June 2008 Weddings
Dear Community,

Our tech team has launched updates to The Nest today. As a result of these updates, members of the Nest Community will need to change their password in order to continue participating in the community. In addition, The Nest community member's avatars will be replaced with generic default avatars. If you wish to revert to your original avatar, you will need to re-upload it via The Nest.

If you have questions about this, please email help@theknot.com.

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Note: This only affects The Nest's community members and will not affect members on The Bump or The Knot.

On working 24h shifts...

It's not safe.  I don't know how medicine allows this to happen.  It's not only residents who work them, but attendings  and nurse practitioners sometimes too.

Last night wasn't a crazy night, but I was just so exhausted.  I felt like an idiot talking to a family at 4am because I was stumbling on my words.

I was naive and didn't think being prego would make these shifts harder, but the fatigue and just overall different feeling does.

When there's an emergency, adrenaline kicks in, but still.  Society wouldn't trust a pilot to fly a plane, so the general public needs to help make medicine change. This would of course also mean more personnel and that costs hospitals more money.

OK, whine over.

image Thanksgiving, 2011 Amanda & Joe, June 28, 2008 Blog of Randomness BFP 6/10/11; Missed m/c at 5wk6d; D&C 7/18/11, Triploidy BFP 11/24/11, please be our sticky baby pregnant

Re: On working 24h shifts...

  • I have never understood why this is allowed to happen. How can we begin to make changes to this common practice? 
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  • imagebbetson:
    I have never understood why this is allowed to happen. How can we begin to make changes to this common practice? 

    I feel the same way. On another note, have you told your employer that you are expecting yet? Are they more flexible with female physians who are pregnant?

  • imagebbetson:
    I have never understood why this is allowed to happen. How can we begin to make changes to this common practice? 

    I feel the same way. On another note, have you told your employer that you are expecting yet? Are they more flexible with female physians who are pregnant?

  • Totally agree.  Hospitals make a decent amount of money off residents (what they are paid vs. what they pay residents), there are ways to hire more personnel and cut down on the 24 hour shifts.  During residency my H had very few of them (their department takes call differently), but they were awful when he did have one.  I realize that as doctors/residents there is adrenaline, training, experience, and supervision, but what happens when something truly crazy comes in that you don't often see and you have to make snap decisions?  That would be what scares me. 
  • I agree! Our doctors still do 24 hour call, but they just changed it for the residents. They do 12 hours like most of us nurses and it's been life changing for them.
    Finally a Mrs as of June 7, 2008
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  • I though Residents weren't allowed to do 24 hr shifts any longer?  I mean, I thought it was a recent change, no?
  • I'm in the camp of I don't understand it.  If I'm in a hospital, you better believe I don't want to be treated by someone who's been awake and working for the past 20 hours.  I wouldn't want that person operating a vehicle or other heavy machinery, so why should we want them making snap decisions about a person's health?

    Please don't take this as me not trusting your medical ability, I just think its impossible for humans to function properly when going that long with no sleep.

    Hopefully you feel better soon...

    "And on the keyboard, the Big D himself, Rusty Shackleford!"
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  • When Molly was in the ER back to back days she saw the same doc both nights. The doc was completely frazzled and different compared to the first night and even apologized for being awake so long. I don't understand how they expect you guys to function, and I seriously can't imagine doing that while pregnant. I hope you get some rest soon!
  • imagenaylon511:
    I though Residents weren't allowed to do 24 hr shifts any longer?  I mean, I thought it was a recent change, no?

    They are trying to make progress with residents.  Interns cannot work more than 16 hours straight, but upper years can.

    It trickles though.  If residents work less, attendings have to work more.  I think what ultimately has to happen physicians as a whole have to make a change.  Those docs who make $500K need to cut their losses and make the decision to make less so those funds can go towards paying more individuals.

    In terms of telling my employer, I've told my superior residents.  I'll get 8 weeks off, but otherwise it's the same as everyone else.  We understand and cover for each other when we have to leave for appts and such.

    image Thanksgiving, 2011 Amanda & Joe, June 28, 2008 Blog of Randomness BFP 6/10/11; Missed m/c at 5wk6d; D&C 7/18/11, Triploidy BFP 11/24/11, please be our sticky baby pregnant
  • imageLoveofjoe11:

    imagenaylon511:
    I though Residents weren't allowed to do 24 hr shifts any longer?  I mean, I thought it was a recent change, no?

    They are trying to make progress with residents.  Interns cannot work more than 16 hours straight, but upper years can.

    It trickles though.  If residents work less, attendings have to work more.  I think what ultimately has to happen physicians as a whole have to make a change.  Those docs who make $500K need to cut their losses and make the decision to make less so those funds can go towards paying more individuals.

    Ah, interns, not higher years.  Got it.

    Where are these docs making $500K?  Can they hire DH? :)

  • imagenaylon511:
    imageLoveofjoe11:

    imagenaylon511:
    I though Residents weren't allowed to do 24 hr shifts any longer?  I mean, I thought it was a recent change, no?

    They are trying to make progress with residents.  Interns cannot work more than 16 hours straight, but upper years can.

    It trickles though.  If residents work less, attendings have to work more.  I think what ultimately has to happen physicians as a whole have to make a change.  Those docs who make $500K need to cut their losses and make the decision to make less so those funds can go towards paying more individuals.

    Ah, interns, not higher years.  Got it.

    Where are these docs making $500K?  Can they hire DH? :)

    We have quite a few in SW freakin' VA. What are they doing with that money?! haha

    :)

    Happiest place on Earth!
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