>Surgery is a more complicated topic of course - someone gave me an example once of a doctor explaining to a patient due for heart surgery operation that they w

>Surgery is a more complicated topic of course - someone gave me an example once of a doctor explaining to a patient due for heart surgery operation that they were saving some veins in their body as donor tissue for when they would inevitably be back for a repeat. So, it's not exactly ideal, right? Yet such surgery is proclaimed as a success. Given the alternative of dying now, it may very well be a success to get whatever time that surgery has granted them even if they'll need repeat surgeries in the future. As the physician you're addressing said- we would love to grow these people new hearts or entire bodies but our medical knowledge hasn't yet reached that point. As to the bit on correct lifestyle, you're speaking as if this isn't something that all relevant health care professionals are already preaching. The unfortunate reality is that most of our patients would rather slowly kill themselves than adapt the lifestyle changes we recommend. Even without our input they're bombarded daily with nonstop messaging about how they should be slimmer, eat better, and exercise more. Culture is powerful, and a lifetime of overeating and being sedentary isn't going to be remedied in a 15 minute conversation with a physician despite our best efforts.