We were told at school, “If you want to solve a problem you have to identify it first”, you are then halfway towards the solution. This implied of course that the other half of the solution is a straight forward exercise, or it can be provided by a standard predetermined procedure which can be found on a shelf of ready-made solutions. This procedure, even though it has limitations, was followed extensively in solving medical problems and proved to be successful especially in cases where the available options for the solution were limited, and the only criteria to determine the final solution were cost, convenience, time, availability, etc. In other words the solution-treatment was primarily based on predetermined options, and not patient based.