Life is Grand…. jury

Up until now, every time I’ve gotten notice about possible jury duty, I’ve been passed over. In NY, at least in my county, they have had a fairly sweet setup for decades. In the early days you’d receive a card in the mail with two numbers on it, one was your juror number, the other a phone number. You’d call the phone number on Sunday evening and listen to hear if your juror number was among those being called. For example, if your number was 190, the prerecorded message might be something like, “Jurors numbered 1 through 85 are required to report to the courthouse at 9:00 AM. Jurors 86-150 have to call back Monday night for further instructors. If your number is 151 or higher, your services are not required and you are excused for the next 6 years from jury duty.”

Up until this time, my number was always high enough I never had to report. But this time it was different. It was also for grand jury duty. And, being 2023, this time I could call in or check a webpage. I even received a text message the day of, to remind me to check. Sure enough, I was instructed to report Wednesday morning at 9:00 AM to the county courthouse.

This was the first time I had been inside and it was as I expected, lots of oak woodwork and portraits of judges overlooking the courtroom. And of course, uncomfortable chairs and benches to sit in.

After waiting what seemed like an interminable amount of time things finally started moving. We had to watch a video about implicit bias and how we should try to avoid it. Then the judge came in and gave us instructions. She then asked everyone who thought they met the criteria for excusal to form a line and she’d speak to them. I didn’t meet any of the criteria, and honestly, I was a bit curious about being on a jury, and I feel that it’s an important part of our civic duty to try to serve when called, so I sat, and admittedly fell asleep during this time.

Finally the excusals were done and 23 of the remaining 60-80 folks waited to be selected via lottery. For our grand jury there are 23 members, 16 of which constitutes a quorum and 12 required to move forward on a vote (so a majority if all 23 show up.) I was I think, probably about 18th to be selected.

After one final question regarding anyone being unable to serve and one woman being excused and replaced, we were given final instructions. Among these was the selection of a jury foreperson. Some poor fool volunteered for that role. So now I have to swear in each witness and when it comes time, take the votes on indictments report them to the judge.

A little aside: for those not familiar with what a grand jury and what it does, a little background. When post people think of a jury, they’re thinking of what’s known as a petit (small) jury or a trial jury. In the US, this typically composed of 12 jurors and usually all 12 are required for a verdict. This is what you see on most criminal tv shows and what Perry Mason was always able to (except once) convince of his client’s non-guilt. From talking to friends here in NY, those who have served on such have often served for a case lasting 1-2 days. It’s not a lot of commitment and as I said above, I think it’s a critical part of our duties in our civil system.

A grand jury is a bit different. In this case, only the prosecution is present and the goal is simply to determine if there’s enough evidence to go to trial. For example, a prosecutor might think that John Smith is guilty of robbing a grocery store. Before this can go to trial, the prosecutor has to convince at least 12 jurors (out of the 23) that she has enough evidence that a petit jury would likely find Mr. Smith guilty. Say, the prosecution has a video tape of John going into the grocery store at the time the crime took place, video of him inside the store holding a gun, and then video of him leaving with bags of goods. It’s very likely the grand jury would move forward with an indictment. The case would then go to trial. At the trial the defense can then present their evidence and argument.

But let’s say the prosecutor simply says, “well I know John is a criminal and two days later he deposited $500 dollars in his account, and we think that came from the robbery.” Well the grand jury probably wouldn’t be convinced and vote against moving forward with an indictment.

Also, during a grand jury, the jury can and in fact is expected to ask questions. This may be done to clarify a point or to try to get more information to help us make a more informed decision. And in fact, if we think there should be additional charges, we can recommend those to the prosecutor.

Anyway, back to my grand jury. I can’t speak of any details for a variety of reasons. Among them, simply saying, “Oh yeah, I was on a grand jury looking at if John Smith robbed a store” would be unfair to Mr. Smith. People might stop associating with him even if it’s determined there was no evidence supporting the claim. And of course if I said something during the grand jury proceedings and Mr. Smith IS in fact guilty, he might flee the area to avoid arrest.

All I can say in my case (and the Assistant Attorney General has clearly stated we can say this) is that my service is required 3 days a week, most likely for a minimum of 4 more weeks. In theory I’m supposed to be available until December 30th and if necessary they could even extend that. But, all expectations are that we’ll be done in the 4 weeks.

What I can add is that most if not all of us are taking our responsibilities quite seriously. After the first witness for one case (grand juries may or may not sit for multiple cases) was called, I had some questions I wanted to ask, but didn’t want to be the first person to ask a question. Fortunately someone else was willing to be the first and asked their questions. Then I asked mine. And from then on we were off to the races.

So far, out of the 23 of us, I’d say maybe 6 of us are the most likely to ask questions. The prosecutor has the legal right to deny an answer however, or to reword it. For example if a juror simply wanted to ask “Witness Pimba, what’s your favorite color?” That would be denied. It’s not a fact related to the case.

The prosecutor might reword the question in order to better meet certain legal requirements. “Witness Pimba, can you clarify what the speed limit was in that location?” The prosecutor might turn that into two questions, “Witness Pimba, what is the speed limit in that location and how are you aware of it.” This might be phrased this way in order to introduce into the record that the witness saw the speed limit sign there, or that that’s some statutory reason for their knowledge.

This relates to one of the details I find very interesting and that’s how evidence and testimony is introduced into the record. Sometimes there are a bunch of questions that seem trivial or irrelevant, but are there in order to form the building blocks to a bigger question, to set the foundation as you will. This means if there’s 3 similar charges, say on check fraud, the witness might be asked the same or similar question 3 times, one for each charge. For example, “When you received the check from Stacy Fromme, how did you handle it as evidence?” Since each charge is separate, the question has to be asked for each, otherwise subsequent questions couldn’t be introduced into the record. Even if the same procedure was done every single time, the question has to be asked each time.

Right now we’re in the listening and questioning phase. The only folks allowed in the room are us, the prosecutor, the witness, a translator if necessary, and the court reporter. The judge can be called upon to clarify a particular aspect of a law, but otherwise is not there. Technically there’s no defendant because they haven’t been charged yet. And of course because there’s no defendant, there is no defense lawyer. Even if a janitor walks in by mistake to empty the trash, all proceedings stop. Again the idea is to ensure the confidentiality of the proceedings.

So, for now, 3 days a week, I sit in a closed room listening to testimony and examining evidence. At one or more points, even the prosecutor and court reporter will leave the room and we’ll deliberate and votes on charges.

So, in the meantime, life is Grand… jury.

One Year In

Officially tomorrow, the 17th, will mark one year as an ED Tech for me. Unofficially, that’s not quite accurate. The first week was spent in a lecture hall on the first day, and then 3 of the next 4 days in a classroom learning some basic skills, including some I’ve honestly never used in the ED. The one skill I learned that I have used multiple times since, on Friday a year ago, was CPR.

Since then I’ve marked some milestones, such as 100 hours in, 500 hours in, a big one, getting my Red Badge so I’m allowed to be a lead tech on traumas, and of course 1000 hours, which was important, since that was the minimum required to apply to several of my top choice schools. I’ve at times felt like between my IT job, school, and this I’ve been running as fast as I can. Last week was such an example, over 56 hours in the ED as well as school and other work.

But, that 56 hours allowed me to hit another landmark. I’ve mentioned in the past that technically my job in the ED is only part time. I’m a .6 FTE, i.e. I’m scheduled to work 24 hours a week. That means in a year, I should 1248 hours. A full time job is typically 2080 hours in a year. I’m proud (and tired) to say, I hit the 2080 mark sometime mid-shift on Saturday night. I’ve picked up the extra hours for a number of reasons, but among them, I really am enjoying what I do and really am dedicated to showing the schools I’m applying to that I’m serious about my efforts. That said, I’m not averse to taking a bit of time off in the future. We’ll see. I have several more goals to hit, but this was one I didn’t really expect expect to hit until a few weeks ago when I did the math and realize it was possible.

I should note too that in theory for the first 7 weeks I couldn’t pick up any overtime.

In this year I’ve done and seen so much. I’ve done:

  • EKGs – more than I count, one shift I counted at least a dozen and that wasn’t all that atypical, so I’ve probably easily done several hundred by now
  • Traumas – these have ranged from the guy that came in with what was really not much worse than a nick to the neck (but at the time since the depth was unknown it was called in as a trauma) to stuff that I won’t describe or get into.
  • Sits – these can range from easy to difficult to even violent. I did get a black and blue from one psych patient that forcibly grabbed my arm.
  • Covid Swabs – again, more than I can count and while over the summer it became rare to do them, the number is ticking up again.
  • Intubations – I’ve written about this. It’s an amazing thing to see and I’m still in awe of the whole process
  • Deaths – yes, it’s a sad part of my job. I’ve seen those who have died peacefully and those who have died despite our best efforts. There’s a lot more I mean to write on this subject at some time. But the reality is, if you make it through our doors, you’re probably going to make it.
  • Raced stretchers to the OR – while a very rare thing, occasionally we have to get a patient to the OR as quickly as possible. We had one such event several weeks ago where the assistant nurse manager and I had to move one such patient. She was so busy doing a manual pulse check and then blood pressure on the patient as I was pushing the stretcher I had to warn her more than once when there was an obstacle in the way less she get squeezed between it and the stretcher.
  • Responded to Stroke Pages – among my duties here, besides gathering vitals, is to sit with the patient and nurse while they perform the CT and then getting the patient to their room and getting an EKG. Fortunately, most of the stroke pages turn out to be false alarms, but not always, and even then, if we get them in time, there’s a lot that can be done. As an aside, if you think someone is having a stroke, get help as fast as you can. Time matters.
  • CRP – I’ve lost track of how many times I’ve had to do compressions. I’ve also lost track of how many times I’ve gotten ROSC (return of spontaneous circulation). I did get one just a week or two ago as a matter of fact. Honestly, it’s pretty much the drugs and other efforts, I’m just circulating the blood until they can take effect, but it’s still a great feeling when it happens.
  • Emptied Hampers – yeah, part of the job. I do it pretty much every shift.
  • Restocked IV and linen carts – not fancy, but a necessary part of the job. It sucks to be in the middle of care for a critical patient and have a nurse ask for something, say IV tubing and realizing the cabinet in the room doesn’t have any!
  • Procedures – I’ve helped with a number, including some spinal taps, some suturing and more. Now to be clear, helping is pretty much limited to “hold the patient or this equipment…” but it’s still great to be in the room.
  • Made some great friends – I really love working with the folks I work with.
  • Had some fun along the way – yes, we’ve had our fun moments.
  • And so much more – Honestly, the stuff us techs do is pretty diverse and I’ll be honest, I probably couldn’t list it all (and if I did, I’d bore you more than I already have.)

So, what’s next?

Good question. Right now I’m still waiting to hear from a number of the PA schools I’ve applied to. If I get into any of the ones with a January start date and I decide to attend them, then I’ll probably break the 2300 hour barrier. One I’m interested in has a start date of August of next year, so that would mean breaking the 3000 hour barrier most likely. If I end up going into a second round of applications, I suspect I’ll have 4000 hours of Tech experience under my belt by then.

But until then, I’ll keep plugging.

As always: none of my statements here are endorsed by or reflect the views of my employer, Albany Medical Health Systems.

No CPR Tonight

Tonight there would be no CPR. I know often I promote the virtues of CPR, but it’s not always the answer and tonight was certainly one of those nights.

The overhead monitor was telling the tale. The patient’s blood pressure was currently 64/40 and the cardiac monitor was showing she was basically in asystole with a pulse measured sometimes in single digits per minute, sometimes a bit more. Right now only the drugs and fluids coursing into her were keeping her alive. Attached to her were the pads from the defibrillator.

At least twice the button on the defibrillator would be pushed and her body would jump as her muscles would spasm. She was dying. She had been dying all day. Her blood pressure and pulse had been up and down all day long. her body had been fighting to stay alive and a few hours ago it seemed like it might win the battle. But not now. Now it was just minutes instead of hours.

She had indicated she didn’t want CPR. So we stood there, waiting. For us she was a patient, but for the stranger in the room, she was his mother, she was the grandmother to his kids, the aunt to his cousins and the wife of his father. He watched, silently, a tear forming. The doctor was explaining to him what was happening and how she wasn’t in pain, but without the drugs her body would die in minutes, but meanwhile the drugs could keep her alive a bit longer if the rest of her family was on the way. They were. We left, as there was no more we could do in the meantime, and he needed to be alone with his mother more than he or his mother needed us.

I saw her family file into the room; quietly. I recall my own dad passing. Me sitting there, waiting for his final breath. More than once I thought his body had quit, but one more time he’d draw a breath. Finally he drew his last. I knew they’d watch the same thing.

It’s never an easy thing to have to say goodbye to a loved one. But sometimes you know it’s the right thing. Their body has given up the fight and to prolong it would only be a cruelty and indignity. Yes, perhaps with CPR and the right combination of drugs we could have given her another day, but it would have been a day of unconsciousness and sadness, not a day of joy and happiness, for her or her loved ones. Sometimes we just have to say good-bye. Tonight was such a night. She died surrounded with her loved ones, her ribs and cartilage intact, no bruises for the coroner to see, no sweat falling on her from techs giving her CPR. But she would did surrounded by her loved ones and that was right.

Disclaimer: My views and writings do not reflect those of my employer and in this case especially details have been fictionalized or altered.