Comments by "Keit Hammleter" (@keithammleter3824) on "‘I’ve been vilified, persecuted, demonised’: Divisive neurosurgeon Charlie Teo speaks out" video.

  1.  @hansnotsolo  : I'm not a doctor, I'm a professional engineer. In engineering, we have peer review meetings - especially where safety of the public could be impacted. In these meetings, the engineer responsible for a project describes his decisions and reasons to a peer group, thus creating an opportunity for other minds to spot things he didn't think of. Also, there is nothing like explaining to others in clarifying one's own thoughts - it works better if they actually lack knowledge. But what to do remains his decision. After all, he is the only one there who is intimately familiar with his case. In business management, however, a thing called 6-sigma became fashionable. In 6-sigma meetings, a consensus opinion is sought - they even take votes on what to do. In business, that works - there is often no clear best option. In engineering, 6-sigma and consensus doesn't work. When you have an expert, the votes of other, inherently less experienced and less informed people only dilute the expert's expertise. This seems to be Charlie Teo's reason for not liking MDT meetings. So, Reeds, tell me honestly, which way do MDT meetings work? Peer review or expert dilution? My wife had cancer. She got an opinion from her oncologist who proposed a treatment protocol we were not expecting, and we said so. We respectfully challenged her, wanting her reasoning. The oncologist then said she had discussed my wife's case with Dr xxxx, who is the city's best expert. We said, ok, but we want an appointment with Dr xxxx and hear it from the horse's mouth. Reluctantly, the oncologist gave us the necessary referral. On seeing Dr xxxx, he confirmed his opinion that he had given. But on carefully going through all the lab results and imaging etc in our presence, which he had not done in the meeting with the oncologist, he radically changed his opinion. So, tell me, Reeds, what went wrong here?
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