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June 25, 2016, 3:51 pm

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Canada viagra pharmacies scam roundish.jpgShe was born ten days late.

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Canada viagra pharmacies scam And she has stuttered continually since she was two-and-a-half years old.

Canada viagra pharmacies scam Stuttering, canada viagra pharmacies scam or dysfluency as it is also known, canada viagra pharmacies scam is rare in females. Canada viagra pharmacies scam The ratio of males to females is 4:1. Canada viagra pharmacies scam There is no known causation (although theories abound) and there is no cure.

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Canada viagra pharmacies scam No biggie. Canada viagra pharmacies scam It isn’t unusual for toddlers to go through a period of what appears to be stuttering when they first learn to talk. Canada viagra pharmacies scam It’s harmless. Canada viagra pharmacies scam It’s transient.

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Canada viagra pharmacies scam She still stutters.

Canada viagra pharmacies scam She has lived with taunts and laughter, canada viagra pharmacies scam like when we were on a cruise and she tried to order a hamburger. Canada viagra pharmacies scam The waiters laughed at her and mocked her speech. Canada viagra pharmacies scam When she answers the phone, canada viagra pharmacies scam it sometimes takes her 10-15 seconds to say a single word. Canada viagra pharmacies scam People would hang up thinking there was no one on the line. Canada viagra pharmacies scam She could not say her name without going through facial contortions and repetitive syllables.

Canada viagra pharmacies scam Speaking in front of the class was torture. Canada viagra pharmacies scam And this was in a supportive, canada viagra pharmacies scam Catholic grammar school and high school with kids who had known her since she was five and where ridicule was not tolerated under any circumstances.

Canada viagra pharmacies scam Public school would have eaten her alive.

Canada viagra pharmacies scam When evaluated at the age of seven at the Speech and Learning Center of the Children’s Hospital, canada viagra pharmacies scam Oakland, canada viagra pharmacies scam they asked her to draw a picture of herself.

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Canada viagra pharmacies scam Oh, canada viagra pharmacies scam we did speech therapy, canada viagra pharmacies scam off and on. Canada viagra pharmacies scam Lillian hated it and hard a hard time complying with the exercises. Canada viagra pharmacies scam All speech therapy can do is give you tools to use and she felt even the tools made her talk differently.

Canada viagra pharmacies scam All she wanted was to be able to talk.

Canada viagra pharmacies scam Normally.

Canada viagra pharmacies scam She has used the new earpiece device that gives feedback as you speak (actually works with the developer of the device), canada viagra pharmacies scam which helps with fluency. Canada viagra pharmacies scam It’s better, canada viagra pharmacies scam but not a cure.

Canada viagra pharmacies scam Lillian gave me permission to blog about her experiences with stuttering.

Canada viagra pharmacies scam I wish I could have asked her to “guest blog” how debilitating this was and is for her. Canada viagra pharmacies scam I’m feel I’m not getting across how the inability to communicate normally can be so devastating to a life and a person’s self esteem.

Canada viagra pharmacies scam Like it was when she was seven, canada viagra pharmacies scam externally Lillian seems like she has a charmed life. Canada viagra pharmacies scam She graduated from college (with honors), canada viagra pharmacies scam has never had a dearth of boyfriends (who never seemed to mind the stuttering), canada viagra pharmacies scam and ironically, canada viagra pharmacies scam works as intimately with the public as you can!

Canada viagra pharmacies scam But she never knows if she loses a job interview, canada viagra pharmacies scam if it was her speech that held her back. Canada viagra pharmacies scam If she’ll be fluent or not each time she answers the phone.

Canada viagra pharmacies scam Every time she opens her mouth to speak, canada viagra pharmacies scam she doesn’t know.

Canada viagra pharmacies scam And it hurts.

Canada viagra pharmacies scam Badly.

Canada viagra pharmacies scam Lillian has a speech disability.It’s not visible.She doesn’t need special equipment to walk or move. Canada viagra pharmacies scam Or a disabled placard.

Canada viagra pharmacies scam But it is a disability just the same.

Canada viagra pharmacies scam She says no one really understands how disabiling stuttering is, canada viagra pharmacies scam despite her high-profile job.

Canada viagra pharmacies scam I understand.

Canada viagra pharmacies scam Who knows if she has even experienced discrimination, canada viagra pharmacies scam no one tells you they aren’t hiring you because you stutter. Canada viagra pharmacies scam She could have easily taken a job in a back corner and hidden herself from the world and the need to communicate.

Canada viagra pharmacies scam Instead, canada viagra pharmacies scam she has tackled life head-on and puts herself out in public every day. Canada viagra pharmacies scam Stuggling with what the rest of us take for granted: communication.

Canada viagra pharmacies scam Does that make her a hero?

Canada viagra pharmacies scam You’re damned right.

Canada viagra pharmacies scam People with diabilities do it everyday of their lives.

Canada viagra pharmacies scam She is an inspiration.

Canada viagra pharmacies scam And I am extremely proud of her.

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1:11 pm

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Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 That “specific criteria” usually means one of two things:

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Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 Lack of staff and/or lack of critical care beds are not, thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 for example, thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 criteria for diverting ambulance traffic.

Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 The status of any particular ED is visible on a county-wide monitoring system; a computer resides in each ED.

Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 (You can also signal the county if your CT scanner is down: patients with head injuries and possible strokes will automatically be diverted.)

Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 Some counties have restrictions on how many hours you are allowed to be on divert in a 24 hour period, thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 some have limits on how many consecutive hours are allowed.

Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 Others have no restrictions, thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 but keep track of the different hospitals and evaluate how much time they spend on diversion.

Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 Too much time on diversion is a no-no.

Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 But what exactly does it accomplish?

  • Well, thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 it might keep elderly, thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 altered and septic patients from nursing homes from arriving by ambulance.
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Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 And that is about it.

  • If you are in cardiac arrest, thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 you go to the nearest hospital, thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 period! Diversion means nothing at this point. Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 Even if you don’t have a monitor and have to perform resuscitation in the hallway, thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 that patient is coming and you will find the means to deal with it.
  • If the paramedics are going Code 3 (red lights and siren) they will come to your hospital. Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 You don’t question the medic’s decision – it is their call. Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 And it should be. Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 You must accept Code 3 traffic at all times. Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 It means the patient is critical.
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  • Diversion does not stop:
    • the walk in MIs
    • the patients with pulmonary edema
    • the decompensating asthmatics
    • the suicidal overdoses
    • the trauma patients laying in the back of their friend’s truck
    • the patient with the CVA whose family managed to get them into the car despite the paralysis of their entire left side.

Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 You get the picture. Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 In addition:

  • Patients who have an HMO plan and are transported to non-HMO hospitals because of diversion have to deal with extra paperwork to make sure their hospitalization is covered or have to deal with the extra trauma of being transferred for admission to the hospital that was diverting at the time of their call to EMS.
  • Some hospitals in our area are well known for certain specialties and patients often request facilities for that reason; requests that cannot be accomodated if the facility is on divert.
  • A patient may be diverted to a facility where their regular doctor does not have admitting privledges, thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 especially distressing if the doctor was planning on meeting the patient at their usual hosptial.

Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 Some of my worst shifts have resulted not from ambulance traffic, thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 but by the acuity and number of walk-in patients to the department.

Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 So while it may be psychologically comforting (and it is) to think that you will not be receiving ambulance traffic, thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 diversion can cause distress to patients, thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 put pressure on the medics in the field and you can never really be sure that the Code 3 ring-down isn’t just a second away.

Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 Ambulance diversion just gives the illusion of control, thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 something that you never get in emergency departments.

Thyroid health > levothroid 200mcg (generic) > 60 pills > $125.00 It’s the nature of the beast.

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June 25, 2016, 3:34 pm

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About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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