Showing posts with label work. Show all posts
Showing posts with label work. Show all posts

Wednesday, October 22, 2008

The St. Anthony Surge

I know my postings have slowed so I'll try to pick up the pace again. I've made some trips to L'Anse aux Meadows, Corner Brook, and St. John's -- as before I'll retroactively insert these into my blog along with the rest of my Atlantic Canada Trip and give you guys the link. These should be showing up in the next few days. I also think I've ranted enough about my Dad so I'll try to bite my tongue if I'm ever tempted in the future.

If anybody ever tries to force 4 tins of mooncakes (4 per tin) onto you, you should politely refuse -- unless you can regift 3 of them. Dad went overboard in giving me so many mooncakes -- I had to mail one to a classmate serving in Afghanistan and it still took me over 6 weeks to share and go through the ones I had left. Yup, Chinese fruitcake indeed.

As far as work is concerned, one of my colleagues decided to take a super-extended vacation (8 weeks) now that we have a surplus of anesthetists. With the 3 of us around, the numbers are just right although it is still rare for all three of us to be running an OR list. Usually the guy on call sits around in the office and handles all the little things that come through. We had a visiting urologist come in and (like most fee-for-service doctors) he wants to pack his list with as many patients as possible. With him around we actually did have 3 OR lists running. In general things also became noticeably busier over the last month. The good news is we shouldn't be in a situation of having too many anesthetists around until next January.

The only other comment I want to make about work is in regard to dealing with the administration. Now, I've ranted already about being an "employee" although I'm starting to warm up to the idea (a little bit). However, after sitting in on a number of staff meetings, a meeting with the CEO, and a meeting with the NLMA (the Newfoundland doctor's union), I now realize how sheltered I was as a resident. I've never enjoyed dealing with bureaucracies or office politics but now I've been introduced to both. I'm fast developing a dislike for committees -- as the old saying goes "To err is human. To really screw up, form a committee".

Fortunately, work is still enjoyable. I'm trying to make little changes in the hospital and trying introduce new drugs which I was used to using. We all had our desks upgraded and had new phones installed. The tender for a new anesthesia machine has gone out -- I can't wait to get rid of the ancient ones we're currently using. Despite the decent rate of acquisitions I'm still having "I wish I had...." moments from time-to-time. (Right now I'm wishing I had a High Frequency Oscillator for an ARDS patient in ICU).

Socially, I think things are going to work out just fine. As befitting my personality I'm slowly getting to know the OR staff and the medical staff. People here tend to hold impromptu gatherings and parties (especially as the frigid winters start to set in). Unfortunately, after living in a small bachelor apartment for many years my hosting skills have become quite stunted. Also, given the small living room in my apartment I don't think that will improve anytime soon. Oh well, I should at least work on a few dishes so I can bring something for the potlucks.

As far as the town itself, I'll admit my social life is still confined to the hospital. I still haven't signed up for the gym yet (my gut is paying the price) and, unfortunately, it looks like curling may not work out because I'm just signing up by myself and I need to join a team. For now, I'll be out walking the local trails and when it gets too cold to do that I'll have more impetus to joining the gym. One of the Family docs is a snowmobile aficianado and is trying hard to win converts. Although I still wince when I think of snowmobiles (i.e. traumas), I must admit I find the concept appealing. They're surprisingly expensive though ($12,000). When I next return to Toronto I'll be looking for snowshoes and also cross country ski boots.

I'm a little sleep deprived so I need to finish this post now. My next few posts should be up by the weekend.

Friday, September 5, 2008

Work Update: Relaxing but Boring

I've posted the details of my repeat trip to Gros Morne and the Western Brook Pond. I filed the post here with the rest of my road trip so it can stay in context.

I can finally say that I've finished unpacking. I dragged it out over a month because I hated doing it but it's finally done. My bike has also been reassembled as well which is good because I think I only have a month or so left of good biking weather.

Speaking of the weather, we had a good amount of sunshine this past week and nice summer weather as well -- Temps in the 25-26C range is considered sweltering by the locals. When it's that warm outside it can get fairly warm in my apartment which is good news for the winter.

Work, unfortunately, has slowed to a crawl. Not only did we have 4 anesthetists with only 2 OR lists per day but starting this week we had shut down half the OR for 3 weeks because sprinklers were being installed. Things were so slow, we were "sharing" lists (more like poaching patients from each other) just so we could each do something during the day. I suppose I should enjoy the break because in October one colleague will be going an extended leave (8 weeks) and one of us may be forced north to do locum for the month. Nonetheless, I'm starting to worry about getting rusty.

Fortunately, we have some med students out here and they have requested some Anesthesia teaching. What's amazing is that St. Anthony is actually a popular spot for German medical students to do electives! Apparently there's a website where they can share experiences and St. Anthony has had rave reviews. Teaching is learning twice so this, along with CME, should prevent my brain from atrophying.

Aside from that, I have the Mid-Autumn Festival to look forward to and I'll be returning to Toronto Sept. 12-15th for that. Along with moon cakes I'm sure I'll be picking up a number of non-perishable chinese ingredients and I'll be eating out as much as I can.

My father will be coming back to St. Anthony with me for 2 days on my way back. I'm sort of dreading it because it sounds like it's going to be an inspection and not a friendly visit. Worse case scenario, I think, is for him to decide that I can't live here. Well, at least he's not coming in the middle of winter...

Lastly, I've decided to commit myself to getting a gym membership. It's inexpensive, I have so much free time, and it is the one activity I can do even when it's -40C outside.

So far so good.