All right. So we are back. If you missed the last segment, we just talked about a medical

myth that Dr. Ney thinks needs to be retired, i.e. doctors ain't leaders. So stop running.

Then we talked about days that we don't work, especially as Locum's, days that we just think are

unacceptable. Now we're about to talk about what, Dr. Nees?

All right.

Let's, you know, I'll be scouring Reddit.

So let's talk about an unreachable attending on call.

Mm-hmm.

In the residency forum, they want advice.

Ooh.

So it says, hey, everyone, looking for advice and sanity check from fellow colleagues.

I'm currently doing 24-hour in-house calls, and I share these shifts with an attending physician.

Here's the issue.

After finishing outpatient clinic around 5 p.m., This attending routinely takes melatonin and

Lou Nesta to get good sleep overnight. He goes to bed around 6 p.m. and

basically knocks out for 12 hours straight. We're both still on call during this time.

But here's where it gets uncomfortable. After taking Lou Nesta, I don't know why this person is using the trade

name. Anyway, he becomes oddly talkative, emotionally unfiltered, and starts sharing inappropriate

or personal secrets about his life. He laughs randomly, over shares, and clearly isn't functioning

with normal inhibition. Once asleep, he is completely unavailable. Doesn't respond to

text or calls during the night. I'm left managing everything, including some higher-stake decisions,

and honestly, I'm not sure he'd even be capable of handling an emergency if one came up.

...