June 26, 2016, 11:30 am

Viagra Pfizer

Viagra pfizer vicks

Viagra pfizer Oh, viagra pfizer now this is attractive!

Viagra pfizer I guess the family that sprays together, viagra pfizer stays together!

Viagra pfizer Now there have been times this last month when I have loved me some Afrin, viagra pfizer big time!

Viagra pfizer I did not, viagra pfizer however, viagra pfizer buy individual bottles for my family for a group squirt!

Viagra pfizer “Gee, viagra pfizer Mommy! Can I shove a plastic nozzle up my nose like you and Daddy, viagra pfizer puhleeeeese?”

Viagra pfizer Besides, viagra pfizer the mother has hers sticking in the wrong nares.

Viagra pfizer I guess she didn’t get the memo that this was a “right nares” squirt.


Change of Shift is in progress as we speak! Caroline at Brain Scramble is working her heart out on this edition. Viagra pfizer 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, viagra pfizer honest-to-goodness last gingerbread latte of the season. Viagra pfizer Really. Viagra pfizer It is. Viagra pfizer I’m back to Venti-non-fat-one-equal lattes tomorrow. Viagra pfizer Yeah, viagra pfizer that’s the ticket….tomorrow!

Oh. Viagra pfizer My. Viagra pfizer God. Viagra pfizer Andy Gibb just came on the Starbucks radio! “I Just Want to be Your Everything”! He’d be 50 in March. Viagra pfizer RIP, viagra pfizer Andy.

Someday I’ll tell the story of seeing him in a small club with about 20 people. Viagra pfizer I still get goosebumps.

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


I have a confession to make.

I’ve been fighting burn out. Viagra pfizer It’s been hard to write uplifting posts lately and who wants to read depressing, viagra pfizer morose, viagra pfizer bitchy posts?

Oh, viagra pfizer you did? My bad. Viagra pfizer Too late!

I had an epipany at work this week. Viagra pfizer I feel like Linus in “A Charlie Brown Christmas”.

Lights, viagra pfizer please!


80% of the patients I care for are not having an emergency, viagra pfizer nor are they in any danger.

They are, viagra pfizer however, viagra pfizer uncomfortable.

Pain, viagra pfizer nausea, viagra pfizer vomiting, viagra pfizer diarrhea, viagra pfizer cough, viagra pfizer fever, viagra pfizer laceration, viagra pfizer asthma

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

Oh, viagra pfizer I do it. Viagra pfizer I just can’t stand feeling like an actor on a stage who gives the performance of a lifetime and then crumples backstage, viagra pfizer or in my case, viagra pfizer the break room. Viagra pfizer I feel like such a phony.

This week was different.


This week a feverish, viagra pfizer dehydrated child sat bolt upright and politely asked for “Foah apple juices and thwee owange juices. Viagra pfizer Pwease!” A little IV fluid, viagra pfizer 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. Viagra pfizer A couple of liters of saline, viagra pfizer 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. Viagra pfizer It’s hard to follow up during the holidays. Viagra pfizer An exhausted patient. Viagra pfizer An anxious family.

The treatment: some reassurance, viagra pfizer a simple explanation of expistaxis, viagra pfizer observation for an hour to make sure the bleeding was controlled, viagra pfizer 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. Viagra pfizer I hope she was able to enjoy her Christmas dinner without the nasal tampons in place.


Writhing abdominal pain with nausea, viagra pfizer vomiting and diarrhea. Viagra pfizer Many tests. Viagra pfizer No serious problems, viagra pfizer thank goodness.

But hydration, viagra pfizer 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. Viagra pfizer So simple that it was almost embarrassing.

Yes, viagra pfizer we are there for life-saving treatments.

But for the most part, viagra pfizer we are there to make people feel better.

And we are able to do that. Viagra pfizer Many times. Viagra pfizer Every shift.

And that, viagra pfizer Charlie Brown, viagra pfizer 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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