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No - work should not be like that. The only ones that need to put in 20-21 hr days are the ones in the combat zone, and trust me - you burn out quick. You're not being paid enough to care about the patients or the job. The medical field isn't in the caring business (haven't been for years) - it's all about the Benjamins. Talk to HR (they may or may not help)and consider a new employer.
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