I can usually get the doctor to return my call on night shift. However, last night the Dr. was out of town. I called his answering service and she said a different Dr. was on call for this doctor. When I called that doctor I didn't get a real human on the phone. I just got an answering machine that said "Leave a message and we'll get back to you the next day. Anyway, after 30 minutes and no doctor available I had her sent to the ER. It turned out she had gone into congestive heart failure. Anyway, how about you? Do you ever send out residents to the ER without a doctor's order? Thanks :)