Nurse Definition Quotes

An oncology ward is a battlefield, and there are definite hierarchies of command. The patients, they're the ones doing the tour of duty. The doctors breeze in and out like conquering heroes, but they need to read your child's chart to remember where they've left off from the previous visit. It is the nurses who are the seasoned sergeants -- the ones who are there when your baby is shaking with such a high fever she needs to be bathed in ice, the ones who can teach you how to flush a central venous catheter, or suggest which patient floor might still have Popsicles left to be stolen, or tell you which dry cleaners know how to remove the stains of blood and chemotherapies from clothing. The nurses know the name of your daughter's stuffed walrus and show her how to make tissue paper flowers to twine around her IV stand. The doctors may be mapping out the war games, but it is the nurses who make the conflict bearable.

Do I look like I have anything ?" I asked him, in a reasonable voice. He looked as unnerved as the nurse had. He said, "Sorry," and backed away. I took a step after him. I screamed, "I HAVE NOTHING!" And then I said, in a perfectly calm voice, "See, I never had anything to start with.

There’s no clearer definition of war than the sight of barbed wired fences surrounding dark fields muddied by the sky’s tears.

Far in the back of her mind she was thinking. But she could not dredge up these half-formed feelings, these obscure bits of ideas, into clear, definite thoughts. . . . Her mind ticked away, singing a song she could not decipher.

Nurse Winter seems... Something's not right. I can't put my finger on it, but something is definitely not right with her.

Bob neither smoked nor drank. In public or at professional events, if he felt he had to consume alcohol, he would sometimes order one drink and nurse it for the duration of the event.

If I learned anything in nursing school, it’s that bright words make the eardrums vibrate brightly. They have their own bright sound. So even if the patient doesn’t understand what you’re saying, his eardrums will physically vibrate on that bright wavelength. We’re taught to always talk to the patient in a big, bright voice whether he can hear you or not. It definitely helps, whatever the logic involved.

The hospice fridge is filled with cream: ice cream, sour cream, heavy cream, cans and cans of whipped cream. There’s definitely a now or never feeling about food around here, and it makes you wonder what you think you might be waiting for in your own life. I mean, crusty, gooey mac and cheese? Thickly frosted éclairs? Velveeta melted over a plate of potato chips—what the nurses call the house nachos? Eat your kale and blueberries and whatever else, but go ahead. Have some of the good stuff now too. We

Liar,' he said in disgust. 'You're still playing doctors and nurses with the guy you screwed Charlie over with.' Her mouth fell open. 'Don't worry, I won't tell my brother. He's got enough to deal with.' 'I would never have an affair.' 'See here's where you and I part ways on our definition of fidelity,' he said. 'I think tonsil hockey with another man is off the agenda for a married woman. Call me old-fashioned.' Her fury was unexpected. 'Who started that rumor...who!' 'What are you talking about? You admitted it.

The executive’s time tends to belong to everybody else. If one attempted to define an “executive” operationally (that is, through his activities) one would have to define him as a captive of the organization. Everybody can move in on his time, and everybody does. There seems to be very little any one executive can do about it. He cannot, as a rule, like the physician, stick his head out the door and say to the nurse, “I won’t see anybody for the next half hour.” Just at this moment, the executive’s telephone rings, and he has to speak to the company’s best customer or to a high official in the city administration or to his boss—and the next half hour is already gone.*

Luke, meet Willy,” Micah says from behind him, his voice sounding strained. “Randy’s elf and all around pain in the ass.” “Speak for yourself, nurse boy,” Willy comes back at him with a loud laugh. “And Randy says the pain’s not so bad anymore, so ha! You know that stuff takes a lot of practice for it not to hurt every time.” Surely he’s not saying what it sounds like he’s saying? “And a lot of lube,” the elf continues. “I mean, when you’re as big as I am and all, even if Randy is a big man, he still has a tight-” Oh, he’s definitely saying it. Micah slaps his hands over his ears. “Stop it!” Willy smirks at him. “I bet you won’t call me a pain in the ass in front of somebody again.

But the period I studied -- the rollicking eighteenth century engraved by Hogarth -- was the one that saw the birth of America, of women's rights, and of the novel. The novel started as a low-class form, fit only to be read by serving maids, and it is the only literary form where women have distinguished themselves so early and with such excellence that even the rampant misogyny of literary history cannot erase them. Ever wonder about women and the novel? Women, like any underclass, depend for their survival on self-definition. The novel permitted this -- and pages could still be hidden under the embroidery hoop. From the writer's mind to the reader's there was only the intervention of printing presses. You could stay at home, yet send your book abroad to London -- the perfect situation for women. In a world where women are still the second sex, many still dream of becoming writers so they can work at home, make their own hours, nurse the baby. Writing still seems to fit into the interstices of a woman's life. Through the medium of words, we have hopes of changing our class. Perhaps the pen will not always be equated with the penis. In a world of computers, our swift fingers may yet win us the world. One of these days we'll have class. And so we write as feverishly as only the dispossessed can. We write to come into our own, to build our houses and plant our gardens, to give ourselves names and histories, inventing ourselves as we go along.

She was too narcoleptic to speak. Or move. How long had this been going on? Was she like this yesterday? Had I missed her illness in my quest to prove to my brain that my dick wasn’t the one behind this train wreck’s wheel? I touched her forehead again. It sizzled. “Sweetheart.” “Please get out.” The words clawed past her throat. “Someone needs to take care of you.” “That someone definitely isn’t you. You made that clear these past couple days.” I said nothing. She was right. I hadn’t bothered to check on her. Perhaps I’d wished she’d check on me. In truth, she’d already gone beyond any expectations in trying to make whatever it was between us work. Meanwhile, I’d shut her down. Repeatedly. “Shortbread, let me get you some medicine and tea.” “I don’t want you to nurse me to health. Do you hear me?” She must have hated that I’d seen her like this. Weak and ill. “Call Momma and Frankie. It’s them I want by my side.” I swallowed but didn’t argue. I understood she didn’t want to feel humiliated. To be taken care of by the man who ensured she understood her insignificance to him. How did her bullshit meter not fry? How could she think I really felt nothing toward her? “First, I’ll get you medicine, tea, and water. Then I’ll call for Hettie to stay with you. Then I’ll notify your mother.” I tugged her comforter up to her chin. “No arguments.” She tried to wave me out, groaning at the slightest movement. “Whatever. Just go. I don’t want to see your face.” I gave her what she wanted, though as always, not in the way she expected. The sequence of actions didn’t proceed as promised. First, I contacted Cara to dispatch the private jet to Georgia. Then I called my mother-in-law and Franklin—separately—demanding their presence. Only then did I enter the kitchen to grab water, tea, and ibuprofen for Shortbread’s fever. Naturally, like the chronic idler he often proved to be, Oliver still sat at the island, now enjoying an extra-large slice of red velvet cake I was pretty sure was meant to be consumed by Dallas. “What are you still doing here?” I demanded, collecting the things I needed for her. He scratched his temple with the handle of his fork, brows pulled together. “You invited me here. You wanted to watch a soccer game, remember?” I did not remember. I didn’t even remember my own address right now. “Get out.” “What about the—” I snatched the plate from his fingers, admitting to myself that I’d treaded into feral grounds. “This cake wasn’t for you to eat.” “You’ve gone insane in the ten minutes you were gone.” Oliver gawked at me, wide-eyed. “What happened to you? Did Durban not get her hands on the latest Henry Plotkin book and take her anger out on you?” Shit. The Henry Plotkin book. I shoved Oliver out with a fork still clutched in his grimy fist, dialing Hettie with my free hand. She half-yawned, half-spoke. “Yes?” “Dallas is ill. You need to come here and take care of her until my in-laws arrive in about two hours.” “Oh, yeah?” Her energy returned tenfold. “And what the hell are you gonna do during this time?” “Freeze my balls off.”(Chapter 58)

Everyone, this is the new girl. Elder knows her. New girl, this is everyone.” A few people look up politely; some actually smile. Most, however, look wary at best, disgusted at worse. The nurse closest to me jabs her finger behind her ear and starts whispering to nobody. “What’s wrong with her?” I ask Harley as he leads me to the table he was sitting at. “Oh, don’t worry, we’re all mad here.” I giggle, mostly from nerves. “It’s a good thing I read Alice in Wonder-land . I definitely think I’ve fallen into the rabbit hole.” “Read what?” Harley asks. “Never mind.” All around me, eyes follow my every move. “Look,” I say loudly. “I know I look different. But I’m just a person, like you.” I hold my head up high, looking them all in the eyes, trying to hold their stares for as long as possible. “You tell ’em,” says Harley with another Cheshire grin.

Any chance you might be pregnant?” I knew that wasn’t it. “Well, it wouldn’t be impossible,” I humored him. “But I know that’s not what it is. I got this same thing on our honeymoon, just as soon as we got to Australia. It’s definitely some kind of vertigo/inner ear thing.” I swallowed hard, wishing I’d brought along some Froot Loops. “When was your wedding?” he asked, looking at the calendar on the wall of the exam room. “September twenty-first,” I answered. “But again…I know it’s my ears.” “Well, let’s just rule it out,” the doctor said. “I’ll send the nurse in here in a minute, okay?” Waste of time, I thought. “Okay, but…do you think there’s anything we can do about my ears?” I really didn’t want to feel this way anymore. “Marcy will be in here in just a second,” he repeated. He wasn’t acknowledging my self-diagnosis at all. What kind of doctor is this?

The problem, Augustine came to believe, is that if you think you can organize your own salvation you are magnifying the very sin that keeps you from it. To believe that you can be captain of your own life is to suffer the sin of pride. What is pride? These days the word “pride” has positive connotations. It means feeling good about yourself and the things associated with you. When we use it negatively, we think of the arrogant person, someone who is puffed up and egotistical, boasting and strutting about. But that is not really the core of pride. That is just one way the disease of pride presents itself. By another definition, pride is building your happiness around your accomplishments, using your work as the measure of your worth. It is believing that you can arrive at fulfillment on your own, driven by your own individual efforts. Pride can come in bloated form. This is the puffed-up Donald Trump style of pride. This person wants people to see visible proof of his superiority. He wants to be on the VIP list. In conversation, he boasts, he brags. He needs to see his superiority reflected in other people’s eyes. He believes that this feeling of superiority will eventually bring him peace. That version is familiar. But there are other proud people who have low self-esteem. They feel they haven’t lived up to their potential. They feel unworthy. They want to hide and disappear, to fade into the background and nurse their own hurts. We don’t associate them with pride, but they are still, at root, suffering from the same disease. They are still yoking happiness to accomplishment; it’s just that they are giving themselves a D– rather than an A+. They tend to be just as solipsistic, and in their own way as self-centered, only in a self-pitying and isolating way rather than in an assertive and bragging way. One key paradox of pride is that it often combines extreme self-confidence with extreme anxiety. The proud person often appears self-sufficient and egotistical but is really touchy and unstable. The proud person tries to establish self-worth by winning a great reputation, but of course this makes him utterly dependent on the gossipy and unstable crowd for his own identity. The proud person is competitive. But there are always other people who might do better. The most ruthlessly competitive person in the contest sets the standard that all else must meet or get left behind. Everybody else has to be just as monomaniacally driven to success. One can never be secure. As Dante put it, the “ardor to outshine / Burned in my bosom with a kind of rage.” Hungry for exaltation, the proud person has a tendency to make himself ridiculous. Proud people have an amazing tendency to turn themselves into buffoons, with a comb-over that fools nobody, with golden bathroom fixtures that impress nobody, with name-dropping stories that inspire nobody. Every proud man, Augustine writes, “heeds himself, and he who pleases himself seems great to himself. But he who pleases himself pleases a fool, for he himself is a fool when he is pleasing himself.”16 Pride, the minister and writer Tim Keller has observed, is unstable because other people are absentmindedly or intentionally treating the proud man’s ego with less reverence than he thinks it deserves. He continually finds that his feelings are hurt. He is perpetually putting up a front. The self-cultivator spends more energy trying to display the fact that he is happy—posting highlight reel Facebook photos and all the rest—than he does actually being happy. Augustine suddenly came to realize that the solution to his problem would come only after a transformation more fundamental than any he had previously entertained, a renunciation of the very idea that he could be the source of his own solution.

Joy The Pali word sukkha (Sanskrit su-kha) is usually translated as happiness. As the opposite of duhkha, however, it connotes the end of all suffering, a state of being that is not subject to the ups and downs of change – that is, abiding joy. It would be difficult to find a more thoroughly researched definition of joy than the Buddha’s. If we can trust that at least the outline of truth remains in the legends of his life, then his questionings just before going forth to the Four Noble Sights were chiefly concerned with the search for absolute joy. What anyone could want of worldly happiness, Prince Siddhartha surely had, with the promise of much more. But the young prince scrutinized the content of worldly happiness much more closely than the rest of us, and his conclusion was that what people called joy was a house of cards perched precariously on certain preconditions. When these preconditions are fulfilled, the pleasure we feel lasts but a moment, for the nature of human experience is to change. And when they are not fulfilled, there is longing and a frustratingly elusive sense of loss; we grasp for what we do not have and nurse the gnawing desire to have it again. To try to hold on to anything – a thing, a person, an event, a position – merely exposes us to its loss. Anything that changes, the Buddha concluded, anything in our experience that consists of or is conditioned by component sensations – the Buddha’s word was samskaras – produces sorrow, not joy. Experience promises happiness, but it delivers only

As she explained to her students, patients often awoke from very bad illnesses or cardiac arrests, talking about how they had been floating over their bodies. “Mm-hmmm,” Norma would reply, sometimes thinking, Yeah, yeah, I know, you were on the ceiling. Such stories were recounted so frequently that they hardly jolted medical personnel. Norma at the time had mostly chalked it up to some kind of drug reaction or brain malfunction, something like that. “No, really,” said a woman who’d recently come out of a coma. “I can prove it.” The woman had been in a car accident and been pronounced dead on arrival when she was brought into the emergency room. Medical students and interns had begun working on her and managed to get her heartbeat going, but then she had coded again. They’d kept on trying, jump-starting her heart again, this time stabilizing it. She’d remained in a coma for months, unresponsive. Then one day she awoke, talking about the brilliant light and how she remembered floating over her body. Norma thought she could have been dreaming about all kinds of things in those months when she was unconscious. But the woman told them she had obsessive-compulsive disorder and had a habit of memorizing numbers. While she was floating above her body, she had read the serial number on top of the respirator machine. And she remembered it. Norma looked at the machine. It was big and clunky, and this one stood about seven feet high. There was no way to see on top of the machine without a stepladder. “Okay, what’s the number?” Another nurse took out a piece of paper to jot it down. The woman rattled off twelve digits. A few days later, the nurses called maintenance to take the ventilator machine out of the room. The woman had recovered so well, she no longer needed it. When the worker arrived, the nurses asked if he wouldn’t mind climbing to the top to see if there was a serial number up there. He gave them a puzzled look and grabbed his ladder. When he made it up there, he told them that indeed there was a serial number. The nurses looked at each other. Could he read it to them? Norma watched him brush off a layer of dust to get a better look. He read the number. It was twelve digits long: the exact number that the woman had recited. The professor would later come to find out that her patient’s story was not unique. One of Norma’s colleagues at the University of Virginia Medical Center at the time, Dr. Raymond Moody, had published a book in 1975 called Life After Life, for which he had conducted the first large-scale study of people who had been declared clinically dead and been revived, interviewing 150 people from across the country. Some had been gone for as long as twenty minutes with no brain waves or pulse. In her lectures, Norma sometimes shared pieces of his research with her own students. Since Moody had begun looking into the near-death experiences, researchers from around the world had collected data on thousands and thousands of people who had gone through them—children, the blind, and people of all belief systems and cultures—publishing the findings in medical and research journals and books. Still, no one has been able to definitively account for the common experience all of Moody’s interviewees described. The inevitable question always followed: Is there life after death? Everyone had to answer that question based on his or her own beliefs, the professor said. For some of her students, that absence of scientific evidence of an afterlife did little to change their feelings about their faith. For others,

In her definitive work A Social History of Wet Nursing in America: From Breast to Bottle (1996), Janet Golden notes that these women left no accounts of their experiences, stating that “wet nurses remain historically silent.

The favorable break came through Carnegie, but what about the DETERMINATION, DEFINITENESS OF PURPOSE, and the DESIRE TO ATTAIN THE GOAL, and the PERSISTENT EFFORT OF TWENTY-FIVE YEARS? It was no ordinary DESIRE that survived disappointment, discouragement, temporary defeat, criticism, and the constant reminding of "waste of time." It was a BURNING DESIRE! AN OBSESSION! When the idea was first planted in my mind by Mr. Carnegie, it was coaxed, nursed, and enticed to remain alive. Gradually, the idea became a giant under its own power, and it coaxed, nursed, and drove me. Ideas are like that. First you give life and action and guidance to ideas, then they take on power of their own and sweep aside all opposition.

I closed my eyes, laid my head back on the pillow, and savored my first moments alone with my child. Seconds later, the door to my room opened and my brother-in-law, Tim, walked in. He’d just finished working a huge load of cattle. Marlboro Man would have been, too, if I hadn’t gone into labor the night before. “Hey!” Tim said enthusiastically. “How’s it going?” I yanked the bedsheet far enough north to cover the baby’s head and my exposed breast; as much as I loved my new brother-in-law, I just couldn’t see myself being that open with him. He caught on immediately. “Oops--did I come at a bad time?” Tim asked, a deer caught in the headlights. “You just missed your brother,” I said. The baby’s lips fell off my nipple and she rooted around and tried to find it again. I tried to act like nothing was happening under the covers. “No kidding?” Tim asked, looking nervously around the room. “Oh, I should have called first.” “Come on in,” I said, sitting up in the bed as tall as I could. The epidural had definitely worn off. My bottom was beginning to throb. “How’s the baby?” he asked, wanting to look but unsure if he should look in her direction. “She’s great,” I answered, pulling the little one out from under the covers. I prayed I could get my nipple quickly tucked away without incident. Tim smiled as he regarded his new niece. “She’s so cute,” he said tenderly. “Can I hold her?” He reached out his arms like a child wanting to hold a puppy. “Sure,” I said, handing her over, my bottom stinging by now. All I could think about was getting in the shower and spraying it with the nozzle I’d noticed earlier in the day when the nurse escorted me to the bathroom. I’d started obsessing over it, in fact. The nozzle was all I could think about. Tim seemed as surprised at the baby’s gender as his brother had been. “I was shocked when I heard!” he said, looking at me with a smile. I laughed, imagining what Marlboro Man’s dad might be thinking. That the first grandchild in such a male-dominated ranching family turned out to be a girl was becoming more humorous to me each minute. This was going to be an adventure.

To begin, look over the chapters by glancing at the content on the pages. Set aside about 30 minutes every four to five hours or three times a day and look at the bold words, pictures, and highlighted sentences. Nursing exams generally test on multiple chapters so it is important you start this process as soon as you can. Ideally, begin immediately after you have taken your last exam so you can get a head start on new material. This step helps you recognize the words and familiarizes you with the content. After several times of looking at a word read the definition. As you read the definition notice how you are able to focus on what the word means. Doing this simple step can eliminate reading without understanding. We must see a word several times before our brain flags it as important. That is why after the third or fourth time you look over information you finally say to yourself, “Okay, I have heard and seen this several times and I must know more about it!” Once you have reached that point you will find yourself directing all of your attention to the word’s definition. And that motivation is because you have seen it so many times. There is still a problem though, because in nursing school there are thousands upon thousands of words. By just reading you rely on vision to get you through and retain all of this knowledge. Although this is possible, and has probably worked in the past, this is not an ideal way to study for nursing classes. After you look at the words and read the definitions a few times, go back and underline each word and definition. This helps you engage the body by adding movement. Then say the words and definitions out loud. Doing so engages the three senses of sight, touch, and sound. You are also using all three learning styles, which are visual, auditory, and kinesthetic. No matter what type of learner you are predominately, if you constantly use all three styles it helps to lock the information into your brain. I have also noticed that these steps train you to have a photographic memory. This is especially important when there is a long chart you need to memorize. For example, in pediatric nursing you need to know a very extensive growth and development chart, and if you do not have kids yet it can be extremely foreign. At first, incorporating this new study method may be challenging. But once you start using it and see your exam results rise, you will never turn back. After

ON JULY 15, 1787, eight-year-old Polly Jefferson and fourteen-year-old Sally Hemings reached Jefferson’s Paris doorstep. Sally Hemings had come to Monticello as an infant in 1773 as part of Martha Jefferson’s inheritance from her father. John Wayles had fathered six children with his biracial captive Elizabeth Hemings. Sally was the youngest. By 1787, she was reportedly “very handsome, [with] long straight hair down her back,” and she accompanied Polly to Paris instead of an “old nurse.

In March 1942, the Office of the Surgeon General noted a growing incidence of jaundice (yellowing of the skin caused by liver disease) among US Army personnel stationed in California, England, Hawaii, Iceland, and Louisiana. All of those jaundiced had recently received a yellow fever vaccine, which, in addition to containing yellow fever vaccine virus, contained human serum as a stabilizing agent. On April 15, 1942, the surgeon general ordered that yellow fever vaccination be discontinued and that all existing lots be recalled and destroyed. Shortly thereafter, manufacturers made a yellow fever vaccine with water instead of serum, but it was too late. The serum used to stabilize the yellow fever vaccine had been obtained from nurses, medical students, and interns at Johns Hopkins Hospital in Baltimore, several of whom had a history of jaundice and one of whom was actively infected at the time of the donation. By June 1942, fifty thousand US servicemen had been hospitalized with severe liver disease, and 150 had died from what would later be known as hepatitis B. Of the 141 lots of yellow fever vaccine provided to the army, seven were definitely contaminated. Among those who received one of those seven lots, 78 percent became infected. When the dust settled, 330,000 servicemen had been infected and one thousand had died. This was then and remains today one of the worst single-source outbreaks of a fatal infection ever recorded.

Celebrities Ain't Health Experts (The Sonnet) Celebrities and influencers are not health experts, Stop taking medical advice from halfwits of wellness. Stop being a two-bit doctor from ten minutes of googling, For Google is not a substitute for doctors and nurses. Compared to that of a trained and experienced doctor, Even as a neurobiologist my diagnosis skills are insignifant. Then why can't you accept that when it comes to medicine, Your opinion is worth no more than a counterfeit coin. One goes through years of training and many sleepless nights, Then they earn the right to wear the white coat of service. And yet upon spending an hour surfing on the internet, You put on the personality of a grey-haired neurologist! Lack of expertise is by no means the same as lack of dignity. But denial of expertise indicates a definite lack of senility.

I’m Jay Powers, the circulating nurse”; “I’m Zhi Xiong, the anesthesiologist”—that sort of thing. It felt kind of hokey to me, and I wondered how much difference this step could really make. But it turned out to have been carefully devised. There have been psychology studies in various fields backing up what should have been self-evident—people who don’t know one another’s names don’t work together nearly as well as those who do. And Brian Sexton, the Johns Hopkins psychologist, had done studies showing the same in operating rooms. In one, he and his research team buttonholed surgical staff members outside their operating rooms and asked them two questions: how would they rate the level of communications during the operation they had just finished and what were the names of the other staff members on the team? The researchers learned that about half the time the staff did not know one another’s names. When they did, however, the communications ratings jumped significantly. The investigators at Johns Hopkins and elsewhere had also observed that when nurses were given a chance to say their names and mention concerns at the beginning of a case, they were more likely to note problems and offer solutions. The researchers called it an “activation phenomenon.” Giving people a chance to say something at the start seemed to activate their sense of participation and responsibility and their willingness to speak up. These were limited studies and hardly definitive. But the initial results were enticing. Nothing had ever been shown to improve the ability of surgeons to broadly reduce harm to patients aside from experience and specialized training. Yet here, in three separate cities, teams had tried out these unusual checklists, and each had found a positive effect. At Johns Hopkins, researchers specifically measured their checklist’s effect on teamwork. Eleven surgeons had agreed to try it in their cases—seven general surgeons, two plastic surgeons, and two neurosurgeons. After three months, the number of team members in their operations reporting that they “functioned as a well-coordinated team” leapt from 68 percent to 92 percent. At the Kaiser hospitals in Southern California, researchers had tested their checklist for six months in thirty-five hundred operations. During that time, they found that their staff’s average rating of the teamwork climate improved from “good” to “outstanding.” Employee satisfaction rose 19 percent. The rate of OR nurse turnover—the proportion leaving their jobs each year—dropped from 23 percent to 7 percent. And the checklist appeared to have caught numerous near errors. In

To believe that you can be captain of your own life is to suffer the sin of pride. What is pride? These days the word “pride” has positive connotations. It means feeling good about yourself and the things associated with you. When we use it negatively, we think of the arrogant person, someone who is puffed up and egotistical, boasting and strutting about. But that is not really the core of pride. That is just one way the disease of pride presents itself. By another definition, pride is building your happiness around your accomplishments, using your work as the measure of your worth. It is believing that you can arrive at fulfillment on your own, driven by your own individual efforts. Pride can come in bloated form. This is the puffed-up Donald Trump style of pride. This person wants people to see visible proof of his superiority. He wants to be on the VIP list. In conversation, he boasts, he brags. He needs to see his superiority reflected in other people’s eyes. He believes that this feeling of superiority will eventually bring him peace. That version is familiar. But there are other proud people who have low self-esteem. They feel they haven’t lived up to their potential. They feel unworthy. They want to hide and disappear, to fade into the background and nurse their own hurts. We don’t associate them with pride, but they are still, at root, suffering from the same disease. They are still yoking happiness to accomplishment; it’s just that they are giving themselves a D– rather than an A+. They tend to be just as solipsistic, and in their own way as self-centered, only in a self-pitying and isolating way rather than in an assertive and bragging way. One key paradox of pride is that it often combines extreme self-confidence with extreme anxiety. The proud person often appears self-sufficient and egotistical but is really touchy and unstable. The proud person tries to establish self-worth by winning a great reputation, but of course this makes him utterly dependent on the gossipy and unstable crowd for his own identity. The proud person is competitive. But there are always other people who might do better. The most ruthlessly competitive person in the contest sets the standard that all else must meet or get left behind. Everybody else has to be just as monomaniacally driven to success. One can never be secure. As Dante put it, the “ardor to outshine / Burned in my bosom with a kind of rage.

Alex whispers, “There’s a thin line between love and hate. Maybe you’re confusing your emotions.” I scoot away from him. “I wouldn’t bet on it.” “I would.” Alex’s gaze turns toward the door to the classroom. Through the window, his friend is waving to him. They’re probably going to ditch class. Alex grabs his books and stands. Mrs. Peterson turns around. “Alex, sit down.” “I got to piss.” The teacher’s eyebrows furrow and her hand goes to her hip. “Watch your language. And the last time I checked, you don’t need your books in order to go to the restroom. Put them back on the lab table.” Alex’s lips are tight, but he places the books back on the table. “I told you no gang-related items in my class,” Mrs. Peterson says, staring at the bandanna he’s holding in front of him. She holds out her hand. “Hand it over.” He glances at the door, then faces Mrs. Peterson. “What if I refuse?” “Alex, don’t test me. Zero tolerance. You want a suspension?” She wiggles her fingers, signaling to hand the bandana over immediately or else. Scowling, he slowly places the bandana in her hand. Mrs. Peterson sucks in her breath when she snatches the bandanna from his fingers. I screech, “Ohmygod!” at the sight of the big stain on his crotch. The students, one by one, start laughing. Colin laughs the loudest. “Don’t sweat it, Fuentes. My great-grandma has the same problem. Nothing a diaper won’t fix.” Now that hits home because at the mention of adult diapers, I immediately think of my sister. Making fun of adults who can’t help themselves isn’t funny because Shelley is one of those people. Alex sports a big, cocky grin and says to Colin, “Your girlfriend couldn’t keep her hands out of my pants. She was showin’ me a whole new definition of hand warmers, compa.” This time he’s gone too far. I stand up, my stool scraping the floor. “You wish,” I say. Alex is about to say something to me when Mrs. Peterson yells, “Alex!” She clears her throat. “Go to the nurse and…fix yourself. Take your books, because afterward you’ll be seeing Dr. Aguirre. I’ll meet you in his office with your friends Colin and Brittany.” Alex swipes his books off the table and exits the classroom while I ease back onto my stool. While Mrs. Peterson is trying to calm the rest of the class, I think about my short-lived success in avoiding Carmen Sanchez. If she thinks I’m a threat to her relationship with Alex, the rumors that are sure to spread today could prove deadly.

Two Chinese people named Mr. and Mrs. Wong were married and had a child. They asked the doctor if they could see their newborn. A nurse brought over their baby, but it was a white baby. The two of them said, “Hey, that’s not our baby! That’s a white baby. We are Chinese and two Wongs definitely don’t make a white.

Shura, I did quit. I want you to quit, too.” He sat and considered her. His brow was furled. “You’re working too hard,” she said. “Since when?” “Look at you. All day in the dank basement, working in cellars... what for?” “I don’t understand the question. I have to work somewhere. We have to eat.” Chewing her lip, Tatiana shook her head. “We still have money— some of it left over from your mother, some of it from nursing, and in Coconut Grove you made us thousands carousing with your boat women.” “Mommy, what’s carousing?” said Anthony, looking up from his coloring. “Yes, Mommy, what’s carousing?” said Alexander, smiling. “My point is,” Tatiana went on, poker-faced, “that we don’t need you to break your back as if you’re in a Soviet labor camp.” “Yes, and what about your dream of a winery in the valley? You don’t think that’s back-breaking work?” “Yes . . .” she trailed off. What to say? It was just last week in Carmel that they’d had that wistful conversation. “Perhaps it’s too soon for that dream.” She looked deeply down into her plate. “I thought you wanted to settle here?” Alexander said in confusion. “As it turns out, less than I thought.” She coughed, stretching out her hand. He took it. “You’re away from us for twelve hours a day and when you come back you’re exhausted. I want you to play with Anthony.” “I do play with him.” She lowered her voice. “I want you to play with me, too.” “Babe, if I play with you any more, my sword will fall off.” “What sword, Dad?” “Anthony, shh. Alexander, shh. Look, I don’t want you to fall asleep at nine in the evening. I want you to smoke and drink. I want you to read all the books and magazines you haven’t read, and listen to the radio, and play baseball and basketball and football. I want you to teach Anthony how to fish as you tell him your war stories.” “Won’t be telling those any time soon.” “I’ll cook for you. I’ll play dominoes with you.” “Definitely no dominoes.” “I’ll let you figure out how I always win.” A Sarah Bernhardt-worthy performance. Shaking his head, he said slowly, “Maybe poker.” “Absolutely. Cheating poker then.” Rueful Russian Lazarevo smiles passed their faces. “I’ll take care of you,” she whispered, the hand he wasn’t holding shaking under the table. “For God’s sake, Tania... I’m a man. I can’t not work.” “You’ve never stopped your whole life. Come on. Stop running with me.” The irony in that made her tremble and she hoped he wouldn’t notice. “Let me take care of you,” Tatiana said hoarsely, “like you know I ache to. Let me do for you. Like I’m your nurse at the Morozovo critical care ward. Please.” Tears came to her eyes. She said quickly, “When there’s no more money, you can work again. But for now... let’s leave here. I know just the place.” Her smile was so pathetic. “Out of my stony griefs, Bethel I’ll raise,” she whispered. Alexander was silently contemplating her, puzzled again, troubled again. “I honestly don’t understand,” he said. “I thought you liked it here.” “I like you more.

Cam motions to me. “You have murder in your eyes, bro.” “Pretty much what I was fantasizing about just now, but I’m trying to avoid jail time before the draft.” Laughing, he nods. “Solid decision.” He lowers his voice. “How did Roxy’s appointment go?” Cam is the only one of our friends besides Charlotte and Jake who knows Rox is pregnant. A smile erupts on my face. “It was crazy. She had the nurse call me into her exam room at the end to see the ultrasound. I got to hear the heartbeat. It was just whirring away.” I hold my hand over my chest because that moment will go down as one of the coolest in my life. “She’s due in August.” “Girl or boy?” “Too early to tell. It looks like a bean, though.” I hold my fingers apart by a centimeter. “Like this big.” “Y’all gonna make it official or keep pretending you’re just friends?” “We’re definitely not ‘just friends,’ and I think she’s starting to figure it out.” He smacks me on the back. “Happy for you.” His eyes travel across the room to Ezra, but his voice lowers to a whisper. “You’re obviously a better candidate than that jackass.

Leininger, 1978, 1984; Watson, 1985, 2008), human–universe–health interrelationships (Parse, 1998, 2014), and “the health or wholeness of human beings as they interact with their environment” (Donaldson & Crowley, 1978, p. 113). Newman et al. (1991) created a parsimonious definition of the focus of nursing that synthesizes the unitary nature of human beings with caring: “Nursing is the study of caring in the human health experience” (p. 3). M. C. Smith’s definition uses similar concepts but shifts the direct object in the sentence: “Nursing is the study of human–environment health and healing through caring” (1994, p. 50). This definition can be stated even more parsimoniously:

Definitely, my double eyelids surgery went well for me on this Tuesday’s night! Thank goodness! I felt a bit painful, felt sick, a lot dizzy, so tired, so sleepy, relieved, peaceful from my double eyelids surgery! My double eyelids surgery’s surgeon doctor, surgeon’s doctor’s assistant, nurse were so amazing to take care of me even though I was feeling sick from last night’s double eyelids surgery! It’s great that I did my double eyelids surgery on yesterday to finish it up! My double eyelids surgery went well for me on this Tuesday night!

There is, however, a completely satisfactory way of avoiding the paradoxes without betraying our science. The desires and attitudes which help us find this way and show us what direction to take are these: 1. Wherever there is any hope of salvage, we will carefully investigate fruitful definitions and deductive methods. We will nurse them, strengthen them, and make them useful. No one shall drive us out of the paradise which Cantor has created for us. 2. We must establish throughout mathematics the same certitude for our deductions as exists in ordinary elementary number theory, which no one doubts and where contradictions and paradoxes arise only through our own carelessness.

Over the next couple of years, Cole and the rest of psychiatry settled on a trial design for testing psychotropic drugs. Psychiatrists and nurses would use “rating scales” to measure numerically the characteristic symptoms of the disease that was to be studied. Did a drug for schizophrenia reduce the patient’s “anxiety”? His or her “grandiosity”? “Hostility”? “Suspiciousness”? “Unusual thought content”? “Uncooperativeness”? The severity of all of those symptoms would be measured on a numerical scale and a total “symptom” score tabulated, and a drug would be deemed effective if it reduced the total score significantly more than a placebo did within a six-week period. At least in theory, psychiatry now had a way to conduct trials of psychiatric drugs that would produce an “objective” result. Yet the adoption of this assessment put psychiatry on a very particular path: The field would now see short-term reduction of symptoms as evidence of a drug’s efficacy. Much as a physician in internal medicine would prescribe an antibiotic for a bacterial infection, a psychiatrist would prescribe a pill that knocked down a “target symptom” of a “discrete disease.” The six-week “clinical trial” would prove that this was the right thing to do. However, this tool wouldn’t provide any insight into how patients were faring over the long term. Were they able to work? Were they enjoying life? Did they have friends? Were they getting married? None of those questions would be answered. This was the moment that magic-bullet medicine shaped psychiatry’s future. The use of the clinical trial would cause psychiatrists to see their therapies through a very particular prism, and even at the 1956 conference, New York State Psychiatric Institute researcher Joseph Zubin warned that when it came to evaluating a therapy for a psychiatric disorder, a six-week study induced a kind of scientific myopia. “It would be foolhardy to claim a definite advantage for a specified therapy without a two- to five-year follow-up,” he said. “A two-year follow-up would seem to be the very minimum for the long-term effects.

The parent storms, the child looks on, catches the lineaments of wrath, puts on the same airs in the circle of smaller slaves, gives a loose to his worst passions, and thus nursed, educated, and daily exercised in tyranny, cannot but be stamped by it with odious peculiarities.”15

It comes as a surprise to many that the rivers of London have their goddesses. Even people who have been officially raised to believe in such things as river spirits, and that’s about a third of the world’s population by the way, have trouble with the idea that the Thames might have a deity. The Niger, definitely. The Amazon, of course. The Mississippi, certainly. But the Thames? Actually there are two of them. The Old Man of the River is the eldest by a couple of millennia, possibly a Romano-Brit called Tiberius Claudius Verica who ruled the Thames from source to estuary until 1858, when the mere fact that the city had reduced the river to an open sewer caused him to move upstream in a huff. So London did without his help until the late fifties when a heartbroken trainee nurse from Nigeria threw herself off London Bridge and found the position of goddess open. Well, that’s the way she tells it anyway.

It's definitely reassuring to be advised by a professional Just like it's more reassuring when a nurse or a doctor treats your wound and tells you you're going to be fine, as opposed to when a non-professional tells you that.