It’s hard to choose the right instrument when you’re tired.An anesthesiologist arrives at a hospital, sees the patient he’s about to put under, and announces: “I’m so tired, I can’t even see straight.” Sounds like a joke, right?Wrong. That outright declaration of incompetence, or words to that effect, is what anesthesiologist Jeffrey Wong actually told a patient at Grays Harbor Community Hospital in Aberdeen, according to state Department of Health (DOH) documents in a disciplinary case announced this week. Did I mention that Wong wheeled into the hospital room on a bike?The other surprise: Wong kept his job for two years after that. Nor was that the only neon-red flag that Wong presented before he was finally canned in March of last year. In July of 2008, Wong–who had then practiced at the hospital for five years–again proclaimed his extreme fatigue. “I was up all night on call,” he told a woman about to have a C-section, according to the DOH documents. “I hope I can do anesthesia safely.”Around the same time, he brought a fish tank into a sterile hospital room, exposing the area to bacteria. Indeed, his behavior throughout his entire tenure, as described in the documents, was– to put it mildly– erratic. He biked through hospital hallways, distracted staff during surgeries (to which he arrived late) with humming and “other annoying sounds,” spread rumors and left oxygen tubes running after surgery so often “that staff believe it was a game” to Wong, DOH wrote. Hospital spokesperson Linda Brown could not immediately explain why Wong kept practicing as long as he did. She said she would look into the matter. DOH started investigating Wong after a staffer complained last spring. On Dec. 30, it filed a preliminary statement accusing the physician of unprofessional conduct and negligence. The agency has not yet taken final action.