A Hard Day’s Night
Sunrise over the city this morning, looking out from the ICU
Its 530 in the morning as I write this, and I’m about 2 hours away from finishing up my first overnight in the ICU. So far, no disasters. I have to admit though, in the hours before coming into work tonight, I can’t recall having ever been so nervous. I don’t know what I expected to happen, probably anything and everything, and most of it bad. We the ED residents, staff an ICU at a catholic hospital in one of the less affluent areas of the city. So the people that come in to this particular hospital, are usually pretty sick. So naturally, I was having nightmarish daydreams earlier today of being thrust into managing a code or something bad while my senior was downstairs doing an admission and unable to get here in time. So of course, in a panic, I broke out my ACLS notes, and actually bought an ACLS app for my phone, just in case shit did hit the fan. While there were no codes, sitting here tonight, being the only M.D. in a 20 bed ICU, I think I actually felt like a doctor for the first time since actually becoming one. Granted in the 1.5 hours I was left alone, I only had to write orders for a fluid bolus or two and turf someone off the unit. It was a fleeting sensation, but it was there none the less.