Rotary Meeting Aug 6 2013
Posted by Marie Presti
on Aug 06, 2013
Written by Marie Presti (please forgive typos, non sentences, and mispellings...)
Dick Bowen - pledge
Tom Keery - Song - Oh Beautiful
Paul Kerrissey - Invocation
Happy Dollars
Indira Desai: Visit from children from CA
Peggy Lepore: one from each of our speakers
Dick Bowen: because Indira is collecting
Tony Bibbo: went to Red Sox Game. Ovation 3-5 minutes for Navy man, 2 tours of duty
Paul Kerrissey: is hoping Tom Keery hits lottery so he can buy a pair of socks
Marie Presti: sad dollar for her Mom who was recently diagnosed with bone cancer. It metastasized from her breast cancer 10 years ago. She is looking for oncologist recommendations at Daner Farber.
Mark had Mike Stuart picked Ticket. Dick Hardaway got winning ticket. Pot is about $600. But he picked the 9 diamonds. too bad...
Mark thanked Marie for being note recorder today. :)
Announcements
Chris: Decided to start to use the information from our Member surveys a while back and do a quiz. Who is this Rotarian? former occupation: Real Estate developer, 13 years in Rotary, his dad was a Rotarian which is how he joined. Sports - likes watching; favorite restaurants local, legal seafood. Who is this? Answer at the bottom of this newsletter...
Ed Casavant: Student of the month is continuing. Bob Staulo used to work with Ed but given Bob's been sick Ed will continue it himself for now. There will be Student of the Months starting in late September. We used to do 5 schools but now that Trinity Catholic is gone, we'll only do 4 schools.
Speakers. Somehow we got double booked. Two EXCELLENT speakers.
Mike Stuart Cataldo Ambulance Service. if you dial 911 you would get them.
Director of Clinical Services
your EMS provider for city of Newton
what is EMS: It started in the 70's with anatomy and physiology training. Its come a long way.
They respond within 6 minutes of call with ambulance and fire engine and sometimes police too. able to handle whatever it is. medical emergency, behavioral emergency, or fire, etc.
call into dispatcher. if medical transferred to medical emergency dispatcher, go through algorithm. two levels in Newton
1) basic life support ambulance with 2 technicians 150 hours training. arrive on scene and do assessment. if they can handle or request assistance.
2) Advanced Life Support require 2000 hrs training 1-2 years to complete. paramedic. 6 month classroom. Go into hospital and rotate (OR, Labor, ICU) and work with doctors to get understanding of each area. field internship 200 hours and calls with experienced providers. then tested national exam. practical hands on skill exam and a computer test. Every 2 years re certifying with continuing education.
Two uniformed EMT's or paramedics arrive on scene. Bring equipment. Stethoscope, vital signs, ask questions. Is this new or dealing with for a while, what medicines, other health problems, allergies, what is your doctor. Goes to Newton Wellesley Hospital. But sometimes they travel to Mass General, Beth Israel or wherever they are being followed is they're ok to travel that distance.
Divide city in north and south. 195 Crafts St. and base on Waltham St. in fire station.
Q&A
1) Tom: What if people don't have cognitive decision making?
don't want to do "kidnapping"... Do we feel that the person has the capacity to answer the question at that time. Is the person behaving normally? is it acute thing? They can Call medical control physician if necessary to ask their advice. Physician can speak to patient directly. Have to sign a "refusal" before they leave. If they not conscious, its implied consent. But if belligerent, the police has section 12 they can sign which is involuntary hospitalization and they can then restrain them.
2) Tom: told a story of when he fell off his bike. He said to EMT that he was fine. But ambulance asked 3 questions. where are you? what day is it? where are you going? When he answered no to all three, the then said, "get in!"
3) Ed. If there is no obvious fire, why have fire for first responders? have oxygen. most are paramedics. 95% medical emergencies vs. fires. The fire folks can administer oxygen before the EMT's get there. Why 2 fire engines? We don't know...
4) Chris - how many calls? Newton 10-20 calls. There are many non emergency calls too. Ambulance requests for transport.
5) how many per ambulance. EMT's work varied 8-12 hour shifts. Require 2 medics. State recognizes PB (transfers). Basic life support vs. advanced life support. Paid by insurance (premiums). EMT bills insurance. They don't charge the city. Enough reimbursements make it worth to be in the communities. T
6) Chris: how many communities do you cover? 17 communities
Tom: Had to use EMT from his town and got a bill from town (Sherborn) for ambulance. Not Newton. Chair Car - is they're in a wheelchair.
Demonstrated some of the equipment in an ambulance.
Autopulse. Takes over CPR. Better circulation rather than just manual arms. It pauses so they can give a breath. Safer than breaking ribs. Hospital loves it because they don't have to do chest compressions while transporting into hospital. Its been out for 6 years. $9K cost.
Defribulator - automatic and manual
2nd Speaker. Ty Lemerande from Navy Reserves, Commander, Graduate of Naval Academy 20+ navy years. Connection to military is dwindling. Seldom see people wearing uniform. He is in uniform today (blueish...) Cami style.
Public Affairs Officer. Dealing with media and public regarding navy. As Afghanistan veteran, talked to Nauset school. Kids had never met or talked with anyone in uniform. Less than 1% served in military.
Its your navy. We pay his salary. Public institution. Get out into community.
Where we are, services that we provide.
70/80/90
70%covered by water, 80% population lives near water, 90% commerce traverses on the waterways that Navy protects.
Aircraft carriers in Caribbean, mediterranean, piracy still exists. In straits and waterways throughout the world. Protect our commerce. They all get there by way of oceans. Drug in South America in Caribbean.
Power projection, park aircraft carrier, it sends message to us. Hurricanes to Haiti, navy there within 24 hours providing food, services, ems, etc.
lots of "toys". Ships, submarines, aircraft, special forces, Navy operates them.
spent 8 months in Afghanistan. Amazed that many folks had been there 4-5 times. 18-25 year olds make up majority. Active duty, every day in country, 1 day at home. 365 days in war zone, gets you 1 year at home. military can then send you back. Run into kids been alive for same time we've been in war.
Does Shakespeare across country with his wife. Perform 2 productions for Shakespeare on demand, 1 man Hamlet. Room full of armed men and women. He said, "he'd better not stink tonight..."
1) Dick: Reserves 1 weekend a month 2 weeks/year. But when 9/11 happened, army said they didn't have enough people. so they dipped into navy, marines, etc. Got help. Then they dipped into reserves too. Put Navy into jobs that they can do. Ty went to SC to become and army man. M16, M9, stripes without the jokes. Talk Army. Head vs. Latrene. Learn lingo.
His job was to handle visitors. Nato operation. Everyone wants to see what their country is doing. Big wig. helicopters.
2) Tom: Do you get a lot of transfers from military into reserves? 5/1 if you're in reserves. He has 2 brothers in active duty now. When they turn 20 years, they get retirement checks. He gets pension checks when he's 60. If you're deployed, you're away from your family. Says a lot. Not an easy life. Need to serve.
3) Dick. Whats your take on Afghanistan after we pull out? Personal opinion is: transition phase. Afghans needs to step up and take control of their own country. They need to learn how to farm, learn to protect their own people. He doesn't think they'll be able to do that. Did we make a difference? You want to think that you did. Problem is the people appointed to govern them are a bit wacky... there will come a time when its out of our hands... We'll have a force there but we need to bring our men home. Give the reigns back to the Afghans and see what happens.
4) Ed. What is age eligibility? special forces is low. DCO - direct commission officers, they say I want to serve? Knife and Fork school in Newport. Doctors are that way. Untapped market, now retired, wants to do something else with their time.
Walmart story. first day came in late, second day late, third day late, what did you do with your old job. Good morning Admiral would you like a cup of coffee?
Public Affairs Officer. Dealing with media and public regarding navy. As Afghanistan veteran, talked to Nauset school. Kids had never met or talked with anyone in uniform. Less than 1% served in military.
Its your navy. We pay his salary. Public institution. Get out into community.
Where we are, services that we provide.
70/80/90
70%covered by water, 80% population lives near water, 90% commerce traverses on the waterways that Navy protects.
Aircraft carriers in Caribbean, mediterranean, piracy still exists. In straits and waterways throughout the world. Protect our commerce. They all get there by way of oceans. Drug in South America in Caribbean.
Power projection, park aircraft carrier, it sends message to us. Hurricanes to Haiti, navy there within 24 hours providing food, services, ems, etc.
lots of "toys". Ships, submarines, aircraft, special forces, Navy operates them.
spent 8 months in Afghanistan. Amazed that many folks had been there 4-5 times. 18-25 year olds make up majority. Active duty, every day in country, 1 day at home. 365 days in war zone, gets you 1 year at home. military can then send you back. Run into kids been alive for same time we've been in war.
Does Shakespeare across country with his wife. Perform 2 productions for Shakespeare on demand, 1 man Hamlet. Room full of armed men and women. He said, "he'd better not stink tonight..."
1) Dick: Reserves 1 weekend a month 2 weeks/year. But when 9/11 happened, army said they didn't have enough people. so they dipped into navy, marines, etc. Got help. Then they dipped into reserves too. Put Navy into jobs that they can do. Ty went to SC to become and army man. M16, M9, stripes without the jokes. Talk Army. Head vs. Latrene. Learn lingo.
His job was to handle visitors. Nato operation. Everyone wants to see what their country is doing. Big wig. helicopters.
2) Tom: Do you get a lot of transfers from military into reserves? 5/1 if you're in reserves. He has 2 brothers in active duty now. When they turn 20 years, they get retirement checks. He gets pension checks when he's 60. If you're deployed, you're away from your family. Says a lot. Not an easy life. Need to serve.
3) Dick. Whats your take on Afghanistan after we pull out? Personal opinion is: transition phase. Afghans needs to step up and take control of their own country. They need to learn how to farm, learn to protect their own people. He doesn't think they'll be able to do that. Did we make a difference? You want to think that you did. Problem is the people appointed to govern them are a bit wacky... there will come a time when its out of our hands... We'll have a force there but we need to bring our men home. Give the reigns back to the Afghans and see what happens.
4) Ed. What is age eligibility? special forces is low. DCO - direct commission officers, they say I want to serve? Knife and Fork school in Newport. Doctors are that way. Untapped market, now retired, wants to do something else with their time.
Walmart story. first day came in late, second day late, third day late, what did you do with your old job. Good morning Admiral would you like a cup of coffee?
Adjourned promptly at 1:30PM
Who is this Rotarian Answer: Dick Bowen
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