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There was activity in the parking lot. Mirapex 0.5mg pills $138.00 A group emerged, mirapex 0.5mg pills $138.00 formed a circle and scooted rapidly through the pneumatic doors, mirapex 0.5mg pills $138.00 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, mirapex 0.5mg pills $138.00 denim and tattoos parted to expose my patient, mirapex 0.5mg pills $138.00 held, mirapex 0.5mg pills $138.00 barely, mirapex 0.5mg pills $138.00 by a guy struggling to keep her aloft. Mirapex 0.5mg pills $138.00 Head flopping, mirapex 0.5mg pills $138.00 arms hanging, mirapex 0.5mg pills $138.00 hair matted with vomit, mirapex 0.5mg pills $138.00 tank top stretched out of shape, mirapex 0.5mg pills $138.00 skirt hiked and everything soaked.

But she was breathing. Mirapex 0.5mg pills $138.00 Sounded like a sailor snoring, mirapex 0.5mg pills $138.00 but she was breathing.

Less than ten seconds after her arrival, mirapex 0.5mg pills $138.00 she was breathing on a gurney.


Underage. Mirapex 0.5mg pills $138.00 Under-dressed. Mirapex 0.5mg pills $138.00 Over-drunk.

Got what info I could from her friends, mirapex 0.5mg pills $138.00 all seven. Mirapex 0.5mg pills $138.00 Name: Stephanie. Mirapex 0.5mg pills $138.00 Age 18. Mirapex 0.5mg pills $138.00 Party. Mirapex 0.5mg pills $138.00 Vodka. Mirapex 0.5mg pills $138.00 Tequila shots. Mirapex 0.5mg pills $138.00 Too much. Mirapex 0.5mg pills $138.00 Found “asleep”, mirapex 0.5mg pills $138.00 wouldn’t wake up. Mirapex 0.5mg pills $138.00 Water on her face. Mirapex 0.5mg pills $138.00 One girl identified herself as the “Best Friend” and asked to stay, mirapex 0.5mg pills $138.00 the rest I sent to the waiting room . Mirapex 0.5mg pills $138.00 Best Friend had been the one who called the parents. Mirapex 0.5mg pills $138.00 Said the others were f***ing pissed off at her for doing it.

At least they brought her in.

We settled Stephanie in, mirapex 0.5mg pills $138.00 did all the usual procedures. Mirapex 0.5mg pills $138.00 I bet she felt very adult when she left home last night, mirapex 0.5mg pills $138.00 and quite mature as she threw back those tequila shots. Mirapex 0.5mg pills $138.00 She sure didn’t look very adult now. Mirapex 0.5mg pills $138.00 She looked like what she was, mirapex 0.5mg pills $138.00 a drunk teenager. Mirapex 0.5mg pills $138.00 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. Mirapex 0.5mg pills $138.00 I called; the call went to voice mail. Mirapex 0.5mg pills $138.00 I left a message. Mirapex 0.5mg pills $138.00 I hate that.


I passed the waiting room on my way to the lab. Mirapex 0.5mg pills $138.00 Stephanie’s friends were laughing and joking.

“Oh man, mirapex 0.5mg pills $138.00 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, mirapex 0.5mg pills $138.00 HELL NO.


Now I’m not stupid, mirapex 0.5mg pills $138.00 and there are ways of talking to people that gets your message across without sounding like a total bitch. Mirapex 0.5mg pills $138.00 You know, mirapex 0.5mg pills $138.00 making them think you are on their wavelength when you’d like nothing better than to put your fist in their face.

“Hey guys, mirapex 0.5mg pills $138.00 I couldn’t help overhearing. Mirapex 0.5mg pills $138.00 I need to let you know that taking pictures in the hospital is not allowed. Mirapex 0.5mg pills $138.00 It’s the law, mirapex 0.5mg pills $138.00 and besides that wouldn’t really be fair to Stephanie, mirapex 0.5mg pills $138.00 right? It was nice of you to get help for her, mirapex 0.5mg pills $138.00 she needs your support.”

That’s what I said. Mirapex 0.5mg pills $138.00 My unspoken thought was “…and not a single one of your is setting foot in that room for any reason.”


I was fuming. Mirapex 0.5mg pills $138.00 Stephanie may have been an adult by law, mirapex 0.5mg pills $138.00 but right now she was as helpless as an infant and I had a duty to protect her. Mirapex 0.5mg pills $138.00 She might wake up and cuss me up one side and down the other, mirapex 0.5mg pills $138.00 but this child-adult was somebody’s baby. Mirapex 0.5mg pills $138.00 I raised three kids. Mirapex 0.5mg pills $138.00 I would have wanted someone protecting them.

Hell, mirapex 0.5mg pills $138.00 I was 18 once. Mirapex 0.5mg pills $138.00 Back then you did stupid things and cringed at the memory. Mirapex 0.5mg pills $138.00 But the years went by, mirapex 0.5mg pills $138.00 you matured and moved on. Mirapex 0.5mg pills $138.00 Today mistakes are documented for posterity and a dumb mistake follows you for the rest of your life.

Well, mirapex 0.5mg pills $138.00 not this one. Mirapex 0.5mg pills $138.00 Not tonight.


The group of “friends” left soon after, mirapex 0.5mg pills $138.00 with no opportunity to be photojournalists. Mirapex 0.5mg pills $138.00 Best Friend left with them, mirapex 0.5mg pills $138.00 leaving her number in case the parents did not call by the time Stephanie was ready for discharge.

They did call, mirapex 0.5mg pills $138.00 around sunrise. Mirapex 0.5mg pills $138.00 They were frantic, mirapex 0.5mg pills $138.00 they thought Stephanie had come home and was asleep in her room.

Uh. Mirapex 0.5mg pills $138.00 No.

Stephanie woke up, mirapex 0.5mg pills $138.00 too. Mirapex 0.5mg pills $138.00 Didn’t feel so good. Mirapex 0.5mg pills $138.00 Mom and Dad were bringing clean clothes. Mirapex 0.5mg pills $138.00 I told her why hers weren’t usable. Mirapex 0.5mg pills $138.00 “Ewwwww!” she said, mirapex 0.5mg pills $138.00 gingerly climbing back into the gurney. Mirapex 0.5mg pills $138.00 I acknowledged that she probably didn’t feel like having a lecture on alcohol, mirapex 0.5mg pills $138.00 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, mirapex 0.5mg pills $138.00 we talked about “Control, mirapex 0.5mg pills $138.00 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, mirapex 0.5mg pills $138.00 and photos winding up on the Internet. Mirapex 0.5mg pills $138.00 Forever.

We talked about loss of control of awareness, mirapex 0.5mg pills $138.00 and of those who would take advantage of that.


Teenagers think they are invincible. Mirapex 0.5mg pills $138.00 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, mirapex 0.5mg pills $138.00 at least I gave her a chance to cringe at the memory, mirapex 0.5mg pills $138.00 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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