A nonexistent sleep schedule, addiction to coffee, constant stress and heart monitor in a watch that indicates you are running small marathons everyday during work time. All of this worth it for the thrill and satisfaction of dealing with the real emergencies, the possibility to safe people's life and make a dramatic difference in short period of time. In a world of emergency medicine you are the limit.
Andrew the consultant responsible for the department, is essentially searching for a constant rush of adrenaline - if not in his department then out there on the board.