June 30, 2016, 12:24 am

Cialis Refractory


Cialis refractory Since when do patients leave the hospital looking like they are on a business trip?

Cialis refractory This guy even has had his shoes shined!

Cialis refractory The sentiment at the top of the photo is quite nice and very true.

Cialis refractory However, cialis refractory on the new nursing cap rating scale instigated by KACNAC (Kim’s Accreditation Commission on Nursing and Caps), cialis refractory this nursing cap is a 6.75 on the 0-10 scale.

Cialis refractory However, cialis refractory since very few nurses wear their cap, cialis refractory except me, cialis refractory I don’t believe this will put a cramp in anyone’s work habits.

Cialis refractory And besides, cialis refractory I don’t think I have the authority to impose it.

Cialis refractory But one can dream.


It it’s Tuesday if must be Grand Rounds! Today our host is our favorite New York nephrologoist at Kidney Notes.

I was surprised and honored to find that an Emergiblog post was selected as an “Editor’s Pick”.

Again, cialis refractory an amazing selection of stories, cialis refractory education and information. Cialis refractory “Walk” your keyboard on over and check it out (with or without your suitcase!).


I was happily blogging via WiFi at a local Seattle’s Best this afternoon (see above) and it totally rocked! I’m going to do it on a daily basis. Cialis refractory Being there during the day is wonderful because

  • Everyone who is studying is in school.
  • Everyone who works 9-5 is working 9-5.
  • Seattle’s Best, cialis refractory although owned by Starbucks, cialis refractory has better coffee and cleaner shops.
  • The coffee shop is attached to Borders bookstore so I am 20 feet away from a vast expanse of written literature and fun stuff like totally cool pens and stationery.
  • I’m easy to please.

Cialis refractory During this idyll time I received an IM from my son who informed me of the results of my husband’s visit with his surgeon today.

Cialis refractory His gallbladder was gangrenous.

Cialis refractory I’ll save the full story for Scared to Health.

Cialis refractory My reaction was one of total, cialis refractory retroactive shock. Cialis refractory My legs went numb.

Cialis refractory It’s a good thing I was sitting because blogging face down in a coffee shop would have attracted attention, cialis refractory I’m sure.

Cialis refractory I then did the most stupid thing I could have done. Cialis refractory I googled “gangrenous gallbladder mortality”.Wrong.

Cialis refractory It’s between 25-50% if surgery is not done in time. Cialis refractory The mortality rate was zero in one study of over 200 patients with a 21.5% incidence of gangrene when the surgery was performed on a timely basis.

Cialis refractory The problem is that a gangrenous gallbladder presents no differently than a regular gallbladder in terms of symptoms – the type of symptoms that bring people to an ER.

Cialis refractory How many times have we taken care of people with gallbladders that are, cialis refractory unknown to us, cialis refractory gangrenous, cialis refractory taken care of their pain, cialis refractory given them an ultrasound and sent them home to follow up with a surgeon in 1-2 days?

Cialis refractory The surgeon said she was surprised hubby was not sicker than he was given the state of the gallbladder upon removal. Cialis refractory It only had two tiny stones in it.

Cialis refractory I took the last sip of my latte, cialis refractory closed down my computer and on legs that weren’t exactly steady, cialis refractory met the kids after their movie and drove them to cross-country practice.

Cialis refractory Life goes on now, cialis refractory pretty much as it did two weeks before.

Cialis refractory I said a prayer of thanks as I walked to my car, cialis refractory shedding a few tears in the process.

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  • Brian

    May 31, 2006 at 9:33 am

    You are in our prayers.

  • may

    May 31, 2006 at 12:46 pm

    warm thoughts coming your way kim…hang in there…

  • Gimpy Mumpy
    Gimpy Mumpy

    May 31, 2006 at 4:34 pm

    I think anything with “gangrenous” in the diagnosis would scare the hell out of me. Although for some reason my brain keeps calling up an image of Oscar the Grouch from Sesame Street. Not sure why, probably some deeply rooted defense mechanism. 🙂

    I am sure your husband will be fine, he has the best nurse in the world!

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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