(11-14-2018, 07:58 PM)Guest Wrote: Call me an old salty dog, but I have seen everything.. When I was interviewing, I saw both residents, and applicants over indulge. Notable incidents were two residents nearly getting in a fist-fight, and another occasion where the guy who would have ben my chief got black-out drunk, and his co-chief to be saying, "he's off service, turns it off when he's on service." More than once I saw an applicant either, not show up the next day because they were so hung over, show up late and looking like hell, or throw up during interviews. As a resident on the interviewing side, these stories continued. After all, it is 7 years. While my program, there was not much hostility between residents, and we managed to keep it "within the family," applicants, at times, would let loose. As an attending, it only continues. I have worked with other attendings in my department, or others, who struggled from substance use and/or abuse, or dependency issues. Again, notable stories: I have worked with multiple, multiple exceptional anesthesiologists, CRNAs, AAs, who suddenly disappeared only to find out they showed up to work drunk, were manipulating the system and abusing things like fentanyl or diprovan. I, personally, took care of a CRNA, who I respected very much because of our work together, who underwent a spine fusion, but ended up tubed in the ICU for a bit because of DTs and drinking a gallon of vodka a day at home. That is not even mentioning my partners or colleagues who have had issues. I have seen anyone from the young buck, rocketing to the stars attending to the program director/chairman fall from these types of issues.
Gents. Friends. Students. We, as a field, medicine, are not immune from these things. If you have an issue, or develop an issue, I hope you are at a program that is compassionate and wants to help a colleague. All too often, in this day, the individual, in their time of deepest need, is left abandoned. Jobless. Friendless. Though, hopefully, not quite futureless.
We used to sweep these things under the rug. Give someone a stern talking to. Take them out to the wood shed and so forth. Anymore, that's not an option. If you show up to work intoxicated, you likely will lose your medical license. If you're a big drinker, even on your weekends off, it will be noted, and you may be faulted for it.
For those worried, there are resources. The first step is acknowledging. Most states have a state medical society, and a diversion program. It will not be comfortable, and may save your license. In the former stated cased (intoxication at work), you may be forced/strongly recommended to comply with the program. In the latter (partying too much), if you can address the issue prior to the need, you may be fine. Demonstrated interest in betterment, and working with your program and/or the GME may be necessary if they decide to become involved.
I do not pretend to have answers, only observations.
Buzz Killington over here
(11-15-2018, 10:51 AM)Guest Wrote: (11-14-2018, 07:58 PM)Guest Wrote: Call me an old salty dog, but I have seen everything.. When I was interviewing, I saw both residents, and applicants over indulge. Notable incidents were two residents nearly getting in a fist-fight, and another occasion where the guy who would have ben my chief got black-out drunk, and his co-chief to be saying, "he's off service, turns it off when he's on service." More than once I saw an applicant either, not show up the next day because they were so hung over, show up late and looking like hell, or throw up during interviews. As a resident on the interviewing side, these stories continued. After all, it is 7 years. While my program, there was not much hostility between residents, and we managed to keep it "within the family," applicants, at times, would let loose. As an attending, it only continues. I have worked with other attendings in my department, or others, who struggled from substance use and/or abuse, or dependency issues. Again, notable stories: I have worked with multiple, multiple exceptional anesthesiologists, CRNAs, AAs, who suddenly disappeared only to find out they showed up to work drunk, were manipulating the system and abusing things like fentanyl or diprovan. I, personally, took care of a CRNA, who I respected very much because of our work together, who underwent a spine fusion, but ended up tubed in the ICU for a bit because of DTs and drinking a gallon of vodka a day at home. That is not even mentioning my partners or colleagues who have had issues. I have seen anyone from the young buck, rocketing to the stars attending to the program director/chairman fall from these types of issues.
Gents. Friends. Students. We, as a field, medicine, are not immune from these things. If you have an issue, or develop an issue, I hope you are at a program that is compassionate and wants to help a colleague. All too often, in this day, the individual, in their time of deepest need, is left abandoned. Jobless. Friendless. Though, hopefully, not quite futureless.
We used to sweep these things under the rug. Give someone a stern talking to. Take them out to the wood shed and so forth. Anymore, that's not an option. If you show up to work intoxicated, you likely will lose your medical license. If you're a big drinker, even on your weekends off, it will be noted, and you may be faulted for it.
For those worried, there are resources. The first step is acknowledging. Most states have a state medical society, and a diversion program. It will not be comfortable, and may save your license. In the former stated cased (intoxication at work), you may be forced/strongly recommended to comply with the program. In the latter (partying too much), if you can address the issue prior to the need, you may be fine. Demonstrated interest in betterment, and working with your program and/or the GME may be necessary if they decide to become involved.
I do not pretend to have answers, only observations.
Buzz Killington over here
Idk. I thought it was a heartfelt statement on our current state of affairs.
(11-15-2018, 03:46 PM)Guest Wrote: (11-15-2018, 10:51 AM)Guest Wrote: (11-14-2018, 07:58 PM)Guest Wrote: Call me an old salty dog, but I have seen everything.. When I was interviewing, I saw both residents, and applicants over indulge. Notable incidents were two residents nearly getting in a fist-fight, and another occasion where the guy who would have ben my chief got black-out drunk, and his co-chief to be saying, "he's off service, turns it off when he's on service." More than once I saw an applicant either, not show up the next day because they were so hung over, show up late and looking like hell, or throw up during interviews. As a resident on the interviewing side, these stories continued. After all, it is 7 years. While my program, there was not much hostility between residents, and we managed to keep it "within the family," applicants, at times, would let loose. As an attending, it only continues. I have worked with other attendings in my department, or others, who struggled from substance use and/or abuse, or dependency issues. Again, notable stories: I have worked with multiple, multiple exceptional anesthesiologists, CRNAs, AAs, who suddenly disappeared only to find out they showed up to work drunk, were manipulating the system and abusing things like fentanyl or diprovan. I, personally, took care of a CRNA, who I respected very much because of our work together, who underwent a spine fusion, but ended up tubed in the ICU for a bit because of DTs and drinking a gallon of vodka a day at home. That is not even mentioning my partners or colleagues who have had issues. I have seen anyone from the young buck, rocketing to the stars attending to the program director/chairman fall from these types of issues.
Gents. Friends. Students. We, as a field, medicine, are not immune from these things. If you have an issue, or develop an issue, I hope you are at a program that is compassionate and wants to help a colleague. All too often, in this day, the individual, in their time of deepest need, is left abandoned. Jobless. Friendless. Though, hopefully, not quite futureless.
We used to sweep these things under the rug. Give someone a stern talking to. Take them out to the wood shed and so forth. Anymore, that's not an option. If you show up to work intoxicated, you likely will lose your medical license. If you're a big drinker, even on your weekends off, it will be noted, and you may be faulted for it.
For those worried, there are resources. The first step is acknowledging. Most states have a state medical society, and a diversion program. It will not be comfortable, and may save your license. In the former stated cased (intoxication at work), you may be forced/strongly recommended to comply with the program. In the latter (partying too much), if you can address the issue prior to the need, you may be fine. Demonstrated interest in betterment, and working with your program and/or the GME may be necessary if they decide to become involved.
I do not pretend to have answers, only observations.
Buzz Killington over here
Idk. I thought it was a heartfelt statement on our current state of affairs.
agreed. thank you for the very kind reminder
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