The ER is a tough one for all involved- patients, families, nurses and doctors. There are both tragedies and victories found in the most major and minor of life's events. We would hope to bring a moment of clarity into this account of the day-to-day operations, striving to find "One Good Thing A Day." This work would be best explored as window into the emergency medicine experience. Summary To most of us, the emergency room(ER) can be a foreboding place, but to the team who works here it's home. At times, it is just like what you see on television-hours of mundane activity interspersed with moments of terror involving life-changing visceral emergencies. It is the never-ending struggle of life and death, and the balance can shift ever so slightly in the day-to- day. But more than that, within the walls, there are the people. The patients, who are in an unknown circumstances without their normal mechanisms for control available to them, are still mostly optimistic