💡 WHY RUTH IS RIGHT
She has carried a pager since 2003 and kept a log of every page. The pattern never changes: alerts are added after incidents and never removed, until the rotation learns to ignore all of them. Her rule is old and simple: every page must require a human action, and any alert that fired without one is demoted or deleted at the weekly review. Fatigue is not a feeling, it is a backlog.