Caution: Hazardous Emotions

Caution: Hazardous Emotions Responders are often exposed to emotionally hazardous situations that result in lasting psychologica

02/06/2023

In this FREE video, David Kessler reveals the basic truths about grief to remember with more love than pain. Our society gives us confusing messages about grief and often tells us that we are not grieving correctly.

"Who ever fights monsters should see to it that in the process he doesn't become a monster"-NietzscheHow about: "People ...
06/19/2022

"Who ever fights monsters should see to it that in the process he doesn't become a monster"
-Nietzsche

How about: "People who deal with traumatic situations should see to it they don't become traumatized" -DCN

The pediatrician in Uvalde… please give him a few moments of your time:"My name is Dr. Roy Guerrero. I am a board certif...
06/08/2022

The pediatrician in Uvalde… please give him a few moments of your time:

"My name is Dr. Roy Guerrero. I am a board certified pediatrician and I was present at Uvalde Memorial Hospital the day of the massacre on May 24th, 2022 at Robb Elementary School. I was called here today as a witness. But I showed up because I am a doctor. Because how many years ago I swore an oath — An oath to do no harm.

After witnessing first hand the carnage in my hometown of Uvalde, to stay silent would have betrayed that oath. Inaction is harm. Passivity is harm. Delay is harm. So here I am. Not to plead, not to beg or to convince you of anything. But to do my job. And hope that by doing so it inspires the members of this House to do theirs.

I have lived in Uvalde my whole life. In fact, I attended Robb Elementary School myself as a kid. As often is the case with us grown ups, we remember a lot of the good and not so much of the bad. So I don’t recall homework or spelling bees, I remember how much I loved going to school and what a joyful time it was.

Back then we were able to run between classrooms with ease to visit our friends. And I remember the way the cafeteria smelled lunchtime on Hamburger Thursdays.

It was right around lunchtime on a Tuesday that a gunman entered the school through the main door without restriction, massacred 19 students and two teachers and changed the way every student at Robb and their families will remember that school, forever.

I doubt they’ll remember the smell of the cafeteria or the laughter ringing in the hallways. Instead they’ll be haunted by the memory of screams and bloodshed, panic and chaos. Police shouting, parents wailing. I know I will never forget what I saw that day.

For me, that day started like any typical Tuesday at our Pediatric clinic - moms calling for coughs, boogers, sports physicals – right before the summer rush. School was out in two days then summer camps would guarantee some grazes and ankle sprains. Injuries that could be patched up and fixed with a Mickey Mouse sticker as a reward.

Then at 12:30 business as usual stopped and with it my heart. A colleague from a San Antonio trauma center texted me a message: 'Why are the pediatric surgeons and anesthesiologists on call for a mass shooting in Uvalde?'

I raced to the hospital to find parents outside yelling children’s names in desperation and sobbing as they begged for any news related to their child. Those mother’s cries I will never get out of my head.

As I entered the chaos of the ER, the first casualty I came across was Miah Cerrillo. She was sitting in the hallway. Her face was still, still clearly in shock, but her whole body was shaking from the adrenaline coursing through it. The white Lilo and Stitch shirt she wore was covered in blood and her shoulder was bleeding from a shrapnel injury.

Sweet Miah. I’ve known her my whole life. As a baby she survived major liver surgeries against all odds. And once again she’s here. As a survivor. Inspiring us with her story today and her bravery.

When I saw Miah sitting there, I remembered having seen her parents outside. So after quickly examining two other patients of mine in the hallway with minor injuries, I raced outside to let them know Miah was alive. I wasn’t ready for their next urgent and desperate question: 'Where's Elena?'

Elena, is Miah’s 8-year-old sister who was also at Robb at the time of the shooting. I had heard from some nurses that there were “two dead children” who had been moved to the surgical area of the hospital. As I made my way there, I prayed that I wouldn’t find her.
I didn’t find Elena, but what I did find was something no prayer will ever relieve.
Two children, whose bodies had been so pulverized by the bullets fired at them, decapitated, whose flesh had been so ripped apart, that the only clue as to their identities was the blood spattered cartoon clothes still clinging to them. Clinging for life and finding none.

I could only hope these two bodies were a tragic exception to the list of survivors. But as I waited there with my fellow Uvalde doctors, nurses, first responders and hospital staff for other casualties we hoped to save, they never arrived. All that remained was the bodies of 17 more children and the two teachers who cared for them, who dedicated their careers to nurturing and respecting the awesome potential of every single one. Just as we doctors do.

I’ll tell you why I became a pediatrician. Because I knew that children were the best patients. They accept the situation as it’s explained to them. You don’t have to coax them into changing their lifestyles in order to get better or plead them to modify their behavior as you do with adults.

No matter how hard you try to help an adult, their path to healing is always determined by how willing they are to take action. Adults are stubborn. We’re resistant to change even when the change will make things better for ourselves. But especially when we think we’re immune to the fallout.

Why else would there have been such little progress made in Congress to stop gun violence?

Innocent children all over the country today are dead because laws and policy allows people to buy weapons before they’re legally even old enough to buy a pack of beer. They are dead because restrictions have been allowed to lapse. They’re dead because there are no rules about where guns are kept. Because no one is paying attention to who is buying them.

The thing I can’t figure out is whether our politicians are failing us out of stubbornness, passivity or both.

I said before that as grown ups we have a convenient habit of remembering the good and forgetting the bad. Never more so than when it comes to our guns. Once the blood is rinsed away from the bodies of our loved ones, and scrubbed off the floors or the schools and supermarkets and churches, the carnage from each scene is erased from our collective conscience and we return once again to nostalgia.

To the rose tinted view of our second amendment as a perfect instrument of American life, no matter how many lives are lost.

I chose to be a pediatrician. I chose to take care of children. Keeping them safe from preventable diseases I can do. Keeping them safe from bacteria and brittle bones I can do. But making sure our children are safe from guns, that’s the job of our politicians and leaders.

In this case, you are the doctors and our country is the patient. We are lying on the operating table, riddled with bullets like the children of Robb Elementary and so many other schools. We are bleeding out and you are not there.

My oath as a doctor means that I signed up to save lives. I do my job. And I guess it turns out that I am here to plead. To beg. To please, please do yours."

- Dr. Roy Guerrero, Pediatrician, Uvalde, TX

Su***de as a line of duty death.
03/12/2022

Su***de as a line of duty death.

02/20/2022

1 + 2 = 0?

We have presumptive legislation where I’m from, meaning if an emergency worker develops PTSD, it’s presumed to be a result of their job.

According to studies in Australia, the UK and Canada, and hearing from hundreds of my peers, a prominent cause of our PTSD is toxic work environments and punitive-centric management. The results of one study in Canada showed that the sense of perceived injustice and sanctuary trauma was a better predictor of long-term disability than the actual trauma itself.

So why is it when one of our peers takes their own life, and it’s known they suffered from PTSD, that an investigation isn’t conducted into the work environment they were in? If a worker died from a physical injury, our Occupation Health and Safety department would investigate to ensure all safety policies were followed. If they were not, the business could be shut down, fines could be implemented, and criminal charges could be laid in some cases. I wish mental health workplace fatalities were viewed the same way as physical workplace fatalities.

I’m currently working on what a potential psychologically healthy work environment policy could look like. I know that many such guidelines already exist, but the ones I’ve read are very ambiguous, unmeasurable and hold no accountability to organizations using them. Employee assistance programs, a weekend resilience training course or a peer support program are tremendous, but those ‘checked boxes’ are not the same as providing a psychologically safe and supportive workplace.

I believe the only real change will come with a government threat of fines, increased insurance rates and potential litigation. It’s already this way with physical work-related fatalities, so why isn’t our mental health equally protected. If an investigation in a mental health-related fatality shows that all the mandatory mental health support systems were in place by the employer, then they’re off the hook. I’m pretty sure most organizations would welcome guidance in the form of a government policy that would help them support the mental health of their employees.

Have a safe weekend, everyone,

DanSun

09/11/2021

(The following is from the Forward of Bearing Witness by Jay Maisel, 2011, Self-Published) All of us were forever marked by the obscenity of that day. Denial, depression, anger, reactive symptoms of death, all took their toll. It wasn’t the focused fury of December 7th, 1941, or the sadness of Nov...

07/29/2021

It's NOT BURNOUT!

07/29/2021

Not burnout!

"Daddy is somebody going to shoot at you today?""Mommy, can daddy get killed at work?""Did you shoot at that guy in the ...
04/17/2021

"Daddy is somebody going to shoot at you today?"

"Mommy, can daddy get killed at work?"

"Did you shoot at that guy in the window mommy?"

Let us consider the emotional after effects of lethal force and the feelings of vulnerability that come somewhat later.

The least helpful thought process is to go down the "what if" road thinking of all the possible things that:
"could of, would of, should of, if only l had. . ."

There are many questions that don't have answers at this time so we must learn to "live with the questions" (Rilke)

I have learned over time how little we truly know about people and how we protect ourselves by making assumptions and by maintaining our bias views.
"Things are never as they appear"
"Things are never as we assume
them to be"
"Believe none of what you hear,
half of what you see,
and repeate nothing."(Gloria)

We are all human.
The job of law enforcement requires going towards the shots, as fire suppression requires going into the fire as EMS requires saving the ill or injured patient. These and other challenging jobs are held by "the doers", people who go towards the crisis. (Grossman)
We are all human.

"At the end of the day"
Lets recognize how emotionaly unsettling these crisis situations are for all those involved: responders, witnesses, family's, in addition to all those who can identify with the perpetrators and victims.

For a variety reasons, there can be situations that are emotionaly hazardous for some people. We are all humans with emotions. No one is excluded from having emotional reactions.

The bottom line is that we all have our work to do to deal with how our emotions influence what we say, what we believe, and how we react towards others.

"Inhale peace,
Exhale love"
"We are all recovering from something"

" . . .protect my mental, emotional and spiritual state."
04/15/2021

" . . .protect my mental, emotional and spiritual state."

Maybe we can do this again in the spring?Understanding our emotions is crucial to maintaining our reactions to things go...
01/10/2021

Maybe we can do this again in the spring?
Understanding our emotions is crucial to maintaining our reactions to things going on around us.

12/21/2020

Moral injury not burnout!

“When you look at a tree in a storm, you see that the top of the tree is very unstable and vulnerable. The wind can brea...
05/25/2020

“When you look at a tree in a storm, you see that the top of the tree is very unstable and vulnerable. The wind can break the smaller branches at any time.

But when you look down at the trunk of the tree, you have a different impression. You see that the tree is very solid and still, and you know that it will be able to withstand the storm.

We are also like a tree. Our head is like the top of the tree during a tempest of a strong emotion, so we have to bring our attention down to the level of our navel.

We begin to practice mindful breathing. We concentrate just on our breathing and on the rise and fall of our abdomen.

It is a very important practice because it helps us to see that, although an emotion may be very strong, it will stay only for a while and then go; it cannot last forever.

If you train yourself to practice like this during difficult times, you will survive these storms.

You have to be aware that your emotion is just an emotion. It comes, stays for some time, and then goes away.

Why should someone die because of an emotion? You are more than your emotions. It is important to remember this.

During a crisis, when you breathe in and out, maintain the awareness that your emotion will go away if you continue to practice. After you have succeeded a few times, you will have confidence in yourself and in the practice.

Let us not get caught by our thoughts and feelings. Let us bring our attention down to our belly and breathe in and out. This storm will go away, so don’t be afraid.”

-Thich Nhat Hanh, Anger

EMS providers stand up to the emotional challenges over and over again, day in and day out.Thank-you for all your sacrif...
05/20/2020

EMS providers stand up to the emotional challenges over and over again,
day in and
day out.

Thank-you for all your sacrifices at work and the resulting hazardous impact it has on your lifestyle and ultimatly to your mental health.

Thank-you for your commitment to the greater good and what ever you do for yourself to keep coming back!

Old tools? New problems?New stressors caused by new problems?New types of crisis situations cause new emotional problems...
04/26/2020

Old tools?
New problems?
New stressors caused by new problems?
New types of crisis situations cause new emotional problems.
New crisis situations have now become emotionally hazardous.
Old stress management tools don't work on these new emotional problems.
New Emotion Focused Intervention tools are the answer to dealing with the emotionally hazardous situations.
Contact me regarding the new tools!
D. Craig Newton MSW LCSW BCD
DCN Consulting Services
(203) 430.6007

DCN Consulting          ServicesDuring these times it may help to talk confidently with someone who has a lot of experie...
04/16/2020

DCN Consulting
Services

During these times it may help to talk confidently with someone who has a lot of experience with
Crisis Stress
and who has the clinical skills to facilitate your ability to deal with any of your concerns.

40+ years
experience
with
stressful
crisis
situations,
facilitating
group
interventions
and
training.

Also providing
assistance to individuals and couples
during their
recovery process.

Managment
Consultation

Specialty:
emergency
responders

Addiction Counseling

Call or Text:
(203) 430-6007
to set up a
Consultation.

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"Pandemic Brain"          CAUTIONWhen alarm bell  sounds brain filled  to capacity:        Do not overfill
04/04/2020

"Pandemic Brain"
CAUTION
When alarm bell sounds brain filled to capacity:
Do not overfill

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