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RE: Hackers and Painters and Lawyers and Docs
- To: "Keith Flower" <address@hidden>, <address@hidden>
- Subject: RE: Hackers and Painters and Lawyers and Docs
- From: "Brent Fulgham" <address@hidden>
- Date: Fri, 16 May 2003 13:48:51 -0700
- Sender: address@hidden
- Thread-index: AcMb47yKxsll5CcuSreWqAPKH64gJwACChQw
- Thread-topic: Hackers and Painters and Lawyers and Docs
> > P.S. If we could just get a doctor on the list, I could
> > start asking about this pain in my shoulder I get when I move
> > like *this*...
> As a long-time lurker (and incidentally an M.D.), allow me to provide
> you with the *definitive* therapy and recommend that you quit moving
> your shoulder like *this*. That'll be $250.00....and please refrain
> from discussing any complications with the lawyers on the list.
Excellent, Doctor -- I'm cured! The check is, as they say, in the mail.
> The thread made me reflect on close collaboration in medicine. Outside
> residency training (the on-the-job, closely supervised training new docs
> get after graduation from medical school) you rarely have another
> physician working that closely with you in solving problems, although
> good physicians call for outside expertise regularly. The model is
> that one physician "owns" the patient and is responsible for diagnosis and
> care, but has to recognize his/her own limitations and seek help when
> needed. IMO, diagnosis and treatment and physician education all
The doctor's I've been most impressed with are the ones that will honestly
tell they aren't qualified to deal with a particular issue, and refer
you to a specialist.
This is getting way off-topic, but it does bring to mind another minor
comparison with Software -- that of the "death march" programming effort
(not unlike residency I would imagine -- though without the element of
We now require truck drivers to get a certain amount of sleep in a
particular period of time, and yet we are perfectly happy with interns
working round-the-clock in our emergency rooms. I've heard that studies
show that such Doctors do not make more mistakes than well-rested
ones, but if that's true why is there a discrepency for truck drivers.
I know that I make far more bugs after working for 12 or more hours,
but that could just be me.