As a part of a series of EMS Oral Histories, Frank Mettlach discusses basic biographical information and a brief description of his life before becoming a paramedic, taking classes and on the job training at various fire stations. Throughout the interview, Frank compares EMS training and methods from the early years to now, and elaborates on contributions of Medical Directors Dr. Pepe and Dr. Persse to the field. Frank’s personal stories and thoughts make up the bulk of the interview and provide insight to the daily experiences of paramedics in Houston. Towards the end Frank talks about the importance of mental health maintenance for EMTs and the emotional strain of the job.