March, 2010 Archive

July 28, 2016, 2:07 pm

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Cialis 10mg pills $70.00 I love these old shots!

Cialis 10mg pills $70.00 This one is from the National Archives and was taken in 1946.

Cialis 10mg pills $70.00 This is what I pictured when I thought about being a nurse. Cialis 10mg pills $70.00 Neat rows of charts; clean, cialis 10mg pills $70.00 antiseptic wards; med cupboards with glass doors; crisp, cialis 10mg pills $70.00white uniforms and totally cool caps!

Cialis 10mg pills $70.00 I can smell the Lysol wafting through the decades…

Cialis 10mg pills $70.00 Reality: clipboards flying, cialis 10mg pills $70.00 accusations that I hoard the charts, cialis 10mg pills $70.00 sort-of-clean floors punctuated by splats of body fluids, cialis 10mg pills $70.00 medications in locked computer systems, cialis 10mg pills $70.00 wrinkled scrubs that I want to peel off at the front door and not a cap in sight.

Cialis 10mg pills $70.00 Plus, cialis 10mg pills $70.00 the the unique olfactory assault of ETOH and urine, cialis 10mg pills $70.00 so specific to the ER…

Cialis 10mg pills $70.00 And no, cialis 10mg pills $70.00 it is not true that I wear my cap around the house.

Cialis 10mg pills $70.00 I just try it on now and then.

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One thing hasn’t changed since 1946 and that’s Grand Rounds! Granted, cialis 10mg pills $70.00 now they are online and this week Evan Falchek at the See First blog is hosting with a Health Care Reform theme. Cialis 10mg pills $70.00 I was a week too early, cialis 10mg pills $70.00 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. Cialis 10mg pills $70.00 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. Cialis 10mg pills $70.00 Some rushed out, cialis 10mg pills $70.00 dashing to their cars with Frappacinos in hand; others stopped to smell the latte, cialis 10mg pills $70.00 enjoying the warmth of green metallic chairs on the adjacent patio.

The couple selected an empty table. Cialis 10mg pills $70.00 They sipped their beverages as two gentlemen at the adjacent table conversed.

Guy – “First of all, cialis 10mg pills $70.00 man, cialis 10mg pills $70.00 don’t tell ’em you got a migraine…hear that all the time….back pain…somethin’…an orthopedic injury, cialis 10mg pills $70.00 that’s what you tell ’em you got… look up a doctor…you wanna “pain management specialist”, cialis 10mg pills $70.00 but not around here….next county….memorize it, cialis 10mg pills $70.00 man…name, cialis 10mg pills $70.00 address and phone number…you got an appointment but the pain is so damn bad you can’t wait, cialis 10mg pills $70.00 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, cialis 10mg pills $70.00 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. Cialis 10mg pills $70.00 As they walked away, cialis 10mg pills $70.00 voices fading, cialis 10mg pills $70.00 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, cialis 10mg pills $70.00 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, cialis 10mg pills $70.00 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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July 28, 2016, 12:08 pm

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Floxin 400mg pills $156.00 What a nice picture, floxin 400mg pills $156.00 yes?

Floxin 400mg pills $156.00 A lot of people went to bed last night with this version of health care in their heads.

Floxin 400mg pills $156.00 Many folks see government as these strong, floxin 400mg pills $156.00 protective hands.

Floxin 400mg pills $156.00 It’s a nice thought.

Floxin 400mg pills $156.00 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. Floxin 400mg pills $156.00 (Wait, floxin 400mg pills $156.00 we already know, floxin 400mg pills $156.00 it could be weeks!).

I wonder how long it is going to take for the government to dictate payment to providers? (Wait, floxin 400mg pills $156.00 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, floxin 400mg pills $156.00 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, floxin 400mg pills $156.00 they already do!) Or decide which treatments are covered and which are not? (Wait, floxin 400mg pills $156.00 they already do!)

*****

Floxin 400mg pills $156.00 We all need health care.  It is wrong that someone with a pre-existing condition cannot find coverage. Floxin 400mg pills $156.00 It is a tragedy to have someone lose everything they have because of catastrophic illness. Floxin 400mg pills $156.00 It is frustrating to be stuck in a job solely because of the health benefits. Floxin 400mg pills $156.00 It’s scary to lose those health benefits if you are laid off.

Floxin 400mg pills $156.00 It is wrong that the majority of health disparities are directly related to poverty.

Floxin 400mg pills $156.00 It is wrong that providers pay tens of thousands in malpractice premiums every year. Floxin 400mg pills $156.00 It is wrong that they are reimbursed a fraction of what it costs to care for patients. Floxin 400mg pills $156.00 It is depressing that they must limit their time with patients because they have to see more and more of them to break even. Floxin 400mg pills $156.00 It’s ridiculous that providers need to hire specialists to navigate the morass of insurance regulations.

Floxin 400mg pills $156.00 Our system has issues, floxin 400mg pills $156.00 no question.

*****

So, floxin 400mg pills $156.00 will the new health care legislation make for healthier communities by providing jobs, floxin 400mg pills $156.00 parks, floxin 400mg pills $156.00 grocery stores, floxin 400mg pills $156.00 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, floxin 400mg pills $156.00 Internal Medicine, floxin 400mg pills $156.00 Pediatrics, floxin 400mg pills $156.00 Geriatrics? Takes a lot of money and time to become a physician or advance practice nurse. Floxin 400mg pills $156.00 Will the new health care legislation make it worth the effort?

On the other hand, floxin 400mg pills $156.00 will the new health care legislation make it easier to find a provider? To actually get in to see a provider in days, floxin 400mg pills $156.00 not weeks?

You see, floxin 400mg pills $156.00 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, floxin 400mg pills $156.00 is there still interest in researching medications, floxin 400mg pills $156.00 treatments? Or on the other side, floxin 400mg pills $156.00 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, floxin 400mg pills $156.00 obese, floxin 400mg pills $156.00 smoker?

Will the new health care legislation see us as the chief focus of the new system, floxin 400mg pills $156.00 or as cogs in a wheel that must be regulated and controlled?

Health care is already rationed (yes, floxin 400mg pills $156.00 it is…think about it). Floxin 400mg pills $156.00 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, floxin 400mg pills $156.00 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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July 28, 2016, 1:05 pm

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Adhd atomoxetine 40mg pills $123.00 Always looking to promote interdisciplinary communication and understanding, adhd atomoxetine 40mg pills $123.00 Nurse Anne takes the new residents to lunch.

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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, adhd atomoxetine 40mg pills $123.00 long essays. Adhd atomoxetine 40mg pills $123.00 Two of them were to be no more than 4000 words. Adhd atomoxetine 40mg pills $123.00 Three of them were to be no more than 2000 words.

Oh. Adhd atomoxetine 40mg pills $123.00 My. Adhd atomoxetine 40mg pills $123.00 God.

Now, adhd atomoxetine 40mg pills $123.00 I love to write, adhd atomoxetine 40mg pills $123.00 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. Adhd atomoxetine 40mg pills $123.00 They had to be flawless. Adhd atomoxetine 40mg pills $123.00 They had to be….

Immaculate!

I want this so badly, adhd atomoxetine 40mg pills $123.00 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, adhd atomoxetine 40mg pills $123.00 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, adhd atomoxetine 40mg pills $123.00 and ignored the low-pitched growl from my end of the nursing station when a patient dared interrupt my creativity. Adhd atomoxetine 40mg pills $123.00 It’s just rude to have gastroenteritis when I am trying to work here!

My husband tried to talk to me, adhd atomoxetine 40mg pills $123.00 but I’m not sure what he said. Adhd atomoxetine 40mg pills $123.00 I think his birthday was last week. Adhd atomoxetine 40mg pills $123.00 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. Adhd atomoxetine 40mg pills $123.00 I went through three Costco-sized bottles of Tums. Adhd atomoxetine 40mg pills $123.00 In addition to my Protonix.

I self-medicated with other things, adhd atomoxetine 40mg pills $123.00 too. Adhd atomoxetine 40mg pills $123.00 Oh, adhd atomoxetine 40mg pills $123.00 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. Adhd atomoxetine 40mg pills $123.00 Do or do not, adhd atomoxetine 40mg pills $123.00 there is no try.

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

I would stay up all day. Adhd atomoxetine 40mg pills $123.00 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, adhd atomoxetine 40mg pills $123.00 I wrote until my fingers were numb from slamming the keyboard. Adhd atomoxetine 40mg pills $123.00 I poured out my heart, adhd atomoxetine 40mg pills $123.00 my soul, adhd atomoxetine 40mg pills $123.00 my passion for nursing and my yearning for higher education.

Hmmm, adhd atomoxetine 40mg pills $123.00 not bad, adhd atomoxetine 40mg pills $123.00 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. Adhd atomoxetine 40mg pills $123.00 I erased it. Adhd atomoxetine 40mg pills $123.00 I tried again.

It didn’t work!

Oh. Adhd atomoxetine 40mg pills $123.00 My. Adhd atomoxetine 40mg pills $123.00 God.

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Surely, adhd atomoxetine 40mg pills $123.00 I misread the instructions. Adhd atomoxetine 40mg pills $123.00 Surely, adhd atomoxetine 40mg pills $123.00 I was supposed to upload the entire thing somewhere. Adhd atomoxetine 40mg pills $123.00 Surely, adhd atomoxetine 40mg pills $123.00 I was doing something wrong!

Oh no. Adhd atomoxetine 40mg pills $123.00 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. Adhd atomoxetine 40mg pills $123.00 My. Adhd atomoxetine 40mg pills $123.00 God.

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I had written “Les Miserables” when all they wanted was “Green Eggs and Ham”. Adhd atomoxetine 40mg pills $123.00 “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, adhd atomoxetine 40mg pills $123.00 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, adhd atomoxetine 40mg pills $123.00 somewhere in that application they see a qualified PhD student.

In the meantime, adhd atomoxetine 40mg pills $123.00 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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