> So, what shall we do with the patient called "Brin-L"? > Perform surgery and > save the patient, or not treat the patient and let him die a > slow death?
I think this may be revelant: General surgeon's are judged by other general surgeon's on the number of appendectomies they perform on perfectly normal and healthy appendixes. The diagnosis process is difficult, since an appendicitis mimics so many other illnesses. The ideal is that they take out a bad appendix that has not burst. If a surgeon waits for it to get worse, the appendix can burst, and the contents of the bowels leak into the gut, possibly causing a life threatening illness. But sometimes surgeons misdiagnose and take out a perfectly good appendix. If 1 out of 10 are healthy, they are considered to be aggressive enough in their treatment of an appendicitis. If they never or rarely take out a good appendix, they are considered to not be acting fast enough (not enough risk). They should change their treatment to be _less_ sure about the diagnosis, because of the risk is greater if they misdiagnose and don't operate. Better for them to operate unsure, than to operate when they know, for when a surgeon knows that an appendix needs to come out, it has already burst. The moral of the story is.... that without some failure, there is a failure in the way things are being managed. (my quote) We will never get complete concensus on this topic. This is not a black and white issue. Banning Mark even temporarily may be a mistake. Not taking action can be a mistake as well. As I have preached in the past, measuring failure is is not about finding fault, but is about finding the path to success. What I am suggesting is that we do a temporary ban, and then monitor (or measure) the 'health' of the group. If the group seems to 'suffer' without Mark, we allow him to return. The alternative is we do nothing. This is a decision wrought with risk as well. I personally prefer the benefits that go with 'Operating' -the reward can be greater. Chad Cooper > > > Jeroen > > ______________________________________________________________ > ___________ > Wonderful World of Brin-L Website: > http://www.Brin-L.com > Tom's Photo Gallery: > http://tom.vanbaardwijk.com > >
