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Thu Aug 3 14:38:42 BST 2006

Dr. Karim Brohi:

I totally agree with you.
Dr. Gustavo Bogliaccini
Montevideo, Uruguay

>----Mensaje original----
>De: karimbrohi at gmail.com
>Fecha: 01/08/2006 16:03 
>Para: "Trauma &amp, Critical Care mailing list"<trauma-list at trauma.
org>
>Asunto: Re: Karim - Political discussion
>
>This is indeed a good idea, and would possibly do much to divert some 
of the
>off-topic postings.  *However* it costs money to run a mailing list 
of this
>size and we pay a significant amount of money annually to host the
>trauma-list and its (growing) membership.  I'm not convinced that 
setting up
>a separate list for this discussion is the best use of that money -
>especially when other such lists are already in existence. (med-
events)
>
>Unlike modern politics, I also believe that the long view is the 
important
>one - and not the knee-jerk reaction to the event of the day.  I can 
count
>the number of time I have had to intervene and put an end to a 
discussion on
>the trauma-list on the fingers of one hand - and that's after 10 
years and
>over 30,000 messages being sent.
>
>These discussions are very destructive.  People join the trauma-list 
to
>learn about trauma, in all its forms.  True, many events around the 
world
>are directly related to the provision or access to trauma care, and 
how
>trauma care is provided in such settings is very very relevant.  True 
also
>that the medical community, and perhaps the trauma care community in
>particular must be aware of the politics surrounding these situations 
and
>must be able to a) learn how to use those politics to continue to 
provide
>care in those circumstances and b) provide leadership and solutions 
to
>promote conflict resolution.  When we as an intelligent, respected 
body
>resort to playground politics, it reflects badly on us and is 
unproductive
>or even destructive - witness the recent unsubscriptions (I reckon 
around 50
>people).  And these people are the busy clinicians and other 
professionals
>who we need on this list - who use the list as an educational and 
community
>resource and who simply don't have the time to wade through multiple
>off-topic opinions to just read their email.  We would have a much 
stronger
>membership now if the list hadn't been decimated by these discussions 
at
>regular intervals - once people switch off they switch off forever.
>
>If you couldn't be bothered to read the above paragraph the message 
could be
>rephrased like this:
>
>'Your opinion is important, but if it's off-topic and possibly of no
>interest to 2500 other people, take it elsewhere - for the good of 
the
>list'.
>
>Karim
>
>
>
>On 01/08/06, Walker, Joseph (MET) <Joseph.Walker at ahss.org> wrote:
>>
>> Dr. Mattox, I am one of those lurkers who is in the background 
reading
>> but not speaking out. I am a relatively new trauma nurse 
coordinator of
>> 10 months but I do have 14 years critical care and ED experience 
and
>> although I feel competent at what I am doing, "I am amazed at what 
I
>> don't know". I am in the shadows to read, learn and educate myself
>> taking knowledge from great minds, professionals from around the 
world;
>> from Maine USA to South Africa to Pakistan to Australia, India, 
Great
>> Britain, South America and back to Chicago USA (apologizing for 
everyone
>> I missed).
>> To get to the point, I learn from the dialogue on this site and 
while I
>> enjoy the political banter I would agree with you that a secondary 
site
>> would be more appropriate place for it. That way I can go back to
>> lurking and learning about trauma while visiting the political 
arena at
>> my leisure. So if Karim would set up a secondary site I wonder how 
many
>> others would be in favor of it so we can keep this one to the 
discussion
>> of trauma. I thank you and all others for your time and dedication 
to
>> our profession. Now I shall retreat back to the shadows. 
Respectfully
>>                                      Joseph A Walker RN
>>                                      Trauma Nurse Coordinator
>>                                      Killeen, Texas
>>
>> -----Original Message-----
>> From: trauma-list-bounces at trauma.org
>> [mailto:trauma-list-bounces at trauma.org] On Behalf Of KMATTOX at aol.
com
>> Sent: Tuesday, August 01, 2006 8:21 AM
>> To: trauma-list at trauma.org
>> Subject: Karim - Political discussion
>>
>> Karim:   I have a simple suggestion.   Many on this  list do like 
to
>> have a
>> political, environmental, religious, economic, and many  other
>> non-medical
>> discussions.   They like to do it with those they  know and enjoy 
making
>> happy,
>> angry, etc.   Sometimes I even enjoy this  exchange, but many on 
the
>> list want
>> only the purist of clinical  discussions.    We respect your 
oversight
>> as web
>> master.   Thus this suggestion.
>>
>> Create an alternate site, where members of trauma-list can go to
>> continue
>> their discussions and political fights.   Those who wish to chat 
there
>> can go
>> and you and others can say that such and such a discussion should 
go to
>> that
>> site.      It will be on your server, just like  trauma-list but be 
a
>> secondary
>> site for all of us.   Other list  servers of medical discussions 
have
>> such a
>> mechanism.
>>
>> k
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>>
>>
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Karim - Political discussion