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Know what really grinds my gears? The fact that at many companies, PM's and QA people aren't required or expected to have even a basic level of knowledge, making communication pretty unpleasant. Even having a grasp of relevant vocabulary would make things so much easier.
Combine this with the bedside manner of a barn-raised sociopath, an ignorance of human and technical capabilities in general, and we have several good reasons to stay at home "sick". What the hell do I keep getting myself into?
rant
invest in better people
institutionalized stupidity