March, 2010 Archive

June 26, 2016, 2:07 pm

Viagra In Mexico

Viagra in mexico I love these old shots!

Viagra in mexico This one is from the National Archives and was taken in 1946.

Viagra in mexico This is what I pictured when I thought about being a nurse. Viagra in mexico Neat rows of charts; clean, viagra in mexico antiseptic wards; med cupboards with glass doors; crisp, viagra in mexicowhite uniforms and totally cool caps!

Viagra in mexico I can smell the Lysol wafting through the decades…

Viagra in mexico Reality: clipboards flying, viagra in mexico accusations that I hoard the charts, viagra in mexico sort-of-clean floors punctuated by splats of body fluids, viagra in mexico medications in locked computer systems, viagra in mexico wrinkled scrubs that I want to peel off at the front door and not a cap in sight.

Viagra in mexico Plus, viagra in mexico the the unique olfactory assault of ETOH and urine, viagra in mexico so specific to the ER…

Viagra in mexico And no, viagra in mexico it is not true that I wear my cap around the house.

Viagra in mexico I just try it on now and then.

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

One thing hasn’t changed since 1946 and that’s Grand Rounds! Granted, viagra in mexico now they are online and this week Evan Falchek at the See First blog is hosting with a Health Care Reform theme. Viagra in mexico I was a week too early, viagra in mexico my post on health care reform was in Grand Rounds over at Suture for a Living (sneaky way to fit in link that I didn’t put in last week!).

Uh. Viagra in mexico Hey nurses! There isn’t a single nursing submission in ‘Rounds this week! Are we tired or did we just get lazy? Raise your bandage scissors and repeat after me: “I solemnly swear to submit to Grand Rounds!”

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

(The story you are about to read is true.)

The day was uncharacteristically warm.

The corner Starbucks was packed with seekers of caffeine. Viagra in mexico Some rushed out, viagra in mexico dashing to their cars with Frappacinos in hand; others stopped to smell the latte, viagra in mexico enjoying the warmth of green metallic chairs on the adjacent patio.

The couple selected an empty table. Viagra in mexico They sipped their beverages as two gentlemen at the adjacent table conversed.

Guy – “First of all, viagra in mexico man, viagra in mexico don’t tell ’em you got a migraine…hear that all the time….back pain…somethin’…an orthopedic injury, viagra in mexico that’s what you tell ’em you got… look up a doctor…you wanna “pain management specialist”, viagra in mexico but not around here….next county….memorize it, viagra in mexico man…name, viagra in mexico address and phone number…you got an appointment but the pain is so damn bad you can’t wait, viagra in mexico knowhatimsayin’?”

Dude – “I hear ya.”

Guy – “And you got to tell them that you are allergic to some junk…if you don’t…give you something…worth nothing!”

Dude – “What junk?”

Guy – “s’called Toradol…and you don’t want Motrin either so tell ’em you’re allergic…bad reaction to nausea stuff except fenagren…”

Dude – “Tordal and fengren?”

Guy – “Yeah…don’t lie about your name, viagra in mexico address or give ’em fake numbers ‘cuz they can check that real easy.”

Dude – “‘Yeah.”

The Guy and the Dude stood up and prepared to go. Viagra in mexico As they walked away, viagra in mexico voices fading, viagra in mexico the couple heard…

Guy – “…won’t let you drive…”voucher” for taxi…don’t forget a prescrip…”

*****

This guy did everything but name a specific hospital to visit!

If I had any doubt before, viagra in mexico I am now sure that word gets around on the street regarding which ERs are “easy”.

And which ER will give that shot on the sixth visit in two weeks, viagra in mexico despite knowing full well the complaint of pain is bogus.

Because it is just easier to medicate than it is to confront.

Every addict needs a pusher.

Just sayin’.

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June 26, 2016, 12:08 pm

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I wonder how long it is going take before you have to wait weeks to see your primary care provider. Antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 (Wait, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 we already know, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 it could be weeks!).

I wonder how long it is going to take for the government to dictate payment to providers? (Wait, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 they already do!).

I wonder how long it is going to take for the number of primary care providers (MDs and NPs) to move to more lucrative specialties because they can’t live/pay student loans as a PCP? (Wait, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 they already are!)

I wonder how long it is going to take for the government to limit which medications are reimbursed and which are not? (Wait, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 they already do!) Or decide which treatments are covered and which are not? (Wait, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 they already do!)

*****

Antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 We all need health care.  It is wrong that someone with a pre-existing condition cannot find coverage. Antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 It is a tragedy to have someone lose everything they have because of catastrophic illness. Antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 It is frustrating to be stuck in a job solely because of the health benefits. Antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 It’s scary to lose those health benefits if you are laid off.

Antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 It is wrong that the majority of health disparities are directly related to poverty.

Antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 It is wrong that providers pay tens of thousands in malpractice premiums every year. Antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 It is wrong that they are reimbursed a fraction of what it costs to care for patients. Antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 It is depressing that they must limit their time with patients because they have to see more and more of them to break even. Antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 It’s ridiculous that providers need to hire specialists to navigate the morass of insurance regulations.

Antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 Our system has issues, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 no question.

*****

So, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 will the new health care legislation make for healthier communities by providing jobs, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 parks, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 grocery stores, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 education opportunities  and health care clinics to poverty-stricken neighborhoods?

Will the new health care legislation provide incentives for students to choose primary care as their specialty? Family/General Medicine, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 Internal Medicine, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 Pediatrics, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 Geriatrics? Takes a lot of money and time to become a physician or advance practice nurse. Antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 Will the new health care legislation make it worth the effort?

On the other hand, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 will the new health care legislation make it easier to find a provider? To actually get in to see a provider in days, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 not weeks?

You see, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 being covered is worthless if you can’t find a provider to partner with.

Will the new health care legislation provide incentives for health research? If profits are limited, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 is there still interest in researching medications, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 treatments? Or on the other side, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 if funds are limited will there even be any available for research and development?

Will the new health care legislation provide incentives for keeping ourselves healthy? Exercise? Normal weight? Healthy diet? No smoking? Judicious use of alcohol? What if you’re a sedentary, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 obese, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 smoker?

Will the new health care legislation see us as the chief focus of the new system, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 or as cogs in a wheel that must be regulated and controlled?

Health care is already rationed (yes, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 it is…think about it). Antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 Is there anything in the new health care legislation that keeps it from becoming draconian?

*****

I have absolutely no answers.

There has to be a way to have coverage for all, antibiotics > bactrim 960mg pills (generic) > 120 pills > $220.00 protection for those with chronic illnesses and protection from the financial fall-out of catastrophic injury/illness.

I have a deep feeling of dread in my gut that this is not the way to go.

I pray we are not starting on a road to government bureaucracy that will end with the IRS looking like a lesson in efficiency.

The federal government can make treaties on my behalf and provide for my defense.

I sure as hell don’t want it dictating my health care.

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June 26, 2016, 1:05 pm

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It’s spring break and no assignments are due until next week.

My application to my PhD program is safely submitted and the results should be announced next month.

I had about three weeks to submit the application from the time they were available to the time they were due.

Three weeks of hell.

*****

I had to write essays!

Long, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 long essays. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 Two of them were to be no more than 4000 words. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 Three of them were to be no more than 2000 words.

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Now, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 I love to write, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 but this was for my future! What I wrote in these essays would determine the trajectory of the next four years of my life and beyond! They had to be perfect. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 They had to be flawless. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 They had to be….

Immaculate!

I want this so badly, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 it isn’t even funny.

I immediately contracted a full blown case of writer’s block.

*****

I couldn’t put two words together if my life depended on it.

And it did!

It was like a fecal impaction of the brain; every thing I wrote was…well, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 you get the picture.

The world revolved around my (lack of) writing.

Co-workers picked up shifts for me or changed their schedule to help me find the time to write, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 and ignored the low-pitched growl from my end of the nursing station when a patient dared interrupt my creativity. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 It’s just rude to have gastroenteritis when I am trying to work here!

My husband tried to talk to me, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 but I’m not sure what he said. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 I think his birthday was last week. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 I remember snarling a couple of times when he asked if he could check his email on the computer.

I would have bubbles of inspiration only to have them burst before I could get to the keyboard.

That I slept with.

*****

Those of you who own stock in GlaxoSmithKline may have made a profit this month. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 I went through three Costco-sized bottles of Tums. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 In addition to my Protonix.

I self-medicated with other things, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 too. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 Oh, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 I admit it: Starbucks came out with Dark Cherry Mochas – surely this would provide me the catalyst I needed to write what was looming in front of me as The Great American Nursing Novel!

It just gave me transient hyperglycemia.

But the day of submission had dawned. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 Do or do not, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 there is no try.

(Did I mention I had auditory hallucinations of Yoda?)

I would stay up all day. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 I would take these hollow shells of literary effort and turn them into essays never before seen in the halls of academia.

It was time.

*****

I went to Starbucks.

Dark Cherry Mocha in hand, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 I wrote until my fingers were numb from slamming the keyboard. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 I poured out my heart, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 my soul, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 my passion for nursing and my yearning for higher education.

Hmmm, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 not bad, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 actually.

I went to cut and paste one of the essays into the appropriate area on the application.

It didn’t work.

Only the first five paragraphs showed up. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 I erased it. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 I tried again.

It didn’t work!

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Surely, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 I misread the instructions. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 Surely, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 I was supposed to upload the entire thing somewhere. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 Surely, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 I was doing something wrong!

Oh no. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 Not now!

And then I saw it.

Everything I had read up until that point had said “essays of no more than 4000 words” “List your research interests in no more than 2000 words”.

Words.

Except that’s not what it said.

It said “no more than 4000 characters“!!!!!!

Including spaces.

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I had written “Les Miserables” when all they wanted was “Green Eggs and Ham”. Anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 “Gone With the Wind” when all that was required was the book jacket description.

I spit my Dark Cherry Mocha all over the monitor.

I picked what was left of my stomach up off the floor.

And started to laugh.

Hysterically.

*****

So, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 my application for a doctoral education in nursing consists of sections of my massive opus being cut-and-pasted into the appropriate sections.

I have no perspective on how it looks or how it will come across to those deciding on who will be admitted to those coveted spots.

It’s out of my hands.

All I can do is wait until April and pray that somehow, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 somewhere in that application they see a qualified PhD student.

In the meantime, anti-anxiety > wellbutrin 150mg pills (generic) > 120 pills > $180.00 I could really use a Dark Cherry Mocha.

 

 

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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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