With 24 plus years of experience in managing different types of ICU including medical, surgical, cardiac, cardiac surgical, trauma, and post transplant units I am aptly placed to give a second opinion on an ICU patient. ICU patients have multiple challenges which need to be addressed simultaneously and on a fast track basis. Decision making can be difficult as there is no certainty in predicting outcomes. A prolonged ICU stay beyond a few days is a nightmare for the patient. In such circumstances the patient and his/her family need an enormous amount of emotional support to avoid getting drained out. I can help out at all stages of ICU stay and also in developing a practical and feasible care plan for the patient. I can also support the family in understanding the illness and its course and the expected outcomes. I am sure my opinion will help the patient as well as the family.