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Surely this is not allowable...Surgeon starts a 72 hour shift

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Old 19 September 2005, 10:25 AM
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Luminous
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Exclamation Surely this is not allowable...Surgeon starts a 72 hour shift

I am watching City Hospital this morning. There is a consultant neurosurgeon that has just started a 72 hour shift.

He is going from one operation to another, none stop. How the hell can anyone do a job properly for that length of time without sleep. I know some people do not need that much sleep, but just think how well you could do your job if you were working that length of time.

Just cannot believe that this is still happening
Old 19 September 2005, 10:26 AM
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davegtt
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Glad I aint his last patient.
Old 19 September 2005, 10:28 AM
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thats a disgrace!!

I am surprised that the senior hospital staff allowed someone to say that on a tv program! there will be loads of complaints of the back of that I bet!

theres no way at the end of his shift he will be able to do his job correctly, which is slightly nutts

id be a slobbering mess after 26 hours
Old 19 September 2005, 10:28 AM
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Too damn true!!
Old 19 September 2005, 10:53 AM
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imlach
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Remember it is 72 hours on call. Doesn't mean he will be 'on the job' for a continuous 72 hours. He may be at home some of that time just having to respond to calls etc. Of course, if it is VERY VERY VERY VERY busy, then...........
Old 19 September 2005, 10:58 AM
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if you count on call as well , I do a 168 hour shift every 3 weeks . No lives depend on my decisions though .....
Old 19 September 2005, 11:04 AM
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Deep Singh
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Just finished 72 hours on call this weekend. Knackered
Old 19 September 2005, 12:02 PM
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Reality
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Originally Posted by Deep Singh
Just finished 72 hours on call this weekend. Knackered
So are there any procedures to ensure you get some sort of sleep during a 72 hour shift - Or are you expected to be able to function properly for 72 hours without any real sleep .
Old 19 September 2005, 12:11 PM
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I just finished a 168 Hour Shift on call too.. I support the major patient results systems in the hospital so i guess live depend on it a little bit.. .. infact.. hell .. why don't i get paid as much as the surgeons
Old 19 September 2005, 12:14 PM
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Any more than 10 hours and I feel faint

Matt
Old 19 September 2005, 12:52 PM
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Deep Singh
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Originally Posted by Reality
So are there any procedures to ensure you get some sort of sleep during a 72 hour shift - Or are you expected to be able to function properly for 72 hours without any real sleep .
No. There are systems in place to ensure junior docs get rest but not senior docs such as myself. Go figure!! I'm not saying I won't usually get some sleep during that time, but not always enough to be 100%.
It also varies from speciality to speciality. Some will very rarely have to come in/be disturbed on call. Sadly my speciality is not one of them
Old 19 September 2005, 01:12 PM
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MJW
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Originally Posted by Luminous
How the hell can anyone do a job properly for that length of time without sleep.
Probably not so hard when you have the keys to the medicine cabinet !
Old 19 September 2005, 01:24 PM
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Now that is hardcore. The most I've ever done without sleep was 38 hours, but then I slept for 18 hours straight.
As for 72 hours, well I went for 80 hours over the last bank holiday, but that was interspersed with 9 hours sleep over three intervals. Was approaching hallucinations by then though. How you can do an operation in that state is beyond me.
astraboy.
Old 19 September 2005, 01:24 PM
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Originally Posted by Deep Singh
No. There are systems in place to ensure junior docs get rest but not senior docs such as myself. Go figure!! I'm not saying I won't usually get some sleep during that time, but not always enough to be 100%.
It also varies from speciality to speciality. Some will very rarely have to come in/be disturbed on call. Sadly my speciality is not one of them
So Deep, I know you wont neccasarily know the answer to this - but I'll ask anyway.

Where's all the extra money being pumped into the NHS going? From where I'm standing the hospitals still appear to be falling apart at the seams, The staff are all having to work to the point where it's dangerous and waiting lists seem to have improved across the board by about a week or two !

There must be improvements somewhere !

(Or is it all paying your overtime / call outs )
Old 19 September 2005, 01:32 PM
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imlach
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They do 72 hours straight 'on-call' so that they can earn their extra money doing private consultations on the other days
Old 19 September 2005, 01:34 PM
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Originally Posted by astraboy
How you can do an operation in that state is beyond me.
astraboy.
They've got access to better drugs
Old 19 September 2005, 02:53 PM
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RichS
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Longest I've ever stayed awake is 66 hours...

...but that was when I was young, stupid and thought it was clever.
I was wrong.
I was halucinating towards the end of it...

No way could I have done even the most mindless of jobs in that condition, let alone something that's life-dependent.

I realise Deep and others have said it's not necessarily 72 hours straight with no sleep, but still it seems like a huge shift to have to cope with...
Old 19 September 2005, 03:19 PM
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Originally Posted by RichS
Longest I've ever stayed awake is 66 hours...

...but that was when I was young, stupid and thought it was clever.
I was wrong.
I was halucinating towards the end of it...

No way could I have done even the most mindless of jobs in that condition, let alone something that's life-dependent.

I realise Deep and others have said it's not necessarily 72 hours straight with no sleep, but still it seems like a huge shift to have to cope with...

I've gone through weeks on call where i'll only get a couple of hour long sleeps per night contstantly being interrupted throughout the night by my pager/mobile . It really does take it out of you..

Other weeks.. I'll maybe get called 4 times all week so i get my full 6 hours
Old 19 September 2005, 03:29 PM
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Originally Posted by Reality
So Deep, I know you wont neccasarily know the answer to this - but I'll ask anyway.

Where's all the extra money being pumped into the NHS going?
There must be improvements somewhere !

)
Our local hospital is having a massive extension.
Old 19 September 2005, 03:43 PM
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Avi
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Originally Posted by paulr
Our local hospital is having a massive extension.
The hospital i work in is too... but you'll find that many of the new hospitals (including ours) are privately financed under the Private Finance Initiative (PFI), not using any funding from the Public Sector
Old 19 September 2005, 08:40 PM
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Deep Singh
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Originally Posted by Reality
So Deep, I know you wont neccasarily know the answer to this - but I'll ask anyway.

Where's all the extra money being pumped into the NHS going? From where I'm standing the hospitals still appear to be falling apart at the seams, The staff are all having to work to the point where it's dangerous and waiting lists seem to have improved across the board by about a week or two !

There must be improvements somewhere !

(Or is it all paying your overtime / call outs )
I do know. Most of it is being spent on meeting 'artificial' targets ie the govt promised waiting list for routine ops will be 3 months. To accomplish this in my area the govt has spunked millions to send people into the private sector to have their ops. Some of these ops are not that urgent ie wisdom teeth but will cost approx £2000 to be done in the private sector.
This is YOUR TAX money NOT going into YOUR local hospital so as a consequance the hospital is as sh1te as it always was.

This is all so Tony Blair can say 'waiting lists are down as I promised'
What he doesn't say is the rest of healthcare is as poor if not WORSE than when he came to power
Old 19 September 2005, 10:24 PM
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Steve1968
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Originally Posted by Deep Singh
I do know. Most of it is being spent on meeting 'artificial' targets ie the govt promised waiting list for routine ops will be 3 months. To accomplish this in my area the govt has spunked millions to send people into the private sector to have their ops. Some of these ops are not that urgent ie wisdom teeth but will cost approx £2000 to be done in the private sector.
This is YOUR TAX money NOT going into YOUR local hospital so as a consequance the hospital is as sh1te as it always was.

This is all so Tony Blair can say 'waiting lists are down as I promised'
What he doesn't say is the rest of healthcare is as poor if not WORSE than when he came to power
DS is correct - the money going over to the private sector paid at a premium is obscene.

It is also however going on pay reform costing millions which is hidden from the public -
- Agenda for Change
- Consultants Contract
- GP Contract
- Junior Doctors European Working Time Directive
- Superannuation cost increases
Steve
Old 19 September 2005, 10:42 PM
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Avi
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Originally Posted by Steve1968
DS is correct - the money going over to the private sector paid at a premium is obscene.

It is also however going on pay reform costing millions which is hidden from the public -
- Agenda for Change
- Consultants Contract
- GP Contract
- Junior Doctors European Working Time Directive
- Superannuation cost increases
Steve
Don't even get me started on reducing waiting list times and Agenda for change.. Being in IT.. i know EVERYTHING that goes on in the place
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