
if t
hey
’d li
ke t
o be
visi
ted
. If
they
don
’t fe
el li
ke
bei
ng
visi
ted
, ac
cep
t th
eir
“no.
” If
it’s
a s
oft
no,
let
th
em k
now
th
at i
t’s o
kay
to c
han
ge t
hei
r m
ind
lat
er (
like
: co
ol,
bu
t if
you
ch
ange
you
r m
ind
, I’d
sti
ll m
ake
tim
e to
vis
it y
ou!)
.7.
If t
hey
’d l
ike
to b
e vi
site
d,
ask
if t
her
e’s
anyt
hin
g yo
u c
an b
rin
g th
em t
o m
ake
them
mor
e co
mfo
rtab
le.
Foo
d,
a p
arti
cula
r bla
n-
ket
or s
tu!
ed a
nim
al,
art
sup
pli
es, w
hat
ever
.8.
Cal
l th
e d
ay o
f yo
ur
visi
t, a
nd
giv
e th
em a
tim
e fr
ame
to e
xpec
t yo
u in
, an
d s
et a
lim
it f
or h
ow lo
ng
you
wil
l sta
y (t
his
is h
ealt
hy,
an
d p
art
of t
akin
g ca
re o
f yo
urs
elf!
). C
on$
rm y
ou w
ill
try
to
bri
ng
the
thin
gs t
hey
hav
e re
qu
este
d i
f th
at’s
par
t of
you
r ag
ree-
men
t.9.
Du
rin
g yo
ur
visi
t/ov
er t
he
ph
one:
if
you
r fr
ien
d f
eels
com
fort
-ab
le d
iscu
ssin
g it
wit
h y
ou,
you
can
ask
if
they
are
get
tin
g th
eir
nee
ds
met
. A
sk i
f th
e d
octo
r(s)
/ord
erli
es a
re l
iste
nin
g to
th
em
and
th
eir
exp
erie
nce
s w
ith
th
eir
own
bod
y. S
omet
imes
th
e m
ed-
ical
“p
rofe
ssio
nal
s” w
ill i
gnor
e w
hat
th
e “p
atie
nt”
is s
ayin
g ab
out
thei
r p
rior
exp
erie
nce
s w
ith
cer
tain
med
s, a
nd
th
e re
sult
s ca
n b
e d
isas
trou
sly
fuck
ed.
10. A
s a
per
son
on
th
e ou
tsid
e, y
ou h
ave
the
pow
er t
o ad
voca
te f
or
peo
ple
on
th
e in
sid
e. Y
ou c
an c
all
the
faci
lity
wh
ere
they
are
in
-ca
rcer
ated
an
d a
sk t
hem
to
con
tact
th
at p
erso
n’s
pri
or h
ealt
hca
re
pro
vid
ers,
pro
bat
ion
o%
cer,
etc
, an
d/o
r to
ad
voca
te f
or t
hem
to
be
sup
pli
ed w
ith
wh
atev
er t
hey
nee
d t
o su
rviv
e. I
t d
oesn
’t m
ean
it
wil
l wor
k, b
ut
you
can
try
. It’s
bet
ter
than
leav
ing
you
r fr
ien
ds
to r
ot, ya
know
? 11. O
f par
ticu
lar
not
e ar
oun
d m
eds
and
not
get
tin
g on
e’s
nee
ds
met
: of
ten
tim
es t
ran
s p
eop
le a
re d
enie
d t
hei
r h
orm
ones
wh
ile
inca
r-ce
rate
d,
wh
ich
can
exa
cerb
ate
any
exis
tin
g in
stab
ilit
y an
d b
e re
-al
ly r
eally
fuck
ing
up
sett
ing.
12. K
eep
you
r fr
ien
d’s
inca
rcer
atio
n c
on$
den
tial
, un
less
you
are
giv
-en
per
mis
sion
to
do
oth
erw
ise!
#er
e’s
a lo
t of
sti
gma
arou
nd
m
enta
l “il
lnes
s” d
iagn
oses
/in
carc
erat
ion
, so
mak
e su
re y
ou d
on’t
9
Pre
ten
d t
o ca
re.
How
can
we
chan
ge t
he
situ
atio
n?
#e
chan
ge n
eed
s to
hap
-p
en o
n a
larg
e sc
ale
– in
ou
r w
orkp
lace
s, a
nd
in t
he
com
mu
nit
ies
we
serv
e. H
eali
ng
peo
ple
mea
ns
hea
lin
g th
e w
orld
; for
inst
ance
, mak
ing
sure
eve
ryon
e h
as a
cces
s to
goo
d f
ood
an
d e
mot
ion
al w
ell
bei
ng.
It
’s n
ot o
ur
job t
o m
ake
this
hap
pen
, b
ut
pla
cin
g m
y w
ork
in t
he
larg
er c
onte
xt h
elp
s m
e ke
ep g
oin
g an
d n
ot s
ettl
e fo
r p
icki
ng
up
th
e p
iece
s. I
t re
min
ds
me
how
my
acti
vism
for
for
ests
an
d s
alm
on r
elat
es
to w
hat
I a
m d
oin
g ri
ght
now
, h
ow t
he
joy
of p
lan
tin
g a
gard
en i
s li
nke
d t
o th
e so
rrow
an
d f
rust
rati
on o
f th
is c
hro
nic
illn
ess
I am
see
-in
g.
W
ork
wh
erev
er y
ou c
an t
o ch
ange
th
e sy
stem
(p
erh
aps
by
agit
atin
g fo
r co
mm
un
ity
par
amed
icin
e p
rogr
ams
– bu
t th
at’s
a w
hol
e ot
her
art
icle
). E
ven
mor
e im
por
tan
tly,
kee
p in
min
d t
he
pow
-er
str
uct
ure
s p
rese
nt
in e
very
pat
ien
t co
nta
ct,
and
do
you
r bes
t to
ov
erco
me
them
by
trea
tin
g ev
eryo
ne
wit
h c
omp
assi
on a
nd
res
pec
t.
We
also
nee
d t
o ta
ke c
are
of o
ur
own
min
ds
and
bod
ies
and
hea
rts
in o
rder
to
hav
e th
e en
ergy
for
com
pas
sion
.
Wh
en I
wen
t ou
t d
anci
ng
afte
r tw
o d
ays
of I
CU
sh
ifts
, I f
elt
bu
rden
s I
had
n’t
even
bee
n a
war
e of
fal
l aw
ay.
I d
ance
d d
own
th
e so
rrow
an
d f
rust
rati
on a
nd
th
e ex
hau
stio
n,
stom
pin
g it
dow
n i
nto
th
e *
oor
of t
he
bar
. #
en I
let
mys
elf
take
joy
in
hav
ing
a h
ealt
hy
bod
y th
at c
ould
dan
ce, f
eet
that
cou
ld w
alk
out
of t
he
hos
pit
al a
t th
e en
d o
f th
e d
ay,
a h
eart
th
at c
ould
sp
eed
up
an
d s
low
dow
n w
ith
out
con
cern
. I h
adn’
t re
aliz
ed h
ow c
ram
ped
an
d s
low
I h
ad b
een
fee
lin
g,
as i
f ta
kin
g on
th
e p
ostu
re o
f m
y p
atie
nts
cou
ld s
omeh
ow r
elie
ve
thei
r p
ain
. I
wil
l hav
e to
lear
n h
ow t
o cu
ltiv
ate
joy
in a
n i
nte
nti
onal
w
ay s
o I
can
do
this
wor
k fo
r th
e lo
ng
hau
l.
-
10
Ste
thosc
ope
by
Ch
rist
ina
Moo
re
Chr
isti
na M
oore
liv
es o
n th
e si
de o
f a
hill
in t
he G
reen
Mou
ntai
ns o
f so
uthe
rn V
erm
ont.
She
spe
nds
her
days
wri
ting
sof
twar
e, w
riti
ng t
ech-
nica
l do
cum
ents
, w
alki
ng t
he l
and
and
whe
n ne
cess
ary,
res
pond
ing
to
othe
r pe
ople’
s em
erge
ncie
s. Yo
u ca
n fo
llow
Chr
isti
na a
t st
orm
petr
elllc
.blo
gspo
t.co
m
#
e st
eth
osco
pe
con
nec
ts t
he
ears
of
one
to t
he
sou
nd
s of
an
oth
er’s
hea
rt a
nd
lu
ngs
. W
hat
th
e ea
rs h
ear
beg
ins
a jo
urn
ey –
on
ly r
elat
ed t
o th
e tr
ansl
atio
n o
f p
ress
ure
wav
es t
o n
erve
im
pu
lses
tr
avel
ing
thro
ugh
axo
ns,
cre
stin
g ac
tion
pot
enti
als
and
th
e re
leas
e of
neu
rotr
ansm
itte
rs.
#e
jou
rney
beg
ins
at t
his
ph
rase
: “#
e h
eart
bea
ts.”
#e
list
ener
tra
nsf
orm
s to
stu
den
t, t
he
stu
den
t to
jou
rney
er.
In
Mar
ch o
f 2008
, ou
r E
MS
serv
ice
*u
tter
ed i
nto
its
$rs
t re
cogn
izab
le b
eat,
a “
lub-d
ub”
gen
erat
ed o
n i
ts o
wn
in
a r
oom
of
fou
rtee
n s
ouls
. E
ach
a%
xed
a s
ign
atu
re b
elow
arc
hai
c la
ngu
age:
“B
e it
res
olve
d _
_______
_ a
uth
oriz
es i
tsel
f to
in
corp
orat
e, c
ond
uct
bu
sin
ess
mee
tin
gs.”
Ou
r p
urp
ose
was
to
imp
rove
th
e sp
eed
an
d a
c-ce
ss t
o em
erge
ncy
med
ical
ser
vice
s in
ou
r to
wn
of
40 s
qu
are
mil
es.
At
tow
n m
eeti
ng,
we
stat
ed w
e w
ould
red
uce
EM
S re
spon
se t
ime
and
imp
rove
th
e le
vel o
f ca
re. I
n t
he
year
s p
rior
, EM
S re
spon
se t
imes
ty
pic
ally
mea
sure
d 3
0-4
5 m
inu
tes.
#e
imp
lici
t co
ntr
act
bou
nd
th
e sq
uad
to
the
com
mu
nit
y in
an
equ
atio
n t
hat
in
volv
ed f
un
din
g an
d
imp
rove
d m
edic
al c
are.
In
thos
e ea
rly
day
s, I
mis
un
der
stoo
d th
e im
pac
t of t
he
stet
ho-
scop
e on
th
e li
sten
er.
I in
vest
ed t
ime
in t
he
min
uti
a of
reg
ula
tion
s,
lice
nsi
ng,
equ
ipm
ent,
an
d r
aisi
ng
fun
ds,
mis
sin
g si
gns
of v
ital
ity.
Few
rai
sed
in o
ur
tow
n p
urs
ue
colleg
e ed
uca
tion
s. O
ur
tow
n
has
70 m
iles
of
dir
t ro
ads
an
