Bizarre Calls - yes they are back!!

I have finally got round to rounding up all the tickets and scrappy bits of paper containing the amusing calls I have been collecting for ages and below is my new collection of time wasters and strange requests.

LAS not RSPCA

• My cat has a cough
• My cat is crying and it's keeping me awake
• A bird is trapped in a tree outside my house
• Caller is worried a dog has eaten her cat

Do you REALLY need an ambulance for this let alone admit it even happened?!?!

• 27YOF sudden onset of yawning - Is that not called tiredness??
• 20YOF unable to get her shoe off - How did you manage to get your shoe off for the last 15 years???
• 32YOM eaten mouse droppings. Accidental - were on a pizza - We can't get that flavour from our Dominoes
• 29YOF frozen fish has fallen on her foot - If we're talking a 20lb carp then I actually feel sorry for her but knowing our callers it's actually be a fish finger
• 32YOM hit in head with a frozen tomato
• 19YOM got hair product in his eye whilst out walking in the rain. States he has really sensitive eyes - Hands up if we feel this guy might have been beaten up at school!
• 19YOM Male with blisters all over his penis making his legs sore - Maybe you should be more careful where you stick it in future!

?MH Patient

• 21YOM states he is turning into a rock - Pink seaside rock? Woohoo!! Saves me going to Brighton to get it
• Male states his TV keeps telling him to get lost - Is he actually watching an advert for Sky One?
• Patient stated she had been kidnapped and locked in a cupboard and was unable to get out. Feeling nausea from smell of mothballs
• Drunk sounding polish woman singing Christmas carols to calltaker stating someone has spoilt her Christmas - She totally made mine though - kept us all amused for the rest of the night!!
• Young Male lying in the road dresses as Captain America

Is your name Lucky?

• Car v Car RTC - Driver wasn't injured from hitting car. Got hit by another vehicle as he got out - That is such a bugger! Luckily he was fine bar a bit of a bump on his side
• 67YOM drank tea with 3 spoons of washing powder instead of sugar - What I want to know is who keeps these 2 items together so they could be mixed up???
• 88YOF accidentally punched in the mouth by her husband while he was dreaming

Miscellaneous but still kind of amusing

• Message from the police regarding a 70YOF involved in an RTC - "Can we have a description of the 70YOF" Reply from us - "She's a female and about 70"
• Caller wanted to know if they'd been an RTC in his area as his wife had gone missing on his bike and he wanted it back - Nice to know he's not in the least bit concerned about his wife!!

Spelling Mistakes and slightly wrong wording

• Lots of shouting and whaling in background - What?! Lots of men with harpoons?
• Unable to arouse patient - I don't think we can help you with that
• Patient going for Agent Radio Pheropy - This could so be a fantastic book character to help kids through treatment

So that's all I have for now. I'll start collecting more and add another entry soon. Speak soon and thanks for checking back here - I know it's been a while. I wasn't sure whether to keep writing but took some good advice from a guy at work and thought better of stopping. Thank you (for all your little chats) - you know who you are.

Promoted!!

Just had to post a quick one to say that I found out today that I have been promoted to Allocator. Woohoo!! Had the interview on Monday and apparently it went quite well and got the phonecall today!!

So instead of Beaker the EMD Grade 2, I am now Beaker the Allocator!! Yeah me - and everyone else who got it.

Will update photo with new epaulettes when I get them!!

Impending Sense of Doom

I've been meaning to write about this call for ages but there always seemed to be something else to do and it got pushed to one side. Now that I've started blogging properly again I thought it was about time to pull it out of the "pending" file and share it with you. I really think it's a quite extraordinary call.

A few months ago (I believe it was around October), I was doing overtime and I was down on the 9's. I'd forgotten how much I enjoy it down there and after I'd got back into the swing of things was having a great day. I get the all too familiar ping in my ear and confronted with a guy who sounds a bit embarrassed (I'll call him Stanley) starts talking. This transcript is not word for word by any stretch of the imagination but it is what actually happened.

Me: What's the problem. Tell me exactly what's happened.
Stanley: I'm really sorry to bother you. I don't really think this is an emergency but I just don't know who else to call.
Here we go I think - a cut finger, man flu - something rubbish that he should really go to the GP about
Me: Can you tell me what's actually happened?
Stanley: It just sounds so stupid. I don't know how to describe it. I'm not in any pain, I've not hurt myself, I'm not ill
Then why are bloody ringing me? Is he going to tell me he's got his privates stuck in something?
Me: Sir. What's actually the problem?
Stanley: I'm sorry. I just feel like something bad is going to happen. I can't explain it. I just have this overwhelming feeling that something is going to happen. It's unbearable and I feel so stupid ringing you. I mean what can you do about it? The only way I can describe it ... well it's ... It's like I have a complete and utter impending sense of doom.
Oh my god! Alarm bells start ringing. I've heard those words before. Somewhere back in training school. That's a rare but valid symptom of a heart attack.
Me: It's not a problem ringing Sir. That's what we're here for. Are you sure you don't have any pain anywhere?
Stanley: No none whatsoever.
Me: Ok I'm going to ask you a few questions and we'll get some help to you.
I type into the Diagnosis Field "Patients states he has an impending sense of doom". That's it. I hope the crew will understand why I've gone for the chest pain card.
Me: Are you breathing normally?
Stanley: Absolutely fine
Me: Are you clammy?
Stanley: Nope not at all
Me: Are you nausea or vomiting?
Stanley: Nope
Me: Have you any history of heart problems?
Stanley: Nope. I'm fit and healthy
Me: Have you taken any medication in the last 12 hours
Stanley: Not so much as a paracetamol. This all sounds so stupid. I'm so sorry for bothering you. It's probably just me being paranoid. I shouldn't be wasting your time.
Me: Sir, you are not wasting my time in the slightest. We've got an ambulance on the way to you at the moment.
Stanley: You know what. Don't worry about it. It's silly for me to have an ambulance when there are people out there who really need them
YOU may really need one I'm thinking. If this is a true symptom then you may be about to have a heart attack!! Of course I don't want to scare the poor chap and have him collapse whilst on the phone
Me: Sir, let the crew just come and check you over. They're not going to force you to hospital but they can give you the once over and then you won't have to worry about anything.
Stanley: I suppose you're right. A quick check over to put my mind at rest. Thank you very much and sorry again for bothering you.

I give the rest of the information we have to give and put the phone down, jotting down the CAD number so I can see what happens next.

What happened next? ... Stanley gets blued into the Cath lab having an MI! I couldn't believe it. I mean I thought maybe he'd get taken in for a thorough check up. I never expected it to be an actual MI. Thank God I took him seriously and ran it through the chest pain card. Thank God it didn't go up to CTA for a ring back. Thank God the crew were there quickly.

It was certainly one of those calls that I won't forget and one that I tell lots of people who want to know the symptoms of a heart attack. As I've put on a previous post, there are some random symptoms for very serious illnesses that don't seem to make any sense. I always thought that one was quite amusing but not anymore. I'm now waiting to diagnose a stroke when a patients only complaint is that they can smell burnt toast!!

Guest writer!

I have a guest writer doing my post for today. This is from one of my colleagues who works for an outer county who we deal with a fair amount. Thought you might enjoy hearing from someone other than me for a change!! So here it is:

When dealing with calls we have to be calm at all times especially on the difficult calls, but the next call my colleague was about to receive was especially difficult for all involved. We had started the shift like any other, grabbing a drink, chatting with each other, and wishing we were all anywhere but at work on a sunny day like today. Everything was as it normally was until a colleague started to look a bit worried whilst taking a call. It takes a lot for them to get worried as well. The call came through on the system as a 1 day old baby with breathing difficulties, the call handler carried on with the questions to get as clearer picture as possible, when everything completely changed as my colleague shouted “The Address… Is a possible arrest”. The call handler was having trouble getting through to the caller after this moment, the caller was too panicked to take in the instructions that were being passed on, the control room was all paying attention to this call, the call ended and my colleague said the paramedics on scene. Luckily the single responder was just around the corner from the address and it took them next to no time to arrive on scene, but just as quickly as the PRU and the crew had arrived on scene they booked mobile on the way to hospital, this had turned out to be a scoop and run job. The hospital had been pre-alerted about this job even before the crews had left scene and it was passed as 1 day old baby, flat toned as well as a lot more information, after this it was just a waiting game to see what the outcome would be. My colleague was especially eager to find out the outcome of this job, continually asking if they had done everything right and should they have done anything different, but for calls like this you do what you can to help everyone involved and follow protocols.

News was passed on to the call handler not long after the crew had cleared from the hospital…………………………………. The baby was alive and kicking, everyone was so glad to hear these words especially the call taker. This is the sort of call that nobody will forget easily.

The 14 1/2 hour shift

On Saturday I worked the longest day ever at HQ. I didn't realise when I got up at 0520 that I wouldn't be return home till 2235. If I had perhaps I wouldn't have stayed up to watch Celebrity Big Brother or called in sick or something but as it was I was blissfully unaware on that long, cold drive into work. Neither was I aware that I wouldn't get a break for 8 1/2 hours. Again, if I had maybe I would have insisted on a break at 1530!! Luckily, the last break I had was for lunch so at least I wasn't wasting away by the end of the night!!

So why did I work the longest shift ever? You may have heard about it on the news or watched it happen live on Sky News. On Saturday there was a protest march headed for the Israeli Embassy and boy were there a lot of angry people in it. Now I have to confess that I know very little about what is happening in Gaza and the Israeli and Palestinian people and for that I apologise. My very very knowledgeable colleague gave me the lowdown of the history and reasons for the conflict during the following shift but I never really fully understood what it was about. All I know is that currently there is lots of fighting going on in the Gaza strip and I'm guessing the Israeli's are involved hence the protest outside the Embassy.

During the latter part of the morning, my OCM came round and reminded me that I was on the manning for ICR that day as Primary Telecoms. The ICR (Incident Control Room) manning is up everyday but it's always a bad sign when someone comes round and "reminds" you that you're on it. It generally means they have knowledge of something that might hit the proverbial fan.

So at 1600 I found myself being relieved from allocating, grabbing my map book and resource file and heading out into ICR a little oblivious as to why I was there. Now I've been in ICR before - I think I wrote about it (possibly on the old blog that has sadly disappeared forever into the Internet Cemetery taking all my posts with it) Last time I went in was for 2 buses that had crashed and I was Tertiary Telecoms which basically meant I was the dogsbody.

This time however, as Primary I was what we call First Wave. When an incident happens, first wave (Incident Controller, Radio Operator and Primary Telecoms) are sent out to set up the room and make the first arrangements. You log into the computers, set up the 2 radio systems - our Managers now use a system of radios call Airwave when running incidents and events, get the TVs onto the news channels, set up the big screens that show the log of the call, sort out the TFL cameras (The CCTV cameras run by Transport for London) so that we can see the incident in real time - all that sort of thing. The Radio Operators job is self explanatory. The main job of the Primary telecoms is to contact the nominated hospitals and advise them to go on Major Incident Standby or activate their Major Incident plan and find out how many patients they can each take in each category (Priority1, Priority2 and Priority3 - P1 being the most serious, P2 serious but not life threatening and P3 the walking wounded)

If the incident remains fairly small we leave it to the 3 people. If it gets slightly bigger then we bring in second wave which adds a Status Board Operator and Secondary telecoms. The status board is filled in with all the Officers on scene, the ambulance call signs, the times they get there, the nominated hospitals and how many patients we have sent to each etc. Secondary Telecoms deals with the outer county ambulance services and other services as and when required - police, LFB, PTS, St Johns, red Cross etc.

In this case, as we didn't have really have any patients, my role was a little defunct so I actually became a scribe for the RT op. She spoke to the officers on scene and I typed everything up onto the log. This meant she could concentrate on that without having to try and type at the speed of - something I'm a little better at! I can say that coz the RT op was actually my partner!!

And so I spent the rest of my afternoon dealing with the incident. At times, we really thought it was going to kick off big time. The crowd outside the embassy was at about 5000 and they broke through the barriers, using them as missiles towards the police. They were also throwing fireworks and burning flags which was all very worrying. We were asked at around 1800 if we would mind staying and getting it as overtime. Our manager, who both my partner and I like and very much respect, was staying and so we all ended up saying we would join him. He has gone out of his way on many occasions to help us and so it felt like we were, in some small way, repaying the favour. If I'm completely honest I was actually really enjoying it out there and it's always nice to see something like this through to the end.

Nothing really happened in the end and after only a handful of patients, the Police slowly closed in around the group dispersing those that weren't causing too much trouble and arresting those that were! At about 2115 the incident was stood down and we had a quick debrief on how things had gone - or as we call it a hot debrief.

There were 2 things that happened afterwards that really impressed me. The first was the Officer in ICR with us acting as Gold (the main man in charge). Towards the end of the incident we mentioned that we were hungry and without any hesitation he handed me a credit card and told me to order pizza for everyone. This was very much appreciated by everyone especially me who doesn't have a takeaway pizza shop near home!

The second happened the next morning when we were all called to a meeting with the AOM. We presumed this was going to be a proper debrief but when we got there it was simply to say Thank You. We were all given a letter of thanks that was also put in our files. It said "...the commitment from staff was admirable knowing it was likely to extend beyond their core shift hours. The team worked on providing the command team with the support and continuity necessary at a time of civil unrest. I would like to thank you for your display of professionalism and dedication ...". It was a small gesture but I know that we were all very impressed and thankful for it. It's not often you get recognised for the work you do, not that we do it for thanks, but too many managers I think sometimes take us for granted. For once I actually feel appreciated for the work I do.

Happy Christmas!

Christmas officially starts today for us - we have to fit in 4 families so have to start early!! Therefore I will not be able to post again until it's all over! We don't have a huge amount of space in our living room so the computer sits on the dining room table which now needs to be covered with food!! So before I pack up shop for "family time", I thought I should take this opportunity to wish you all a very happy Christmas and may 2009 bring you all good health and happiness.

For those of you who celebrate other festivals I wish you Happy Hanukkah, Blessed Yule, Happy Tohji-taisai, Happy Kwanzaa and Happy New Year!!

Please continue voting - it's open till 15th January. I'm currently at No. 10 so would love to climb higher!! http://www.wellsphere.com/voteBlogger.s?bloggerId=99572
You just have to enter an email address and password but that's all it asks you to do!! Thanking you in advance.

Lots of Love
Beaker
xx

So what can I call an ambulance for?

Original posted 19/12/08. Edited 20/12/08
In this time of too many calls and not enough ambulances I thought I'd try and give you an idea of the main things we look at. This isn't the shortcut to a quick ambulance. These are the 4 areas that could cost you your life and hence have the most effect on our triage system.

Chest Pain
You have probably all so seen the big billboard campaign of the man with the belt around his chest!! This was designed to help reduce cardiac related deaths by telling people to get early intervention. Yes it may be indigestion. Yes it may be a pulled muscle. Yes you may be having a heart attack. Call us.
Some of the symptoms of a heart attack are:
Aching Pain
Chest Pain that has now gone
Constricting Band
Crushing Discomfort
Pain in jaw, neck or upper back
Clammy
Nausea and/or vomiting
Impending sense of doom

Difficulty Breathing
Asthma Attacks, Exacerbation of COPD, Emphysema - all the classic breathing calls.
"It hurts to breathe" does not count as difficulty breathing. A cold which means you are breathing through your mouth is not difficulty breathing. REAL difficulty breathing is very different and you only have to listen to it once to realise. Difficulty speaking between breaths or being unable to complete a full sentence are good indicators. Blue lips or a blueish tinge are other signs that not enough oxygen is getting round the body.

Severe Bleeding
When we ask about severe bleeding in trauma we are looking for blood squirting or pumping out - a severed artery in other words. Severe bleeding is a tough one though - certain parts of the body pour blood but it's not necessarily life threatening. Heads for example bleed brilliantly and look a lot worse than they actually are. Tough to say what to call us on but first thing you should do is get a clean dry towel or cloth, apply firm direct pressure and don't lift it up to look. If you do have an injury that makes you bleed give this a shot first before jumping on the phone to us! Rule of thumb - All bleeding always stops!! .... eventually!

Conscious
Real bone of contention this one! Unconscious is one thing - call us! Altered levels of consciousness is a completely different story. The reasons for altered conscious could fill this blog tenfold. Alcohol and narcotics make up a huge amount of these calls. Being simply drunk and calling us is just annoying - being drunk and unconscious is dangerous. And don't get me started on why (or how) people can drink enough to get in that state. People, seriously - enjoy a drink and make your way home to sleep it off in your nice warm bed regretting, but laughing about last nights antics. Don't enjoy a drink, vomit on the street, call an ambulance, abuse the crew, vomit on both the ambulance and the crew, take up a bed in an A&E department and wake up feeling a complete twat and having to sheepishly apologise to the nurses before leaving to finally get home.

Strokes, UTI's, Low blood Sugar and the like can all cause huge changes in a patients alertness and in some way need treating - whether by home care or hospital. Mental Health patients can have altered levels for many different reasons. A bad cold can make you lethargic as can a head trauma.

So when do you call the ambulance? Again it's hard to judge so you just have to apply some common sense. Has anything happened physically to the patient that could have caused it? Has the patient been unwell? Does the patient display any other symptoms? Has the patient taken anything that could have caused it? How different are they behaving from their normal self?

Those are our main 4 areas - the ones we call our priority symptoms. I can't sit here and say if you have this, this and this then call an ambulance. It doesn't work like that. If you are concerned about the patient then look at the other pathways the NHS offers before jumping straight onto 999.

Your GP - when your surgery is closed, ring them anyway and you will hear an answer machine message that will give you the Out of Hours GP number. When you ring them, they will take all your details (much like NHSD) and then a Dr will either call you back or come round and visit.
NHS Direct - you will be able to get help from one of their advisors or a nurse to help find the best solution to your illness or injury including self help care. NHSD will also be able to assit you in finding out where your local services (such as those listed below) actually are as well as their opening times. If in doubt, give them a call. The website especially is incredibly comprehensive and easy to use.

0845 46 47 or http://www.nhsdirect.nhs.uk/

Walk In Centre - like a GP/advice/drop in centre for health care. You don't have to be registered with a Dr and you can get help and treatment there
Minor Injuries - like a mini A&E for the less serious injuries. Most deal with cuts and grazes, sprains and strains, broken bones (fractures), bites and stings (including human bites), infected wounds, minor head injuries, and eye problems, such as minor eye infections, scratches or something that is stuck in your eye. However they are UNABLE to deal with chest pain, respiratory problems, abdominal pain, gynaecological problems, pregnancy problems, drug overdose, alcohol related problems and mental health problems. They are also unable to deal with children under 3.
Local Pharmacist - those lovely people that make up your prescriptions for you are very knowledgeable too and they can help with relief from cold and flu symptoms, diarrhoea and headaches to name a few. Go and have a quick chat with them. You don't generally have to wait more than a few minutes to see them and a lot of them even have their own little consulting rooms for privacy. Again, like NHSD, they can assist you in where local services are and what is the best pathway for your problem (Thanks Steve!!! Forgot them in original post!!)
Make your own way - Do you really need an ambulance to take you? Can you get a bus, taxi or a friend to drive you. Hell can you actually just walk over there? We get far too many calls from people within spitting distance of an A&E department. What is the actually reason you are calling an ambulance - a genuine emergency medical problem or a genuine lack of money and/or effort to make your own way?

To find your local GP, Emergency & Urgent Care Units, Hospitals, Dentists, Pharmacy or Optician then you can click here

* I have edited this post once to include more "alternative pathways". If you think of any more let me know and I can keep adding them!

DEFCON 4

That's it. We are now just one DEFCON* level before the "Potential Service Failure" kicks in!! It is SO busy. And I mean silly busy. I mean dear god people it's a Monday night not millennium eve busy. I mean 200 calls waiting when we started the shift at 1900 busy. I mean where calls are waiting 400 minutes for an ambulance to arrive busy. I mean hospitals diverting because they are full busy. Do you see where I'm going? BUSY!

Monday night was just ridiculous. I'm really not joking about the 200 calls waiting or the 400 minutes - it was that bad. We are simply unable to cope with amount of people requesting an ambulance. We, and the hospitals do not have the capacity to deal with the amount of people that want our attention. We are simply a sinking ship in the middle of the arctic with nothing on the horizon but a setting sun and an icy sea.

You have probably seen all over the news today (yesterday?) that the service is at "breaking point" and not to call us except in a "real emergency". We are not kidding about this. Every word is true. The reason the press have got involved is because on Wednesday night between approx 0100 and 0500 we invoked a plan call called the Extreme Over Capacity Plan.

The EOCP to us means that we are struggling to meet demand and certain things have to be put in place in order to maintain the services patient care. It means we can ensure that the most life threatening calls get an ambulance and receives treatment without waiting for hours on end. It means we are able to be a real "emergency" service.

The EOCP to you means that unless you present with a life threatening or genuinely severe problem, you won't get an ambulance. By this I don't mean that you'll have to wait ages but it'll arrive eventually, I mean our Clinical Advisors will call you up, give you other options such as making your own way, GP, Walk in centre etc and then tell you that you will NOT be receiving an ambulance. Yes it's true!

For 4 hours last night we invoked the NO SEND policy and by god were people smiling! For 4 hours the man flu, the toothaches, the cut fingers and sore eyes had to make other arrangements and we could get on with dealing with actually saving lives. Officially we could tell anyone on a Green call that no ambulance would be sent. Luckily we are not completely colour blind so the stupidly coded calls like #NOF, elderly on the floor, fitting, diabetic etc that can potentially can come out as green were still receiving ambulances but the other stuff were basically told to do what they should have done in the first place!!

This was a very extreme measure for the LAS and it wasn't a decision they took lightly. There are loads of other stages that could have been invoked but weren't. We could have allowed calltakers to tell patients they weren't having an ambulance at the end of the call but we left this up to the clinical advisors which personally I think should always be the case. I think we should leave it up to people with the ability to make a better judgement than us mere mortals. We could have got the outer county services to start pulling in their ambulances to the borders to help us out. I won't tell you what we have permission to do if thing really hit the proverbial fan but luckily we aren't at that stage yet.

So basically all I can say is PLEASE only call us in an emergency and it means that when (although I hope it isn't) you, your mum, your grandad, cousin, friend or lover really need us, we can be there and help save a life. Thank you.

*By DEFCON I actually mean REAP (Resourcing Escalatory Action Plan) of which the service has 5 levels of pressure:
1 - Routine 2 - Concern 3 - Severe Pressure 4 - Critical 5 - Potential Service Failure

Health Blogger Awards

Hiya

As you can see on my sidebar, there is a new box from Wellsphere. I have been entered into the Healthblogger Awards and need your votes. If you read my blog and enjoy it and want to help me become one of the top 10 health bloggers then simply click on the vote for Beaker button on the right hand side.

All votes will be warmly appreciated!!

Thank you in advance. I'm currently on nights but will be posting a new entry very soon about a different area of the ambulance service that I had the pleasure of working in for a few hours last night!! PTS - Patient Transport Services!

The joys of Christmas

When it comes to my personal life, I LOVE this time of year!

Christmas with children is especially great. We have a 5 year old and we've been spending hours explaining that Santa is magic and yes he will still be able to leave her presents, despite us having a gas fire and therefore no chimney. We have even bought a special key so that he can get in.

We have text Santa to explain that although she would like her presents very much as she has been so good, could he please leave them outside the room as she doesn't want a strange man wandering in there in the middle of the night.

I have explained that baby Jesus was in fact born in Bethlehem and not Bethanyhem as she insists on singing.

I have explained that even though she has 2 advent calenders, she can in fact only open one before Breakfast.

We have made paper chains - well I have anyway as she got bored within about 3 minutes and now my tongue is sore from licking the ends of hundreds of pieces of coloured paper.

We have made snowflakes that look like squares as children's safety scissors won't cut through 16 layers of paper!

This is the first year where she was able to write her letter to Santa herself - I reproduce it here for you:
dear father christmas
this year I hav bin a good gerl. I hav started rainbows wiv my fends it is fun. Please may I hav a new babee doll.
Love xxxxxx

We are off to buy our Christmas tree at the weekend as it is the last weekend we all have together before the 21st and that's far to late to put up decorations! We have rearranged the living room for the tree and despite saying we'll only get a small one, I'm sure we'll go overboard and end up having to lob the top off it and giving it a trim around the edges as we force it between the door and the sofa. We have arranged to see all the family which means we are having 4 Christmas'. We have more presents than we know what to do with because "I just saw it and couldn't resist" as become part of the daily repertoire. So you see I love December and everything about it ...

So could you all please stop ringing me at work and ruining my festive season with your paper cuts from putting Christmas cards in envelopes, your assaults from fighting in Toys R Us over the last Ben 10 action figure, your drunken falls from putting more brandy in your glass than in your Christmas pudding, your kids vomiting because they snuck down early one morning and devoured all the chocolate from not only their own advent calender but their 5 brothers and sisters as well and most of all ... STOP CALLING ME WITH YOUR MAN FLU!!!

Happy Advent everyone!