Just awful

Today is an awful day.

Start off my morning by one of patients dying from carcinomatosis (pretty much deteriorated rapidly over the weekend) and ended up the day with an intracerebral bleeder and a surprise result of metastatic malignant melanoma from his bone biopsy (while all the while everyone has been thinking about sarcoma/plasmacytoma line).

Everyone knew what stage 4 malignant melanoma prognosis is like.

Its just zapped all my zest today.