
As an intern, I have to take at least one 24 hour call a week. I usually make it until the end of a regular (14hour) day before starting to acutely feel the pain of wanting to sleep more than just about anything else, including perhaps more than I want to have a job... I am not a napper. I learned this about myself in college and years later I reaffirmed this in medical school. I cannot take a nap without waking up feeling like I just chased 6 or 7 benedryl (of the drowsy variety) with a bottle of white wine. I do not awaken from a nap bright eyed and bushy tailed; rather, I awake a bumbling mess of sleepy eye and messy hair and blank, glazed over stares.
One night on call, everything was going swimmingly. The ER pager, which I am responsible for, was quiet. The board, where the laboring (or wish-they-were-laboring) women are listed, had only one name on it, and she was of the parenthetical variety labor and delivery patient. My senior resident suggested I take a nap and I succumbed to the temptation of 100 thread count, starchy white hospital sheets. I curled up around my pagers, lest they should alarm. This was at 9pm. At 9:40pm I awoke to the nasty shrillness of the ER pager. I quickly scrambled out of bed, stumbled to the computer 2 feet from the bed, and called the number flashing on my pager. I proceeded to discuss the consult with the ER attending physician, scribble some notes down, and head to the elevator to the Emergency Department.
A flash and a blur later, I am in the ED still feeling markedly disoriented. I look down to the small paper I am clutching in my fatigued, trembling fist. These notes should give me some vital information (no pun intended) for how this consult will go. What is the patient's name? What room is she in? Why did she come to the ED tonight? And why, for the love of god, can the ED attending physician not handle this problem on his own without waking me from my restless slumber with dreams of amniotic fluid indexes and bacterial vaginosis. I take the paper from my pocket and focus my bleary vision only to find that I have, oh so helpfully, scribbled one word over and over on the paper: uterus. There is no name, no room number mentioned. Only several lines of
"uterus? uterus %#uterus &uterus ***uterus***."
I had, once again, been sabotaged by sleep, nailed for napping, screwed for snoozing. No more napping on this girl's call nights.