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This Memorial Day, I like to remind others (I wish I could say it to our "president") that veterans are more than just faceless names on gravestones. They are people--and the reckless use of our soldiers for baseless, political aims cheapens their sacrifice. From Simon Templar, my personal blog. --Alex, Editor of SoonerThought: From pretending we had our own radio show as we clung on for dear life in the back of the RV as Grandma hurtled through the Ozarks, to spending hours at Thanksgiving and Christmastime talking of cowboys, palindromes, corny jokes, magic tricks, coats of arms, unicorns, and battleships; Grandpa Rob ignited my interest in the wonders of history, scholarship and imagination. A meticulous researcher, Grandpa Rob wove his works of fiction into the fabric of our history, and he delighted in talking about the plots of his latest work in progress. My mother fondly recalls when Grandpa Rob was working on the book Red River Angel how he excitedly stood up and acted out scenes from the book for them, even down to how the fight scenes were choreographed. Perhaps his greatest quality was that he listened. The petty problems of a kid buy cilais viagra generic viagra online cheap viagra

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Often when starting a shift, I'll find the waiting room packed with patients and several new patients already in rooms waiting to be seen. Sadly, there's no time to chit-chat with the nurses or surf the internet for the latest sports scores. In a situation like that, I've got to hit the ground running. My goal is to disposition and clear out the first few patients as quickly as I can. On a good night, if the stars line up properly, I hope to turn over most of the rooms once or twice before I can even think about slowing down. With fairly straightforward patients who can communicate well, this is an achievable goal. Tell me your problem and I'll fix it, or I'll find someone who can. That's what I do. Unfortunately, far too often traffic jams occur. One slow driver in the left lane, a poorly-timed trainwreck, or someone giving grandpa a phenergan will all have the same effect. The laminar flow trickles to a halt, and once it stops it takes a while to get it started again. These flow stoppers may present in various forms which have been well-described previously on this blog and many others. Any patient who requires an interpreter, any time-consuming procedure, patients who are overly demanding, patients with numerous concerned and annoying relatives, patients who want to be admitted but don't need to be, patients who need to be admitted but don't want to be, patients requiring more than one or two calls to other physicians, and so on. The challenge is to deal with the traffic jam and resume the previous pace, which is easier said than done (for me anyway). I sometimes wish I had a REJECT button to use once per shift in a situation that is unnecessarily slowing me down. When Mrs. Jones asks me to talk to her (Pediatric resident) nephew in Iowa to discuss her current condition, I could just press the button and move on to the next patient. Before I spend a painful 20 minutes on the interpreter phone trying to get a history from Mrs. Xiang, who is almost as deaf as the interpreter, I could just hit REJECT and see three other patients instead. When I've already arranged an admission for Mr. Stewart's chest pain, and then he wants me to talk to his son's Cardiologist across town and try to transfer him to another facility, I'd be all over that button like I was on Jeopardy and the category was The Human Body. If grandma's feeling a little bloated because she can't poop, I'd be hitting that button like a fibromyalgia patient on a PCA pump. Labels: ER, rejects, traffic jams cheap cialis buy cheap cialis cialis cheap viagra

Tags: patient, button, jam, traffic, interpreter