"So, in Exception Handling, we finally find out what's going on, at this point, and we start coming up with a treatment plan.  We don't already HAVE a treatment plan, or so I am informed, for this exact circumstance.  And this, you know, this really bothers me, people.  It's a common misconception that being Chief of Exception Handling means you're supposed to think of every possible and probable contingency in advance.  In fact my job isn't to do that, it's to ride herd on the people who are supposed to do that, which, given their general fractiousness and wild-ranging creative imaginations, is a full time job that leaves me very little time to imagine events myself.  Which is to say, I had ONE JOB, and today it became apparent that I must have FAILED at that one job over an EXTENDED PERIOD and in a very wide-ranging way.  Because while my employees had devised over 144 advance plans for different kinds of alien invasions, on the excuse that rehearsing those would 'increase general robustness', they were so busy 'increasing general robustness' that we had zero advance-tested plans or advance development work for the case of 'what if somebody with a really valuable brain falls into cold water'."

"I try, generally speaking, to be pessimistic enough that I am ever pleasantly surprised, and sometimes I am, so I cannot say with confidence that I am still ill-calibrated on how bad things really are in Civilization.  But I was nonetheless, on an emotional level, deeply and unpleasantly shocked by the STAGGERING lack of advance work I found, that had NOT been done by Civilization generally and Exception Handling specifically, on the case of averting anything more than the bare level of brain damage from rewarming an ischemic patient.  Which, you might have thought, you might PREDICTABLY encounter as a problem in some cases, if you wanted to try save someone from any sort of condition causing ischemia, even THOUGH - this being a level of weirdness apparently beyond our tiny intellects to envision - we would USUALLY have put that person straight into cryo rather than taking further risks.  Which we could not just do here, due to other conditions being NOT TOTALLY PERFECTLY NORMAL, but hey, who would ever think of THAT possibility in advance of it ACTUALLY HAPPENING."

"But we at least had, apparently, some general contingencies for what would happen if there came about a medical case of very high value to Civilization under conditions of mild secrecy.  We spun up those social connections and those pseudo-markets - as would seem to work at least TEMPORARILY - and obtained an initial stabilization plan that was at least a tenth as good as an actual market could have provided.  And we staggered on ahead, usurping the target hospital's computer systems - which worked unexceptionally, you'll note because THAT part had been envisioned in advance and ACTUALLY THOROUGHLY TESTED - and transmitting to them our treatment plan, including fallback contingencies for if their emergency certs were not in sufficient order."

"So, in Exception Handling, we finally find out what's going on, at this point, and we start coming up with a treatment plan.  We don't already HAVE a treatment plan, or so I am informed, for this exact circumstance.  And this, you know, this really bothers me, people.  It's a common misconception that being Chief of Exception Handling means you're supposed to think of every possible and probable contingency in advance.  In fact my job isn't to do that, it's to ride herd on the people who are supposed to do that, which, given their general fractiousness and wild-ranging creative imaginations, is a full time job that leaves me very little time to imagine events myself.  Which is to say, I had ONE JOB, and today it became apparent that I must have FAILED at that one job over an EXTENDED PERIOD and in a very wide-ranging way.  Because while my employees had devised over 144 advance plans for different kinds of alien invasions, on the excuse that rehearsing those would 'increase general robustness', they were so busy 'increasing general robustness' that we had zero advance-tested plans or advance development work for the case of 'what if somebody with a really valuable brain falls into cold water'."

"I try, generally speaking, to be pessimistic enough that I am ever pleasantly surprised, and sometimes I am, so I cannot say with confidence that I am still ill-calibrated on how bad things really are in Civilization.  But I was nonetheless, on an emotional level, deeply and unpleasantly shocked by the STAGGERING lack of advance work I found, that had NOT been done by Civilization generally and Exception Handling specifically, on the case of averting anything more than the bare level of brain damage from rewarming an ischemic patient.  Which, you might have thought, you might PREDICTABLY encounter as a problem across a wide variety of imaginable cases, if for some reason you wanted to save someone even THOUGH - this being a level of weirdness apparently beyond our tiny intellects to envision - we would USUALLY have put that person straight into cryo.  Which we did not want to just do here, due to other conditions being NOT TOTALLY PERFECTLY NORMAL, but who would ever think of THAT possibility in advance of it ACTUALLY HAPPENING?  Not us, apparently."

"But we at least had, apparently, some general contingencies for what would happen if there came about a medical case of very high value to Civilization under conditions of mild secrecy.  We spun up those social connections and those pseudo-markets - as would seem to work at least TEMPORARILY - and obtained an initial stabilization plan that was at least a tenth as good as an actual market could have provided.  And we staggered on ahead, usurping the target hospital's computer systems - which worked unexceptionally, you'll note, because THAT part had been envisioned in advance and ACTUALLY THOROUGHLY TESTED - and transmitting our treatment plan, including fallback contingencies for if their emergency certs were not in sufficient order."