June, 2009 Archive

August 29, 2016, 10:24 am

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Cialis at real low prices The new carnival, cialis at real low prices Patients for a Moment is the brainchild of patient blogger Duncan Cross.  The first edition is up and if first impressions are lasting, cialis at real low prices this should be one successful carnival!

Cialis at real low prices Head on over, cialis at real low prices check it out and most definitely consider sending in a post for edition #2!


Side note: Tuesday was my 30th wedding anniversary; my husband and I were treated to dinner by my son and daughter-in-law. Cialis at real low prices Absolutely wonderful!

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

So, cialis at real low prices many thanks to those who are leaving comments – I am hoping to catch the first episode on the internet.  From what I am hearing, cialis at real low prices it’s not all that realistic.

Did you see it?  What did you think?

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Average Rating: 4.7 out of 5 based on 246 user reviews.

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August 29, 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. Prilosec 40mg pills $123.00 Maybe they are a recurrent cardiac patient. Prilosec 40mg pills $123.00 Perhaps they suffer from chronic pain. Prilosec 40mg pills $123.00 Sometimes, prilosec 40mg pills $123.00 they become a “regular” because they utilize the ER as a clinic and bring the whole family in over the course of a month. Prilosec 40mg pills $123.00 Some regulars are drug seekers. Prilosec 40mg pills $123.00 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, prilosec 40mg pills $123.00 you will know who they are.

And you will get to know them.


Recently, prilosec 40mg pills $123.00 it dawned on me just how well you get to know them.

I work in a community hospital. Prilosec 40mg pills $123.00 It’s one of those hospitals that patients actually request to go to from all over the county. Prilosec 40mg pills $123.00 We have our shifts from hell, prilosec 40mg pills $123.00 but it is far from the county-trauma-eight-hour-wait-time environment of the huge medical centers. Prilosec 40mg pills $123.00 There is time to talk to the patients, prilosec 40mg pills $123.00 find out more about them than what hurts, prilosec 40mg pills $123.00 what is swollen or what prescription they have lost.

Over time, prilosec 40mg pills $123.00 the conversation stops being scripted and “starts getting real”, prilosec 40mg pills $123.00 as they say.


This particular shift was steady, prilosec 40mg pills $123.00 but not crazy. Prilosec 40mg pills $123.00 And almost all the patients I cared for were “regulars”. Prilosec 40mg pills $123.00 Easily 90%. Prilosec 40mg pills $123.00 For some, prilosec 40mg pills $123.00 it was their usual health issue. Prilosec 40mg pills $123.00 For others, prilosec 40mg pills $123.00 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. Prilosec 40mg pills $123.00 Someone had gotten into a recovery program and had been clean for a month. Prilosec 40mg pills $123.00 Someone had just welcomed their first grandchild, prilosec 40mg pills $123.00 another was mourning the loss of their mom the week before. Prilosec 40mg pills $123.00 Someone had lost their job earlier in the week. Prilosec 40mg pills $123.00 Someone had gotten married since their last visit. Prilosec 40mg pills $123.00 A baby sister was on the way for one of my patients. Prilosec 40mg pills $123.00 Another patient had enrolled in the local junior college.

We saw them, prilosec 40mg pills $123.00 treated them and sent them on their way with a wave and a prescription.

Hopefully they left in better shape then they arrived, prilosec 40mg pills $123.00 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, prilosec 40mg pills $123.00 blood draws. Prilosec 40mg pills $123.00 Medications and re-evaluations. Prilosec 40mg pills $123.00 IVs and education.

But I had also congratulated success, prilosec 40mg pills $123.00 commiserated over frustrations and offered consolation over losses. Prilosec 40mg pills $123.00 We covered birth and death, prilosec 40mg pills $123.00 struggles and successes, prilosec 40mg pills $123.00 dropping old lifestyles and starting new beginnings.

That shift, prilosec 40mg pills $123.00 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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August 29, 2016, 1:56 pm

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Ampicillin 250mg pills $222.00 For you youngsters who have never seen it, ampicillin 250mg pills $222.00 Dan Akroyd and Jane Curtin were the co-anchors. Ampicillin 250mg pills $222.00 They would engage in a point-counterpoint debate, ampicillin 250mg pills $222.00 and Dan would always start off his counterpoint with the endearment, ampicillin 250mg pills $222.00 “Jane, ampicillin 250mg pills $222.00 you ignorant slut….”

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, ampicillin 250mg pills $222.00 probably because my name isn’t Jane.

But, ampicillin 250mg pills $222.00 a few have come close.

And I wondered. Ampicillin 250mg pills $222.00 I’ve been doing this for four years.

When did the blogosphere get so nasty?

Nothing wrong with controversy and strong debate. Ampicillin 250mg pills $222.00 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, ampicillin 250mg pills $222.00 it can be exhilarating.

But something is missing lately.



Given the barriers to full communication inherent in internet interactions (lack of facial expressions, ampicillin 250mg pills $222.00 tone of voice, ampicillin 250mg pills $222.00 body language), ampicillin 250mg pills $222.00 it is easy to appear curt or insulting without meaning to. Ampicillin 250mg pills $222.00 In large discussions with many commenters, ampicillin 250mg pills $222.00 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. Ampicillin 250mg pills $222.00 Remember, ampicillin 250mg pills $222.00 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), ampicillin 250mg pills $222.00 be sure to make that clear.

3.  Do not insult the blogger or previous commenters by resorting to name calling. Ampicillin 250mg pills $222.00 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. Ampicillin 250mg pills $222.00 Trust me on that one, ampicillin 250mg pills $222.00 m’kay?

4.  Sarcasm is an art form. Ampicillin 250mg pills $222.00 Use it sparingly; it rarely comes across on screen unless you are an extremely talented writer.

5.  Identify yourself. Ampicillin 250mg pills $222.00 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. Ampicillin 250mg pills $222.00 Which brings me to the next point:

6.  Use a legitimate email address. Ampicillin 250mg pills $222.00 If what you have to say is articulate and adds to the discussion, ampicillin 250mg pills $222.00 why go to the trouble of using a phony email address to make a comment?


As you may have guessed, ampicillin 250mg pills $222.00 I’ve been receiving some rather interesting comments from some rather interesting sources.

In four years, ampicillin 250mg pills $222.00 I have never had to moderate comments. Ampicillin 250mg pills $222.00 I take all comers – agree, ampicillin 250mg pills $222.00 disagree, ampicillin 250mg pills $222.00 vehemently disagree…you name it, ampicillin 250mg pills $222.00 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). Ampicillin 250mg pills $222.00 Or “lightenup@lightenup.com” (yep, ampicillin 250mg pills $222.00 that was a real one), ampicillin 250mg pills $222.00 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, ampicillin 250mg pills $222.00 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. Ampicillin 250mg pills $222.00 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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