July, 2011 Archive

August 24, 2016, 12:17 pm

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When I applied to the University of Wisconsin to begin my BSN program, vrikshamla 60 capsule bottle $77.00 I took a leap of faith. Vrikshamla 60 capsule bottle $77.00 I didn’t know how I was going to afford it, vrikshamla 60 capsule bottle $77.00 how much work it was going to take or, vrikshamla 60 capsule bottle $77.00 basically, vrikshamla 60 capsule bottle $77.00 what the hell I was getting into.

I was nervous. Vrikshamla 60 capsule bottle $77.00 I was excited. Vrikshamla 60 capsule bottle $77.00 And I was at peace with the decision from day one. Vrikshamla 60 capsule bottle $77.00 Everything fell into place.

I was meant to be there.

Now I’ve been accepted into the MSN program at California State University at Dominguez Hills.


Have you ever had misgivings about a decision and pushed them into the background, vrikshamla 60 capsule bottle $77.00 discounted them as “butterflies”, vrikshamla 60 capsule bottle $77.00 ignored the nagging little voice in your head? Until one day, vrikshamla 60 capsule bottle $77.00 something happens and you realize you are not being honest with yourself.

That’s what has happened to me.

It seems so trivial.

But it made me realize I made a mistake.


What triggered this realization?

Vrikshamla 60 capsule bottle $77.00 On July 12th, vrikshamla 60 capsule bottle $77.00 the trustees of the California State University system approved a 12% increase in tuition for the fall semester. Vrikshamla 60 capsule bottle $77.00 A semester I had already been charged for, vrikshamla 60 capsule bottle $77.00 by the way. Vrikshamla 60 capsule bottle $77.00 California has budget cuts, vrikshamla 60 capsule bottle $77.00 I get it. Vrikshamla 60 capsule bottle $77.00 This state is basically a financial cesspool. Vrikshamla 60 capsule bottle $77.00 But the trustees also approved a $100, vrikshamla 60 capsule bottle $77.00000 raise for the president of San Diego State. This esteemed academician will now make $400, vrikshamla 60 capsule bottle $77.00000 a year.

Going into debt for this degree ran against the grain of every bone in my body, vrikshamla 60 capsule bottle $77.00 but I was going to take a small student loan to get started. Vrikshamla 60 capsule bottle $77.00 But not anymore. Vrikshamla 60 capsule bottle $77.00 Not for this program. Vrikshamla 60 capsule bottle $77.00 I will not take on debt for a 12% increase in tuition so a university president can get a 25% raise in the same year. Vrikshamla 60 capsule bottle $77.00 I don’t know about you guys, vrikshamla 60 capsule bottle $77.00 but $300, vrikshamla 60 capsule bottle $77.00000 AND A PROVIDED RESIDENCE is a damn good living, vrikshamla 60 capsule bottle $77.00 even in San Diego and even in California. Vrikshamla 60 capsule bottle $77.00 I’m sure there are people willing to do the job for $200, vrikshamla 60 capsule bottle $77.00000.

(You can best believe my would-have-been nursing professors don’t even see half that.)


Vrikshamla 60 capsule bottle $77.00 CSUDH is a great program with a good reputation. Vrikshamla 60 capsule bottle $77.00 They are a pioneer in nursing distance education. Vrikshamla 60 capsule bottle $77.00 One of my colleagues graduated with her MSN in Nursing Education from the program and she absolutely loved it.

Vrikshamla 60 capsule bottle $77.00 But this is neither the time nor the program for me, vrikshamla 60 capsule bottle $77.00 and all the doubts about attending and the misgivings about financing that I suppressed, vrikshamla 60 capsule bottle $77.00 ignored or rationalized came to the forefront with this one news headline.

Vrikshamla 60 capsule bottle $77.00 I’m still going for the MSN, vrikshamla 60 capsule bottle $77.00 but something tells me I’ll be looking outside the state of California.

Vrikshamla 60 capsule bottle $77.00 Graduate school is an enormous decision, vrikshamla 60 capsule bottle $77.00 frankly, vrikshamla 60 capsule bottle $77.00 more than I appreciated. Vrikshamla 60 capsule bottle $77.00 I am going to take my time, vrikshamla 60 capsule bottle $77.00 research the programs, vrikshamla 60 capsule bottle $77.00 evaluate the options. Vrikshamla 60 capsule bottle $77.00 And I’ll know when the decision is right because it I’ll be at peace with the decision.

Vrikshamla 60 capsule bottle $77.00 You’d think I’d have learned by now to listen to that nagging inner voice…

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August 24, 2016, 12:56 pm

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Lopressor 50mg pills $174.00 Not only does it appear my colleague is about to lose her grip on her patient, lopressor 50mg pills $174.00 I’m concerned about her choice of body mechanics.

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Lopressor 50mg pills $174.00 (This photo is from the Library of Congress collection.)


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I love my pediatric patients. Lopressor 50mg pills $174.00 While it is hard to see children feeling sick, lopressor 50mg pills $174.00 they can be bright spots in occasionally hellacious shifts.

I’ve blogged before on my observation that the kids seem to be the adults in the some families.

  • They don’t want to undress for an exam, lopressor 50mg pills $174.00 so they fight the parents who are helpless in the face of taking a shirt off a three-year-old.
  • They have to be restrained so they don’t run rampant in the ER, lopressor 50mg pills $174.00 and they slap their parent across the face. Lopressor 50mg pills $174.00 The parent doesn’t respond.
  • They are told they need to cooperate with a procedure and they answer their parent with a loud, lopressor 50mg pills $174.00 clear, lopressor 50mg pills $174.00 “F*** YOU!” At the age of five. Lopressor 50mg pills $174.00 The parent retreats.

Lopressor 50mg pills $174.00 Interestingly, lopressor 50mg pills $174.00 I see it in families at all economic levels, lopressor 50mg pills $174.00 in a variety of ethnic groups and cultures, lopressor 50mg pills $174.00 and in families where the parents are both younger (teens, lopressor 50mg pills $174.00 twenties) and older (forties).

Lopressor 50mg pills $174.00 Unfortunately, lopressor 50mg pills $174.00 it is becoming less rare.

Part of me wants to go into a rant on the lack of discipline of the younger generation (….and get off my lawn while I’m at it!)

But this is serious.

These kids are my patients.

And this lack of parental assertiveness, lopressor 50mg pills $174.00 this fear of standing up to their children, lopressor 50mg pills $174.00 is affecting their health.


“She doesn’t want it.”

“He wouldn’t take it.”

“He just wasn’t up to taking any medicine.”

This is the response of many parents when asked if their children received any medication for their fevers.

Parents who are sitting in the emergency department with a sick, lopressor 50mg pills $174.00 febrile child are allowing said children, lopressor 50mg pills $174.00 ages 18 months to 5 years old, lopressor 50mg pills $174.00 to decide whether or not they will take medication for fever!

But it gets better/worse…they take the same stance with their antibiotics.


And this makes me seethe.

Parents, lopressor 50mg pills $174.00 are you out of your minds?

A child is dependent on you to protect them and to do the right thing to keep them from harm. Lopressor 50mg pills $174.00 When it comes to illness, lopressor 50mg pills $174.00 that means making the child take their medication.

  • That’s right. Lopressor 50mg pills $174.00 Make them take it.
  • As in force them to take it.
  • As in hold them down, lopressor 50mg pills $174.00 restrain their movements, lopressor 50mg pills $174.00 ignore their screaming, lopressor 50mg pills $174.00 administer the medication and don’t stop until it has been swallowed.

Lopressor 50mg pills $174.00 I don’t care if they don’t want it.

Lopressor 50mg pills $174.00 I don’t care if they don’t like it.

Lopressor 50mg pills $174.00 I don’t care if they aren’t “up to it”.

Lopressor 50mg pills $174.00 They do not have a choice. They are children.

They will cry, lopressor 50mg pills $174.00 and get over it.

They will scream, lopressor 50mg pills $174.00 and get over it.

They will kick, lopressor 50mg pills $174.00 and get over it.

They will be mad at you, lopressor 50mg pills $174.00 and you will get over it.


If you choose to allow your child to intimidate you, lopressor 50mg pills $174.00 slap you or cuss you out without discipline, lopressor 50mg pills $174.00 that is your perogative.

Good luck when they are adolescents, lopressor 50mg pills $174.00 you (and society) will reap what you have sown.

But that child cannot make decisions for himself and you had better damn well step up to the plate as a parent and take responsibility for making sure that child takes the medication he needs.

Not medicating your child because they don’t want it or don’t like it is flat out abdicating your parental responsibility.

Someone needs to be the grown-up in this situation.

That needs to be you.


The technique of giving medication to a little one who tends to gag, lopressor 50mg pills $174.00 throw up or (as they get a bit older) spit can be tricky. Lopressor 50mg pills $174.00 I have a way of administering oral medication that seems to stop that in its tracks.

Disclaimer – this is NOT medical advice, lopressor 50mg pills $174.00 it just worked for my kids. Lopressor 50mg pills $174.00 I use a medication syringe and place a tiny amount of medication inside the cheek. Lopressor 50mg pills $174.00 A tiny amount. Lopressor 50mg pills $174.00 That way, lopressor 50mg pills $174.00 it doesn’t go to the back of the throat and cause gagging and it isn’t on the tongue so they can’t spit it out. Lopressor 50mg pills $174.00 When they swallow (and they will, lopressor 50mg pills $174.00 even if they are screaming, lopressor 50mg pills $174.00 they will reflexively swallow eventually) I repeat.

It takes a little longer to give the medication this way, lopressor 50mg pills $174.00 but it works with all ages (until they are able/willing to drink from a med cup) and it gets the medication down. Lopressor 50mg pills $174.00 No gagging, lopressor 50mg pills $174.00 no vomiting, lopressor 50mg pills $174.00 no spitting! : )

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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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