https://nicholasjorcutt.substack.com/p/im-trained-to-know-when-someone-is/triedRedirect=true
~~ recommended by larrymotuz ~~
Being a paramedic sucks.
The hours suck. The pay is insulting. We get no respect. We are treated like ambulance drivers and expected to just do as we are told. We aren’t treated like medical professionals despite the years of training we have.
Did you know as a paramedic I can show up, start an IV, intubate (Put a breathing tube down your throat), give you a massive number of different medications, interpret an ECG (Which aside from doctors, no one else can do) all while moving at 60 mph?
When it comes to the things I am able to do, the list is actually insane. Here is a skill that I can do that will shock you. I am trained and capable of taking a scalpel to your neck, cutting it open, and putting in a breathing tube.
That’s right, you know that bullshit you see on Chicago fire or 911? Where they use a straw to breathe for someone through their actual throat? I’m trained to do that, except the right way.
Yet people see me as a stretcher jockey.
It comes down to one single thing I can’t do. I cannot diagnose. I can know what is wrong. I can treat what is wrong. I can even fix what is wrong. I just cannot officially tell you what is wrong.
Yes, it is as frustrating as it sounds.
Understand when I go to a call, I have to figure out what the problem is. I don’t have lab work. I don’t have X-rays and CT scanners. The most advanced tech I have is an ECG and a glucometer. Otherwise, it’s just left to me working this shit out like I’m Batman hunting down the Joker.
You can tell me your medications, and I can tell you what you have and depending on the dosage I can tell you the length and severity of it. To get the skillset of a paramedic in Dungeons and Dragons, you’d have to have some skill points in every single category.
Except charisma. We autism hard as a mother fucker.
I bring all of this up because I had a crazy thought the other day. I was watching one of the corporate news stations that had a neurologist on. They were talking about the mental decline they have noticed in Trump. They talked about what they are seeing and what they predict is going to happen.
In fact, every doctor I’ve seen do commentary on Trump has all agreed that there is obvious decline in his mental functions, but that they would like to be able to see CT tests and MRI’s to be able to see what is actually going on.
That was when I realized that I can do something they can’t. That’s right MD, this paramedic is going to do a bit of a flex on you.
See, you aren’t comfortable making a diagnosis without testing. I don’t have to give a diagnosis. I just have to treat what I’m seeing happening. So let’s talk about what I would treat if I had to take care of the Felonious Chunk, The Incontinental Divider, Mango Musalini.
That is how I would take care of him after my partner convinced me that driving the ambulance off a cliff with him in it wouldn’t make the world a better place. He’d be wrong, but I’m not about to mix ashes with that fascist.
Let’s take a look at what Adolf Shitler is presenting like and figure out exactly how to treat the suspected conditions.
Per the White House, Trump is “exceptional health, fully fit, never stops working.” Mind you, this is the same White House that claims that Trump is 6’3” and 220 lbs. It’s like when I Narcan someone and they wake up and say they never used opioids.
Sure bro.
Here is what the White House doesn’t realize they did. They left someone like me breadcrumbs. They don’t realize what they have done by telling the people all the tests and procedures that the Tangerine Twatsicle has undergone.
They also seem to think that he is only on radio, because we can all see him wandering around like a dementia patient at 3 am.
I also want you, the reader, to be able to shut down the MAGA people who need to be slapped in the face with facts before they even start to listen. So let’s start with April in 2025 where Trump’s personal doctor Barbabella stated that Trump was in “excellent cognitive and physical health,” “fully fit,” and specifically that blood flow to his extremities is unimpaired. Perfect 30/30 cognitive test, which Trump brags about.
By July 2025, we could all see the gross swelling of the ankles. Photos at the Club World Cup final show visibly swollen ankles. Makeup visibly covering bruises on his hand. White House is forced to announce a diagnosis. They said he had chronic venous insufficiency. A condition where leg veins can’t push blood back to the heart.
That is, by definition, impaired blood flow in the extremities. You know, the same thing they said wasn’t an issue three months prior.
Then come the MRI’s and CT scans. The same one that Trump said he passed despite it not being a pass-fail test. These are also the same tests that he had no idea where they were taken from.
Most of the doctors who have talked to the news have stated that they believe they have been tracking the mental decomposition of Trump’s brain. They think they are monitoring the obvious growing neurological impairments that Trump keeps displaying.
I’d challenge that. Why? Because fuck them guys.
Trump is suffering from symptoms of chronic heart failure (CHF). That is caused when the heart cannot pump blood through the body without backing up. That is what causes all that swelling and edema. It is why if you could use his ankles like silly putty and capture scenes from Marmaduke in the newspaper with it.
There are a lot of different causes of CHF. More often than not it is caused by BLC, or commonly known as bad life choices. The heart no longer has the strength it needs due to stress, damage, and other circumstances.
It isn’t fatal. It does cause people to not sleep at night well because if they are not sleeping with a c-pap machine then they are sleeping elevated to stop the fluid from backing up into the lungs and causing them to stop breathing.
It also should mean a low sodium diet and a fuck ton of Lasix. That’s a med that takes excessive fluid out of your body. We all know that Trump sustains himself only on McDonalds and bigotry, so we know that he doesn’t comply with the low sodium aspect.
Except that doesn’t explain why he has been getting a CT scan EVERY three months. A significant number of medical professionals are dead set that they are worried about his mental decline, and they are trying to make sure he still has all neurologic functions.
That’s because they eat corn on the cob the long way and put milk in the bowl before cereal.
I think that there is something more dangerous that his medical team is monitoring and tracking. I think that what they are monitoring closely isn’t his mental health. It is the time bomb in his belly.
An abdominal aortic aneurysm (AAA) is what happens when the Aorta (Main blood delivery system to the heart) starts to get a bulge in it. The side wall of the Aorta starts to push outward. It is a serious life-threatening condition.
If a AAA ruptures, which they are prone to do, then unless you are physically on an operating table under bright lights with a skilled surgeon, you can kiss your ass goodbye.
The AAA makes the CHF worse which also explains why he has the pitting edema in every extremity. Edema is what happens when there is a fluid leakage from the blood vessels and the body’s natural drain system (The Lymphatic system) isn’t able to filter out all the excess fluid from the blood.
It causes that ‘sloshy’ looking skin that if you press into, leaves an indent. When you know what you are looking for, you can spot pitting edema across the room just by the socks the person is wearing.
I also want to take a moment and explain something important here. There is obvious mental decline happening with Trump. I told you I was going to approach this like a paramedic, and that means we handle life threats first. The immediate life threat is the AAA and CHF.
That doesn’t mean I’m dismissing the fact that this octogenarian that walks around filling every pair of adult diapers he wears to the point of most likely having to wear rubber pants under his suit, isn’t demented.
In fact, the failing body systems he has actually makes the mental decline both faster and more dangerous.
So let me tell you what I am looking at and concerned about as a paramedic.
If I was in the process of evaluating Trump, I would have to stop almost everything I was doing the moment he started to talk. There is an obvious and distinct pattern in his speech that would correspond to someone who has suffered neurological damage.
There are moments when he starts to ‘doze off’ when there is prominent sloping of his lip. Then when he is awake, he seems to have moments when he starts to trail off and start having a second conversation with people not in the room. There are even times when his words no longer make sense and often, they sound slurred.
As a New Yorker, I know the way we talk. I know the cadence of the New York accent. I know the way it sounds. I know how we pronounce words. I know that ‘huge’ doesn’t start with an H. So, when I say there is something wrong with his speech, that is a mixture of professional knowledge as well as personal experience.
After the shooting of Charlie Kirk, there had been a video released of Trump stating that he blamed the radical left. Almost all people who watched the video noted how it seemed wrong. It crossed the uncanny valley. That level where we know what our eyes are telling us but our brain refuses to accept the truth.
Most people attributed it to a potential AI video. I would have agreed with them at first. It has been debunked by bipartisan experts who state that there is no AI at work. Which is honestly worse than if it had been AI.
If people believed a video was so AI driven because of the movement and mannerisms of Trump only to have it proven that was actually Trump tells us everything. A man who has lived his life being the center of attention in every situation he finds himself in, can no longer be himself.
He had forgotten how to act. He had forgotten how to behave.
That is a sign of neurological damage.
Many people have been quick to call out the signs and symptoms that Trump is displaying as Dementia. A significant number of the experts who have reported this do agree that there are clear and obvious signs of dementia.
There are many factors that put him at high risk for it. There is a strong family history of the disease. His sleep schedule and apparent manic behavior can both be causes and symptoms of dementia.
Now I explained that as a medic, I deal with life threats before I deal with other symptoms. Life threats are what makes a medical emergency become an emergency. Once I fix or slow the life threats, then we are just dealing with medical complications.
It’s important to know that as a medic, dementia isn’t a life threat.
But as an American when our President has it, it absolutely is.
As I see this sorry excuse of a man stumble around and rant and rave about things that have happened or are impossible, the medic in me has alarm bells going off. The White House can deny whatever they want. They can continue to lie and tell us that this 6’3” 220 pound man that doesn’t exist is in perfect health. They can tell us that he has no cognitive impairments.
Just like the heroin addict with the needle still in their arm telling me they didn’t take anything, I don’t need my spidey-sense to tell me they are lying.
It doesn’t take a professional to see a man in decline, but as a professional I can tell you that is exactly what you’re seeing.
-Nicholas J Orcutt
If this piece mattered to you, the next one is already in the works.
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