This Hegelian dialectic assumes that understanding proceeds from dualism or polarity --a typically (I'm not using that word in the perjorative sense -- hell, I'm not even sure I can spell it) Western mode of thought. Eastern philosophy (the word 'guru' is derived from the Sanskrit), on the other hand, leans towards an emphasis on stepping outside a system where words like 'right' and 'wrong' are the guidelines for 'truth'-- the pertinent questions have more to do with 'integration' and 'disunity'. Dr. Siff's questions, albeit slightly rhetorical ('would YOU really like to become the best guru in the world... Do you really want to have some catchy procedure named after you?'), are really only meaningful in a context where shades of right and wrong are precise and exact. However, as you all know, the healing profession is rife with plenty of juicy grey areas... So it might be more pertinent to think bout degrees of professional and personal integrity rather than degrees of excellence. I'd be interested in hearing from you about what it means to exercise integrity in the healing profession -- what is integrity? where does it stand in the hierarchy of professional abilities? how does perceived integrity (or lack of it) affect the patient? are these relevant questions? yours (with respect) David Clark from B. Turcot's address. %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%