Indications for Operation

Tell me Dr Hippocrates, what are the indications for performing surgery in this case?

Well Dr Lowly ERP, the indications are hotly debated.

Interesting. How so?

Unfortunately, no good data has shown much improvement of cognition or survival in patients who are operated on vs those who are not.

Wow, so, even this case where a previously functional and healthy patient is near death from this condition, not doing anything is just as good as operating?

According to the data, yes. However, it seems to make sense that operating would help – and we want to do SOMETHING for the patient and give him a chance.

I see. So then why are you taking this patient to the OR vs observing and keeping your fingers crossed?

Well, I’m here, it’s not too late, and I am already in scrubs from a previous case.

So if I call had called you at 2am with this case and you were home in bed, you would recommend doing nothing?

SILENCE.

(My inner voice): Wow, I did not know “Dr’s convenience” was an indication to perform or not to perform potentially life saving surgery.