2 out of 3

there's the old adage:
work, family and social life - you can quite easily maintain 2 of the 3, but it takes something superhuman to sustain them all.
and then there's this one:
the patient, the consultant (i.e. Boss/Reference) and yourself (i.e. sanity) - you can please 2 of the 3, but the third will suffer as a result