January 18, 2008
Patient’s Informed Consent On Hysterectomy
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Here is a recent case in India — I’ll quote from the blog post from the Law and Other Things blog
“…the doctor began by conducting a diagnostic laparoscopy but followed it up immediately thereafter, having obtained additional consent only from the patient’s mother (as the patient was still unconscious), with a second and more elaborate treatment procedure (‘laparotomy’) that resulted in removal of the patient’s uterus and ovaries (hysterectomy and bilateral salpingo-oophorectomy). [The patient, upset over this fact, refused to pay upon discharge. The doctor sued for recovery of charges and got a favorable ruling from the National Consumers' Commission. The patient appealed in the SC]. The consent form signed by the patient at the very beginning stated that the patient had been informed that the treatment to be undertaken is ‘diagnostic and therapeutic laparoscopy. Laparotomy may be needed’. The outcome of the case turned on the definition of ‘laparotomy’ – the word simply refers to opening the abdomen; so, in this instance, did it also imply consent to remove organs from the patient’s abdomen after it had been opened (as the doctor argued)? The court’s answer was in the negative and it emphasized that if that was indeed the case, the consent form ought to have read “”diagnostic and operative laparoscopy. Laparotomy, hysterectomy and bilateral salpingo-oopherectomy, if needed.”
It is a real life situation that has plagued many women who wanted their gynecological problems solved, and instead, ended up without their reproductive organs to the end of their days.
It really is in the discretion of the surgeon. The patient is unconscious, and may not be able to undergo another major surgery if the surgeon woke her up just in order to ask her whether she would like to have the foci of cancer, for example, preserved…
Now let’s reverse the situation. The consent only gave permission for some surgery and not for any radical surgery at all and let’s suppose that the surgeon visually found out the masses of cancerous tissue all over the uterus and abdomen? Wouldn’t he be neglecting his duty to cure if he just dully noticed that the patient is soon going to die but what the heck, there is no written consent, so let her wake up and then tell her the situation. Would she still be suing him for not operating properly on her?
The moral of the story is — you never know what will happen. And that is why I am always advocating avoiding hysterectomy if possible, not going for it like it’s a picnic… because it is not!
Filed under Hysterectomy, Laparoscopy, Laparotomy by Dusko Savic
August 5, 2007
Who Should Visit the Site How To AvoidHysterectomy.com?
First and foremost, this is for women who are threatened by the word hysterectomy and what it really means. 80% of all hysterectomies can be avoided, provided there is time and will. (I can tell you whether is there time, through a medical astrology reading, but you must supply your own will to avoid it.)
All astrologers should come and see the readings of the charts, and students of medical astrology should certainly bookmark the site to come and read all of it!
Students and practitioners of various energy healing techniques, such as Reiki, homeopathy, Su Jok, herbal and flower remedies and so on, should also come to How To Avoid Hysterectomy.com to see how their methods blend in with periods of time that were read through the horoscope.
Of course, all others interested in hysterectomy in particular and in gynecology at large should feel free to subscribe to the RSS feed!
Filed under Astrology, Contact Info, Dowsing, Endometriosis, Energy Healing, Herbal Remedies, Homeopathy, Hormones, Hysterectomy, Hysterectomy video, Laparoscopy, Laparotomy, Medical Astrology, Menopause, Myomectomy, Novasure, Reiki, Uncategorized, Uterine Fibroids, Uterus, Video, Website Policies by Dusko Savic




























































