--- Gautam Mukunda <[EMAIL PROTECTED]> wrote:
<snip>
>  A lot of well-run companies put those
> sorts of demands on their employees.  Every
> consulting
> company (not just us), every investment bank, every
> venture capital fund, every hedge fund - and that's
> just in the financial sector.  I've seen our clients
> in the pharma sector routinely do 80 hour weeks. 
> Pretty much every CEO in America does that.  Time
> and motion study of Congressmen and Senators suggest
> that
> 80 hours is a _light_ week for them.  Anecdotally
> Cabinet Members say the same thing -I don't know
that
> a formal study has ever been done, but that's how
> they
> describe their lives.  In the military I know that
> junior officers in combat zones routinely work those
> types of hours for months - or even years - on end. 
> My old boss was a platoon commander in Vietnam, and
> he worked 100 hour weeks for two years.  So the
> argument
> that a well-run organization doesn't ask its people
>to do that is empirically contradicted - any number
of
> well-run (and highly successful) organizations _do_,
> in fact, run at that sort of tempo.  It's true that
> _pilots_ in particular are prohibited from doing so,
> but that's because the fine motor skills that pilots
> require are the first thing affected by fatigue.  I
> can stumble over door sills and still build
> financial models quite effectively.

I'm just commenting on the work-hours and their
potential fall-out: while many individuals can and do
'burn the candle at both ends' for extended periods of
time, the vast majority of humans make more mistakes,
and more serious mistakes, as stress and fatigue
mount. And while maybe financial decisions are OK to
make at that point (although I wouldn't want such a
person in charge of *my* money), it's dangerous to
habitually make decisions that involves life and death
under those conditions.  That's when the
incompletely-hidden tripwire is overlooked, or the
wrong body part is amputated, or one assumes that
somebody else checked for the proper blood type. 
That's why laws have been enacted to limit the number
of hours an intern or resident works.  Having
personally put in a few 90-100hr weeks, I can tell you
that discrimination and critical thinking are
adversely affected to a large degree.  I was lucky
nothing horrible happened, but I know those who frex
dropped babies on their heads because their judgement
and reflexes were shot after multiple cycles of
36+hour "days."

When you had RNs and pharmacists (who were not
themselves over-worked) backing you, most errors were
caught before they ever involved a patient; tired
"medical assistants" and pharmacy techs, however,
provide a poor safety net.  I tell all my
friends/family/aquaintances who have to go into the
hospital that they need to watch out for themselves, 
question the doc or nurse if a
procedure/pill/injection seems at all odd or
out-of-place; and that actually applies to medications
at home as well as outpatient procedures.

I think that operating in a hostile country within a
radically different culture requires fine judgement
and fast critical thinking, to decide frex whether
that enrobed figure is a suicide bomber needing to be
shot or just a woman carrying her toddler; those
faculties will be impaired in the perpetually
fatigued.

Debbi

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