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    The Evening Ping of On-Call Anxiety

    The Evening Ping of On-Call Anxiety

    5 p.m. ping 📱 I text the on-call team: “How many patients so far?” Numbers drop in. I feel a quick rush of relief…until I remember the night is long. More can come anytime. I tell myself it’s just info. But my mood swings with that list. Short list = peace. Big list = knots in my stomach. And it changes nothing for tomorrow. It’s really about control. I want to know so I feel safe. But real peace isn’t in numbers—it’s in God. Romans 8:28 reminds me He works all things for good. I’m learning to rest in Him, not a 5 p.m. update. 🙏 (Read more on my blog)

    Some time ago, I noticed a small habit that exposed a bigger struggle.

    As a resident, I used to stay overnight in the hospital—rushing to new admissions with only minutes’ notice or scrubbing in for emergency surgery. Those nights were long and unpredictable. Now that I’ve become a consultant, I no longer sleep at the hospital. Yet on my call days, I still text the on-call team at 5 p.m.: “How many patients admitted under me so far?”

    They send me the list. We both add, half-jokingly, “🤞 Keep fingers crossed,” knowing the night is far from over. More patients can—and often do—arrive.

    A Compulsion to Know

    The irony? That early list changes nothing. I can’t discharge patients sooner or prevent new ones from coming. Yet I still feel compelled to know, as if information could give control.

    And my mood swings with the numbers. If the list is short, relief flickers. But I’ve seen it balloon overnight, turning my evening joy to morning dread. Still, I indulge that fleeting comfort.

    It shows how poorly I sit with uncertainty. Even without the 2 a.m. phone calls, I feel the butterflies, the loss of appetite, the edgy conversations with colleagues. The old on-call tension lingers.

    Searching for Deeper Rest

    This habit reveals more than scheduling anxiety. It points to my deeper need for control—and my struggle to rest in God’s sovereignty. Romans 8:28 promises that “for those who love God all things work together for good.” Yet I keep grasping for knowledge that cannot guarantee a smooth night.

    — ✂️ CUT FOR SUBSTACK ✂️ —

    How should a Christian think about this craving for control when the future can’t be managed?

    Trusting the One Who Holds the Night

    God has gently shown me that He never overloads me beyond what He provides strength for. On tough calls, senior colleagues have offered OR slots at the right moment. Help has arrived when I least expected it.

    Remembering this changes my posture. I can thank Him in advance for the help He will give, instead of clinging to a 5 p.m. text for peace. The real security isn’t in the numbers; it’s in the God who already knows tomorrow’s list.

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