At 12:00 -0500 4/22/11, Chuck wrote:
Would you fly as a passenger on a jet whose pilots
pulled 30 hour
shifts routinely? I wouldn't--hell, I wouldn't ride on a bus whose
driver was pulling a 3-day no-sleep shift.
...
Chuck, you are right on the money. Cameron, you know I like
you, but the way interns are abused is pure simple insanity. Heck,
pick almost any "operator error" disaster you care to name -
Chernobyl, Exxon Valdez, whatever - and odds are >> 80% that you will
find someone either operating outside normal work hours or who had
been recently doing so. On the last full mission I participated in,
we made 4 critical errors during integration and test, any one of
which could have damaged the spacecraft or terminated the mission -
and *every one* of which was made outside normal working hours.
Your own post that started this thread contained the phrase
"Hope my overnight admission orders didn't kill anyone." Would you
say that about any other part of your work? Would you want your loved
ones admitted or treated by someone under those conditions?
I admit there are conditions where doctors have to work long
hours; I watched M*A*S*H just like everyone else. But *training*
doctors to do that at the expense of patients' safety during normal
times is dangerously bad policy, particularly considering the tiny
percentage of doctors who will ever consent to work that way anytime
during their professional lives. It's also educationally
counterproductive, as anyone who has ever crammed overnight knows.
Why and how the medical community, who has the best knowledge
available of what physiological effects result from long-term sleep
deprivation, ever allowed this practice, to say nothing of
institutionalizing it, is beyond mystery and into mysterious evil as
far as I'm concerned.
I don't guess hospitals should be shut down but I think it
would be a really good idea to take a few administrators and
schedulers each month, ceremonially break legs or induce other
disorders, and then admit them on the 36th hour of a new intern's
first overnight shift.
--
- Mark 210-379-4635
-----------------------------------------------------------------------
Large Asteroids headed toward planets
inhabited by beings that don't have
technology adequate to stop them:
Think of it as Evolution in Fast-Forward.