Summer had a very difficult night. Pain control was the whole story. Although she was started on a PCA (patient controlled analgesic pump), which seemed to sort of work, the next decision was to put her on percocet so that she wouldn’t have to push the PCA button and could sleep. This didn’t work, then another percocet, then oxycondone (which kept her awake), then they took away the PCA, then pain climbing again, then a lidocaine patch. She wanted to tell you all that ICU nurses are not warm and fuzzy, not much “caring” the way we think of nurses in our childhood books. They would not allow Mom to stay with her all night, so she was alone and no one came around, except after long intervals, to check on her. She was miserable and in pain. All of our nerves are shot. Mom was allowed to return at 4 a.m. The cardiologist came by and said she was doing very well, which of course means nothing when you are in pain. He recognized that and ordered her put back on morphine and the PCA. He was in at 6:35. It is now 8:00 and we’re still waiting. We sure hope to get out of the ICU today. Other than continuing pain issues, she is relatively alert. The motto of this medical center is: “We put patients first”. We’re not sure what that means exactly. If we sound grumpy, we are.