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	<title>The magical mystery land of community health</title>
	<link>http://lesbonurse.wordpress.com</link>
	<description>I don&#039;t make this stuff up!...but I do change identifying information.</description>
	<lastBuildDate>Thu, 17 Dec 2009 00:46:09 +0000</lastBuildDate>
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	<item>
		<title>Reason #87 Why Trans-affirming Providers Are Important:</title>
		<description><![CDATA[Transgender patient with a rash: &#8220;I was going to call and ask if you knew of a dermatologist in my town, but then I realized that this was probably going to be a pants-off situation, so I decided to come see you instead.&#8221;
Me: &#8220;Glad to be of service.&#8221;
(Mental note: try to work the phrase &#8220;pants-off [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=lesbonurse.wordpress.com&blog=2579163&post=584&subd=lesbonurse&ref=&feed=1" />]]></description>
		<link>http://lesbonurse.wordpress.com/2009/12/17/reason-87-why-trans-affirming-providers-are-important/</link>
			</item>
	<item>
		<title>&#8216;Tis the season&#8230;</title>
		<description><![CDATA[&#8230;for depression.  Yup, the annual holiday depression has set in for my patients.  I spent the past couple of days being as reassuring as possible, repeating &#8220;You&#8217;re not alone in this.  Many people find the holidays stressful and depressing.  Not everyone is happy, even though they all look like it on t.v.&#8221;  It&#8217;s a combo [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=lesbonurse.wordpress.com&blog=2579163&post=582&subd=lesbonurse&ref=&feed=1" />]]></description>
		<link>http://lesbonurse.wordpress.com/2009/12/16/tis-the-season/</link>
			</item>
	<item>
		<title>Nice try</title>
		<description><![CDATA[Arrived at the clinic yesterday to find this phone message: &#8220;Patient states that he was walking outside with his dilaudid and spilled it in the snow.  Requesting refill.&#8221;
Ah yes, when I take my morning constitutional, I always bring along an open bottle of a powerful narcotic.  Good luck with that refill request.
    [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=lesbonurse.wordpress.com&blog=2579163&post=580&subd=lesbonurse&ref=&feed=1" />]]></description>
		<link>http://lesbonurse.wordpress.com/2009/12/12/nice-try/</link>
			</item>
	<item>
		<title>Gotta love adolescents</title>
		<description><![CDATA[Sometimes I miss working with adolescents.  When you work with them&#8211;as I did with a new, 18-year old patient last week&#8211;they say the most delightful things.  Like this: &#8220;So I have a question&#8230;if you have anal sex, does it still pop your cherry?&#8221;
And also this: &#8220;Um, I was wondering, when I had sex for the [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=lesbonurse.wordpress.com&blog=2579163&post=578&subd=lesbonurse&ref=&feed=1" />]]></description>
		<link>http://lesbonurse.wordpress.com/2009/12/07/gotta-love-adolescents/</link>
			</item>
	<item>
		<title>Point taken, Universe</title>
		<description><![CDATA[Just one day after I wrote my last post about people still dying from AIDS, I had a surprise visit from one of my erstwhile patients.  She&#8217;s a HIV-positive woman who has struggled with substance abuse for most of her life.  The last time I saw her in clinic was a year ago.  Her last [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=lesbonurse.wordpress.com&blog=2579163&post=574&subd=lesbonurse&ref=&feed=1" />]]></description>
		<link>http://lesbonurse.wordpress.com/2009/12/04/point-taken-universe/</link>
			</item>
	<item>
		<title>Still a problem</title>
		<description><![CDATA[This is a serious post, in honor of World AIDS Day.  People still die from HIV/AIDS.  My patients still die from HIV/AIDS.  This year, 2 of our clinic patients have died from AIDS-related illnesses and a few more are going downhill quickly.  Yes, the drugs are amazing and life-saving.  But they&#8217;re only life-saving when you [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=lesbonurse.wordpress.com&blog=2579163&post=572&subd=lesbonurse&ref=&feed=1" />]]></description>
		<link>http://lesbonurse.wordpress.com/2009/12/02/still-a-problem/</link>
			</item>
	<item>
		<title>Sunday Haiku</title>
		<description><![CDATA[New vocal hoarseness:
Move turtleneck aside and
Whoa!! Giant goiter.
Your blood sugar was
four hundred after dinner?
Happy Thanksgiving.
Got a thank you card

from a sweet, thoughtful patient.
Shed a little tear.

       <img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=lesbonurse.wordpress.com&blog=2579163&post=570&subd=lesbonurse&ref=&feed=1" />]]></description>
		<link>http://lesbonurse.wordpress.com/2009/11/29/sunday-haiku-3/</link>
			</item>
	<item>
		<title>Yes, some doctors have a warped sense of humor</title>
		<description><![CDATA[Overheard while sitting in the staff office:
Doctor Cuts-a-lot (he loves to do I &#38; D&#8217;s) returns from draining someone&#8217;s abscess and states happily &#8220;Now that was some export-quality pus!&#8221;  Um, yes.  Our community is known for its fine, export-quality pus.  Perhaps we can shore up the horrendous economy here with a side [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=lesbonurse.wordpress.com&blog=2579163&post=566&subd=lesbonurse&ref=&feed=1" />]]></description>
		<link>http://lesbonurse.wordpress.com/2009/11/25/yes-some-doctors-have-a-warped-sense-of-humor/</link>
			</item>
	<item>
		<title>Reflections on growing up</title>
		<description><![CDATA[November is my birthday month, and it&#8217;s also the month that it starts to get really dark at 5pm.  These two things never fail to put me in a reflective, somewhat melancholy mood.  This year I&#8217;ve been thinking a lot about what it&#8217;s been like to have left my wild adolescence behind.  [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=lesbonurse.wordpress.com&blog=2579163&post=558&subd=lesbonurse&ref=&feed=1" />]]></description>
		<link>http://lesbonurse.wordpress.com/2009/11/22/reflections-on-growing-up/</link>
			</item>
	<item>
		<title>I remember you</title>
		<description><![CDATA[

Paulina Ibarra
Location: East Hollywood, California
Cause of Death: Stabbed to death
Date of Death: August 28, 2009
Paulina was found dead inside her apartment, she had
been stabbed to death. Paulina was 24 years old.

 Kamilla
Location: Volgograd, Russia
Cause of Death: shot to death
Date of Death: June, 2009
Was shot to death by her boyfriend Vladmir after he discovered
that she had [...]<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=lesbonurse.wordpress.com&blog=2579163&post=555&subd=lesbonurse&ref=&feed=1" />]]></description>
		<link>http://lesbonurse.wordpress.com/2009/11/20/i-remember-you/</link>
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