August 30, 2016, 3:33 am

Indian Sildenafil Citrate

Indian sildenafil citrate This gem of a shot is by photographer Ewing Galloway.

Indian sildenafil citrate This is exactly how I felt at work tonight. Indian sildenafil citrate I had exactly four patients. Indian sildenafil citrate Four. Indian sildenafil citrate One was a 1:1 for 3.5 hours. Indian sildenafil citrate Every one of them had the “short of breath = rectal sphincter discharge” syndrome. Indian sildenafil citrate I haven’t changed that many diapers since my 15-year-old was born. Indian sildenafil citrate Someone snuck a puppy into the ER and he sniffed me once and growled.
I swear the olfactory ambiance of my room had permeated my clothing. Indian sildenafil citrate I suspected my co-workers were avoiding the geographical area of my assignment, indian sildenafil citrate but it’s pretty bad when a dog withdraws from you.

Indian sildenafil citrate I’m pretty even-tempered but I daresay I was a bit snappy tonight (at the desk, indian sildenafil citrate never in front of my patients). Indian sildenafil citrate So it is ironic that this photo describes me because when I first saw it I immediately thought of a cranky doctor! Actually, indian sildenafil citrate I thought of many cranky doctors. Indian sildenafil citrate Then I realized that I had witnessed a trend over the years; a decrease in the number and intensity of cranky doctors. Indian sildenafil citrate Why?

Indian sildenafil citrate Here are a few factors that have contributed:

  • Doctors and nurses have a more collegial relationship now. Indian sildenafil citrate “ME-DOCTOR-you-nurse” is no longer the predominant attitude of either profession. Indian sildenafil citrate This is likely due to:
    • More women in medicine and more men in nursing. Indian sildenafil citrate The old male/female paradigm has changed.
    • The increased responsibilities nurses have in patient care. Indian sildenafil citrate (Nursing: it’s not just pill-passing anymore, indian sildenafil citrate folks!)
    • The need to do more with less; doctors have to increasingly depend on nurses to be their eyes and ears at the bedside.
  • The youth of the medical workforce. Indian sildenafil citrate They’ve never known nurses any other way (see above). Indian sildenafil citrate And it is just me, indian sildenafil citrate or are the doctors getting younger every day? When you are old enough to be the mother of a doctor you work with….well, indian sildenafil citrate it’s very strange!
  • The aging of the nursing workforce. Indian sildenafil citrate A nurse who has been in the trenches for 30 years is not likely to put up with an attitude from anybody, indian sildenafil citrate including doctors (of any age).
  • A mutual understanding that we are all working under the same health care system and that the frustrations that arise are due to the system, indian sildenafil citrate not each other.

Indian sildenafil citrate On a personal level, indian sildenafil citrate I have developed an increasing amazement for what doctors have to accomplish to get to where they are. Indian sildenafil citrate And you know what’s funny? Space is at a premium in my department so I’ll give a doctor who needs to chart my seat at the nursing station. Indian sildenafil citrate Not because I have to, indian sildenafil citrate but out of civility and respect.

Indian sildenafil citrate Cherry Ames would be proud.

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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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