I have known about ICU steps for some time and used the booklets on the critical care unit where I work. I just joined the website and wanted to express my gratitude to all the bloggers. You cannot imagine how powerful your words are. Many of the subjects you write about have been covered in nursing and medical journals and are well recognised phenomena but to hear about them from your perspective is a totally different story. The emotion, distress, courage, motivation and humour has had me gripped. As health care professionals we really need to hear these recounts. I am leader for an academic critical care course (gives nurses the theory behind their practice) and have posted the link on the course website, the students have got to be aware of the implications of being critically ill and have shared the link with clinical colleagues on my own unit and the surrounding area. Delirium prevention and management, follow-up and rehabilitation after critical illness are gathering momentum within the critical care community and many things can be improved without the need for lots of extra cash, spending cuts are not an excuse. Use of diaries, giving verbal and written information to patients and relatives, offering patients the opportunity to visit the unit after discharge, liaising better with wards and GPs on discharge all help and can be implemented relatively easily. Thank you so much for sharing your experiences it is really useful.