I have to say I disagree about Women's Center, the hospital where I work, they are just as busy as the med-surg floors. I do have much more respect for L&D's since coming to my area, that place is like an ER or ICU. One minute fine, next minute insane. But I do have empathy for the writer, it is sad to realize nursing and healthcare alike have changed so much. I was always bringing reality up to my nursing school instructors, after working 5 years in an ER before nursing school, I was like when is reality going to be taught here...of course...my mouth always got me in trouble then, but I am still the same way today. I am all about getting rid of crappy, burnt out nurses. I have worked with them. There are various reasons of course....Hell, myself I had to get out of ICU because I was burnt out....but you have recognize it. How much of her interaction with nurses was the burnt out ones or the overworked ones? I don't know. I know that in the ER/ICU and other critical areas, you have to keep your compassion. Once that is gone, you are toast, completely burnt out. I don't think for a second that she should have felt like she should have diagnosed the appendix issue...that is just the momma in her talking.