I worked over 90 hours over the past week. Last night, I saw 9 patients in A&E, with broken arms, legs, fingers, wrists, spinal fractures and crush injuries. Before August, I had never done any orthopaedics. What I learned at medical school was negligible, and I was terrified of doing nights. Firstly, because I knew so little, and secondly, because I had no idea what it would be like to essentially be deprived of sleep, or to work completely alone with no support in a specialty you have very limited knowledge of. I dreaded the morning traume meetings, where you sit in the hot seat and present each patient to the consultant, and wait for your management to be picked apart.

I was really fortunate though, in having a couple of nice A&E SHOs on call with me, who I could discuss patients with, and being able to get a couple of hours' rest in between most nights. But I still feel proud that I survived as an Orthopaedic SHO - who would have thought it. And I have ten days off - which is fantastic during Ramadan - I don't remember when I last had such a long break whilst fasting. And Jug and I are off to the Knitting and Stitch Show in Birmingham tomorrow! I think I'd better get some sleep before though.


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