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There was activity in the parking lot. Cozaar 50mg pills $83.00 A group emerged, cozaar 50mg pills $83.00 formed a circle and scooted rapidly through the pneumatic doors, cozaar 50mg pills $83.00 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, cozaar 50mg pills $83.00 denim and tattoos parted to expose my patient, cozaar 50mg pills $83.00 held, cozaar 50mg pills $83.00 barely, cozaar 50mg pills $83.00 by a guy struggling to keep her aloft. Cozaar 50mg pills $83.00 Head flopping, cozaar 50mg pills $83.00 arms hanging, cozaar 50mg pills $83.00 hair matted with vomit, cozaar 50mg pills $83.00 tank top stretched out of shape, cozaar 50mg pills $83.00 skirt hiked and everything soaked.

But she was breathing. Cozaar 50mg pills $83.00 Sounded like a sailor snoring, cozaar 50mg pills $83.00 but she was breathing.

Less than ten seconds after her arrival, cozaar 50mg pills $83.00 she was breathing on a gurney.


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Got what info I could from her friends, cozaar 50mg pills $83.00 all seven. Cozaar 50mg pills $83.00 Name: Stephanie. Cozaar 50mg pills $83.00 Age 18. Cozaar 50mg pills $83.00 Party. Cozaar 50mg pills $83.00 Vodka. Cozaar 50mg pills $83.00 Tequila shots. Cozaar 50mg pills $83.00 Too much. Cozaar 50mg pills $83.00 Found “asleep”, cozaar 50mg pills $83.00 wouldn’t wake up. Cozaar 50mg pills $83.00 Water on her face. Cozaar 50mg pills $83.00 One girl identified herself as the “Best Friend” and asked to stay, cozaar 50mg pills $83.00 the rest I sent to the waiting room . Cozaar 50mg pills $83.00 Best Friend had been the one who called the parents. Cozaar 50mg pills $83.00 Said the others were f***ing pissed off at her for doing it.

At least they brought her in.

We settled Stephanie in, cozaar 50mg pills $83.00 did all the usual procedures. Cozaar 50mg pills $83.00 I bet she felt very adult when she left home last night, cozaar 50mg pills $83.00 and quite mature as she threw back those tequila shots. Cozaar 50mg pills $83.00 She sure didn’t look very adult now. Cozaar 50mg pills $83.00 She looked like what she was, cozaar 50mg pills $83.00 a drunk teenager. Cozaar 50mg pills $83.00 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. Cozaar 50mg pills $83.00 I called; the call went to voice mail. Cozaar 50mg pills $83.00 I left a message. Cozaar 50mg pills $83.00 I hate that.


I passed the waiting room on my way to the lab. Cozaar 50mg pills $83.00 Stephanie’s friends were laughing and joking.

“Oh man, cozaar 50mg pills $83.00 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, cozaar 50mg pills $83.00 HELL NO.


Now I’m not stupid, cozaar 50mg pills $83.00 and there are ways of talking to people that gets your message across without sounding like a total bitch. Cozaar 50mg pills $83.00 You know, cozaar 50mg pills $83.00 making them think you are on their wavelength when you’d like nothing better than to put your fist in their face.

“Hey guys, cozaar 50mg pills $83.00 I couldn’t help overhearing. Cozaar 50mg pills $83.00 I need to let you know that taking pictures in the hospital is not allowed. Cozaar 50mg pills $83.00 It’s the law, cozaar 50mg pills $83.00 and besides that wouldn’t really be fair to Stephanie, cozaar 50mg pills $83.00 right? It was nice of you to get help for her, cozaar 50mg pills $83.00 she needs your support.”

That’s what I said. Cozaar 50mg pills $83.00 My unspoken thought was “…and not a single one of your is setting foot in that room for any reason.”


I was fuming. Cozaar 50mg pills $83.00 Stephanie may have been an adult by law, cozaar 50mg pills $83.00 but right now she was as helpless as an infant and I had a duty to protect her. Cozaar 50mg pills $83.00 She might wake up and cuss me up one side and down the other, cozaar 50mg pills $83.00 but this child-adult was somebody’s baby. Cozaar 50mg pills $83.00 I raised three kids. Cozaar 50mg pills $83.00 I would have wanted someone protecting them.

Hell, cozaar 50mg pills $83.00 I was 18 once. Cozaar 50mg pills $83.00 Back then you did stupid things and cringed at the memory. Cozaar 50mg pills $83.00 But the years went by, cozaar 50mg pills $83.00 you matured and moved on. Cozaar 50mg pills $83.00 Today mistakes are documented for posterity and a dumb mistake follows you for the rest of your life.

Well, cozaar 50mg pills $83.00 not this one. Cozaar 50mg pills $83.00 Not tonight.


The group of “friends” left soon after, cozaar 50mg pills $83.00 with no opportunity to be photojournalists. Cozaar 50mg pills $83.00 Best Friend left with them, cozaar 50mg pills $83.00 leaving her number in case the parents did not call by the time Stephanie was ready for discharge.

They did call, cozaar 50mg pills $83.00 around sunrise. Cozaar 50mg pills $83.00 They were frantic, cozaar 50mg pills $83.00 they thought Stephanie had come home and was asleep in her room.

Uh. Cozaar 50mg pills $83.00 No.

Stephanie woke up, cozaar 50mg pills $83.00 too. Cozaar 50mg pills $83.00 Didn’t feel so good. Cozaar 50mg pills $83.00 Mom and Dad were bringing clean clothes. Cozaar 50mg pills $83.00 I told her why hers weren’t usable. Cozaar 50mg pills $83.00 “Ewwwww!” she said, cozaar 50mg pills $83.00 gingerly climbing back into the gurney. Cozaar 50mg pills $83.00 I acknowledged that she probably didn’t feel like having a lecture on alcohol, cozaar 50mg pills $83.00 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, cozaar 50mg pills $83.00 we talked about “Control, cozaar 50mg pills $83.00 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, cozaar 50mg pills $83.00 and photos winding up on the Internet. Cozaar 50mg pills $83.00 Forever.

We talked about loss of control of awareness, cozaar 50mg pills $83.00 and of those who would take advantage of that.


Teenagers think they are invincible. Cozaar 50mg pills $83.00 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, cozaar 50mg pills $83.00 at least I gave her a chance to cringe at the memory, cozaar 50mg pills $83.00 mature and move on.

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  • Marie

    September 20, 2011 at 1:08 am

    The one other thing I would have tried to add, & it sounds like you did a great job, would be alcohol poisoning…as in, never waking up. Even the parents probably knew nothing about that….”oh, all kids experiment with drugs & alcohol”….Its a hard one to explain, but in my point of view, crucial.

  • Kristine

    September 20, 2011 at 2:05 am

    That patient is lucky to have had you for a nurse. As both a former teenager and a future nurse: thank you!

  • Geno

    September 20, 2011 at 10:21 am

    The first time waking in the hospital after drinking too much is scary but it gets easier after that. The freedoms slowly slip away and drinking becomes a habit then a necessity. Those who pass out need help, it was not just a party. It may have just been the beginning of a life style.

  • […] she now practices in an emergency room in the San Francisco Bay area. Recent posts include “Somebody’s Baby”, “To My Daughter, Senior Nurse”, and “So You REALLY Want to be a […]

  • lifenurse

    October 12, 2011 at 10:50 pm

    oh, That patient is lucky to have had you for a nurse

  • Black Cloud ER Nurse
    Black Cloud ER Nurse

    October 19, 2011 at 2:50 pm

    This story is a daily occurrence in my ER… and having to leave the voice mail leaves a sick feeling in my gut.

  • Shirley

    October 29, 2011 at 5:17 am

    I?m from Brazil and nursing student. I?d like congratulate you for your wonderful profession.

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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