June, 2009 Archive

September 24, 2016, 10:24 am

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Side note: Tuesday was my 30th wedding anniversary; my husband and I were treated to dinner by my son and daughter-in-law. Duloxetine 40mg pills $179.00 Absolutely wonderful!

But…I missed the premier of “HawthoRNe” (and I have a DVR!).

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Average Rating: 4.4 out of 5 based on 172 user reviews.

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September 24, 2016, 12:39 pm

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Sitting on my table: Saving Lives: Why the Media’s Portrayal of Nurses Puts Us All at Risk, flovent 125mcg inhalation canister $126.00 by Sandy Summers (of The Truth About Nursing) and Harry Jacobs Summers. Flovent 125mcg inhalation canister $126.00 I saw this book at Sandy’s site and could not resist. Flovent 125mcg inhalation canister $126.00 Sandy is a tireless advocate for the image of nursing, flovent 125mcg inhalation canister $126.00 and I’m looking forward to reading what she has to say. Flovent 125mcg inhalation canister $126.00 For every book purchased, flovent 125mcg inhalation canister $126.00 Sandy sends a copy to a media representative. Flovent 125mcg inhalation canister $126.00 You can pick up a copy of Saving Lives… by clicking on the link.


The emergency department “regular”.

Every emergency department has them.

A patient can become a “regular” for many reasons. Flovent 125mcg inhalation canister $126.00 Maybe they are a recurrent cardiac patient. Flovent 125mcg inhalation canister $126.00 Perhaps they suffer from chronic pain. Flovent 125mcg inhalation canister $126.00 Sometimes, flovent 125mcg inhalation canister $126.00 they become a “regular” because they utilize the ER as a clinic and bring the whole family in over the course of a month. Flovent 125mcg inhalation canister $126.00 Some regulars are drug seekers. Flovent 125mcg inhalation canister $126.00 Others are homeless and know they can find respite in the department for at least a couple of hours and maybe get something to eat.

If you work in an emergency department long enough, flovent 125mcg inhalation canister $126.00 you will know who they are.

And you will get to know them.


Recently, flovent 125mcg inhalation canister $126.00 it dawned on me just how well you get to know them.

I work in a community hospital. Flovent 125mcg inhalation canister $126.00 It’s one of those hospitals that patients actually request to go to from all over the county. Flovent 125mcg inhalation canister $126.00 We have our shifts from hell, flovent 125mcg inhalation canister $126.00 but it is far from the county-trauma-eight-hour-wait-time environment of the huge medical centers. Flovent 125mcg inhalation canister $126.00 There is time to talk to the patients, flovent 125mcg inhalation canister $126.00 find out more about them than what hurts, flovent 125mcg inhalation canister $126.00 what is swollen or what prescription they have lost.

Over time, flovent 125mcg inhalation canister $126.00 the conversation stops being scripted and “starts getting real”, flovent 125mcg inhalation canister $126.00 as they say.


This particular shift was steady, flovent 125mcg inhalation canister $126.00 but not crazy. Flovent 125mcg inhalation canister $126.00 And almost all the patients I cared for were “regulars”. Flovent 125mcg inhalation canister $126.00 Easily 90%. Flovent 125mcg inhalation canister $126.00 For some, flovent 125mcg inhalation canister $126.00 it was their usual health issue. Flovent 125mcg inhalation canister $126.00 For others, flovent 125mcg inhalation canister $126.00 something different.

I found out a lot that night over the course of that shift

Someone’s youngest would be starting kindergarten in September; someone’s oldest had just graduated from high school. Flovent 125mcg inhalation canister $126.00 Someone had gotten into a recovery program and had been clean for a month. Flovent 125mcg inhalation canister $126.00 Someone had just welcomed their first grandchild, flovent 125mcg inhalation canister $126.00 another was mourning the loss of their mom the week before. Flovent 125mcg inhalation canister $126.00 Someone had lost their job earlier in the week. Flovent 125mcg inhalation canister $126.00 Someone had gotten married since their last visit. Flovent 125mcg inhalation canister $126.00 A baby sister was on the way for one of my patients. Flovent 125mcg inhalation canister $126.00 Another patient had enrolled in the local junior college.

We saw them, flovent 125mcg inhalation canister $126.00 treated them and sent them on their way with a wave and a prescription.

Hopefully they left in better shape then they arrived, flovent 125mcg inhalation canister $126.00 even if all they needed was reassurance.

All I know is that I thoroughly enjoyed that shift.


I had done all the usual things.  Saline locks, flovent 125mcg inhalation canister $126.00 blood draws. Flovent 125mcg inhalation canister $126.00 Medications and re-evaluations. Flovent 125mcg inhalation canister $126.00 IVs and education.

But I had also congratulated success, flovent 125mcg inhalation canister $126.00 commiserated over frustrations and offered consolation over losses. Flovent 125mcg inhalation canister $126.00 We covered birth and death, flovent 125mcg inhalation canister $126.00 struggles and successes, flovent 125mcg inhalation canister $126.00 dropping old lifestyles and starting new beginnings.

That shift, flovent 125mcg inhalation canister $126.00 I saw my patients in a different light.


The best part of nursing has nothing to do with disease or diagnoses or procedures or prescriptions.

The best part of nursing is the patients themselves.

I thoroughly enjoyed catching up with my “regulars”.

I hope I was therapeutic for them.

They were most certainly therapeutic for me.

Average Rating: 5 out of 5 based on 198 user reviews.

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September 24, 2016, 1:56 pm

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Pretty funny at the time.

Not so funny when you use it in the blogosphere.


No one has ever said that to me in a comment, imigran 100mg pills $430.00 probably because my name isn’t Jane.

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And I wondered. Imigran 100mg pills $430.00 I’ve been doing this for four years.

When did the blogosphere get so nasty?

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But something is missing lately.



Given the barriers to full communication inherent in internet interactions (lack of facial expressions, imigran 100mg pills $430.00 tone of voice, imigran 100mg pills $430.00 body language), imigran 100mg pills $430.00 it is easy to appear curt or insulting without meaning to. Imigran 100mg pills $430.00 In large discussions with many commenters, imigran 100mg pills $430.00 a response can be confusing: was it meant for the blogger or was it a response to a previous comment?

Comments are the heart and soul of the blogosphere so it is important to make your comment count.

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6.  Use a legitimate email address. Imigran 100mg pills $430.00 If what you have to say is articulate and adds to the discussion, imigran 100mg pills $430.00 why go to the trouble of using a phony email address to make a comment?


As you may have guessed, imigran 100mg pills $430.00 I’ve been receiving some rather interesting comments from some rather interesting sources.

In four years, imigran 100mg pills $430.00 I have never had to moderate comments. Imigran 100mg pills $430.00 I take all comers – agree, imigran 100mg pills $430.00 disagree, imigran 100mg pills $430.00 vehemently disagree…you name it, imigran 100mg pills $430.00 it’s here.

I don’t plan to start moderating them now.

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If you aren’t willing to use a legitimate email and your name/pseudonym, imigran 100mg pills $430.00 why bother to comment? Anyone can hide behind a fake email or the popular name “anonymous”.

You may have great things to add to the discussion but your opinion loses its value when you don’t take credit for it. Imigran 100mg pills $430.00 Back up your opinion with your name/psuedonym.

I stand behind everything I write with my name.

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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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