March, 2010 Archive

September 26, 2016, 2:07 pm

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Cymbalta 60mg pills $135.00 I love these old shots!

Cymbalta 60mg pills $135.00 This one is from the National Archives and was taken in 1946.

Cymbalta 60mg pills $135.00 This is what I pictured when I thought about being a nurse. Cymbalta 60mg pills $135.00 Neat rows of charts; clean, cymbalta 60mg pills $135.00 antiseptic wards; med cupboards with glass doors; crisp, cymbalta 60mg pills $135.00white uniforms and totally cool caps!

Cymbalta 60mg pills $135.00 I can smell the Lysol wafting through the decades…

Cymbalta 60mg pills $135.00 Reality: clipboards flying, cymbalta 60mg pills $135.00 accusations that I hoard the charts, cymbalta 60mg pills $135.00 sort-of-clean floors punctuated by splats of body fluids, cymbalta 60mg pills $135.00 medications in locked computer systems, cymbalta 60mg pills $135.00 wrinkled scrubs that I want to peel off at the front door and not a cap in sight.

Cymbalta 60mg pills $135.00 Plus, cymbalta 60mg pills $135.00 the the unique olfactory assault of ETOH and urine, cymbalta 60mg pills $135.00 so specific to the ER…

Cymbalta 60mg pills $135.00 And no, cymbalta 60mg pills $135.00 it is not true that I wear my cap around the house.

Cymbalta 60mg pills $135.00 I just try it on now and then.


One thing hasn’t changed since 1946 and that’s Grand Rounds! Granted, cymbalta 60mg pills $135.00 now they are online and this week Evan Falchek at the See First blog is hosting with a Health Care Reform theme. Cymbalta 60mg pills $135.00 I was a week too early, cymbalta 60mg pills $135.00 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. Cymbalta 60mg pills $135.00 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. Cymbalta 60mg pills $135.00 Some rushed out, cymbalta 60mg pills $135.00 dashing to their cars with Frappacinos in hand; others stopped to smell the latte, cymbalta 60mg pills $135.00 enjoying the warmth of green metallic chairs on the adjacent patio.

The couple selected an empty table. Cymbalta 60mg pills $135.00 They sipped their beverages as two gentlemen at the adjacent table conversed.

Guy – “First of all, cymbalta 60mg pills $135.00 man, cymbalta 60mg pills $135.00 don’t tell ’em you got a migraine…hear that all the time….back pain…somethin’…an orthopedic injury, cymbalta 60mg pills $135.00 that’s what you tell ’em you got… look up a doctor…you wanna “pain management specialist”, cymbalta 60mg pills $135.00 but not around here….next county….memorize it, cymbalta 60mg pills $135.00 man…name, cymbalta 60mg pills $135.00 address and phone number…you got an appointment but the pain is so damn bad you can’t wait, cymbalta 60mg pills $135.00 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, cymbalta 60mg pills $135.00 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. Cymbalta 60mg pills $135.00 As they walked away, cymbalta 60mg pills $135.00 voices fading, cymbalta 60mg pills $135.00 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, cymbalta 60mg pills $135.00 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, cymbalta 60mg pills $135.00 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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September 26, 2016, 12:08 pm

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Lisinopril 10mg pills $270.00 What a nice picture, lisinopril 10mg pills $270.00 yes?

Lisinopril 10mg pills $270.00 A lot of people went to bed last night with this version of health care in their heads.

Lisinopril 10mg pills $270.00 Many folks see government as these strong, lisinopril 10mg pills $270.00 protective hands.

Lisinopril 10mg pills $270.00 It’s a nice thought.

Lisinopril 10mg pills $270.00 Until those hands start to make fists.


I wonder how long it is going take before you have to wait weeks to see your primary care provider. Lisinopril 10mg pills $270.00 (Wait, lisinopril 10mg pills $270.00 we already know, lisinopril 10mg pills $270.00 it could be weeks!).

I wonder how long it is going to take for the government to dictate payment to providers? (Wait, lisinopril 10mg pills $270.00 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, lisinopril 10mg pills $270.00 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, lisinopril 10mg pills $270.00 they already do!) Or decide which treatments are covered and which are not? (Wait, lisinopril 10mg pills $270.00 they already do!)


Lisinopril 10mg pills $270.00 We all need health care.  It is wrong that someone with a pre-existing condition cannot find coverage. Lisinopril 10mg pills $270.00 It is a tragedy to have someone lose everything they have because of catastrophic illness. Lisinopril 10mg pills $270.00 It is frustrating to be stuck in a job solely because of the health benefits. Lisinopril 10mg pills $270.00 It’s scary to lose those health benefits if you are laid off.

Lisinopril 10mg pills $270.00 It is wrong that the majority of health disparities are directly related to poverty.

Lisinopril 10mg pills $270.00 It is wrong that providers pay tens of thousands in malpractice premiums every year. Lisinopril 10mg pills $270.00 It is wrong that they are reimbursed a fraction of what it costs to care for patients. Lisinopril 10mg pills $270.00 It is depressing that they must limit their time with patients because they have to see more and more of them to break even. Lisinopril 10mg pills $270.00 It’s ridiculous that providers need to hire specialists to navigate the morass of insurance regulations.

Lisinopril 10mg pills $270.00 Our system has issues, lisinopril 10mg pills $270.00 no question.


So, lisinopril 10mg pills $270.00 will the new health care legislation make for healthier communities by providing jobs, lisinopril 10mg pills $270.00 parks, lisinopril 10mg pills $270.00 grocery stores, lisinopril 10mg pills $270.00 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, lisinopril 10mg pills $270.00 Internal Medicine, lisinopril 10mg pills $270.00 Pediatrics, lisinopril 10mg pills $270.00 Geriatrics? Takes a lot of money and time to become a physician or advance practice nurse. Lisinopril 10mg pills $270.00 Will the new health care legislation make it worth the effort?

On the other hand, lisinopril 10mg pills $270.00 will the new health care legislation make it easier to find a provider? To actually get in to see a provider in days, lisinopril 10mg pills $270.00 not weeks?

You see, lisinopril 10mg pills $270.00 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, lisinopril 10mg pills $270.00 is there still interest in researching medications, lisinopril 10mg pills $270.00 treatments? Or on the other side, lisinopril 10mg pills $270.00 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, lisinopril 10mg pills $270.00 obese, lisinopril 10mg pills $270.00 smoker?

Will the new health care legislation see us as the chief focus of the new system, lisinopril 10mg pills $270.00 or as cogs in a wheel that must be regulated and controlled?

Health care is already rationed (yes, lisinopril 10mg pills $270.00 it is…think about it). Lisinopril 10mg pills $270.00 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, lisinopril 10mg pills $270.00 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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September 26, 2016, 1:05 pm

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Maxolon 10mg pills $138.00 Always looking to promote interdisciplinary communication and understanding, maxolon 10mg pills $138.00 Nurse Anne takes the new residents to lunch.

Maxolon 10mg pills $138.00 Sparing no expense, maxolon 10mg pills $138.00 she arranges for cookies and milk to be passed around. Maxolon 10mg pills $138.00 First year residents are entitled to Arrowroot cookies; the Girl Scout Thin Mints are strictly for Attending Physicians.

Maxolon 10mg pills $138.00 In an awkward moment, maxolon 10mg pills $138.00 she realizes she will have to brief Dr. Maxolon 10mg pills $138.00 Ima Tyke on the rules concerning the use of off-road vehicles in the hospital.


Maxolon 10mg pills $138.00 Be sure to check out the latest Change of Shift at Nursing Student Chronicles!

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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, maxolon 10mg pills $138.00 long essays. Maxolon 10mg pills $138.00 Two of them were to be no more than 4000 words. Maxolon 10mg pills $138.00 Three of them were to be no more than 2000 words.

Oh. Maxolon 10mg pills $138.00 My. Maxolon 10mg pills $138.00 God.

Now, maxolon 10mg pills $138.00 I love to write, maxolon 10mg pills $138.00 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. Maxolon 10mg pills $138.00 They had to be flawless. Maxolon 10mg pills $138.00 They had to be….


I want this so badly, maxolon 10mg pills $138.00 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, maxolon 10mg pills $138.00 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, maxolon 10mg pills $138.00 and ignored the low-pitched growl from my end of the nursing station when a patient dared interrupt my creativity. Maxolon 10mg pills $138.00 It’s just rude to have gastroenteritis when I am trying to work here!

My husband tried to talk to me, maxolon 10mg pills $138.00 but I’m not sure what he said. Maxolon 10mg pills $138.00 I think his birthday was last week. Maxolon 10mg pills $138.00 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. Maxolon 10mg pills $138.00 I went through three Costco-sized bottles of Tums. Maxolon 10mg pills $138.00 In addition to my Protonix.

I self-medicated with other things, maxolon 10mg pills $138.00 too. Maxolon 10mg pills $138.00 Oh, maxolon 10mg pills $138.00 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. Maxolon 10mg pills $138.00 Do or do not, maxolon 10mg pills $138.00 there is no try.

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

I would stay up all day. Maxolon 10mg pills $138.00 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, maxolon 10mg pills $138.00 I wrote until my fingers were numb from slamming the keyboard. Maxolon 10mg pills $138.00 I poured out my heart, maxolon 10mg pills $138.00 my soul, maxolon 10mg pills $138.00 my passion for nursing and my yearning for higher education.

Hmmm, maxolon 10mg pills $138.00 not bad, maxolon 10mg pills $138.00 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. Maxolon 10mg pills $138.00 I erased it. Maxolon 10mg pills $138.00 I tried again.

It didn’t work!

Oh. Maxolon 10mg pills $138.00 My. Maxolon 10mg pills $138.00 God.


Surely, maxolon 10mg pills $138.00 I misread the instructions. Maxolon 10mg pills $138.00 Surely, maxolon 10mg pills $138.00 I was supposed to upload the entire thing somewhere. Maxolon 10mg pills $138.00 Surely, maxolon 10mg pills $138.00 I was doing something wrong!

Oh no. Maxolon 10mg pills $138.00 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”.


Except that’s not what it said.

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

Including spaces.

Oh. Maxolon 10mg pills $138.00 My. Maxolon 10mg pills $138.00 God.


I had written “Les Miserables” when all they wanted was “Green Eggs and Ham”. Maxolon 10mg pills $138.00 “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.



So, maxolon 10mg pills $138.00 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, maxolon 10mg pills $138.00 somewhere in that application they see a qualified PhD student.

In the meantime, maxolon 10mg pills $138.00 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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