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Mon Sep 15 01:26:36 BST 2008

Bob

As one potential after thought to another, I really appreciate your
explanation.  I get it.  I recognize that the perspective of the planners is
global (save as many lives as possible) and that could be in conflict with a
narrower trauma mission.  These folks have a broad range of non-trauma
issues to address.

I sense that the trauma community is far better motivated than other
specialties in medicine to keep involved in disaster issues.  I have great
faith in the value of leadership when fighting uphill battles and am
impressed with the motivation and zeal I have seen so far. Thanks again.
I'll sit back and listen for now.

Dick Besserman 

On 9/14/08 4:55 PM, "ALS79 at aol.com" <ALS79 at aol.com> wrote:

> With all due respect Dr. Besserman, what you're reading is the frustration on
> the part of trauma surgery experts who are tired of having federal program
> proponents foisting their ideologies and administrivia into local matters. To
> me, the entry point is those who stick their hands into the chests, bellies
> and 
> extremities of those with whom they are expected and entrusted to protect,
> rather than professional planners in DC, who for the most part have no "real
> world" experience in the mitigation of surgical and medical emergencies -
> especially on a massive scale.
> 
> What they are saying is that the system is vertically integrated (top-down)
> along federal funding guidelines, and not constructed around rational local
> needs and requirements based on resources and demand. In fact, the medical
> community has been bypassed, and is considered by many an afterthought.
> Property be 
> damned, for my money, I want someone who can save my life - even within the
> construct of the federal template. But, no one's listening. Thus, these
> postings.
> 
> Bob Kellow
> 
> 
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