June, 2006 Archive

June 24, 2016, 2:32 pm

Alternative Doctor Viagra

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Surely you recognize them from “The Twilight Zone”?

Season Two?

Episode Six?

First shown on November 11, alternative doctor viagra 1960?

Alternative doctor viagra “Eye of the Beholder”?

Alternative doctor viagra You meant you don’t know the dialouge…by heart?

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Alternative doctor viagra Not because of everything above…

Alternative doctor viagra …..because I want those dolls!

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I’m sitting here in a different Starbucks, alternative doctor viagra continuing my boycott of Borders. Alternative doctor viagra There is a new one exactly 1.5 miles from my house.

EVERY seat is plush.

Electrical outlets every three feet.

I gasped in ecstacy and ordered my drink.

Uh, alternative doctor viagra excuse me, alternative doctor viagra your T-Mobile isn’t working.

Oh, alternative doctor viagra that won’t be in for a month because we are new.

Oh.

So I took my Venti Iced Non-Fat One Equal Latte and my highly expensive but ethically correct Ethos water (“Helping Children get Clean Water”) and boldly drove where no latte purchaser has gone before.

To another Starbucks.

Where I managed to glare at the previous occupant of this plush chair long enough to make her think I was mentally unbalanced and she left.

Bwahahahahaah.

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“To the last, alternative doctor viagra I will grapple with thee.”
“From hell’s heart, alternative doctor viagra I stab at thee. Alternative doctor viagra For hate’s sake, alternative doctor viagra I spit my last breath at thee.”

Okay, alternative doctor viagra that’s a bit over the top for a boycott of an evil corporate conglomerate in the form of a book store, alternative doctor viagra and it did come from Ricardo Montalban in “The Wrath of Khan”.

What ever did we do before imdb.com?

And did I ever mention just how devastated I was when I found out that wasn’t Ricardo Montalban’s real chest in that movie? I thought he was a stud. Alternative doctor viagra Turns out he was a dud.

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Gee, alternative doctor viagra everyone felt so sorry for my little Ativan pill in this post, alternative doctor viagra I felt bad for writing it.

Perhaps I should have chosen a proton-pump inhibitor or the statin-of-the-month.

Ativan has been my friend. Alternative doctor viagra Works wonders when you have vestibular neuritis.

That was not medical advice, alternative doctor viagra by the way.

I’m just sayin’….

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Speaking of pseudomonas, alternative doctor viagra this post over at Fat Doctor got me thinking of the time I actually put my nose half an inch from a wound and sniffed. Alternative doctor viagra I could smell something even before that and so could the patient’s father.

Everyone else, alternative doctor viagra including the ED doc said they didn’t smell a thing. Alternative doctor viagra No one had the cohones to put their nose to the test at the wound site.

In fact, alternative doctor viagra they laughed at me.

Perhaps I have the rare ability to smell pseudomonas before the rest of mankind, alternative doctor viagra and I shared that trait with the patient’s dad.

Unfortunately, alternative doctor viagra I will never know if we were right. Alternative doctor viagra That’s the trouble with ER….so often you don’t get the end of the story.

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I am the proud owner of a robot.

We have acquired an “iRobot Roomba”.

To the world-at-large, alternative doctor viagra this is simply an automatic vacuum.

But to me this is a form of artificial intelligence.

It cries if it falls down the stairs! I’m not kidding!

I have named it “Asimov” and I hope they programmed it with the three robotic laws.

I talk to it.

My kids have been instructed to treat it with respect, alternative doctor viagra for as a form of artificial intelligence created by man, alternative doctor viagra we are obligated to respect it and care for it.

Okay, alternative doctor viagra maybe I’m watching too much “Twilight Zone and maybe I do need an appointment with Shrinkette.

But I bet my carpet is cleaner than yours!

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I love the whole art of linkage. Alternative doctor viagra I like to link to new blogs. Alternative doctor viagra I like to be linked by new blogs.

The problem is, alternative doctor viagra I can hardly keep up with all the blogs.

Maybe if I kept my blog-mouth shut and read instead of write, alternative doctor viagra I’d have time….

So on that note, alternative doctor viagra I shall remind you that Grand Rounds is up over at Medviews

And a wonderful edition it is.

I am now off to read…..

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June 24, 2016, 11:11 pm

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June 24, 2016, 1:47 pm

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Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 Question Number One:

  • Why would a mom with a rash also sign in her 2yo and 4yo [to the ER] with matching complaints of “insect bite?”
  • The Answer Nurse Speaks: The average human has approximately 60 trillion synapses in their cerebral cortex. Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 The Answer Nurse knows this because she looked it up on Google. Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 Your particular patient obviously had only three synapses; one for herself and one for each child. Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 One can only hope that said patient had a tubal ligaton.

Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 Question Number Two:

  • From the UK: Who would turn up at 7am on a Monday morning after a weekend of agony with toothache….abscess, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 plain as paint. Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 “How long have you had toothache?” “Errm, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 about a month, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 Nurse.”
  • The Answer Nurse Speaks: Greetings from the Colonies! The Answer Nurse is a sucker for a British accent. Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 But she does wonder, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 doesn’t The Prince of Wales have his own dentist?

Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 Question Number Three:

  • If your left toe has been hurting for 3 months, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 why would you decide to come in at 3:00 in the morning on a Friday night????
  • The Answer Nurse Speaks: It seems to The Answer Nurse this poor soul has no life and that when he attempted to ask a woman if she rented by the hour, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 she stomped on his foot with her 4-inch pumps. Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 It has take him this long to swallow his pride and obtain care. Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 The Answer Nurse notes that the silver lining to this pitiful cloud is that the patient has nine other toes with which to work.

Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 Ouestion Number Four:

  • I’m graduating in December, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 sitting boards in January. Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 Tell me why I should consider ER nursing.
  • The Answer Nurse Speaks: The Answer Nurse notes that this inquiry is in the form of a command as opposed to a question, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 but she deems it significant enough to respond none-the-less. Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 Here are the reasons The Answer Nurse would consider ER nursing:
    • Never the same job two days in a row
      • you will alternate hours of sheer terror with moments of pure boredom
      • unless you work in a small ER at which point you would reverse the above.
    • Nurses gravitating to the ER are out-spoken, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 in-your-face personalities.
      • This makes the ER a very lively place to work.
      • Of course The Answer Nurse, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 being of genteel breeding would never reveal this side of her personality in public.
      • May the Lord have mercy, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 however, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 on her family.
    • You will learn technical skills and assessment skills rapidly.
      • The Answer Nurse feels that the ability to prioritize is the epitome of the skills required in an ER.
      • Should the candidate for the ER have no prior experience in the nursing field, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 this prioritization can be learned by working initially in med/surg and/or ICU/CCU prior to transferring to the ER environment.
      • The Answer Nurse also acknowledges that some of the best ER nurses she has had the honor to address as “colleague” have been new graduates.
    • Working in the ER is fun – and that is the best reason The Answer Nurse can provide!

Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 Question Number Five:

  • Where do ya’ll ER nurses get all your adrenalin?
  • The Answer Nurse Speaks:
    • Legally: usually via caffeine in the form of coffee, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 chocolate, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 Coke, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 Pepsi
    • Physiologically: via the adrenal medullae by the enzyme phenylethanolamine-N-methyltransferase (PNMT). Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 The Answer Nurse knows this because she looked it up on Google.
    • (Now aren’t you sorry you asked?)

Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 Question Number Six:

  • Why do some ER staff members (doctors, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 nurses, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 techs, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 secretaries) get so darned JADED?
  • The Answer Nurse Speaks: As The Answer Nurse does not suffer from this condition, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 she can only assume the facilitating factors are that ER workers are:
    • Overworked- much overtime is done
    • Underpaid – in most of the country
    • Not appreciated – taken for granted
    • The distinct tendency for every homo-sapien to want what they want immediately combined with the inability for said health-care givers to be two places at once. Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 The Answer Nurse does not see a cure for this particular factor in the near future.
    • The requirement to occasionally miss “American Idol” because they are needed on the schedule.

Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 Question Number Seven:

  • Ok, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 so, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 you have often explained that your facility is superior to the one that you use as a patient. Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 Why do you go there? Is it just that the desire for privacy outweighs the benefits of a superior facility that happens to know you, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 or is there something more?
  • The Answer Nurse Speaks: Ah, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 The Answer Nurse has asked these very questions and here are some of the reasons Inferior Medical Center has been utilized:
    • The Answer Nurse lives approximately 22 miles from her place of work.
    • The Answer Nurse must cross a loooong bridge to get to the Superior Medical Center in which she works. Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 Travel time at 75 miles-per-hour on a good day at a good time with no one getting in her way takes 35 minutes.
    • The Answer Nurse lives in a different county than where she works.
      • Medics will not cross county lines to take The Answer Nurse to where she really wants to go.
      • During the chest pain experience, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 The Answer Nurse thought it would not be prudent to drive herself that far and so ended up at Inferior Medical Facility.
      • The Answer Hubby now has instructions to drive just across the bridge and then dial 911 to get that county’s medics to take The Answer Nurse to Superior Medical Facility.
        • Should The Answer Nurse code on the way across the bridge, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 she assumes it will no longer be an issue, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00
        • and will be happy to say hello to all those family members who have gone before her.
    • During The Answer Hubby’s experience with his gall bladder:
      • The Answer Nurse figured the Inferior Medical Facility would diagnose him with gas and place him on Protonix, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 as that seemed to be the diagnosis/medicine-of-the-month.
      • Had she known the severity of the illness, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 The Answer Nurse would have dragged herself out of bed and personally driven him to the Superior Medical Facility.
    • Privacy is never an issue with The Answer Nurse, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 in a true emergency she wouldn’t care if the attending was Harrison Ford, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 himself. Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 In fact, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 she would prefer it.

Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 Question Number Eight:

  • Have your recent experiences from the “other side” changed any of the ways you do your job?
  • The Answer Nurse Speaks: Yes.
    • She makes sure patients are updated on a regular basis about what labs are back and what they are waiting for.
    • She makes sure that holding orders are written ASAP once the diagnosis is made for admitted patients and works with ER docs who share this goal.
    • She has no trouble telling the hospitalist the patient is on their way and can be evaluated upstairs (said very politely, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 of course)
    • She writes and faxes report as a priority so the patient can get up to their room 30 minutes after that is done.
    • She is less toleratnt of excuses as to why the patient cannot go upstairs, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 although she is willing to work with the floor nurses on extenuating circumstances.
      • To Superior Medical Facility’s credit, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 the floor/unit nurses are totally about gettting the patient as fast as they can.
    • While all this was already a part of The Answer Nurse’s mode of practice, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 she is now more empathetic with the family and patient.

Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 Question Number Nine:

  • Given your years as an ED/critical care nurse, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 what would you say is the percentage of people who present at the ED of your hospital who really shouldn’t be at the ED (i.e., antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 those people don’t have “emergencies”)?
  • The Answer Nurse Speaks:
    • 70%
    • 69.9% of those are pediatric patients with fevers, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 runny nose, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 vomiting x1.
      • (Yes, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 The Answer Nurse is being sarcastic, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 despite her impeccable manners.)
      • The other .1% are constipated.
    • The Answer Nurse does not include those with abdominal pain, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 possible DVTs, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 large lacerations or obvious fractures in the 70%.

Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 So, antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 that concludes this session of The Answer Nurse Speaks! Thanks for all those who participated.

Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 The Answer Nurse must now get ready for work so that she can accumulate more blog material and an aching back.

Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 Who says you don’t get anything out of nursing?

Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 (PS: The Answer Nurse also apologizes for the sudden inability to de-bold her print. Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 She has tried four times and will now be late for work. Antibiotics > cipro 1000mg pills (generic) > 30 pills > $157.00 She apologizes for any eyestrain.)

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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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