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Cake day: June 9th, 2023

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  • Originally, fire departments only dealt with fires. In the 1960’s and 1970’s it became clear that a rapid response health service would be beneficial. Rather than create a whole new system from scratch, that function was tacked onto the existing fire service by having EMTs and paramedics on staff. And the initial focus was primarily on providing rapid transit: delivering the victim to a hospital as quickly as possible. Response time was the dominant metric used to grade emergency medical providers. It took more decades to fully appreciate that treatments applied at the accident scene or in transit could be as important as, or more important than, response time.

    There’s an argument to be made that fire departments are somewhat obsolete. They spend most of their time dealing with medical and mental health issues, not fighting fires. We would probably benefit as a society by replacing a lot of firefighters with house call nurses to help manage people’s long-term health issues before they become emergencies.














  • I Am A Rock by Simon and Garfunkel

    A winter's day  
    In a deep and dark December
    
    I am alone  
    Gazing from my window to the streets below  
    On a freshly fallen silent shroud of snow
    I am a rock I am an island
    
    I've built walls
    A fortress deep and mighty
    That none may penetrate
    I have no need of friendship, friendship causes pain
    It's laughter and it's loving I disdain
    I am a rock I am an island
    
    Don't talk of love
    Well I've heard the word before
    It's sleeping in my memory
    I won't disturb the slumber of feelings that have died
    If I never loved I never would have cried
    I am a rock I am an island
    
    I have my books
    And my poetry to protect me
    I am shielded in my armor
    Hiding in my room safe within my womb
    I touch no one and no one touches me
    I am a rock I am an island
    
    And a rock feels no pain
    And an island never cries