November, 2009 Archive

June 28, 2016, 12:07 am

Cost Of Cialis

Cost of cialis spit:nursepostcard:zwerdling nursing archivesApparently once you remember that tuberculosis is spread by spitting…

Cost of cialis You are then allowed to spit.

Cost of cialis Reminds me of an incident.

Cost of cialis Elderly lady.

Cost of cialis Elegant, cost of cialis actually.

Cost of cialis Didn’t speak English.

Cost of cialis Smiled at everyone she passed.

Cost of cialis She smiled at me.

Cost of cialis Just before turning her head, cost of cialis clearing her throat and spitting three feet across the hallway.

Cost of cialis Then she smiled and continued down to her husband’s room.

Cost of cialis I didn’t take it personally. Cost of cialis I did, cost of cialis however, cost of cialis feel my jaw hit the floor…

Cost of cialis (Postcard courtesy of Michael Zwerdling, cost of cialis RN of the Zwerdling Nursing Archives.)

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

Emily over at crzegrl.net really is CRZE this week! She’s doing Grand Rounds on Tuesday and Change of Shift on Thursday!

Help send her over the edge and get your CoS submissions in! You can send them to me and I’ll forward or send them directly to Emily at “emily at crzegrl dot net”.

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

Browsing through my October ENA Connection the other day, cost of cialis I noticed the theme was “Government and Advocacy”. Cost of cialis Came across an article on domestic violence. Cost of cialis It’s a short article, cost of cialis written by Carrie Norman, cost of cialis RN, cost of cialis CEN, cost of cialis member of the Government Affairs Committee. Cost of cialis The quotes below are taken from Carrie’s article.

“The CDC estimates that 37 percent of women who sought emergency department care were victims of domestic violence.”

What? 37 out of every 100 women I have triaged?

Seriously?

“Domestic violence victims are more likely to seek treatment for chronic and psychological conditions.”

Okay. Cost of cialis But no way have I been taking care of victims of domestic abuse – I mean, cost of cialis hello, cost of cialis wouldn’t it be obvious? The hovering, cost of cialis overbearing abuser who answers all the questions for the patient? The bruises that aren’t explained by the story?

You know, cost of cialis the stereotypical, cost of cialis classic scenario?

“The stress of physical/emotional abuse has been linked to many chronic conditions such as: chronic pain, cost of cialis fibromyalgia, cost of cialis frequent migraines and abdominal and gastrointestinal complaints.”

Well, cost of cialis yeah, cost of cialis I knew that.

But….

I screen them, cost of cialis right? It’s part of triage.

Well, cost of cialis actually I check one of two boxes. Cost of cialis Abuse: “Not suspected” or “Yes”.

And unless someone says “He/she hit me”, cost of cialis I check “Not suspected.”

What kind of a screening is that? How can you screen for a problem when you don’t even have to ask the question, cost of cialis you just have to “not suspect” it?

*****

How many women have I missed?

When you came in for the fifth time in a month with abdominal pain for which no etiology could be found and for which you never sought follow up…

Did I miss you?

I’ll never know.

I didn’t ask.

When you presented with migraines on such a regular basis for so many years I got to know you like family…

Did I miss you?

I’ll never know.

I never asked.

When you sat in triage inconsolably sobbing over a skinned knee at 3:00 am because you “tripped in the garden”…

I missed you, cost of cialis didn’t I?

Because I never asked.

*****

“Many women experience some form of violence in their home. Cost of cialis I’m here to listen and I may have some suggestions to help.”

Hopefully, cost of cialis there is something we can do immediately.

Or, cost of cialis the patient may not be ready, cost of cialis may not feel it is a safe time to leave.

But, cost of cialis just having someone ask the question and offer resources for when she is ready can let her know she has options.

And give her a sense of empowerment to make the decisions she needs to make.

The bottom line?

Ask the question.

I am.

Should have been doing it all along.

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June 28, 2016, 3:53 pm

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Antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 crime-sceneSam Nouv runs a little donut shop about a mile from my house.

Antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 When John was in the hospital, antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 that’s where I bought the donuts for the nurses.

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Antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 With the exception of a few holidays, antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 Sam is in the store every morning at 3:30 am and works until 6:00 pm.

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Antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 His wife, antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 Lori, antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 works with him, antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 but she wasn’t there on that Wednesday morning in October.

Antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 Thank God.

Antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 Somewhere around 4:40 am, antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 the donut shop was robbed. Antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 Sam was alone when the assailant entered the shop and he was pistol whipped so badly that he was rushed to Eden Medical Center for emergency surgery to have part of his ear reattached (Update from Steve in comments: “The pistol whipping was so bad that it not only almost severed one ear, antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 but broke the occipital bones around one eye, antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 severely damaged the other eye, antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 and loosened his teeth so that it was more than three weeks before he could eat solid food).

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Antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 Our friend, antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 Steve Dimick, antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 has helped set up a fund to help Sam and Lori to stay afloat as they deal with their upcoming medical bills. Antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 The full story can be found here, antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 at the Castro Valley CARES! website.

Antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 Please consider hitting the “Donate” button – and anything, antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 and I mean anything would be appreciated.

Antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 Castro Valley is a great community. Antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 My husband grew up there, antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 works there and we live so close that it is my community, antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 too. Antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 Please consider joining this community, antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 if virtually, antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 by helping Sam keep his business.

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Antibiotics > amoxil 500mg pills (generic) > 90 pills > $156.00 And I want to help make it right.

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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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