Dr Ackerman. I have a somewhat unique perspective on all of this. I have been an (adult) ICU nurse at Carilion for 20 years. 10 years ago I had a daughter that born with problems and ended up with short gut. She spent the better part of her first 4 years growing up inside the walls of the hospital. On the day she was born I met for the first time the group of nurses from the PICU, and then eventually the nurses on PEDS, who still continue to watch Makenzie grow up--I never pass someone in the hall that doesn't stop to ask about her. They are the most amazing group of people I have ever met. We never knew if each admission would be her last. They stood by both of us day in and day out. They advocated for both of us when I didn't agree with something or had questions. I don't think we could have survived those first couple of years without them. We are forever grateful to the PICU and PEDS nurses for helping make my daughter the person she has become.