Often, working in the ICU is not pleasant. Almost every week, the ICU nurse will hear that hackneyed comment, "I don't know how you do this." The nurse will commonly respond, "it's a job; you get used to it." This is not a dishonest answer. Most ICU nurses are happy, normal individuals who have families and hobbies they enjoy and love. They work hard in the hospital and are proud of what they do. However, sometimes it is too difficult, and their internal vocation is sidelined for an easier work experience, unfortunately at the cost of the individual under their care. There was one such example on my unit. A patient who had undergone a brief cardiac arrest on a breathing tube was undergoing respiratory rehabilitation. This person, placed under a medical coma through sedation, would need to come off that sedation to wake up, breathe on their own, and support themselves when their breathing tube was removed. Unfortunately, this person had an averse, panicked reaction to coming off sedation. Their work of breathing increased; their heart rate and blood pressure would soar; they would thrash in the bed and fight the ventilator trying to help them breathe. The common medical response was to restart sedation. However, this made it less likely the patient would ever come off the ventilator. Under my care, I sat with this patient. I held their hand and talked them through their fits. Together, we got off the sedation. The patient remained calm, came off the ventilator, and eventually went home. The impact of this experience was clear to me. This career I have chosen is often not easy or pleasant. But, it is imperative that I do it. Because I do not step up when the situation is unweildly, there is a chance no one will. As an anesthesia provider, I will improve the understanding of sedation in the critical care setting through education, research, and quality-improvement measures. Thank you for considering helping me in realizing these goals.