Response to Dr. Mont

摘要

Dear Michael, I value your response to my Letter to the Editor and espouse the similarities between your thoughts and mine. While I agree that "the devil is in the details," I also feel that the thrust of the major concept of stepwise introduction is very important and will determine how progress will take place. Look how parallel your suggestion of "graduated introduction" is to Malchau's stepwise concept. Both you and he restrict the general release of innovation until after the results are available from those selected centers which study the innovation for a substantial period of time before a general release.