January, 2007 Archive

September 26, 2016, 10:35 am

Viagra 50 Mg Tablets

Viagra 50 mg tablets constitution

Viagra 50 mg tablets God Bless Grand Rounds!

Viagra 50 mg tablets It’s hosted this week over at Envisioning 2.0 (nice job, viagra 50 mg tablets Fard!).

Viagra 50 mg tablets Get this, viagra 50 mg tablets the topic of the week is exactly what I have to write a paper on for my Leadership and Management class that is due February 11th.

Viagra 50 mg tablets Can you believe that? I now have access to twenty-four differing opinions from all over the blogosphere to draw from, viagra 50 mg tablets all in one handy place.

Viagra 50 mg tablets How did I ever get through college without the internet back in the day?

******************************

haleyjoel

Can I give you some really good advice?

Do not, viagra 50 mg tablets under any circumstances, viagra 50 mg tablets watch “The Sixth Sense” twice in one night and then walk through your house in the dark.

No, viagra 50 mg tablets I didn’t see any dead people, viagra 50 mg tablets but I swear I heard about fifty of them behind me.

I’m just sayin’.

*****

Speaking of seeing things, viagra 50 mg tablets Radiology Grand Rounds are up at Sumer’s Radiology Site.

I got to see a pneumomediastinum on film once. Viagra 50 mg tablets Totally cool! Not for the patient, viagra 50 mg tablets of course but in the context of an educational experience. Viagra 50 mg tablets I can barely see air in lungs, viagra 50 mg tablets let alone a mediastinum….

*****

The vast majority of the ERs I have worked in did not insert arterial lines in the department. Viagra 50 mg tablets The patient would get them put in on arrival to the the Intensive Care Unit. Viagra 50 mg tablets Well, viagra 50 mg tablets this week I assisted in the insertion of my first arterial line since the Reagan administration. Viagra 50 mg tablets The tubing still has that danged “piggy tail” thing for flushing. Viagra 50 mg tablets That seems so tenuous, viagra 50 mg tablets like it could break off any time. Viagra 50 mg tablets One would think after all these years a more suitable device for flushing an art line would have been invented.

*****

I have not gone deaf!

Seriously, viagra 50 mg tablets 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. Viagra 50 mg tablets I used to be able to hear a single rale from the doorway.

So, viagra 50 mg tablets you can imagine my delight when my brand new Cardiology II stethoscope came in the mail and I used it on my first patient. Viagra 50 mg tablets Clear, viagra 50 mg tablets concise breath sounds filled my auditory canals with joy! And it was even better when there was rhonchi and rales to hear! Got wheezes? Bring ’em on!

Totally cool. Viagra 50 mg tablets Not for the patient, viagra 50 mg tablets of course, viagra 50 mg tablets but in the context of being able to make an appropriate assessment.

*****

Dr. Viagra 50 mg tablets Crippen hosts the best of the British Medical Blogs every Sunday.  Another good read with my morning coffee!

Change of Shift will be hosted at Nurse Ratched’s Place on February 8th.  Submission can go via Blog Carnival or directly to nurseratchedsplace at yahoo dot com.

Reminder: Nursing Jobs.org is offering $5000 in nursing scholarships via their essay competition.  You know why you went into nursing, viagra 50 mg tablets right?  Well put it down on your blog, viagra 50 mg tablets give it the title “Why I Chose Nursing” and send it in! First place is $3500 and that will cover a lot of units! The information is “below the fold” so scroll down when you get to the link!

Average Rating: 4.6 out of 5 based on 179 user reviews.

Read »

September 26, 2016, 1:03 am

Accupril 10mg Pills $253.00

Requip 0.25mg pills $186.00 texastower

Requip 0.25mg pills $186.00 The “Fun-Tier”?

Requip 0.25mg pills $186.00 Were they serious?

Requip 0.25mg pills $186.00 Baylor actually sent out this paper “tower” of information on Texas!

Requip 0.25mg pills $186.00 They sent out a toy as a recruitment tool!

Requip 0.25mg pills $186.00 And it’s free for the asking! Just mail in the coupon!

Requip 0.25mg pills $186.00 As Will Smith said in “Independence Day”: “I gotta get me one of these!”

Requip 0.25mg pills $186.00 Not.

Requip 0.25mg pills $186.00 Notice that this particular nurse is suffering from the dreaded “occipital slip” of her cap.

Requip 0.25mg pills $186.00 Probably too busy playing with her toy to care!

******************************

Health care is not a right. Requip 0.25mg pills $186.00 Health care is a need, requip 0.25mg pills $186.00 like water or food. Requip 0.25mg pills $186.00 And like water or food, requip 0.25mg pills $186.00 it isn’t free.

Everybody should have health coverage, requip 0.25mg pills $186.00 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”. Requip 0.25mg pills $186.00 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, requip 0.25mg pills $186.00 well-baby checks and immunizations
    • Screening tests (mammograms, requip 0.25mg pills $186.00 PSA levels)
    • Labs (liver function testing for statin use, requip 0.25mg pills $186.00 A1C levels for diabetes)
    • Classes for patient education: smoking cessation, requip 0.25mg pills $186.00 hypertension information, requip 0.25mg pills $186.00 diabetes, requip 0.25mg pills $186.00 diet and nutrition
  • 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.

Requip 0.25mg pills $186.00 The amount of the premium would be based on the number of people covered and the deductibles chosen. Requip 0.25mg pills $186.00 The maximum amount of the hospital deductible would be $10, requip 0.25mg pills $186.00000.

Requip 0.25mg pills $186.00 There should be no exclusion of pre-existing conditions and no lifetime maximum, requip 0.25mg pills $186.00 thereby protecting people from catastrophic illness. Requip 0.25mg pills $186.00 Cosmetic surgery would not be covered unless required as the result of accident.

Requip 0.25mg pills $186.00 Each person is able to pick their own provider of health services, requip 0.25mg pills $186.00 be it physician, requip 0.25mg pills $186.00 nurse practitioner, requip 0.25mg pills $186.00 chiropractor.

Requip 0.25mg pills $186.00 Health care decisions are made by the patient and their health care provider, requip 0.25mg pills $186.00 free of outside influence.

*****

Okay, requip 0.25mg pills $186.00 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, requip 0.25mg pills $186.00 but there are things them government can do to facilitate the ability of individuals to do so.

In fact, requip 0.25mg pills $186.00 I thought the recent proposals in the State of the Union message were a definite step in the right direction (hang in there with me, requip 0.25mg pills $186.00 readers of the Democratic persuasion!). Requip 0.25mg pills $186.00 As I understood it:

  • Tax breaks for both individual and families to purchase health insurance offset by
  • Actually taxing employer-sponsored health benefits as income

Requip 0.25mg pills $186.00 Personally, requip 0.25mg pills $186.00 I want the government involved as minimally as possible in my health care decisions. Requip 0.25mg pills $186.00 However, requip 0.25mg pills $186.00 there are some situations where the government may be able to provide a “safety net” by providing a system of basic care, requip 0.25mg pills $186.00 including mental health coverage to:

  • Those who are unable to work due to disability and therefore unable to receive the tax breaks, requip 0.25mg pills $186.00 including children of the family affected.
  • The elderly who are unemployed or disabled.
    • Not every elderly person is poor or needs to have government health care, requip 0.25mg pills $186.00 especially if they are receiving tax benefits that allow them to purchase private plans.
    • Not every older adult aged 65 needs Medicare, requip 0.25mg pills $186.00 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.

Requip 0.25mg pills $186.00 I’m talking citizens of the United States, requip 0.25mg pills $186.00 by the way. Requip 0.25mg pills $186.00 Children should never suffer, requip 0.25mg pills $186.00 even if their parents are illegal aliens and should have access to immunization and health care. Requip 0.25mg pills $186.00 If you are an adult from another country in the US illegally, requip 0.25mg pills $186.00 you shouldn’t be receiving one dime in benefits from this country. Requip 0.25mg pills $186.00 Access to health care, requip 0.25mg pills $186.00 yes. Requip 0.25mg pills $186.00 But you pay for it.

*****

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, requip 0.25mg pills $186.00 the industry will have to become competitive. Requip 0.25mg pills $186.00 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. Requip 0.25mg pills $186.00 Younger people may choose a higher deductible as they are relatively healthier. Requip 0.25mg pills $186.00 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, requip 0.25mg pills $186.00 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, requip 0.25mg pills $186.00 Internists, requip 0.25mg pills $186.00 Pediatricians. Requip 0.25mg pills $186.00 Think prevention. Requip 0.25mg pills $186.00 Think basic care. Requip 0.25mg pills $186.00 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. Requip 0.25mg pills $186.00 Enact legislation to stop exorbant/frivolous lawsuits so malpractice premiums will drop.

*****

As you have probably ascertained, requip 0.25mg pills $186.00 I am not for a single-payer health plan. Requip 0.25mg pills $186.00 Frankly, requip 0.25mg pills $186.00 I’ve never seen one that works. Requip 0.25mg pills $186.00 There’s the NHS in Great Britian, requip 0.25mg pills $186.00 but I direct you to the NHS Blog Doctor for a good look at how THAT system works. Requip 0.25mg pills $186.00 Canada has national health care, requip 0.25mg pills $186.00 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, requip 0.25mg pills $186.00 where people get upset if they have to wait an hour in the ER.

We have universal access. Requip 0.25mg pills $186.00 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. Requip 0.25mg pills $186.00 You cannot be turned away.

Requip 0.25mg pills $186.00 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. Requip 0.25mg pills $186.00 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. Requip 0.25mg pills $186.00 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………)

Average Rating: 4.7 out of 5 based on 260 user reviews.

Read »

September 26, 2016, 5:55 pm

Avanafil 100mg Pills $29.00

Desyrel 25mg pills $244.00 medics

Desyrel 25mg pills $244.00 “Hello, desyrel 25mg pills $244.00 911???”

Desyrel 25mg pills $244.00 “There’s a naked guy sleeping on a green blanket in the middle of the street!”

Desyrel 25mg pills $244.00 “Hurry!”

Desyrel 25mg pills $244.00 Obviously the medic with the blanket is initiating the “Butt Cheek Cover” maneuver.

Desyrel 25mg pills $244.00 The other guy is preparing to do an emergent cervical spine manipulation.

Desyrel 25mg pills $244.00 See what happens when you don’t wait to take your Ambien until you get home?

******************************

As I’m sure you’re all aware, desyrel 25mg pills $244.00 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.

Really.

Okay, desyrel 25mg pills $244.00 sometimes it’s not so busy.

Desyrel 25mg pills $244.00 Sometimes the CT is down and you can’t take any ambulance traffic.

Sometimes the last patient is discharged, desyrel 25mg pills $244.00 the rooms are stocked, desyrel 25mg pills $244.00 the drugs are ordered and the IV trays are all filled by 0100.

Sometimes you’ve read every nursing journal there is to read, desyrel 25mg pills $244.00 have read over all pertinent policies and memos and have refreshed your memory on everything JCAHO could possibly ask should they pop in five minutes later.

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

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

A DVD-playing computer.

*****

emergency

Desyrel 25mg pills $244.00 If you are now, desyrel 25mg pills $244.00 or ever have been, desyrel 25mg pills $244.00 involved in the EMS system in any capacity, desyrel 25mg pills $244.00 you must get this DVD! Better yet, desyrel 25mg pills $244.00 view it while you are sitting in an ER.

Desyrel 25mg pills $244.00 (Not that I would know what that’s like, desyrel 25mg pills $244.00 of course.)

Desyrel 25mg pills $244.00 I laughed so hard, desyrel 25mg pills $244.00 I had tears running down my cheeks.

Desyrel 25mg pills $244.00 No, desyrel 25mg pills $244.00 it wasn’t meant to be a comedy, desyrel 25mg pills $244.00 and was quite popular in its day. Desyrel 25mg pills $244.00 But viewed over thirty years later, desyrel 25mg pills $244.00 it is one hilarious time capsule!

Desyrel 25mg pills $244.00 Here are the “rules” of “Emergency!” as ascertained by yours truly:

  • All firehouses must have ashtrays on every table.
  • All rescues involve a car, desyrel 25mg pills $244.00 or a fall down into a ravine.
  • All scenes in the ER must have people in the background with gauze taped to their faces staggering around with a nurse at their elbow.
  • When confronted with a patient who you think may be drunk and collapses on you, desyrel 25mg pills $244.00 leap over the body in your high-heeled nursing shoes and run down the hall, desyrel 25mg pills $244.00 yelling.
  • “A defibrillator is not an aspirin.” (Per Dr. Desyrel 25mg pills $244.00 Kelly Brackett as told to Medics Gage and DeSoto)
  • When dealing with a woman who is having acute dyspnea with tachypnea, desyrel 25mg pills $244.00
    • do not put her in a gown, desyrel 25mg pills $244.00
    • do not auscultate her lungs, desyrel 25mg pills $244.00
    • do not take any vitals, desyrel 25mg pills $244.00
    • lay her supine on the gurney and have the head nurse look at her with concern while
    • two doctors stand to the side of the room and discuss the dangers of hyperventilation.
    • Have one doctor pull a paper bag out of nowhere and cure the patient with three breaths into the bag.
  • Dixie McCall, desyrel 25mg pills $244.00 RN, desyrel 25mg pills $244.00 has the BEST.CAP.EVER.
  • Approximately fifty percent of the nurses at Rampart Hospital went to the same nursing school as Dixie, desyrel 25mg pills $244.00 as they are all wearing the same cap.
  • Dixie McCall, desyrel 25mg pills $244.00 RN is forbidden to change her facial expression at any time during her shift.
  • There are only two rhythms you can have in the show: Sinus Rhythm or Ventricular Fibrillation.
  • CPR at Rampart Hospital consists of:
    • Dr. Desyrel 25mg pills $244.00 Bracket, desyrel 25mg pills $244.00 Dixie McCall, desyrel 25mg pills $244.00 RN and unidentified orderly. Desyrel 25mg pills $244.00 That’s it.
    • Five chest compressions, desyrel 25mg pills $244.00 approximately 5 seconds apart
    • Placement of an ET tube that juts out from the patient’s mouth at a 90 degree angle (off camera).
      • There is no ambu bag attached
      • There is no respirator attached
      • There is no oxygen source attached
      • There is, desyrel 25mg pills $244.00 however, desyrel 25mg pills $244.00 an orderly with a huge afro looking on in a concerned fashion
    • Two defibrillatory shocks of 400 watt seconds each, desyrel 25mg pills $244.00
      • thereby frying the already dead heart and
      • everyone around the patient because Dr. Desyrel 25mg pills $244.00 Brackett does not yell “clear!”.
      • He never would have passed ACLS…
    • No response. Desyrel 25mg pills $244.00 Code called.
  • If you do survive being shocked at 400 watt seconds in the field, desyrel 25mg pills $244.00
    • you get 50mg of Lidocaine and two amps of Bicarb.
    • That’s after the medics get permission to start your IV, desyrel 25mg pills $244.00
    • which they don’t even set up for until they get the okay from Dr. Desyrel 25mg pills $244.00 Brackett, desyrel 25mg pills $244.00
    • who never seems to have a life outside the hospital
    • while Dixie poses at the nurse’s station waiting for the calls from the medics.
  • If you are a nurse on a ride-along with the medics, desyrel 25mg pills $244.00 you wear a white pantsuit with white heels, desyrel 25mg pills $244.00 your nursing pin and your name tag.
    • You do not take your cap.
    • You roll around in the mud in the ravine and you never even get a bit of dirt on your uniform.
    • You dive into a car balancing on the precipice of a hill to drag out a victim, desyrel 25mg pills $244.00 hit your head and become unconscious.
    • After the commercial break, desyrel 25mg pills $244.00 the bleeding laceration on your forehead is totally healed.
  • The only people sent out on any rescue call are two medics. Desyrel 25mg pills $244.00 That’s it. Desyrel 25mg pills $244.00 No engine company, desyrel 25mg pills $244.00 no police, desyrel 25mg pills $244.00 just Gage and Desoto in the ravine.
  • C-spine precautions must have been invented in the ’80s ‘cuz they are nowhere to be found in the repertoire of Rescue 51!
  • The only normal characters are Gage and DeSoto. Desyrel 25mg pills $244.00 Everyone else over-acts, desyrel 25mg pills $244.00 under-acts or is a cartoon representation of real life.
*****

Desyrel 25mg pills $244.00 I could go on and on, desyrel 25mg pills $244.00 but you get the picture. Desyrel 25mg pills $244.00 I am now going to purchase the complete set of this series and I suggest you do the same.

Desyrel 25mg pills $244.00 You think “Scrubs” is funny?

Desyrel 25mg pills $244.00 You ain’t seen nothin’ until you’ve seen “Emergency!” from the vantage point of the 21st century.

Desyrel 25mg pills $244.00 But do yourself a favor and watch it with your co-workers.

Desyrel 25mg pills $244.00 You’ll be living off the laughter-induced endorphins for a week!

Average Rating: 4.6 out of 5 based on 176 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
American Journal of Nursing AJN Magazine Subscription
AJN Magazine Subscription

for $22.97
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