June, 2009 Archive

June 25, 2016, 10:24 am

Viagra Canadian Scam

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Viagra canadian scam Head on over, viagra canadian scam check it out and most definitely consider sending in a post for edition #2!

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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. Viagra canadian scam Absolutely wonderful!

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

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Did you see it?  What did you think?

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June 25, 2016, 12:39 pm

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The emergency department “regular”.

Every emergency department has them.

A patient can become a “regular” for many reasons. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 Maybe they are a recurrent cardiac patient. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 Perhaps they suffer from chronic pain. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 Sometimes, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 they become a “regular” because they utilize the ER as a clinic and bring the whole family in over the course of a month. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 Some regulars are drug seekers. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 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, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 you will know who they are.

And you will get to know them.

*****

Recently, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 it dawned on me just how well you get to know them.

I work in a community hospital. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 It’s one of those hospitals that patients actually request to go to from all over the county. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 We have our shifts from hell, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 but it is far from the county-trauma-eight-hour-wait-time environment of the huge medical centers. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 There is time to talk to the patients, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 find out more about them than what hurts, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 what is swollen or what prescription they have lost.

Over time, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 the conversation stops being scripted and “starts getting real”, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 as they say.

*****

This particular shift was steady, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 but not crazy. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 And almost all the patients I cared for were “regulars”. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 Easily 90%. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 For some, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 it was their usual health issue. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 For others, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 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. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 Someone had gotten into a recovery program and had been clean for a month. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 Someone had just welcomed their first grandchild, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 another was mourning the loss of their mom the week before. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 Someone had lost their job earlier in the week. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 Someone had gotten married since their last visit. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 A baby sister was on the way for one of my patients. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 Another patient had enrolled in the local junior college.

We saw them, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 treated them and sent them on their way with a wave and a prescription.

Hopefully they left in better shape then they arrived, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 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, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 blood draws. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 Medications and re-evaluations. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 IVs and education.

But I had also congratulated success, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 commiserated over frustrations and offered consolation over losses. Blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 We covered birth and death, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 struggles and successes, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 dropping old lifestyles and starting new beginnings.

That shift, blood pressure > lasix 40mg pills (generic) > 120 pills > $191.00 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.

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June 25, 2016, 1:56 pm

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Blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 For you youngsters who have never seen it, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 Dan Akroyd and Jane Curtin were the co-anchors. Blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 They would engage in a point-counterpoint debate, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 and Dan would always start off his counterpoint with the endearment, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 “Jane, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 you ignorant slut….”

Pretty funny at the time.

Not so funny when you use it in the blogosphere.

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No one has ever said that to me in a comment, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 probably because my name isn’t Jane.

But, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 a few have come close.

And I wondered. Blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 I’ve been doing this for four years.

When did the blogosphere get so nasty?

Nothing wrong with controversy and strong debate. Blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 It’s what the internet is all about; it’s why bloggers blog and it’s what makes for a vibrant discussion and for those with an open mind, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 it can be exhilarating.

But something is missing lately.

Manners.

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Given the barriers to full communication inherent in internet interactions (lack of facial expressions, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 tone of voice, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 body language), blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 it is easy to appear curt or insulting without meaning to. Blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 In large discussions with many commenters, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 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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1.  Keep your focus on the topic up for discussion. Blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 Remember, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 it is your opinion on the topic at hand that adds value to the discussion.

2.  If you are referring to a previous comment (as opposed to the blog post itself), blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 be sure to make that clear.

3.  Do not insult the blogger or previous commenters by resorting to name calling. Blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 Let me assure you that likening the blogger to a female dog or questioning the legitimacy of their birth is sure to dilute your point. Blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 Trust me on that one, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 m’kay?

4.  Sarcasm is an art form. Blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 Use it sparingly; it rarely comes across on screen unless you are an extremely talented writer.

5.  Identify yourself. Blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 Even a pseudonym is okay – lots of folks use them.  Anonymous comments don’t carry the same weight as those whose authors are not afraid to put their name/pseudonym behind their words. Blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 Which brings me to the next point:

6.  Use a legitimate email address. Blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 If what you have to say is articulate and adds to the discussion, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 why go to the trouble of using a phony email address to make a comment?

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As you may have guessed, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 I’ve been receiving some rather interesting comments from some rather interesting sources.

In four years, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 I have never had to moderate comments. Blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 I take all comers – agree, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 disagree, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 vehemently disagree…you name it, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 it’s here.

I don’t plan to start moderating them now.

But I will say this: if I get comments from folks with emails like “yousuck@yousuck.com” (I’m not kidding on that one). Blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 Or “lightenup@lightenup.com” (yep, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 that was a real one), blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 they will be deleted immediately.  Even if they are articulate and responsive to the topic.

If you aren’t willing to use a legitimate email and your name/pseudonym, blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 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. Blood pressure > cozaar 100mg pills (generic) > 120 pills > $182.00 Back up your opinion with your name/psuedonym.

I stand behind everything I write with my name.

Is it wrong to expect anything less from anyone else?

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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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