Laura, Is'nt this the truth! I can smell that" GI bleed smell" too.I have been an ER nurse for 18 year's,and get frustrated at the DR's.They might learn a thing or two if they would listen to the seasoned nurses and our little gut feeling's about symptom's etc. I have learned to put my ego aside lately and just take care of my patient's ,work hard,go home and leave it at the hospital.It is hard to do but is called survival in ER nursing. This is something that comes with time and experience -Humility. As long as the patient does not suffer, I have learned to not let it affect me,what other nurses and doctor's think about me. Trusting your instinct is very true!!!I have alway's had"a feeling"before anything bad happen's to my patient's,regardless of their symptom's sometimes. It is real important to listen to this inner warning. I actually worked with a doc.last assignment that valued all of the nurses input in all crashes and trauma's ,He would ask for any suggestion's from all of us involved and if indicated,we would do it.It was very fulfilling to work in a group effort,and good for self esteem as well.We also learned from each other like this and nobody was put down for any input. This was Comanche Co.Hospital,Okla.Dr.Hall.Great asset to his profession!