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Several generations of general surgeons have an indelible memory of the beeper going off just as they are drifting off to sleep, notifying them of a patient in the emergency department with acute appendicitis. These surgeons would spend the next 4 hours, sometimes the entire night, examining, imaging, and operating on that patient. Needless to say, the next day's clinic or operating room sessions were punctuated by yawns as the weary surgeons struggled to maintain attention to their practices.
Hunter JG. Letting Weary Surgeons Sleep and Saving MoneyComment on “Effect of Delay to Operation on Outcomes in Adults With Acute Appendicitis”. Arch Surg. 2010;145(9):892. doi:10.1001/archsurg.2010.176