I'm recovering from my weekend on call. There were not a lot of consults but a very large census at Christiana Hospital that kept me on the go.



I've not been sleeping well for a few months despite my best efforts at proper sleep hygiene. I go to bed at the time specified but wake up at about 3:30AM most nights. On the weekends I just get up and read or see what is on TV but when I have to work the next day I try to return to sleep with varying levels of success. For the most part I do get up on time and function well through the day. I konked out after being on call but by mid-week have recovered reasonably well. Exercise still eludes me. I have eaten better this week, though, making a serious effort to avoid snacking after supper, though it would have gone better if I were more consistent with eating lunch.

I'm a little sleep deprived and a little irritated. From time to time there are key decisions to be made. AKSE's leadership finally brought me to the breaking point. I truly sincerely do not want to be there anymore. The search for alternatives is under way.