Because I just finished up a run of four night shifts. Generally speaking I feel worse and worse with each passing one, since I can’t seem to sleep very well during the day. I have a room in my house completely blacked-out, I crank down the a/c, turn on a fan, no extraneous noise, but even with all that I’m back up after 5-7 hours of light sleep, feeling unnaturally awake, no alarm clock needed.
After the final night shift I came home spent but wired from too much coffee. After burning an hour or so reading stuff like this I finally head to bed where after some obligitory tossing and turning I sleep for four and a half hours.
BEEP BEEP BEEP! Seriously? I just shut my eyes. It has to be this way though, or I’ll never fall asleep later tonight. Feeling like my soul has been ripped from my body I stumble over to my master, the coffee maker, and wait meekly for him to dole out 6 cups or so. I sit in my chair, open up the computer (again), and gradually start to feel human once more.
On this particular day I have some errands to run, which is good because it’s better to keep moving. I find myself of all places at the mall which fits in nicely with this whole bizarre out-of-body kinda day. I pass a Starbucks and obviously can’t resist that so sure why not and drink some more coffee. Now feeling pretty good I call some friends, one of whom notes that I’m “on a roll” and I concur, coffee Ten is really the only Ten I’d want to bother hanging out with. I hit the arcade, check out some Air Jordans, and get something to eat (oops that’s from a post twenty years ago, except for the cookies that is — some things never get old).
Now it’s time for dinner, so I meet my sister as planned. It’s Tex-Mex so obviously I have to have a margarita, and well can’t have her drinking alone so I have a second one as well. My heart, esophagus, liver, kidneys — still drowning in coffee — wonder what the heck is going on up there but my brain couldn’t care less; it is buzzed and relaxed and ever so grateful to be contentedly munching on chips and queso instead of heading back for yet another shift in the ER.
Finally I get back home and it’s time for bed and even though I fall asleep quickly I don’t sleep that well as I’ve just gotten used to being up and working at this time of night. I wake up a few times, have some dreams of varying strangeness, and even though I sleep for eight hours it sure doesn’t feel like it. My head doesn’t hurt, it just feels kind of fuzzy. My body feels kind of fatigued. I drag around a little more than I should.
Fortunately by tomorrow I’ll be feeling back to normal. Just in time to go back to work.
September 10, 2008 at 3:32 pm
Night shifts are PURE EVIL. We do a whole week of nights on O&G….And even though i slept like a baby during the days, coming out of nights was a disaster. I couldn’t keep my eyes open the morning i finished, so intermittently slept throughout the day. It took me 2 weeks to get back to some semblance of normal, and even now i feel fatigued! evil evil nights.
September 10, 2008 at 4:11 pm
Eeugh. Why do people want to be doctors again?
Can I recommend melatonin? You probably know better than me, but I know that when I am ready to sleep for at least 8 hours and I want to sleep like a log, I pop a melatonin. I wake up bright-eyed and bushy-tailed.
September 10, 2008 at 4:24 pm
Tex-Mex and Starbucks AKA “The Colon Challenge Test”. Gak.
September 10, 2008 at 5:23 pm
“Burrito Blowout,” You must have an iron stomach.
I switched to tea years back, less peaks and troughs than coffee.
I do have to agree, nights are evil and wreck havoc on the body.
September 10, 2008 at 5:28 pm
it depends…a string of nights in the ED wreck havoc on my body…..and i’m still young….but a couple benadryl and a dark room, i’m up bright and ready by dinner with a few hours to enjoy before going back.
On my flight overnights (12’s), it’s great….if you don’t get called, i sleep like a rock.
the past 2 nights of flight, i’ve slept like a rock both nights (one night was weather related, the other was lack of call related)
September 10, 2008 at 6:19 pm
Except for the Ms. Pac-Man, the Air Jordans, and the margaritas, that was totally my day on Monday.
I kinda like the drunk/woozy/exhausted feeling the day after my string of nights, but I make sure never to try to do anything important. Because I’ll totally screw it up.
Now that football season is here, I try to end my string of nights on Sunday morning, so I can just watch football all day. Saves me the money I woulda spent on beer.
September 10, 2008 at 10:09 pm
You are just the coolest. Ms. Pac-Man on Wiki….HA!
September 10, 2008 at 10:10 pm
true story, told to me by a radiologist about my dad. my dad used to switch around, day shifts and nights (now he only does nights).
Dr. Dad was sleeping. Phone rings.
“Dr. Dad, we have such-and-such a question.”
Silence.
“Dr. Dad?”
“Well, why don’t you call the ER doc working?”
“Umm, Dr. Dad, you ARE the ER doc on shift. You’re napping in an empty patient room on the second floor.”
“Doh!”
September 11, 2008 at 4:32 am
I’m the opposite at the moment. I slept all night (curses!) and need to work tonight, so I need to figure out how to fatigue myself enough to nap this afternoon. Spinning class, anyone?
September 11, 2008 at 4:55 am
Night shifts really have bad effect on our health… whatever we do but can’t sleep during day, because our body is tend to sleep
at night.
aarogya.com
September 11, 2008 at 10:39 am
Yet another reason I couldn’t work the medical profession. I am a DAY person.
September 11, 2008 at 11:37 am
I looked at my recent Wiki history, and it’s a collection of the most random, bizarre entries ever, so I know right where you’re coming from.
September 11, 2008 at 1:29 pm
Hence the reason I only ever do two nights in a row. Although I have found that a small glass of wine and two tylenol right before I got to bed (in between the two shifts) lets me sleep MUCH better. I can usually squeeze out 7 or even 8 hours.
September 11, 2008 at 3:18 pm
Dude,
Four out of the last ten patients I treated came in with the same complaints.
I think you should go and check yourself into the ED … STAT.
Never know what might be wrong with you.
September 12, 2008 at 12:30 pm
On the list of things I feel like doing, “check myself into the ER” is just above “rub up against a giant cheese grater.”
September 13, 2008 at 8:00 pm
Try sleeping during the day with two screaming babies, two crazy cats, and no dark room in the whole house. Good times.
September 14, 2008 at 2:11 pm
Dr. Whitecoat’s comment reminds me of one of my favorite posts on his blog. Hope you don’t mind, Dr. 10/10, if I post a link to it here.
Oh, and Dr. 10/10, if you do go to the ER, be sure to tell them your pain is a 12.
September 17, 2008 at 4:34 am
At least you have Tex-Mex and Starbucks. Try living on beef jerky, Chunky Soup, and Ding Dongs for a whole week. Without A/C.
/sympathy card
September 17, 2008 at 5:08 pm
I made the blog! Sweeeet!
September 18, 2008 at 5:52 am
“On the list of things I feel like doing, “check myself into the ER” is just above “rub up against a giant cheese grater.””
September 18, 2008 at 5:52 am
Fuck, I meant to add, “HAHAHAHHAHAHA” after that…
September 26, 2008 at 6:28 am
Good prep for life with a newborn
October 8, 2008 at 9:07 am
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