Life is Hard.

I'm averaging 70-80 hours a week. I never see B. My patient who came in with abdominal pain reported child abuse and then I had to report it to CPS. Another patient had a very high ammonia overnight which we only found out about this morning, for various reasons. I've been exhausted for two months straight. I talked back to my very sweet attending on rounds today because I was so frustrated, and then he forgave me, which was really heaping coals of fire. I then sent him a letter of apology. I have three discharge summaries to dictate, it's nearly eleven, and I'll have to get up early. I've been reflecting on what I learned this year and I think I'm dumber and less knowledgeable than when I started. Nurses are grumpy and the hospital is full. Why is it that the less ill children seem to have the more demanding parents? It's a hospital, not the Hilton. The new interns are coming in July and I'll have to be a senior. I'm so tired, and everything that's been hard all along has become too hard all at once. Tears.