You have been scheduled for surgery: participate in the planning

Health Tips

Doctors really do not like patients who are “treated on the Internet.” Therefore, you should decide right away: do you need to be loved or not to be cut off? By the way, you don’t have to tell the doctor that you roamed the Internet. Just study everything that is relevant to your diagnosis – at least so that the consent to surgery (you will need to sign it) is really informed.

What to ask the doctor

To begin with, understand that you can sign not only the consent to the operation, but also the refusal of it (in relation to yourself or your child). To make a decision, you need to imagine all the possible consequences.

Therefore, if suddenly (now this rarely happens, but still) your attending physician is limited to a short summary: “Either we cut, or I’m not responsible for your life,” you can refer to Federal Law of November 21, 2011 N 323-ФЗ (ed. dated April 26, 2016) “On the fundamentals of protecting the health of citizens in the Russian Federation”.

That is, right now you are alive, and, by and large, nothing bothers you. Or worried, but you are already used to this level of discomfort. Are you curious to know how you will feel after the operation? How long will you not be able to walk, swim, make love … And what is all this for? That is, what will happen if the operation is NOT done.

And, most importantly, what are the risks of the operation itself – as a result of surgery, will your chance of surviving until the new year increase or decrease?

At a minimum, the doctor must answer these three questions. And you can ask them without even delving into the details of your own diagnosis.

Questions for advanced

Try to understand what options are possible in your case. For example, your doctor can be sure that in case of chronic tonsillitis, the tonsils must be cut out, in case of myoma, the uterus should be removed, asthenocardia should also be treated promptly … Medicine has already gone far ahead, and he is still juggling the knowledge gained in the 70s in the USSR . There are situations when surgery, in comparison, for example, with drug therapy, does not prolong life. But it greatly reduces its quality. Try to get a “second opinion” – that is, a consultation with more than one doctor. After understanding and weighing the risks and benefits, you can choose not to have surgery. This is spelled out in the same article 20 of the Law (clause 4).

Floating through the vastness of the Internet, you can discover a lot of interesting things. For example, to discover that in addition to the method of operation that the doctor told you about, there are less traumatic, but no less (as a rule, even more) effective ones. Return to your doctor and discuss with him the advantages and disadvantages of all known methods.

The fact is that a certain method of surgical intervention may be the most dangerous on the scale of world statistics, but it is your doctor who succeeds best. The situation is stalemate: on a global scale, the risk is high for a “big operation”, but in your particular case, the opposite is true – the doctor has not “knocked his hand” in minimally invasive techniques … The choice is always yours: to look for a doctor who knows how to do what you need, or agree to an operation that your doctor does very well.

Sometimes specialists can explain the choice of technique by financial considerations: “with a scalpel – according to compulsory medical insurance, and with a laser – for a fee.” Feel free to call your insurance company and clarify this issue.

Talk to an anesthesiologist

There is a legend among the people about the existence of “light” and “heavy” anesthesia. Allegedly, in order to not feel sick and not have a headache after the operation, you have to pay an additional fee to the anesthesiologist. How do you imagine that? Does the doctor have a secret locker where he hides illegal drugs to punish those who don’t pay?

Each operation has its own indications for a particular type of anesthesia. Anesthesia, by the way, is also a medical intervention – and it requires a separate informed consent. So all information must be provided to you.

Domestic issues

When a person in a white coat says that “the operation is not difficult”, or that “now you only need to think about your health, nothing else” – all additional questions immediately disappear. But in vain. If the operation ends successfully, you still have to live after it. So ask (at least approximately) how long the rehabilitation period will last, whether you will have to lie in the intensive care unit later, how soon you can return to work and sports, how you will look after the operation, in the end …

Perhaps, having received (or not received) answers to these questions, you will understand that you need to do the operation, but it is better not at this doctor or at another clinic. Fortunately, we have a choice these days. Don’t deny yourself it.

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