Okay. I’m not sure this table’s gonna be sturdy enough here. Let’s see, let’s how that works out here. This is half the books that I’ve purchased in the last 10 years. We’re gonna go through these one by one today. Okay. I think those will think those will be okay. All right. So hi guys. So my name is Aaron. For those of you that don’t know me, I’ve been a paramedic for about 12 years. I was actively practicing as an EMT and as a paramedic for about 10. And then I went part-time a couple years ago to go to PA school. And then the last time I was actually on an ambulance was early last year. So I’ve not been active since that time and I’ve been a full-time er, PA for the last two and a half years. It’s been the only job I’ve had as a pa.
The only job I wanted to have as a PA just coming from Paramedicine. I have a couple goals with this podcast and YouTube channel and the first one is to really further paramedic education. I want to talk to who I was five, 10 years ago from my experience level to kind of better hone your paramedic and your EMT skills and from my perspective as an ER provider. Now there’s a lot of things I think that are beneficial for you guys to hear, but you don’t necessarily learn in all these books that they make you buy and you never end up really reading. Anyway, my second goal at the podcast is to help EMTs and paramedics that want to become mid-levels or PAs kind of make that decision. Our job is a lot different than it can appear from the outside. And I think kind of inviting you to take a look at what that job looks like will help you make that decision.
Being a mid-level provider in the ER and a p p and advanced practice provider is definitely not for everyone. And you might decide kind of based on information that it’s not the path for you, but I think it was the right path for me and I really enjoy my job. And so I wanna encourage EMTs and paramedics to take that leap. If it’s something that you’re interested in, sometimes it’s a great career move for you because they really isolate the medical aspects of the job. So if you really enjoy the medicine of being a paramedic, advancing to being a PA is a great option because you really get isolated into just the medicine. It does have a higher level of stress because you’re constantly making decisions and analyzing things and examining patients. But if that’s what you really like about medicine, I think it’s a great career move because it kind of isolates you and you don’t have to deal with some of the aspects of the job that you don’t enjoy driving around town and sitting at a gas station for hours on end.
It really isolates you from those unenjoyable aspects of the job. This is kind of my way of getting involved in EMS education. There’s not a great avenue currently for advanced practice providers to kind of get involved in EMS education. And so I figured if there’s no easy way to do that, how can I help educate and get involved with you guys and get to know you guys? And so that’s why I decided to create this channel is kind of that avenue into your guys’ world. These are things that I wish I knew when I was a paramedic. There’s a lot of things you learn in paramedic school that are super helpful and you’re kind of your introduction to medicine and you’re learning a lot of stuff, but there’s a lot of things that you just don’t get taught and there are things that you know learn from watching others.
And these are kind of the things that I want to use to make your guys’ lives easier that I wish somebody had taught me when I was a paramedic. I want this first episode to be something very practical for you guys. Something that you do every day and that’s your handoff report. So this episode is the 10 biggest mistakes that paramedics and EMTs make in their handoff reports. This is something that you do dozens of times a day and it affects your interaction with us. And I wanna be able to make this easier for you guys. From my perspective as an advanced practice provider in the er, I can make your job a little bit easier by telling you guys what we need and the mistakes that I see on a regular basis. The first big mistake the paramedics and EMTs make in their handoff report is leaving out the chief complaint or telling me the chief complaint way too late in the report.
So the chief complaint is something that you need a lead with because that’s gonna immediately put in my mind differentials and I’m gonna be able to listen to your report much easier if I know the chief complaint. So if the patient’s complaining of chest pain, I don’t want you to lead with their cardiac history, I don’t want you to lead with their ekg, I want you to say this patient has chest pain. Then immediately I can start thinking of all the differentials that I wanna rule out and I’m gonna be able to listen to all the details you tell me with that chief complaint in mind. Just like you do on scene, when you hear the chief complaint, you’re immediately thinking of differentials and that’s gearing all the questions that you ask. My ability to listen to a report really comes from hearing that chief complaint.
Otherwise all the details, I don’t know if they’re relevant or not. I don’t know if your interventions are relevant. And if I get the chief complaint midway through the report, the beginning part’s kind of wasted because I’m only half listening cuz I’m waiting to hear that chief complaint. And worse yet, if I don’t get the chief complaint at all or at the very end of the report, I probably wasn’t listening half the time cause I’m trying to wait to hear what the chief complaint is before I can really value all the things that you’re telling me in between. Also in that same vein is chief complaint is not stroke. So you bring in a patient, I don’t want to hear chief complaint is stroke, right? I want to hear chief complaint is left-sided weakness or chief complaint is not a heart attack. Chief complaint is chest pain.
Some people do get those confused a little bit and you’ll get some pushback from providers when you do that. So I just wanna save you some time and frustration and lead with that chief complaint or else providers are gonna ask you, they’re gonna interrupt your report and you’re gonna get frustrated because we’re not listening to you very well and we’re probably gonna ask you questions that you’ve already answered, but we just weren’t in the right mindset to really hear that in the absence of a chief complaint. The second biggest mistake that I see paramedics and EMTs make in their handoff report is taking way too long to give report. The problem is an ER provider, we have so many things going on, our attention spans are somewhat limited. I would love to have 10 minutes to listen to a super thorough handoff report and then another 15 minutes to go in and listen to the patient talk about their chief complaint and examine them and really sit down and have great bedside manner.
And we just don’t have time for that in the er. We’re trying to weed through all the patients that dying so we can get to the patients that are dying and take really good care of them. And because of that mentality, we just don’t have a ton of time. So 30 seconds to a minute are kind of what we need in a good handoff report. We need all the concise details and we need it to be brief because we have to get in, we have to examine the patient, we have to talk with the patient and then move on to the next task. When I’m working in the ER while I’m getting handoff report from you, I’m also thinking, oh, did I put in that pain medication order that the nurse asked me for? Or who’s getting that other ambulance checked in that’s checking in simultaneously with you and they’re bringing patients back from intake.
So we’re getting bombarded from a whole bunch of different directions, which makes it really hard for us to focus on one handoff report and that’s our fault. It’s not your fault, but it’s just something to be aware of. When you get frustrated at providers for interrupting you and asking questions when you’re in the middle of a report, it’s possible that they’re just trying to get things moving a little bit so they can go to their next task. And so it’s helpful from you guys to get a brief concise report with all the elements that we need so we can go in, see the patient and move on to the other things that we need to do. When I was a full-time paramedic, I didn’t know that at all. I thought providers benefited from a super thorough five minute handoff report. I would go through all the patient’s medical history, I would talk about all their allergies, all the medications they’ve ever been on, when in reality we just don’t have time for that.
And so save yourself some time, save us some time and 30 seconds to a minute, super comprehensive report, but very, very brief, very to the point. It’s beneficial to you guys cuz then we can kind of get in and out of the room quicker. You guys can get back to your rig, get back to writing your reports and things you need to do and we can move on with other tasks that we need to do. We don’t need to spend five minutes discussing the patient’s history from 1995. And on that same topic, we don’t need you to read an entire list of allergies unless you think we’re gonna give that patient that medication. Then I would like to know pertinent allergies. But we certainly don’t need to hear every allergy they’ve ever had or think they have. We don’t need to know every medication that they’ve ever had unless it’s pertinent.
So in fall patients that have hit their head, I really want to know if they’re on anticoag one. So that’s a very pertinent medication to bring to our attention cause we’re gonna ask that anyway. So it’s helpful if you can cut that out and we can already know what we’re walking into, but we don’t need a comprehensive medication list review. Now you might get some doctors that push back on that a little bit and they do want you to show ’em all the medications and all the allergies, but by and large we really don’t need all that information. So if you’re in the habit of reading all the patient’s medical history, all the patient’s allergies, all the patient’s medications, you really don’t have to do that every time unless you feel that it’s pertinent to what the patient has going on today. The third biggest mistake that I see paramedics and EMTs make is describing the EKG as normal sinus rhythm.
Now that might be valuable information in certain contexts, but by and large I don’t need to hear that the EKGs normal sinus rhythm. So usually I hear that in the context of the chest pain patient, of course you’re doing an EKG on ’em, but I don’t wanna hear that it’s normal sinus rhythm. If they’re having chest pain, I assume it’s normal sinus rhythm. Usually people don’t have severe crushing chest pain that are in a dysrhythmia. I want to hear about their ST segments and their T wave changes that’s much more pertinent in a chest pain patient. So even when you have your EMT technic recall and your EMTs gonna describe the EKG to me, have them describe it as no ST changes, no T-wave changes in the handoff report cause that’s much more pertinent with a chest pain patient that we’re worried about an we need to know if this needs to be a STEMI activation and likely you called that on the way in.
But that’s a much more accurate way to describe the EKG than just telling me what the rhythm is. Cause in a chest pain patient, I’m assuming they’re in normal sinus rhythm. I wouldn’t assume they’re in SVT or vtac. I want to hear about their ST segments cuz I’m immediately worried about mi, right? That’s one of the biggest differentials we need to be concerned about. And so that’s a much more accurate way to describe the ekg. Now if you’re bringing in a patient with palpitations or shortness of breath, which is much higher symptom for a arrhythmia like vtac, svt, atrial fibrillation, then I do wanna hear what rhythm they’re in. It’s much more pertinent in that case to say this patient’s in normal sinus rhythm, they’ve been having palpitations. That immediately answers my question of is this patient in a dysrhythmia? And it helps to describe EKG that way in a much more concise fashion.
The fourth biggest mistake that I see paramedics and EMTs make is in describing the vital signs. So if a patient has all normal vitals, it’s okay to say stable vitals or normal vitals as long as they’re actually stable. I think on the ambulance you see so many sick patients with just crazy vital signs, right? You’re seeing tons of low blood pressures, you’re seeing tons of tachycardia, you’re seeing tons of hypoxia. It’s easy to kind of write off. Subtly changed vitals as normal. In the er we have a little bit lower threshold if a patient’s a little bit tachycardic or if they have a fever, we need to call a sepsis alert. If a patient had hypoxia, I’m much more concerned about them than if they have a normal pulse sox. And I’m starting to already think they probably need to be admitted if their oxygen saturation was low at any point because it’s just indicative of more emergent pathology that should not be going home at any point.
And in regards to the pulse socks, an aspect that gets missed a lot of times is what was their pull socks when you initially arrived on scene? Were they sat in the sixties? That’s really important for us to know, even if you’ve corrected this because I’m probably gonna keep that patient in the hospital overnight at least if they’re dropping their oxygen levels that significantly there’s something legitimate going on that probably is not gonna get fixed by a few treatments in the er. So even if you’ve corrected it or you’ve applied oxygen or given them breathing treatments, that initial pulse ox is very important information for us to get in the ER. And it’s information only you can get. We can’t go back in time and see what their oxygen level was. The patient doesn’t know. We can take them off the oxygen and kind of see where it drops, but it’s much more helpful to get that initial oxygen saturation that the patient had on scene.
Another big thing that gets missed is how much oxygen is the patient on a baseline. Cause that’s gonna be my next question. In a shortness of breath, patient that comes in on oxygen, are they on that at home? It’s gonna make a big difference. If they’re on their normal amount of oxygen, I can probably send that patient home. But if this patient’s requiring significant increases, I probably need to keep them. And that’s just something that is very easy to give in the handoff report and prevents us from having to ask that question all the time. So the pertinent vital signs, I mean unless you’re saying that they’re all totally stable, which I think is fine, you don’t need to read out every vital sign that you obtained on the way to the hospital if they’re all normal. But if the heart rate’s over a hundred, I do wanna know that if the patient has a fever, I do wanna know that if their blood pressure is under a hundred systolic or is super high, I wanna know that as well.
And then the pulse ox of course is super important in shortness of breath patients but you don’t have to read them all out if everything’s stable, if there’s an abnormality, bring it to our attention because we really need that information. But there’s nothing wrong with saying stable vital signs rather than reading out a list of normal vitals. To me, that’ll save your time, it’ll save my time and a lot of effort. The fifth biggest mistake that I see paramedics and EMTs make in their handoff reports is leaving out where they picked up the patient from when I was a paramedic. I’d never realized the significance of that. I don’t think I ever even included that in a handoff report cuz to me it really didn’t make a difference. But on the provider side of things, it really matters to our disposition like what are we doing with this patient after the workup’s complete?
If you bring in a 95 year old lady that’s generally weak, we get a big workup on her, everything looks normal. I don’t wanna send her home if she’s so weak and she’s living by herself. If you picked her up at home and she has no family support, I don’t wanna discharge her back to that scenario because she’s at high risk for something bad to happen. So I’m more likely to keep her in the hospital. So where she came from is actually vital to our disposition in that scenario. On the same topic, if a patient’s coming from a skilled nursing facility versus an independent living facility, that’s also a very wide range of care. So if they’re fairly disabled and can’t take care of themselves, I can still send them back to a skilled nursing facility knowing that they’re getting good care, somebody’s gonna be giving them the medications that we prescribe for them versus if they’re in the independent living side, I might not be able to send them back to that scenario depending on what we find and what they need done.
So that’s super important to us to know if it’s independent living, if it’s skilled. And that’s kind of a distinction that I never realized when I was a paramedic. I never realized that the reason that was important, cuz again, as a paramedic it doesn’t really make a difference. You don’t have to figure out an ultimate disposition for the patient like we do in the er. The sixth biggest mistake that I see paramedics and EMTs make in their handoff report is not obtaining a good baseline for the patient. This is something that’s super vital to get on scene because often these are patients that are confused and they can’t provide a good history and it’s something that can only be obtained on scene from family or friends or whoever. Is what is the patient’s baseline mental status. Are they normally confused and this isn’t a change for them at all or is this a rapid change?
They’re normally functioning individual and now all of a sudden they’re confused and can’t care for themselves. That’s super important for us because if I obtain a normal workup in the er, I can’t send somebody home that’s actively confused. They might need a brain mri, they might need a further workup in the hospital that we can’t provide in the ER and I can’t send that patient home. But if they’re normally confused and they have a history of dementia and they’re at their baseline level implementation, I can send that patient home and a lot of times I can’t get that information from the patient. So it’s vital that you get that on scene. A lot of times we’ll end up having to look up phone numbers and call the family to get that information. So it’s super helpful for us if you can get that information on scene.
And kind of along that same line is last known normal, which is not the same as symptom onset. So we get a lot of confused elderly patients that their last no normals when they went to bed last night, that’s the last time they felt normal and they woke up with these symptoms, their last no normals, not when they woke up with the symptoms, it’s what time they went to bed feeling normal. And that’s something I see get confused a lot. And I got yelled at a bunch when I was a paramedic for not getting a good last known normal. But that’s super key information that a lot of times we can’t get after the fact. And so it’s crucial that you get that information for us on scene, even if you’re getting a quick handoff from the fire crew and they’re loading up the patient.
And if that question is still in your mind, please go back in the house, go back in the facility and get that information cuz it’s super, super important for our disposition of the patient. And of course that information’s critical for stroke alert timing if the patient qualifies for tpa. that information is absolutely invaluable when we’re kind of considering those implications. The seventh big mistake I see paramedics and EMTs make in their handoff reports is the physical exam. It frequently gets left out and I want to know what your physical exam showed. I want to know where their abdomen hurt when you pressed on them. And that’s something I probably was not good at as a paramedic, maybe I was a bad paramedic, but you need to be pushing on all four quadrants of their abdomen and it really matters to me which part hurts or if it just hurts all over cuz I start forming that list of differentials in my mind.
If they’re having right upper quadrant pain, I start to worry about their gallbladder. If it’s right lower, I start to worry about their appendix. If it’s all over, I worry about a small bowel structure. So when you do your physical exam, I really wanna know your pertinent findings. Now, if it was unremarkable, you could say the physical exam was unremarkable. But if you have exam findings, I really wanna know the pertinent findings. If you get called on a shortness of breath patient, I really wanna know what their lung sounds were, especially before you intervene and gave them breathing treatments or started them on C pap. I really wanna know what they sounded like initially because now their lung sounds have probably changed based on your intervention. So that’s a very pertinent thing to bring up in your handoff report on that same line is did the patient walk?
I always ask the crew this because if the patient normally can walk and they couldn’t walk to your cot or you had to carry them all the way out of their house, I’m probably not gonna be able to send this patient home. I’m not gonna fix whatever their problem is. I’m not gonna be able to fix it probably rapidly enough in the ER that they’re gonna now magically be able to ambulate around without any problems. Now sometimes we can, but a lot of times if you had to carry the patient all the way outta their house, they’re not gonna be leaving the hospital. There’s not gonna be something that’s that quick to fix that we can send them home to walk up four stories to their upper floor apartment. We’re probably gonna need to keep them in a hospital until they get their ability to walk back.
So if the patient walked to your stretcher, you had to carry them out. That’s very pertinent information for us When we start to think about our disposition. The eighth biggest mistake I see paramedics and EMTs make in their handoff report is assuming that we got a phone call ahead of time about the patient. Now, we likely did. Likely if I go pull the patient up on the computer system, there’s a big transfer note in there that tells me everything I need to know, but I haven’t seen that when you arrive, the patient’s not registered. So I know basically nothing about this patient. So operate under that assumption. And that’s just kind of something that has to do with the way our system works. It would make sense that you would assume we got a phone call, but whatever providers seeing you when you first come in, we probably haven’t read that transfer note.
We probably don’t know what’s going on with them. And in those patients, it’s okay to lead with their diagnosis. So if you’re bringing someone, especially from one of our outlying facilities, you can lead with the diagnosis. Like this patient has appendicitis, they’re here to see a general surgeon. We don’t have surgery at many of our outlying facilities. So you can lead with the diagnosis. If you lead with the whole backstory of this patient had abdominal pain and they went into the freestanding and they got a CAT scan that kind of just confuses it. I wanna hear what the diagnosis is or what they’re chiefly concerned about. Right? If it’s a dizzy patient coming in from the outlying facility, they probably need a brain mri. They’re worried about stroke or something like that. So you can lead with the chief concern or the chief diagnosis, appendicitis or concern for stroke.
And that immediately tells me, okay, I know what the patient’s here for. And then you can gimme their whole backstory and how long they’ve been having symptoms. And I can listen with the understanding of, okay, this is what we’re working them up for, and then I can pay a lot more attention if I know why they were sent here. And you lead with that information on those patients. We really don’t need a super long report either because I’m gonna have to go look in the computer and I’m gonna read the whole chart of the previous provider. I’m gonna be reading the transfer note, I’m gonna be looking through all their lab work and imaging that was done prior to arrival. And so you don’t have to do a super long story about that because most of our work is gonna be going and seeing what was done and seeing what we need to do and what specialist we need to consult.
That’s the bulk of the work on those patients not really obtaining a thorough history. That process has already kind of been completed. But what I do need to hear on those patients is if there were any changes in route, have their vitals drastically changed? Are they in more significant pain? Are they having new neuro symptoms? Those are things that I really do need to hear because I don’t know what happened between that sending facility and our facility. So definitely include that information. Number nine, the ninth biggest mistake that I see paramedics and EMTs make is passing along their patient bias to the provider. We all see a lot of patients that don’t have real pathology going on, right? The majority of the calls you run, the majority of the patients I see in the ER are not actively dying and are safe to go home.
But when you color the provider’s assessment of the patient, you’re not being a good patient advocate. So if you think that the patient is intoxicated, that’s fine for that to be one of your differentials. But if you don’t really have any solid information that they’ve been drinking, if you don’t smell alcohol on ’em, you didn’t find evidence of it in their house, they didn’t admit to alcohol. We kind of need to make sure this isn’t a stroke. We have a lot of intoxicated patients that come in, but we need to really make sure that that is a likely differential. We should probably check an alcohol level and if it’s normal, we need to broaden our differential and make sure this patient’s not having a stroke or a brain bleed or something crazy like that. And we do see those patients sometimes and our alcoholic patients that come in are super high risk for brain bleeds.
Those guys fall a lot more often and these things do get missed because of patient bias. Confirmation bias is a big problem. So when you give your handoff report, try not to pass off any of those biases to the provider. Even if we try not to pick up on that bias, you are kind of unknowingly coloring our view of that patient. So this all goes into the number 10 biggest mistake that I see paramedics and EMTs make, and that is writing off patients. And like I said before, we all see a lot of patients that are not dying. They’re able to go home safely, and that’s the majority of our patients we see, whether it’s on the ambulance or in the er. And so it’s easy to have that tendency to write people off. Most of our patients are not dying, but in the ER we have a different perspective.
It’s very much in the paramedic culture to kind of assume a patient’s full of BS until proven otherwise. In the er. I’ve had to really make a big shift from paramedicine, and that’s to kind of assume the patient is dying until we prove otherwise. Part of that’s because we have a very litigious society, and if I’m gonna send someone home, I really need to have some objective data to justify why I don’t think they’re dying and whatever their complaint is. As a paramedic, you see a lot of very, very sick patients. You’re seeing patients that are actively dying. You’re seeing cardiac arrest patients. You’re very, very used to seeing these critical patients. And so it’s easy to write off the ones that are stable, vital signs and complaining of chest pain. But I would encourage you not to be super hasty about making that decision because sometimes they do have real problems.
I get a lot of patients in the ER that the crew might have written off his anxiety and that patient actually has a pulmonary embolism or somebody that’s written off as, oh, they’re just complaining of abdominal pain. They’ve complained of this a bunch of times. It’s really not that bad. And they have appendicitis. Sometimes these subtle complaints have real pathology behind them and it’s easy to write them off. We all struggle with that. We all see a ton of patients, but I would just encourage you to not bring that bias with you to the hospital and not pass it on to the provider because we do it to our patients to make sure they’re getting thorough workups for their complaint. Your goal should be to allow the provider, the nurse practitioner, the doctor, to have an objective viewpoint of the patient when they go in to do an assessment.
When we bring in patients from intake to the back, I’m going in with a pretty fresh objective outlook. I’m reading their complaint and I’m going in with a fresh set of eyes and being objective. But if you are kind of passing along that bias to the provider, you are coloring that ability to be objective. And we might miss things as a result. And we could have poor patient outcomes if we’re bringing our bias with us into the patient room. As an ER provider, we really start with the patient is sick until proven otherwise. If a patient is having chest pain, having shortness of breath, I assume that this is something dangerous until I’ve objectively proven that that’s not the case. And sometimes we can prove that with a good physical exam, sometimes we can prove that by looking at their very stable vital signs. It doesn’t always necessarily mean a whole bunch of imaging and lab work.
Sometimes we can objectively rule out the bad stuff with a good physical exam. The other part of that is if you let these patients frustrate you that have non emergent complaints or that you think don’t have something legitimate going on, you will get burned out a lot quicker. The majority of our patients we see are not people that are dying, but that doesn’t mean that they don’t need our help. That doesn’t mean that they don’t need reassurance and that they don’t need a workup or they don’t need to come to the er, you know, will burn out quicker if you just get frustrated by these people rather than kind of seeing it as part of the job. When I was a paramedic, you would run a critical patient and then you would run a whole day of non-critical patients and you would let those patients frustrate you.
Like, why are you calling me for your twisted ankle? Or Why are you calling me for your chest pain when you’re a 21 year old? But we owe it to these patients to give ’em a thorough workup, and if they wanna come to the er, you bring ’em to the er. It’s part of the job is seeing patients that don’t know what an emergency is, proving to them that it’s not an emergency. And still providing good patient care while educating them, educating them is a big part of the job. We see a lot of twisted ankles and stub toes in the er, but sometimes those are fractures. And so we still owe to those patients to work them up and take good care of them. Just because you wouldn’t go to the ER with a sub toe doesn’t mean that someone else doesn’t realize that’s an emergency.
And that’s what a lot of our job is, is educating patients about emergent conditions and proving objectively that it’s not something that’s emergent. And just so that I say it once, all the opinions in this podcast and in this YouTube channel are mine alone. They don’t reflect anyone that I work for or have worked for. They’re solely my opinions and don’t reflect anybody else. If you guys like this or got some value from it, please like, comment, or share. Please tell me what information you guys would like to get from my perspective, what things would help you guys, what things about what we do as providers and a, what stuff frustrates you guys? What stuff can we do to help you guys when we interact with you, what things about our job are you curious about? I really wanna know what education topics you guys think would be beneficial.
And I want to know what you guys wanna know about my job because I do wanna encourage those of you that have even an inkling that you wanna be APA or an advanced practice provider. I wanna encourage you guys to go that route. I really enjoy being an E R P A. I think it’s a super fun job, keeps me very energetic. There’s always something to do. I really enjoy my job. And so I want to encourage those of you that want to do that to go that path. So I wanna find out what information you guys want to know about being an E R P A that I can kind of provide you with. Or maybe you decide not to go that route, but that’s okay too. You know, what information can I give you guys to help you make that decision? Anyway, if you guys took the time to watch this, thank you so much. I’m super new at this, so I appreciate any feedback you guys have for me. I hope you got some value out of this. And yeah, gimme some feedback. Thanks.
Mmm.
All right. Hi guys. My name’s Aaron. I know. Should I be dressed as a paramedic, you think? I mean, I kept the clothes for a reason. I don’t know. Maybe I’ll try as a pa. All right, we’ll try this. This is pa Aaron. I dunno. It still feels kind of weird. I mean, I’m at home, I’m not seeing patients right now. Why do I need to be wearing scrubs? I d it still feels weird.
