John was a nursing home patient who presented to the ICU time after time with respiratory insufficiency, sepsis, pneumonia, URI, UTI, you name it, he likely presented with it. His primary diagnosis was something like Closed Head Injury, or what is known as TBI, or Traumatic Brain Injury today. John was one of those patients that came in every once in awhile for a good healthy dose of antibiotics, a fresh Foley cath, and critical flush out his lungs and send him home. John was so predictable. After this visit was over, I would never take a patient for granted again.