j00nij00ni's real-life Breaking Bad News tutorial #1:
You are the ITU night on call SHO, and you have a patient who came in following VF/asystolic arrest, has been treated for 3 days, but showing no sign of neuro recovery. It has been handed over to you by the day team that she will probably be having treatment withdrawn the next day, but the family have yet to be informed. It gets to midnight, and the nurse (let's call her, for arguements sake "amazingly hot nurse" ) tells you they have got hold of the family who are coming in at 1am ish for you to have a chat.
The unit is quiet, a rare thing indeed, so you decide to catch an hours kip before the family arrive. It feels like you have literally only just placed your head on the cold, hard surface of the only thing resembling an easy chair before you are gently awoken by the nurse's hand on your shoulder. You half-stir, your body unsure whether this is that dream, or a horrible nightmare. As you rub sleep from your eyes and you start to focus, you realise it's the latter.
You haul yourself into the relatives' room, and using all your (admittedly excellently taught) SPIKES skills, you gentley break the news to a distraught family. Just as you finish, you catch amazingly hot nurse staring at you and gently rubbing the right side of her lips. You think to yourself this is a most innappropriate time to start making a pass, but decide to ignore her (remember you are sleep deprived, and forget this never happens to you normally in real life). You complete the BBN, which went quite well, and you leave the room giving yourself a pat on the back about what an amazing doctor you are, and it's no wonder amazingly hot nurse is getting excited by your skillz.
She pulls you to one side when you get out of the room, "here we go" you think "finally, the real reason i did medicine at last..."
"Err, doc." She whispers breathily, "have you looked in a mirror recently?"
"Huh?"
She points to a nearby washbasin/mirror, and you casually amble over.
Looking back at you where you are expecting to see some Clooneyalike superstud-doc, is the grim reality. A bag-eyed, bloodshot face, with a streak of crusted drool running from the right corner of your mouth, up below your cheekbone, past your ear, into your hair to create a wonderful unilateral spiked effect, which glistens in the dim light of the unit.
You decide celibacy is underrated and drudge off back to find a dark corner to sob yourself to sleep.