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Showing posts with label New rota. Show all posts
Showing posts with label New rota. Show all posts

Thursday, April 20, 2017

Nearly three months on the rota

I am quite happy to share with you the ongoing rota of a senior house officer that I am currently a part of since the beginning of February 2017. I have learned so much and am continuing to do so. Yes, it is much longer work hours, but, also, it gives me a shot at improving my clinical skills and decision making. Too, I get paid an extra amount for doing what is called duty in unsocial hours such as weekends and nights. 

The rota is quite different from week to week. On some weeks, I do just about 48 hours, whereas, on others, I do over 56 hours of work per week. In the past few weeks, I have had an off only on weekends, with long work hours on all the weekdays. On Tuesday, although I wasn't working, I travelled to Manchester to attend a study workshop on Communication skills. It was quite rewarding. 

Cooking-wise, I do get a chance to experiment on the lighter weeks. On the heavier ones, I get by with what I have in my refrigerator or eat in the hospital restaurant if that is possible. Occasionally, I have skipped meals at the end of the day because I was too tired to cook something. I then end up having tea and biscuits or just fried eggs with bread. 

On my Manchester trip, I went to the Asian foods supermarket (Worldwide Foods) and bought some stuff to have over the coming week. Not much, though, as I am preparing to go to Mumbai for vacation. However, I did parcel a lamb biryani from a Pakistani restaurant called Spicy Mint and it is located just across the road from Worldwide Foods at Rusholme (which is just over the signal from the Central Manchester Hospitals where I attended the workshop.

I also visited Chennai Dosa with the intention to take away some cooked stuff from there as well as have some south Indian delicacies. It disappointed me completely. The onion utappa that I ordered was undercooked from inside but crispy brown from the outside. I decided to just have it rather than argue over it as I had limited time at my disposal. When I tried to order a lamb biryani from there (Spicy Mint was a second option that I went to as I couldn't get the biryani at Chennai Dosa), they told me they did not have it at that point of time. 

In any case, to return to the main subject: it was a very good workshop and I met with quite a few interesting people, including some consultants from the hospital. Food at the workshop was quite basic with sandwiches, tea, coffee and orange juice. 

I returned to Blackpool by half past nine. A very exhausting day indeed. 

Sunday, February 12, 2017

Nearly a fortnight on the new rota as a Trust Grade SHO

Gradually, I am beginning to live the life of the title of this blog! It has been nearly a fortnight since I started on the full rota with holding the crash bleep. It has been a great experience so far. The consultants who work with me are also observing my progress with interest. I have to do this until mid-April, after which I should probably go back to my earlier routine. 

So, how has it been? Well, to tell you the truth, I am no longer doing registrar duties. I should add the word "almost" here since I did get called to do a clinic on one of my long days. As a SHO, I now carry the crash bleep, attend emergency calls, take referrals, and so on. It has begun to show me the correct way to handle cases. Well, I should qualify the word "correct". By this, I mean the way things are done in my hospital, and broadly speaking, the way it is done in NHS England. These guys do everything by looking at the evidence or by looking at protocols. It is not exactly similar to the way we did things back in India. I must admit, though, that following rules and protocols does make up for better practice of medicine. 

So, what duties have I done? I started off with a couple of night duties, then went on to do four long days (which simply means 12 1/2 hours of continuous work from 08:45 to 21:15 hours), and three other assorted duties ranging from between six to eight hours. In addition, I also got 2 mornings and three full days off. 

This change of duties has also thrown my life a bit out of gear. Before the start of February, my life was simpler: I worked eight hours a day, fixed timings, from Monday to Friday. On the weekend, I had the option of going elsewhere to do locum shifts and augment my usual income.  Additionally, I have also begun to mostly eat home-cooked food and avoid eating at the hospital's Oliver restaurant. My food has, therefore, become a lot healthier, although I still nibble at junk food from time to time. The other change that has happened is that, because I am now "first on", I have to walk a lot more. I am now averaging nearly 4 to 4.5 km of walking every duty day! 

The flip side of all this is that I do get a lot more tired at the end of a long duty; I eat at odd hours; I don't get the time to call my family much, and I miss my old routine. Be that as it may, I do enjoy this change in my routine and look forward to this work. The day after I write this, I am scheduled to do a duty from 13:00 to 21:15 hours ...

Do leave your comments below. Thanks for reading.