Merrily we go round
The ICU is just such a different dynamic than the ED, especially in just the flow of the day. There are few things that I like less in all of medicine than rounding. Which is why I love the ER, as it doesn’t exist there. Maybe it does occasionally during shift change, but its litterally a one liner about each room and if they are staying or going. But yesterday in the ICU, omg yesterday…. rounds….for…..eight…hours. Somebody kill me. It sucks, primarily because there isn’t much to be done about it. The ICU was packed to the gills with people trying their hardest to die, so it just takes time. And I know this, but it doesn’t make it any less mind numbingly bearable. But when you don’t finish rounds until after four, essentially you are not starting to work on your individual patients until four, there is zero chance you are going to get home at a decent time. Nothing makes the ICU harder to deal with, at least for me, more so than getting home and having less than 15 minutes until I need to be in bed if I am going to get 8 hours of sleep.