June, 2009 Archive

July 30, 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. Enalapril 20mg pills $207.00 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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Average Rating: 4.6 out of 5 based on 299 user reviews.

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July 30, 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. Altace 2.5mg pills $83.00 Maybe they are a recurrent cardiac patient. Altace 2.5mg pills $83.00 Perhaps they suffer from chronic pain. Altace 2.5mg pills $83.00 Sometimes, altace 2.5mg pills $83.00 they become a “regular” because they utilize the ER as a clinic and bring the whole family in over the course of a month. Altace 2.5mg pills $83.00 Some regulars are drug seekers. Altace 2.5mg pills $83.00 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, altace 2.5mg pills $83.00 you will know who they are.

And you will get to know them.

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Recently, altace 2.5mg pills $83.00 it dawned on me just how well you get to know them.

I work in a community hospital. Altace 2.5mg pills $83.00 It’s one of those hospitals that patients actually request to go to from all over the county. Altace 2.5mg pills $83.00 We have our shifts from hell, altace 2.5mg pills $83.00 but it is far from the county-trauma-eight-hour-wait-time environment of the huge medical centers. Altace 2.5mg pills $83.00 There is time to talk to the patients, altace 2.5mg pills $83.00 find out more about them than what hurts, altace 2.5mg pills $83.00 what is swollen or what prescription they have lost.

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This particular shift was steady, altace 2.5mg pills $83.00 but not crazy. Altace 2.5mg pills $83.00 And almost all the patients I cared for were “regulars”. Altace 2.5mg pills $83.00 Easily 90%. Altace 2.5mg pills $83.00 For some, altace 2.5mg pills $83.00 it was their usual health issue. Altace 2.5mg pills $83.00 For others, altace 2.5mg pills $83.00 something different.

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Someone’s youngest would be starting kindergarten in September; someone’s oldest had just graduated from high school. Altace 2.5mg pills $83.00 Someone had gotten into a recovery program and had been clean for a month. Altace 2.5mg pills $83.00 Someone had just welcomed their first grandchild, altace 2.5mg pills $83.00 another was mourning the loss of their mom the week before. Altace 2.5mg pills $83.00 Someone had lost their job earlier in the week. Altace 2.5mg pills $83.00 Someone had gotten married since their last visit. Altace 2.5mg pills $83.00 A baby sister was on the way for one of my patients. Altace 2.5mg pills $83.00 Another patient had enrolled in the local junior college.

We saw them, altace 2.5mg pills $83.00 treated them and sent them on their way with a wave and a prescription.

Hopefully they left in better shape then they arrived, altace 2.5mg pills $83.00 even if all they needed was reassurance.

All I know is that I thoroughly enjoyed that shift.

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I had done all the usual things.  Saline locks, altace 2.5mg pills $83.00 blood draws. Altace 2.5mg pills $83.00 Medications and re-evaluations. Altace 2.5mg pills $83.00 IVs and education.

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That shift, altace 2.5mg pills $83.00 I saw my patients in a different light.

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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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July 30, 2016, 1:56 pm

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Copegus 200mg pills $126.00 For you youngsters who have never seen it, copegus 200mg pills $126.00 Dan Akroyd and Jane Curtin were the co-anchors. Copegus 200mg pills $126.00 They would engage in a point-counterpoint debate, copegus 200mg pills $126.00 and Dan would always start off his counterpoint with the endearment, copegus 200mg pills $126.00 “Jane, copegus 200mg pills $126.00 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, copegus 200mg pills $126.00 probably because my name isn’t Jane.

But, copegus 200mg pills $126.00 a few have come close.

And I wondered. Copegus 200mg pills $126.00 I’ve been doing this for four years.

When did the blogosphere get so nasty?

Nothing wrong with controversy and strong debate. Copegus 200mg pills $126.00 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, copegus 200mg pills $126.00 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, copegus 200mg pills $126.00 tone of voice, copegus 200mg pills $126.00 body language), copegus 200mg pills $126.00 it is easy to appear curt or insulting without meaning to. Copegus 200mg pills $126.00 In large discussions with many commenters, copegus 200mg pills $126.00 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. Copegus 200mg pills $126.00 Remember, copegus 200mg pills $126.00 it is your opinion on the topic at hand that adds value to the discussion.

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As you may have guessed, copegus 200mg pills $126.00 I’ve been receiving some rather interesting comments from some rather interesting sources.

In four years, copegus 200mg pills $126.00 I have never had to moderate comments. Copegus 200mg pills $126.00 I take all comers – agree, copegus 200mg pills $126.00 disagree, copegus 200mg pills $126.00 vehemently disagree…you name it, copegus 200mg pills $126.00 it’s here.

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But I will say this: if I get comments from folks with emails like “yousuck@yousuck.com” (I’m not kidding on that one). Copegus 200mg pills $126.00 Or “lightenup@lightenup.com” (yep, copegus 200mg pills $126.00 that was a real one), copegus 200mg pills $126.00 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, copegus 200mg pills $126.00 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. Copegus 200mg pills $126.00 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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