Considering how rife with toxic masculinity the field of surgery is, I wouldn’t be surprised if he didn’t feel comfortable doing that, and thought he could grab a quick 10mins of shuteye that accidentally turned into 8 hours.
Communication-based solutions only work in environments where people feel safe doing so. Toxic masculinity causes industrial accidents, medical errors, airplane crashes, and other calamities- all because a workplace has been created where people don’t feel safe admitting fault or weakness.
