There was a slightly grim, exhilarating intensity to the work and I quickly lost the simple altruism I had had as a medical student. It had been easy then to feel sympathy for patients because I was not responsible for what happened to them. But with responsibility comes fear of failure, and patients become a source of anxiety and stress as well as occasional pride in success. I dealt with death on a daily basis, often in the form of attempted resuscitation and sometimes with patients bleeding to death from internal haemorrhage.
