Down sides. Hmmmm
I love what I am doing, but no matter what else is said, hours, hours, hours. Of course, due to some vacations, I've been first call for the last two weekends in a row. That translates as follows. In the 19 days since the 13th May, I have worked for at least part of 18 of those days. I have worked the last 12 days without a day off. I'm off this weekend, and am first call again next weekend. That means this week, I'll be first call Mon, Wed, Fri, Sat and Sun. The week after I'll be first call Tue and Thurs. I am so tired, with no real relief in sight for at least two more weeks. Still, I do love what I do.
Otherwise, the biggest downside is the occasional run in with a physician, and those aren't too bad, really. I did a carotid this week, and set it up to do it with a remifentanil gtt. I like remi, I think it greatly reduces the swings in BP when doing a carotid under a general anesthetic. The physician came in for induction, and I told him "this is how I'm doing it, so this is how I'm doing induction." He basically said "I'm supervising, so leave the remi out, do it this way." Too tired to argue (and the patient was still awake), so, we did it his way. Spent the whole case chasing blood pressure as it varied from 90 systolic (VERY bad for someone with stenosed carotid arteries) to 210 systolic.
Don't get the wrong idea, though. Part of that was my fault. I knew who was supervising, and I should have given him more notice than telling him at induction what I was planning to do. I'll probably have a talk with him this week (at a professional level, which is how he will respond) about doing my cases my way, unless he knows something I don't. I'm always willing to listen to new ideas or advice from experience.
This was NOT really a big deal, and I don't want to make it sound like one. I get along very well with this physician. He has over 30 years experience, and is a great teacher. I'm rambling.