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Saturday, June 26, 2010

Dubai Mall

.....Also known as Day 1-part one :-)

So... Most of us going on about 3 hours sleep... Decided it would be a good idea to venture in the inferno and take in the local sites... Now, I already told you how to imagine driving in the middle east is... Remember class ? Bumper cars--A.D.D.--and Mountain Dew ring a bell?


Our cabbie was a sweet, quiet soul named O-shit.. Because that was what the six of us in the van said the most! "O-shit! Watch out for...". "O-shit! Don't hit that!"
First stop... Dubai mall. One word... WOW! Ya, that's right.. All caps AND an exclamation point.
First thing you see at the entrances are the massive water features of men eternally swan-diving...





Very impressive... These were definately cool. What a way to start off our aimless wander-fest? And really... That all we were doing is wandering....


We were really surprised as we rounded the corner to see a massive sea-quarium in the mall...


Holy Stingrays Batman! This was just too cool.







Now what mall would be complete without a little advertising? See all the pretty bright lights? Those are all one giant led screen..

All over the mall! Tells people about sales... Specials and even prayer time...

Starting to get a little hungry from all the walking around ? No worries, mate... We got ya covered.


Can you say 5 lbs of chocolate in that bar ? Want a little syrup to go with it?






Maybe it just time to cool off at your friendly desert ice rink?







And yes... Even in the middle east... The golden arches still rule



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Monday, June 14, 2010

Flood of reality

Finally.. Another long flight is over. Emirates is definately a nice airline to fly on. I am here,


back in the middle east, and the reality of it all has begun to set in.


As we began our final descent to land in Dubai, a quick glance out the window showed the unmistakable layout of golden lit streets an highways. At that point, an eerie flood of emotions came like a tidal wave. Memories, some good, some not-so-much, of every single time I have been in this portion of the world filled my head. It's been a few years sice I've been here... And honestly never really expected to come back since I have retired.... But, alas.. Here I am.
We get off the plane, and there is all the traditional


clothing... The familiar Arabic language being spoke... And what most would not expect to hear....the welcoming smiles from all of them.
I would say as we were landing, the most resounding thought going through my brain... Did I really want to do this again? Did I really want to live it what sometimes feels like another planet, did I feel like dealing with mortars, snipers, rockets and of course.. The drivers ?

A little late for that line of thinking now...genius !

We collect our bags and jump on a little bus to take us to our hotel... Now.. If you have never driven in the middle


east...imagine a massive bumper car track with about 200 kids hyped up on a case of Mt Dew each... It's always an adventure.


Now we are at our hotel.. Just got here.. It's 2 am local time....



Over 17 hours of flying and a few hours of layover time. Guess where we are ? In another meeting! Hahaha... And this meeting is literally to schedule a meeting for tomorrow! LOL
We now know we will be here at least until tomorrow night... Beyond that? Who knows...



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Sunday, June 13, 2010

The adventure begins

This has definately been a long week. Briefings about safety, briefings about treating people nice, briefings about the heat, the San, the sun... Ugh... Pretty sure there was a briefing in there about briefings!
I did get to meet some great people... Firefighters from every immagimable background ( full time, volunteer, ARFF, Structural, civilian, Army, Air Force, Navy and even a Marine). A few Medics... With almost as diverse a sampling.... And tons of other people.. Many of whom I'm sure were found just wandering around the city haha.
I think there were some more briefings.....
Got new uniforms issued, took some tests...
Maybe attended a briefing...
Had a meeting to schedule a meeting..
Got invaded by an army of over-caffeinated tween cheerleaders
Moved hotels
Might have had a briefing

......... Ugh

Now, as I look out the window of my boeing 777 as it slowly climbs to the sky, watching the city shrink and the road begin to look more like rivers roaming through the wild, my mind begins to wander toward the adventure that has just begun.
The reality of this journey has finally hit.
Oh, I've known for quite some time that I was going, but until now, it hall been quite surreal. However, the uncertainty of the near and distant future abounds. Yes, there are certain things I know... Such as, once again, I am a firefighter, I am a captain, and I am headed to Iraq... Outside of this... I know that my first stop is London...which is where this will probably be posted from... Then on to Dubai. Other than that, there is very little.
I do know that it will be hot.... But I do not know "where" it will be hot... In a less broad sence.
As to which city in Iraq I will be, which base I will be assigned to, how many men I will have, and the inherent risk I am about to accept... To these questions.. I have no clue.
So... If a clue is what I don't have... Then I shall focus my attention to a little less broad spectrum...what I do know.
London, unfortunately, won't be much fun since we only have a few hours between flights. So the next logical step is Dubai. Which there still is not much info. Don't know how long I'll be there, but at least I do know which hotel... And I've been to Dubai before.. So I won't be completely lost hahaha. Hopefully we will be there Lon enough to do some exploring... The new mall... The HardRock cafe..
From Dubai, it's off to Bagdhad. Another fun-filled exciting week absolute good times.... Not. Will be another week of training, briefings, equipment issue and acclimation. Toward the end o the week... In theory... We will get our assignments and prepare to head out to wherever......

Take care... Stay safe


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Monday, May 31, 2010

Why the Heck Would I Go Back ?

As most already know, in just a matter of days, I will be headed back to the Middle-East... More affectionately known as "The Sandbox". Just as many...if not more... know that I just, as of the first of last month, retired from the United States Air Force after 20 years of serving my country. Yes, folks, the ultimate parole...freedom...finally allowed to think for myself, choose my own clothes...and (oh my God) say "No" when I don't want to do something (like back to back long distance transfers in the middle of the night when it's not my turn in the rotation).
During my tour in the military I've been to England, Germany, The United Arab Emirates, Dahran Saudi Arabia, Prince Sultan Air Base Saudi Arabia, Bahrain, Kyrgyzstan... Among others... Pretty much... Been there-Done that. I've been part of two wars, Operation Southern Watch, the war on drugs and the war on terror.. I've seen my bases attacked..seen my base blown up (Khobar Towers) and seen some of the most senseless acts in the name of martyrism. I seen miracles and acts of heroism.. I've seen death and sacrifice for a nation. 19 soldiers who gave their lives for our nation were personally carried from aircraft by the Elite team I lead and me. I have lived the fear of being solemnly removed from a plane, draped in the colors of our mighty nation.

So... After having lived through and seen all of this... Why on God's green Earth would I choose, after no longer having that obligation, willingly go back ??? It's actually a quite simple answer ( In a couple of parts).
This is who I am, this is what I believe in. Going back, as a civilian contractor, relieves some of the burden of military firefighters who have been on constant deployment rotations for 20 years now. This aids in giving my brothers a break to enjoy their families.
Second, yes.. I will be paid extremely well, which is definitely nice... But not the dominate factor. I am a specialized firefighter. Along with everything else, I am also an Airport Firefighter. I am highly trained in the nuances of air raft firefighting and rescue..in both civilian and military air raft and weapons systems. A commodity in high demand in an environment such as Iraq. I am military trained and tested... Less of a liability for the troops trying to get the job done...1 less person they have to worry about.
The biggest reason for going back ? Simple... This is my chance to give something back to my brothers and sisters in uniform... To protect those who protect us... To support those who place their lives on the line every day to ensure our way of life... To still be a productive part of the people who are trying their damnedest to right this upside down world.
Patriotism, Duty, Compassion... Call it what you will. I just call it the right thing to do (and no...the money doesn't hurt either lol)

Tuesday, May 11, 2010

Cardiology---Twitter Style

TWEET-K-G ???

Going through Medic School, cardiology was one of the hardest things for me to wrap my mind around. To me.. Most of the time.. EKG strips looked more like somebody having a seizure while trying to color....
After losing much hair, and having damaged many walls with my forehead...one of my Medic partners sat down with me while we were waiting for breakfast at Country Kitchen, grabbed a napkin and a pen...and spent 5 minutes clearing some up for me.

Then late one night while cruising through my Twitter timeline...I noticed some odd tweets coming from someone who would soon become someone I would look to for advice and become somewhat of a mentor to me in my struggles to one day finally become a licensed Paramedic.

Sean Fitz (@seanhfitz) was tweeting shear genius!!! He was tweeting out all the different cardiac rhythms!! I could hardly believe what I was seeing... and to top it off...it made sense to me.

I like to call this cardiology class alla Sean...

TWEET-K-G for the Twitter addict

Sinus rhythm:

--~-V-~--~-V-~--~-V-~--~-V-~--~-V-~--~-V-~--~-V-~--~-V-~--~-V-~

Sinus bradycardia:

--~-V-~--------~-V-~--------~-V-~-------~-V-~--------~-V-~-------~-V-~-----

Sinus tachycardia:

~-V~~-V~~-V~~-V~~-V~~-V~~-V~~-V~~-V~~-V~~-V~~-V~~-V~v

Ventricular tachycardia:

VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV

Supraventricular Tachycardia

~V~V~V~V~V~V~V~V~V~V~V~V~V~V~V~V~V~V~V~V~V~V~V

PSVT:

--~-V~--~-V~--~-V~V~V~V~V~V~V~V~V~V~V~

Then you give Adenocard for PSVT:

~V~V~V~V~V~V~V~V~V~-------------ohshit---------~V~--~V~--~V~--whew

Multifocal Premature Ventricular Complexes:

--~-V~--~-V~--~-V~W--~-V~M--~-V~W--~-V~M--~-V~

Unifocal Premature Ventricular Comlplexes:

--~-V~--~-V~M--~-V~M--~-V~--~-V~--~-V~M--~-V~

Ventricular Bigeminy:

--~-V~M--~-V~M--~-V~M--~-V~M--~-V~M--~-V~M--~-V~M--~-V~

Premature Atrial Complexes:

--~-V~~V~--~-V~--~-V~--~-V~~V~-~-V~--~-V~-~V~-~-V~

Atrial Fibrilation:

~~~V~V~~~~~~V~V~~~V~~~V~~~~~~V~~V~V~VVV~~~~V~V~

Atrial Flutter (3:1 conduction):

vvvVvvvVvvvVvvvvVvvvvVvvvVvvvVvvvVvvvVvvvVvvvV

1st degree heart block:

-~---V~-~---V~-~---V~-~---V~-~---V~-~---V~-~---V~-~---V~-~---V~-~---V~-~---V~

2nd degree heart block, type 1 (Wenkebach):

---~V~--~-V~-~--V~~---V~~-----------~V ---~V~--~-V~-~--V~~---V~~-----------~V

2nd degree heart block, Type 2

--~-V~--~-V~--~-V~--~--------~-V~--~-V~--~-V~---~---------~-V~

3rd degree heart block:

~V---V-~-V--~V---V~--V-~-V--V---V~--V-~-V--~V

Pacer rhythm w/ capture:

--|W~--|W~--|W~--|W~--|W~--|W~--|W~--|W~--|W~--|W~--|W~--|W~--|W~--|W~--|W~

Ventricular fibrillation:

wWwWWWwwWwWvVVvwMMwMMmmmvvvMM

Defibrillation w/ conversion:

MmwVwMmwwvvVWMCLEAR!<>BLAM<>------~V~--~V~--~V~--~V~--~V~--~V~--~V~

Synchronized cardioversion:

`V`V`V`V`V`V`V`V`V`V`V`V`V`VCLEAR<>BLAM<>--~V~--~V~--~V~--~V~--~V~--~V~--~V~--~V~

Atropine:

----------~-V~----------~-V~----------~-V~--~-V~--~-V~--~-V~--~-V~--~-V~--~-V~--~-V~

Asystole:

--------------------------------------------------------------------------

Epinephrine:

-----------------------------------------------~-V~--~-V~--~-V~--~-V~--~-V~--~-V~--~-V~--~-V~--~-V~

SInus pause:

--~-V~--~-V~--~-V~----------~-V~--~-V~--~-V~--~-V~-----------~-V~--~-V~--~-V~--~-V~--~-V~

A-fib with RVR:

~~V~~V~V~~V~VV~V~V~~V~V~~V~VV~V~V~~V~V~V~~V~~~V~V

Cardizem:

V~V~~VV~V~V~~V~VV~~V~V~V~~V~V~~~~V~~~~V~~V~~~V~V~~~V~~~~V~~V~~~V~~~~V~~~V~~~~V

Torsades des pointes (French accent mandatory):

VVVvvvVVVVvvvvVVVVvvvmmmMMMmmmMMMvvvVVVvvvVVVmmmMMMmmmvvvVVVvvv

via @McNellie926:

-~V~-~V~-PVC---~--~V~-~V~-~V~-PVCPVCPVC~-V~-

via @McNellie926:

-~V\~-~V\~-~V\~-~V\~-~V\~- (WPW)

and my attempt :

fine V-Fib: ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~








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Saturday, May 1, 2010

On the Lighter Side

...And now for something completely different.....

How come I never get stuck behind this guy ? Seems it's always the slow tractor.. especially when I'm in a hurry. Wouldn't life be sooo much easier if they all were like this ?




I've had a night or two like this at the station... usually, it's Tones go off, and I forget which side of the bed the wall is on.....




Live Well.... Laugh Often

Monday, April 26, 2010

Final Alarm

Was dismayed last night to learn that a fellow Firefighter, Airman and Friend of mine had unexpectedly (as if it ever is expected) passed away.  WHAT ???  Seems I had just talked to him on the phone not long ago... all was going good, he was upbeat and positive about the future (as he always was).  Even without a leg, he still rode, and just this last weekend was trekking through the mountains in his jeep with the top off.  Nothing seemed to be out of place, everything appeared to be going well.
I am still unsure as to what happened, all I have been told is that it was complications from a Motorcycle accident he had last year.  Even that, I am unsure of.  Mike was well ahead of schedule in his recovery and refused to let anything set him back.
Mike has been an inspiration to many young firefighters (and some of us old dogs too) over the years.  He knew what it meant to be a firefighter... he knew what it meant to be an Airman.
I am proud to have served with such a man, both in the Military and Fire Service.  I am better for having known him.  This is the man who stood beside me during all the late nights of running cables and wires... building a state of the art dispatch center from the ground up... he kept me going during this.
Mike's loss leaves a large hole in the Fire Community as well as for the Air Force.... but there is nothing that will ever fill that hole for his family.  My thoughts and Heart go out to his Wife and Daughters...

Rest in peace my friend... your loss will be felt throughout the world.

Signal 5-5-5 has been transmitted
TSgt Mike Gambill's assignment is complete
and he has returned to quarters


The Following is an article done in Dec 2009 by the Air Force Times... this shows the kind of man Mike was



Erik Holmes / Staff   Tech. Sgt. Mike Gambill does rehabilitation exercises with physical therapist Dawn Thompson. Gambill lost his leg June 29 in a motorcycle accident and is ahead of schedule in his rehab.

 

 

 

Leg lost, but not his will to be a firefighter


By Erik Holmes - Staff writer
Posted : Sunday Dec 6, 2009 8:36:49 EST
BAKERSFIELD, Calif. — Tech. Sgt. Mike Gambill has 19 years with the Air Force as a firefighter. He wants to make it 20.
Whether the Air Force lets Gambill mark two decades of service, though, depends on whether he can still do the job after losing his left leg in a motorcycle crash.
But the 40-year-old husband and father of three has a new artificial limb — so high-tech that it costs $60,000 and is one of only 60 like it in the country — and faith that the service he loves will let him support it the way it has supported him, first when he donated a kidney to his father and now through the loss of his leg.
Gambill said he thinks of the Air Force — particularly the firefighting community — as his second family, and he wants nothing more than to go back to duty, even if it’s as a firefighting instructor or supervisor.
“My goal is to go back somehow, some way as a firefighter,” he said. “Hopefully I’ll be able to stay with the Air Force and do it that way.”

A son’s act of love

Gambill has firefighting in his blood.
His father, Jerry Gambill, spent 21 years in the Navy as a P-3 and C-130 flight engineer, then racked up 23 years with the Bakersfield Fire Department. His uncle retired from the fire department, too.
Gambill worked for the city as a reservist firefighter before he joined the Air Force in 1991. In basic training, a personnelist handed out a form that asked the recruits what they wanted to do in the service.
“I listed firefighting, firefighting, firefighting, firefighting and gave it back,” Gambill said.
Two years ago, on leave from Ramstein Air Base, Germany, Gambill saved a life that had nothing to do with firefighting. He gave one of his kidneys to his dad, whose kidneys were destroyed by diabetes and high blood pressure.
Before his kidney transplant, the older Gambill was hooked up to a dialysis machine for 12 hours a week.
“Michael came home and he went to dialysis with me a couple of times, and he didn’t like it any more than I did,” said Jerry Gambill, 62. “So he stepped up to the plate and volunteered to donate a kidney. … I’m doing really good, thanks to him.”
Despite a painful two-month recovery and the reality that he now has only one kidney, Gambill said he doesn’t regret his decision.
“I would do it again tomorrow morning if they asked me to,” he said. “Never a second thought.”

Another life-changing moment

Almost six months ago, while serving a special assignment as an unaccompanied housing manager at Peterson Air Force Base, Colo., Gambill learned he and his family would be moving to Kadena Air Base, Japan.
He didn’t want to take his beloved Harley-Davidson Road King overseas so he decided to drive it back to his parents’ house in Bakersfield. He left Colorado on June 26 and — after a brief stop at the casino tables in Las Vegas — rejoined his wife, Michele, in California on June 29. Michele Gambill and their three daughters had traveled to Bakersfield a few days earlier to get ready for the move.
About 10 p.m. that Monday night, on his way to his parents’ house, Gambill was hit by a GMC Yukon making an illegal U-turn. The force of the crash threw him about 60 feet, the bike 120 feet.
“I remember rolling and rolling and then I came to a stop,” Gambill recalled. “I wasn’t in a lot of pain.”
Gambill had broken ribs and a collapsed lung. His lower left leg was a piece of raw meat bristling with splintered bones. It’s quite possible he is alive today only because a doctor in a restaurant across the street ran out and put a tourniquet on his badly bleeding leg.
Michele Gambill arrived at the hospital about the same time as the ambulance. She sat in the waiting room, frantic for any news about her husband.
“It seemed like an eternity before I got to see him,” she said. “And then when I saw him … he was all bloodied up. … I could see the fear in his eyes. I could tell he was hurting and scared.”
Gambill talked briefly to his wife.
“I told her three things,” he said. “ ‘I love [you], goodbye, and call the base and get a hold of somebody.’ I thought I was getting ready to die.”
Then, everything went black.

The long road back

The doctors had induced a coma to help stabilize Gambill. He remained unconscious for seven days.
Almost immediately after learning doctors had to amputate his leg, Gambill said he focused his energy on recovery and rehabilitation.
“Forty-eight hours after waking up, I put myself in the right mindset and I haven’t veered off,” he said. “What’s really been driving me forward is my family.”
Michele Gambill admits she didn’t have the same confidence as her husband at first. She worried about his state of mind. She said she worried about how their children — Elizabeth, 13; Melissa, 11; and Hannah, 8 — would react to their father’s disability. She worried about herself.
“I didn’t know how life would be,” said Michele Gambill, who is attending school to become a medical assistant. “I didn’t know at that moment how I was going to handle having my husband missing a leg, how he was going to handle not having a leg and going through the entire recovery process.”
But the Gambills, buoyed by fellow airmen, friends and their extended family in Bakersfield, pulled together and cheered each other on.
By early August, Gambill left the hospital and returned with his wife and daughters to his parents’ home. Another two months passed before Gambill received his prosthetic leg, a Rheo microprocessor knee that reacts automatically to a user’s walking style. The high-tech limb, which cost $60,000, is better for active people but also harder to learn to use.
“Microprocessor knees are the most advanced technology we have in the field … right now,” said Trevor Townsend, Gambill’s prosthetist. “It’s state of the art.”
Just five months out of the hospital, Gambill can already walk on his prosthetic leg — the carbon-fiber thigh is decorated with his ABU blouse, rank and unit patch — without a cane.
Now, Gambill is setting his sights on jogging and fighting fires again.
“The inspirational thing about Mike is he’s not afraid of falling, and he gets right back up and keeps going,” said Dawn Thompson, his physical therapist. “I have other patients who fall and that stops them in their progress.”
Gambill is quick to point out that he, too, has his moments.
“Sometimes you get down … but those are the times you just say, ‘I can’t live in this pity mode,’ ” he said. “I’ll play with my daughters or the dog, and it brings me right back up.”     

An uncertain future

A medical evaluation board of doctors will convene early next year to determine Gambill’s fate. The doctors must assess his prospects of once again being a productive airman.
The Air Force Personnel Center, which oversees the disability evaluation process, would not discuss Gambill but outlined the medical evaluation process.
“They review the member’s physical and/or mental condition to see if the medical condition could disqualify him … from continued military service,” AFPC said in a statement. “During the medical review, the MEB is looking for any medical or mental condition that may prevent the service member from deploying; performing the job for which he was assigned; or meeting minimum Air Force medical and/or fitness standards.”
The medical evaluation board will either return Gambill to duty or refer him to a physical evaluation board, which would decide whether he is fit for duty.
If Gambill is ruled unfit, he could appeal the decision to the Secretary of the Air Force Personnel Council.
Gambill won’t guess how the process will turn out, but he said he believes it’s his duty to remain an airman.
He said the Air Force supported him through the kidney operation and the loss of his leg, and he wants to show his appreciation.
“The military has been phenomenal to me,” Gambill said. “They’ve been very much of a supporter. I want to give it back.”