Don Foreman wrote:

On Tue, 13 Jan 2009 00:40:05 -0600, Don Foreman
wrote:

Had another thought today:

Perhaps the young doc hasn't yet encountered a patient who has
expertise in a related field and doesn't yet know how to deal with
that. It's not uncommon among highly-educated young chargers. I have
ample experience with smoke, feathers, fancy dancing and
bafflebull****. I didn't deal with medical folks during my working
life but I dealt with plenty of high-talent young PhD's in science and
engineering.

A conversation with a decades-experienced "device nurse" was
enlightening.

She said that the doc would not adjust parameters in an attempt to
optimize compatibility with welding, he would adjust them to optimize
performance for the medical purpose required and intended.

Well, duh! That's exactly what he should do. Welding is optional,
dead guys don't need to weld. I could fault the young Doc's
people skills but I gotta respect a no-compromise attitude re doing
what is medically best whether I like it or not. That places
responsibility for risk of welding squarely upon me, which is exactly
where it belongs.

The responsibility for the potential risk of welding belongs on you,
however the responsibility to adjust the device to settings to
accommodate the *requirements* of the *customer* belong on the service
provider i.e. the doctor.

Do not loose sight of the fact that this is nothing more than a business
transaction, do not get sidetracked by BS about the service provider
wanting to do what he thinks is in your best interest. *You* specify the
requirements, not the service provider and you should put those
requirements in written form and make the service provider sign off on
them.

The service providers role is to make recommendations and answer
questions, your role as the customer is to ask questions and make
decisions, even if your decisions do not follow the service providers
recommendations.