July 27, 2016, 11:30 am

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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. Femara 2.5mg pills $101.00 God bless her for taking on the carnival during the holidays! I hope Santa was very good to her this year!

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I’m at Starbucks on my absolutely, femara 2.5mg pills $101.00 honest-to-goodness last gingerbread latte of the season. Femara 2.5mg pills $101.00 Really. Femara 2.5mg pills $101.00 It is. Femara 2.5mg pills $101.00 I’m back to Venti-non-fat-one-equal lattes tomorrow. Femara 2.5mg pills $101.00 Yeah, femara 2.5mg pills $101.00 that’s the ticket….tomorrow!

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I have a confession to make.

I’ve been fighting burn out. Femara 2.5mg pills $101.00 It’s been hard to write uplifting posts lately and who wants to read depressing, femara 2.5mg pills $101.00 morose, femara 2.5mg pills $101.00 bitchy posts?

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80% of the patients I care for are not having an emergency, femara 2.5mg pills $101.00 nor are they in any danger.

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And while the patient never sees it, femara 2.5mg pills $101.00 I sometimes do an internal eye roll at what would make someone leave their bed on an ice-cold, femara 2.5mg pills $101.00 rainy San Francisco night and come to the emergency department. Femara 2.5mg pills $101.00 Blame it on thirty years of dealing with illness, femara 2.5mg pills $101.00 but I’m only human. Femara 2.5mg pills $101.00 For the last few month it’s been harder and harder to keep the smile on my face and the compassion flowing uninhibited.

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This week was different.

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The problem: bilateral epistaxis and five visits to the emergency department in four days. Femara 2.5mg pills $101.00 It’s hard to follow up during the holidays. Femara 2.5mg pills $101.00 An exhausted patient. Femara 2.5mg pills $101.00 An anxious family.

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Writhing abdominal pain with nausea, femara 2.5mg pills $101.00 vomiting and diarrhea. Femara 2.5mg pills $101.00 Many tests. Femara 2.5mg pills $101.00 No serious problems, femara 2.5mg pills $101.00 thank goodness.

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My epiphany was a simple one. Femara 2.5mg pills $101.00 So simple that it was almost embarrassing.

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It’s good to be back.

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5 Comments

  • Beth
    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
    sean

    December 27, 2007 at 1:51 pm

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


  • ednurseasauras
    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
    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
    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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