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The Daily Vet by petMD

The Daily Vet is a blog featuring veterinarians from all walks of life. Every week they will tackle entertaining, interesting, and sometimes difficult topics in the world of animal medicine – all in the hopes that their unique insights and personal experiences will help you to understand your pets.

Is It OK To Take A Day Off When You're A Doctor?

As I sat down to write this week’s article on my day off from my “regular” job, I paused to take stock of my immediate environment.

 

A cursory glance would probably lend one to assume I was incredibly relaxed. I’m dorsally recumbent on my couch, with fresh coffee just a short reach away. Wrapped in a warm fleece blanket, with an adorable tabby cat curled at my toes, an unsuspected observer would conclude I was experiencing the true meaning of leisure. Closer inspection would reveal details suggesting otherwise.

 

Perched on my extended legs was my ergonomic, yet stylish, lap desk. Sitting atop the desk was my state of the art computer. The high-resolution screen was cluttered with a variety of open windows including my mail application where six (yes, six!) different personal e-mail accounts were linked and pinging with distinct regularity. In a separate window, I was connected to the e-mail account for our oncology service at work.

 

My professional Facebook and Twitter pages were open as well.  My iPad mini was plugged into the USB port on the left. Extending from the USB port on the right was my iPhone. My Kindle sat a mere three feet away on my coffee table. My TV was tuned to the morning news.

 

It was barely eight o’clock in the morning on a cold, but otherwise brilliant pre-winter day, yet I was completely numb to anything not instantaneously attached to a virtual world located well beyond my immediate surroundings.

 

Reflecting on my awareness of the moment, I realized, for a day “off from work,” I was anything but “off.”

 

We live in a plugged in world. There’s no way around it, accessibility is a part of our daily lives. We are compelled to check e-mails and voicemails and text messages the moment they chime through our mobile phones, tablets, and computers.  

 

My point is nothing novel — we all recognize our attachment to gadgets. As many times as we’ve surreptitiously checked our e-mails or Twitter feeds in a public forum, we've likely equally ignored phone calls and text messages in times of self-declared preservation.

 

As a veterinarian, I’ve noticed how accessibility is a particularly challenging and disturbing part of our occupation.

 

Technology affords us the benefit of immediate access to results for the majority of lab tests that used to require days of turn-around time. We have digital radiography, CT, and MRI scans, where professionals, located thousands of miles away from the patient, interpret results on a moments notice. We can now provide standards of care on par with those found in human medicine, and owners are becoming more demanding of these standards.

 

There is a dark side to this accessibility. It means I’m now compelled to search for test results expected to arrive on my days off.  It means I routinely answer e-mails and phone calls after hours and on weekends.  It means I open my life to the public on social media so I can continue to put forth accurate information about my profession.

 

The counterpart to this perspective is the impact it has on the expectations of owners when it comes to their pet’s healthcare. Results are commanded immediately. Phone calls must be answered right away. Doctors must be interrupted at home when they are not in the hospital because of perceived urgency.

 

I’ve experienced many instances of over the top behavior from owners in terms of expectations for my time and emotional capacity. I’m not speaking of the occasional e-mail or call or question on Facebook. I’m not concerned about those asking whether their pets’ reaction to treatment should be expected or not, or needing me to clarify treatment options for their pet after a complicated consult. I’m happy to provide information for people who have genuine and sensitive motivations. We all ultimately have the same goal in such cases.

 

However, a fitting example would be how during the two (yes two!) days off I had for my honeymoon last year, I found myself hiding in a hotel bathroom with my iPhone, covertly responding to e-mails and calls from work so my husband would not find out. I’ve dealt with severe complaints from owners who e-mail truly urgent questions on a weekend, who received an away-message indicating their e-mail would not be opened or responded to until we were back in the office days later. There are countless other examples of the downside to being accessible 24/7.

 

I feel guilty admitting I would relish a day without my electronic tethers. Even while typing the words, I’m immediately stricken with a sense of selfishness.

 

Why shouldn’t I remain on call for my patients at all times? Am I not obligated to make sure I am able to answer to owners or co-workers whenever they need me? How do I decide when it’s time to tune out when I clearly have an obligation to my work? Why don’t I want to be accessible all the time?

 

Our world may be plugged in and pushed to the realm of technological advancement, but is this really to anyone’s advantage? And when we have so many things to answer to, rather than taking the time to preserve ourselves and take a proverbial breath, are we really providing better patient care? 

 

I would love to answer the question, but right now I just can’t seem to surface from my pile of electronics to give it significant consideration.   

 

And perhaps, therein lays the answer.

 

Dr. Joanne Intile

 

Image: Neeila / Shutterstock

 

Comments  3

Leave Comment
  • DownTime
    12/18/2013 06:42pm

    Even vets deserve some down time.

    Bless his heart, my vet mentioned that he would send blood panel results (from a regular checkup) the next day - and I knew it was his day off. "No hurry," I said, but he replied that he had such a stack of paperwork and calls to return that he planned to be in the clinic the next day.

    Geez. Even doctors deserve a day off!

    Even though I have my doctor's email address and home phone number, I try very hard not to abuse them. Email may not be read for a couple of days, so that's not used for emergency questions. Over the past 10 or so years, I've called him at home just a very few times (and NEVER after bedtime). That's what the emergency clinic is for.

  • 12/18/2013 06:49pm

    P.S. Two whole days for a honeymoon? That's just wrong.

    Are there other doctors in your practice that could cover for you? Is there not an emergency clinic to which clients could be referred if you decide to have a day off?

  • The in-between
    12/20/2013 05:58am

    I'm going to be ultra-cheesy here and borrow from the Spiderman movie franchise:

    "With great power comes great responsibility."

    When you're at the top of your field (as is completely evident in your case), the problems are three-fold, at least:
    1) Your reputation precedes you, which results in higher expectations from patients (be they current, prospective, or otherwise) and other individuals in the field around you.
    2) In order to have reached the apex of your craft, it's likely YOU demand the most out of yourself on a daily basis, probably to an excess in many cases.
    3) Few or no other people in your field can replicate your work, meaning prospects for knowledge or work substitution/replication are nil. (In my field we refer to this as the expertise buffering problem, or less formally as the "don't let the computer scientist get hit by a bus" problem.)

    On the bright side, who says a couple can't have more than one honeymoon? I'm beginning to think my neighbors renewed their vows solely to have an excuse to splurge on a trip to Europe.


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