I went three ER shifts without a single admission, then last night, two for my fellow intern/resident on GI. The second one was called at 4:30am. I felt so guilty I would have done the admission for him myself. The worst part, however, was the call to the GI fellow prior. Yes, I can see the irritation from her point of view -- being woken up at 4 AM and not for an admission, but a complicated management question. BUT, there is never a need to be an *** to your colleagues. She should know an intern would never call a fellow (esp at that hour) unless it were supported by the team/attending. Of course it was my attending who insisted on the call. She said - you're a clinician too; you should be able make the medical decision. If that were the case, then why do we need specialists?

The worst worst part is that I like this fellow. She is odd, but there is nothing wrong with being odd. There is, however, something wrong with being an A****. I wonder if I should be so friendly the next time I run into her. Sigh... Whatever, I'll just do what feels right at the moment. That seems to be all I can do these days.

Not looking forward to tonight. Sick of the ED. Sick of taking two showers a day. Sick of leaving home in pitch dark and going to sleep when the rest of the world is waking up...