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Seasons greetings Don. My perspective is that medicine is not an exact science. Why so you ask? Well treatment protocols can and do vary quite substantially among health consumers and that surprisingly also includes identical twins. The problem is not so much with the treatment protocols but rather our unique genetic profile and the interaction twixt. Some may well argue that mankind being only several thousand years old as a unique species, the identification of genetic subsets and therapies targeted thereto, should be relatively simple? If only that were true! Even drug dosage are not precise, a variation of 5 to 10 percent is the norm in most countries. Also medical speciality is exploding. Essentially we are learning more and more, about less and less.