Skip to content
  • About
  • Contact
  • Contribute
  • What Physicians Say
  • My Book
  • Careers
  • Podcast
  • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Aging and dementia: what physicians say, in their own words
  • Artificial intelligence: what physicians say, in their own words
  • Be heard on social media’s leading physician voice
  • Cancer: what physicians say, in their own words
  • Children’s health: what pediatricians say, in their own words
  • Contact Kevin
  • COVID-19: what physicians wrote as it happened
  • Custom enhanced author page pricing
  • Diabetes and obesity: what physicians say, in their own words
  • Direct primary care: what physicians say, in their own words
  • DMCA Policy
  • End of life: what physicians say, in their own words
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • GLP-1 drugs: what physicians say about Ozempic and its successors, in their own words
  • Heart disease: what physicians say, in their own words
  • Immigration and medicine: what physicians say about immigrant doctors and immigrant patients, in their own words
  • KevinMD influencer opportunities
  • Medical errors: what physicians say, in their own words
  • Medical ethics: what physicians say, in their own words
  • Medical malpractice: what physicians say, in their own words
  • Medical school: what students and physicians say, in their own words
  • Mental health: what psychiatrists and physicians say, in their own words
  • Nursing: what nurses and physicians say, in their own words
  • Opinion and commentary by KevinMD
  • Opioids: what physicians and pain patients say, in their own words
  • Physician burnout speakers to keynote your conference
  • Physician burnout: what physicians say, in their own words
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician personal finance: what physicians say about their own money, in their own words
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Physician suicide: what physicians say, in their own words
  • Physicians and administrators: what physicians say about who runs medicine, in their own words
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Primary care: what physicians say, in their own words
  • Prior authorization: what physicians say, in their own words
  • Privacy Policy
  • Private equity and corporate medicine: what physicians say, in their own words
  • Race and medicine: what physicians say, in their own words
  • Recommended services by KevinMD
  • Residency: what residents and attendings say, in their own words
  • Scope of practice: what physicians, nurse practitioners, and PAs say, in their own words
  • Subscribe to the KevinMD enhanced author page
  • Subscribe to the newsletter
  • Surgeons and surgery: what surgeons say, in their own words
  • Take-home messages: what physicians say when asked to leave one
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The electronic health record: what physicians say, in their own words
  • Vaccines: what physicians say, in their own words
  • Violence against health care workers: what physicians and nurses say, in their own words
  • What physicians say: the KevinMD records
  • Women in medicine: what women physicians say, in their own words
  • Women’s health: what physicians say, in their own words

The biggest problem faced by pilots and obstetricians alike is nature

Amy Tuteur, MD
Physician
February 21, 2011
Share
Tweet
Share

It’s a bit ironic that pilots, the people who spend the most time traveling above the magnificent landscape that is our planet earth, spend very little time appreciating the scenery.

That’s because they are trained to always be on guard for unexpected emergencies. While the passenger in a jumbo jet traversing the continent can admire the majesty of the Rocky Mountains, the desolation of the Great Salt Lake or the endless expanse of the Great Plains, the pilot is busy checking the weather, the readouts on his console and completing the endless routines and subroutines to make sure that the flight is on the correct settings, at the correct altitude and nowhere near other planes.

Most of us appreciate the pilot’s attention to detail. It gives us an opportunity to enjoy the magnificence of our continent without worrying whether we will arrive safely at our destination. Can you imagine people berating the airlines that the biggest problem with flying is that the pilots don’t fully appreciate and give themselves over to the magnificence of the scenery? That the pilots waste time trying to prevent emergencies that rarely happen? That pilots ruin the flying experience by refusing to fly over the most exciting natural wonders if risk factors like fog or high winds are present?

It’s hard to imagine people complaining that pilots worry too much about safety, but natural childbirth advocates might be different. After all, their chief complaint about obstetricians, whom they hire specifically to pilot them through the far more dangerous territory of childbirth, is that they fail to appreciate the wonder of childbirth and waste time trying to prevent emergencies that rarely happen. Even worse, they can’t be persuaded to ignore risk factors merely to get a glimpse of childbirth in all its natural wonder.

Coincidentally, the biggest problem faced by pilots and obstetricians alike is nature. Wind, rain and fog are entirely natural, yet they can wreak havoc on a plane flying at altitude or a plane trying to land. Pre-eclampsia, hemorrhage and breech babies are entirely natural, yet they can turn childbirth from a blessed event to a life threatening disaster without warning.

Flying is not a disease, right? Why waste time worrying about and preparing for things that rarely go wrong? Sure pilots are specialists in flying and landing planes in the most treacherous circumstance, but do we really need experts in disasters to superintend every flight? Wouldn’t it make sense to hire pilots who are “experts in normal flight” for most trips? And if those “experts in normal flight” get into trouble because of an unexpected storm, they can always call the tower for additional help, right?

And what’s up with all those delays for mechanical problems? Airplanes have zillions of moving parts. Is it really worth interfering with an airplane just to make sure that every single one of them is working properly. How likely is a plane crash anyway? Why not take off and “trust flight”?

Think of all the money we could save if we hired “experts in normal flight.” And it’s not just because we could pay them less. We’d use far less expensive technology. Do we really need all those fancy dials and readouts in every cockpit?. They’re only useful in a few dangerous situations and those situations don’t occur in most flights. The “experts in normal flight” could prepare for emergencies: they could carry those funny plastic oxygen masks with them. And you could still use your seat cushion as a flotation device in the rare event of a crash landing in water.

Instead of wasting all their time checking and rechecking for things that probably won’t go wrong, the “experts in normal flight” could use their time more productively. They could act as guides, pointing out the natural wonders during the flight, and supporting people in getting the most enjoyment out of the experience. They’d let passengers dispense with seat belts and move about the cabin at will, finding whatever position was most comfortable for the passengers, not the one most convenient for the pilot. They could provide home cooked food and lavish attention on the decor of the plane, making it feel more like home. And in the event of a crash, they could clean up all the blood from the floor and wash the towels.

When you think about it, it’s difficult to avoid the conclusion that airlines insist on pilots fully trained in preventing and managing emergencies merely as an excuse to raise the price of tickets. You can charge a lot more for a flight with a trained pilot. And you can charge a lot more for those fancy dials and meters in the cockpit. You can get away with all those rules that exist merely for the convenience of the pilots. When you convince people that their safety is at stake, they are willing to wear seat belts even though they are probably not necessary. You can convince them to return their seatbacks to the upright position and stow their tray tables on takeoff and landing even though that’s probably not necessary either.

Consumers need to “educate” themselves and take flights back from the airline industry. Let’s demand “experts in normal flight” for the majority of flights. Let’s do away with the equipment that is only useful in emergencies. Let’s insist on pilots who appreciate the wonders of nature and guide our own appreciation instead of obsessing over possible problems. In the meantime, let’s encourage passengers to make their own flight plans, emphasizing their refusal to wear seat belts, their insistence on better food and specifying the desired routes instead of merely acquiescing to the routes suggested by the pilots.

And after the flight (if we survive) we can boast to others about how we took “responsibility” for our own air travel and proclaim that we are empowered passengers.

Amy Tuteur is an obstetrician-gynecologist who blogs at The Skeptical OB.

ADVERTISEMENT

Submit a guest post and be heard on social media’s leading physician voice.

Prev

Every patient is an immigrant in the doctor's office

February 21, 2011 Kevin 13
…
Next

How powerful a few words can be in the exam room

February 21, 2011 Kevin 10
…

Tagged as: Specialty Care

< Previous Post
Every patient is an immigrant in the doctor's office
Next Post >
How powerful a few words can be in the exam room

 

ADVERTISEMENT

More by Amy Tuteur, MD

  • a desk with keyboard and ipad with the kevinmd logo

    I am so glad that you have chosen me to be your guide

    Amy Tuteur, MD
  • a desk with keyboard and ipad with the kevinmd logo

    What breastfeeding and sex have in common

    Amy Tuteur, MD
  • a desk with keyboard and ipad with the kevinmd logo

    It’s time for a VBAC court

    Amy Tuteur, MD

More in Physician

  • Choosing a limb lengthening surgeon requires accountability

    Hrayr Basmajian, MD
  • How to reassure patients: 5 steps beyond normal tests

    Devina Maya Wadhwa, MD
  • Setting boundaries as a physician doesn’t mean caring less

    Jerina Gani, MD, MPH
  • How emergency medicine decision making works under pressure

    Geoffrey Mount Varner, MD, MPH
  • Why I stay in emergency medicine: a dancer at nearly 100

    Howie Mell, MD, MPH
  • Distrust of science is inviting the Middle Ages back

    Tomi Mitchell, MD
  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
    • Burnout isn’t only about autonomy, it’s about your bank account [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | Health Technology
    • How AI phone systems in health care create barriers

      Thuy D. Bui, MD | Health Technology

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 8 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
    • Burnout isn’t only about autonomy, it’s about your bank account [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | Health Technology
    • How AI phone systems in health care create barriers

      Thuy D. Bui, MD | Health Technology

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use Agreement
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

The biggest problem faced by pilots and obstetricians alike is nature
8 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...