I have a 24 hour shift at the hospital every third day. In other words, between each of my shifts two other doctors are working with and caring for each of the patients.
Unfortunately, we have very different styles of practicing medicine and we have all showed some frustration with each other.
I tend to wean patients off ventilators rapidly. If a slightly premature infant is eating well, I like to increase their feeds quickly. If we are not using a patient’s IV, I ask the nurses to take it out. If a blood culture comes back positive for bacteria likely from the skin only and the patient appears well, I do not give antibiotics.
Some view me as too aggressive with ventilator weaning and infant feeding. They may not understand why I would purposely take out a perfectly good IV or why would I not treat all positive blood cultures.
If I had my choice, I would prefer to work 7-14 days in a row and have sole responsibility of my patients. However, this is not possible and we must all compromise to harmoniously work together.