About 15 years ago, when I was working on a dodgy Brazilian firm, I had a conversation with an older programmer that I never forgot. He said something along the lines of:
Medicine is way easier than computer science. Doctors are still using the same books, written decades ago, while we have to buy only the latest ones. Our reality gets rewritten every five years or so, and by the time you leave university, you’re already outdated.
There is a lot of merit in this argument. Even though the common cold’s strain changes every week, its symptoms are exactly the same. Cancer, HIV, malaria, Lupus and other big diseases are treated more or less the same way as they were when first treated, and GPs still give you aspirin/paracetamol/ibuprofen for any kind of pain.
Human anatomy, physiology and psychology doesn’t change at all. Broken legs, runny noses and swollen tonsils are the same on every person and they require the same treatment for everyone.
While doctors kill one patient when they do make a mistake, developers can kill hundreds if they happen to introduce a bug on the Airbus fault-tolerant fail-over system.
But recently, I had to re-think this through, and I have to say I’m not 100% in agreement any more.
When programmers change jobs, they get a few weeks to get used to the new system. They might get months to actually be productive as their peers and will mature within a few years working with the same piece of software. Programmers can run tests, regression tests and usability tests, unit tests, etc, which is something a bit complicated with human beings.
When a doctor gets a new patient, it’s like getting a new programming job. It’s the same language, but the system is completely different. It might take you weeks to start getting the prognosis right, and in a few months you’ll be able to get it right before your patient even tells you the symptoms.
The similarities are remarkable
Consultant programmers get new systems to work on every week. Like ER doctors. They do what they can, with the time they have and the solution is most of the time acceptable. A more stable doctor or programmer might look at the job and cry, but the job was done, the fire was put off and the “patient” is out of the door.
Family doctors, that were there when you were born, know you better than yourself. They know when your symptoms are only psychological and what cause that and when it’s going to go away. They rarely touch the “system”, but normally fix an unrelated bug and you’re good as new.
But not everybody is lucky enough to have such doctors. They are expensive, and there aren’t enough good doctors in the health system of any country to account for every family. Even if the doctor share a hundred families, it’s still very far from enough.
This is the reason that systems fail, and get half-fixed, and why most GPs will send you home with a paracetamol unless you’re dying in front of them.
If doctors and programmers had such a different world, the emergent behaviour wouldn’t be that similar, I believe.