April, 2006 Archive

September 25, 2016, 3:51 pm

Aldactone 20mg Pills $70.00

Aldactone 20mg pills $70.00 roundish.jpgShe was born ten days late.

Aldactone 20mg pills $70.00 Nearly two feet long and almost nine pounds.

Aldactone 20mg pills $70.00 In retrospect, aldactone 20mg pills $70.00 I’m sorta glad she was a C-section!

Aldactone 20mg pills $70.00 And she was perfect.

Aldactone 20mg pills $70.00 Except that she looked like an orangutan, aldactone 20mg pills $70.00 according to her grandmother.

Aldactone 20mg pills $70.00 Her soft blond hair stood straight up until she was eleven months old.

Aldactone 20mg pills $70.00 Good thing afros were the style back then, aldactone 20mg pills $70.00 because I think she was the only white baby I’ve ever seen with one.

Aldactone 20mg pills $70.00 She walked at nine months.

Aldactone 20mg pills $70.00 She could point out the individual Bee Gees by name at 18 months (hey, aldactone 20mg pills $70.00 I have my parental priorities!).

Aldactone 20mg pills $70.00 Healthy, aldactone 20mg pills $70.00 beautiful (don’t believe what her grandmother said) and the smartest baby in the world. Aldactone 20mg pills $70.00 Not that I was partial or anything.

Aldactone 20mg pills $70.00 My daughter, aldactone 20mg pills $70.00 Lillian, aldactone 20mg pills $70.00 is now 25 years old.My regular readers will remember her as the child who presented me with my dermoid cyst grandchildren, aldactone 20mg pills $70.00 Barry and Bridget a few months ago.She is tall, aldactone 20mg pills $70.00 blond, aldactone 20mg pills $70.00 model-thin and gorgeous (I’m still not biased, aldactone 20mg pills $70.00 as you can see.) She works in public relations for the city of Portland, aldactone 20mg pills $70.00 Oregon.

Aldactone 20mg pills $70.00 She works with the public everyday, aldactone 20mg pills $70.00 talking on the telephone, aldactone 20mg pills $70.00 greeting office visitors, aldactone 20mg pills $70.00 arranging sales, aldactone 20mg pills $70.00 working with her managers.

Aldactone 20mg pills $70.00 She even interviewed for a job that would mean coordinating conventions and meetings for the city, aldactone 20mg pills $70.00 providing even more opportunities for working with the public.

Aldactone 20mg pills $70.00 And she has stuttered continually since she was two-and-a-half years old.

Aldactone 20mg pills $70.00 Stuttering, aldactone 20mg pills $70.00 or dysfluency as it is also known, aldactone 20mg pills $70.00 is rare in females. Aldactone 20mg pills $70.00 The ratio of males to females is 4:1. Aldactone 20mg pills $70.00 There is no known causation (although theories abound) and there is no cure.

Aldactone 20mg pills $70.00 Water.That was the first word.When Lillian would say it, aldactone 20mg pills $70.00 it came out as “wa-wa-water”.

Aldactone 20mg pills $70.00 No biggie. Aldactone 20mg pills $70.00 It isn’t unusual for toddlers to go through a period of what appears to be stuttering when they first learn to talk. Aldactone 20mg pills $70.00 It’s harmless. Aldactone 20mg pills $70.00 It’s transient.

Aldactone 20mg pills $70.00 For Lillian, aldactone 20mg pills $70.00 it never stopped.

Aldactone 20mg pills $70.00 “Oh, aldactone 20mg pills $70.00 she’ll grow out of it”, aldactone 20mg pills $70.00 her pediatrician told me. Aldactone 20mg pills $70.00 Visit after visit. Aldactone 20mg pills $70.00 Year after year. Aldactone 20mg pills $70.00 “She’ll grow out of it.” Grandparents expressed concern. Aldactone 20mg pills $70.00 Aunts and uncles expressed concern. Aldactone 20mg pills $70.00 “Oh, aldactone 20mg pills $70.00 she’ll grow out of it, aldactone 20mg pills $70.00 that’s what the doctor said!”, aldactone 20mg pills $70.00 I reassured them.

Aldactone 20mg pills $70.00 She still stutters.

Aldactone 20mg pills $70.00 She has lived with taunts and laughter, aldactone 20mg pills $70.00 like when we were on a cruise and she tried to order a hamburger. Aldactone 20mg pills $70.00 The waiters laughed at her and mocked her speech. Aldactone 20mg pills $70.00 When she answers the phone, aldactone 20mg pills $70.00 it sometimes takes her 10-15 seconds to say a single word. Aldactone 20mg pills $70.00 People would hang up thinking there was no one on the line. Aldactone 20mg pills $70.00 She could not say her name without going through facial contortions and repetitive syllables.

Aldactone 20mg pills $70.00 Speaking in front of the class was torture. Aldactone 20mg pills $70.00 And this was in a supportive, aldactone 20mg pills $70.00 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.

Aldactone 20mg pills $70.00 Public school would have eaten her alive.

Aldactone 20mg pills $70.00 When evaluated at the age of seven at the Speech and Learning Center of the Children’s Hospital, aldactone 20mg pills $70.00 Oakland, aldactone 20mg pills $70.00 they asked her to draw a picture of herself.

Aldactone 20mg pills $70.00 She drew a crying clown. Aldactone 20mg pills $70.00 At the age of seven her self image was already taking the brunt of the stuttering backlash.

Aldactone 20mg pills $70.00 Oh, aldactone 20mg pills $70.00 we did speech therapy, aldactone 20mg pills $70.00 off and on. Aldactone 20mg pills $70.00 Lillian hated it and hard a hard time complying with the exercises. Aldactone 20mg pills $70.00 All speech therapy can do is give you tools to use and she felt even the tools made her talk differently.

Aldactone 20mg pills $70.00 All she wanted was to be able to talk.

Aldactone 20mg pills $70.00 Normally.

Aldactone 20mg pills $70.00 She has used the new earpiece device that gives feedback as you speak (actually works with the developer of the device), aldactone 20mg pills $70.00 which helps with fluency. Aldactone 20mg pills $70.00 It’s better, aldactone 20mg pills $70.00 but not a cure.

Aldactone 20mg pills $70.00 Lillian gave me permission to blog about her experiences with stuttering.

Aldactone 20mg pills $70.00 I wish I could have asked her to “guest blog” how debilitating this was and is for her. Aldactone 20mg pills $70.00 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.

Aldactone 20mg pills $70.00 Like it was when she was seven, aldactone 20mg pills $70.00 externally Lillian seems like she has a charmed life. Aldactone 20mg pills $70.00 She graduated from college (with honors), aldactone 20mg pills $70.00 has never had a dearth of boyfriends (who never seemed to mind the stuttering), aldactone 20mg pills $70.00 and ironically, aldactone 20mg pills $70.00 works as intimately with the public as you can!

Aldactone 20mg pills $70.00 But she never knows if she loses a job interview, aldactone 20mg pills $70.00 if it was her speech that held her back. Aldactone 20mg pills $70.00 If she’ll be fluent or not each time she answers the phone.

Aldactone 20mg pills $70.00 Every time she opens her mouth to speak, aldactone 20mg pills $70.00 she doesn’t know.

Aldactone 20mg pills $70.00 And it hurts.

Aldactone 20mg pills $70.00 Badly.

Aldactone 20mg pills $70.00 Lillian has a speech disability.It’s not visible.She doesn’t need special equipment to walk or move. Aldactone 20mg pills $70.00 Or a disabled placard.

Aldactone 20mg pills $70.00 But it is a disability just the same.

Aldactone 20mg pills $70.00 She says no one really understands how disabiling stuttering is, aldactone 20mg pills $70.00 despite her high-profile job.

Aldactone 20mg pills $70.00 I understand.

Aldactone 20mg pills $70.00 Who knows if she has even experienced discrimination, aldactone 20mg pills $70.00 no one tells you they aren’t hiring you because you stutter. Aldactone 20mg pills $70.00 She could have easily taken a job in a back corner and hidden herself from the world and the need to communicate.

Aldactone 20mg pills $70.00 Instead, aldactone 20mg pills $70.00 she has tackled life head-on and puts herself out in public every day. Aldactone 20mg pills $70.00 Stuggling with what the rest of us take for granted: communication.

Aldactone 20mg pills $70.00 Does that make her a hero?

Aldactone 20mg pills $70.00 You’re damned right.

Aldactone 20mg pills $70.00 People with diabilities do it everyday of their lives.

Aldactone 20mg pills $70.00 She is an inspiration.

Aldactone 20mg pills $70.00 And I am extremely proud of her.

Average Rating: 5 out of 5 based on 215 user reviews.

Read »

1:11 pm

Indocin 50mg Pills $133.00

chest x-ray

Avapro 150mg pills $83.00 “Oh yes, avapro 150mg pills $83.00 doctor. Avapro 150mg pills $83.00 That is so much better! You see, avapro 150mg pills $83.00 Billy is so ugly that we couldn’t possibly have put a picture of his face in the yearbook! This picture of his ribcage is much more appealing! Thank you so much!”

Avapro 150mg pills $83.00 Billy: “Yeah, avapro 150mg pills $83.00 wait until the guys get a load of my widened mediastinum! That’ll show them!”

Avapro 150mg pills $83.00 It looks like they had three-dimensional chest x-rays back then!

Avapro 150mg pills $83.00 If x-rays were that good, avapro 150mg pills $83.00 even I, avapro 150mg pills $83.00 one of the radiologically challenged, avapro 150mg pills $83.00 would be able to read them!

Avapro 150mg pills $83.00 Trust me, avapro 150mg pills $83.00 if I can see something wrong on your x-ray, avapro 150mg pills $83.00 you are really sick!


Ambulance diversion.Does it really help emergency department overload?

Avapro 150mg pills $83.00 In the counties I have worked, avapro 150mg pills $83.00 the emergency departments are allowed to go on “ambulance diversion” status.

Avapro 150mg pills $83.00 This means that anytime the ED cannot safely handle any additional patients, avapro 150mg pills $83.00 based on specific criteria, avapro 150mg pills $83.00 they are able to divert ambulance traffic to other area hospitals.

Avapro 150mg pills $83.00 That “specific criteria” usually means one of two things:

  • You have no monitoring capabilities as you have every monitor tied up with a patient who requires it.
  • You ED has maxed out its resources and cannot safely handle another patient. Avapro 150mg pills $83.00 For example, avapro 150mg pills $83.00 your ED has monitors available, avapro 150mg pills $83.00 but you have three critical patients in cardiogenic shock and all available staff are required to care for these patients until they can be transferred to the unit.

Avapro 150mg pills $83.00 Lack of staff and/or lack of critical care beds are not, avapro 150mg pills $83.00 for example, avapro 150mg pills $83.00 criteria for diverting ambulance traffic.

Avapro 150mg pills $83.00 The status of any particular ED is visible on a county-wide monitoring system; a computer resides in each ED.

Avapro 150mg pills $83.00 (You can also signal the county if your CT scanner is down: patients with head injuries and possible strokes will automatically be diverted.)

Avapro 150mg pills $83.00 Some counties have restrictions on how many hours you are allowed to be on divert in a 24 hour period, avapro 150mg pills $83.00 some have limits on how many consecutive hours are allowed.

Avapro 150mg pills $83.00 Others have no restrictions, avapro 150mg pills $83.00 but keep track of the different hospitals and evaluate how much time they spend on diversion.

Avapro 150mg pills $83.00 Too much time on diversion is a no-no.

Avapro 150mg pills $83.00 But what exactly does it accomplish?

  • Well, avapro 150mg pills $83.00 it might keep elderly, avapro 150mg pills $83.00 altered and septic patients from nursing homes from arriving by ambulance.
  • It will keep the ambulance-for-the-stubbed-toe folks from arriving.

Avapro 150mg pills $83.00 And that is about it.

  • If you are in cardiac arrest, avapro 150mg pills $83.00 you go to the nearest hospital, avapro 150mg pills $83.00 period! Diversion means nothing at this point. Avapro 150mg pills $83.00 Even if you don’t have a monitor and have to perform resuscitation in the hallway, avapro 150mg pills $83.00 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. Avapro 150mg pills $83.00 You don’t question the medic’s decision – it is their call. Avapro 150mg pills $83.00 And it should be. Avapro 150mg pills $83.00 You must accept Code 3 traffic at all times. Avapro 150mg pills $83.00 It means the patient is critical.
  • On both sides of the San Francisco Bay, avapro 150mg pills $83.00 there are hospitals 5-15 minutes apart all down the highways. Avapro 150mg pills $83.00 If two hospitals in a row are on diversion, avapro 150mg pills $83.00 then neither of them are on diversion, avapro 150mg pills $83.00 because it would mean passing up two hospitals for care.
  • 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.

Avapro 150mg pills $83.00 You get the picture. Avapro 150mg pills $83.00 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, avapro 150mg pills $83.00 especially distressing if the doctor was planning on meeting the patient at their usual hosptial.

Avapro 150mg pills $83.00 Some of my worst shifts have resulted not from ambulance traffic, avapro 150mg pills $83.00 but by the acuity and number of walk-in patients to the department.

Avapro 150mg pills $83.00 So while it may be psychologically comforting (and it is) to think that you will not be receiving ambulance traffic, avapro 150mg pills $83.00 diversion can cause distress to patients, avapro 150mg pills $83.00 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.

Avapro 150mg pills $83.00 Ambulance diversion just gives the illusion of control, avapro 150mg pills $83.00 something that you never get in emergency departments.

Avapro 150mg pills $83.00 It’s the nature of the beast.

Average Rating: 4.6 out of 5 based on 238 user reviews.

Read »

September 25, 2016, 3:34 pm

Crestor 20mg Pills $140.00

Hytrin 2mg capsules $133.00 jitcrunch.aspx.jpg

Hytrin 2mg capsules $133.00 Imagine

Hytrin 2mg capsules $133.00 A national spokesperson for the nursing profession, hytrin 2mg capsules $133.00to be created by the United States Congress.

Hytrin 2mg capsules $133.00 A Registered Nurse in an offical government position to represent nursing to the public, hytrin 2mg capsules $133.00 deliver weekly speeches promoting health education and the nursing perspective while focusing national attention on the nursing profession.

Hytrin 2mg capsules $133.00 Imagine

Hytrin 2mg capsules $133.00 Volunteer National Nurse teams responding in times of crisis, hytrin 2mg capsules $133.00 or helping to deliver health education to the public.

Hytrin 2mg capsules $133.00 You may not have to imagine for much longer.

Hytrin 2mg capsules $133.00 What started as an op/ed piece in the New York Times written by Teri Mills, hytrin 2mg capsules $133.00 an RN and Nurse Educator from Portland, hytrin 2mg capsules $133.00 Oregon has turned into H.R. Hytrin 2mg capsules $133.00 4903, hytrin 2mg capsules $133.00 a bill to create an Office of the National Nurse.

Hytrin 2mg capsules $133.00 Let’s add our voices to the many who have already supported this new representation of our profession.

Hytrin 2mg capsules $133.00 Visit the National Nurse web site for information.

Hytrin 2mg capsules $133.00 And check out the totally cool “store” where your purchase can help fund the passage of this bill (do I sound like I live with a teenager or what?). Hytrin 2mg capsules $133.00 Teri makes it easy by giving you easy access to your representatives and ideas on how to facilitate the ongoing efforts to pass this bill.

Hytrin 2mg capsules $133.00 Keep up with the latest by subscribing to the free email updates put out by the National Nurse team.

Hytrin 2mg capsules $133.00 Is your representative in support of H.R. Hytrin 2mg capsules $133.00 4903?

Hytrin 2mg capsules $133.00 Now please excuse me while I take my own advice and go show my support….

Average Rating: 4.4 out of 5 based on 201 user reviews.

Read »

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...

Continue reading »

Find Me On...
Twitter     Technorati

Subscribe to Emergiblog
Office of the National Nurse

Zippy Was Here


Healthcare Blogger Code of Ethics

  • Perspective
  • Confidentiality
  • Disclosure
  • Reliability
  • Courtesy

medbloggercode.com

I Support the Public Library of Science

Dr. Val
Johnson & Johnson
Johnson & Johnson Health Channel
Webicina
Nursing and Web 2.0



Health blogs

Medicine Blogs - Blog Catalog Blog Directory

Alltop. Seriously?! I got in?

Health Blogs - Blog Rankings