Remix clone Hacker News

> Doctors are one obvious example — they have on call responsibilities often more onerous than IT, and depending on the situation don’t always receive additional compensation for it.

My doctor (primary care physician) doesn’t work outside of business hours. In an emergency the recorded message says to call an ambulance and go to the emergency department at the hospital, which is staffed by a different set of people.

So it seems they do have at least some separation of the oncall aspect?

Lawyers are another story, there’s a lot of things wrong with that profession and we shouldn’t be trying to copy them.

▲

mikeocool 2 days ago | parent [-]

If you go to most hospitals at 2AM and need a specialist of some kind (say a specific type of surgeon), there’s going to be someone in that specialty on call whose going to get paged to wake up, come in, and see you.

Even in family practice, it’s not uncommon to be able to get a call back from the on call doctor at the practice on weekends or off hours — if you’ve got a situation that maybe doesn’t warrant the ER, but you’re not sure if it can wait until Monday.

▲

bsder 2 days ago | parent | next [-]

> If you go to most hospitals at 2AM and need a specialist of some kind (say a specific type of surgeon), there’s going to be someone in that specialty on call whose going to get paged to wake up, come in, and see you.

Only if you're dying.

Come in late Friday and you're going to be sitting in a bed until Monday even if your gall bladder is about to explode.

▲

chipsa 2 days ago | parent | next [-]

I went in to a hospital at just after midnight, and had my gall bladder out by noon. No, the surgeon wasn’t called in early, but the radiologist who diagnosed the gall bladder was.

▲

mikeocool 2 days ago | parent | prev [-]

Sorry, you’re right. Doctors have it way easier than software engineers.

▲

quicklime 2 days ago | parent | next [-]

I definitely don’t think they have it easier. They work hard and the stakes are much higher.

But what you’re talking about is a person whose job it is to be oncall. It’s the equivalent of an SRE, rather than a SWE. They’re not doing it because they believe in “you build it, you run it” or anything like that.

▲

bsder 2 days ago | parent | prev [-]

Sarcasm simply serves to undermine any valid points that you have.

The point was that "on call" is specifically confined as an expectation only to certain types of doctors or under very urgent circumstances.

In addition, doctors have extra special dysfunctions like "too many hours in a shift".

However, many of these are because doctors also have been fighting various efforts to teach more of them which would enable distributing the required extra labor across more people.

▲

doubleg72 2 days ago | parent [-]

Funny, my wife is primary care yet does on call via answering service. You clearly don’t know what you’re talking about.

	▲	bsder a day ago \| parent [-]
		Funny, I chose that gall bladder example precisely because I had it happen to me. In addition, I had something similar happen where I wound up needing Interventional Radiology to insert a drain--again wound up waiting from Friday to Monday morning. I'm sure some of those doctors were "on call". However, nobody was calling them in unless I started dying.

▲

happymellon 2 days ago | parent | prev [-]

This is wrong on so many levels.

No they don't.

I know plenty of people who have had to sit around for 8+ hours because the particular type of doctor is not available. The on call only really applies if you're bleeding out.

In my 20+ years of development and support, there has only been once that I was paged due to an actual catastrophic failure. Most are because shitty "SREs" wants monitoring on everything, even if its stuff that I have no control over.