I recently wrote a letter to oprah. She is doing a show on her doing other peoples jobs. I told her to come to the ICU. I know it can be so frustrating being our patients voice when no one will listen. Sometimes, i feel like a hardass. One day, this Icu doctor told me I was "high-strung" My patient had a pneumo and was on bipap. The chest tube placement was ordered at 5pm. I followed up with trauma residents at 6pm. When I got to work at 7am the next am the chest tube was still not in place. NIce man , eventually died. Then they want to lower malpractice claims!!Sometimes I want to quit but I cry. I don't know what else I would do. I have been in the hospital since I was 22. I am now 43.