[HSF] Acute dissection - what now?

[Rwmfglycar at aol.com]

In a message dated 8/13/2007 3:21:01 P.M. Eastern Daylight Time,  
Jbflegejr at aol.com writes:

Many  "established surgical principles" were never based on clear rationale 
and  logic. I venture to say that many surgeons practice by established  
principles and have no idea what rationale and logic led to their  
establishment. I 
often ask surgeons younger than myself (which includes  most of them) why 
they did 
something in a certain way and the usual reply  is either that it is the way 
they have always done it or the way that they  were taught. Rarely is the 
question "Why?" addressed. John  Flege
Nor John do they reply "I tried the X method for 12 cases and in my  hands I 
had 3/12 poor results so I tried method Y for 10 cases and thought the  
results were better. To be certain I randomised my next 20 cases and sure  enough 
method Y was better. SInce then I have been using method Y but last year  seeing 
what A has been doing and recognising that his method makes things easier  
have modified my technique and am watching the results carefully to be sure  
there are no surprises. 
I have often quoted Clagett what said to Memories on HSF are short so I  
shall repeat myself):  "While you are with me do it my way. If you are  still 
doing it my way in 10 years time I shall be very disappointed in  you".
Bob









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