July, 2011 Archive

June 30, 2016, 12:17 pm

Viagra Sales

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Viagra sales Apparently a few nurses did not complete their HIPAA modules!

Viagra sales My goodness, viagra sales ladies, viagra sales remember yourselves!

Viagra sales You just know that one in the back follows all the rules, viagra sales all the time. Viagra sales Doesn’t eat at the nursing station. Viagra sales Has the best cap. Viagra sales Her charts are perfect.

Viagra sales She’ll peek later.

**********

When I applied to the University of Wisconsin to begin my BSN program, viagra sales I took a leap of faith. Viagra sales I didn’t know how I was going to afford it, viagra sales how much work it was going to take or, viagra sales basically, viagra sales what the hell I was getting into.

I was nervous. Viagra sales I was excited. Viagra sales And I was at peace with the decision from day one. Viagra sales 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, viagra sales discounted them as “butterflies”, viagra sales ignored the nagging little voice in your head? Until one day, viagra sales 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?

Viagra sales On July 12th, viagra sales the trustees of the California State University system approved a 12% increase in tuition for the fall semester. Viagra sales A semester I had already been charged for, viagra sales by the way. Viagra sales California has budget cuts, viagra sales I get it. Viagra sales This state is basically a financial cesspool. Viagra sales But the trustees also approved a $100, viagra sales000 raise for the president of San Diego State. This esteemed academician will now make $400, viagra sales000 a year.

Going into debt for this degree ran against the grain of every bone in my body, viagra sales but I was going to take a small student loan to get started. Viagra sales But not anymore. Viagra sales Not for this program. Viagra sales 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. Viagra sales I don’t know about you guys, viagra sales but $300, viagra sales000 AND A PROVIDED RESIDENCE is a damn good living, viagra sales even in San Diego and even in California. Viagra sales I’m sure there are people willing to do the job for $200, viagra sales000.

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

*****

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

Viagra sales But this is neither the time nor the program for me, viagra sales and all the doubts about attending and the misgivings about financing that I suppressed, viagra sales ignored or rationalized came to the forefront with this one news headline.

Viagra sales I’m still going for the MSN, viagra sales but something tells me I’ll be looking outside the state of California.

Viagra sales Graduate school is an enormous decision, viagra sales frankly, viagra sales more than I appreciated. Viagra sales I am going to take my time, viagra sales research the programs, viagra sales evaluate the options. Viagra sales And I’ll know when the decision is right because it I’ll be at peace with the decision.

Viagra sales You’d think I’d have learned by now to listen to that nagging inner voice…

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June 30, 2016, 12:56 pm

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Weight loss vrikshamla 60 capsule bottle $442.00 I predict a lumbar strain in 3…2…1……

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**********

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I love my pediatric patients. Weight loss vrikshamla 60 capsule bottle $442.00 While it is hard to see children feeling sick, weight loss vrikshamla 60 capsule bottle $442.00 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, weight loss vrikshamla 60 capsule bottle $442.00 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, weight loss vrikshamla 60 capsule bottle $442.00 and they slap their parent across the face. Weight loss vrikshamla 60 capsule bottle $442.00 The parent doesn’t respond.
  • They are told they need to cooperate with a procedure and they answer their parent with a loud, weight loss vrikshamla 60 capsule bottle $442.00 clear, weight loss vrikshamla 60 capsule bottle $442.00 “F*** YOU!” At the age of five. Weight loss vrikshamla 60 capsule bottle $442.00 The parent retreats.

Weight loss vrikshamla 60 capsule bottle $442.00 Interestingly, weight loss vrikshamla 60 capsule bottle $442.00 I see it in families at all economic levels, weight loss vrikshamla 60 capsule bottle $442.00 in a variety of ethnic groups and cultures, weight loss vrikshamla 60 capsule bottle $442.00 and in families where the parents are both younger (teens, weight loss vrikshamla 60 capsule bottle $442.00 twenties) and older (forties).

Weight loss vrikshamla 60 capsule bottle $442.00 Unfortunately, weight loss vrikshamla 60 capsule bottle $442.00 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, weight loss vrikshamla 60 capsule bottle $442.00 this fear of standing up to their children, weight loss vrikshamla 60 capsule bottle $442.00 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, weight loss vrikshamla 60 capsule bottle $442.00 febrile child are allowing said children, weight loss vrikshamla 60 capsule bottle $442.00 ages 18 months to 5 years old, weight loss vrikshamla 60 capsule bottle $442.00 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, weight loss vrikshamla 60 capsule bottle $442.00 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. Weight loss vrikshamla 60 capsule bottle $442.00 When it comes to illness, weight loss vrikshamla 60 capsule bottle $442.00 that means making the child take their medication.

  • That’s right. Weight loss vrikshamla 60 capsule bottle $442.00 Make them take it.
  • As in force them to take it.
  • As in hold them down, weight loss vrikshamla 60 capsule bottle $442.00 restrain their movements, weight loss vrikshamla 60 capsule bottle $442.00 ignore their screaming, weight loss vrikshamla 60 capsule bottle $442.00 administer the medication and don’t stop until it has been swallowed.

Weight loss vrikshamla 60 capsule bottle $442.00 I don’t care if they don’t want it.

Weight loss vrikshamla 60 capsule bottle $442.00 I don’t care if they don’t like it.

Weight loss vrikshamla 60 capsule bottle $442.00 I don’t care if they aren’t “up to it”.

Weight loss vrikshamla 60 capsule bottle $442.00 They do not have a choice. They are children.

They will cry, weight loss vrikshamla 60 capsule bottle $442.00 and get over it.

They will scream, weight loss vrikshamla 60 capsule bottle $442.00 and get over it.

They will kick, weight loss vrikshamla 60 capsule bottle $442.00 and get over it.

They will be mad at you, weight loss vrikshamla 60 capsule bottle $442.00 and you will get over it.

*****

If you choose to allow your child to intimidate you, weight loss vrikshamla 60 capsule bottle $442.00 slap you or cuss you out without discipline, weight loss vrikshamla 60 capsule bottle $442.00 that is your perogative.

Good luck when they are adolescents, weight loss vrikshamla 60 capsule bottle $442.00 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, weight loss vrikshamla 60 capsule bottle $442.00 throw up or (as they get a bit older) spit can be tricky. Weight loss vrikshamla 60 capsule bottle $442.00 I have a way of administering oral medication that seems to stop that in its tracks.

Disclaimer – this is NOT medical advice, weight loss vrikshamla 60 capsule bottle $442.00 it just worked for my kids. Weight loss vrikshamla 60 capsule bottle $442.00 I use a medication syringe and place a tiny amount of medication inside the cheek. Weight loss vrikshamla 60 capsule bottle $442.00 A tiny amount. Weight loss vrikshamla 60 capsule bottle $442.00 That way, weight loss vrikshamla 60 capsule bottle $442.00 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. Weight loss vrikshamla 60 capsule bottle $442.00 When they swallow (and they will, weight loss vrikshamla 60 capsule bottle $442.00 even if they are screaming, weight loss vrikshamla 60 capsule bottle $442.00 they will reflexively swallow eventually) I repeat.

It takes a little longer to give the medication this way, weight loss vrikshamla 60 capsule bottle $442.00 but it works with all ages (until they are able/willing to drink from a med cup) and it gets the medication down. Weight loss vrikshamla 60 capsule bottle $442.00 No gagging, weight loss vrikshamla 60 capsule bottle $442.00 no vomiting, weight loss vrikshamla 60 capsule bottle $442.00 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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