Restroom Syncope

Today after shooting at the range with Courtney I picked up Kim Le so we could do some shopping for birthdays coming up. It was decided that Eastridge might be the mall we can find everything we need.

After we arrive I gulped down too much diet coke and needed to use the head before we went into hello kitty store (my gf gets mad at me cause I call it hello kitty instead of Sanrio, but I don't care). As I was walking in, I saw a security guard pop out of a nearby door and enter the restroom side by side with me while holding an AED and medic bag. My thought was WTF? But then I saw some 30 y.o saying "he fell, he fell" WOW talk about timing. Bladder is super full at this point: pee or hold it in? Like the hell I'm going to pass up on helping someone especially when the security guards are just standing around not really doing anything. I then summon on my will power to clamp that sphincter shut and put on my gloves I keep in my pocket.

Elderly man only spoke Vietnamese.... damn- I thought game over, but the guy who was yelling "he's on the floor, he fell" earlier, happened to be Vietnamese, so I get a free translator. After checking his head and neck I determined he was not a trauma and something else was going on. Told security dudes to call fire and AMR and start a response while I do a more thorough history. I also realized at that time I have a freakin former medical translator shopping with me.... *superman song plays in the background* KIM LE to the rescue. She comes into the men's restroom, cape and all and I tell the other dude thanks for his help, but we got it covered.

So the breakdown goes:

Name: Mr. HIPAA, HIPPA y.o male, A&Ox4, history of diabetes, hypertension, heart surgery- possible CABG, had unidentifiable medications in his backpack, no family present, took bus to mall, orthostatic, HR: 100 s/irregular, RR: 18, O2: 93% fluctuating, denied SOB and chest pain but I could tell he had some trouble breathing, did not look well.

He wanted to leave right away, but no way was I going to let him AMA without at least getting a 12 lead EKG and blood glucose by fire and AMR. When they arrive, they say the exact same thing. The AMR paramedic busted out his iPhone and used EpocratesRx to figure out what the drugs were. They were really impressed with my Nonin Pulse ox though!! 12 lead showed he had atrial flutter and possible bundle branch block. He really should go to the hospital and despite all the begging, pleading, and translating he refused because the poor fella was scared and poor. Now that's a sad society where one can't get medical care because they are scared of hospitals and poor....

So he AMAed. I sure hope he didn't end up keeling over and dying, and made it to the bus stop and home safe.

THEN... AHHHHHH... peace and quiet in the restroom as I let the urine flow. Then we were on our way to hello kitty!! I ended up buying a toaster that toasts hello kitty's face onto bread; how awesome is that?