You know its going to be a bad night in the ER when
The off going shift has a hard time keeping a straight face when giving report on the patient in room 15
Your 1st Patient of the night insists that there is no way she could be pregnant and she is crowning
The next 5 patients and their families all scream at you in different languages, none of which you speak
Your next patient screams at you in a language you understand but you can't remember having heard that many obscenities strung together at once
The intoxicated 250kg transvestite in room 15 keeps trying to get home phone number because ' you are just too sweet'
You have writers cramp and you still have 7 hours left on shift
It is the first day for new medical interns, residents, paramedic and nursing students