July, 2009 Archive

August 30, 2016, 7:35 pm

Real Viagra

Real viagra menopauseI’m sure some women have issues during menopause, real viagra but Benzedrine?

Real viagra Apathy? Psychomotor retardation?

Real viagra Sounds like me after four night shifts in a row.

Real viagra And I thought all I’d have to worry about are hot flashes…or in the current PC vernacular, real viagra power surges.

Real viagra Puberty isn’t treated like a disease, real viagra but apparently menopause was looked upon as a psychosis! Was it ever listed in the DSM?

Real viagra Were all the women of the 1950s hyped up on bennies?

Real viagra OMG – read the fine print – they actually talk about using Benzedrine with electric shock therapy.

Real viagra Whoa.

Real viagra We most certainly have come a long way, real viagra baby!

********************

Sometimes I think I’m my own worst enemy.

I feel guilty for being angry at a patient’s behavior, real viagra shocked by an intensity of rage that is way out of proportion to what they have done.

After all, real viagra it isn’t personal; their behavior is a component of their disease.

Or so I tell myself one month (and one post) after the fact.

*****

I feel guilty for tearing up as a patient miscarries.

A week later she would have been far enough along to go to L&D.

The sadness stays with me the entire shift and I cry as I turn out of the parking lot that morning.

I kick myself for not being able to detach; am I not a professional?

*****

I feel guilty for being on edge with co-workers.

Who are only being themselves, real viagra but my perception is that of  too much, real viagra too loud and too intrusive.

God only knows how I am coming across to them.

*****

When did I become a walking raw nerve?

This isn’t burnout.

When you are burnt out you are apathetic.

Real viagra I’m almost the opposite of apathetic; everything is very, real viagra very acute.

Real viagra All I know is that this isn’t me.

Real viagra And I don’t like it.

*****

And I feel guilty for feeling this way.

Why is it so easy to cut other people some slack, real viagra

And virtually impossible to do the same for myself?

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August 30, 2016, 11:30 am

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Anafranil 10mg pills $140.00 didnothearcallDoctor Ratched: “Nurse! I’m appalled! This woman has waited five minutes for her ice chips!”

Anafranil 10mg pills $140.00 Nurse: “Oh my, anafranil 10mg pills $140.00 how could I be so irresponsible! I should have predicted her dry tongue, anafranil 10mg pills $140.00 left my seizing pediatric patient and run to meet her need for moisture!”

Anafranil 10mg pills $140.00 Doctor Ratched: “Well there goes our Press-Ganey scores for the entire month. Anafranil 10mg pills $140.00 I hope you are satisfied, anafranil 10mg pills $140.00 Nurse!”

Anafranil 10mg pills $140.00 Nurse: “I’m so ashamed!”

Anafranil 10mg pills $140.00 Not.

Anafranil 10mg pills $140.00 But hey! Don’t let this happen to you!

Anafranil 10mg pills $140.00 With the Edwards Nurses Call System you know when a patient needs ice chips!

Anafranil 10mg pills $140.00 And look….one hand!

Anafranil 10mg pills $140.00 What will they think of next…answering call lights through a speaker in the wall?

********************

Last call for submissions for this week’s Change of Shift to be hosted at Nurse in Australia. Anafranil 10mg pills $140.00 Ross is awaiting your submissions at “admin at nurseinaustralia dot com”.

Shhhh! Something is afoot over at Doc Gurley’s blog where Grand Rounds is surrounded by mystery, anafranil 10mg pills $140.00 intrigue, anafranil 10mg pills $140.00 foggy London nights, anafranil 10mg pills $140.00 Peter Lorre running through the posts…..okay, anafranil 10mg pills $140.00 not that last one, anafranil 10mg pills $140.00 but if you are up for a good suspense-filled read, anafranil 10mg pills $140.00 this is where you need to be!

*****

You showed up to the ER.

You presented your case.

Anafranil 10mg pills $140.00 You got your narcs.

Anafranil 10mg pills $140.00 Good ones, anafranil 10mg pills $140.00 too. Anafranil 10mg pills $140.00 Nice, anafranil 10mg pills $140.00 big, anafranil 10mg pills $140.00 fat dosage for the 50/10 pain you calmly reported.

I served it up with a smile next to a side of compassion.

After all, anafranil 10mg pills $140.00 pain is what you say it is and we are there to meet your needs.

Patient satisfaction – we are all over it!

*****

Wait a minute……

What?

You don’t have someone who can come and pick you up?  How did you get here? Oh, anafranil 10mg pills $140.00 your Aunt dropped you off? Why don’t you….oh, anafranil 10mg pills $140.00 she doesn’t carry a cell phone? Huh. Anafranil 10mg pills $140.00 That does pose a problem!

No, anafranil 10mg pills $140.00 I’m sorry, anafranil 10mg pills $140.00 I can’t have you walking out of here in the dead of night to the bus station after an injection of that magnitude. Anafranil 10mg pills $140.00 It isn’t safe. Anafranil 10mg pills $140.00 Why, anafranil 10mg pills $140.00 look! Your sister’s number is right on the chart and she lives right here in this area! Oh…she isn’t picking up the phone at this hour?

Let me go try and see if I can get through for you.

(How odd, anafranil 10mg pills $140.00 as I am walking to the nursing station to make that call, anafranil 10mg pills $140.00 I hear the dialing of the room phone and I hear you say something in a very low voice. Anafranil 10mg pills $140.00 I walk back in to see if you had reached someone. Anafranil 10mg pills $140.00 No, anafranil 10mg pills $140.00 no, anafranil 10mg pills $140.00 no one is picking up at Auntie’s place. Anafranil 10mg pills $140.00 It just rings and rings, anafranil 10mg pills $140.00 you say.)

Funny, anafranil 10mg pills $140.00 when I try the number it’s a solid busy signal. Anafranil 10mg pills $140.00 For ten minutes. Anafranil 10mg pills $140.00 At three am.

*****

Gosh, anafranil 10mg pills $140.00 I’m really confused!

You see, anafranil 10mg pills $140.00 the ER security tape shows you walking up to the ER alone all the way from the street! Ah, anafranil 10mg pills $140.00 I see that you reply with a shoulder shrug. Anafranil 10mg pills $140.00 Interesting. Anafranil 10mg pills $140.00 I’m sorry, anafranil 10mg pills $140.00 we don’t have taxi vouchers in the ER. Anafranil 10mg pills $140.00 Oh, anafranil 10mg pills $140.00 you have money at your Aunt’s house? Uncle George will have it, anafranil 10mg pills $140.00 you are sure of it? And you want us to call a taxi for you? Well, anafranil 10mg pills $140.00 that’s fine then!

Happy to make that call for you!

*****

Wow – never stiff a taxi driver who has traveled thirty miles to pick you up.  Jumping out of the taxi as they round the building really makes them mad!  And they want us to know that you said you had no intention of paying anything and that you had your car down on the street.

Holy cow! That means you will be driving under the influence of a narcotic! We try to find you, anafranil 10mg pills $140.00 after all, anafranil 10mg pills $140.00 your safety is our responsibility! You made it off the premises so fast you were long gone before we made it to the end of the driveway!

*****

That’s it.

No more.

I can’t play anymore.

Anafranil 10mg pills $140.00 I am nothing but a legal pusher of narcotics to addicts who know we know that they know we know….it never ends.

Anafranil 10mg pills $140.00 Emergency departments hand it out like candy. Anafranil 10mg pills $140.00 We invite this behavior. Anafranil 10mg pills $140.00 We abet this behavior. Anafranil 10mg pills $140.00 We will give you what you want, anafranil 10mg pills $140.00 when you want it and how you want it even when we know it is bogus!

Anafranil 10mg pills $140.00 Why? Because it gets the addict out of the department faster? It’s less hassle to give them what they want? No one wants to confront and say “sorry, anafranil 10mg pills $140.00 but this behavior looks like drug seeking to us”?

Anafranil 10mg pills $140.00 It does no good to confront after the fact. Anafranil 10mg pills $140.00 The narcotic is given, anafranil 10mg pills $140.00 the fix is in, anafranil 10mg pills $140.00 yadda, anafranil 10mg pills $140.00 yadda, anafranil 10mg pills $140.00 yadda. Anafranil 10mg pills $140.00 They scored again.

Anafranil 10mg pills $140.00 And they will be back, anafranil 10mg pills $140.00 believe it or not. Anafranil 10mg pills $140.00 Even when we confront them with previous alterations in prescriptions, anafranil 10mg pills $140.00 tell them we have personally witnessed them driving away in their vehicles, anafranil 10mg pills $140.00 let them know that taxi drivers will rat them out every time…it makes no difference. Anafranil 10mg pills $140.00 And soon it is known all around the area that if you want it, anafranil 10mg pills $140.00 you will get it at Hospital Hotel.

Anafranil 10mg pills $140.00 And before I’m accused of being elitist, anafranil 10mg pills $140.00 not knowing the “true face” of addiction, anafranil 10mg pills $140.00 having no compassion, anafranil 10mg pills $140.00 riding my high horse or being a bitch, anafranil 10mg pills $140.00 let me assure you that addicts come in all shapes, anafranil 10mg pills $140.00 sizes, anafranil 10mg pills $140.00 colors, anafranil 10mg pills $140.00 genders, anafranil 10mg pills $140.00 occupations, anafranil 10mg pills $140.00 income levels, anafranil 10mg pills $140.00 hair colors and ages.  None of that matters. Anafranil 10mg pills $140.00 They will lie, anafranil 10mg pills $140.00 manipulate and ingratiate to get what they want.

Anafranil 10mg pills $140.00 So, anafranil 10mg pills $140.00 please tell me.

Anafranil 10mg pills $140.00 When will somebody grow a pair and stop this insanity?

****************************************

Narcotics in the ER is a hot topic that always engenders a hot debate. Anafranil 10mg pills $140.00 I have to give a hat tip to girlvet at Madness: Tales of an Emergency Room Nurse for the idea for this post.

Speaking of hot debates, anafranil 10mg pills $140.00 please keep your comments passionate but polite. Anafranil 10mg pills $140.00 Thanks.

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August 30, 2016, 10:01 am

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Clarina anti-acne gel 30ml tube $356.00 RyanPodiumThis is Congressman Paul Ryan of Wisconsin, clarina anti-acne gel 30ml tube $356.00 speaking at the Better Health “Putting Patients First” event  in D.C.

Clarina anti-acne gel 30ml tube $356.00 I should talk about how passionately he spoke about health care reform (he did), clarina anti-acne gel 30ml tube $356.00 about why he does not believe government should be running health care (he doesn’t) or that he took the time to come and speak at 8 am even though he had been up until 2 am working on the health care bill (he did) or that he spoke right up until he – literally- had to run back to the House to vote (he did).

Clarina anti-acne gel 30ml tube $356.00 And I will talk about these things.

Clarina anti-acne gel 30ml tube $356.00 But first, clarina anti-acne gel 30ml tube $356.00 let me state the obvious and get it out of the way so that I can go on to discuss the serious nature of the health care reform debate before us.

Clarina anti-acne gel 30ml tube $356.00 Whoa.

Clarina anti-acne gel 30ml tube $356.00 Seriously, clarina anti-acne gel 30ml tube $356.00 is it just me or are politicians getting better looking?

Clarina anti-acne gel 30ml tube $356.00 There. Clarina anti-acne gel 30ml tube $356.00 Now I can move on to the meat of the matter.

Clarina anti-acne gel 30ml tube $356.00 (I had to say it because you all know I was thinking it!)

*****

This event marked my first time in Washington, clarina anti-acne gel 30ml tube $356.00 and just being there is awe-inspiring. Clarina anti-acne gel 30ml tube $356.00 Seeing the White House from the car window took my breath away, clarina anti-acne gel 30ml tube $356.00 literally. Clarina anti-acne gel 30ml tube $356.00 I felt like Ellie May Clampett marveling at the ce-ment pond.  The National Press Club is a museum in and of itself.  Mother Jones and I were hoping we’d catch a glimpse of Sanjay Gupta, clarina anti-acne gel 30ml tube $356.00 but he must have been off doing neurosurgery or something.

*****

By now, clarina anti-acne gel 30ml tube $356.00 you’ve probably read who was on the panel (Dr. Clarina anti-acne gel 30ml tube $356.00 Wes, clarina anti-acne gel 30ml tube $356.00 DrRich, clarina anti-acne gel 30ml tube $356.00 Dr.Rob, clarina anti-acne gel 30ml tube $356.00 Dr.Kevin, clarina anti-acne gel 30ml tube $356.00 me, clarina anti-acne gel 30ml tube $356.00 and Better Health contributors Dr. Clarina anti-acne gel 30ml tube $356.00 Alan Dappen, clarina anti-acne gel 30ml tube $356.00 Valerie Tinley, clarina anti-acne gel 30ml tube $356.00 NP and “token” – his words, clarina anti-acne gel 30ml tube $356.00 LOL – surgeon Dr. Clarina anti-acne gel 30ml tube $356.00 James Herndon).

I will tell you straight up that I learned much more than I contributed.

The panel shot from the hip and spoke from the heart. Clarina anti-acne gel 30ml tube $356.00 Some of us had notes, clarina anti-acne gel 30ml tube $356.00 some of us illustrated our comments with anecdotes and one of us (*cough*) had no clue what was going to come out of her mouth until that moment.

I’ll give you a hint….it wasn’t Valerie…..

*****

For the record, clarina anti-acne gel 30ml tube $356.00 those of us on the panel were not told what to say, clarina anti-acne gel 30ml tube $356.00 how to say it or what to believe, clarina anti-acne gel 30ml tube $356.00 nor were we chosen based on what we do believe.  Some discussed concepts that should be taken into account no matter what plan we end up with, clarina anti-acne gel 30ml tube $356.00 others were definitely against a single payer plan run by the government (*raising hand*).

The inefficiencies of national health plans of other countries were illustrated/discussed.  This hit me later: we should look at what works in those plans, clarina anti-acne gel 30ml tube $356.00 not just what is wrong with them.  We don’t have to emulate them, clarina anti-acne gel 30ml tube $356.00 just learn from them, clarina anti-acne gel 30ml tube $356.00 and that includes the good and the bad.  It also applies to any universal form of coverage, clarina anti-acne gel 30ml tube $356.00 not just a government-run plan.

Wish I had said that at the time.

So much for thinking on my feet (or on my butt, clarina anti-acne gel 30ml tube $356.00 as the case may be).

*****

There was some controversy about not having any patient bloggers on the panel.  There should have been. Clarina anti-acne gel 30ml tube $356.00 I hope that, clarina anti-acne gel 30ml tube $356.00 as a nurse, clarina anti-acne gel 30ml tube $356.00 I spoke for patients, clarina anti-acne gel 30ml tube $356.00 but it was not the same as having someone there who navigates the system as a patient every single day.

patientbloggers

The patient bloggers were in the audience, clarina anti-acne gel 30ml tube $356.00 though, clarina anti-acne gel 30ml tube $356.00 and if you go to Twitter you can find the live tweeting at “#patientsfirst”. Clarina anti-acne gel 30ml tube $356.00 There was a pretty healthy debate going on in the Twitterverse while the panel was up on the dais.

Here I am with Lisa Emrich (Brass and Ivory) and Kerri Morrone Sparling (Six Until Me). Clarina anti-acne gel 30ml tube $356.00 Duncan Cross was also there, clarina anti-acne gel 30ml tube $356.00 but my pic was blurry!

*****

While health care reform has been a hot topic for awhile, clarina anti-acne gel 30ml tube $356.00 it was especially acute this week as the President was actively promoting a government run health care system and there seemed to be a huge sense of urgency to get what is called “America’s Affordable Health Choices Act of 2009” passed ASAP.

The bill is over 1000 pages long.

I just downloaded it.

And Congress has not read it.

Folks, clarina anti-acne gel 30ml tube $356.00 our representatives are being asked to pass legislation they have not had a chance to read.

While I will admit to being a bit unsure of exactly what happens in the Beltway (Civics classes and Schoolhouse Rock’s “I’m Just a Bill” notwithstanding), clarina anti-acne gel 30ml tube $356.00 that can’t possibly be business as usual.

Can it?

*****

I’ll say one thing: no matter what we believe, clarina anti-acne gel 30ml tube $356.00 why we believe it or what our role is in the health care system, clarina anti-acne gel 30ml tube $356.00 it is a conversation rife with strong opinions and passionate debate.

And, clarina anti-acne gel 30ml tube $356.00 in the end, clarina anti-acne gel 30ml tube $356.00 because we are all patients in one form or another at some point in our lives, clarina anti-acne gel 30ml tube $356.00 the conversation is about us.

So, clarina anti-acne gel 30ml tube $356.00 when you hear the phrase “putting patients first”, clarina anti-acne gel 30ml tube $356.00 think of it as “putting me first”.

That may help you get a foothold in the morass of information that is the health care debate.

It worked for me.

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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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