This every-fourth-night call business is freaking killing me.
Last week, I was on call on Sunday and since we have to stay through the end of rounds when we're post-call, I left work at noon on Monday. I came home and slept a few hours and then got up and did various things. I was on call again on Thursday and while I was home and in bed by 10:30 Friday morning, I slept until 5:30 PM and went back to bed at 9:30 PM and slept straight through until 9 the next morning.
Think I was tired?
Other than sleep on my first full weekend off in nearly a month, I went to a surprise birthday party for a friend (which was also a congratulations on getting engaged party, as she got engaged on her 30th birthday the previous weekend) and bought my mom some shrubbery for Mother's Day.
I was on call again last night. I started out the night with three patients. I ended up with five (of the two admissions I had, only one of them was truly ill) and still only managed two hours of sleep at work. My day went something like this:
0515: Alarm goes off. Hit snooze.
0545: Snooze. Realize I still have to make my lunch. Roll out of bed.
0645: Leave the house for work.
0700: Get sign out from the overnight resident.
0730: See the one patient I'm following, talk to his mom.
0800: Note written.
0801: Wait for attending. He's notoriously late.
0830: Still waiting.
0905: Dr. H shows up. It's his first day on service for a two-week stretch so we have to go over the four patients we have in detail.
0940: Done with rounds, write orders for the asthmatic to get transferred to the floor.
0941-1200: Twiddle thumbs, read articles, watch You Tube with Nick.
1200-1300: Palliative care lecture with Dr. C. Makes me want to get boarded in pediatric palliative care. Wonder if I have to do a fellowship for that.
1300-1310: Chat with secretaries in office.
1310-1600: More You Tube, more thumb twiddling, more articles to read.
1600: Get sign out from departing residents, as we were doing jack-ass shit.
1600-1800: Work on PL-2 survival guide. Check e-mail eleventy billion times.
1800: Get called to ER to eval kid for possible admission.
1820: Decide kid looks much better after a combivent
and that he doesn't need my services at the moment.
1820-2300: More biding my time.
2300: Get called to ER to admit trauma patient, whose idiot brother took the car out for a joy ride when mom and dad weren't home. Kid was in the backseat (wearing his seatbelt, thank fucking god) but the car got t-boned and it took about 30 minutes to extricate the kid. He's sick but stable.
0000: Get kid settled upstairs, places tubes and drains in every orifice, and talk to parents. Dr. H is still in-house so he comes by for a peek.
0005: Quick bedside rounds on the kiddos and Dr. H is off to home for the night.
0200-0300: Now I lay me down to sleep...
0300:...until the night float resident on the floor tries unsuccessfully to buff and turf one my way. Yes, the kid has a weird congenital anomaly but he's awfully damn stable and doesn't need my services. What do you mean you don't have beds? I'm looking at the census right now and you have PLENTY of them. FOAD!!!
0305-0315: Attempt sleep.
0315: Fail. Get called to ER to admit a kid with a different weird congenital anomaly who has a VP shunt infection
0400: Call shenanigans on neurosurgery resident, who essentially told me I was too dumb to understand what they were going to be doing for this kid. Listen, Dr. Douchebag, you will be too busy fucking nurses in the call room tonight to take care of this kid. That chore will fall to me. I need to know what you're going to be doing in case I need to call you away from your nightly in flagrante delicto
to tend to this child. Also, I'm sorry that you turned into a total dickhead when you became a neurosurgeon, because you used to be nice. I feel sorry for your wife.
0500: Get kiddo settled, talk to mom, change fucked-up orders written by Dr. Douchebag.
0530: Attempt sleep.
0535: I AM FULL OF FAIL. Pharmacy calls to ask about my newest admission's home meds. Between my lack of sleep induced psychosis and the horrible accent (one of our old nurses called this pharmacist Won Hung Lo) I have to ask him to repeat everything twice, which has the charge nurse in stitches by this point.
0540: Attempt...aw, fuck it.
0600: Round on patients.
0605-0700: Tidy up sign out sheet, check e-mail, read news feeds.
0700-0730: Sign out to day team. Have never been more happy to see them in my life.
0730-0800: Time for breakfast of champions. I usually never eat more than some toast or cereal post-call before leaving work, but desperate times call for desperate measures - French toast and bacon.
0830: Start whinging about how Dr. H is always late and that he'll be very late today because I last woke him up at 4 AM.
0910: Hooray Dr. H for showing up early!
0940: Finish rounds and head home.
1000: In bed, flip on SportsCenter, and snooze.
1500: Wake up, call husband.
1530: Drag ass out of bed, as it is seemingly nice outside.
There you have it. A day in the life of a PICU resident.
There's other things about which I want to write, but not tonight. I'm going to sit outside.