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The Effects Of The Suck It Up Culture (PTSD in EMT) | Anthony Guerne | TEDxAdelphiUniversity


suck it up get over it that’s what we

were always told we were never allowed

to have emotion as she mentioned I am a

paramedic have been for 24 years I

joined the volunteer fire department

when I was 19 years old not doing that

math for you but very my entire adult

life I’ve been doing this I’ve been

watching and seeing people and their

worst suck it up get over it you have to

get back out there man up is what we

keep n told well I’m here to tell you

that I have post-traumatic stress

disorder for a while that was something

I hid I was afraid of I didn’t want

anybody to know about what I embraced it

finally it took a few things so my story

is what I’m here to tell you today but

I’m here to tell you is suck it up and

get over it doesn’t work in fact it

makes it a lot worse a lot worse see

some of the problems that we have

post-traumatic stress disorders become

out the forefront the military our

returning veterans have really brought

it out and made it more prevalent in

society people able to talk about it if

our heroes of the people who were those

strongest in the bravest of this country

could suffer from this debilitating

disease and yes it is a debilitating

disease you’ll hear about that in a

moment if they can do it and what about

the average paramedic now I’m not about

to sit up here and tell you that I have

experienced anything like combat

whatsoever however the trauma on a

day-to-day basis the tragedy a

day-to-day basis so EMS has always been

the little brother of the police

department in the fire department

we’ve never had the respect or any kind

of the rights that all the other ones

have gotten they don’t even get our

title right anytime you hear anybody say

police officers firefighters and

emergency workers can you get my title

right

now or the dreaded even worse ambulance

driver that one I love yes I Drive an

ambulance now and again but it doesn’t

define who I am and what my education

shows it doesn’t define it so when I

think ambulance driver I still think

that the public still thanks to this day

that we all have white coats white pants

we drive souped-up Cadillac ambulances

we run as fast as we can we scoop up the

patient we bring to the hospital that’s

not the way this besides can you see me

in white pants that right off the bat

would make me just find another career

but I never got into this for a Calise I

didn’t I didn’t get into this to to be

on the level of the police officers to

be on the level of the firefighter I

wanted to do what I wanted to do I

wanted to make a difference in people’s

lives I wanted to go to work every

single day and save a life now no you

don’t save a life every single day but

you can make a difference every single

day but along with that difference along

with that wonder along with the good

jobs comes a lot of the bad ones and I’m

also here to tell you that it isn’t the

big things that make us worse the 911s

the Oklahoma City bombings the Parkland

shootings those are terrible incidents

tragic absolutely tragic and will

devastate a practitioner devastate a

provider devastate police officer fire

fire anybody was involved but it’s the

little things the day-to-day stuff every

single day going to work the infant the

two-month-old and cardiac arrest that

you know you can’t fix you know your

efforts are futile but you’re trying

like hell anyway the 80 year old the man

who was married for 60 years and he was

in cardiac arrest that you’re on the

floor trying to resuscitate him you look

up and you see his wedding picture from

60 years ago and then you look his

spouse in the face knowing that her

world is about to crumble it’s the

little things

the gunshots the stabbings the mangled

vehicles the constant tragedy every

single day we see people at their worst

and probably one of the worst parts

about our lives and our profession is

our successes our hidden our failures

our very public so I have a good friend

of mine who would tell you suck it up

get over it you know what you signed up

for this was you nobody told you to do

this gun to your head to do this job

suck it up stop playing the victim

because people rely on you people need

you they need you to be you not drop

into the fetal position and suck your

thumb every single time the radio goes

off well I will tell you there are not

many things in this world that I am good

at but I am damn good at this job and no

matter how bad I’ve gotten no matter how

I talk my life has ever gotten I’ve

gotten up on that radio and off and

you’ll get my best and as a matter of

fact I’ve gotten better I’ve gotten more

compassionate I’ve gotten I become a

better provider because I had an

epiphany about 12 years ago I was

working two full-time jobs for those of

you who aren’t familiar with EMS we used

to call EMS earn money sleeping I could

go to a job and go and get a few good

power naps to this day I can sleep

better in a vehicle than I can in my own

bed I could sleep better in a chair but

I was working two full-time jobs I used

to work a day tour in Corona Queens and

then I used to go right to an overnight

in South Jamaica not two very good areas

if you’re familiar with the area when I

was in the middle of a nap it was a

beautiful nap as a matter of fact one of

those really good mouths drying naps and

I got woke up for a hanging and I was

pretty burnt out at the time so I went

and I went to a house and there was a

basement apartment whose gentleman who

was 5 feet 11 inches tall trying to hang

himself off of a six-foot ceiling for

the record that doesn’t work

so in my burnt-out state in my really

poor state my mental condition was so

bad or was so burnt so cajun as we also

like to call it I treated that man like

crap so as I was backing the ambulance

into the ER bay a good friend of mine

Mike Hiro the man I wanted to be the man

everybody wanted to be he was the life

of every single party he went into if

you worked with him it was wonderful it

was the best tour you’ll ever have in

your life he actually had the best

parties backed me in I opened up the

doors

My partner walked that gentleman into

the ER we didn’t even give him the

dignity of a stretcher that’s how bad it

was so my good friend my hero had said

to me what do you got some jerk

screaming for attention tried to hang

himself and I got a verbal kick in the

gut too one of the people who I

respected most in this life looked me in

the face and said Wow turn to walked

away

well I chased him down and said hey hey

hey how about an explanation

there’s exact words to me where Wow all

these years I’ve known you I didn’t know

just how big of an asshole you really

are he turned around he walked away from

me now this is a man I spoke to one to

three times a day depending on the

sports season we would talk all the time

never talk to me he wouldn’t speak to me

we finally got into the truck one day

when I had to work with him and after an

awkward silence I said what happened

what’s the deal what did I do

and he woke me up like I’ve never been

woke up before he said to me Tony do you

have any idea what must have been going

through that man’s head you have any

idea what he must have been thinking

that death was his only relief from his

pain even if it was a cry for help it

didn’t matter death was the only relief

he had and then he told

something I couldn’t believe he told me

how bad his depression is crippling

depression depression that would make

him literally be in bed for a week he

used to get hurt on the job wasn’t hurt

couldn’t get out of bed it was right

that in there that I knew you’d never

know who you’re sitting next to you

never know the demons that they’re

battling and then he punched me in the

face again and he said my friend you’re

hurtin he said you don’t realize it yet

you haven’t accepted it yet but you’re

in trouble you need help you got to get

it soon and it’s funny the way life

works sometimes because I didn’t even

know this because that my other

full-time job all of my friends were

talking to my bosses and telling them

Tony’s in trouble there’s something

wrong he’s not acting right he’s not a

bad bad place so I was forced to take a

vacation and that forced vacation really

woke me up and I actually reconnected

with my hero and we got some therapy for

me I started seeing a therapist and that

fizzled out really bad because I was not

ready to stop sucking it up and getting

over it I didn’t want to talk about it I

even care self-reflection it was who

cares about self-reflection give me a

break

I’m tough I’m a paramedic I have a New

York City paramedic damn it I’m tougher

than this so what happened I fell right

back into the same destructive behaviors

started working more as a matter of fact

I had two full-time jobs and a part-time

job I was working roughly about a

hundred and ten hours a week so this is

what happened I was partying hard and

working harder working hard partying

harder so what if I wasn’t at work I was

at the bar if I wasn’t at the bar I was

at work every once in a while we throw

some golf in there too but now that I

think about it there’s a pretty big bar

involved in golf as well see a pattern I

started drinking pretty heavily and it

started getting worse and worse and I

started getting it to a darker and

darker place but I had an outward

persona that was wonderful I was

I was a happy guy I was my hero I was

putting on a facade but deep down inside

I was terrible I was hurting I was in

pain and then I had a phone call that

changed my life

late one night I received a phone call

from someone than it was an apology it

was an apology for sexually abusing me

now I remembered that but never accepted

it never really went with it didn’t want

to deal with it suck it up get over it

well I went into a deep despair I went

into fear guilt I felt guilty that this

happened to me I had no help no support

didn’t want to talk to any of my friends

about it so guess what happened I

started drinking more so fast forward

about six months until I was in my

darkest place I’m sitting in my man cave

which I’m very proud of by the way in my

man cave highly intoxicated and ready I

took out a bottle of vicodin I poured

the pills in my hand that was it

I was done pain was too much I couldn’t

do it anymore

I knew what that gentleman who tried to

hang himself felt like I knew that the

only relief was to end it and I could

strike lightning my phone rang 11:30 at

night as a good friend of mine he had to

tell me about a story he just heard in

the bar you aren’t gonna believe this

you are never gonna believe what he said

and we sat there and we talked and we

talked and we talked and I laughed and

laughed and laughed and as

laughs I put the vicodin pills back in

the bottle and I lived for another day

and there’s one thing I’ve always

overlooked one thing I’ve never accepted

what they have never really done and

that’s thank him for doing that and he’s

here tonight so thank you he saved my

I lived a little more time and four and

a half months later my four month old

daughter is sleeping two flights up and

she was a great baby unbelievable that

that baby slept from the moment she

walked came home to the moment she

turned about 1 or 2 she actually I keep

saying she suckered us into having the

second because not even one of them will

sleep notice the bags under my eyes and

I was sitting down to my Mickey if again

intoxicated see a pattern and I couldn’t

take it anymore the pain was just too

much and this baby this child who never

woke up who went to sleep at 8 o’clock

and woke up at 9 in the morning never

stirred once I poured those bottles

those pills in my hand and she started

screaming bloody murder I had no idea

what was going on a scaredy ever living

bejesus out of me I’ve been a paramedic

for most of my adult life and when your

children get her Oh all bets are off I

become a blubbering idiot

so I ran upstairs and I grabbed her out

of her crib I started rocking her we sat

on our chair

I started playing John Mayer on my phone

and I look down at her face I said she

she needs me so after that I started to

make a change my wife who has always

been a supporter of mine always listened

to me always been there to help me

laughs help me cry always there to

sometimes just not say anything I needed

to do it for her too

I needed to know that this was gonna be

my chance so I started calling

therapists immediately and for the

record I had already tried three

therapists but guess what luck and habit

the fourth times a charm and we clicked

immediately and she zeroed in

immediately on my childhood because she

said your childhood is the reason that

you’re feeling the way you’re feeling

because of your job your childhood that

trauma is because of everything that

you’ve experienced as it this is what

you have to fix

so after tons and tons of

self-reflection which hurt and it was

terrible and it was awful it was so

painful sometimes I couldn’t speak after

I was done I started to get better

prior to this I had ballooned to 450

pounds I was drinking that gallon of

coffee a day I even started chewing

tobacco I was committing suicide by food

and alcohol well I’m proud to say that

after getting my head straight with my

therapist and my family and friends I’m

five to six times a week it’s actually

become somewhat of an obsession and I

don’t suck it up anymore I know I don’t

do that I don’t let anybody feel that

they have to suck it up I talk to

everybody that will listen in regards to

this it’s okay to not be okay it is okay

to be hurt it is okay to feel emotion it

is okay to cry it’s okay my wife and my

best friend will tell you I cry more

than I probably should but it’s okay

I’ve lost a lot of friends to suicide

I’ve lost a lot of friends to drugs and

alcohol and I’ll tell you if one of them

just had a friend

they made a phone call at 11:30 at night

to tell you a funny story maybe it would

work maybe they’d still be here if they

had a four-month-old that screamed at

just the right time maybe they would be

better maybe they wouldn’t be fighting

the demons that they’re still fighting

suck it up doesn’t work if you are in

this field if you know somebody keep an

eye on things

make a phone call send a text message

just check in sometimes the littlest

things and make the biggest of

difference that’s all I’m asking for I

won’t give up I won’t stop my wife knows

that in the middle of the night of three

o’clock in the morning my phone rings

it’s somebody that needs to talk or

somebody that needs me I will get in my

car and drive whatever I have to go I

will not let people be alone I will not

let them be the way I was in that man

cave I won’t do it so all I’m asking is

you do the same suck it up doesn’t work

from the bottom of my heart thank you for listening

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