This is probably the most common thing people ask me when they find out I’m an ED doctor, and I can totally understand the curiosity. The ED is a crazy world. Fascinating things happen everyday. None-the-less, I find it difficult to answer this question in a satisfying way. When I think of the craziest things I see it does not always translate into entertaining stories for these curious conversationalists. What I find most crazy, is actually kind of boring. It is crazy to me that we still use archaic technology to do our jobs, while cutting edge methods do exist. It is crazy to me that 1% of the population uses 99% of our medical resources, yet we all order repeat CT scans on the same patients over and over again because every once in awhile we find something unexpected. It is crazy to me that parents drag their sleeping children into the ED at 3AM for a common cold. These are the craziest things I see. Still, I know lay folks want to hear about the chainsaw to the head I saw yesterday, or the parade of people with rectal foreign bodies (who got them in, but can’t get them out), or the quirky patients with their quirky ideas and habits that one simply could not make up. To be honest they are the patients that keep this job interesting, they are the comic relief we all need to get us through after telling families they will never see their loved one again, despite our best efforts. Still, it feels somewhat disingenuous to filter the sum of my ED experience into tidbits of entertainment that the lay public wants and can handle, but who really wants to talk about administraive dysfunction, death, destruction, and other human tragedies over cocktails at happy hour. Rectal foreign bodies are a much more effective crowd pleaser, which is kind of crazy in and of itself.