Six admits, including a guy I argued for twenty minutes needed to get admitted to the ICU. Arrived in terrible shape, couldn't really be stabilized, we should not be admitting him onto the regular floors, we just shouldn't, he needs more care than that.
No, no, the night attending insists. He'll be fine, they'll deal with him in the morning. The ICU can't handle another bed, whatever.
So we admit him to the floor, I send him up there and then he's not my responsibility anymore. The night attending goes home at midnight. I do five more admissions and try not to fall asleep.
The day team shows up. And I get paged. And screamed at.
"How could you admit him to the floor? We came to visit him on rounds and ... wait for it ... HE'S IN A COMA"
"I didn't want to admit him to the floor, I wanted--"
"Yeah, well, this is your fault."
"How is it my fault?"
"You should have insisted."
So now we have a guy in a coma and apparently I did something wrong yet I still have no idea how I could have done anything differently when there's an attending telling me that I have to admit him to the floor and the ICU won't take him.
And they kept me there for an extra hour to get blood gases and do a whole battery of scut work on this guy, pretty much undisguised punishment as if I deserved to be punished and shouldn't be allowed to go home and go to sleep.
The guy should have gone to a different hospital, and I should have gone to business school.