Your 'hospital stuff' seems to come around way to fast, mate.

60 hours is a fair amount of work (not including commuting times.? ouch!

Don't burn out. Your life is hectic.
Working hard is admirable, but dead martyrs can't feed the family.
Looking after yourself first, is important.

Does this mean you have few days of 'the shitty' feeling again?
That sucks.