November, 2009 Archive

September 29, 2016, 12:07 am

Viagra Generic Canada

Viagra generic canada spit:nursepostcard:zwerdling nursing archivesApparently once you remember that tuberculosis is spread by spitting…

Viagra generic canada You are then allowed to spit.

Viagra generic canada Reminds me of an incident.

Viagra generic canada Elderly lady.

Viagra generic canada Elegant, viagra generic canada actually.

Viagra generic canada Didn’t speak English.

Viagra generic canada Smiled at everyone she passed.

Viagra generic canada She smiled at me.

Viagra generic canada Just before turning her head, viagra generic canada clearing her throat and spitting three feet across the hallway.

Viagra generic canada Then she smiled and continued down to her husband’s room.

Viagra generic canada I didn’t take it personally. Viagra generic canada I did, viagra generic canada however, viagra generic canada feel my jaw hit the floor…

Viagra generic canada (Postcard courtesy of Michael Zwerdling, viagra generic canada 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, viagra generic canada I noticed the theme was “Government and Advocacy”. Viagra generic canada Came across an article on domestic violence. Viagra generic canada It’s a short article, viagra generic canada written by Carrie Norman, viagra generic canada RN, viagra generic canada CEN, viagra generic canada member of the Government Affairs Committee. Viagra generic canada 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. Viagra generic canada But no way have I been taking care of victims of domestic abuse – I mean, viagra generic canada hello, viagra generic canada wouldn’t it be obvious? The hovering, viagra generic canada overbearing abuser who answers all the questions for the patient? The bruises that aren’t explained by the story?

You know, viagra generic canada the stereotypical, viagra generic canada classic scenario?

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

Well, viagra generic canada yeah, viagra generic canada I knew that.

But….

I screen them, viagra generic canada right? It’s part of triage.

Well, viagra generic canada actually I check one of two boxes. Viagra generic canada Abuse: “Not suspected” or “Yes”.

And unless someone says “He/she hit me”, viagra generic canada 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, viagra generic canada 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, viagra generic canada didn’t I?

Because I never asked.

*****

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

Hopefully, viagra generic canada there is something we can do immediately.

Or, viagra generic canada the patient may not be ready, viagra generic canada may not feel it is a safe time to leave.

But, viagra generic canada 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.

Average Rating: 4.7 out of 5 based on 294 user reviews.

Read »

September 29, 2016, 3:53 pm

Flagyl 400mg Pills $65.00

Avapro 300mg pills $262.00 crime-sceneSam Nouv runs a little donut shop about a mile from my house.

Avapro 300mg pills $262.00 When John was in the hospital, avapro 300mg pills $262.00 that’s where I bought the donuts for the nurses.

Avapro 300mg pills $262.00 After immigrating to the U.S. Avapro 300mg pills $262.00 from Cambodia in 1987, avapro 300mg pills $262.00 Sam started working at the shop and by 1990 he owned it (Update via Steve in comments: When he was 13, avapro 300mg pills $262.00 his parents were murdered by the Khmer Rouge. Avapro 300mg pills $262.00 He spent several years in a displacement camp in Vietnam before finally being sent to the States as part of an entire plane load of orphans).

Avapro 300mg pills $262.00 With the exception of a few holidays, avapro 300mg pills $262.00 Sam is in the store every morning at 3:30 am and works until 6:00 pm.

Avapro 300mg pills $262.00 Seven days a week.

Avapro 300mg pills $262.00 His wife, avapro 300mg pills $262.00 Lori, avapro 300mg pills $262.00 works with him, avapro 300mg pills $262.00 but she wasn’t there on that Wednesday morning in October.

Avapro 300mg pills $262.00 Thank God.

Avapro 300mg pills $262.00 Somewhere around 4:40 am, avapro 300mg pills $262.00 the donut shop was robbed. Avapro 300mg pills $262.00 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, avapro 300mg pills $262.00 but broke the occipital bones around one eye, avapro 300mg pills $262.00 severely damaged the other eye, avapro 300mg pills $262.00 and loosened his teeth so that it was more than three weeks before he could eat solid food).

Avapro 300mg pills $262.00 After insurance, avapro 300mg pills $262.00 the bills for his surgery and health expenses could reach as high as $15, avapro 300mg pills $262.00000. Avapro 300mg pills $262.00 Pretty steep for someone who works 15-hour-days to make ends meet. Avapro 300mg pills $262.00 Lori and the kids are trying to keep the shop going until Sam can recover enough to go back to his old schedule.

Avapro 300mg pills $262.00 They need help.

Avapro 300mg pills $262.00 Our friend, avapro 300mg pills $262.00 Steve Dimick, avapro 300mg pills $262.00 has helped set up a fund to help Sam and Lori to stay afloat as they deal with their upcoming medical bills. Avapro 300mg pills $262.00 The full story can be found here, avapro 300mg pills $262.00 at the Castro Valley CARES! website.

Avapro 300mg pills $262.00 Please consider hitting the “Donate” button – and anything, avapro 300mg pills $262.00 and I mean anything would be appreciated.

Avapro 300mg pills $262.00 Castro Valley is a great community. Avapro 300mg pills $262.00 My husband grew up there, avapro 300mg pills $262.00 works there and we live so close that it is my community, avapro 300mg pills $262.00 too. Avapro 300mg pills $262.00 Please consider joining this community, avapro 300mg pills $262.00 if virtually, avapro 300mg pills $262.00 by helping Sam keep his business.

Avapro 300mg pills $262.00 They say that charity begins at home. Avapro 300mg pills $262.00 Well, avapro 300mg pills $262.00 this has hit extremely close to home.

Avapro 300mg pills $262.00 And I want to help make it right.

Average Rating: 4.9 out of 5 based on 165 user reviews.

Read »

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...

Continue reading »

Find Me On...
Twitter     Technorati

Subscribe to Emergiblog
nursing scrubs
Petite Scrubs
Petite Scrubs
Scrubs that fit!
Nursing Scrubs
and the rest of your medical uniforms you need from Scrubs Gallery.
Office of the National Nurse

Zippy Was Here


Healthcare Blogger Code of Ethics

  • Perspective
  • Confidentiality
  • Disclosure
  • Reliability
  • Courtesy

medbloggercode.com

I Support the Public Library of Science

Dr. Val
Johnson & Johnson
Johnson & Johnson Health Channel
Webicina
Nursing and Web 2.0



Health blogs

Medicine Blogs - Blog Catalog Blog Directory

Alltop. Seriously?! I got in?

Health Blogs - Blog Rankings