#I mean that's actually part of why a culture of chronically exhausted overworked deprived people is damaging because if you | Explore Tumblr Posts and Blogs

medical-gal · 3 years

Text

Death by a thousand cuts

I have been thinking about writing this for months now. Even before I decided to quit the residency at my previous job.

COVID has been kicking our ass, true, but that was (is) true for most healthcare providers all around the world.

No, my struggle started a bit before that actually.

First some background, I have been working at one of the biggest most famous ID clinics in central Europe. The clinic is in a different country than I am originally from so there was a bit of cultural accommodating at the begging. But we were a big group of ID interns/residents/fellows and specialists.

I don't actually remember that much from my first year working there. And I couldn't figure out why, but then I read in some study that when u experience a high dose of stress and/or sleep deprivation for a long time, your brain kinda stopps being able to transcribe short term memory into a long term.

I was working 100hours/week, sometimes less, sometimes more. After a year and a half, when the last half I worked in the ID ER for five months, I always stayed after working 24 hours, sometimes over 36hours, and I would see and treat 70ish patients. Nobody from the older docs would help me out, nobody from other interns either bc usually they would have their own kind of hell to take care of.

The fact that basically, inexperienced doctors are taking care of patients never really phased my ex-boss. Her mantra was that if there was a problem that you cannot resolve, you can call her and she would advise you. Which most of the time was true, I must say that.

But we all have been young docs, barely out of our medical school garments, and sometimes as it happened, we could not recognize there IS a problem that maybe needs a more experienced opinion.

I am often confronted with this idea or more like a culture, of pretending that once you are an MD you don't need help and asking for it is a kind of weakness and that then you are forever on the list of WEAKLINGS.

And let me say this only once.

That's absolute bullshit.

Anyway, the first time I decided to quit I worked there for about a year and a half, I went for a long-expected holiday, I took three weeks off, had interviews and talked with my bf about my options.

Second thing...my man, bless his beard, would support me no matter what. He is almost 10 years older than me, so he has more work experience and I find it reassuring to discuss stuff like this with him bc I know he will not sugarcoat it. He said that I should dig my heels in and last at least one more year till the end of my "internship". As a "resident" who worked at this specific department, I wouldn't have a problem finding another job. We r basically the equivalent of a french legion of medical professionals (when u work in this specific department and everyone knows it, I will come back to that later).

So I took his advice. Thankfully as a part of our training, one of those parts is a year-long internship at the internal medicine department, which I did shortly after we had that conversation and guys, that was a revelation of how medicine and just...work and life can be experienced. There were enough docs for a floor, an attending who had the time to manage and advise us. I´ve grown that year as a doc so much. Other internships were mandatory so I could have become (equivalent of) a resident, and it was a general surgery, anesthesiology, radiology, microbiology etc. But I did them all and became a resident.

The moment I came back to our clinic, my boss would put me in our outpatient department. Which I have never worked on before. The head of the department has quit a few months before, and I had no idea what to do there, bc it's a very different type work. The only thing my boss told me when I spoke of my concerns were "you will learn".

Thankfully the previous head of the department was a good friend of mine and she would always answer my questions and requests. Suddenly I no longer had to deal with the hectic life of an ID floor or ER, no sepsis, meningitis, etc.

Most of my patients were the chronic type...Lyme, chlamydia, mycoplasma... let's say it literally drained the life out of me. But I managed. Also, I started to work for their outpatient office which takes care of patients with chronic hepatatis. That I enjoyed more.

I also started to dip my toes in vaccinology, either planned like for travel but I started to be more interested in preventive care in the immunocompromised and my own phantasmagoria was to make a palliative care team in our hospital. Bc, we had none. And then a wonderful thing happened, other docs, older experienced, great at their work, started to refer their patients to me specifically.

There were more examples of the utter a complete FUCK U(s) which were kindly provided either by the system or by the head of the department or the hospital.

Then covid hit and the shit hit the interstellar space.

I still can't make myself remember the first few months bc it actually causes me to go into a rage fit, and honestly, I am done with that kind of negativity.

I hold out for a year. Year of such shitty treatment from the chief and our hospital head. No thank you- s or you are doing a good job or we r all on the same ship.

No.

People will say that I quit bc of the money. And that's not true, tho it did irk me a bit. All the other ID specialists working at different hospitals would get covid bonuses every month. We got jack shit. Again, the best biggest most know ID clinic. We were the first and oftern the ONLY ones who would test for/diagnose/hospitalize/treat a patient who had covid FOR MONTHS in the beginning.

I mean, the medical community is small, the ID community even smaller so yes, we were able to compare and contrast the work at different ID departments in other hospitals bc our friends worked there. And all of them would go speechless when they would hear from us what we were living thru.

At one point at the beginning of the pandemic, ALL the ambulances would go thru our ER department and we were supposed to decide where the patient should go.

AN EXAMPLE

Ambulance with a woman who has known colon cancer, had a fever, stomach as a rock and is projectile vomiting. I was supposed to decide where she should go and the surgeon would be super pissed when I said that I don't think she has COVID but without PCR I can't be sure but I think there is a bigger pressing issue. I remember him saying:

"well if anyone else gets infected at our department and dies, it's on you."

fun.

There were other examples of seriously stressful episodes which I and my coworkers lived thru, for which we were not trained for, advised, or properly supervised. At a certain point, I started to take anxiolytics before and during my all-nighters bc I didn't know what I would do with all that stress which was so callously shat on me and my coworkers.

For a few months, I stopped working nights, only thru the mercy of my coworkers who saw how exhausted I was and would take my shifts.

Anyway, after only two months I had to start working nights bc I needed the money. The basic pay for docs was just not enough without the extra from night shifts. Talk about exploiting.

The moment however when I decided to QUIT, when I was DONE, when I actually heard my heart break, was the moment at the end of the previous year. They decided to start vaccinating in our tiny small vaccination centre. Let's say a "shit storm" brewing is the light version of events that ensued.

But basically, as I was trying to discuss with my boss that we are all exhausted, that this wave is not slowing down and that throwing more work at us, the docs and nurses and other staff, who are overworked, is not a good idea,

What she basically said to me is that who says things like that is lazy and that if she can handle it everyone must be also.

The thing is..most of us were at the bring. Some would handle it with casual and calous sex, drugs (legal or not), a bottle of wine before sleep. A coworker ended up with antipsychotics.

But u know,

we were all lazy apperently.

I realized there is no way out of this other than quitting. I could not continue being so tired and sad all the time. I took two weeks off, really thought about it. Had diarrhoea and nausea for a week as I realized I will have to quit :D

On a Monday I came back, handed in my notice. Basically what she told me and how she reacted made me realized how right the decision was.

I had to stay there for another three months bc that's the law, but my mood changed significantly.

I got another job in a smaller ID department, working with amazingly kind people, but that's another story.

But that was the only interview I actually looked for and did. I, however, did get several job offers from different types of medicine. From heads of different departments in my old hospital to smaller general medicine chain offices who are looking for ID specialists, to insurance companies.

Like I said, french legion.

Or Runway and your boss is Miranda Pristley. Once u survive that, u survive anything.

But at my old work they would keep hitting you with wave after wave of passive agressive comments about how if u quit, u wont be able to find anything as"prestigious" as this.

There were many other exmaples of a shitty and questionable situations which were treated as "normal" but there is not point on getting on that rage train.

Contrary as it might seem, I am greatful I got to live thru this, good and bad, bc now I know what I am and am not willing to sacrifice for a job. No matter how much I might love it.

#sorry this is long #but goddammit it needed to be said #suzy's adventures in id

44 notes · View notes