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    #1

    Otherwise

    I have a question about the meaning of "otherwise" here:


    The prime remediating objective of surgery is to remove as many tumor cells as possible, with complete removal being the best outcome and cytoreduction ("debulking") of the tumor otherwise.
    There are quite a number of definitions for "otherwise". What should "otherwise" mean with this usage?

  1. MikeNewYork's Avatar
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    #2

    Re: Otherwise

    In my opinion, "otherwise" is not needed there.

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    #3

    Re: Otherwise

    @MikeNewYork

    So, "otherwise" was misused?

  2. MikeNewYork's Avatar
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    #4

    Re: Otherwise

    At best it is redundant.

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    #5

    Re: Otherwise

    @MikeNewYork

    I re-read the original and feel that the part:

    ....with complete removal being the best outcome and cytoreduction ("debulking") of the tumor otherwise.

    is not well written. What do you think?

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    #6

    Re: Otherwise

    How about:

    The prime remediating objective of surgery is to remove as many tumor cells as possible, with complete removal being the best outcome
    , and if not, cytoreduction ("debulking") of the tumorotherwise.

    What is 'remediating objective'?
    Complete removal of tumour cells is not an 'outcome'.

    not a teacher

  3. Matthew Wai's Avatar
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    #7

    Re: Otherwise

    Quote Originally Posted by tedmc View Post
    , and if not,
    I think it can be replaced by 'or', but I am not a teacher.

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    #8

    Re: Otherwise

    There is a difference between using 'if not' and 'or'.
    Complete removal of tumour is the best, if not (meaning if complete removal is not possible), cytoreduction of tumour. The latter procedure is meant to be a second choice.

    'Or' implies the latter is just as good.

    Surgery should be considered a treatment, not an outcome.

    not a teacher

  4. Matthew Wai's Avatar
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    #9

    Re: Otherwise

    The outcome of the surgery is supposed to be complete removal or cytoreduction, so I think 'or' can be used.

    Quote Originally Posted by tedmc View Post
    'Or' implies the latter is just as good.
    Such an implication should not exist due to the preceding words 'the best'.

    Quote Originally Posted by tedmc View Post
    The latter procedure is meant to be a second choice.
    The context has made it clear that the latter is the second best, so I think 'if not' is unneeded.

    Not a teacher.

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    #10

    Re: Otherwise

    I am not a teacher.

    'Otherwise' is neither redundant nor unnecessary in the original since the sentence would be meaningless without it, or some more suitable word or expression.

    You could replace 'otherwise' with 'being the next/second best', which is the intended meaning.

    Otherwise you could insert 'or failing that' to give '…with complete removal being the best outcome or, failing that, cytoreduction of the tumor.'

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