<?xml version="1.0" encoding="UTF-8"?><feed xmlns="http://www.w3.org/2005/Atom" xmlns:dc="http://purl.org/dc/elements/1.1/" xml:lang="en"><title>Latest entries from topofmyhead.blog-city.com</title><rights>Copyright 2009 topofmyhead.blog-city.com</rights><subtitle></subtitle><author><name></name></author><updated>2009-11-20T03:02:00Z</updated><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/"/><link rel="self" type="application/atom+xml" href="http://topofmyhead.blog-city.com/index.rss"/><id>tag:topofmyhead.blog-city.com,2009:1</id><entry><id>tag:topofmyhead.blog-city.com,2008-04-26:links.412099209</id><title>UTERINE FIBROIDS - MY STORY</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/uterine_fibroids__my_story.htm"><![CDATA[I had noticed peri-menopausal changes since turning 49 approximately 2 years ago. My mother had never talked about her experience with this so I did not know what to expect except from what I had learned as an FNP (Family Nurse Practitioner). The las]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/uterine_fibroids__my_story.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2008-04-26T02:51:00Z</updated><published>2008-04-26T02:51:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2007-09-24:links.412043854</id><title>I Am Still Here</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/i_am_still_here.htm"><![CDATA[I am still here. I have been debating about whether to delete the blog or to wait a bit and see how things go. I have had a job change as well as other &ldquo;usual stressors&rdquo; of life going on. I have decided to continue posting because I do ha]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/i_am_still_here.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2007-09-24T05:09:00Z</updated><published>2007-09-24T05:09:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2007-06-08:links.412005465</id><title>ALZHEIMERS ONE LINERS #7</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/alzheimers_one_liners_7.htm"><![CDATA[I was walking down the hallway into the common area of the nursing home. The music of John Denver was playing in the background. One of the elderly female residents was talking to one of her friends. When they were talking I thought I heard something]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/alzheimers_one_liners_7.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2007-06-08T05:45:00Z</updated><published>2007-06-08T05:45:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2007-04-04:links.411977364</id><title>ALZHEIMER&apos;S ONE LINERS #6</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/alzheimers_one_liners_6.htm"><![CDATA[Marie&rsquo;s daughter Joan liked to take her mother out for lunch every month. Marie was a resident in the long-term care facility in the wandering Alzheimer&rsquo;s unit. She was a mellow Alzheimer&rsquo;s patient and did not have many behaviors. &]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/alzheimers_one_liners_6.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2007-04-04T01:14:00Z</updated><published>2007-04-04T01:14:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2007-03-31:links.411975346</id><title>CUP INSPECTOR</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/cup_inspector.htm"><![CDATA[THERE IS NO CUP IN THE HOUSE BLEU WILL NOT STICK HIS HEAD IN]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/cup_inspector.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2007-03-31T01:52:00Z</updated><published>2007-03-31T01:52:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2007-02-20:links.411949080</id><title>ALZHEIMER&apos;S ONE LINERS #5</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/alzheimers_one_liners_5.htm"><![CDATA[Mrs. J was pushing another resident in a wheelchair in the hallway when I walked up to her. She looked at me and smiled. She then let go of the handles on the wheelchair and proceeded to walk towards me. As she walked towards me she stated, &quo]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/alzheimers_one_liners_5.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2007-02-20T00:39:00Z</updated><published>2007-02-20T00:39:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2007-02-13:links.411943078</id><title>ALZHEIMER&apos;S ONE LINERS #4</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/alzheimers_one_liners_4.htm"><![CDATA[Mrs. M was sitting in her wheelchair in her room. I was there to see her because she was on antibiotics for a urinary tract infection (UTI). I asked her &quot;how do you feel?&quot; Mrs. M sat there for several seconds staring ahead. I could tell she]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/alzheimers_one_liners_4.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2007-02-13T01:04:00Z</updated><published>2007-02-13T01:04:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2007-01-28:links.411929109</id><title>HOSPICE HELPS DYING MAN LOSE HIS VIRGINITY</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/hospice_helps_dying_man_lose_his_virginity.htm"><![CDATA[ Here is an article about a young dying man requesting to have sexual intercourse before his death. What do you think?]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/hospice_helps_dying_man_lose_his_virginity.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2007-01-28T00:19:00Z</updated><published>2007-01-28T00:19:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2006-12-10:links.411887847</id><title>Fighting for the Nurses</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/fighting_for_the_nurses.htm"><![CDATA[The Arizona Nurses Association is trying to get the Heart Attack Grill located in Tempe, Arizona to close down because of their "waitress" wearing sexy, skimpy nursing clothes. The nurse's association advocates in order to use the word]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/fighting_for_the_nurses.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2006-12-10T02:42:00Z</updated><published>2006-12-10T02:42:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2006-10-28:links.411845486</id><title>Something To Say</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/something_to_say.htm"><![CDATA[Here is an Ausie with something to say:http://www.beccycole.com/albums/videos/poster_girl.shtml&nbsp;]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/something_to_say.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2006-10-28T07:22:00Z</updated><published>2006-10-28T07:22:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2006-10-19:links.411837240</id><title>THE DASH</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/the_dash.htm"><![CDATA[&nbsp; I attended one of my patient&#39;s funeral services today and a friend read a poem I wanted to share with you.&nbsp;The Dash...by Linda EllisI read of a man who stood to speakAt a funeral of a friendHe referred to the dates on her tombstoneFro]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/the_dash.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2006-10-19T21:43:00Z</updated><published>2006-10-19T21:43:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2006-10-03:links.411820428</id><title>Hillary and Condi</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/hillary_and_condi.htm"><![CDATA[Look at Hillary and Condoleeza at the Grand Old Opry]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/hillary_and_condi.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2006-10-03T01:52:00Z</updated><published>2006-10-03T01:52:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2006-09-09:links.411799432</id><title>ALZHEIMER&apos;S ONE LINERS #3</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/alzheimers_one_liners_3.htm"><![CDATA[Mrs. G&nbsp; was an 75-year-old woman who had a significant history of dementia with paranoia and behaviors was sitting in her room one day. She resided in the locked down wandering unit of the facility. I was there that day to examine&nbsp;her. I as]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/alzheimers_one_liners_3.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2006-09-09T06:01:00Z</updated><published>2006-09-09T06:01:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2006-08-18:links.411782668</id><title>ALZHEIMER&apos;S ONE LINERS #2</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/alzheimers_one_liners_2.htm"><![CDATA[Mrs. G resides on the wandering locked-down unit with a history of Alzheimer&rsquo;s. Usually she cannot have a conversation with the nurses or residents and has a history of frequent behaviors with yelling and screaming. One day she was in the commo]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/alzheimers_one_liners_2.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2006-08-18T00:48:00Z</updated><published>2006-08-18T00:48:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2006-08-14:links.411779716</id><title>ALZHEIMER&apos;S ONE LINERS #1</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/alzheimers_one_liners_1.htm"><![CDATA[After listening to Mrs. B’s bowel sounds I started to palpate her abdomen and asked her if she had any pain. Her response: “Oh I have been trying to get rid of that baby for years.”]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/alzheimers_one_liners_1.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2006-08-14T02:25:00Z</updated><published>2006-08-14T02:25:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2006-07-01:links.311747933</id><title>BIPHOSPHONATE LINK TO OSTEONECROSIS OF THE JAW</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/biphosphonate_link_to_osteonecrosis.htm"><![CDATA[Recently I was at a talk about the link between the use of biphosphonates and osteonecrosis. I found this very interesting because I have patients on biphosphonates for osteoporosis. I thought I would share the information I had gotten since this was]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/biphosphonate_link_to_osteonecrosis.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2006-07-01T02:01:00Z</updated><published>2006-07-01T02:01:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2006-06-27:links.311744547</id><title>Acute Renal Failure</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/acute_renal_failure_1.htm"><![CDATA[Mrs. W was a 92-year-old female patient who normally did not take in a lot of fluids and food. She weighed 90 pounds and over the past several months was losing an average of 3 pounds per month. Mrs. W did not have a good quality of life in the nursi]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/acute_renal_failure_1.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2006-06-27T02:55:00Z</updated><published>2006-06-27T02:55:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2006-05-19:links.311715438</id><title>IN LOVING MEMORY</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/bc.htm"><![CDATA[We woke up Wednesday morning as usual to get ready for work. Suddenly my husband came into the bedroom telling me B.C. cat was not looking well. We looked at our beautiful black long haired cat and he was gasping for breath. He tried to meow but]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/bc.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2006-05-19T06:12:00Z</updated><published>2006-05-19T06:12:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2006-03-24:links.1667837</id><title>WE&apos;RE SINKING!!</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/were_sinking.htm"><![CDATA[It is important to be able to speak good English.]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/were_sinking.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2006-03-24T02:04:00Z</updated><published>2006-03-24T02:04:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2006-03-09:links.1653151</id><title>TEMPORAL ARTERITIS</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/temporal_arteritis.htm"><![CDATA[Mrs. J was an 89-year-old resident in the nursing home who was an avid reader. Every time I saw her in the facility she would be sitting in her wheelchair with a book in her hand. One day the nurse called me on my cell telling me Mrs. J had been comp]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/temporal_arteritis.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2006-03-09T01:21:00Z</updated><published>2006-03-09T01:21:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2006-03-02:links.1646444</id><title>WONDER DRUG</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/wonder_drug.htm"><![CDATA[The pharmocological aspect of my job has changed since January 1, 2006. This was when the Medicare D plan began and made the drugs that were nonformulary last year now available. They are now either a Tier 2 or need prior authorization. So now the ne]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/wonder_drug.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2006-03-02T01:55:00Z</updated><published>2006-03-02T01:55:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2006-02-25:links.1642236</id><title>NEW GOUT EXPERIENCE</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/new_gout_experience.htm"><![CDATA[I walked into the long-term care facility and set my bag on the table where I usually charted about my patients medical histories. Not a minute later one of the LPN’s came into the room and said, “You need to see Mrs. O’s hand. It i]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/new_gout_experience.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2006-02-25T04:02:00Z</updated><published>2006-02-25T04:02:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2006-02-18:links.1635837</id><title>ROOM 219</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/coincidence.htm"><![CDATA[Room 219 was a private room where a 95-year-old woman named Joan lived in the long-term care facility. She had a lot of personal items in the room to make it as homely as possible. There were paintings and needlepoint pictures on the wall that Joan c]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/coincidence.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2006-02-18T01:32:00Z</updated><published>2006-02-18T01:32:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2006-01-30:links.1617989</id><title>MEDICATION INTERACTION</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/medication_interaction.htm"><![CDATA[Medication interactions are common and can be fatal. One medication in particular is Coumadin which is an anticoagulant (blood thinner). The way Coumadin works is it decreases the clotting factors ability to form blood clots which can cause the patie]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/medication_interaction.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2006-01-30T01:58:00Z</updated><published>2006-01-30T01:58:00Z</published></entry><entry><id>tag:topofmyhead.blog-city.com,2006-01-28:links.1617205</id><title>EMERGING INFECTIOUS DISEASES</title><content type="html" xml:lang="en" xml:base="http://topofmyhead.blog-city.com/emerging_infectious_diseases.htm"><![CDATA[If you are interested in reading some of the infectious diseases around the world click on the CDC website. It is a regular publication I get e-mailed to me. It is actually an eye opener to read about all of the diseases that are out there that]]></content><link rel="alternate" type="text/html" href="http://topofmyhead.blog-city.com/emerging_infectious_diseases.htm"/><dc:creator>J.R.</dc:creator><author><name>J.R.</name></author><updated>2006-01-28T21:55:00Z</updated><published>2006-01-28T21:55:00Z</published></entry></feed>