March, 2010 Archive

August 30, 2016, 2:07 pm

Lotrisone Cream In 7gr Tube $87.00

Lotrisone cream in 7gr tube $87.00 I love these old shots!

Lotrisone cream in 7gr tube $87.00 This one is from the National Archives and was taken in 1946.

Lotrisone cream in 7gr tube $87.00 This is what I pictured when I thought about being a nurse. Lotrisone cream in 7gr tube $87.00 Neat rows of charts; clean, lotrisone cream in 7gr tube $87.00 antiseptic wards; med cupboards with glass doors; crisp, lotrisone cream in 7gr tube $87.00white uniforms and totally cool caps!

Lotrisone cream in 7gr tube $87.00 I can smell the Lysol wafting through the decades…

Lotrisone cream in 7gr tube $87.00 Reality: clipboards flying, lotrisone cream in 7gr tube $87.00 accusations that I hoard the charts, lotrisone cream in 7gr tube $87.00 sort-of-clean floors punctuated by splats of body fluids, lotrisone cream in 7gr tube $87.00 medications in locked computer systems, lotrisone cream in 7gr tube $87.00 wrinkled scrubs that I want to peel off at the front door and not a cap in sight.

Lotrisone cream in 7gr tube $87.00 Plus, lotrisone cream in 7gr tube $87.00 the the unique olfactory assault of ETOH and urine, lotrisone cream in 7gr tube $87.00 so specific to the ER…

Lotrisone cream in 7gr tube $87.00 And no, lotrisone cream in 7gr tube $87.00 it is not true that I wear my cap around the house.

Lotrisone cream in 7gr tube $87.00 I just try it on now and then.

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

One thing hasn’t changed since 1946 and that’s Grand Rounds! Granted, lotrisone cream in 7gr tube $87.00 now they are online and this week Evan Falchek at the See First blog is hosting with a Health Care Reform theme. Lotrisone cream in 7gr tube $87.00 I was a week too early, lotrisone cream in 7gr tube $87.00 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. Lotrisone cream in 7gr tube $87.00 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. Lotrisone cream in 7gr tube $87.00 Some rushed out, lotrisone cream in 7gr tube $87.00 dashing to their cars with Frappacinos in hand; others stopped to smell the latte, lotrisone cream in 7gr tube $87.00 enjoying the warmth of green metallic chairs on the adjacent patio.

The couple selected an empty table. Lotrisone cream in 7gr tube $87.00 They sipped their beverages as two gentlemen at the adjacent table conversed.

Guy – “First of all, lotrisone cream in 7gr tube $87.00 man, lotrisone cream in 7gr tube $87.00 don’t tell ’em you got a migraine…hear that all the time….back pain…somethin’…an orthopedic injury, lotrisone cream in 7gr tube $87.00 that’s what you tell ’em you got… look up a doctor…you wanna “pain management specialist”, lotrisone cream in 7gr tube $87.00 but not around here….next county….memorize it, lotrisone cream in 7gr tube $87.00 man…name, lotrisone cream in 7gr tube $87.00 address and phone number…you got an appointment but the pain is so damn bad you can’t wait, lotrisone cream in 7gr tube $87.00 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, lotrisone cream in 7gr tube $87.00 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. Lotrisone cream in 7gr tube $87.00 As they walked away, lotrisone cream in 7gr tube $87.00 voices fading, lotrisone cream in 7gr tube $87.00 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, lotrisone cream in 7gr tube $87.00 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, lotrisone cream in 7gr tube $87.00 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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August 30, 2016, 12:08 pm

Clarina Anti-Acne Gel 30ml Tube $384.00

Adhd atomoxetine 10mg pills $154.00 What a nice picture, adhd atomoxetine 10mg pills $154.00 yes?

Adhd atomoxetine 10mg pills $154.00 A lot of people went to bed last night with this version of health care in their heads.

Adhd atomoxetine 10mg pills $154.00 Many folks see government as these strong, adhd atomoxetine 10mg pills $154.00 protective hands.

Adhd atomoxetine 10mg pills $154.00 It’s a nice thought.

Adhd atomoxetine 10mg pills $154.00 Until those hands start to make fists.

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I wonder how long it is going take before you have to wait weeks to see your primary care provider. Adhd atomoxetine 10mg pills $154.00 (Wait, adhd atomoxetine 10mg pills $154.00 we already know, adhd atomoxetine 10mg pills $154.00 it could be weeks!).

I wonder how long it is going to take for the government to dictate payment to providers? (Wait, adhd atomoxetine 10mg pills $154.00 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, adhd atomoxetine 10mg pills $154.00 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, adhd atomoxetine 10mg pills $154.00 they already do!) Or decide which treatments are covered and which are not? (Wait, adhd atomoxetine 10mg pills $154.00 they already do!)

*****

Adhd atomoxetine 10mg pills $154.00 We all need health care.  It is wrong that someone with a pre-existing condition cannot find coverage. Adhd atomoxetine 10mg pills $154.00 It is a tragedy to have someone lose everything they have because of catastrophic illness. Adhd atomoxetine 10mg pills $154.00 It is frustrating to be stuck in a job solely because of the health benefits. Adhd atomoxetine 10mg pills $154.00 It’s scary to lose those health benefits if you are laid off.

Adhd atomoxetine 10mg pills $154.00 It is wrong that the majority of health disparities are directly related to poverty.

Adhd atomoxetine 10mg pills $154.00 It is wrong that providers pay tens of thousands in malpractice premiums every year. Adhd atomoxetine 10mg pills $154.00 It is wrong that they are reimbursed a fraction of what it costs to care for patients. Adhd atomoxetine 10mg pills $154.00 It is depressing that they must limit their time with patients because they have to see more and more of them to break even. Adhd atomoxetine 10mg pills $154.00 It’s ridiculous that providers need to hire specialists to navigate the morass of insurance regulations.

Adhd atomoxetine 10mg pills $154.00 Our system has issues, adhd atomoxetine 10mg pills $154.00 no question.

*****

So, adhd atomoxetine 10mg pills $154.00 will the new health care legislation make for healthier communities by providing jobs, adhd atomoxetine 10mg pills $154.00 parks, adhd atomoxetine 10mg pills $154.00 grocery stores, adhd atomoxetine 10mg pills $154.00 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, adhd atomoxetine 10mg pills $154.00 Internal Medicine, adhd atomoxetine 10mg pills $154.00 Pediatrics, adhd atomoxetine 10mg pills $154.00 Geriatrics? Takes a lot of money and time to become a physician or advance practice nurse. Adhd atomoxetine 10mg pills $154.00 Will the new health care legislation make it worth the effort?

On the other hand, adhd atomoxetine 10mg pills $154.00 will the new health care legislation make it easier to find a provider? To actually get in to see a provider in days, adhd atomoxetine 10mg pills $154.00 not weeks?

You see, adhd atomoxetine 10mg pills $154.00 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, adhd atomoxetine 10mg pills $154.00 is there still interest in researching medications, adhd atomoxetine 10mg pills $154.00 treatments? Or on the other side, adhd atomoxetine 10mg pills $154.00 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, adhd atomoxetine 10mg pills $154.00 obese, adhd atomoxetine 10mg pills $154.00 smoker?

Will the new health care legislation see us as the chief focus of the new system, adhd atomoxetine 10mg pills $154.00 or as cogs in a wheel that must be regulated and controlled?

Health care is already rationed (yes, adhd atomoxetine 10mg pills $154.00 it is…think about it). Adhd atomoxetine 10mg pills $154.00 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, adhd atomoxetine 10mg pills $154.00 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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August 30, 2016, 1:05 pm

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Lyrica 150mg pills $92.00 Always looking to promote interdisciplinary communication and understanding, lyrica 150mg pills $92.00 Nurse Anne takes the new residents to lunch.

Lyrica 150mg pills $92.00 Sparing no expense, lyrica 150mg pills $92.00 she arranges for cookies and milk to be passed around. Lyrica 150mg pills $92.00 First year residents are entitled to Arrowroot cookies; the Girl Scout Thin Mints are strictly for Attending Physicians.

Lyrica 150mg pills $92.00 In an awkward moment, lyrica 150mg pills $92.00 she realizes she will have to brief Dr. Lyrica 150mg pills $92.00 Ima Tyke on the rules concerning the use of off-road vehicles in the hospital.

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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, lyrica 150mg pills $92.00 long essays. Lyrica 150mg pills $92.00 Two of them were to be no more than 4000 words. Lyrica 150mg pills $92.00 Three of them were to be no more than 2000 words.

Oh. Lyrica 150mg pills $92.00 My. Lyrica 150mg pills $92.00 God.

Now, lyrica 150mg pills $92.00 I love to write, lyrica 150mg pills $92.00 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. Lyrica 150mg pills $92.00 They had to be flawless. Lyrica 150mg pills $92.00 They had to be….

Immaculate!

I want this so badly, lyrica 150mg pills $92.00 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, lyrica 150mg pills $92.00 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, lyrica 150mg pills $92.00 and ignored the low-pitched growl from my end of the nursing station when a patient dared interrupt my creativity. Lyrica 150mg pills $92.00 It’s just rude to have gastroenteritis when I am trying to work here!

My husband tried to talk to me, lyrica 150mg pills $92.00 but I’m not sure what he said. Lyrica 150mg pills $92.00 I think his birthday was last week. Lyrica 150mg pills $92.00 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. Lyrica 150mg pills $92.00 I went through three Costco-sized bottles of Tums. Lyrica 150mg pills $92.00 In addition to my Protonix.

I self-medicated with other things, lyrica 150mg pills $92.00 too. Lyrica 150mg pills $92.00 Oh, lyrica 150mg pills $92.00 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. Lyrica 150mg pills $92.00 Do or do not, lyrica 150mg pills $92.00 there is no try.

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

I would stay up all day. Lyrica 150mg pills $92.00 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, lyrica 150mg pills $92.00 I wrote until my fingers were numb from slamming the keyboard. Lyrica 150mg pills $92.00 I poured out my heart, lyrica 150mg pills $92.00 my soul, lyrica 150mg pills $92.00 my passion for nursing and my yearning for higher education.

Hmmm, lyrica 150mg pills $92.00 not bad, lyrica 150mg pills $92.00 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. Lyrica 150mg pills $92.00 I erased it. Lyrica 150mg pills $92.00 I tried again.

It didn’t work!

Oh. Lyrica 150mg pills $92.00 My. Lyrica 150mg pills $92.00 God.

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Surely, lyrica 150mg pills $92.00 I misread the instructions. Lyrica 150mg pills $92.00 Surely, lyrica 150mg pills $92.00 I was supposed to upload the entire thing somewhere. Lyrica 150mg pills $92.00 Surely, lyrica 150mg pills $92.00 I was doing something wrong!

Oh no. Lyrica 150mg pills $92.00 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.

Oh. Lyrica 150mg pills $92.00 My. Lyrica 150mg pills $92.00 God.

*****

I had written “Les Miserables” when all they wanted was “Green Eggs and Ham”. Lyrica 150mg pills $92.00 “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, lyrica 150mg pills $92.00 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, lyrica 150mg pills $92.00 somewhere in that application they see a qualified PhD student.

In the meantime, lyrica 150mg pills $92.00 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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