January, 2007 Archive

July 24, 2016, 10:35 am

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Speaking of seeing things, ed trial packs cialis 20mg + levitra 20mg + viagra super active $232.00 Radiology Grand Rounds are up at Sumer’s Radiology Site.

I got to see a pneumomediastinum on film once. Ed trial packs cialis 20mg + levitra 20mg + viagra super active $232.00 Totally cool! Not for the patient, ed trial packs cialis 20mg + levitra 20mg + viagra super active $232.00 of course but in the context of an educational experience. Ed trial packs cialis 20mg + levitra 20mg + viagra super active $232.00 I can barely see air in lungs, ed trial packs cialis 20mg + levitra 20mg + viagra super active $232.00 let alone a mediastinum….

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The vast majority of the ERs I have worked in did not insert arterial lines in the department. Ed trial packs cialis 20mg + levitra 20mg + viagra super active $232.00 The patient would get them put in on arrival to the the Intensive Care Unit. Ed trial packs cialis 20mg + levitra 20mg + viagra super active $232.00 Well, ed trial packs cialis 20mg + levitra 20mg + viagra super active $232.00 this week I assisted in the insertion of my first arterial line since the Reagan administration. Ed trial packs cialis 20mg + levitra 20mg + viagra super active $232.00 The tubing still has that danged “piggy tail” thing for flushing. Ed trial packs cialis 20mg + levitra 20mg + viagra super active $232.00 That seems so tenuous, ed trial packs cialis 20mg + levitra 20mg + viagra super active $232.00 like it could break off any time. Ed trial packs cialis 20mg + levitra 20mg + viagra super active $232.00 One would think after all these years a more suitable device for flushing an art line would have been invented.

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I have not gone deaf!

Seriously, ed trial packs cialis 20mg + levitra 20mg + viagra super active $232.00 my ability to auscultate lung sounds seemed to have dropped dramatically in the last few years I was afraid I might have lost the ability to hear some frequencies due to the decible level of the occasional (!) rock concert. Ed trial packs cialis 20mg + levitra 20mg + viagra super active $232.00 I used to be able to hear a single rale from the doorway.

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July 24, 2016, 1:03 am

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Everybody should have health coverage, indocin 50mg pills $111.00 and each individual should have the opportunity to choose the health care they want from the provider they want.

Every individual needs to be responsible for purchasing their own health care and making sure their children are covered.

What follows is what I would consider a “best case scenario”. Indocin 50mg pills $111.00 I don’t have all the answers and I may border on living in La-La land but this is what I would like to see.

*****

What should a Health Care Insurance company be required to offer in their plans in return for premiums?

  • Full coverage for “Well Care” without deductibles
    • Yearly physical, indocin 50mg pills $111.00 well-baby checks and immunizations
    • Screening tests (mammograms, indocin 50mg pills $111.00 PSA levels)
    • Labs (liver function testing for statin use, indocin 50mg pills $111.00 A1C levels for diabetes)
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  • Medications without a co-pay and without restrictions to a “formulary”.
  • Mental health care covered – including counseling and hospitalization as necessary.
  • Emergency and Hospital Care
    • Here is where any deductibles would come into play
      • The individual can choose the amount of their deductible for emergency care.
      • The individual can choose the amount of their deductible for hospital care.

Indocin 50mg pills $111.00 The amount of the premium would be based on the number of people covered and the deductibles chosen. Indocin 50mg pills $111.00 The maximum amount of the hospital deductible would be $10, indocin 50mg pills $111.00000.

Indocin 50mg pills $111.00 There should be no exclusion of pre-existing conditions and no lifetime maximum, indocin 50mg pills $111.00 thereby protecting people from catastrophic illness. Indocin 50mg pills $111.00 Cosmetic surgery would not be covered unless required as the result of accident.

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Okay, indocin 50mg pills $111.00 there’s the foundation.

Now we need to pay for it.

I do not believe it is the government’s responsibility to actually purchase and provide health care, indocin 50mg pills $111.00 but there are things them government can do to facilitate the ability of individuals to do so.

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  • Tax breaks for both individual and families to purchase health insurance offset by
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  • Those who are unable to work due to disability and therefore unable to receive the tax breaks, indocin 50mg pills $111.00 including children of the family affected.
  • The elderly who are unemployed or disabled.
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    • Not every older adult aged 65 needs Medicare, indocin 50mg pills $111.00 again if they are receiving tax breaks to purchase private plans.
  • Health care should be provided to all Veterans through the VA system as a benefit for having served their country in the armed forces.

Indocin 50mg pills $111.00 I’m talking citizens of the United States, indocin 50mg pills $111.00 by the way. Indocin 50mg pills $111.00 Children should never suffer, indocin 50mg pills $111.00 even if their parents are illegal aliens and should have access to immunization and health care. Indocin 50mg pills $111.00 If you are an adult from another country in the US illegally, indocin 50mg pills $111.00 you shouldn’t be receiving one dime in benefits from this country. Indocin 50mg pills $111.00 Access to health care, indocin 50mg pills $111.00 yes. Indocin 50mg pills $111.00 But you pay for it.

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This all means the health care insurance industry will now have to compete for the health care dollar.

If an individual has the ability the choose their health plan, indocin 50mg pills $111.00 the industry will have to become competitive. Indocin 50mg pills $111.00 People will spend their health care dollars where the plans are competitive and the premiums reasonable.

Individuals can decide the amount of coverage they want and how much to spend on it. Indocin 50mg pills $111.00 Younger people may choose a higher deductible as they are relatively healthier. Indocin 50mg pills $111.00 They can add coverage as they get older and depend more on the health care system.

Individuals who (irresponsibly)choose not to have health insurance of any kind will pay the price in the form of what is popularly known as ” a bill” from the provider of the service.

*****

In terms of how to spend the money obtained, indocin 50mg pills $111.00 I’ve said it before and I’ll say it again: the majority of the money should be spent at the level of primary care: Family practitioners, indocin 50mg pills $111.00 Internists, indocin 50mg pills $111.00 Pediatricians. Indocin 50mg pills $111.00 Think prevention. Indocin 50mg pills $111.00 Think basic care. Indocin 50mg pills $111.00 Deal with potential health care problems BEFORE they become problems and money will be saved in the long run.

Make private practice attractive again by making it feasible to run a practice by paying what the service is worth and not a portion of what some bureaucrat thinks it is worth. Indocin 50mg pills $111.00 Enact legislation to stop exorbant/frivolous lawsuits so malpractice premiums will drop.

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As you have probably ascertained, indocin 50mg pills $111.00 I am not for a single-payer health plan. Indocin 50mg pills $111.00 Frankly, indocin 50mg pills $111.00 I’ve never seen one that works. Indocin 50mg pills $111.00 There’s the NHS in Great Britian, indocin 50mg pills $111.00 but I direct you to the NHS Blog Doctor for a good look at how THAT system works. Indocin 50mg pills $111.00 Canada has national health care, indocin 50mg pills $111.00 but if I’m not mistaken there are waiting lists for procedures and surgeries.

Can’t imagine that would go over big here in the US, indocin 50mg pills $111.00 where people get upset if they have to wait an hour in the ER.

We have universal access. Indocin 50mg pills $111.00 All you have to do is go into an ER and you MUST be treated whether you have insurance or not or whether you can pay or not. Indocin 50mg pills $111.00 You cannot be turned away.

Indocin 50mg pills $111.00 Most of the nursing organizations (and most of the readings in my Leadership and Management class) all promote the idea of a single payer system.

I don’t think it’s the government’s responsibility to care for a citizen from cradle to grave. Indocin 50mg pills $111.00 I believe it is the government’s responsibility to help facilitate the individual citizen in obtaining needed services.

I believe that individuals citizens and their respective states need to take on at least some of the onus of paying for and maintaining a viable health care system that assists citizens with purchasing the health care of their choice.

Maybe someday it will be possible to do away with the employer-paid health care altogether. Indocin 50mg pills $111.00 I’d rather have the money and be able to choose my own plan with my own provider.

Minimal government interference and individual responsibility.

That’s what I believe is the way to address health care in this country.

Because health care is not an entitlement.

(Let the bashing begin………)

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July 24, 2016, 5:55 pm

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As I’m sure you’re all aware, aygestin 5mg pills $83.00 working night shift is pure unadulterated hell and non-stop running from the time you run through the door until the time you drag yourself home at daybreak.

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(That was for the benefit of my manager……)

And once in a blue moon there is a laptop computer nearby.

A DVD-playing computer.

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    • who never seems to have a life outside the hospital
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    • You do not take your cap.
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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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