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Home / Sad I Wont See Surgeon Again

Sad I Wont See Surgeon Again

Why won't the Surgeon Operate on my Spine?

There are legitimate reasons why a Surgeon will non offer constituent spine surgery on patients.

Bear in heed,  nosotros are talking Elective SPINE SURGERY,  non emergency surgery.    As you know,  constituent surgery may definitely be warranted,  equally the patient has debilitating pain,  or loss of function that does not better with non surgical care.  The surgeon,  however,  must lucifer the complaints  to the findings on diagnostic testing, and also gauge the patient expectation. If at that place are inconsistencies amidst those factors,  the results may be an improvement after surgery, just  unrealistic expectations will deem the surgery a failure, past the patient.Unfortunately,  poor outcomes exercise happen.  A prudent surgeon volition do what he or she tin to minimize these poor outcomes.  Sometimes,  that is by refusing surgery.

As a surgeon,  my goal is to assistance patients with their surgical needs.  In emergent situations,  I am called to try to resolve a potentially limb or life threatening situation.  While patient expectations are likewise important,  in emergency situations,  the pressing needs to salve the state of affairs is chief. In emergency situations, while the patient expectations and outcomes are important,  equally important are the community expectations on treating emergent situations.Patients who turn down emergency operations are required to sign documents indicating refusal of emergent treatments Against Medical Advice.

Every bit far as constituent spine surgery goes,  surgeons have the right to refuse surgical treatment if there is no emergency situation.  As many patients think their state of affairs as emergent (although medically,  it is non),  they question  the refusal,  and demand surgery.  Often times,  at that place are specific reasons surgery why will not exist offered:

  1. Physical examination findings do not match the identified problem on diagnostic testing.
  2. Pain complaints practice non seem consistent,  or are out of proportion to the findings on testing.
  3. The identified status is likewise diffuse, and successful surgical outcome is difficult to predict.
  4. The patient,  and family may be unrealistic well-nigh the furnishings of surgery.  As I like to say, " if yous are 60 years old,  the surgery will return you dorsum to being 60 years onetime.  The surgery will non make you xx again. "
  5. The patient may accept comorbidities such as obesity, diabetes, or respiratory problems that will make the surgery probable to cause more than problems than it volition gear up.
  6. There is a need of a much more complex surgical procedure,  one that is not amenable for proper management in a private do setting.  Sometimes, the surgery is too large in scope.  Certainly,  the technical aspect tin be performed by any competently trained surgeon.  The aftercare,  and monitoring necessary during and afterwards surgery may not be available in all infirmary settings.  These surgeries may be ameliorate off in a Third,  or Didactics Hospital Environs.
  7. The technique desired by the patient is still experimental,  with no proven track record.  In the by,  I was involved in FDA trials of new technologies.  The "study patients" had tremendous guidance and followup.  The prime objective was e'er the prophylactic of the patient.  If you lot want experimental treatment,  please get enrolled in i of the studies.  Use of experimental procedures,  otherwise,  has a fair amount of medical and financial risks.  I do not perform any experimental surgeries any more.  If you want this type of surgery,  delight look up studies in ClinicalTrials.gov.  There are over 700 trials going on that are existence monitored by the FDA.  In my stance,  this is the safest fashion to participate in experimental spine surgical procedures.

In the end,  surgeons decline to offering constituent spine surgery considering they cannot predict a expert consequence,  or the procedure desired is experimental.  Frankly,  it is my opinion that surgeons who refuse elective surgery are probably trying to do what is best for their patient.As y'all all know,  yous can always find someone to do your surgery.  There is too much incentive for many surgeons to simply go ahead and operate. If a surgeon says no, in that location must exist a very skilful reason. Please have that into consideration and remember, you can always become a second opinion, but inquiry your surgeons first.

Terminal modified: February 8, 2019

Author: Dr. Shim

Dr. Shim is an Orthopaedic Spine Surgeon and leading Medical Good in the Tampa Bay area since 1993.

harfordgretwee96.blogspot.com

Source: https://www.shimspine.com/why-wont-the-surgeon-operate-on-my-spine/