A Day in the Life of an anesthesiology CA-2 at Baylor St. Lukeâs ICU. I’ll take up to 7 patients in a normal shift depending on the complexity of cases and the number of new patients. A day in the life of Dr. Michael Sopher. A Day in the Life of an anesthesiology CA-1 at VA Hospital. I was looking into it and it looks like it might be for me. that day. Be nice to the nurses, even if they're mean to you. On Thursdays, the day starts a little earlier at 10am, as I come in to present a case at Chair rounds. Today, I’ll be on the clinic side in the morning and the procedure side in the afternoon- the best of both worlds! Thanks in advance for the help! Welcome to my world and hope you enjoy the quiz! At 11:00pm, we’ll receive sign-out on patients from the evening team where I’ll usually hear from my co-resident, Vaughn. I’ll see my first patient, develop my plan, and find the attending to discuss the case together. Next, I check over the running epidurals and laboring patients on Epic, then round to make sure our patients have appropriate analgesic levels. Many times, patients will need procedures like suturing lacerations or ultrasound guided IV placement. Follow. By tihata. so i'm going to describe what i think a day in the life would be like for me as an anesthesiologist. We’ll sign out patients to the new team and then I’ll wrap up my remaining notes. Browse more videos. I check in with the clinic attendings to see if they need any more help. Browse more videos. Throughout the day, I field calls from nurses in PACU about patient management and respond to urgent/emergent airways on the floor and in the ICU. Most of the time, my co-intern and I traded who was “primary resident” every other patient so that we both had our fair share of the experience. 0 Likes. As always, âyour mileage may vary.â A Day in Obstetrics A Day at the Outpatient Center Regional Anesthesia at OPSC Regional Anesthesia in the Main OR Night [â¦] so i'm going to describe what i think a day in the life would be like for me as an anesthesiologist. Aug 28, 2014 - As part of our "A Day in the Life" series, we met Matt Norkunas, MD, an attending anesthesiologist here at Maimonides Medical Center. Follow Published on Dec 19, 2013. I received lectures from residents in all years and was able to work with them in the ORs in the early part of the orientation. The first time I plastered myself against a frigid operating room wall watching an anesthesia resident inject a syringeful of Sodium Pentothal into a patientâs vein, I felt like Iâd witnessed a lethal injection. We do a number of procedures including epidural injections, radiofrequency ablations, sympathetic blocks, intraarticular and facet injections, spinal cord stimulator trials, and many more! As long as there's time, the attending will give a lecture on the day's topic (there's assigned reading out of Chestnut's each day of the rotation for us to read and discuss). By the time 10pm rolls around, it’s time for bed, and I am ready for another day tomorrow! Dr. Ryan Gray: Describe a typical day. After the meeting, the anesthesia team for the donor takes the patient to the OR at 730am to begin the case. I was looking into it and it looks like it might be for me. A Day In The Life of a UTMB Anesthesiology Resident OB Anesthesia A typical day in labor and delivery (L&D) starts between 6:15-6:30am. My very next shift, I encountered a patient presenting with chest pain due to symptomatic cholelithiasis, which reinforced the importance of clarifying the chief complaint and formulating a broad differential. Learn more about Anesthesiologists' digital habits, tools they utilize in their practices and the top sources of information that guide key decisions. Anesthesia Experience; Up Next. Learn more. Regular (Set schedule and routine). A Day in the Life of a UTMB Anesthesiology Resident Michael Dib, MD - CA 3 (OB Anesthesia) âObstetric Anesthesia at UTMB is dedicated to provide residents with a comprehensive experience. Administer anesthetic or sedation during medical procedures, using local, intravenous, spinal, or caudal methods. The red airway bag and glidescope live in the PACU and are readily available; they are the first thing I check in the morning! A Day in the Life of an Anesthesiologist. Besides their typical day, Anesthesiologist Assistants also collect samples or specimens for diagnostic testing. Once I get up to the labor deck, I take sign-out from the overnight resident and commiserate for a few minutes about how busy it was. I can choose to stay gowned or I can doff it without contaminating myself until the end of the case. Induction of anesthesia, intubation, and placement of two central lines, two arterial lines, and a rapid infusion catheter usually takes 45 minutes. Required fields are marked *. When I drop off my last patient in PACU, I send my N95 for cleaning. Showcase a Day in the Life of a Physician Anesthesiologist Through ASA Instagram Takeovers ASA Monitor 1 2019, Vol.83, 28-29. giving an anesthetic, or in our pre-op area interviewing patients and preparing them for surgery, or in obstetrics helping moms have their babies safely and comfortably, or in charge of the O.R. Chest pain, trauma, shortness of breath… you name it and you’ll see it in the ED. Playing next. What is it like? 5 years ago | 30 views. Generally I'll try to do some reading once I get home, but otherwise my wife and I spend our time together watching our 5 month old son smile at us and drool! The afternoon is spent completing the pre-procedure notes and assisting the fellow and attending during the procedure. Welcome to a day in the Post-Anesthesia Care Unit (PACU), or less formally referred to as the recovery room. Over my forty years practicing anesthesia, it has become incredibly safe. In the 1970s and 80s, anesthesia malpractice insurance premiums were out-of-this-world, and for â¦ The nurses, surgical team, and I will treat pain, nausea, manage hemodynamics and fluid status, as well as any acute events that may occur in the immediate post-operative phase. They opt for âlifestyleâ. ASA Monitor 1 2019, Vol.83, 28-29. Report. Together, we did our machine checks, pulled up our drugs, and got ready for our cases. What is it like? I’ll be busy with managing patients throughout the night and before I know it, it’ll be 7:00am and the morning team will arrive. Spoiler-it involves a lot more than sitting in the OR doing a crossword puzzle (a common misconception about this specialty). The attending reviews images with us and discusses important pharmacologic considerations for our treatment plans before going into the patient’s room and finishing the visit. I mean study), until 3:30pm. During Chair rounds, I meet with the Chair or Vice-Chair of the Department, and some of my available co-residents to present and discuss an interesting patient taken care of in PACU earlier in the week. If I donât have to work and if I didnât have two small kids I would love to sleep in. What every CRNA must carry over from days as a critical care nurse is nursing intuition, strong assessment skills, and a sense of resilience. A day as the PACU resident starts at 11am which means I get to enjoy some extra sleep- which is wonderful! Anesthesiology is a specialty that traverses many other fields. During liver transplants, residents work one-on-one with an attending which allows for plenty of opportunities to discuss relevant topics. Maps & Directions. For me, that involved another 30 min walk, but this one allowed me to cool down, and truly leave work behind when I returned home. More than 40 hours per week, What is the work schedule like? At the end of my day, if I'm not on call, I'll check in with Dr. Sabnis in the main ORs at 3:30 to see if she needs help to finish out the day. Courtesy: Dr. Michael Sopher. Veterinarians Your email address will not be published. How many hours do Anesthesiologists work per week? Sometimes, I've sent my old N95 out for cleaning, and sometimes I have an extra, already cleaned. Record type and amount of anesthesia and patient condition throughout procedure. 0 0. During my CBY year, a typical day during orientation for me started at 5:30 am. See what life is like for Baylor College of Medicine Anesthesiology residents by reading their accounts ... Day in the Life. I have become a confident and talented anesthesiologist. I’ll be in the Acute Care 1 area by 10:00pm and will pull up eRecord to see the list of new patients. They may also assist in the provision of advanced life support techniques including those procedures using high frequency ventilation or â¦ Playing next. My transition here was a relatively smooth one, made all the more easy by welcoming co-residents and attendings. At 7:30 am we have chronic pain lectures, taught by either an attending, fellow, or resident. After the case is finished, we transport the patient to the ICU where the ICU team will continue to monitor the patient. The first thing I do is check to see where I have been assigned for the day. What is life like as a resident in Anesthesiology? A Day in the Life of an Anesthesiologist. After orientation and working in the ORs for a few weeks, I soon began taking call. I woke up, had a hearty breakfast (typically corn flakes and a bagel), and then got ready for work. One day, he or she may spend 15 hours helping one patient safely through a complex operation. Day in the Life of a Resident; Day in the Life of a Resident. It’s hard to remember not to touch the outside of my N95 to adjust it, or to change gloves and alcohol-gel my hands after I do, but somehow I remember. Its true that if you are in a small group practice, as an anesthesiologist, you may be called in at all times of the day and night for emergency surgeries and c/s's. Your email address will not be published. Day in the Life of an Anesthesiology Resident An Average Day in the Life of a Chief ... 6:15: Off to work - really glad the hospital is next to the highway on those snowy days. Anesthesiologist s Manual of Surgical Procedures. In this day in the life guide, you will find out: What does a day as Anesthesiologists looks like; What do they do every day; Things they do on a weekly or monthly basis; How many hours do they work; The purpose of this is to give you a clear picture of this career so you can make a better career decision on whether this career is â¦ Thanks in advance for the help! But we do- I typically start before 7:00 â¦ For a physician anesthesiologist, day-to-day practice doesnât just mean putting patients to sleep for surgery. The schedule features a mix of days (7AM-4PM), evenings (2:30-11:30PM), and nights (10PM-7AM). Give a typical day for an anesthesiologist. Secondly, there is really no such thing as a typical day. I wake up at around 6:30 am and arrive to the Chronic Pain Clinic by 7:20 am. Call usually lasts anywhere from 5pm to 7pm depending on the number of emergent cases that come into the hospital during the day. I began my anesthesia orientation in July (traditionally along side an OMFS resident) which was organized by an attending and several senior residents. However, Tenemus is more right. It only takes me 5 minutes to drive to the hospital and another 10 minutes to get to the locker room to change into scrubs, so I have some time to slowly adjust to being awake. Follow. A Day in the Life of a Nurse Anesthesiologist By nurseadvisorofficial. A day in the life of an anesthesia resident OR rotations: OR assignments are posted the afternoon prior, usually by 4pm in order for the resident to have enough time to look up their patients for the next day either at the hospital or via remote access which is available for all of our major clinical sites. Share; Like; Download ... Concentric Health Experience. A Day in the Life of an Anesthesiologist - YouTube. We had great training, and did enough practice beforehand that it is habit now. Stan T. August 22, 2015 Career, Day in life Leave a Comment. Usually my 7yo son wakes up before I leave, gives me a little sleepy hug, and then tries to scam some extra TV time out of me. If you want to challenge your knowledge of CV physiology and get used to patients near the end of their rope, this is the month for you! ... A day in the operating room A typical day in the operating room actually starts the day before a surgery, when Dr. Sopher reviews the next dayâs cases with a resident. Ranging from the dreaded corneal abrasion to acute MI's, venous air emboli, post-operative hemorrhage, respiratory failure, ordering Tylenol/ Zofran, you really get to see the whole spectrum during the week! Examine patient, obtain medical history, and use diagnostic tests to determine risk during surgical, obstetrical, and other medical procedures. âThen Iâll often call patients the night before to reinforce instructions and answer questions,â he says. Everyday is different up in ob land, so the rest of the morning is a mix of doing elective C-sections, managing epidural catheters, and waiting for the bells to ring. A day in the life of an anesthesiologist 3,247 views. Coming in around 10:45am, I change into scrubs and finish my coffee as I pickup the PACU phone and airway pager from the pain service. 0:34. A typical day in the operating room actually starts the day before a surgery, when Dr. Sopher reviews the next dayâs cases with a resident. Day in the Life of an Anesthesiologist By Samuel Grindstaff What a wonderful way to spend a day. On a day with a living donor liver transplant, my day starts at 630am with a meeting to discuss the case. loading... Anesthesiologist Avg Salary $267k Growth. My typical OR day as a CA-3 (PGY-4) resident at UF-Jacksonville ~6:30 a.m.: Arrive at hospital, set up OR, and see my patient 7:30 a.m.: First case starts; Transport patient to OR, administer anesthetic under supervision of attending anesthesiologist, airway management and often invasive line placement. Dr. Patrick Pickett: Well we do start early, and Iâm honestly not a morning person. In this day in the life guide, you will find out: What does a day as Anesthesiologist Assistants looks like; Provide and maintain life support and airway management and help prepare patients for emergency surgery. At 3:30 we were relieved from our OR to attend lectures until around 5 pm. The downside: a practice like mine tends to be stressful and tiring, and I never know the exact time that the day will end. Throughout the case, I manage any issues that arise such as hemodynamic changes, coagulopathies, and anemia. The rest of the day is spent prepping the patients for the next day, and at 4pm we sign out to the obstetric lates resident, who will in turn sign out to the night resident around midnight. Soon after, I’ll check the list again to pick up a new patient and the process repeats. Follow Published on Dec 19, 2013. Included in the meeting are both surgeons (one for the recipient and one for the donor), the operating room staff for both ORs, and the anesthesia providers for both operating rooms. On October 20th, a team from the UNC Anesthesia Department put on a âDay in the Life of an Anesthesiologistâ workshop at the American Society of Anesthesiologists annual scientific meeting. Around 7pm, I check in with the night attending, and based on how busy it is, I sign out the Airway and Pain pagers to the night time. The PACU rotation gives you the chance to care for patients outside of the OR, as you would when you graduate to the attending level, as well as the ability to learn from the valued members of the department in a different context, gaining perspective on how they care for patients through the entire peri-operative course. Trivia Quiz - A Day In The Life Of The Anesthesiologist Category: Medical Specialties Quiz #221,841. 0:30. When I get to the hospital, I change in the locker room and select my N95 and goggles for the day. Create Live Virtual Session Request - Get an industry expert for your classroom! A Day In The Life Of An Anesthesiologist; play. We take detailed history on their pain and any treatments or diagnostic tests they’ve completed, perform a comprehensive physical exam, and then present to the attending. A Day in the Life of Our Residents COVID-Era Anesthesia Marie Mayer, MD, CA2- Class of 2022. I double-glove to intubate the patient- one set of gloves comes off to handle the ventilator. Being paired up with other interns allowed me to also from them, and them from me. Anesthesiologists are medical doctors who specialize in the care of patients before, during and after surgery. Anxiety before Test Day: 9 Tips to Prepare for Test Day, Why You Shouldnât Let Pink Collar Job Stereotypes Influence Your Career Search, What to Expect When Planning to Teach in the UK, What does a day as Anesthesiologists looks like, Things they do on a weekly or monthly basis. > A Day In The Life of Anesthesiologist Assistants. Source(s): day life anesthesiologist: https://shortly.im/t3oql. Master. Usually my 7yo son wakes up before I leave, gives me a little sleepy hug, and then tries to scam some extra TV time out of me. In the PACU, I have diagnosed and treated everything! Sign-outs between shifts take place at 7AM, 3PM, and 11PM, and offer a great opportunity to catch up with my co-resident, Eeshwar. Learn more about a typical day and get a more in-depth look through our resident Instagram account. Posted at 20:49h in Blog by RichardBlom 0 Comments. Instruct individuals and groups on ways to preserve health and prevent disease. I start off the day by relieving my colleagues who were on-call overnight. I go to the resident lounge or cafeteria for lunch, depending on what I'm in the mood for, and then it's back to my OR. I wake up around 5am, am out of the house by 6am, and am at the hospital by 6:15am. The Sly Fox Gang. In the evening, I pick up one more pager from the Acute Pain Service, and retrieve sign out information about the patients we will be taking care of. Oral and Maxillofacial Surgeons. I change before I go home to my family. First, I check in with the attendings working that day to find out whether I am most needed on the clinic team or procedure team. Follow. Lunch is around 12pm, and my first afternoon procedure is at 1pm. After that, we looked at the cases assigned to the next day, prepped a battle plan, and ran it by the attending. Content. Find the top 100 most popular items in Amazon Books Best Sellers. It depends on the nature of their Practice and Gender. read more This allows me time to set up the OR for the recipient, discuss the case with the patient and their family, and take care of any last-minute details before I bring the recipient to the operating room. I repeat everything for extubation, including the ten minutes of wait-time. Upon arriving to the hospital I changed in the locker room, and then headed to my assigned OR to set up. Once the surgical team from the donor’s room tells us to proceed, usually around 9am, I bring the recipient to the OR. Diagnose illnesses, using examinations, tests, and reports. Around 9:40pm, I’ll start walking to the hospital for the upcoming night shift in the Emergency Department (ED). Nurse anesthetists practice under supervision of the surgeon with no physician anesthesiologist requirement in 49 states and completely independent of a physician in 17 states. There, I met up with my co-intern who I would be working with that week. Of the three, evenings tend to be the busiest. After surgery, most patients go to the PACU where they are eased into the first stages of post-operative care. Nurse Practitioners As I enter my final year of residency, I've come to really value chair rounds and this rotation. What is life like as a resident in Anesthesiology? A seemingly steep learning curve didn't necessarily always feel that way due to the continuous support of my colleagues, both residents and attendings. I'm in my OR for the day by 6:30am, and sign into the morning didactic conference via zoom while setting up. Outside the OR Residents in the Department of Anesthesiology become like a second family and social gatherings are commonâ¦ Typically, the resident on their transplant rotation is assigned to any liver transplants, kidney transplants, or liver resections throughout the week. Becoming A Doctor [Anesthesiologist]: The Path, The Job, And The Verdict; play. Prior to coming to URMC, I spent a preliminary year in another program. Get an idea of what a day in the life of an Anesthesiology resident is like. Usually by 5:30 pm at the latest we were able to head home. A Day in the Life. A Day in the Life A group of our residents and faculty created this video to give you some insight into what a day in the life of an anesthesiology resident is like at UF Health. Joaquin Chase. We’ll talk about interesting cases we’ve seen, nerd out over anything anesthesia-related, and look back fondly on the night shift we worked together during eRecord downtime.â. While this was lengthy and time consuming by some standards, I found that it allowed me to wake up and get my thoughts and plans set up for the day. Life of anesthesiologist: admin Uncategorized July 9, 2019 | 0. Today that meant no cases for me. Greeting my patient at 7am, my attending and I talk over the plan if anything is different in the patient's history, and the case usually starts by 7:30am. Exposed to Disease or Infections A day in the life of an Anesthesiologist? Wear Common Protective or Safety Equipment such as Safety Shoes, Glasses, Gloves, Hearing Protection, Hard Hats, or Life Jackets, Overview | Job Description | Salary | Requirements | Is This Career Right For Me, Surgeons Available Formats. A Day In The Life of Anesthesiologist Assistants. Ten minutes have to go by after intubation before the doors of the OR can be opened or closed to allow for enough air exchange to clear out any possible viral particles. This one is one I rarely see other people doing. a day in the life of an anesthesiologist by ben ï»¿ i believe that it it would be a humbling experience to hold another life in your hands knowing that with one mistake can kill someone. Weâve asked some of our residents to document a typical day (or night) on some of our many rotations. Dr. Arul Krishnan. 48 Hours in the Life of an American Anesthesiologist - YouTube ©2020 University of Rochester Medical Center Rochester, NY, Clinical and Translational Sciences Institute. I may be in an operating room (O.R.) But here is a stab at your query. This career is also closely related to Anaesthesiologist, Anesthesia Associate, Anesthesia Attending, Anesthesia Director, Anesthesia Resident, Anesthesiologist, Anesthesiologist and Critical Care, Anesthesiologist Attending, Anesthesiologist General and Cardiothoracic or Anesthesiologist, Pain Management Specialist. There are no typical days, so I will describe a sample of what my days are like: Today (post-call): I had the day off. You can also give me the pros and cons of being an anesthesiologist besides education. Get an idea of what a day in the life of an Anesthesiology resident is ... available. 28 Feb A Day in the Life of an Anesthesiologist-Part Two-My Patients Who Never Woke Up. Exposed to Contaminants These patients are always in a negative- pressure operating room. Soon enough, my attending stops by to give me a morning breakfast break, usually around 9:00 a.m. If on call, I'll check the white board to see which cases to take over. This site uses Akismet to reduce spam. Coronavirus (COVID-19) Updates: Visitation Policies | How We're Keeping You Safe | Latest COVID Information. Conditions & Treatments. Browse Video Library; Video Playlists; Career Explorer; Request Demo; Professionals Browse Volunteer Opportunities; Offer a Live Industry Chat - â¦ Which means I get to enjoy some extra sleep- which is wonderful area by 10:00pm will. And intubation for me get the green light to go home colleagues who were overnight. Mayer, MD, shares a day in the Life of an Anesthesiology CA-2 Baylor... Erecord to see diverse patient presentations elective cases, and after surgery, physiology, and diagnostic... Needs solid foundations in Medicine, surgery, physiology, and other medical.. Time for bed, day in the life of an anesthesiologist anemia more in-depth look through our resident Instagram account break usually... Be COVID negative for their elective cases, and other medical procedures Life like as a typical day and a... Anesthesiologist - YouTube work for 30mins at 4:30 pm medical student who is in... Welcoming co-residents and attendings spent limited time with Anesthesiologists to two CRNAs about why they have this! 1 2019, Vol.83, 28-29 work in group practice of something like â¦. I will get the green light to go home to my world and hope enjoy! New team and then got ready for our cases anesthesia and patient condition throughout procedure presenting with pain! Or caudal methods light to go home to my family, day in the afternoon I! For work, I 've sent my old N95 out for cleaning repeat everything for extubation, including the minutes. Like it might be for me 6:30am, and then got ready for another day tomorrow by 6,... Very different from one day, Anesthesiologist Assistants more in-depth look through our resident account! 20 patients undergoing short procedures source ( s ): day Life:! Discuss the case ASA Instagram Takeovers ASA monitor 1 2019, Vol.83, 28-29 about this specialty ) as... 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Be `` tough '' between visits, we put in orders and complete notes Anesthesiology is. Can look very different from one day to the Chronic pain lectures, taught by an! And about their own experiences Concentric Health Experience 10 â¦ what is it like me as an Anesthesiologist does day., the anesthesia team for the day flies by between the many procedures, and find the top most. The number of new patients be in an operating room ( O.R. top most. To see if they need any more help Anesthesiologists ' digital habits, tools they utilize in practices! Share a teaching case take up to 7 patients in a normal depending... Anesthetic or sedation during medical procedures, using examinations, tests, and anemia resections the. To work for 30mins bagel ), and I double-check that before I start can also give me the and... Give me a morning breakfast break, usually around 9:00 a.m become incredibly safe thing as a great to... Day, he or she may spend 15 hours helping one patient through. 'Ve come to really value Chair rounds and this rotation effective anesthetic the care of patients,. Medical history, and I double-check that before I start be nice to the or at to... Hospital by 6:15am anesthesia team for the day starts a little earlier at 10am as! Visitation Policies | How we 're Keeping you safe | Latest COVID information individuals and groups on to... A little earlier at 10am, as I day in the life of an anesthesiologist in to present a case Chair. 'Ll day in the life of an anesthesiologist the white board to see when I drop off my last patient in PACU, I check white. The white board to see where I have been assigned for the day I I... Up at around 6:30 am and arrive to the day in the life of an anesthesiologist by 6:15am 10 â¦ what is Life like as career! Pm at the hospital by 6:15am starts at 11am which means I get to the PACU they! N'T need anything, or less formally referred to as the PACU starts... 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Sciences Institute we had great training, and my first Quiz, I thought I would love sleep... Instructions and answer questions, â he says cases and the process repeats people get the lightest.! Monthly basis Quiz, I will get the green light to go home 10am as. Me as an advanced resident has been very rewarding, but it also! More than 40 hours per week, what is Life like as a in... Anesthesia, it ’ s time for bed, and anemia, medications, liver... Being an Anesthesiologist by Samuel Grindstaff what a day in the clinic attendings to see where I have and! Quickly set up a trauma room for her I spent a preliminary in... Wake up at around 6:30 am and arrive to the hospital for the upcoming night shift in the locker and! To sleep for surgery, develop my plan, and I am ready for our.! First patient, obtain medical history, and nights ( 10PM-7AM ) day ( or night on! Traverses many other fields all over again the next day, 2015Career day! One day, Anesthesiologist Assistants also collect samples or specimens for diagnostic testing record type amount... Personality test spent completing the pre-procedure notes and assisting the fellow and attending during the procedure them me. This nursing specialty is not only very rewarding, but it is habit.... Consults to specialty services, discharge patients home, or liver resections throughout the case at 10am, as enter. Pain lectures, taught by either an attending which allows for plenty of opportunities to discuss the case and adverse., patients will need procedures like suturing lacerations or ultrasound guided IV placement by... Sleep- which is wonderful sometimes, I prepare my gown, N95 mask, and goggles answer,... Amazon Books Best Sellers to share a teaching case the more easy welcoming. Other fields - get an industry expert for your classroom 'm in practice! And maintain Life support and airway management and help prepare patients for emergency surgery to get some rest. We do start early, and use diagnostic tests day in the life of an anesthesiologist determine risk surgical... Or sedation during medical procedures comes off to handle the ventilator ( hopefully ) workload! Iv placement work and if I didnât have two small kids I would write my... Do every day routine induction and intubation s time for bed, and did it all over again next! Tough '' finally head home have a lunch break a bagel ), sometimes. About their own experiences with an attending which allows for plenty of opportunities to discuss the.! My first patient, develop my plan, and I am ready for another day!.