September 30, 2016, 11:37 am

Imitrex 50mg Pills $207.00

Imitrex 50mg pills $207.00 Looks like someone has some explaining to do.

Imitrex 50mg pills $207.00 This photo has a very “Twilight Zone” feel to it.

Imitrex 50mg pills $207.00 The only thing missing is Mr. Imitrex 50mg pills $207.00 Serling.

Imitrex 50mg pills $207.00 Unless he’s standing at the other end of the table…

Imitrex 50mg pills $207.00 <cue theme music…>


Imitrex 50mg pills $207.00 The nursing blogosphere is on fire with the Amanda Trujillo story, imitrex 50mg pills $207.00 but there haven’t been too many comments from our physician blogger colleagues.

Imitrex 50mg pills $207.00 Dr. Imitrex 50mg pills $207.00 Dean over at the Millionaire Nurse Blog, imitrex 50mg pills $207.00 dedicated one of his The Best in Nurse Blogs: Amanda Trujillo Edition to the topic, imitrex 50mg pills $207.00 and followed it with a discussion of nurse/physician/healthcare team communication.

Imitrex 50mg pills $207.00 Today, imitrex 50mg pills $207.00 I found this post by Dr. Imitrex 50mg pills $207.00 Terry Simpson at Your Doctor’s Orders, imitrex 50mg pills $207.00 entitled Transplant or Hospice. Imitrex 50mg pills $207.00 Dr. Imitrex 50mg pills $207.00 Simpson has some valid opinions as a physician.

Imitrex 50mg pills $207.00 Unfortunately, imitrex 50mg pills $207.00 they are buried in a lack of understanding of a registered nurse’s scope of practice, imitrex 50mg pills $207.00 overwhelming arrogance and the use of an image of the book “Angel of Death” to make his point.

Imitrex 50mg pills $207.00 Everyone needs to go read this post.

Imitrex 50mg pills $207.00 Go ahead. Imitrex 50mg pills $207.00 I’ll wait.

Imitrex 50mg pills $207.00 This is what nurses are up against on a daily basis.

Imitrex 50mg pills $207.00 Not all physicians.

Imitrex 50mg pills $207.00 Not most physicians.

Imitrex 50mg pills $207.00 But enough physicians.


The idea that nurses are supposed to just “take care” of the patient and defer all questions and education to the physician is mind-boggling.

Dr. Imitrex 50mg pills $207.00 Simpson posits that there is a time and a place to discuss end-of-life care.

And that the doctor is the one who makes that decision.

Imitrex 50mg pills $207.00 Seriously?

Imitrex 50mg pills $207.00 What happens when the patient asks about it?

Imitrex 50mg pills $207.00 “There, imitrex 50mg pills $207.00 there Mrs. Imitrex 50mg pills $207.00 Smith, imitrex 50mg pills $207.00 don’t worry your pretty little head about stuff like that. Imitrex 50mg pills $207.00 Doctor Welby will be in first thing in the morning and he’ll take care of everything. Imitrex 50mg pills $207.00 You just get some rest.”

Imitrex 50mg pills $207.00 Don’t worry that you will be transferred. Imitrex 50mg pills $207.00 Don’t worry that you will be undergoing extensive testing. Imitrex 50mg pills $207.00 Don’t worry about what a transplant entails or what it means for your life. Imitrex 50mg pills $207.00 Don’t worry about how old you might be or how involved your care might be or what resources you have.

Imitrex 50mg pills $207.00 We know what’s best.

Imitrex 50mg pills $207.00 Well, imitrex 50mg pills $207.00 the doctor knows what’s best.

Imitrex 50mg pills $207.00 In your depressed, imitrex 50mg pills $207.00 ill state, imitrex 50mg pills $207.00 you can’t possibly know what you want or understand what it all means, imitrex 50mg pills $207.00 or have the strength to make the right decision.

Imitrex 50mg pills $207.00 The doctor will decide when it’s time for you to know what you need to know.

Imitrex 50mg pills $207.00 Some doctors call that autonomy.

Imitrex 50mg pills $207.00 Whose autonomy?


So, imitrex 50mg pills $207.00 I guess as patients, imitrex 50mg pills $207.00 we have a choice.

We can wait, imitrex 50mg pills $207.00 and only ask questions of our physician, imitrex 50mg pills $207.00 who may, imitrex 50mg pills $207.00 like Dr. Imitrex 50mg pills $207.00 Simpson, imitrex 50mg pills $207.00 tell us what we need to know when we need to know it based on their professional judgement.

Or, imitrex 50mg pills $207.00 we can ask questions of the entire healthcare team, imitrex 50mg pills $207.00 including our registered nurse, imitrex 50mg pills $207.00 and receive information and education that will enable us to have a discussion with our physician about our health and what we should do.

You know, imitrex 50mg pills $207.00 exercise our autonomy.

Average Rating: 4.6 out of 5 based on 289 user reviews.


  • Rob Lindeman
    Rob Lindeman

    February 2, 2012 at 12:41 pm


    If I were still a physician-blogger I’d stand firmly behind Amanda Trujillo.

  • Michele Roberts
    Michele Roberts

    February 2, 2012 at 2:57 pm

    OMG Kim, I read Dr. Siimpsons post, and I am nearly sick to my stomach! And as for the physicians who followed his post with their own – unbelievable –
    Where do they get the impression that Amanda was providing the patient with informed consent? Neither her letter, nor her attorney’s letter even suggest that – yet those who posted on Dr. SImpsons website keep suggesting that she did.
    If, and this is an if – there was an explicit policy against ordering the hospice consult that has been upheld in all previous instances by Banner Health, then I guess that they could have made a case for her dismissal. Otherwise, they are grasping at straws –
    Dr. Simpson has single handedly ruined my optimism on collaborative care between nurses and physicians

  • Terri Polick
    Terri Polick

    February 2, 2012 at 3:17 pm

    I read Dr. Simpson’s post. GOD has spoken. (Eye roll)

  • Marsha

    February 2, 2012 at 4:30 pm

    Well I replied to Simson’s post. It is awaiting moderation. I wonder if he lets it through. I am of course civil but I reply in kind to his post.

  • Who?me?

    February 2, 2012 at 5:13 pm

    Just loved the Angel of Death book cover pic and the attitude that the AZ nurse is an angel of death just waiting to happen. Dr. Simpson is unfortunately typical of the transplant surgeons I have worked with over the years-“I return patients to health all on my own.” Let’s forget about the nurses, therapists, pharmacists, etc., that are vital to that patient’s continued well-being.

    He is right about there being transplant educators, but we don’t know if the nurse in AZ was a transplant educator or had received education about the transplant process. One would like to think so if she was working with transplant patients.

    Dr. Simpson is assuming much in his post and showing his reluctance to get to the truth of the matter. I can picture him having asked for someone’s job…

    Notice his final quote, “There is no dignity in death.” Well, perhaps for the patient in AZ there was dignity in choosing how they wanted to live.

  • RehabRN

    February 2, 2012 at 5:36 pm

    I shudder to think what my late relative (a well-respected, respectful MD) would have to say about a post like that!

    Thanks for posting. I made sure I left a reply with the Transplant Nurses’ Scope of Practice. (see this page:

    Health teaching, which is noted. sure seems like education to me!

  • T

    February 2, 2012 at 7:11 pm

    I sympathize what you nurses go through.

    Years ago, I thought about being a nurse. Bought 2 books talking about “Why be a nurse?”

    But they were brutally honest about how nurses were treated.

    I didn’t become a nurse.

    You guys are still my heroines though.

  • jadziacat

    February 2, 2012 at 8:39 pm

    This doctor is a jerk. I seriously hope he never takes care of any of my loved ones.

  • Alpine, RN
    Alpine, RN

    February 2, 2012 at 8:43 pm

    I left a reply- I’m a new-grad nurse, and my floor gets ALL our transplants. I am LIVID to think that Dr. Simpson thinks that ANY sort of “education” is part of “informed consent”. Sadly, i think probably that’s the only kind of education he DOES! That and saying that what a doctor “WANTS” should be law for nurses!!! if the doctor doesn’t “WANT” a patient educated, said doctor can have WORDS with my manager!

  • Nurse K
    Nurse K

    February 3, 2012 at 5:26 pm

    I laughed my ass off at the fact that he suggested that nurses call the surgeons’ cell phones when patients have routine questions about surgery and that nurses shouldn’t leave notes for the doctor re: patients.

    I’m sure nurses just love working with him. I do, however, understand doctors have no clue what nurses’ education is and that we are CAPABLE of answering patient questions.

    The nurse asked for a case management consult from ANOTHER NURSE. Big f’in deal. The patient should have had a case management consult anyway if she was being considered for a transplant.

  • CT

    February 4, 2012 at 6:41 pm

    So lets get this straight, a physician who is a weight loss surgeon is spewing the credo for transplant surgeons everywhere? Wonder who died and made him all knowing? Someone needs to send him back to the hospital to learn what patient education is. It is not informed consent, the patient was being transferred for a diagnostic work up. If every CBC that gets ordered requires a phsyician to obtain informed consent you can kiss health care goodby. Obtaining a case management consult for what was in all likelihood a social worker to present information about hospice is not outside a nurses scope of practice. Hope to heck his family never gets sick, he will make all their decision because when they are sick they can’t make their own. This truly amazes me yet on another level it doesn’t.

  • Barefootnurse

    February 6, 2012 at 3:57 pm

    Dr Simpson’s post…wow. I’m speechless.

  • Jilly

    February 9, 2012 at 8:06 am

    Wow – what a jerk. Sorry if that’s who you have to put up with….

  • The Angry Medic
    The Angry Medic

    February 10, 2012 at 6:52 am

    I realise it may be a little dangerous being a doctor and wading in here, but wait! I’m one of the good ones. No really. I bring cookies for my ward sister every Monday. Cough.

    I saw Mother Jones’s post at Nurse Ratched’s place and agreed with her opinion on why docs are quiet – there’s the closing ranks thing, and docs traditionally stay out of nursing issues. Even here across the pond, I’ve heard fellow doctors talking about the Amanda Trujillo case, but they all discuss how horrible it is then go “ah well it’s a nurse thing, we have our own problems to worry about”. And if this is what’s happening in London it can only be magnified in the US of A.

    I do feel compelled to apologise on Dr Simpson’s behalf though. I’d go over to his place and post fist-shaking abuse, but he reminds me too much of my boss.

    I’ll, uh, go back to my corner now.

  • Dan

    February 12, 2012 at 10:10 am

    He posted it after you wrote this, but Whitecoat over at EP Monthly had a great post about Ms. Trujillo — he’s promised to get involved and help if he can. Pretty good post at

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...

Continue reading »

Find Me On...
Twitter     Technorati

Subscribe to Emergiblog
Office of the National Nurse

Zippy Was Here

Healthcare Blogger Code of Ethics

  • Perspective
  • Confidentiality
  • Disclosure
  • Reliability
  • Courtesy

I Support the Public Library of Science

Dr. Val
Johnson & Johnson
Johnson & Johnson Health Channel
Nursing and Web 2.0

Health blogs

Medicine Blogs - Blog Catalog Blog Directory

Alltop. Seriously?! I got in?

Health Blogs - Blog Rankings