With the cup empty, and the sugar and caffeine mixture doing its job, Andy was ready to take on the world, as long as that world was within the clinical white walls of the emergency department. The lights in the ceiling were bright and the green floor had just been cleaned by someone of the cleaning crew. The smell of the detergent mixed with the smell of other disinfectants that were often used when treating wounds. First he made a round over the department to check all the beds that were currently occupied and see who could be discharged or sent to one of the other departments. It wasn't long before his first patient of the day arrived: a man broke his broken arm, fell down some stairs as he hurried to get to work on time. "If you want my professional advice," Andy said, as he applied a new layer of the cast around the arm, "don't try to ignore gravity when you are in a hurry." "I didn't," the man grumbled. He continued with listing all the do's and don'ts when wearing a cast. When he was done he showed him how to make a sling with a triangular bandage, signed the necessary paperwork and left him in the care of a nurse as he went to the next patient.