I got into this to like be a part of a system that helps people and

heels people and provides kindness. I don't think we actually make them that much

more healthy in the long term. We fixed in a cute thing and we're like, well my

fingers in this hole but man that huge crack in the dam is about to burst,

but I was here to fix this thing, so I'm holding it in, you know?

I don't know how many, you want your case for this, but it's so long, and all you really want to do

is, I just want to be off shift so I can go home and be on call, but I won't be here.

Everybody's always at a tremendous amount of pressure to get people out of the hospital quickly.

Those weren't the voices of tired residents or attendings. Those were actually the voices of social workers and case managers

Susan Hedlund and Drew Grebham from Oregon Health Services.

It used to be in the old days.

We had time, you know, we had time to plan for some of this and I think that's been one of the biggest

changes in our current medical system is we rarely have much time.

Truthfully, I've never thought about how the new demands of our health care system impact our social workers and case managers.

You know, it's so easy for me to feel bad for myself.

Oh, four new admissions, 20 notes to do,

billing to do. The more I spoke to our interprofessional colleagues, the more it

became apparent that we all feel that strain. And Drew speaks more to this tension that he

sees and actually has felt in the past. You kind of just get caught in the machine

and as you're dealing with 20 those discharges you kind of lose touch of the human side of things,

and then you kind of get dehumanized, and then it's a lot of easier to just kind of like churn people out,

and then once you sort of realize that, really for me, I would recognize like,

...