I would try to plan exercise ie MWF after the office but inevitably 1 week into my new plan I would get called to the hospital at the workout time and I would give up.
My new plan is work out every Friday evening and Saturday morning on the weekends I'm not on call. I have hired a personal trainer for those times as i'm less likely to make excuses to not go if I have someone waiting for me! During the week, if I have no one in labour I will go to gym immediately after work and I keep my gym bag in the car so no excuses there. So far it has meant an average of 3 times weekly...now here's hoping I can keep it up.
I have also recruited other physician friends to prod me when I start lagging. They know to ask me how the gym is going, since I hate disappointing or even worse not being the best at something, this keeps me going! I still don't much like it but at least I don't dread going anymore :)
The only solution I have come up with, PICKLEJAWS, is to give myself permission not to exercise when I'm on call (24 hr. shifts). Then if I have time I can fit in a 10 min. exercise video or something else. But my goal is to exercise every day that I'm not working. So far this has worked for me.
Only those who risk going too far can possibly find out how far they can go.
I hear you Spinderella95, I really do. I have another year of residency with ridiculous 12-13 hour shifts, nightshifts, 28 hour calls, and working 12 days in a row without a break. BUT what I have been told and what I hear in your post is that THERE ARE NO DUTY HOURS FOR ATTENDINGS! The hours we work can and go get much worse when we graduate and enter the real working work. Our health will suffer if we work like this! Also, like you, I am an advocate for healthy living in my patients. I want to focus on preventing and treating pediatric obesity when I am practicing. It is very hard to practice what I preach when I work such ridiculous hours!
I am looking for jobs right now and I am being careful to apply to jobs that have the kind of working hours I can live with. It isn't easy and it will effect significantly the number of jobs available to me. However, I really think it must be done.
How do other people deal with these dilemmas?
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Sadly, these kinds of shifts are what may 1) Drive me to a new job / hospital that has a laborist program or 2) Leave OB altogether. I gained 20 lbs during college and (mostly) medical school...I gained another 50 in residency, as well as HTN & hyperlipidemia. I've been on meds since age 35 for them both. I'm 42 now, in my 2nd year in practice at a little rural hospital that I LOVE, but that has very high risk patients (ie: stress for me) and no laborist program (unlike ALL the surrounding hospitals). We do a 24hr call, followed by a full day of clinic, every week, plus a 72hr weekend call every 4-5 weeks....along with the routine 5-day-a-week 10-12 hrs in the office / OR (and being on call during the day 2-3 days/week for "our" clinic patients).
My best bet would be to go before work, since my gym opens at 5:30am, but that means I have to get up at 4:45am and then do a full call day / night (and we are BUSY at night), then clinic the next day (and then try to work out that next night!?!??! Yeah right...).
I am miserable in my skin right now. I am VERY outspoken with my patients about their own weight loss and I'm constantly encouraging my patients to lose weight....often spending an hour or more (that isn't reimbursed, naturally) trying to help them, but it is VERY, very frustrating to give the advice and not be able to take it myself. I feel like my health is seriously suffering due to my career choice and something has to give...soon. My own father had a quintuple bypass at age 53...and he's not even a stressed out ob doc.........
I wanted to refresh this topic and ask for suggestions again. I know many of us struggle with getting exercise in while working 12 hour shifts. I know I do! Also, my current struggle will be night shifts. I work 6pm until 8am. That leaves me approximately 8 hours at home give or take. Most of that will be sleeping, at least 6 hours or I am zombi. That leaves me 2 hours to eat, doing my activities of daily living, and exercise. NOT much time!!!
Things I will try .... Spark videos - most are less than 10 mins and effective Walking the stairs at work for 10 mins (uuuughgh I hate this though!) Riding my bike to and from work?!?!? I don't know. That adds 20 mins to my commute but at least it is exercise right?
I have to go before work, I'm too tired after work. Luckily for me my gym is open 0500-2300 during the week. I do small things throughout the day, like walking from one point to another at a brisk pace, and taking the stairs down to the cafeteria and back up. If I get so tired I'm about to fall asleep and the hallway's clear enough, I'll do a couple lunges.
Great topic! Yes, it is a struggle. I am finding it hard again to get enough exercise in with my schedule of 30 hour shift every 4th day. In the warmer weather, as I live close to where I work, I was riding my bike into work. That gave me exercise on my call and post call days. Not much but it felt like I was doing _something_. Now that the weather is cold and dark again ... I get no exercise on call days nor on post call days. I resolve to do something on post call afternoons/evenings but that just doesn't happen. I am exhausted and I sleep. That is it. We do have some exercise classes where I work but my day schedule doesn't allow me to attend them. Nor do I get a real lunch break in order to go for a walk or get a workout in.
I would love to hear anyone's suggestions about how to get in more exercise.
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