Re: Rough time with cataract

On 11/19/05 9:03 PM, in article
AsTff.21025$q%.20180@xxxxxxxxxxxxxxxxxxxxxxxxxx, "William Stacy"
<wstacy@xxxxxxxxx> wrote:

> Dan Abel wrote:
>
>>
>> I've posted this before, but the guy before me on my first surgery got a
>> general. My doctor's exam room is right across from the waiting room.
>> We're waiting there, and my doctor is just yelling his lungs out. I
>> couldn't believe it, because he is very quiet and calm. So we're called
>> in, and he apologizes. The previous patient was very deaf, and very
>> stubborn. The doctor tried to talk to his wife, but she wouldn't even
>> try to talk to her husband. The doctor wasn't willing to do the surgery
>> with the patient awake since he had no clue what was going to happen,
>> not to mention his being stubborn. While we were there, the doctor
>> called and ordered a general for the guy.
>>
>
> Sounds like taking the easy way out for the doc, at the expense of the
> patient's best interest. If he were that deaf, what's wrong with paper
> and felt tip marker? Hey, I just had my first colonoscopy and with the
> versed/fentanyl combo they put to me, I was out for the duration, but
> it's still not a general; I'd call it deep sedation with a little
> amnesiac thrown in. No trache tube, so little danger, and I walked out
> on my own 30 minutes later, no nausea, no nothing, clutching a color
> photo of the inside of my own, as it turns out, healthy gut.
>
> w.stacy, o.d.

How can the patient follow directions during the surgery if he can't hear?
The paper and felt marker may be fine for in the office to communicate, but
won't work while he is lying under the operating microscope.

Yes, in some cases, if they are very cooperative, it is possible to
establish a communication "code" beforehand, as I did with one gentleman.

.

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