I just made the transition from medical telemetry to surgical progressive care and there is a huge difference in my opinion. Treatments vary greatly. Yes, medical patient are just that, you see a lot of CHF, pneumonia, abdominal pain, and a lot more chronically ill patients. In my experience, it was all the really old and sick and demented or the young and naive. I love surgical nursing. Usually, and I do say usually, surgical patients get better. They are sick enough to need hospitalization but well enough to withstand surgery. These patients participate more in their treatment plans. Join nursanity.com and chat with practicing nurses for more insight.