We seem to work in very similar fields. I tend to work on the back-end line. To put it lightly: it is all a big shitshow. Vendor lock-in, non-standard communication, network admins who have no idea what they are doing, radiology imaging clinics with no IT staff at all (even on-call external people) or places that had their network set up 15 years ago by a guy who is now long dead or otherwise MIA. And then, inevitably, you have to guide the innocent girl sitting at the front desk to somewhere in the local backrooms just to reset a server remotely.