Hi Fez,
Perhaps you would permit me a Clinicians perspective on your remarkable Thread.
It strikes me that some readers are trying to understand your approach without realizing that Clinicians tend to approach problem solving somewhat differently at times than Physical Scientists. Most everyone has heard that Medicine is an Art not a Science, not withstanding the recent struggles in the US to square the circle with ObamaCare, but as a practical matter a great deal of guess work – neither Art nor Science - is involved until a clear solution evolves – hopefully with the patient well served at the end of the day.
Frequently we start with our best guess, based on experience, the literature but mostly on the guidance of others in the beginning. In time it is possible to branch out on our own but always with a reservoir of experience in our "back pocket." All of the Meta analysis in the world is of interest but rarely solves problems at the individual level in the moment when it counts the most.
Gifted Surgeons, for example, will innovate based largely on a gut feeling. Once the procedure is showing promise then comes progressively more detailed investigations - frequently to help others understand, promote ones interest or more commonly for junior attendings their Chairman’s interest etc.
In other words we do what seems to make sense, and if it works out, we push ahead. Nothing more complicated than that. I sense something of the same here in your Thread.
Strong work, keep it coming,
AG
Perhaps you would permit me a Clinicians perspective on your remarkable Thread.
It strikes me that some readers are trying to understand your approach without realizing that Clinicians tend to approach problem solving somewhat differently at times than Physical Scientists. Most everyone has heard that Medicine is an Art not a Science, not withstanding the recent struggles in the US to square the circle with ObamaCare, but as a practical matter a great deal of guess work – neither Art nor Science - is involved until a clear solution evolves – hopefully with the patient well served at the end of the day.
Frequently we start with our best guess, based on experience, the literature but mostly on the guidance of others in the beginning. In time it is possible to branch out on our own but always with a reservoir of experience in our "back pocket." All of the Meta analysis in the world is of interest but rarely solves problems at the individual level in the moment when it counts the most.
Gifted Surgeons, for example, will innovate based largely on a gut feeling. Once the procedure is showing promise then comes progressively more detailed investigations - frequently to help others understand, promote ones interest or more commonly for junior attendings their Chairman’s interest etc.
In other words we do what seems to make sense, and if it works out, we push ahead. Nothing more complicated than that. I sense something of the same here in your Thread.
Strong work, keep it coming,
AG
Do not dwell in the past, do not dream of the future, concentrate the mind.
and those are the profit ones. so losing those will kill system and years of work.