text:
"He is your son…he can sense your feelings…"
That's what my mother told me some months ago and I believe her.
How can a boy who is not even 4 years old, who depends on me to get him his juice, to give him his bath, to feed him, to clothe him and to cuddle him before bed finds the wisdom beyond his years? It is truly astonishing.
Our children picked up on our vibes, I've read and heard about it but nothing prepared me for what this boy had given me. They will know if you're troubled. They can sense these things although they may not fully comprehend the truth or the extents of whatever weighing you down.
So when this little boy wiped my tears and said "Smile Mommy…don't cry" he grinned showing me how to smile then proceed to give a hug that engulfed me with so much love, I feel like it is me who depends on him.
As much as I try to stay strong for his sake he just knows it…he is part of me, my blood runs inside him.
"Don't cry Mommy…" he said with a smile
And why did it only made me cry even more?
Holding him there I tried to pick myself up, tried to absorb the strength from a little boy. It doesn't seem fair! I should be his Mommy…it is my duty to wipe his tears, kiss his boo-boo not the other way around.
Yet he does…he kissed my boo-boo. He wiped my tears. He made it all worthwhile.
Thank you, pumpkin! You really are a God's sent.
If only I'm not such a crybaby Mommy.
With this post, I'm letting you know that I had decided to take a short break from blogging so please do excuse my absences on your blogs. Won't take too long but right now I just need to sort some things. See you when I get back! 🙂
39 Comments on Wisdom Beyond His Years
Maureen, my heart breaks for you, I hope it won't be long until you return.
Take the time you need to make whatever troubles you come first, and as you said, "sort things out".
Best of luck to you & Lil'A, be strong!!!!
I already miss you, take good care of yourself, and see you soon…
Your friend,Reply
Maryline recently posted..Wordless Whenever – Family Portrait
I can feel that you need to do this. I heard from Maryline. I've RT'd this post. I'll miss your special perspective, and your vulnerable and open way of posting.
You are a unique voice in the blog world, and I regret not having known you long enough. But, at least, I did get to relish your posts for awhile.
Good luck, and I wish you peace.Reply
Alexandra recently posted..Historys Longest Post- But I Promise You A Point
Maureen, enjoy your time off. Your son is such an incredible blessing – looks AND wisdom; he's gonna break some hearts! Enjoy every moment you have with him, b/c as you so eloquently put in your post, kids are often the ones teaching us parents what compassion and love are.Reply
Pop recently posted..Merciful Monday- 82310
Take the time you need. Soak up lil A. We'll all be here for you when you come back 🙂Reply
gigi recently posted..Friday Flip-Offs…or not
It seems like I just started getting to know you! Well, take all the time you need and I'm sure we'll all be here waiting for you to get back. Yes, our kids do sense our troubles. Even at 21 months, my daughter knows the moment my voice falters. While she can't say much to quell my troubles, her tentative, worried "Mommy?" is enough for me to know that I need to be strong for her. At least for a little while until she gets distracted by a toy 🙂Reply
Justine recently posted..We are one and the same
I hope your time off is restful and filled with peace. We'll be here when you get back.
What a sweet little guy you have – enjoy him!Reply
Missy @ Wonder, Friend recently posted..Snippets
you take all the time you need, maureen! we'll be thinking about you!Reply
liz recently posted..Dear You Guys&82302
It sounds like the perfect time to take a break. What a special son you have. Stopping from Mom Loop!Reply
Your son is just gorgeous and how lucky you two are to have each other. I wish you the best and look forward to hearing from you when you get back:) Will be thinking of you.Reply
Melissa (Confessions of a Dr.Mom) recently posted..Should I Ditch the Pacifier
Take all the time you need, girl! Sometimes we just need to live "unplugged" for awhile.
Katie recently posted..Back To School Bonanza Giveaway Recap
*hugs* Enjoy your time out and the cuddles from Lil A. Hope everything works out okay for you.Reply
Take all the time you need my friend, sometimes the only way to sort things out is to focus on the real world. We'll still be here when you get back. Take care, will be thinking of you xxReply
Pumpkin and Piglet recently posted..Friday Flip-Offs! 27-08 edition
Your son is just beautiful. Inside and out. You already knew that but I had to tell you.Reply
Veronica recently posted..Guest Blogger Post- Breastfeeding Was an Easy Choice Because I'm Cheap!
What a sweet little man you have. Will miss your posts, but taking care of yourself is definitely those most important! Take care…Reply
Booyah's Momma recently posted..Love
You are loved my daughter♥around the world and back.Reply
Girl, this post brought tears to my eyes. And know that my thoughts are with you. I'm here if you need anything.Reply
Alicia recently posted..Launching Project Smile
Hi Yen, I just started to come back to blogging world again and I was sad when I read this post.
But I know that you need a lil short break. Take care .. be strong .. and remember, when you get back, I'm still here waiting for your post 🙂Reply
tere616 recently posted..Todays Kids Will Never Experience
Wonderful post Reen, will be waiting for your next post. Come back when you truly feel refresh to blog again !:)Reply
He's beautiful. Enjoy your time with him. We can wait :).Reply
Unplanned Cooking recently posted..Traveling with kids
I've missed you & your blog. I had not idea until I dropped by to see if you've had any new posts. I hope this time away will provide you the peace you need to work things out.Reply
aww Maureen! hugs! what a sweet, sweet boy you have. Kids are amazing and our rocks. I hope everything is okay! xoxoReply
Kerry recently posted..Jogging Family
Yen, they were in our wombs for about 9 months. You're the closest thing to them even after they enter the world, especially when you breastfed them even only for a short while. Yes they can feel what you're feeling; even whne words weren't said. Life's such a roller coaster of emotions. Nobody's perfect. We'll still be here when you're ready to come back {{{hugs}}}.Reply
Diny recently posted..Tell Your Child to Move Away from Mine- I'm Taking a Picture!
What a very special little boy. Enjoy your break!Reply
Julie recently posted..I did not drop off the face of the earthbut almost!
When my sister died, her daughter was eight and her son was five. After their father broke the news that "mommy wasn't coming home," her son – my nephew – ran into the other room and came back with some paper and crayons and asked us to draw the pain. Children always have a certain resilience that puts reality into perspective. Accept it and go on. May you find your peace…Reply
Nami recently posted..Sabotaged By A Preschooler
Take all the time you need, I'll be thinking about you! And just know we'll all be here ready to say "welcome back!" when you're ready 🙂Reply
Natalie recently posted..Where Are the Girls
Dear Maureen,
I hope you are OK?!
Sorry, I've not been "around" – I'm in a slump (due to moving around from country to country and house to house, and who know what else) – energy is low and I feel blah…..
Anyway, enough of me — I just wanted to send a big "HI!" and a smile : – )
Take a rest and take care of yourself,Reply
As promised, Maureen, you're acknowledged in CS-Jkt.
You're a good lady so I hope things work out happily for you.Reply
Jakartass recently posted..Annual Dilemmas
Hi Maureen-
I hope this note finds you well and in better spirits. Looking forward to hearing your "voice" again…whenever that time may be.
My best to you-Reply
Kelly recently posted..Wordless Wednesday-A Break From All the Healthy Eating
Maureen! I miss you! I hope that everything is going okay for you & Lil'A! I can't wait for when you come back, but understand why you're gone!
Much love to you!!!Reply
Stopping by to say hello and I see this post. ((hugs)) Hang in there and take as long of a break as you need.Reply
Melissa {adventuroo} recently posted..A Letter to My Sleep-Fighting Baby
Your little man so cute. (What a great picture of him!) I understand what your are talking about. Kids are often at a young age so mature and understanding. I enjoy the love of my kids so much. I really hope you are alright! I´m thinking of you!
Many hug´s,
Verena recently posted..Zimtrollen-Kuchen! – Cinnamon roll cake!
I've been taking a break from the connected world as well, didn't know that you are taking a break too. I hope you get to sort things out well, I don't know your specific, but for me I find the time to sort things out is one of the most stressful time, but that's just me. Best wishes with everything.
Take care,Reply
Been a while since I've visited – and…sigh…this is a beautiful post. Reminds me of my child, when I was dealing with hard core post partum…he was just 2 and I spent days in my own little hell. They do know – and so I'm glad you're taking your time. Take all the time you need.Reply
MommaKiss recently posted..Miscellany
This is a beautiful post and your little one looks so handsome… I was thinking about you and wondering how you and the little one are doing? I hope you are well and that you will soon end your blogging hiatus and come back to the blogosphere. Sending you and yours light and love.Reply
ElizOF recently posted..From Anguish to Activism- A Mother's Journey to Get Your Wellness On
Hope you and your little one are doing alright. Take care.Reply
secret mom thoughts recently posted..WTF Keyword Searches
My thoughts are with you; thank you for sharing this moment with us. I went through a divorce nearly 10 years ago and I came out on the other side stronger and happier for the experience. Marriage and the divorce made me a much better person; it was hard to imagine that to be the case at the time, but years later I can look back with appreciation.
Have a blessed day!Reply
2Pingbacks & Trackbacks on Wisdom Beyond His Years
[…] that 3 weeks break from blogging, I had abandoned this blog and my ranks plummeted, my bounce rate went up but at the […]
[…] thank you guys enough for all your wonderfully sweet and supportive response both through my last post, Twitter and […]


text:
Traveling Luck for Harnden Ranch, Wyoming, United States
Where is Harnden Ranch?What's around Harnden Ranch?
Wikipedia near Harnden Ranch
Where to stay near Harnden Ranch
The timezone in Harnden Ranch is America/Cambridge_Bay
Sunrise at 06:56 and Sunset at 16:38. It's light
Latitude. 41.1133°, Longitude. -105.4900°
Weather near Harnden Ranch; Report from Laramie, Laramie Regional Airport, WY 31.9km away
Weather : light rain
Temperature: 3°C / 37°F
Wind: 5.8km/h Northeast
Cloud: Scattered at 1700ft Broken at 3600ft Solid Overcast at 6500ft
Weather : light rain
Temperature: 3°C / 37°F
Wind: 5.8km/h Northeast
Cloud: Scattered at 1700ft Broken at 3600ft Solid Overcast at 6500ft
Satellite map around Harnden Ranch
Loading map of Harnden Ranch and it's surroudings
Geographic features & Photographs around Harnden Ranch, in Wyoming, United States
- Local Feature;
- A Nearby feature worthy of being marked on a map..
- Harnden Ranch (0km)
- Weaver Ranch (1.3km)
- Borgemans Ranch (2.8km)
- Tie Siding (3.3km)
- Higby Ranch (4.5km)
- Frazer Ranch (5.4km)
- K P Ranch (6km)
- Double X Ranch (6km)
- Colores (6.3km)
- Wright Ranch (6.4km)
- Perue Ranch (8.7km)
- Bath Ranch (8.7km)
- Ames Monument (9.6km)
- Warren Sheep Camp (10.2km)
- Mellody Ranch (10.3km)
- The Fill (10.3km)
- Robertson Ranch (12km)
- Willow Creek Ranch (12.2km)
- Best Ranch (12.9km)
- Vedauwoo Glen (13.3km)
- reservoir(s);
- an artificial pond or lake.
- Weaver Reservoir (1.5km)
- Williams Number 2 Reservoir (3.2km)
- Harney Creek Reservoir (9.2km)
- Willow Creek Reservoir (9.3km)
- Willow Creek Reservoir (9.5km)
- Williams Number 3 Reservoir (11km)
- Williams and Blunk Number 1 Reservoir (12km)
- Hundred Springs Reservoir (12.7km)
- dam;
- a barrier constructed across a stream to impound water.
- Weaver Dam (1.5km)
- Williams Number 2 Dam (3.2km)
- Harney Creek Dam (9.2km)
- Willow Creek Dam (9.3km)
- Williams Number 3 Dam (11km)
- Williams and Blunk Number 1 Dam (12km)
- Hundred Springs Dam (12.7km)
- stream;
- a body of running water moving to a lower level in a channel on land.
- Dry Creek (2.5km)
- Grant Creek (5.2km)
- Government Creek (6.9km)
- Pump Creek (7.8km)
- Forest Creek (8.6km)
- Boulder Creek (8.6km)
- Spring Creek (9.2km)
- valley;
- an elongated depression usually traversed by a stream.
- Dirty Woman Draw (4.8km)
- Sawmill Canyon (11.5km)
- Dry Gulch (12.1km)
- Dry Gulch (13.1km)
Accommodation around Harnden Ranch
- populated place;
- a city, town, village, or other agglomeration of buildings where people live and work.
- Hermosa (4km)
- Tie Siding (4.7km)
- Dale Creek (10.8km)
- The Buttes (11km)
- mountain;
- an elevation standing high above the surrounding area with small summit area, steep slopes and local relief of 300m or more.
- Natural Fort (5.9km)
- Red Buttes (9.9km)
- Poland Hill (11.7km)
- mine(s);
- a site where mineral ores are extracted from the ground by excavating surface pits and subterranean passages.
- Harney Creek Valley Mine (12km)
- West Dale Creek Mine (12.6km)
- meteorological station;
- a station at which weather elements are recorded.
- Pumpkin Vine (8.8km)
- Vedauwoo (10.3km)
- spring(s);
- a place where ground water flows naturally out of the ground.
- Willow Spring (8.4km)
- trail;
- a path, track, or route used by pedestrians, animals, or off-road vehicles.
- Overland Trail (5.1km)
- lake;
- a large inland body of standing water.
- Leazenby Lake (12.6km)
- tunnel;
- a subterranean passageway for transportation.
- Hermosa Tunnel (5.4km)
Wikipedia entries close to
Harnden Ranch
- The Buttes, Wyoming city city o
- Laramie (Wyoming) city city h
- Laramie Regional Airport airport airport
- Red Feather Lakes, Colorado city city o
- Virginia Dale, Colorado city city o
- Livermore, Colorado city city o
- Woods Landing-Jelm, Wyoming city city o
- F. E. Warren Air Force Base city city o
- Albany, Wyoming city city o
- Wyoming State Capitol landmark government
- Carr, Colorado city city o
- Cheyenne Regional Airport airport airport
- South Greeley, Wyoming city city o
- Cheyenne (Wyoming) city city g
- Centennial, Wyoming city city o
- Fox Farm-College, Wyoming city city o
Airports close to Harnden Ranch
Cheyenne(CYS), Cheyenne, Usa (68.5km)
Denver international(DEN), Denver, Usa (187.8km)

subset: commoncrawl


text:
Smalley honored for youth-baseball work, reflects on Little League time
As a kid growing up in Southern California, Roy Smalley was a Little League star. But his teams never made the journey from the West Coast to Williamsport, Pa., for the Little League World Series.
Smalley, who went on to play 13 seasons in the major leagues, will now be making that trek to the mecca of Little League baseball — and he'll do so for good reason. During Tuesday's LLWS game, Smalley will be given the 2014 William "Bill" Shea Distinguished Little League Graduate Award. The honor has been given annually since 1987 to a former Little League player who went on to also play in the big leagues. But the award is about more than that; the recipient must also "exemplify the spirit of Little League."
Through his work with Pitch in for Baseball, an organization that collects and donates new and slightly used baseball and softball equipment for youth in need, Smalley has done just that.
"Any time you get recognition like this, it's very nice, obviously. It's gratifying," said Smalley, currently an analyst with FOX Sports North. "I'm really mostly pleased about the ability to, I guess, spread the word a little bit more about Pitch in for Baseball and what we're trying to accomplish there."
Smalley first got involved in Pitch in for Baseball when his father was contacted by someone who read a story about the elder Smalley growing up in the Great Depression era. Though his family didn't always have a ton of money, they found a way to keep their son — Smalley's father — in the game of baseball.
That led to Smalley talking with the folks at Pitch in for Baseball. Several years later, he was named the organization's president in 2010.
"They called me and I started talking to him and I got involved just on an advisory basis," Smalley said. "After a while I was very, very involved because I loved what they were doing. One thing led to another. They asked me to be president of the board, and that's where I am today."
Smalley will be presented with the award in an on-field ceremony in Williamsport on Tuesday night prior to the 6:30 p.m. CT game. He'll join the likes of previous winners that include former Twins outfielder Torii Hunter, longtime Yankees manager Joe Torre, and former Red Sox catcher Jason Varitek.
After starring at Southern Cal, Smalley was the first overall pick in the 1974 draft by the Texas Rangers. He spent two years in Texas before a trade sent him to the Twins in 1976 for the first of his two stints in Minnesota. Smalley later went on to play parts of three seasons with the Yankees and a brief stint with the Chicago White Sox before returning to the Twins in 1985. He capped his career by helping Minnesota win its first World Series in 1987.
Like a lot of big leaguers, though, Smalley's love for baseball started at a young age on a Little League diamond.
"My finest memory of Little League was when I was nine years old I was given my first uniform that I ever had. I think I slept in it for a week," Smalley said. "It was just the happiest days of my life, just having a uniform and looking forward to playing."
Follow Tyler Mason on Twitter
FOX Sports Go


text:
When we look at the soaring spaces of Chartres cathedral or the shimmering pages of a gilded and painted manuscript, we are witnesses to a new kind of vision. In this radical reappraisal of Gothic art in Europe, the word "Gothic" describes not only an art style but a changing concept of space, time, and society - a new kind of perception, both visual and spiritual, in which light is of central importance. Camille shows us how the art of the thirteenth and fourteenth centuries was seen in its own time and explores the way vision itself was understood. In this age of glorious painting, magnificent, intricate architecture and sculpture, and jewellike manuscript illumination, art was an expression of religious passion and earthly power, of public and private wealth; of science and learning. The new vision led to an explosion of brilliant images but had its grim side, rarely noticed by art history: the distorted representation of "others" like Jews, heretics, and lepers; a new vision not only of the marvelous, but also of the grotesque.
In this engagingly original introductory text to art and architecture of the Gothic period, Camille (art history, Univ. of Chicago) eschews a traditional formalistic and iconographic approach. He instead examines Gothic architecture in terms of its liturgical function as a grandiose reliquary to contain holy images and relics, as a sacred image itself, as a context for sculpture and other media, and in relation to an evolving concept of transcendent light. The critical urban context of the style and its relationships to rising monarchic power and shifting religious currents are also stressed. Out of these investigations arises a deeper comprehension of the subjective potency of religious imagery as manifested in communal, devotional, and liturgical contexts. While Camille attempts to come to grips with the essentials of the Gothic style, Partridge (art history, Univ. of California, Berkeley) is content to explore the unfolding of the Renaissance style within the boundaries of 15th- and 16th-century papal Rome. In a consideration that is sensitive to the perilous condition of the church, Partridge thoughtfully reconstructs crucial artistic responses to these challenges. Not only does he retrace the history of urbanistic refurbishment and reconfiguration of the papal city, he also underlines the practical and ideological intentions of these efforts. Individual building projects are also skillfully explored, and their relationships to the historical Roman context and their symbolic significances suggested. The consideration of frescoes offers important insight into the pictorial assertion of sacred and temporal power. These volumes are the latest additions to Abrams's "Perspectives" series, meant to examine significant periods and styles within broader social and historical contexts. While both authors make assertions that go beyond the possibilities of historical knowing, the richness of scholarship, perception, and thought that characterizes these efforts should gain them inclusion in all art libraries.-Robert Cahn, Fashion Inst. of Technology, New York


text:
Now is the perfect time to start planning your family's summer vacation odyssey. There are so many exciting vacation options to choose from throughout Ohio. That's why we here at Germain Honda of Beavercreek, your premier Honda dealership in Dayton, Ohio, want to help you plan your roadmap to summer adventure with the following list of the top summer vacation destinations the entire family will enjoy:
- Akron Zoological Park, 500 Edgewood Ave., Akron, Ohio 44307 – This non-profit world conservation zoo features more than 700 animals.
- Cleveland Metroparks Zoo, 3900 Wildlife Way, Cleveland, OH 44109 – Founded in 1892, the seventh-oldest zoo in America covers more than 300 acres and features more than 3,300 animal exhibits.
- The Wilds, 1400 International Road, Cumberland, OH 43732 – This extraordinary nature preserve covers nearly 10,000 acres, making it the largest of its kind in North America.
- African Safari Wildlife Park, 267 S. Lightner Rd., Port Clinton, OH 434452 – Get up close and personal with a variety of beautiful and exotic wildlife roaming free as you drive through this 100-acre preserve.
- Toledo Zoo, US 25 Toledo, OH 43614 – Considered "the world's most complete zoo," the Toledo Zoo offers more than 3,000 animals representing 525 species. Historic architecture dating back to the 1930s and 1940s make this a truly unique place to visit.
- Columbus Zoo and Aquarium, 4850 W. Powell Rd, Powell, OH 43065 – Considered one of the world's great zoos, the amazing 580-acre Columbus Zoo and Aquarium was founded in 1927 and is committed to global wildlife preservation.


text:
Reuters Staff
1 Min Read
June 22 (Reuters) - Sunworks Inc
* Sunworks to complete 760 KW solar construction project for Empire Farms in 2017 Source text for Eikon: Further company coverage:
All quotes delayed a minimum of 15 minutes. See here for a complete list of exchanges and delays.
© 2017 Reuters. All Rights Reserved.


text:
The Geological and Mining Survey of Argentina (SEGEMAR) and the Geological Association of Argentina (AGA) organize the next 15th Quadrennial International Association on the Genesis of Ore Deposits Symposium, in the city of Salta, Argentina, 28th to 31st August 2018 and give full support for its achievement. The focal theme for this Symposium is: "Ore deposits: providing resources for present and future generations". It is worth to highlight that this is the first time for Argentina and South America to host such important meeting. South America, particularly the Andean region includes some of the richest metallogenic provinces in the world, such as the richest Cu-Mo province, one of the most extensive and rich Sn belts, one the richest Sb belts, the most important concentrations of Li in salars and one of the richest borates provinces. Also it hosts some of the largest individual ore deposits such as Cerro Rico de Potosí, Llallagua, Chuquicamata and El Teniente mines. South America offers excellent geology hosting world class mineral deposits covering the past 2 Billion years of Earth's Metallogenic history, encompassing almost every conceivable metallogenic process. Thus the region offers something that will tempt every economic geologist and metallogenist. The diversity of the geology, mineral resources and population invite the world to investigate and discuss the science and enjoy Argentina's renowned hospitality. This is a unique opportunity to create an extraordinary environment for the presentation and exchange of knowledge and research results on the genesis of mineral deposits. It will also give an invaluable occasion for local scientists for training in various aspects related to metallogeny and research tools. Argentina commits to enhance the participation in the IAGOD Symposium of young geoscientists, students and delegates from less advantaged countries from around the globe. The commitments from the Geological Survey of Argentina and the Geological Association of Argentina, the supports from the Ibero-American Geological and Mining Survey organizations as well as from the private natural resources sector guarantee a successful 15th Quadrennial IAGOD Symposium. ".
The rich mining history of this part of America that began with the extraction of Ag from the Cerro Rico de Potosí (Bolivia) continues today with the exploitation of Cu and Au porphyries in the Andean region of Chile and Argentina, as well as Li salts in the Puna – Altiplano triangle that comprises Argentina Bolivia and Chile.
Trips will be organized in these three countries in order to visit world class deposits of metals (Ag, Sn, Cu) and nonmetals (B, Li) having the opportunity to discover the cultural aspects of this ancient region.
The field trips will typically be of 3 – 5 day's duration, costing approximately US$ 150 to 200 per day. This will include land transport from and to Salta, meals and accommodation.


text:
Social Site : blog
"I am just one girl from one million people occupying our planet , but one of those who believe that soul beauty can changes this world every day ! I am young singer and song-writer, musician and fashion blogger !"
Have you got any beauty, makeup and hair tips and stylish secrets?
no, I have not any secret ! maybe one ! always be yourself !
Cause you are all have amazing personality !
When did you first fall in love with fashion ?
when i was a little girl !) my mom always dressed me up like a princess! hah )))
What inspired you to start your own blog?
I saw blogs of the other girls from Sweden! and once my bast friend told me " Anita, you have amazing style ! create you own blog !"
and i was very surprised that people like it !) it is so inspires me !
What's on your iPod / DVD player at the moment ?
Floricienta !) i love this tvshow so much !))
What are your dreams and aspirations?
oh, i love this question ! cause i am a dreamer ! i have a lot of dreams !
and most of all i want to be a inspiration for them !
What do you take with you on vacation?
My camera ! and a lot of clothes ! hah
Your favorite designers and brands?
If you could go anywhere in the world, where? Why?
Favorite food ?
Chinese and Italian cuisine
What sites do you visit everyday?
What makes you laugh ?
life is fun and it is very important to notice the good moments !)
and if you keep a smile inside you. i should say that you're lucky!!
If your life could be a film, which would it be ?


text:
Year Established:2015
Business Type:Business Service
Management Certifiation:
*Description: portable air cooler/evaporative air cooler *Key Features: · 3 sides cooling pad,better cooling efficiency · 100% brand new PP cabinet · Copper-wire motor with roller bearing · High-Mid-Low 3 speeds, Sleep wind and natural wind for selection · durable and beautiful new grille design, prevent the splash of water · Manual control
Ouber Air Conditioner Co., Limited. is one of the largest evaporative air cooler manufacturer in China,and we focus on the research and production of high quality products with reasonable price. With a wide range, good quality, reasonable prices and stylish designs, our products are extensively used in air cooling & ventilation industries. Our strong R&D and engineering teams ensure us to produce high quality products, continuously renovate and meet most challenging demands of OEM customers. Now, Ouber's products can be found all over China and the world. Working in line with the business principle of achieving mutual benefits with clients, we welcome customers around the world to take a look at our website or contact us directly for more details. We look forward to having the opportunity of becoming your supplier in the near future.


text:
Details on spending cuts will be available when bill is formally introduced
If House Appropriations Committee Chairman Hal Rogers (R-Ky.) gets his way, there'll be no need to wait for fiscal 2012 to start dealing with spending cuts. Rogers plans to cut $100 billion in spending in an upcoming continuing resolution bill that will cover the remainder of fiscal 2011.
Just the day before, Rogers had estimated that his CR legislation would cut spending by more than $74 billion. The current CR is set to expire at the beginning of March.
Related stories:
Republican to propose spending cuts in CR legislation
Get ready for a no-frills budget proposal
"Our intent is to make deep but manageable cuts in nearly every area of government, leaving no stone unturned and allowing no agency or program to be held sacred," Rogers said. "I have instructed my committee to include these deeper cuts, and we are continuing to work to complete this critical legislation."
The specific cuts proposed in the CR legislation will be available when Rogers formally introduces the bill, according to the committee.
About the Author
Alyah Khan is a staff writer covering IT policy.
E-Mail this page
Printable Format
Advanced Search
Meet 21 early-career leaders who are doing great things in federal IT.
See all this year's winners
Alan Balutis and Don Upson debate the wisdom of a cabinet-level IT shop -- and a thorough reorganization of about a dozen other agencies.
The Trump administration's plan to use predictive software to rate threats posed by immigrants, refugees and asylum seekers will result in discriminatory decisions, say a group of privacy advocates and computer scientists.
IT modernization is not only key for federal agencies, but to GSA's Federal Acquisition Service.
The $700 billion defense bill now poised for final passage includes provisions to modernize agency IT through revolving funds and allow for for easy, off-the-shelf Pentagon procurement.
The Vacancies Act sets time limits on the period for acting officials to occupy politically appointed roles -- and some of these officials are about to run out of time.
Census made several key slipups in its decision to award a $283 million mobile device contract for the 2020 population count, according to the Government Accountability Office.
Well, speaking to this, it appears that a certain factions pronounced objectives have been met. That is, the US has been bankrupted and now the cuts will begin -- and we will see that they are to programs that help the majority of citizens, while the pork and the corporate welfare programs are going to be given the pass card.
And when they RIF and fire employees, and the state and local governments are forced to do the same (and some people will cheer of course), but what about this spike in unemployment, and effects on the housing market, etc.?
Our current GDP to debt ratio is ~ 1:1. We are financing our debt (mostly in short-term notes and T-bills) with more notes and bills (e.g., China 30-day; QE2 T-Bills: 2, 3, 5, and 10 years); soon in the yearly budget revenue will equal borrowing; pressure on the dollar will increase; and a lot of our unemployment is structural not cyclical. Add to this rising healthcare cost, unfunded liabilities, debt monetization, income disparity, educational relativism, and pressure on commodities (mostly due to supply and demand).
Since 2008 most domestic stock market gains were the result of investing in emerging markets. These rising economies have place more demand on commodities with little increase in capacity (especially for food as a result of drought and climate change). Finally, income inequality makes saving for retirement impracticable if not impossible for most Americans.
The most immediate effect on income disparity is on taxation. Without a very regressive tax (impossible) the only way to get out of this mess is were very sever cuts. I mean severe—budget cuts on an order of magnitude never seen or felt before. 100 billion is only scratching at the surface. Just do the math, (CIA World Factbook Gini coefficient for the US is 45.0 which is the 42nd lowest of 134 nations. As a comparison the 3 nations with the best coefficients are Sweden 23.0, Norway 25.0, and Luxembourg 26.0).
For 2010 total revenue is ~ $2.381 trillion, and total expenditures ~ $3.552 trillion. Therefore the estimated deficit is ~ $1.171 trillion. The estimated US debt is $14.13 trillion. Debt interest payment for 2010 is estimated to exceed $430 billion or a little over 12% of the total expenditures (a budget reduction of $100 billion represents almost 3% of total expenditures). Increasing the debt ceiling will in 2011 (and aging in 2012) will only increase these cost (the rosiest estimates put the raise in debt to be 11% with, at best, 10% increase in revenues via an improving economy).
Cutting the budget by $100billion from the President's proposed 2011 budget (more like $60 Billion; not the 2010, 2009, or 2008 budget), must occur over the last 6 months of the 2011 FY budget will be a killer. But at only 3% of total expenditures, still includes an increase in borrowing and a rise in debt interest payments beyond 12%. If we cut every expenditure outside of the DoD budget we would just barely break even. Our current net operating cost is~ $2,080 billion; there is a cash deficit of ~ $1,294 billion.
Finally, one more thing to ponder: From wikipedia: "As of January 31, 2011, the total Public Debt of the United States of America was and was 96.4% of calendar year 2010's annual gross domestic product (GDP) of $14.7 trillion." It should be obvious we are not going to "grow" our way out of this one. This is more than a crisis of confidence.
The cuts listed in "CR SPENDING CUTS TO GO DEEP" February 9th, 2011 - -appear to double count cuts in the DOT, Justice and EPA. The first part of the list says $1.6B from EPA then it lists programs in EPA for cuts of approx $1.044B. I may have missed one of the EPA programs or there may be some in the $1.6B not included in the list. If they are not double counting then the listed cuts in EPA for the remaining 2011 would total $2.644B - this amount would require RIFs and closing some facilities I think (I do not work at EPA I just read various budgets for the comedy) but I am pretty good at budget so it appears to me that the cuts of $2.64B would cost over a $1B in closure and shutdown/RIF costs so the budget in the second half for EPA would result in reduced resources by $3.6B+. Do they have that much in the second half budget or will their budget have to be increased in order to cover the savings?
They have no plans to go after entitlements. If they don't go after entitlements, they will not solve the country's critical debt problem. The GOP will lose my vote and I will put a Don't Tread on Me flag on my car. Say what you want about the Tea Party, but they do know the overriding national security threat to the country - DEBT. And entitlements drive the debt. It's truth time.
I thought the 100 billion was going to be from the 2010 budget. The president's budget for 2011 is inflated over his 2010 budget numbers.
Show All Comments
8251 Greensboro Drive Suite 510, McLean, VA 22102 703-876-5100


text: Here's one. I'm about to switch from Blackberry to Incredible. I wonder if I can get the countdown timer to vibe or sound a notification. When using the timer, say to count down from 00:05:00 brewing tea, at the same time I am on a phone call, neither the BlackBerry nor the Incredible seem able to notify me that 00:00:00 has been reached. BlackBerry posts a readable "Timer Done" notice on the screen, but no vibration or audible tone. When I'm on the phone, I don't want to keep checking the screen, in order to tell that my timer has counted down to zero.


text:
Cause we really needed another Blood Legion VS EU thread...
IF we count that us get reset first, BloodLegion = BYEBYE EUROPE FOREVER
Sick avatar/Signature by Ammeg
Trollin, Trollin, Trollin on the river....
Close this thread before it turns out to be a flame war between paragon fans and fans of other guilds.
Take the Serena challenge
why do so many people care about guilds they dont raid in lol
I'm not going there to die. I'm going to find out if I'm really alive. I have to.
There is already multiple threads discussing this so don't create new ones.


text:
Part of the Furniture Paperback
by Mary Wesley
Seventeen-year-old Juno Marlowe has just waved off to war the two young men she has loved for the best part of her life when the air raid sirens begin to wail out across London.
She is rescued from this nightmare by a gaunt stranger called Evelyn, frail and older than his years, who offers her the protection of his house and his family before dying suddenly in the night. Determined to avoid being sent to Canada to join her mother and new step-father, and still grieving for her lost lovers, Juno instead finds herself on a train to Cornwall in search of Evelyn's family.
There she discovers the blossoming of an English spring into which the war only occasionally intrudes and finds at last a peace for herlself and a world in which she is more than simply part of the furniture.
- Format: Paperback
- Pages: 288 pages
- Publisher: Vintage Publishing
- Publication Date: 03/01/2008
- Category: Modern & contemporary fiction (post c 1945)
Other Formats
- EPUB from £4.99
- Paperback from £6.55
Free Home Delivery
on all orders
Pick up orders
from local bookshops
Showing 1 - 1 of 1 reviews.
Review by Luli81
I don't know why but I had high expectations about this author. I hadn't read any of Wesley's novels before but I felt attracted to her stories, which seemed to be well crafted, accordingly to most of the reviews. Well, I'm a bit deflated, to tell the truth. The story: England, the Great World War. Juno is only 17, but already a misfit, appallingly innocent, left alone by her mother, who has remarried and fled to Canada, her father long dead and her cold aunt who doesn't care a bit for her. We meet Juno after leaving her two lovers on the train station, leaving to fight for their country. Abused and mistreated without even knowing it herself, Juno meets a dying young man during a bomb raid who leaves her the address of his family with a letter to be handed to his father, in a farm in Cornwall. Without nowhere else to go, she decides to hand in the letter and finds such a warm welcome that she is compelled to stay, feeling for the first time that she is not part of the furniture. I was hooked by the story; easy plot and fast paced, I finished the novel in just a couple of days. But I have to say that the characters lacked depth, personality and charm. How could a girl of 17 be so innocent? Juno seemed retarded sometimes, especially when talking about basic sexual aspects. She could be in the dark about the details but not about the whole thing. I think she wasn't developed enough as a character and that's why she seems to be a silly girl in several scenes of the book. Robert and Ann are just talked about when they fit in the story, we don't know much about them, apart from Robert being an excellent lover who lost his wife and Ann being a not happily married woman who craves for the child she never had. Moreover, the last chapter didn't help to improve my poor impression of the novel. What other reviewers have called a "twist" is for me an unfathomable outcome, too unbelievable to be realistic and therefore, only an easy way to shock the reader, with no intention to look for that bittersweet ache left after turning the last page of a really good novel.So, not an appalling reading, but not an exceeding one neither. I don't know if I'll be reading more Wesley's in the future, having Jude Morgan's, Susanna Kearsley's and Jenifer Donnelly's books yet to discover...
Also by Mary Wesley | View all


text:
The Joint Commission has awarded its Gold Seal of Approval to our Therapy division; CRNA, NP, PA division; and Medical Lab division. This certification ensures you that an independent, comprehensive evaluation of our services has found us worthy of the Gold Seal. It's one more reason for you to feel confident that we have your best interests at heart.Read more
We Have the Joint Commission's Gold Seal of Approval
Meeting the Joint Commission standards allows us to work with Joint Commission accredited healthcare organizations across the nation, thereby offering you numerous jobs nationwide in these quality facilities.
We appreciate the Joint Commission for recognizing our dedication to continually providing first-rate services:
If you have any concerns or questions about the safety or quality of service provided by CompHealth, please contact us. We will do our best to share information that will answer your concerns. If you are not satisfied with our response, please contact the Joint Commission directly. CompHealth does not permit disciplinary action or retaliation against any employee or client who voices concerns with the Joint Commission.
For more information, visit the Joint Commission website.
The National Association of Locum Tenens Organizations (NALTO), of which CompHealth is a member, provides a foundation of industry standards and ethical guidelines for companies offering locum tenens recruitment services. The association also provides a forum for the exchange of ideas about standards of the industry and the ethical treatment of physicians and healthcare facilities.
The National Association of Travel Healthcare Organizations (NATHO) sets the gold standard for conduct among travel healthcare staffing companies and stresses honesty, objectivity, integrity, and competency. Members of NATHO, of which CompHealth is one, are obligated to conduct business so that their actions reflect positively on the profession and the association.
The Association of Staff Physician Recruiters (ASPR) is a professional organization of physician recruitment professionals across the USA and Canada and is the leading authority on physician recruitment and retention. The goal of ASPR is to support and enhance the careers of in-house physician recruiters. CompHealth is a gold-level corporate contributor.
OPM Education (OPM), a nonprofit organization, has developed a comprehensive educational curriculum that provides a foundation for physicians in career and professional development, business fundamentals and practice management, and fiscal literacy. As a sponsor of OPM Education, CompHealth contributes to scholarships for young physicians.
Quorum Health Resources (QHR) has provided management, consulting, and educational services to hospitals and health systems for more than three decades. They offer intensive resources for assessing and stabilizing crisis situations, and helping hospitals make realistic decisions for the future. CompHealth provides QHR client hospitals with qualified physicians to quickly cover their staffing needs.
From matching the perfect Physician Assistant (PA) or Nurse Practitioner (NP) with the facilities that need them, to creating and implementing solutions for improving your practice's efficiency and increasing its profitability, the complete range of Utilization Solutions consulting services helps practices grow on every level. CompHealth is a trusted partner of Utilization Solutions.


text:
Last week was a little rough at work - Friday was the pits. I had an incident with a patient in the wee hours of Saturday morning.
I didn't like the way it was handled.
Mr. Z is essentially a post-op Day #2 of a knee replacement. We've been having "issues" with his urine output - so PM shift inserts a Foley in him (around 2100 hrs). When I assess him at 2300 (that's when I pick him up from PM shift), he's alert, oriented, talking about his family and an otherwise pleasant gentleman. I see some clear urine in the Foley drainage bag - not much, but some. I figure it'll pick up soon.
While I was walking my rounds at the other end of the floor, I though I heard someone calling out for help. Part of me wanted to dismiss it saying "you're hearing things". But my gut thought otherwise ... and I respect what my gut tells me. Figuring it can't hurt to check; I quickly walk over to Z's room...
... where I find him half-naked, with his hips and legs (including that post-op knee!) off the bed and on the floor... and his upper body obeying the Law of Gravity by slowly inching its way downwards and towards the floor.
Dadgum it!
I do a mini-dash into his room, reach over across his bed, hook my elbows under his shoulder and hold him by his shoulders to prevent him from crashing onto the floor. Straining and grunting with effort (Mr. Z weighs about 200 lbs. I'm about 150. Right now, Mr. Z isn't co-operating and he isn't supporting his weight either i.e. he is "dead weight"). I quickly realize that I can't win this tug-of-war and with my knee, somehow manage to hit the call light button.
"May I help you?"
(with a strained voice) "It's Spook! I'm in room 80. I need some help here, NOW!"
That produces a determined response - I hear sprinting of shoes down the carpeted hall and a nurse and a tech burst into the room. They quickly recognize the gravity of the situation (no pun intended) and help me maneuver Mr. Z safely back into bed. Crisis (and not to mention the paperwork) averted - for now. Mr. Z claims he was trying to go to the bathroom to pee. I patient inform the patient that he has a Foley catheter and as such, he's already peeing and doesn't need to go to the bathroom. I emphasize the importance of calling us for any needs that he may have. He doesn't appear confused; he's still alert and oriented.
I check his Foley bag - there a little more urine in there than the last time I checked it. Not a whole lot more, but an increase no less. Just as a precaution, I do a bladder scan on him. The bladder scan is a nifty little ultra sound machine that lets us estimate how much urine is in the bladder. I repeat the scan thrice - each time, the machine bleats "000 ml". His bladder is essentially empty. Satisfied, I inform Mr. Z that because of the position of his urinary catheter and where it rests in his bladder (against his sphincter - the "valve" that controls voluntary urine flow) - he's going to have this "sensation" of being "full" and "needing to void". I tell him that this is normal and that he doesn't have to go to the bathroom - the catheter takes care of it for him. I once again, stress the need/importance of calling us for any needs he may have, make him comfortable and walk out. As a precaution, I douse the lights but leave the door open - just so I can hear better from his room.
I resume my rounds on my patients. I medicate as needed for pain, continue my assessments on my recent post-op patients (increase the O2 flow rate on one patient, irrigate an NG tube on another, do a wet-to-dry dressing change on a third patient), and get back to the nurses station to begin the arduous task of "chart checks" (night shift is assigned the duty of "chart checks" - essentially we go over a patient's chart and make sure everything is in order... that physician orders have been implemented/carried out, labs and other diagnostics have been ordered, check the ordered medications with the current one present on the Medication Administration Record {MAR} on the computer, note any changes in treatment plan for the oncoming shift etc.)
At Zero Dark Thirty [that's "" for you non-Army folks ;-)], the Tech (nursing assistant) comes and tells me that the patient is "quaking". She'd just done his vitals (vital signs) so I ask the obvious question:
"Well, is he co..."
But before I can finish she answers:
"No, he's not cold. His temp is 36.8. But Spook, his HR is 156. BP 156/80. Resp 34. Pulse ox was difficult to get since he was shaking and shivering like crazy but the probe told me 96% on room air. I put two extra blankets on him to warm him up before I came to see ya".
So I goes to see my patient. Mr. Z is in there quaking like a leaf in the wind. Despite my many attempts to gauge his pain, he constantly denies pain. And then I notice something queer - his arms are bent at the elbow and his hands are scrunched up to his chest. The hands are shaking violently, but his arms more or less lie in the same position. I ask Mr. Z to "extend" his arms at the elbow (i.e. straighten 'em out). He says "I can't"
You can't? Or you won't?
So I try to straighten 'em out. I have to apply a good bit of effort to do so! His arms seem to be "locked" in position - I am able to straighten 'em out, but boy, I really had to TRY! That concerns me - if I was less informed, I would jump and say "Tetany!" but I notice that his other muscles don't seem to be affected. His legs are mostly fine, his breathing... while fast, doesn't seem to be impaired. His heart sounds fast as well... but I can't detect an anomaly right away. To be on the safe side, I do a quick Neuro assessment (fearing a stroke - his BP and age certainly put him at risk for it) - but the neuro assessment check out ok too.
Now I'm puzzled - but at the same time, more "worried". My "gut" tells me "something's up buddy".
I look down at his Foley drainage bag - hmmmm, no real change in urine output. Actually, come to think of it, the output looks no different at all! I walk over to the store room; pick up a bottle of sterile saline, a piston pump and a drainage tray. Donning gloves, I proceed to "irrigate" the patient's Foley (disconnect drainage bag from catheter. Instill 30 cc of saline into bladder. Allow to drain. Repeat as desired). I notice that my irrigation brings about bloody urine with LOTS of clots. That is unexpected. I irrigate as much as I can (for over 20 minutes) and dislodge plenty of clots in the process. Finally, the urine starts clearing up. I stop irrigating and reattach the drainage bag.
Now what smartass?
And then, it hits me - patient is allergic to latex. Evening shift has somehow overlooked this fact and has installed a Foley which has Latex in it (as opposed to the silicone we use in such cases) - could this be the cause of bloody urine? Possibly, but if patient was allergic to latex - shouldn't I be seeing an anaphylactic/systemic reaction? What I'm seeing is not an anaphylactic reaction - but I'm hesitant to rule out a systemic reaction.
So, trusting my "gut" and for no real justifiable reason, I rouse the tech and tell her to get me a Data scope and monitor leads. I proceed to place Mr. Z on a limited, 3-lead ECG set up.
Time: 0137
Right away, I notice something "awkward". The monitor doesn't reveal anything earth-shattering or "critical" - but all the same, it looks "different". I'm uneasy - I know the patient has some cardiac history - but nothing significant. And yet, if I filter out his obvious tachycardia - his EKG still doesn't "look right" to me. Acting on my own initiative, I page RT (Respiratory Therapy) and have 'em come up and do a 12 lead EKG for me (on night shift, RT does all the 12 leads in the hospital). While RT is doing this, I double check the chart and make sure pt. has blood transfusion consent form signed and call Lab to verify is Mr. Z has been "Typed and Screened" (a procedure that tests a patient's blood and matches to his/her exact blood type). I tell lab I might need at least 2 units of PRBC (Packed Red Blood Cells).
Then, I page the Hospitalist (Hospitalists are Internal Medicine specialists who are assigned to patients who don't have a Primary Physician or have Primary Physician who is out of town or have no privileges at the hospital). I give her the full report and state my concerns. She says she'll be up soon.
10 minutes later, Hospitalist is on floor. By this time, RT has completed the 12 lead EKG and has printed a detailed strip. We go over patient's chart together, and I outline in detail my concerns as well as recent vital signs and patient behavior. Hospitalist goes in to observe patient.
10 minutes later, she returns. Orders are written:
Stat (meaning "immediate") Cardiac Enzymes (typically Troponin and CKMBs). Repeat in 6 hours. Call results of lab tests to Hospitalist.
"You think Mr. Z has had a heart attack?"
"Most likely, Spook. I'm not sure yet. He doesn't seem to be a typical heart attack patient; even his EKG seems to be non-critical. But I agree with your assessment - I'm also 'uneasy' over the way the patient is presenting. Gimme a call as soon as the lab values are back. And makes sure he is Typed and Screened."
"Already done Doc! I'll call you with the results"
I call Lab and tell them to send someone up pronto to draw the requested labs. I go in to check my patient - and while I'm assessing him, he utters the cardinal words - "Nurse. I don't know... but I just don't feel good.
"I just hurt all over! I feel like I'm going to die".
Hellloooo! "Mayday" call here!
I've learned to recognize and respect the "feeling of Doom" my patients sometimes tell me about. While my patient isn't exhibiting any of the "classical" heart trouble/attack "symptoms" of chest pain (often radiating), shortness of breath (while he is breathing fast, he doesn't complain of feeling out of breath) and an altered EKG - I'm still worried. His last comment of "I feel like I'm going to die" coupled with the Hospitalist's 'fear' just makes the case.
I look down to peek at the Foley drainage bag - no real out put since the last time I checked it. As I walk back to the nurse's station to check on the stat labs as ordered before, I tell the Tech to do a bladder scan on Mr. Z. The labs aren't awful but they don't look good either.. Both his Troponin and CKMB reveal a possible muscle injury. At about the same time, the Tech comes back to me and reports with wide eyes and the patient has over 900 cc in his bladder. I page the Hospitalist and tell her that lab results are back. She thanks me for the information and advises me to keep monitoring the patient.
I have 6 other patient's to attend to. Some have been calling out for over 20 minutes. It's 6 of one or half a dozen of the other. I request a peer, a nurse who works the float pool now... but who used to work ICU and actually used to be the Director of the ICU 6 years ago to go assess Mr. Z and the lack/low urine output. She declares that she is going to pull out the current catheter and try replacing it with a latex free silicone one.
I get busy attending to the needs of my other 6 patients. Some need pain medication. Some need anti-nausea medication. Some need to be repositioned in bed. I help the Tech with the ones who need help getting to the bathroom.
Time: 0330
My peer (the former ICU director) informs me of her inability to get a catheter into Mr. Z. She tried the three smallest catheters we have on the floor and she couldn't get in. Now, she's been an ICU nurse for over 15 years and has years of nursing experience before that. She looked me straight in the eye and said:
"Spook. You need to get him transferred off the floor, NOW. He needs critical care - and we can't give it to him on this floor." She'd checked his bladder residual via Bladder Scan after her last failed attempt to insert a catheter in him and it'd come back as over 1100 cc.
I swore under my breath and literally assaulted the phone. I called the Cardiologist on call and advised her of the situation. She asked me a dozen questions to which I responded the best I could with the information I had. She said she'd be on site within the hour.
Next, I called the Urologist on call. He rattled off a list of items he wanted readied and said he'd be on site within the hour as well.
Next, I called the Hospitalist. Informed her of the lab results.
"Oh wow! Mr. Z is having a heart attack. Please STAT page Cardiology. I'll come up soon to assess patient. Also start patient on prophylactic antibiotics - Zosyn prophylactic dosage IV every 6 hours and Vancomycin daily standard dosage IV every day per Hospitalist standing orders. Inform Cardio...."
(Cutting her off) "I've already talked to Dr. DO for Cardiology and
"Oh good! Please monitor patient carefully. I'll be up in a few minutes.
"Will do, Doc!"
Next, I call the House Supe (House Supervisor) TA (a Registered Nurse) and let her know of the meltdown on the floor. She lets out a silent groan and asks me "what's the plan?"
"DO and NS are coming over to work on the patient. I suspect he will soon be moved to the Cath Lab. TA, I could really use some help. I'm juggling 7 patients here."
"Ok, I'll be up soon and I'll bring along EM from ICU"
EM is an ICU nurse. ICU nurses, along with RT respond to a "rapid response" on the floors. Though I have not "called" a Rapid Response on the patient - given the situation, it's understood that this is warranted. RT is already on the floor.
I've worked with EM and TA before - they're swell. As soon as I'm done talking to them, I call the Cardiologist again and request that the patient be transferred down to the ICU or the Cath Lab - reason being that folks down there are more attuned to crises of these sort, have more training and also more "leeway" in terms of physician orders to deal with it. Cardiologist refused - stating that she needs to assess patient before allowing transfer because she didn't know if patient needed to go to Cath Lab right away or if transfer to ICU would be appropriate for the moment. I could understand her PoV... but at the same time, I cursed it. Because I knew that the minute she would walk onto the floor, she'd ask me a million and half questions - and a lot of them I would not be answer because I simply didn't have the authority to order those tests or carry out those interventions. A nurse in the ICU or Cath Lab could have - but I couldn't. I lacked the "standing orders" protocol and authority.
With the calls done, I decide to prep the patient's chart - transfer to a "different unit" requires some amount of paperwork - thanks to "The Joint Commission" (cue reverential music). Mostly unnecessary BS that actually eats up my (and more importantly the patient's) vital time... but who am I, a lowly staff nurse on the floor to argue with the rules laid down by the demi-gods in JCAHO?
While I'm prepping the chart, I tell the Tech to get me a fresh set of vital signs on the patient. She responds and promptly reports the news: HR: 110, BP: 150/100, resp rate: 28, Pulse ox: 90%
Not good. I grit my teeth...
Time: 0415
... and as I'm doing do, the Urologist walks onto the floor. I ask my fellow nurse on the floor (and the tech) to cover my side of the floor while I assisted the Urologist.
Then, I gather the equipment and walk into the patient's room to assist. Urologist administers local anesthesia and proceeds to brutally ream out the man's urethra (penis). But he does get a good sized latex free, silicone catheter into him and immediately drains over 1100 cc of urine from Mr. Z's bladder. Near the end of this procedure, the House Supe and the ICU nurse arrive on the floor.
I feel a degree of relief - I have back up now. The ICU nurse immediately proceeds to take a quick report on the patient from me, and then says "Spook, I know you have 6 other patients to look after. Take care of them; I've got Mr. Z under control here". She proceeds to diligently monitor the patient with help from the House Supe. I place a call to the patient's wife and inform her of the events. She is distraught, as expected, but informs me that she'll be over as soon as she can wake up her son to take her to the Hospital (she's disabled).
Time 0445:
The Cardiologist walks onto the floor. Converses briefly with the Urology. Then turns to me and begins a barrage of questions - many of which I am unable to answer. EM, the ICU nurse steps up and says "Well, it's hard for staff nurses on a regular floor to do these things. They usually have more than 6 patients to worry about and their freedom of action is restricted by the lack of standing orders in case of emergencies. Do you still want to move the patient off the floor?"
Cardiologist softens her stance a bit. "No, I still have to see the patient. Let's go".
I turn to EM and she winks at me with a smile before accompanying Cardiologist to see the patient. I'm grateful - while I do feel like a blubbering idiot for not knowing everything the Cardiologist asked of me, EM showed that it wasn't entirely my fault. That helps... a little.
Meanwhile, it's almost 0515. Time for I/O, morning meds, blood glucose checks and insulin administration, changing IV bags and PCA pumps, helping patients to the bathroom.
While all that is going on, I'm frequently interrupted by the nurses/doctors hovering over Mr. Z. Pharmacy has sent up the Abx ordered by the Hospitalist for Mr. Z. I hand them over to EM.
Then it occurs to me that I have not charted on Mr. Z for a while now and that in all possibility, he is going to be transferred off the floor! I hurriedly jot down the Physician orders I've recd. over night for Mr. Z and then sign them off. Also, as a courtesy, I print of a Med Reconciliation List and other needed documents [a "The Joint Commission" (cue reverential music) requirement] and hurriedly place them in the chart.
By the time AM shift arrives on the floor - Mr. Z has mostly been stabilized and is just awaiting swift transfer to the Cath Lab. I'm tying up loose ends and paperwork... while simultaneously trying to deal with my 6 other patients - who are all due morning antibiotics, I/O, pain medication and toileting. Cath Lab folks are now in Mr. Z's room - TA and EM will handle transport for me (standard protocol)... and I'm grateful for that. The Cardiologist has managed to obtain consent for possible procedures. Lab has blood work confirmed.
Charge nurse walks onto floor and observes flurry of activity and just shakes her head.
I am unable to tape report for the next shift and thus must give verbal. Some of the nurses on AM shift roll their eyes, as if stating "He hasn't taped report yet! That is so inconvenient!!" Some nurses on AM shift instantly piss me off by asking inane, dumbass questions they don't need to ask (because they can look it up for themselves). One of the nurses on AM shift grouses over the fact that I haven't discontinued a Foley catheter on a patient - I thought it was incredibly rude, condescending and short sighted on her behalf and I'm tempted to tell her that I had "7 patients all to myself with one of them having an active heart attack" but I bite my tongue and say nothing. It's pointless - day shift has never had to deal with short staffing.
I finish report just as they are wheeling Mr. Z off the floor. I thank TA and EM again for their help and assistance - truly, I wouldn't have been able to do 1/10th of what I did without their help.
I haven't eaten in over 14 hours. I haven't even taken a bathroom break to piss in my entire shift. I quietly go and relieve myself, then sit down to chart.
After 3 hours of charting at the end of my shift, I tiredly walk to the elevators, punch out and leave for home.
Fighting sleep the entire way, I drive home in one piece and collapse in bed.
Only for 3 hours though. For I'm scheduled back for that night.
Mr. Z ended up getting a quadruple bypass surgery. He's still in the Cardio Vascular Care Unit as I type this....
Tuesday, September 18, 2007
"I just hurt all over! I feel like I'm going to die!"
2 comments:
- Jaime said...
Just...WOW...I can't even imagine! I'm glad the gent came out of this alright but winced when I read about the foley, eek!
I don't know how you do it but I can say if I were in the hospital post surgery I'd want someone like you watching over me. =)
- September 18, 2007 at 1:52 PM
- NocturnalRN said...
Man that sucks! I hate nights like this. I especially hate that us takes FOREVER to get the patient off the floor. It takes up so much time and it is impossible to deal with a situation and properly look after the other patients we are responsible. This sort of thing has happened to me a lot. The added bonus is when one of my other patients berrate me for not coming to their room in a timely manner for something petty. Like they think I'm out reading magazines or taking a nap or something. You were lucky you had good help and that one taking up for you. Hang in there and may you have several good shifts in a row to make up for this one!
- September 19, 2007 at 3:17 AM


text:
Popular erotica author "J" provides another adventure into romance and sensuality.
A luxury yacht in the Caribbean creates a place for love, fun, and sensual exploration. She is seeking healing and he is searching for life. He seeks a place to escape from the routine of life. Together they find the wonder of knowing intimately the power of passion. The yacht sails out to the Bimini Islands and provides an adventure transforming their lives.
Join "J" on her Web site, WWW.J-EROTICA.COM.
©2011 LW Publications, Inc. (P)2012 LW Publications, Inc.
"I heard my fantasy come true"
This is a beautiful love story that is laced with passion, sensuality and erotica. A lot of erotica is porn, but this is a well written and beautifully presented audiobook. I don't like overly acted audio, and the narrator did a great job.
The dinner with Justin and Sandy. Captured the essence of the struggle and the joys of the two characters who are hesitant to believe that real love may exist.
She did a great job with Sandy and all her struggles.
I felt Sandy's pain and fear as she tried to emerge from her broken marriage and live a free life once again.
This is a well written story by the author. The narrator also captured the beauty of the relationships. Deserves 5 stars for both.
"A beautiful sensual love story"
Not all my friends may be into the erotic/romance genre but for those who are, this is a great read. Sandy is the embodiment of so many women who have gone throughout the pain of divorce, put their life back together and now need to move on with their journey.
While the sexual content is a part of the story, the romance of Sandy and Justin is refreshing as it is two adults who are familiar with the pain of life yet willing to explore its pleasures.
She seems to identify with the female lead character and truly brings her conflicts to life. Her voice in the narration adds depth to the sexual interaction. Happy that the author used a female voice.
I did!!
Report Inappropriate Content
If you find this review inappropriate and think it should be removed from our site, let us know. This report will be reviewed by Audible and we will take appropriate action.