A silly little blog for me to drop the excrement of my mind.
Published on April 14, 2006 By BlueDev In Blogging

30 hour call is a fascinating thing (fortunately it wasn't quite a full 30!).  It does weird things to your head.  I walk into the unit in the morning, talk to the nurses who are approaching the end of their 12 hour shift.  They leave and a new batch comes on.  You then spend the next 12 hours working with them.  That is not an insignificant amount of time. 

But then they go home.

And you are still there.  Wearing the same scrubs you had on 15 hours ago.  And wouldn't you know it, there come the night nurses.  In different scrubs.  That is the weird part.  You just saw these people when you cam in this morning.  What are they doing changing clothes in the middle of the work day?

So you spend the next 12 hours with them. 

Then THEY go home.

You don't, by the way.  You're still there.  Still wearing the same pair of scrubs (sure, you could change, but why?) that are starting to feel a little too worn.  After a few more hours, you finally take off.  It is that seeing the end of 3 shifts and the start of 3 shifts that makes the 30 hour call day feel the most weird, to me at least.  The end result is an odd feeling of just having been awake and in the same place for far too long.

But then you come home.  I can only take a small nap.  Otherwise it is just too hard to go to sleep and wake up the next morning.  So you spend the rest of the day running on an hour or two of sleep.  Right now I have been up for 37 hours, with a tiny little nap thrown in there.  The mind moves    so     very       s l  o   w.      .           .                  .


Comments
on Apr 14, 2006

I have worked all nighters.  But you should never have to.  I will never understand that torture.  In my case, after being up for about 30 hours, I was too wired to sleep.  But I was punchy too!  And I was doing physical work (2 jobs, the secondd was very physical).

That is one thing I will never understand.  The abuse of interns and residents.

on Apr 14, 2006

That is one thing I will never understand. The abuse of interns and residents.

This may sound weird, but I have an article brewing defending it.  Stay tuned!

(Yes, I am still awake, going on hour 40 now)

on Apr 14, 2006
I guess I don't understand this sentiment either. Why do they have people that are dealing with peoples lives, their heatlth and medical emergenices work that many hours. Isn't it an accident waiting to happen? People (all people, not just doctors) tend to screw up when they are sleep deprived. I don't get it. There must be some kind of reasoning for this. What is it?
on Apr 15, 2006
Why do they have people that are dealing with peoples lives, their heatlth and medical emergenices work that many hours. Isn't it an accident waiting to happen? People (all people, not just doctors) tend to screw up when they are sleep deprived. I don't get it. There must be some kind of reasoning for this. What is it?


I second that question.

Such hours are ironically inhumane in an industry that's supposed be geared toward health and well-being.

This may sound weird, but I have an article brewing defending it. Stay tuned!


I'm interested to hear your thoughts on this...
on Apr 15, 2006

This may sound weird, but I have an article brewing defending it. Stay tuned!

It will be interesting.  But I am with Kelly

on Apr 15, 2006
Looking forward to it...

I work shift work, and while it's not that the hours are long, it's the stupid change from 7 oclock mornings, to 7 oclock evenings, back to a start time of six am, and then a mid-afternoon shift thrown in for good measure that makes me physically ill. I think I've had 3 hrs of sleep for 2 days running, then a whole 5 hrs, and then I had a total of 16 hrs of sleep in varying spurts. It's hard to even know what day it is.

In my workplace, it's all due to call volume, and the fact that the ideal situation for the employers would be to have split shifting, but no one will do it.
on Apr 15, 2006
I personally cannot understand why it's necessary - or even a good idea - for med students and interns to work 24, 30, 36, 48 and numerous other kinds of insanely long shifts. I don't want a physician who has been awake and working for a day and a half sraight making decisions that could/will affect my life. I don't want someone who can't remember what day it is writing prescriptions for my kids or worse still, operating on them. It's sheer madness to expect someone to be able to function as competently at the start of a 30 hour shift as at the end, and yet we do it every day.

I read somewhere that the reason these archane shifts are still in existence is because senior physicians had to work them and feel that since they worked them, their juniors should have to work them too. I dunno how accurate that is.....
on Apr 15, 2006

I read somewhere that the reason these archane shifts are still in existence is because senior physicians had to work them and feel that since they worked them, their juniors should have to work them too. I dunno how accurate that is.....

I would be a liar if I didn't say that was part of it.  But it is only part, and I have come to realize it is a small part at that.

Not all may agree with my final article, but as one who thought that working that long was only punitive in nature, I have actually come to support current work rules.  Not those of the past that allowed for however many (often up to 120+ hours/week, with 36 hour shifts being normal) hours.  But I do believe that the current rules of 80 a week (averaged over a four week period) along with 24 continuous hours of patient care, with another 6 for education (30 hour shifts max) to be not only reasonable, but necessary.

Stay tuned.  Maybe I will even get it done tonight.

on Apr 16, 2006
Interested to see what you have to say. As of right now, I can't see the logic in it. But that's why I'm a liberal arts major, me and logic must not be on real friendly terms . . .
on Apr 16, 2006
Wow... no wonder why you are going to make the big bucks! I can barely get through an 8 hour day!!

Try to rest up and Happy Easter!!

XXOO,
JTL
on Apr 16, 2006
Wow... no wonder why you are going to make the big bucks! I can barely get through an 8 hour day!!

Try to rest up and Happy Easter!!

XXOO,
JTL
on Apr 18, 2006
I've worked 12 hours shifts in the past and found even those to be brain-numbing. I can't imagine having to work nearly triple that in a single stretch. I'm inclined to agree with those who say these sorts of hours make me wonder just how any person could provide that necessary attention to detail required, but I will hold my judgement until I read your take on it.