We have a lady that loves to fake seizures. Over the past 2 1/2 years she averages one 911 call every 2 months. When I first stared to run on her, a sternum rub during her seizure activity would produce a "Hey, that hurts" response from her. After awhile, during her seizure activity, her hands would be clasped across her chest, protecting her sternum, so we would ask a question such as "[Name], are you cold and do you want a blanket?" She would stop her "seizure" and say "No, I'm fine".
Now what caused her to start faking seizures was the fact that she would, sometimes go into real seizure activity. After 10-12 calls of crying wolf, EMTs can get complacent. Some would start with the jokes and such during the response to her 911 call. We would warn people that this might be the real deal, but it always would end up being BS.
Until one day she was found in active seizure and the 911 call was placed. She would come in and out of seizure activity all the way to the ER. The one thing I remember most was during one postictal session, she was responsive enough to say "I'm sorry". We all knew what she meant, that she was sorry for all the "other" times.
Since that day, the calls to her residence have dropped dramatically. We are a volunteer service and respond from our homes. When a call comes in at 0300 for a "cut finger" or "Back pain", I try and remember the above patient. It's hard to always respond with a smile, but we must try and respond with professionalism.
I've been doing this for 10+ years now. I just passed my Intermediate. At 49 years of age, I just wish I had found EMS earlier in life. I envy those that can do this job full time, it takes a special person. I know the pay isn't great, when was the last time you read about the lastest millionaire paramedic? But EMS is like the teaching profession, where would we be without them?
OK, enough of my rant, I got to get back to work! Be safe all!