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10 Things to NEVER Say to a Nurse!

Read it in its original format online HERE!

Nurses hear it all: The good, the bad, and the (very, very!) ugly. From pushy patients to bossy doctors, nurses handle it all with grace. But there are some things that can get under the most tolerant nurse’s skin. NursingLink staff members talked to healthcare professionals, one another and (of course!) nurses to find out what phrases or questions were most irritating. Ever felt like strangling someone with your stethoscope? Then you probably heard one of these 10 things.


10. “Helloooooo, Nurse!”
Okay. We get it. We’ve all seen the cartoons with the buxom nurse who is swooned over by a wolf, or a man, or an Animaniacs character. It wasn’t funny or original the first dozen times you heard it, and it certainly hasn’t made a positive impact 10 years later.
You’re not an object to be fawned over. You’re saving lives here! You don’t have time to be ogled. Luckily, younger generations have probably never heard the phrase, so you can hope that it will be phased out soon.


9. “Do You Only Date Doctors?”
Puh-lease. Anyone who has actually spent any time around a doctor knows that dating one is next to impossible. Crazy hours. Constant stress. Big egos. Who wants to put up with that? Plus, everyone knows you shouldn’t “dip your pen in the company ink.” Spending 12-plus hours with someone can make you form an incredibly close bond, but that doesn’t mean your co-workers will make the best significant others.
Anyone who asks a nurse this is clearly watching too much Grey’s Anatomy and needs their head examined.


8. “C’mon. Nursing is Just Like on TV!”
What were we just saying about people who watch too much Grey’s Anatomy? While medical shows are a great form of entertainment – tons of nurses watch them, too – that doesn’t mean they are an accurate portrayal of when hospital life is like. Nursing organizations have even taken up arms against nurse-centered shows like Nurse Jackie and HawthoRNe. Prior to these shows, nurses were almost never the focus of a medical TV show. Nurses were merely in the background emptying bedpans or taking orders.
But we know the truth. Nurses are the foundation of any good health system. They don’t have time to be the center of attention because they are always cleaning up a (metaphorical) mess a doctor has left.


7. “Nurses Take Orders From Doctors”
Nurses work alongside other nurses. They report to other nurses. They belong to organizations and unions just for nurses. Edie Falco of Nurse Jackie put it perfectly when she said “Doctors diagnose. Nurses save lives.” When it comes down to it, nurses are the ones in the trenches. Because they spend the most time with patients, they can be counted on to know when something is wrong or if a patient has made any progress.
Doctors and nurses may work side-by-side, but nurses are responsible for nurses.


6. “What’s Taking So Long?!”
Patients depend of nurses to keep their healtcare experience a positive one. But we all know that things can get hectic in the medical field. Emergencies and unpredictable accidents can happen on a daily basis which means patients may not always be seen when they thought they would. Having a patient gripe at you and ask “What’s taking so long?!” can be irritating, especially if you are trying your hardest to make sure everyone is taken care of. It’s in stressful situations like this that it’s sometimes easier to snap instead of calmly explain that you are doing your best.


5. “So…You Can Score Me Some Meds, Right?”
Shows like Nurse Jackie and House, MD make it seems like any nurse can walk right into a pharmacy and get whatever he/she wants. We know that’s totally not true, but those who aren’t in the medical field often believe it. Many nurses have friends or family members who ask them to score some meds they don’t have a prescription for – without even considering the fact that the nurse could lose her/his license!
Most nurses can laugh this off, but, for others, it’s a real problem. To banish this stereotype (and this request!), there needs to be continual education of consumers.


4. “What Does a Nurse Do?”
Coming from a 5th grader who is doing a report on what she wants to be when she grows up, this question is sweet. Coming from a snarky patient, this question is almost intolerable. What doesn’t a nurse do? Let’s see… Nurses care for patients, chart, memorize and administer medication, write care plans, take direction, give direction, handle emergencies, handle stress, handle “dirty jobs” doctors don’t want to do…
The list goes on and on.


3. “I’m Just a Nurse”
Just a nurse? No such thing! I’m sure you’ve heard a fellow nurse say something along these lines. Doesn’t it make you crazy?! Nurses are the backbone of any successful healthcare facility, so stand up and be proud!
Similarly, you might hear “I’m just an LPN.” Well, LPNs are nurses, too! (And don’t you forget it!)


2. “Anyone Can Be a Nurse”
What?! Anyone can deal with juggling 20-person patient loads, keeping track of dozens of medications, handling emergencies with grace, and charting it all correctly? (And more!) Yeah, right. Nursing is not for everyone, which is why not everyone is a nurse. Nurses have a special set of qualities that set them apart from everyone else.
Anyone can be a nurse? I’d like to see them try.


1. “Why Didn’t You Become a Doctor?”
This utterly annoying and disrespectful question comes in a variety of forms: “Why didn’t you become a doctor?” “Why don’t you want to be a doctor?” “Did med school sound too hard?” No matter the variance, the underlying insult is the same: Doctors are better than nurses. Not true! Let’s see a doctor take on everything a nurse handles with ease.
You know what they say: Behind every good doctor is a better nurse!

Torn! Help!

I like my job so much. I like working with my patients! What do you do when there is one person, JUST ONE, who is determined to make your day miserable?? I guess you all have noticed that I haven't been posting so much. I am honestly mentally exhausted by dealing with this woman! I am at the point where I am seriously thinking of finding another job but I don't want to leave my patients.

Oh a brighter note... My husband and I and all our children went on a vacation for 10 days. We travelled through 9 states! It was such fun! I thought it would be horrible to travel so much with four young children but it wasn't bad at all! We took all the scenic routes and had so much fun! We plan to take another vacation in August to pan for gold!!! We'll be staying in a cabin at a beautiful river site for 5 days.

Our son left on 6/29 to travel overseas and spend the summer with his grandparents, aunts, uncles, and many many cousins. He has only been there for a week but I miss him so much!! He'll be back ON MY BIRTHDAY!! Hows that for timing?? He ALMOST emails me daily but I haven't received any pictures yet!! I sent my digital camera with him for what?

David Guetta - Tomorrow Can Wait - Music Video

After a long hiatus...

I love blogging!! So what happened??? Yikes, no time for a life, much less blogging. Oh well, I have finally delegated some time to get online to do what??? Tell you about my mothers website. She has been making jewelry and trying to sell it. She tried E-Bay for a while and that didn't work out quite so well. She tried CraigsList and, again, that didn't work out quite so well. So now, she converted her blog into a showcase of sorts. Maybe you wanna have a look... Hand out the website address freely. She wouldn't mind at all!! ;-) And thanks for looking.

http://nooraann.blogspot.com/

Ouch my hand!!

Okay, so here's how it went.
Thursday, I walked into a patients room while getting report from the offgoing nurse.
I knew that I would need to be able to get to the side of his bed in about an hour to give him an injection so I decided to move his armchair out of the way. Its a straight back chair that rocks. They are new additions to the rooms so I was expecting it to slide easily like the old chairs did. I put one hand on each arm of the chair and pushed backwards. I didn't anticipate the weight of it so I didn't hold the arm tight enough and my hand slid forward and I jammed my last three fingers into the back of the chair. Ohhhh, it hurts so bad! You know that feeling you get when you hit your funny bone really really hard? Ok, it was like that, only it started at my fingers first and worked its way to my elbow and then to my shoulder. I had a burning line of fire running from my pinky to my shoulder! Now, two days later, I can't wiggle my fingers without it hurting really bad. I am typing with one hand because typing hurts too much. I think I may have fractured a metacarpal because of WHERE it hurts and the clicking that I hear when moving my hand! I am going to the doctor on Monday to get it checked out.
Until then, I have wrapped it and am trying to keep it still.

7 Rules for Eating

7 Rules for Eating

Choose Food Over Food-Like Substances, Food Writer Michael Pollan Tells CDC

By Daniel J. DeNoon
WebMD Health News

Reviewed by Louise Chang, MD

March 23, 2009 -- We Americans suffer a national eating disorder: our unhealthy obsession with healthy eating.

That's the diagnosis delivered by food author Michael Pollan in a lecture given last week to an overflow crowd of CDC scientists.

As part of an effort to bring new ideas to the national debate on food issues, the CDC invited Pollan -- a harsh critic of U.S. food policies -- to address CDC researchers and to meet with leaders of the federal agency.

"The French paradox is that they have better heart health than we do despite being a cheese-eating, wine-swilling, fois-gras-gobbling people," Pollan said. "The American paradox is we are a people who worry unreasonably about dietary health yet have the worst diet in the world."

In various parts of the world, Pollan noted, necessity has forced human beings to adapt to all kinds of diets.

"The Masai subsist on cattle blood and meat and milk and little else. Native Americans subsist on beans and maize. And the Inuit in Greenland subsist on whale blubber and a little bit of lichen," he said. "The irony is, the one diet we have invented for ourselves -- the Western diet -- is the one that makes us sick."

Snowballing rates of obesity, diabetes, and heart disease in the U.S. can be traced to our unhealthy diet. So how do we change?

7 Words & 7 Rules for Eating

Pollan says everything he's learned about food and health can be summed up in seven words: "Eat food, not too much, mostly plants."

Probably the first two words are most important. "Eat food" means to eat real food -- vegetables, fruits, whole grains, and, yes, fish and meat -- and to avoid what Pollan calls "edible food-like substances."

Here's how:

1. Don't eat anything your great grandmother wouldn't recognize as food. "When you pick up that box of portable yogurt tubes, or eat something with 15 ingredients you can't pronounce, ask yourself, "What are those things doing there?" Pollan says.
2. Don’t eat anything with more than five ingredients, or ingredients you can't pronounce.
3. Stay out of the middle of the supermarket; shop on the perimeter of the store. Real food tends to be on the outer edge of the store near the loading docks, where it can be replaced with fresh foods when it goes bad.
4.  Don't eat anything that won't eventually rot. "There are exceptions -- honey -- but as a rule, things like Twinkies that never go bad aren't food," Pollan says.
5. It is not just what you eat but how you eat. "Always leave the table a little hungry," Pollan says. "Many cultures have rules that you stop eating before you are full. In Japan, they say eat until you are four-fifths full. Islamic culture has a similar rule, and in German culture they say, 'Tie off the sack before it's full.'"
6. Families traditionally ate together, around a table and not a TV, at regular meal times. It's a good tradition. Enjoy meals with the people you love. "Remember when eating between meals felt wrong?" Pollan asks.
7. Don't buy food where you buy your gasoline. In the U.S., 20% of food is eaten in the car.

Is this good advice? Janet Collins, PhD, director of the National Center for Chronic Disease Prevention and Health Promotion, is one of the CDC officials who met with Pollan.

Collins agrees with Pollan that advice from health experts has to be simplified. And she loves the suggestions he makes.

"Some of the changes in our environment are the reasons behind our obesity epidemic," Collins tells WebMD. "Pollan's advice to eat at the table with your family and not the TV is excellent. And portions: During our grandmothers' era, plates were smaller. If you took the portions that filled their plates and put them on ours, it wouldn't look like much to eat."

 

Eat Foods, Not Nutrients

Pollan, author of In Defense of Food: An Eater's Manifesto and The Omnivore's Dilemma: A Natural History of Four Meals, is professor of science and environmental journalism at the University of California, Berkeley.

Pollan says that where we've gone wrong is by focusing on the invisible nutrients in foods instead of on foods themselves. He calls this "nutritionism" -- an ideology that's lost track of the science on which it was based.

It's good for scientists to look at why carrots are good for us, and to explore the possible benefits of, say, substance X found in a carrot.

What happens next is well-meaning experts tell us we should eat more foods with substance X. But the next thing you know, the food industry is selling us a food enriched with substance X. We may not know whether substance X, when not in a carrot, is good or bad for us. And we may be so impressed with the new substance-X-filled product that we buy it and eat it -- even though it may have unhealthy ingredients, such as high-fructose corn syrup and salt.

Pollan identifies four myths behind this kind of thinking:

• Myth #1: Food is a delivery vehicle for nutrients. What really matters isn't broccoli but its fiber and antioxidants. If we get that right, we get our diet right. Foods kind of get in the way.
• Myth #2: We need experts to tell us how to eat. Nutrients are invisible and mysterious. "It is a little like religion," Pollan said. "If a powerful entity is invisible, you need a priesthood to mediate your relation with food."
• Myth #3: The whole point of eating is to maintain and promote bodily health. "You are either improving or ruining your health when you eat -- that is a very American idea," Pollan says. "But there are many other reasons to eat food: pleasure, social community, identity, and ritual. Health is not the only thing going on on our plates."
• Myth #4: There are evil foods and good foods. "At any given time there is an evil nutrient we try to drive like Satan from the food supply -- first it was saturated fats, then it was trans fat," Pollan says. "Then there is the evil nutrient's doppelganger, the blessed nutrient. If we get enough of that we, will be healthy and maybe live forever. It's funny through history how the good and bad guys keep changing."

Pollan remembers that when fats were declared to be evil, his mother switched the family to stick margarine. His grandmother predicted that some day stick margarine would be the evil food. Today, we know that margarine was made with trans fats.

The trouble with the whole notion of "evil' and "blessed" ingredients is that they help the food industry sell us processed foods that are free of the evil thing or full of the blessed one. We buy them, not realizing they may contain many other ingredients that aren't good for us.

Collins agrees with Pollan's central theme that whole foods are vastly better for us than are processed foods. But our food system makes it hard for many Americans to get whole foods.

"If our food system made more whole foods at lower cost and made them more available, that would help with our public health," Collins says. "We need full-service groceries in urban centers, where people can get to them. Unfortunately, urban centers are getting filled with fast food stores and liquor stores. Pollan's rules are good, and it is one thing to eat by his rules, but making our environment such that people can live by the rules is not always easy."

Will the CDC be pushing for these kinds of changes? Yes, suggested Anne Haddix, chief policy officer at the CDC's Office of Strategy and Innovation, during the panel discussion following Pollan's remarks to the CDC.

"How we go forward on this will take some very different types of thinking than we have done in the past," Haddix said. "We have an opening we have not had for years. ... Of the federal agencies trying to address food issues, CDC is uniquely positioned. We have to step out as leaders. ... Now is the time to ramp up our efforts and reach out to people who make us uncomfortable and go for it."

Yawn, yawn, yawn, yawn!

Now, you know you've all done it.  You've all succumbed to a yawn upon seeing another person yawn.  You can't help it and why should you?  Yawning is the means by which your body gets extra oxygen when it is in need!  So yawn to your hearts content!

(Ok, how many of you yawned while reading this?)

SCORE!!

My babies

Who'd have thunk it?

You know, you go through life with certain beliefs about yourself and your health based on your percetion of yourself. I am a 'healthy' (code word for thick) woman and I, therefore, thought that I would have a 'healthy' cholesterol level and possibly a 'healthy' baseline bloodsugar to go along with it.

I had some bloodwork drawn and went home to await the results. My doctors office called me to tell me that they wanted me to start taking Fish Oil supplements twice a day because my cholesterol was "TOO LOW"!!!! I could not believe it!! How could a 'healthy' woman such as myself have LOW cholesterol?

So I decided to start keeping an eye on my bloodsugars since she didn't say anything about that (and both my father and my maternal grandfather have diabetes). I've not had a reading over 118!!!! Can you believe that?? If anything, I tend to run a little low (about 80 - 90) My blood pressure runs about 130/80 which is a tad bit more than the average of 120/70 but otherwise, I am a fairly healthy individual with a little extra baggage!!

Who'd have thunk it?!?

Wal-Mart Greeter Joke

Well I started my new job today as a Wal-Mart Greeter
 a good find  for many retirees, I lasted less than a day. 
About two hours into my first day on the job a very loud, unattractive, mean-acting woman walked into the store with her two kids, yelling obscenities at them all the way through the entrance. As I had been instructed, I said pleasantly, 'Good morning and welcome to Wal-Mart. Nice children you have there. Are they twins? The ugly woman stopped yelling long enough to say, 'Hell no, they ain't twins. The oldest one's 9, and the other one's 7. Why the hell would you think they're twins? Are you blind, or just stupid? So I replied, 'I'm neither blind nor stupid, Ma'am, I just couldn't believe you got laid twice. Have a good day and thank you for shopping at Wal-Mart. 
   
 My supervisor said I probably wasn't cut out for this line of work.

A Priest and a Rabbi

Heads up... Its a joke so please, no one take offense.

A priest and a rabbi were sitting next to each other on an airplane. After a while, the priest turned to the rabbi and asked, 'Is it still a requirement of your faith that you not eat pork?'

The rabbi responded, 'Yes, that is still one of our laws.'

The priest then asked, 'Have you ever eaten pork?'

To which the rabbi replied, 'Yes, on one occasion I did succumb to temptation and tasted a ham sandwich.'

The priest nodded in understanding and went on with his reading.

A while later, the rabbi spoke up and asked the priest, 'Father, is it still a requirement of your church that you remain celibate?'

The priest replied, 'Yes, that is still very much a part of our faith.'

The rabbi then asked him, 'Father, have you ever fallen to the temptations of the flesh?'

The priest replied, 'Yes, rabbi, on one occasion I was weak and broke with my faith.'

The rabbi nodded understandingly and remained silent, thinking, for about five minutes.

Finally, the rabbi said, 'Beats the shit out of a ham sandwich, doesn't it?

A SEVEN-HUNDRED-10... Anyone know what it is?

 
A few days ago I was having some work done at my local garage. A blonde came in and asked for a seven-hundred-ten. 

We all looked at each other and another customer asked, "What is a seven-hundred-ten?" 
She replied, "You know, the little piece in the middle of the engine, I have lost it and need a new one.." 

She replied that she did not know exactly what it was, but this piece had always been there. 

The mechanic gave her a piece of paper and a pen and asked her to draw what the piece looked like. 

She drew a circle and in the middle of it wrote 710. He then took her over to another car which had its hood up and asked "is there a 710 on this car?" 

She pointed and said, "Of course, its right there." 

If you're not sure what a 710 is CLICK HERE!

BEWARE OF OUTDATED PANCAKE MIXES

A student at HBHS (high school) had pancakes this week and it almost became fatal. His Mom (registered nurse) made him pancakes, dropped him off at school and headed to play tennis. She never takes her cell phone on the court but did this time and her son called to say he was having trouble breathing. She told him to go to the nurse immediately and proceeded to call school and alert the nurse. The nurse called the paramedics and they were there in 3 minutes and worked on the boy all the way to the hospital. He came so close to dying. Evidently this is more common then I ever knew. Check the expiration dates on packages like pancakes and cake mixes that have yeast which over time develop spores. Apparently, the mold that forms in old mixes can be toxic! Throw away ALL OUTDATED pancake mix, Bisquick, brownie mixes etc you have in your home.

You can check this website....... http://www.snopes.com/medical/toxins/pancake.asp

P.  S. You might want to tell this to your children, grandchildren, nephews, nieces and anyone else who keeps these types of mixes in the cupboard.
    
    

7 Steps to Happily Ever After

WebMD Feature from "Redbook" Magazine

By Marjorie Ingall

What makes love last a lifetime? Affection? Yep. Respect? Sure. But a great marriage is not just about what you have. It's about what you do to make a relationship stronger, safer, more caring and committed. Here's how to make your "forever" fantastic.

Marriage is a home, a refuge against the outside storms. And like any house, it requires a strong, lasting foundation. To build one, every couple needs to take certain steps — seven, to be precise — that turn the two of you into not just you and me but we.You may not move through all the steps in order, and you may circle back to complete certain steps again (and again and again). But if you make it through them all, you'll be well on your way toward creating a marriage that will be your shelter as long as you both shall live.

Step 1: Find a shared dream for your life together.

It's easy to get caught up in the small stuff of married life: What's for dinner tonight? Whose turn is it to clean the litter box? Did you pay the electric bill? But the best partners never lose sight of the fact that they're working together to achieve the same bigdreams. "Successful couples quickly develop a mindfulness of 'us,' of being coupled," says REDBOOK Love Network expert Jane Greer, Ph.D., a marriage and family therapist in New York City. "They have a shared vision, saying things like, 'We want to plan to buy a house, we want to take a vacation to such-and-such a place, we like to do X, we think we want to start a family at Y time.'"

This kind of dream-sharing starts early. "Couples love to tell the story of how they met," points out Julie Holland, M.D., a psychiatrist in private practice in New York City and a clinical assistant professor of psychiatry at the New York University School of Medicine. "It's like telling a fairy tale. But happy couples will go on creating folklore and history, with the meet-cute forming the bedrock of the narrative." As you write and rewrite your love story ("our hardest challenge was X, our dream for retirement is Y"), you continually remind yourselves and each other that you're a team with shared values and goals. And P.S.: When you share a dream, you're a heck of a lot more likely to make that dream come true.

Step 2: Ignite (and reignite) a sexual connection.

In any good relationship, sex is way more than just a physical act. It's crucial for the health of your emotional connection, too: It's something only the two of you share; it makes you both feel warm and loved; it draws you back together when you're drifting apart. And did I mention that it's a whole lot of fun?

Striking up those sparks when you first meet is easy. Nurturing a strong, steady flame? That's the hard part. When you've got a mortgage, a potbelly, and a decade or two of togetherness under your belts, it can be hard to muster up the fire you felt when you first got together. That's when it's even more important to protect your sex life and make it a priority. "You have to keep working to create allure and seduction for each other or your sex life will become lackluster," Greer points out. "Who wants the same turkey sandwich over and over? You want it on whole wheat! On toast! As turkey salad! On a roll!" (And now I will imagine my husband covered with Russian dressing. Thanks, Dr. Greer.)

As the years go by, you'll keep revisiting and realigning and reimagining the passion you have for each other. And if you keep at it, you'll have a sex life that transcends your marriage's lack of newness, the stresses of family and work, the physical changes that come with aging. Now that's something worth holding on to.

Step 3: Choose each other as your first family.

For years, you were primarily a member of one family: the one in which you grew up. Then you got married, and suddenly you became the foundation of a new family, one in which husband and wife are the A-team. It can be tough to shift your identity like this, but it's also an important part of building your self-image as a duo (and maybe, eventually, as three or four or...).

For me, making this transition meant stopping the incessant bitching to my mom when I was mad at my husband — my behavior was disloyal, and I had to learn to talk to Jonathan, not about him. My friend Lynn tells the story of her mother's reaction to a trip to the Middle East she and her then-boyfriend (now husband) had planned. Her mother hit the roof, calling incessantly to urge Lynn not to go. Eventually, Lynn's boyfriend got on the phone with Mom and explained why they were excited to share this experience. "It was clear then that we were the team," Lynn says now. "Not teaming up against my mother, but teaming up together to deal with her issues."

Whatever your challenges — an overprotective mom? an overly critical father-in-law? — you have to outline together the boundaries between you and all of the families connected to you. Not only will you feel stronger as a united front but when you stick to your shared rules, all that family baggage will weigh on you a lot less.

Step 4: Learn how to fight right.

I'm embarrassed to think of how I coped with conflict early in my relationship with Jonathan. I stormed out — a lot. I once threw an apple at his head. Hard. (Don't worry, I missed — on purpose.) I had a terrible habit of threatening divorce at the slightest provocation. But eventually I figured that this was pretty moronic. I didn't want out, and I knew that pelting someone with fruit was not a long-term marital strategy.

"Fighting is the big problem every couple has to deal with," says Daniel B. Wile, Ph.D., a psychologist and couples therapist in Oakland, CA, and author of After the Fight. That's because fights will always come up, so every couple needs to learn how to fight without tearing each other apart.

Fighting right doesn't just mean not throwing produce; it means staying focused on the issue at hand and respecting each other's perspective. Couples that fight right also find ways to defuse the tension, says Wile — often with humor. "Whenever one of us wants the other to listen up, we mime hitting the TV remote, a thumb pressing down on an invisible mute button," says Nancy, 52, an event producer in San Francisco. "It cracks us up, in part because it must look insane to others." Even if you fight a lot, when you can find a way to turn fights toward the positive — with a smile, a quick apology, an expression of appreciation for the other person — the storm blows away fast, and that's what matters.

Step 5: Find a balance between time for two and time for you.

Jonathan and I both work at home. This frequently leads to murderous impulses. Though I'm typing away in the bedroom and he's talking to his consulting clients in our small home office, most days it really feels like too much intimacy for me.

But that's my bias. When it comes to togetherness, every couple has its own unique sweet spot. "There are couples that are never apart and there are couples that see each other only on weekends," Greer says. With the right balance, neither partner feels slighted or smothered. You have enough non-shared experiences to fire you up and help you maintain a sense of yourself outside the relationship — not to mention give you something to talk about at the dinner table. But you also have enough time together to feel your connection as a strong tie rather than as a loose thread.

Your togetherness needs will also change over time, so you'll have to shift your balance accordingly. "My husband and I spend a lot of time together, but it's almost all family time," says Katie, 40, a mom of two in San Leandro, CA. "We realized a few months ago that we hadn't had a conversation that didn't involve the kids or our to-do lists in ages, so we committed to a weekly date. We were so happy just to go to the movies and hold hands, something we hadn't done in ages. It felt like we were dating again!"

Step 6: Build a best friendship.

Think about the things that make your closest friendships irreplaceable: the trust that comes with true intimacy, the willingness to be vulnerable, the confidence that the friendship can withstand some conflict. Don't those sound like good things to have in your marriage, too?

"Happy couples are each other's haven," says Holland. "They can count on the other person to listen and try to meet their needs." Greer adds, "When you're true friends, you acknowledge and respect what the other person is; you don't try to control or change them. This creates a sense of safety and security when you're together — you know you're valued for who you are and you see the value in your partner."

Then there's the way, when you've been with someone a while, that you become almost a mind reader. You have a shared history and inside jokes. Your guy knows what you'll find funny, you forward him links to articles you know he'll enjoy, and best of all, you two can make eye contact at a given moment and say volumes without opening your mouths. And is there anything more pleasurable than sharing the newspaper with someone? Sitting in companionable silence, absorbed in your respective reading, sipping coffee, occasionally reading something out loud, but mostly just lazing happily together, communing without needing to speak? Ahh....

Step 7: Face down a major challenge together.

You're sailing along through life, and suddenly you hit a huge bump. A serious illness. Unemployment. The loss of a home. A death in the family. How do you cope?

The truth is, you never know how strong your relationship is until it's tested. All too often, the stress of a crisis can pull a couple apart. But the good news is, when you do make it through in one piece, you might just find yourselves tighter than ever.

"What didn't happen to us?" says Daryl, 28, a preschool teacher in Harrisburg, PA. "My husband lost his job and took a minimum-wage job he was way overqualified for just to make ends meet. He was offered a better job in a mountain town outside San Diego, so we moved. Then during the California wildfires several years ago, our house burned down and we lost everything.We were living in a one-room converted garage with no running water and a newborn. But we found that this chaos somehow brought us even closer together. We took turns losing it. We really kept each other sane."

Hey, marriage is no roll in the hay. It's tough, real work. But the reward, the edifice you build together that will shelter you through years of tough times, is more than worth the effort. The small, friendly cottage you build — decorated with your shared history and stories, filled with color and laughter — will be the warmest and safest retreat you can imagine.

Tatoos...

I'll be perfectly honest... I've wanted to get a tatoo for a long time but my hubby is not so fond of the idea and his opinion means a lot to me. If I ever decided to change my mind and get a tatoo, it would have to be in a rather inconspicuous area due to the fact that I am a nurse and tatoos are frowned upon. So, you see, it would need to be in an area easily covered by my scrubs!

I was watching a show on tatoos last night and it was talking about the view on tatoos in Thailand. The citizens of Thailand get tatoos for protection against anything that would threaten their life whether it be bullets, knives or other things of that nature. Their belief is that a tatoo holds mistic powers that are put in place by the tatooer himself by "charging it" with mystic energy. A man would tatoo himself on any free expanse of skin and have it "recharged" during a yearly ceremony held at the temple by monks who are also the ones who do the tatooing using a single needle and their own hand power. They say that the pain experienced by the person being tatooed is entrancing. The tatooee falls into a trance from a combination of the pain and the power of the tatoo. Hmm... I wonder... A nurses worst enemy is a needle stick...

LADY'S YEARLY EXAM

Went to the doctor for my yearly physical. The nurse starts with certain basics.

How much do you weigh?' she asks. '135,' I say.

The nurse puts me on the scale. It turns out my weight is 180.

The nurse asks, 'Your height?' '5 foot 4,' I say.

The nurse checks and sees that I only measure 5'2'.

She then takes my blood pressure and tells me it is very high. 'Of course it's high!' I scream,

'When I came in here I was tall and slender! Now I'm short and fat!'

She put me on Prozac. What a bitch!!

OUR 15TH ANNIVERSARY

I just realized this today at about 3pm!!
Tomorrow is our 15th anniversary!!!
Ohhh I am so excited!!

I got HIM roses, wrote him a note saying
"Happy 15th Anniversary, I love you!" in pink highlighter,
stuck the note on the top of the bouquet,
and set them on his nightstand, so that he will see them first thing
in the morning when he wakes up
(while I'm still sleeping off my 2nd shift job).
Oh, I hope his movements wake me up
when he is sliding out of bed so I can see his face
when he looks at the roses (I'm a light sleeper)!

I am so excited that I am tempted to wake him up
RIGHT NOW since its technically our anniversary already!!
I've got another surprise in store for him and it didn't cost a thing!!

There is only one thing better than being newlyweds in love...
That is being 15 years down the line and STILL in love
and blessed with four children (and I want more).

Ok, Goodnight world!! Keep my husband and I in your prayers,
that we might have many more years as good as the first 15.

Weekend OFF

Oh my! This has been my first full weekend off in such a long time! I've enjoyed it so much that I don't want it to end! I got to spend some wonderful hours with my children and with my husband. It was a blessing concidering that I work 2nd shift and don't really get to see anyone because I leave before they get home from school and return after bedtime.

We were talking about how we are the kind of couple that doesn't feel the need to call each other every 15 minutes just to "check in". I love that about our relationship! Trust builds comfort and confidence and we certainly have our share of both. I realized that it gets on my nerves the way someone calls their spouse asking where they are, are they having fun, what time will they be home, what are they doing. Whats left to say 15 minutes later when they call again?

I know he loves me and he knows I love him. The End.

I don't need him to back it up every quarter of an hour.

An Ah-Hah Moment

This is another long one... Are you ready?!?

One of my patients is a 44 year old man who is very protective and possesive of me. I've been taking care of him as long as I have been working at this facility. He had a couple of visitors yesterday and supposedly one of them was asking questions about me and telling my patient that I was a sexy nurse and wanted to know if I was taken. So my patient told me (in front of this guy) that he isn't going to tolerate ANYBODY stepping up on HIS nurse. he told the guy that I am HIS NURSE and he better back off. The poor guys face turned a few shades of red before he responded, "Looks like I need to get in an accident and need some healing before I can call you MY nurse." Hehehehehe! I thought that was funny and flattering all at once!!

And then I started thinking..........

I worked so hard to get where I am and I'm only now realizing how much I impact peoples lives. I have come so far and THIS PATIENT finally drove it home that I achieved what I've wanted since I was about 4 or 5 years old... To become a nurse and help those in need. I don't think it is possible for ANYONE to love their job as much as I do. (I'm sure there are many who would make that same statement but, damn it, I really feel like its true at this very moment!)

My mind went back to a time in my life when I really became sure that there was nothing else in the world that I wanted to be other than a nurse. I was 11 years old and it was a Friday morning. I woke up and my stomache was hurting really really bad. My mother kept me out of school that day and took me to the doctor. My regular doctor wasn't there so I saw his associate. He took a blood sample and decided that I had gastroenteritis... That is a very vague term meaning that the inner lining of my intestinal tract was inflammed for some reason that he just couldn't fathom. He sent me home on about 4 different medications.

Friday passed... Saturday passed... Sunday arrived and I was in so much pain by this point that I stopped sleeping in my bed because I couldn't get up there and was sleeping on the sofa and I couldn't lift my own feet. My mother was lifting them for me and putting them on the sofa. I couldn't stand up straight. It was as if a band was drawn between my shoulders and my knees, drawing me down. I couldn't even straighten myself out while laying down. My mother called the doctors office (in the south, our family doctors would actually have the phones forwarded to their home on the weekends) and got ahold of my regular doctor who was back in town. He told us to meet him at his office right away. We get there and he tells me to lay down on the exam table. I got up there but I couldn't straighten myself out to lay down. The doctor says, "WAIT! Mom, I need you to take her straight to the hospital, and I don't mean go home and get her gown and toothbrush. I mean get her there now and I will meet you there. She has an infection and I think her appendix has ruptured!"

We get to the hospital and they admit me and take me straight back to a room. In the room, I am laying there in so much pain that I am crying and I can't be still. My mother calls the nurse who gives me a shot in my thigh and then the world became a beautiful place free of pain!! I was feeling NO PAIN WHATSOEVER! I sat up and took my mothers purse off the bedside table and started rummaging through it. I found her sunglasses and took then out and put them on. These were the kind of sunglasses that were sooooo big that they covered your cheeks and eyebrows. I said, "Look mamma! I am Stevie Wonder!" as I swung my head back and forth in his signature way. My mother sat there staring at me with tears rolling out of her eyes. The doctor arrives (my doctor) and informs my mother that I have to go back for surgery immediately. I couldn't care less at this point!

A nurse comes in the room after the doctor leaves and gives me some medication in an IV port that I don't remember getting and they transfer me to a gurney and start rolling me down the hall. As they are rolling me out of the room, and I pass by my mother, they nurse leans down and says, "Wow, Honey! You should be dead by now!" My mothers face went white and the tears became a fresh flood. I was now scared out of my mind. Oh my God!!! This nurse said I should be dead!! Oh my God!! What if I do die before I get to see my momma again?? Oh my God!! I'm dying!! (The medication that was put into my IV was starting to take effect and I felt myself sliding backwards into nothingness) We arrive in the OR and they transfer me to the operating table. I am still awake somewhat and they start clipping something to my fingertip (a pulse oximeter: I had no idea what it was at that time) and they started strapping my arms down (fear was renewed and panic set in because I couldn't stop them). The nurse looks at my face and says, "I need you to start counting backwards from 10." "10, 9, 8, 7, 6, 5, 4, 3, 2, 1. Now what?" "Oh! Count again dear." "10, 9, 8..., 7......, 6........." Thats the last thing I remember before I went under.

The next thing I remember is waking up and the air was too cold and burning my nose (it wasn't the air that was burning my nose. I had been intubated but I didn't know that). I looked up and they had this big silver lamp shinning into my face and I saw a pink elephant with purple polkadots in front of the lamp just staring at me! (of course it wasn't there, I was seeing things) I don't remember much about that room and I don't remember leaving it. I remember waking up back in my hospital room and my mother was there at my side and I told her "Hey, I didn't die?" Then I looked down at my aching tummy. It was all bandaged up but I was so high that I didn't care.

That first day was a little blurry for me. The next day was a little more interesting. The nurse came in to change the dressing. She pulled the bandage off and I was amazed at what I saw. My belly was laying open with bloody gauze sticking out of it and I had a tube coming out of my lower belly (beyond the incision) attached to a bulb full of some nasty stuff. The nurse soaked the guaze with normal saline so that it wouldn't stick to my innards and started pulling it out. I remember saying, "Ewwww... That looks like raw bacon!" I had to have been out of my mind with some pain medication because I don't remember it hurting! The nurse explained that I had what they called an exploratory surgery because when they made the small incision that is typical for an appendectomy, there was no appendix there. The slit me open from sternum to pelvic bone and literally hand to start taking things out and laying them aside to find my appendix. It was behind my colon and was enveloped in a mass of infection about the size of a cantalope which is why they had to leave me open. They had to make sure the infection drained out properly.

I was in the hospital for 2 weeks and I had some amazing nurses (minus the genious who told me I should be dead). I still remember their names. I had Wilma, Jean, Jennifer, Kim, and John (who was actually my respiratory therapist). I stayed SO high while I was there that I was climbing up on the chair in my room to get something off a shelf... WITH MY STOMACH HANGING OPEN!!!! I think back on it now and say, WOW! I am sure that I would be laying in bed and asking for everyone to do everything FOR me if it were to happen to me today.

On the day before I was to be discharged, the attending physician came in and told me that he would be closing my incision up. Without preparing me for what was to come, he removes the bandage, runs some sutures into my stomach and with his hands, pulled them tight to close me. When he did this, the sutures ripped through my skin, leaving cuts about 2 inches long on either side. One after another after another, he did this while I lay there screaming and crying. OH MY GOD IT HURT!!! NO LIDOCAINE!!! NOTHING!!! I bled all over the bed and was shaking when it was over because my body was in shock. He cleaned the incision with some normal saline and had the nurse stick some of those little butterfly bandages over the ripped areas on my belly to hold them closed. They sent me home the next day and I was BACK in my doctors office within a week with an infection in one of the RIPS which caused it to SPLIT BACK OPEN!!!

I was out of school for a month with a tutor coming to my house to keep me up to date with my studies. When I went back, another student (my best friend to this day) was assigned to carry my books for me between classes and help me walk to and from the classes. We had a permanent hall pass because we were late to class on a regular basis. I had lost 30 pounds during the course of things and was still weak at this point.

So here is a little background on what actually happened. On that Friday, my appendix actually ruptured without every having showed signs of being inflammed. I went Friday, Saturday, and most of Sunday with it ruptured and infection set in. I went into septic shock which is why I couldn't straighten myself out and I was hurting so back and throwing up. My body was locking down on me and the infection had gotten into my blood stream and was travelling. In all honesty, I should have been dead by that point. God blessed me with an extention on life and with some really great nurses who I will never forget. I decided that I wanted to become a nurse and make a difference to the life of someone who was sick and scared. I wanted to be the nurse who held her patients hand and told her, "Never lose faith. God knows what He is doing and He is holding your hand and is guiding you through to wherever it is that you are headed." I will NEVER be the nurse who scares her patients before they are even put under the knife by saying something careless and stupid. I'm a caring nurse and I am so proud to be able to say it!

Betcha didn't know...

Stewardess is the longest word typed with only one hand.
And 'lollipop' is the longest word typed with your right hand.
(Bet you tried this out mentally, didn't you?)

No word in the English language rhymes with month, orange, silver, or purple.

'Dreamt' is the only English word that ends in the letters 'mt'. (Are you doubting this?)

Our eyes are always the same size from birth,
but our nose and ears never stop growing.

The sentence: 'The quick brown fox jumps over the lazy dog'
uses every letter of the alphabet.
(Now, you KNOW you're going to try this out for accuracy, right?)

The words 'racecar,' 'kayak' and 'level' are the same whether they are read left to right or right to left (palindromes). (Yep, I knew you were going to 'do' this one.)

There are only four words in the English language which end in 'dous': tremendous, horrendous, stupendous, and hazardous.
(You're not possibly doubting this, are you ?)

There are two words in the English language that have all five vowels in order: 'abstemious' and 'facetious.' (Yes, admit it, you are going to say, a e i o u)

TYPEWRITER is the longest word that can be made using the letters only on one row of the keyboard. (All you typists are going to test this out)

A cat has 32 muscles in each ear.

A goldfish has a memory span of three seconds .
(Some days that's about what my memory span is.)

A 'jiffy' is an actual unit of time for 1/100th of a second.

A shark is the only fish that can blink with both eyes.

A snail can sleep for three years.
(I know some people that could do this too.!)

Almonds are a member of the peach family.

An ostrich's eye is bigger than its brain.
(I know some people like that also . Actually I know A LOT of people like this!

Babies are born without kneecaps.
They don't appear until the child reaches 2 to 6 years of age.

February 1865 is the only month in recorded history not to have a full moon.

In the last 4,000 years, no new animals have been domesticated.

If the population of China walked past you, 8 abreast,
the line would never end because of the rate of reproduction.

Leonardo Da Vinci invented the scissors.

Peanuts are one of the ingredients of dynamite!

Rubber bands last longer when refrigerated.

The average person's left hand does 56% of the typing.

The cruise liner, QE 2, moves only six inches for each gallon of diesel that it burns. The microwave was invented after a researcher walked by a radar tube and a chocolate bar melted in his pocket. (Good thing he did that.)

The winter of 1932 was so cold that Niagara Falls froze completely solid .

There are more chickens than people in the world.

Winston Churchill was born in a ladies' room during a dance.

Women blink nearly twice as much as men.

Now you know more than you did before!!