Resa Lewiss MD
👤 PersonAppearances Over Time
Podcast Appearances
And I really... There's so much that I wanted to learn and do in life, personally and professionally, that I thought, I don't need a lot of sleep. I can sleep when I'm old or when it's time to sleep, then I'll sleep. But now there's so much I want to do and... Emergency medicine is shift work. And so you work days, you work nights, you work weekends, you work holidays. Weekend doesn't mean.
And I really... There's so much that I wanted to learn and do in life, personally and professionally, that I thought, I don't need a lot of sleep. I can sleep when I'm old or when it's time to sleep, then I'll sleep. But now there's so much I want to do and... Emergency medicine is shift work. And so you work days, you work nights, you work weekends, you work holidays. Weekend doesn't mean.
And I liked that variety of even I might have a Wednesday where I can get all of my errands done while the rest of the world is working their 8 to 6, 9 to 5, Monday to Friday work week. So I liked the variety both of the schedule. of, yes, the actual shift work. And also you end up identifying with your cohort.
And I liked that variety of even I might have a Wednesday where I can get all of my errands done while the rest of the world is working their 8 to 6, 9 to 5, Monday to Friday work week. So I liked the variety both of the schedule. of, yes, the actual shift work. And also you end up identifying with your cohort.
And what I found with other people that pursued emergency medicine is they tended to be very down to earth, rounded. And also it was okay to say that you have other interests and pursuits outside of medicine because you know very much when you're on and when you're off and you do have time to create and develop other interests.
And what I found with other people that pursued emergency medicine is they tended to be very down to earth, rounded. And also it was okay to say that you have other interests and pursuits outside of medicine because you know very much when you're on and when you're off and you do have time to create and develop other interests.
It's a very insightful question because I do think that if emergency medicine is attractive to you, there's a reason. If you're not able to have that sense of professional detachment or necessary detachment to make decisions to take care of patients in like emergent situations, like sometimes you have plenty of time and the patient is not that ill.
It's a very insightful question because I do think that if emergency medicine is attractive to you, there's a reason. If you're not able to have that sense of professional detachment or necessary detachment to make decisions to take care of patients in like emergent situations, like sometimes you have plenty of time and the patient is not that ill.
Sometimes they're very ill and you need to act quite quickly. So I think it is something that is modeled. So you see it when you're working with your teachers, your faculty members. It's something that over time you develop your ways to do that compartmentalization. That being said, I actually don't think it's modeled or taught as well as it could be.
Sometimes they're very ill and you need to act quite quickly. So I think it is something that is modeled. So you see it when you're working with your teachers, your faculty members. It's something that over time you develop your ways to do that compartmentalization. That being said, I actually don't think it's modeled or taught as well as it could be.
I think it's a work in progress in terms of realizing the importance of helping doctors in training take care of themselves mentally and emotionally, decompress. And also, there are aspects that are just very devastating, as you would imagine. And I think the pivoting, because I do remember the first time I had a patient die in front of me when I was
I think it's a work in progress in terms of realizing the importance of helping doctors in training take care of themselves mentally and emotionally, decompress. And also, there are aspects that are just very devastating, as you would imagine. And I think the pivoting, because I do remember the first time I had a patient die in front of me when I was
a first-year doctor in training, it was right at the beginning of the shift. The patient died. I spoke with my faculty member, my attending, and we spoke about it. And he said to me, OK, just fill out what they call the death packet. When a patient dies, there's paperwork that you have to complete.
a first-year doctor in training, it was right at the beginning of the shift. The patient died. I spoke with my faculty member, my attending, and we spoke about it. And he said to me, OK, just fill out what they call the death packet. When a patient dies, there's paperwork that you have to complete.
you for example contact the oregon bank you make sure the family's aware all these things and so there's almost a there's a checklist and it's a packet and at the time it was a paper packet now hopefully it's digitized it's mostly digitized but medicine is slow to change even though things have become accepted in other fields it's slow but it was a paper packet now it's a digitized mostly digitized packet so it was right at the beginning of the shift
you for example contact the oregon bank you make sure the family's aware all these things and so there's almost a there's a checklist and it's a packet and at the time it was a paper packet now hopefully it's digitized it's mostly digitized but medicine is slow to change even though things have become accepted in other fields it's slow but it was a paper packet now it's a digitized mostly digitized packet so it was right at the beginning of the shift
And he said, all right, finish the death packet and then start picking up more patients. And I remember like, Risa, you got to take care of this. And like, you've got seven more hours because it was an eight hour shift. And so you realize real time you learn on the job. And even that pivoting and that needing to compartmentalize happens.
And he said, all right, finish the death packet and then start picking up more patients. And I remember like, Risa, you got to take care of this. And like, you've got seven more hours because it was an eight hour shift. And so you realize real time you learn on the job. And even that pivoting and that needing to compartmentalize happens.
Even if it's not taught and talked about, you end up learning it on the job, so to speak. And what I'll say one more one more thing that becomes important. And we talk about this in the book is this concept of a personal board of directors.
Even if it's not taught and talked about, you end up learning it on the job, so to speak. And what I'll say one more one more thing that becomes important. And we talk about this in the book is this concept of a personal board of directors.