@dmaziuk for that incident, it may still have been the right call to skip the IWR because he was alert and seemed to be doing well during his chamber treatment. the problem was something happened later and he got into medical trouble but the medical professional had left with only an unqualified trainee who wasn't experienced enough to deal with the emergency still watching him.
I think a) if you have an hour of deco, you probably have significant gas loading in the slower compartments that may be expected to take longer to bubble out and cause symptoms, and b) losing feeling in the legs on the way to the chamber wouldn't be my definition of "doing well".
But my point was, "better bent than drowned" is an excellent rule as long as you are, in fact, drowning. Scenarios posited in this thread are more like "I overshot my ceiling for more than 3 minutes"-- that argument does not apply.