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Medical decision
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By *asyuk OP Man
over a year ago
West London |
You are diagnosed with a spinal tumour.
It can be operated on without medical risk but it will be very painful and require several years of rehabilitation and therapy. You will make a dull recovery though.
If you are not operated on you will become progressively more crippled losing the use of your limbs. It is not fatal though.
You, naturally, get several other opinions.
4 specialists recommend operating.
1 says that that there's nothing wrong and even if it were you can't do anything about it.
What do you decide to do? |
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By *asyuk OP Man
over a year ago
West London |
"Thinly veiled. 
The question still stands.
Why so hard to answer directly?
Am I obliged to answer? "
You weren't obliged to write anything yet here you are determinedly not addressing the thread but posting anyway. For what end not even you seem able to say.
That's just a bit odd.
Up to you though. Enjoy yourself  |
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"Thinly veiled.
The question still stands.
Why so hard to answer directly?
Am I obliged to answer?
You weren't obliged to write anything yet here you are determinedly not addressing the thread but posting anyway. For what end not even you seem able to say.
That's just a bit odd.
Up to you though. Enjoy yourself "
Determinedly? For what end? You are so dramatic dude.
Bet you are great at parties.  |
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By *asyuk OP Man
over a year ago
West London |
Typo corrected as pointed out:
"You are diagnosed with a spinal tumour.
It can be operated on without medical risk but it will be very painful and require several years of rehabilitation and therapy. You will make a full recovery though.
If you are not operated on you will become progressively more crippled losing the use of your limbs. It is not fatal though.
You, naturally, get several other opinions.
4 specialists recommend operating.
1 says that that there's nothing wrong and even if it were you can't do anything about it.
What do you decide to do?" |
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"Typo corrected as pointed out:
"You are diagnosed with a spinal tumour.
It can be operated on without medical risk but it will be very painful and require several years of rehabilitation and therapy. You will make a full recovery though.
If you are not operated on you will become progressively more crippled losing the use of your limbs. It is not fatal though.
You, naturally, get several other opinions.
4 specialists recommend operating.
1 says that that there's nothing wrong and even if it were you can't do anything about it.
What do you decide to do?""
I had a similar but slightly less serious choice to make 9 years ago and chose the operation. I have made a very good recovery and my quality of life improved dramatically. I would say choose the operation. |
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Well considering this started out in the politics section am I alone in thinking this could be along metaphorical lines with the logic from the answers applied to a political/climate change position?
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By *asyuk OP Man
over a year ago
West London |
This was intended as a thread to see how people make important decisions.
A few considered answers and some trolling.
Of the few sensible responses the sentiment seems to be that people would all accept the majority professional advice.
Would anybody not? |
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I would ask lots of questions and quiz the specialists. I would be asking the specialist who says that there is nothing wrong, why she / he believes so, especially as I would expect a tumour to show up on a scan or with tests. I would be putting the views of that specialist to the others and vice versa. I would see if any of the specialists are the top person in this field and if their view should carry more weight than another's. I would be asking if there are any suggestions of new treatments that are likely to happen in the future.
That aside and on the basis of the information that you have provided (and assuming no other life limiting conditions) I would go with the operation. |
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A real life example (not quite the same)- Lance Armstrong diagnosed with testicular cancer had different options for chemotherapy.
The recommended treatment had the highest risk of success but almost certainly the side effects would have prevented him from ever cycling professionally. He selected another option with a lower success rate but without the severe side effects, cancer went into remission and he could cycle again. |
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"This was intended as a thread to see how people make important decisions.
A few considered answers and some trolling.
Of the few sensible responses the sentiment seems to be that people would all accept the majority professional advice.
Would anybody not?"
Ah my mistake as I thought you were going down the political route.
I would take the recovery option be it dull or full. |
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"Well considering this started out in the politics section am I alone in thinking this could be along metaphorical lines with the logic from the answers applied to a political/climate change position?
"
Yes |
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By *uicy jonesMan
over a year ago
near a big hill in s/ shropshire NOT in |
I actually have a issue not to Unsimilar To this !!!
I'm just getting on with life ATM !!! If I have an opp I will be off work for 6 months minimum !!! I can't afford that in always !!! So plodding on till I break !!!!  |
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"This was intended as a thread to see how people make important decisions.
A few considered answers and some trolling.
Of the few sensible responses the sentiment seems to be that people would all accept the majority professional advice.
Would anybody not?"
Slow down. I'm deliberating. |
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"Well considering this started out in the politics section am I alone in thinking this could be along metaphorical lines with the logic from the answers applied to a political/climate change position?
Yes "
You need to hang round the politics section where this started out Granny before it was moved. I donned my tin foil hat for this one albeit prematurely it seems. |
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"Typo corrected as pointed out:
"You are diagnosed with a spinal tumour.
It can be operated on without medical risk but it will be very painful and require several years of rehabilitation and therapy. You will make a full recovery though.
If you are not operated on you will become progressively more crippled losing the use of your limbs. It is not fatal though.
You, naturally, get several other opinions.
4 specialists recommend operating.
1 says that that there's nothing wrong and even if it were you can't do anything about it.
What do you decide to do?""
I ask the one at the end who says that there is NOTHING wrong with me and why he believes that the advice of the other specialists is so wrong as he believes if I was ill it would be inoperable anyway.
I'd also ask him why he thinks I went to the docs if there is nothing wrong with me.
Then id ask the ones that want to operate why they think there is something wrong with me or are they operating where there is no need.
I'd ask them about previous diagnosis and ops and survival / recovery rates too.
Prob ask for other opinions re there being nothing wrong with me. |
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"Well considering this started out in the politics section am I alone in thinking this could be along metaphorical lines with the logic from the answers applied to a political/climate change position?
Yes
You need to hang round the politics section where this started out Granny before it was moved. I donned my tin foil hat for this one albeit prematurely it seems. "
Would I be safe in there do you think ? |
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"Well considering this started out in the politics section am I alone in thinking this could be along metaphorical lines with the logic from the answers applied to a political/climate change position?
Yes
You need to hang round the politics section where this started out Granny before it was moved. I donned my tin foil hat for this one albeit prematurely it seems.
Would I be safe in there do you think ?"
It’s kicking off at the moment over gammon. Best avoid. |
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"Well considering this started out in the politics section am I alone in thinking this could be along metaphorical lines with the logic from the answers applied to a political/climate change position?
Yes
You need to hang round the politics section where this started out Granny before it was moved. I donned my tin foil hat for this one albeit prematurely it seems.
Would I be safe in there do you think ?
It’s kicking off at the moment over gammon. Best avoid. "
I'll just have a sneaky peek. I won't say anything. Promise. |
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By (user no longer on site)
over a year ago
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If you ask enough people with expertise and training in a medical speciality, you will get occasional answers that differ from the majority view. This doesn’t mean that the one differing view is wrong not that the majority view is wrong.
Medicine unlike pure science is about the management of uncertainty. Shades of grey if you will. It’s underpinned by research evidence as far as is a possible but judgment and experience are a big part when the available evidence is equivocal.
People often shop around and settle on the opinion that they perhaps subconsciously want to hear. In this situation 80% says go for the op - that is probably the better evidence-based way forwards. I’d question the other specialist as to why his/her opinion differs.
In answer to the specific question, if o had more than a few years left to live if go for the op every time. |
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I would want to explore the opinion of the odd one out. If he could explain to me why he had reached the prognosis that he had in the face of three contradictory views before making a final decision. |
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By (user no longer on site)
over a year ago
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I would question it more.
I would want to know the operation risks and If they can promise a full recovery.
I've seen too many people die after being told do this and you will be cured to spend their last few years that they could have enjoyed with their family in pain instead.
Quality of life is more important than quantity of life in my opinion. |
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By *asyuk OP Man
over a year ago
West London |
"Well considering this started out in the politics section am I alone in thinking this could be along metaphorical lines with the logic from the answers applied to a political/climate change position?
Yes
You need to hang round the politics section where this started out Granny before it was moved. I donned my tin foil hat for this one albeit prematurely it seems. "
This is not a medical question that I need help with. To be clear.
It is a general question about how people approach serious questions which is why it went in the Politics thread.
I'm not sure why it should be approached any differently wherever it's posted. |
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By *inxybWoman
over a year ago
Durham |
I’d question those that say there are no risks...there are always risks associated with surgery, then following that do as much research of the procedure to help make an informed decision about the surgery |
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By *asyuk OP Man
over a year ago
West London |
"I would question it more.
I would want to know the operation risks and If they can promise a full recovery.
I've seen too many people die after being told do this and you will be cured to spend their last few years that they could have enjoyed with their family in pain instead.
Quality of life is more important than quantity of life in my opinion. "
This is a good point.
Defining what "success" actually means.
Doctors do, or have historically, been trained to treat if they can.
Although I don't think that this applies to the specific problem I posed. |
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By *asyuk OP Man
over a year ago
West London |
"If you ask enough people with expertise and training in a medical speciality, you will get occasional answers that differ from the majority view. This doesn’t mean that the one differing view is wrong not that the majority view is wrong.
Medicine unlike pure science is about the management of uncertainty. Shades of grey if you will. It’s underpinned by research evidence as far as is a possible but judgment and experience are a big part when the available evidence is equivocal.
People often shop around and settle on the opinion that they perhaps subconsciously want to hear. In this situation 80% says go for the op - that is probably the better evidence-based way forwards. I’d question the other specialist as to why his/her opinion differs.
In answer to the specific question, if o had more than a few years left to live if go for the op every time. "
True. Balancing probabilities uaing experience and judgement with a factual underpinning.
The best advice could still be wrong in a specific case, but you would have to assume that isn't you. Otherwise it would be impossible to make any complicated decision about anything. |
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By *asyuk OP Man
over a year ago
West London |
"I actually have a issue not to Unsimilar To this !!!
I'm just getting on with life ATM !!! If I have an opp I will be off work for 6 months minimum !!! I can't afford that in always !!! So plodding on till I break !!!! "
I don't know if this discussion will help or not but all the best |
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By *asyuk OP Man
over a year ago
West London |
"A real life example (not quite the same)- Lance Armstrong diagnosed with testicular cancer had different options for chemotherapy.
The recommended treatment had the highest risk of success but almost certainly the side effects would have prevented him from ever cycling professionally. He selected another option with a lower success rate but without the severe side effects, cancer went into remission and he could cycle again. "
That was a very specific requirement. Deliberately taking a risk balanced relative to that.
Of course, the decision may also have to do with all of the drugs he was taking |
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By (user no longer on site)
over a year ago
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Speak to the surgeon, any surgeon worth there salt will tell you surgery is a last resort for any injury....... I’ve had numerous surgeries on all regions of the body and on the lower spine and even today it’s still painful... but if I hadn’t had the surgery I’d be in chair, but I also know people who are, after similar injuries and surgeries which have gone wrong... any surgery carries a risk....but only you can decide upon what you are prepared to live and adapt too.... as said research everything, not just the surgery and condition but the surgeon too.
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By (user no longer on site)
over a year ago
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I had a similar decision to make at 21,the end result of do or dont would've been the same so i took my chances and im still on my feet and quite active...no alternative life plan in place and thankfully not for the near future either. |
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Well I’m disabled and unfortunately have no chance to get better but even if it was slow going to recover I would jump on the operation. Better to have few sore years now and be better later on then not do it now and risk it till later when quality of life sucks. Especially if not risky surgery best wishes and hope it helps you out |
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"Typo corrected as pointed out:
"You are diagnosed with a spinal tumour.
It can be operated on without medical risk but it will be very painful and require several years of rehabilitation and therapy. You will make a full recovery though.
If you are not operated on you will become progressively more crippled losing the use of your limbs. It is not fatal though.
You, naturally, get several other opinions.
4 specialists recommend operating.
1 says that that there's nothing wrong and even if it were you can't do anything about it.
What do you decide to do?""
So essentially, the options are;
A finite period of pain,discomfort, hard work and inconvenience.
The rest of your life deteriorating, possibly to the point of wishing not to carry on.
The first option at least has light at the end of the tunnel. |
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