I was sitting at work, minding my own business, when all of a sudden these 50 patients came out the alley and thronged the place. Not really. Suffice it to say that I. Am. Exhausted. Exhausted in a way I rarely get, like can barely hold my head up exhausted. My feet hurt when they touch the ground. I'm not kidding. It was one of those nights where even when I shouldn't have been busy nothing lined up correctly and I just couldn't get ahead of myself. I wasn't actually behind. It just felt like it. You have your eh NYE's and your holy shit NYE's and this was one of the few shifts where I just felt like counting the minutes. I feel like Gumby with sore feet and achy legs. I love my job, I do, it's just that some days nearly push me past the point of physical endurance. All that time without food or bathroom breaks is just almost inhumane.

Also, I've gotten spoiled in our land of plenty, and these shortages of Zofran and IV benzodiazepines are putting a big squeeze on us. I uncomfortably realized that I am complacent. "They'll always have what we need." Well, they don't. It's disturbing. We've already had several episodes of galloping lengths of a football field to a different Pyxis to see if IT had the drug we needed. It's very anxiety-producing. And makes me grateful that we usually do have what we need and that our patients all get what they need.