Later, I had the chance to watch my first thoracentesis as a resident stuck a long needle into a patient's back under the guidance of ultrasound to drain fluid off the pleural space. Parked in the next room over was a woman who had been hearing things roll around in her head for the past month, and finally decided she could no longer take the noise. While trying to ignore her, I went to do an EKG on an older gentleman, and when I rolled up his pant legs to place the limb leads, noticed his legs were completely blue-black. Learned later that it was caused by a reaction to the antibiotic minocyclin. Rounded out the evening by playing charades to communicate with a stroke patient as a screaming drug seeker serenaded the department. All in all, not a bad night.