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Change of Shift is in progress as we speak! Caroline at Brain Scramble is working her heart out on this edition. Ditropan 5mg pills $298.00 God bless her for taking on the carnival during the holidays! I hope Santa was very good to her this year!


I’m at Starbucks on my absolutely, ditropan 5mg pills $298.00 honest-to-goodness last gingerbread latte of the season. Ditropan 5mg pills $298.00 Really. Ditropan 5mg pills $298.00 It is. Ditropan 5mg pills $298.00 I’m back to Venti-non-fat-one-equal lattes tomorrow. Ditropan 5mg pills $298.00 Yeah, ditropan 5mg pills $298.00 that’s the ticket….tomorrow!

Oh. Ditropan 5mg pills $298.00 My. Ditropan 5mg pills $298.00 God. Ditropan 5mg pills $298.00 Andy Gibb just came on the Starbucks radio! “I Just Want to be Your Everything”! He’d be 50 in March. Ditropan 5mg pills $298.00 RIP, ditropan 5mg pills $298.00 Andy.

Someday I’ll tell the story of seeing him in a small club with about 20 people. Ditropan 5mg pills $298.00 I still get goosebumps.

Damn, ditropan 5mg pills $298.00 now it’s “More Than a Woman by the Bee Gees. Ditropan 5mg pills $298.00 Okay, ditropan 5mg pills $298.00 who’s into the Gibb brothers here? There are only 15 of us in the store. Ditropan 5mg pills $298.00 Somebody else is a Bee Gees fan, ditropan 5mg pills $298.00 too! Come on. Ditropan 5mg pills $298.00 Show yourself!


I have a confession to make.

I’ve been fighting burn out. Ditropan 5mg pills $298.00 It’s been hard to write uplifting posts lately and who wants to read depressing, ditropan 5mg pills $298.00 morose, ditropan 5mg pills $298.00 bitchy posts?

Oh, ditropan 5mg pills $298.00 you did? My bad. Ditropan 5mg pills $298.00 Too late!

I had an epipany at work this week. Ditropan 5mg pills $298.00 I feel like Linus in “A Charlie Brown Christmas”.

Lights, ditropan 5mg pills $298.00 please!


80% of the patients I care for are not having an emergency, ditropan 5mg pills $298.00 nor are they in any danger.

They are, ditropan 5mg pills $298.00 however, ditropan 5mg pills $298.00 uncomfortable.

Pain, ditropan 5mg pills $298.00 nausea, ditropan 5mg pills $298.00 vomiting, ditropan 5mg pills $298.00 diarrhea, ditropan 5mg pills $298.00 cough, ditropan 5mg pills $298.00 fever, ditropan 5mg pills $298.00 laceration, ditropan 5mg pills $298.00 asthma

And while the patient never sees it, ditropan 5mg pills $298.00 I sometimes do an internal eye roll at what would make someone leave their bed on an ice-cold, ditropan 5mg pills $298.00 rainy San Francisco night and come to the emergency department. Ditropan 5mg pills $298.00 Blame it on thirty years of dealing with illness, ditropan 5mg pills $298.00 but I’m only human. Ditropan 5mg pills $298.00 For the last few month it’s been harder and harder to keep the smile on my face and the compassion flowing uninhibited.

Oh, ditropan 5mg pills $298.00 I do it. Ditropan 5mg pills $298.00 I just can’t stand feeling like an actor on a stage who gives the performance of a lifetime and then crumples backstage, ditropan 5mg pills $298.00 or in my case, ditropan 5mg pills $298.00 the break room. Ditropan 5mg pills $298.00 I feel like such a phony.

This week was different.


This week a feverish, ditropan 5mg pills $298.00 dehydrated child sat bolt upright and politely asked for “Foah apple juices and thwee owange juices. Ditropan 5mg pills $298.00 Pwease!” A little IV fluid, ditropan 5mg pills $298.00 a little medication to stop the vomiting and the result was a very relieved family and a perky child who guzzled juice like it was the nectar of the gods.

They made it home in time for Santa’s visit.


A patient literally keeled over from exhaustion after finishing 18 units of classes while working overtime for the holidays. Ditropan 5mg pills $298.00 A couple of liters of saline, ditropan 5mg pills $298.00 some TLC and a discussion on the limits of endurance left the patient feeling better and vowing to take it easy on himself from now on.

I hope he made the flight back to Boston to be with his family on Christmas Day.


The problem: bilateral epistaxis and five visits to the emergency department in four days. Ditropan 5mg pills $298.00 It’s hard to follow up during the holidays. Ditropan 5mg pills $298.00 An exhausted patient. Ditropan 5mg pills $298.00 An anxious family.

The treatment: some reassurance, ditropan 5mg pills $298.00 a simple explanation of expistaxis, ditropan 5mg pills $298.00 observation for an hour to make sure the bleeding was controlled, ditropan 5mg pills $298.00 some pain medication to help with bilateral nasal tampons and a business card with my name and a direct line to the ER so they can call me during the night with any questions.

The result: a marked decrease in anxiety and no further visits required. Ditropan 5mg pills $298.00 I hope she was able to enjoy her Christmas dinner without the nasal tampons in place.


Writhing abdominal pain with nausea, ditropan 5mg pills $298.00 vomiting and diarrhea. Ditropan 5mg pills $298.00 Many tests. Ditropan 5mg pills $298.00 No serious problems, ditropan 5mg pills $298.00 thank goodness.

But hydration, ditropan 5mg pills $298.00 a little Zofran and a bit of Dilaudid and the patient was able to go home to recouperate over the holiday.


My epiphany was a simple one. Ditropan 5mg pills $298.00 So simple that it was almost embarrassing.

Yes, ditropan 5mg pills $298.00 we are there for life-saving treatments.

But for the most part, ditropan 5mg pills $298.00 we are there to make people feel better.

And we are able to do that. Ditropan 5mg pills $298.00 Many times. Ditropan 5mg pills $298.00 Every shift.

And that, ditropan 5mg pills $298.00 Charlie Brown, ditropan 5mg pills $298.00 is the reason I’m a nurse.

It’s good to be back.

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  • Beth

    December 27, 2007 at 11:47 am

    Thank you for that. I went to an ER once knowing full well that I all I needed was fluids and something to stop the heaving from eating an allergen several hours before. And thats what I got, and it was great.

  • sean

    December 27, 2007 at 1:51 pm

    Man, I am SO jealous! I freakin’ LOVE gingerbread lattes!!!

  • ednurseasauras

    December 27, 2007 at 2:14 pm

    Thank you for the attitude adjustment! Now, I must go kick out that freaking drug seeker….

  • kmom

    December 27, 2007 at 2:44 pm

    Yes! I’ve had a couple occasions to go to our local ER. Neither life-threatening, but it was after-hours on a weekend (no Drs offices open for >48 hours). One was with my 2 year old, in pain from a dislocated elbow. The other was for vomiting and dehydration. Just couldn’t do the IV at home! Both times we’d have waited for anything that needed to be seen more urgently, but we were very thankful for the help we got!
    So, Thank you!

  • Melissa

    January 1, 2008 at 6:00 pm

    Uplifting posts are nice, but I also enjoy grouchy, bitter posts. That way, I know I’m not alone.

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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