By R. W. Porter
Greater than 20,000 spinal operations are conducted within the united kingdom every year, and it's inevitable and unlucky that error will sometimes be made. in basic terms cautious realization to element within the pre-operative evaluation, meticulous surgical care and supervised post-operative administration will be certain always sturdy results.
This publication illustrates the variation among the occasional inevitable problem which could take place in specialist arms and avoidable blunders.
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Example text
You ask me how things could be much worse? Wellthere is a chance of something happening like a nerve being damaged. That could give you some leg pain and some weakness. Very rarely many nerves are I have to say occasionally the affected,givingwater-workproblems. ” “The last thing I want to do is frighten you. Most patients do well, and there is a better than 50/50 chance that you will be improved. ” “Now I want to be sure that you have understood whatI have been saying. It is not easy to take in all this information at once.
It is probably better to err on the side of not operating if the opinions of the surgeon and patient differ. Surgeon’s choice not to treat Patients can sometimesbe very manipulative and try to persuade surgeons to operate against their best judgement. However, doctors are free to accept or refuse to treat a patient. Thereare times when it is preferable that the surgeon refuses to treat. This depends of course on their professional obligationsin an emergency or in anisolated community. Occasionallyit is in thebest interest of a difficult or aggressive patient that they be referred to another surgeon.
Informed consent from whom? J. R. Coll. Surg. Edinburgh 1997; 42: 161-164. 14. Richardson N, Jones P, Thomas M. Should house officers obtain consent for operations and anaesthesia? Health Trends 1996; 28: 56-58. 33 This Page Intentionally Left Blank Chapter 4 P O S I T I O N I N G O F THE PATIENT The surgeon and the anaesthetist share the responsibility of caring for the patient whilst under the anaesthetic. There are particular risks related to the position of the patientwhich should be anticipated and avoided.
