July, 2011 Archive

September 28, 2016, 12:17 pm

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

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I was meant to be there.

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That’s what has happened to me.

It seems so trivial.

But it made me realize I made a mistake.


What triggered this realization?

Female viagra alternative On July 12th, female viagra alternative the trustees of the California State University system approved a 12% increase in tuition for the fall semester. Female viagra alternative A semester I had already been charged for, female viagra alternative by the way. Female viagra alternative California has budget cuts, female viagra alternative I get it. Female viagra alternative This state is basically a financial cesspool. Female viagra alternative But the trustees also approved a $100, female viagra alternative000 raise for the president of San Diego State. This esteemed academician will now make $400, female viagra alternative000 a year.

Going into debt for this degree ran against the grain of every bone in my body, female viagra alternative but I was going to take a small student loan to get started. Female viagra alternative But not anymore. Female viagra alternative Not for this program. Female viagra alternative 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. Female viagra alternative I don’t know about you guys, female viagra alternative but $300, female viagra alternative000 AND A PROVIDED RESIDENCE is a damn good living, female viagra alternative even in San Diego and even in California. Female viagra alternative I’m sure there are people willing to do the job for $200, female viagra alternative000.

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


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

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

Female viagra alternative You’d think I’d have learned by now to listen to that nagging inner voice…

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September 28, 2016, 12:56 pm

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Tenormin 25mg pills $133.00 Not only does it appear my colleague is about to lose her grip on her patient, tenormin 25mg pills $133.00 I’m concerned about her choice of body mechanics.

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I love my pediatric patients. Tenormin 25mg pills $133.00 While it is hard to see children feeling sick, tenormin 25mg pills $133.00 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, tenormin 25mg pills $133.00 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, tenormin 25mg pills $133.00 and they slap their parent across the face. Tenormin 25mg pills $133.00 The parent doesn’t respond.
  • They are told they need to cooperate with a procedure and they answer their parent with a loud, tenormin 25mg pills $133.00 clear, tenormin 25mg pills $133.00 “F*** YOU!” At the age of five. Tenormin 25mg pills $133.00 The parent retreats.

Tenormin 25mg pills $133.00 Interestingly, tenormin 25mg pills $133.00 I see it in families at all economic levels, tenormin 25mg pills $133.00 in a variety of ethnic groups and cultures, tenormin 25mg pills $133.00 and in families where the parents are both younger (teens, tenormin 25mg pills $133.00 twenties) and older (forties).

Tenormin 25mg pills $133.00 Unfortunately, tenormin 25mg pills $133.00 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, tenormin 25mg pills $133.00 this fear of standing up to their children, tenormin 25mg pills $133.00 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, tenormin 25mg pills $133.00 febrile child are allowing said children, tenormin 25mg pills $133.00 ages 18 months to 5 years old, tenormin 25mg pills $133.00 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, tenormin 25mg pills $133.00 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. Tenormin 25mg pills $133.00 When it comes to illness, tenormin 25mg pills $133.00 that means making the child take their medication.

  • That’s right. Tenormin 25mg pills $133.00 Make them take it.
  • As in force them to take it.
  • As in hold them down, tenormin 25mg pills $133.00 restrain their movements, tenormin 25mg pills $133.00 ignore their screaming, tenormin 25mg pills $133.00 administer the medication and don’t stop until it has been swallowed.

Tenormin 25mg pills $133.00 I don’t care if they don’t want it.

Tenormin 25mg pills $133.00 I don’t care if they don’t like it.

Tenormin 25mg pills $133.00 I don’t care if they aren’t “up to it”.

Tenormin 25mg pills $133.00 They do not have a choice. They are children.

They will cry, tenormin 25mg pills $133.00 and get over it.

They will scream, tenormin 25mg pills $133.00 and get over it.

They will kick, tenormin 25mg pills $133.00 and get over it.

They will be mad at you, tenormin 25mg pills $133.00 and you will get over it.


If you choose to allow your child to intimidate you, tenormin 25mg pills $133.00 slap you or cuss you out without discipline, tenormin 25mg pills $133.00 that is your perogative.

Good luck when they are adolescents, tenormin 25mg pills $133.00 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, tenormin 25mg pills $133.00 throw up or (as they get a bit older) spit can be tricky. Tenormin 25mg pills $133.00 I have a way of administering oral medication that seems to stop that in its tracks.

Disclaimer – this is NOT medical advice, tenormin 25mg pills $133.00 it just worked for my kids. Tenormin 25mg pills $133.00 I use a medication syringe and place a tiny amount of medication inside the cheek. Tenormin 25mg pills $133.00 A tiny amount. Tenormin 25mg pills $133.00 That way, tenormin 25mg pills $133.00 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. Tenormin 25mg pills $133.00 When they swallow (and they will, tenormin 25mg pills $133.00 even if they are screaming, tenormin 25mg pills $133.00 they will reflexively swallow eventually) I repeat.

It takes a little longer to give the medication this way, tenormin 25mg pills $133.00 but it works with all ages (until they are able/willing to drink from a med cup) and it gets the medication down. Tenormin 25mg pills $133.00 No gagging, tenormin 25mg pills $133.00 no vomiting, tenormin 25mg pills $133.00 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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