Lord Kelvin said, "When you can measure what you are speaking about and express it in numbers, you know something about it ; but when you cannot measure it, when you cannot express it in numbers, your knowledge is a meager and unsatisfactory thing ; it [is only] the beginning of knowledge..." (From: Popular Lectures and Addresses 1891-1894) Today, doctors do not routinely measure much - as a matter of course. There is a casualness about the importance of measuring. Even the subspecialist, who may measure ejection fractions with his or her special tools, may not also measure the exact duration of the QRS complex on EKG or the direction of the electrical forces in that EKG. In other words, measuring is done when the doctor is interested, but not unless the doctor is interested. I believe that we should measure when we can - it makes us better thinkers and communicators. However, we don't need to measure the depth of the Grand Canyon to know it is a really big ditch. From: Dr. J. Willis Hurst Consultant of the Division of Cardiology Emory University School of Medicine Former Professor and Chairman of the Dept of Medicine 1957-1986