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And striking for fewer hours is not about money or greed, he says. "If there's a change to a 10-day rotation and it means my salary will be reduced, I'm okay with that. None of us are doing it for the money. There's no time to spend it anyway."It's the indifference that's the worst," he says. "I'll be very short with nurses and staff, and I'll not want to talk to families. I once considered myself to be a good communicator. That's what I loved about the job, making a difference and helping people. But in the latter part of a shift you don't have the reserve to give the patients the time, energy and compassion they deserve."Julian* says it's not just the hours that are difficult, it's the combination of the hours and emotional strain that's the killer."We are dealing with morbidity and mortality on a daily basis and, short of being a clinical psychopath, it's impossible to not get caught up in the whirl of emotions that constantly surrounds us."While it's an amazing privileged position doctors hold, he says, the concern is that, with the stress, hours, and lack of recovery time, it's hard to not become apathetic."I've prescribed the wrong medical doses and that's pretty standard across the board. I haven't killed anyone yet, thankfully."—Tom
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