Billions are spent worldwide on surgical procedures that may not be effective. But how should we define effectiveness?
There is a growing acceptance that doctors should partner with patients to identify outcomes important to them. These might include avoiding complications and an unexpectedly long stay in hospital. But they should also consider longer-term quality of life, disability and survival.
The right decisions in surgery are patient-centred, based on good evidence, clearly communicated and made in a supportive environment. Everyone – doctors, other health professionals, the patient, sometimes their family, and the public – have a right and a responsibility to be included.
Ian Harris, Professor of Orthopaedic Surgery, UNSW Australia and Professor Paul Myles, Chair of the Department of Anaesthesia and Perioperative Medicine, Monash University give their rationale in this The Conversation article: theconversation.com/surgery...
While this piece was written for the general public, not those with CLL, it covers even more important considerations for us, given our increased risk of post operative infection...
Photo: Kangaroo on the hop with growing joey in pouch that I was delighted to photograph last week. (Note the low slung undercarriage and the joey's feet hanging out - it hadn't had time to turn around after diving into mum's pouch.)