typical

0500 wake-up

0530 books (sometimes channel 40)

0630 head for hospital to grab limited staff carpark

0700 ward round

0800 grand round / teaching

0900 ward round with specialist

1000 referral from ER "Hey new guy, whadayathink of this ECG, can we thrombolysed him?"

1030 call up respiratory for consult (give up after 3rd unsuccessful unanswered pager)

1100 Bed 8 chest pain --> "Lungs clear - ECG no ischeamic changes, order cardiac enzyme and repeat chest x-ray"

1200 another referral from ER -- "okay - okay bring him up to the ward"

1300 clerk the new admission

1400 quick bite in pantry

1500 Bed 3 drop her blood pressure ---- JVP reduced, looks dehydrated, low urine output fluid challenge with 1 pint gelafundin

1600 meeting with cardiothoracic surgeons

1730 pass-over ward cases to on-call docs

1800 library

2100 home

2300 bed

0200 nightmare --- 'in ward resuscitating collapsed patients'

0345 morning pee

0500 "watttt where am I?"