Ack, not enough hours in the day! I need a prescription for synthetic sleep!
I have been working too much and not sleeping enough. Specialist residents have it far harder than I, so I shouldn’t complain, but I’m going to anyway. Just a little, since I’m too tired to think of anything else to write, and I haven’t posted in a few days.
The ER is a fun but demanding environment, and now I’ve definitely bollocks’d up my Circadian rhythm; I inadvertently tested my body’s ability to “phase advance” and attend an early morning Rounds and then completed a day shift, after having worked last night. This is certainly not the most I’ve worked, nor the most tired I’ve been. But it is not the most comfortable way to persist.
I’m glad I did it because the talk (about a Palliative care twinning project in Nepal) was well worth it. That, and I had a great shift in the ER, getting to do a thoracentesis for the first time (following my last night’s first-time Heimlich valve chest tube insertion). Fluid and air in potential spaces, watch out! I’ve got a needle and I (kind of ) know how to use it! I also recently was part of a code, in which I got to tube someone and finally learned how to do a Subclavian Line (whoopie!) after reviewing some software about Subclavian Line insertion and feeling rather an idiot for not having learned one clinically.
Lucky me, I’m on house call all weekend, and will be doing ER shifts Friday and Saturday during the days. It’s going to be quite rough, but somehow it always works out.
So, I would sleep more, but between some genius’ idea of a location for on-call sleep rooms (right at the entrance to the OR, a high-traffic area at most hours, with several *beep-latch click* security door access panels directly on the opposite side of the thin walls) and the vibrating (stuff falling off the shelves, windows rattling) construction during the daytime at my apartment, I’ve had a HARD time this month.
Incidentally, our Resident Physician union is currently offering a survey in which one of the questions asks about a hard-cap on weekly hours. Does more sleep make for better doctors? (NY Times article). I don’t know about that because sometimes there are learning opportunities that far outweigh sleep, but a lot of the time sleep is sacrificed for less important reasons. But right now? It’s totally nap time.
Oh. And I should probably eat.