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Not A Surgical Candidate

Being informed you are not a candidate to have a surgical procedure is very upsetting and for good reason. It eliminates a person from having an intervention thus concern for 'what next' and it implies the patient has an issue serious enough to prevent safe surgery. Preparing to have an operation is an involved process and requires the patient to be evaluated by multiple physicians. The physicians must consider the patients risks of the surgery as well as the benefits from the surgery. The tests and evaluations are to determine if the likely outcome is in the patients favor. The evaluation may involve more than the Surgeon and the Anesthesiologist. There may be more tests needed than blood work, x-rays, and an ECG test. There can be side effects from the surgery and being put to sleep. People may be paralyzed for some surgical procedures: infection, pain, immobility, bleeding/clotting are potential risks. Not all surgeries are major or open procedures, some are less invasive. There are now more and more minimally invasive surgeries available and these have lower risks. We have some suggestions for patients and families to aid patients that are being consider for surgery. Keep track of the details, names of the physicians, the tests and the results as well as dates. Ask questions and consider the implications of the surgery as well as if you are not a candidate. 0:00 Intro 0:55 Medical Clearance 2:12 Data Assimilation 3:20 Risk and Benefit eval 4:34 Being told "No" 5:47 Why and How evaluate 8:30 Surgery has risks 13:20 Immobility 14:01 Minimally Invasive Surgeries 17:10 Open Procedures 18:12 Suggestions to consider 20:08 Summary As we create content on this channel, we encourage you to reach out to us with any specific questions you may have regarding these kinds of topics. Please do not leave any personal information in a public comment. If you are more comfortable doing so, you may email us directly at [email protected] Trigger Warning: If the discussion of death, dying, or the end of life process is bothersome to you, this channel is not for you. If you are made uncomfortable by the discussion of health, hospice, palliative medicine, the end of life process, or medical terminology, you may be made uncomfortable by this video. You Only Die Once is a virtual place for sharing information, both facts and opinions, about the end of life process. Dr. Bohn and Dr. Tartaglia are both actively practicing osteopathic physicians. Both are dual boarded in family medicine and hospice and palliative medicine. You Only Die Once intends to provide a casual environment to share information about hospice and palliative medicine for the patient, the family, and the practitioner. This channel is not intended to provide medical advice, but rather as an educational resource to allow patients, providers, and families to make informed decisions. You Only Die Once is created by Dr. Sara Bohn and Dr. Lisa Tartaglia. You Only Die Once is produced and edited by Auburn Huhmann.