June, 2008 Archive

August 25, 2016, 9:06 pm

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Nizoral 200mg pills $149.00 Did you know there was actually a call for nurses in the Revolutionary War?

Nizoral 200mg pills $149.00 I found this blurb on the Women in the U.S. Nizoral 200mg pills $149.00 Army website, nizoral 200mg pills $149.00 which is also where I found this poster.

Nizoral 200mg pills $149.00 I’ll reproduce it here, nizoral 200mg pills $149.00 I have no actual author to credit, nizoral 200mg pills $149.00 but the reference is the link above:

Nizoral 200mg pills $149.00 “Shortly after establishment of the Continental Army on 14 June 1775, nizoral 200mg pills $149.00 Major General Horatio Gates reported to Commander-in-Chief George Washington that “the sick suffered much for want of good female Nurses.” General Washington then asked Congress for “a matron to supervise the nurses, nizoral 200mg pills $149.00 bedding, nizoral 200mg pills $149.00 etc., nizoral 200mg pills $149.00” and for nurses “to attend the sick and obey the matron’s orders.” In July 1775, nizoral 200mg pills $149.00 a plan was submitted to the Second Continental Congress that provided one nurse for every ten patients and provided “that a matron be allotted to every hundred sick or wounded.’ “

Nizoral 200mg pills $149.00 Hey – they actually had patient ratios back then (“one nurse for every ten…”)! I guess we don’t “obey the Matron” anymore. Nizoral 200mg pills $149.00 Now the “Matron” is called Joint Commission!


The title of this post is in keeping with Dr. Nizoral 200mg pills $149.00 Rich’s Grand Rounds theme of “Independence Day”. Nizoral 200mg pills $149.00 Of course the first thing I wanted to do was put up a pic of Jeff Goldblum, nizoral 200mg pills $149.00 but he meant the actual holiday!

So, nizoral 200mg pills $149.00 a paraphrase of Patrick Henry’s famous statement inspired the following post.

It doesn’t take a bit of government intervention to implement.

That alone is amazing.


Empathy: the ability to understand and share the feelings of another.


She’s in her mid thirties. Nizoral 200mg pills $149.00 First pregnancy, nizoral 200mg pills $149.00 just found out she was expecting earlier in the week. Nizoral 200mg pills $149.00 Home pregnancy test; hasn’t even had time to make an appointment with her doctor.

Tonight she began spotting. Nizoral 200mg pills $149.00 Nothing major, nizoral 200mg pills $149.00 but she knows something isn’t right. Nizoral 200mg pills $149.00 She is cramping. Nizoral 200mg pills $149.00 And she is shaking. Nizoral 200mg pills $149.00 Tearful. Nizoral 200mg pills $149.00 Her husband is at her side. Nizoral 200mg pills $149.00 He doesn’t know what to say, nizoral 200mg pills $149.00 but he is worried. Nizoral 200mg pills $149.00 Asking a lot of questions.

What does she need?

She needs a nurse who can empathize with what she is going through. Nizoral 200mg pills $149.00 You see, nizoral 200mg pills $149.00 we know that many, nizoral 200mg pills $149.00 many pregnancies end in a miscarriage. Nizoral 200mg pills $149.00 We also know that you can have spotting early in pregnancy and still have a perfectly healthy pregnancy/baby. Nizoral 200mg pills $149.00 We know that if you are having a miscarriage, nizoral 200mg pills $149.00 there is nothing in the world that will stop it.

But she doesn’t. Nizoral 200mg pills $149.00 She’s scared, nizoral 200mg pills $149.00 she is bleeding, nizoral 200mg pills $149.00 and will probably be grieving the loss of her baby within a few hours. Nizoral 200mg pills $149.00 She doesn’t need a nurse who rolls their eyes because she is “over-reacting”.

She needs empathy.


He is in his mid-twenties. Nizoral 200mg pills $149.00 He vomited once (or twice) and has abdominal pain. Nizoral 200mg pills $149.00 Feels like hell, nizoral 200mg pills $149.00 is pale and pretty sure is he is about to vomit again. Nizoral 200mg pills $149.00 He called his mom to drive him into the ER.

Pretty dramatic presentation. Nizoral 200mg pills $149.00 Dizzy when upright, nizoral 200mg pills $149.00 mom wheeled him in via wheelchair.

He’s scared. Nizoral 200mg pills $149.00 He’s uncomfortable and honestly thinks he may be dying, nizoral 200mg pills $149.00 or at least on the verge of dehydration. Nizoral 200mg pills $149.00 All he wants is to stop vomiting and feel better.

We know that vomiting is self-limiting. Nizoral 200mg pills $149.00 We know this is most likely a viral gastroenteritis. Nizoral 200mg pills $149.00 We know he’s in no danger. Nizoral 200mg pills $149.00 We know his symptoms can easily be allieviated with medication.

But he doesn’t. Nizoral 200mg pills $149.00 He doesn’t even know the term “gastroenteritis”. Nizoral 200mg pills $149.00 He just knows that it feels like something is horribly wrong. Nizoral 200mg pills $149.00 He doesn’t need a nurse who rolls their eyes and silently calls him a “wimp”.

He needs empathy.


She’s in her mid-forties. Nizoral 200mg pills $149.00 She arrives in the middle of the night in sunglasses, nizoral 200mg pills $149.00 holding her plastic garbage can in front of her face. Nizoral 200mg pills $149.00 Migraine. Nizoral 200mg pills $149.00 Three days. Nizoral 200mg pills $149.00 Vomiting. Nizoral 200mg pills $149.00 24 hours. Nizoral 200mg pills $149.00 Photosensitive. Nizoral 200mg pills $149.00 Extreme.

She’s tired. Nizoral 200mg pills $149.00 Tired of being in pain. Nizoral 200mg pills $149.00 Tired of not being able to get on with life. Nizoral 200mg pills $149.00 She tried every one of her medications, nizoral 200mg pills $149.00 more than once. Nizoral 200mg pills $149.00 Keeping them down is another story.

We know this is probably a typical migraine. Nizoral 200mg pills $149.00 We know that many people come in to the ER with the same complaint and are discharged after receiving some pretty heavy-duty drugs. Nizoral 200mg pills $149.00 We often see them many times in one month. Nizoral 200mg pills $149.00 We know the drill.

And so does she. Nizoral 200mg pills $149.00 She knows there will be some suspicion. Nizoral 200mg pills $149.00 She can hear it in the tone, nizoral 200mg pills $149.00 she can see it in the face of the nurse who takes down her triage information. Nizoral 200mg pills $149.00 What she doesn’t need is someone who doesn’t believe her pain is a 10/10 and rolls their eyes because she is allergic to Toradol and Phenergan.

She needs empathy.


Empathy is at the heart of our profession.

As in synonymous with “caring”. Nizoral 200mg pills $149.00 It’s what we do. Nizoral 200mg pills $149.00 It’s what we have to offer as nurses. Nizoral 200mg pills $149.00 We give of ourselves so that others can feel better. Nizoral 200mg pills $149.00 In the ER specifically, nizoral 200mg pills $149.00 we work quickly to get them as comfortable as possible.

But we absolutely must have empathy. Nizoral 200mg pills $149.00 The opposite? Apathy.

And apathy is just another word for nothing left to feel.

God help us if we get to that point in our practice.

God help our patients when we get to that point in our practice.

They expect medical care from their doctors.

They need empathy and caring from their nurse.

It’s what we do.

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August 25, 2016, 5:06 pm

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10:43 am

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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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