Mother of twins lying in the makeshift bed under the huge CHONY window. We always wake her up – halfway into our exam. Not sleeping much, by the bed of her 3 month old who has heart malformations and a hypoplastic lung. They couldn’t intubate him when his heart stopped a month ago, so he had a ROSC of 72 minutes. Hypoxic insult that has left him pretty much gone, unlikely to recover to any recognizable form of consciousness. One morning mom aroused from her deep sleep earnestly asks, “What is concerning, what is reassuring? What do you think is going to happen?” No exasperation, said with an air of collegiality. We retorted “It’s reassuring that he can move his limbs.” No straight answer – leave that for another time. This is just rounds. See you tomorrow.