The past week has been perfection, mainly because I haven't been at work.
I've noticed that the over the past few weeks I've been skipping meals, drinking less fluids than required and generally not been taking care of myself. My hydration status has been a big issue - interestingly in the NHS small prompt-cards are available to match the colour of your urine with a corresponding level of hydration on the cards. Let's just say that passing urine occurs twice a day for me, in the morning and at nighttime. Interestingly, I recently had some blood tests taken as I was unwell whilst on nights and my eGFR was 60. Very very worrying when discussing levels of hydration. My lips are dry and my head hurts a lot!
Some people may think well they work as a doctor and don't have these problems and I would wholeheartedly agree.
This is all of my own doing!
I feel obligated to stay on the ward, chasing extra results, handing things over, teaching that procedure or meeting about an audit when really I should be having lunch. I've always been the same, so i completely blame myself...
Except when these behaviours are positively reinforced and its seen as an excellent attitude or supportive to colleagues.
I'm only in my late 20's. I've thoroughly overachieved in all things in my life. Most recently I have been nominated for one of the most sought after accolades in medicine. I have been told that four years early, I am functioning at the level of a senior doctor and have been warned I will be bored.
My family who are extremely supportive, unhelpfully, say that 'you've worked so hard to get here' to which I think I have a 40 year career of boredom ahead with evidence already of abnormal health markers - CKD 3 after a nigh shift is not good!
So, this weekend I caught up with friends and family, ate and drank more than I could possibly describe and bought a superb present for myself. The house has been decorated and I am trying to relax.
I do have a career plan in mind, but for now I'll keep that under wraps...
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