September, 2011 Archive

June 27, 2016, 9:59 pm

Cost Of Viagra

Cost of viagra You know me.

Cost of viagra I’m all over anything that is from the BBC.

Cost of viagra But this is different.

Cost of viagra There is no TARDIS. Cost of viagra And there are nurses along with the doctor. Cost of viagra Lots of nurses.

Cost of viagra And the only people flying through time and space are the trauma patients before they hit the bus or the ground.

Cost of viagra 24 Hours in the ER premiers tonight on BBC America. Cost of viagra I received a copy of the first two episodes from BBC America unedited for American television. Cost of viagra Of course in Great Britian, cost of viagra this was called “24 Hours in A&E”.

Cost of viagra On a personal level, cost of viagra I like it. Cost of viagra It reminds me of the old “Trauma in the ER”.

Cost of viagra On a professional level, cost of viagra it’s like being at work. Cost of viagra Even the equipment is the same.

Cost of viagra How is the nursing staff portrayed? It will be hard to say without seeing the U.S edit on Tuesday night, cost of viagra but in the first two episodes there are nurse practitioners anesthetizing lacerations, cost of viagra nurses working on trauma teams, cost of viagra taking the lead in Code Blues, cost of viagra advising physicians that their head injured patients aren’t retaining one word of the information they are painstakingly imparting (“Come back tomorrow!”) and doing post-mortem care (don’t see that on TV very often).

Cost of viagra It’s realistic without being gory, cost of viagra touching without being sappy, cost of viagra and the nurses are there to save your ass and manage to treat you like a human being in the process.

Cost of viagra And if every A&E in England is that freaking polite, cost of viagra I’m pulling up stakes and moving across the pond.

Cost of viagra The link I’ve given above is to the “Meet the Staff” page. Cost of viagra Take a look at it. Cost of viagra I’d work with any one of them in a split second.

Cost of viagra I’m hoping to score an interview with Nurse Jen.

Cost of viagra They say the producers watched American television to see what our medical shows were like and that they saw we wanted character driven shows.

Cost of viagra This is a character driven show, cost of viagra but this time the characters are real. Cost of viagra Nurses. Cost of viagra Doctors. Cost of viagra Porters. Cost of viagra Patients. Cost of viagra ER techs.You. Cost of viagra Me. Cost of viagra Our next patient.

Cost of viagra I laughed, cost of viagra got my adrenaline up for the trauma codes. Cost of viagra And I cried.

Cost of viagra But I cry at Doctor Who, cost of viagra so go figure….

Cost of viagra I definitely recommend it.

Cost of viagra Let me know what you think.

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June 27, 2016, 1:47 pm

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Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Master Nurse Chef!

Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Will Cherry win the Cream of Wheat challenge?

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The car drifted by the ambulance entrance. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 The glow of the brake lights lit the corner of my eye.

Incoming.

I closed my textbook. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Sigh. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 I was hoping for downtime.

There was activity in the parking lot. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 A group emerged, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 formed a circle and scooted rapidly through the pneumatic doors, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 right up to the nurses station.

They all spoke at once.

Not breathing…won’t wake up…vomited…alcohol poisoning…can’t wake her up…drinking….not breathing…oh my god…poured water on her…throwing up…called parents…voicemail…

The frantic mass of hair and earrings, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 denim and tattoos parted to expose my patient, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 held, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 barely, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 by a guy struggling to keep her aloft. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Head flopping, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 arms hanging, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 hair matted with vomit, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 tank top stretched out of shape, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 skirt hiked and everything soaked.

But she was breathing. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Sounded like a sailor snoring, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 but she was breathing.

Less than ten seconds after her arrival, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 she was breathing on a gurney.

***

Underage. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Under-dressed. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Over-drunk.

Got what info I could from her friends, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 all seven. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Name: Stephanie. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Age 18. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Party. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Vodka. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Tequila shots. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Too much. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Found “asleep”, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 wouldn’t wake up. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Water on her face. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 One girl identified herself as the “Best Friend” and asked to stay, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 the rest I sent to the waiting room . Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Best Friend had been the one who called the parents. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Said the others were f***ing pissed off at her for doing it.

At least they brought her in.

We settled Stephanie in, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 did all the usual procedures. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 I bet she felt very adult when she left home last night, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 and quite mature as she threw back those tequila shots. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 She sure didn’t look very adult now. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 She looked like what she was, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 a drunk teenager. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 She will probably be mortified to find out she vomited all over herself and urinated down her legs all over her friend’s car.

I got the number for the parents from Best Friend. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 I called; the call went to voice mail. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 I left a message. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 I hate that.

***

I passed the waiting room on my way to the lab. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Stephanie’s friends were laughing and joking.

“Oh man, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 we shoulda got a picture when we were dumping water on her.” Much merriment.

“Yeah! Let’s get one in the hospital…upload it!”

Oh, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 HELL NO.

Punks.

Now I’m not stupid, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 and there are ways of talking to people that gets your message across without sounding like a total bitch. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 You know, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 making them think you are on their wavelength when you’d like nothing better than to put your fist in their face.

“Hey guys, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 I couldn’t help overhearing. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 I need to let you know that taking pictures in the hospital is not allowed. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 It’s the law, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 and besides that wouldn’t really be fair to Stephanie, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 right? It was nice of you to get help for her, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 she needs your support.”

That’s what I said. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 My unspoken thought was “…and not a single one of your is setting foot in that room for any reason.”

***

I was fuming. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Stephanie may have been an adult by law, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 but right now she was as helpless as an infant and I had a duty to protect her. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 She might wake up and cuss me up one side and down the other, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 but this child-adult was somebody’s baby. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 I raised three kids. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 I would have wanted someone protecting them.

Hell, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 I was 18 once. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Back then you did stupid things and cringed at the memory. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 But the years went by, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 you matured and moved on. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Today mistakes are documented for posterity and a dumb mistake follows you for the rest of your life.

Well, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 not this one. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Not tonight.

***

The group of “friends” left soon after, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 with no opportunity to be photojournalists. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Best Friend left with them, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 leaving her number in case the parents did not call by the time Stephanie was ready for discharge.

They did call, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 around sunrise. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 They were frantic, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 they thought Stephanie had come home and was asleep in her room.

Uh. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 No.

Stephanie woke up, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 too. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Didn’t feel so good. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Mom and Dad were bringing clean clothes. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 I told her why hers weren’t usable. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 “Ewwwww!” she said, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 gingerly climbing back into the gurney. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 I acknowledged that she probably didn’t feel like having a lecture on alcohol, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 that the decision on whether or not to drink was totally hers.

But we talked about what happens after the drinking is over.

To put it in nursing diagnoses terms, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 we talked about “Control, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 loss of.”

We talked about loss of control of airway and aspiration of vomit.

We talked about loss of control of bladder and peeing all over a friend’s car.

We talked about loss of control of our environment, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 and photos winding up on the Internet. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Forever.

We talked about loss of control of awareness, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 and of those who would take advantage of that.

***

Teenagers think they are invincible. Digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 Talking about death – it won’t happen to them.

Talking about not drinking – they can do what they want!

But what’s the one thing they do want?

Control over their lives.

Stephanie lost control of her life for a prolonged period tonight.

That should scare the hell out of her.

I hope she learned a lesson from it.

And if I did nothing else, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 at least I gave her a chance to cringe at the memory, digestive health & nausea > triphala 60 tablet bottle > 2 > $106.00 mature and move on.

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June 27, 2016, 9:39 pm

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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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