I'm back in the saddle at work, after my medical leave. It did feel good to be back. To know how to do something, to be able to it well. The ICU is full of rules. Everything has its place. That was a comfort. You can control so much there, there's a protocol, there's an algorithm.
We had a 2 1/2 hour code... the lady's kept getting a spontaneous pulse after a few rounds of ACLS for PEA arrests. It seemed like it could go on all day, until we finally found a family member to tell us we could stop. THAT was craaaazy.
I had a few patients who were made comfort care, and passed away. I connected so well with the families. I've even shared the story of my loss with a few.
All in all, it's good to be back.