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Are you saying that the doctor, upon closer questioning simply flopped and gave bad medical advice to my friend when they told him that yes it's reasonable to e

Are you saying that the doctor, upon closer questioning simply flopped and gave bad medical advice to my friend when they told him that yes it's reasonable to expect to regain full shoulder straight again without surgery? Because if so maybe my friend should sue? What is this blanket statement of "shoulder surgery should not be delayed" based on?

jjeaff 3y ago
Doctors will often change their recommendation if patients express different priorities than the doctor initially assumed. Some people's priorities are no surgery unless absolutely necessary.
- chii 3y ago
  > Some people's priorities are no surgery unless absolutely necessary. which is a good general rule to go by - surgery is not without dangers. The doctor's role, imho, is to firstly explain all of the available options (pros, cons, etc). Once the patient understands all of the options, the doctor can recommend one of them, and explain why the option is good. The patient needs to evaluate the other options as well, and think about whether the doctor's recommendation is sound, and what assumptions they might've made (may be unknowingly). The patient is not, and should not be, a passive party to medical treatment.
- lynx23 3y ago
  "no surgery unless absolutely necessary" is becoming the default around here, because the number of hospital-acquired infections is skyrocketing in the last years. While there were absolutely no anecdotes before 2017, the number of people infected in the hospital in my circles has exploded since then. People are talking about it, and realising that going to the hospital has a real risk of making things even worse.
KiwiJohnno 3y ago
Where I grew up, with a comprehensive taxpayer funded healthcare system that works I believe standard is you are given the option of surgery after dislocating your shoulder 3 times. The thinking is a lot of people dislocate their shoulder, it pops back in with or without help and heals with no long-term damage. For a lot of patients it never happens again and surgery is not needed. However, each time you dislocate your shoulder it gets easier to dislocate and is more likely to do doing damage that won't heal. So, don't go in for shoulder surgery until you are showing a pattern of dislocating it or have other lasting damage that requires repair.

jjeaff 3y ago

Doctors will often change their recommendation if patients express different priorities than the doctor initially assumed. Some people's priorities are no surgery unless absolutely necessary.

chii 3y ago
> Some people's priorities are no surgery unless absolutely necessary. which is a good general rule to go by - surgery is not without dangers. The doctor's role, imho, is to firstly explain all of the available options (pros, cons, etc). Once the patient understands all of the options, the doctor can recommend one of them, and explain why the option is good. The patient needs to evaluate the other options as well, and think about whether the doctor's recommendation is sound, and what assumptions they might've made (may be unknowingly). The patient is not, and should not be, a passive party to medical treatment.
lynx23 3y ago
"no surgery unless absolutely necessary" is becoming the default around here, because the number of hospital-acquired infections is skyrocketing in the last years. While there were absolutely no anecdotes before 2017, the number of people infected in the hospital in my circles has exploded since then. People are talking about it, and realising that going to the hospital has a real risk of making things even worse.

KiwiJohnno 3y ago

Where I grew up, with a comprehensive taxpayer funded healthcare system that works I believe standard is you are given the option of surgery after dislocating your shoulder 3 times. The thinking is a lot of people dislocate their shoulder, it pops back in with or without help and heals with no long-term damage. For a lot of patients it never happens again and surgery is not needed. However, each time you dislocate your shoulder it gets easier to dislocate and is more likely to do doing damage that won't heal. So, don't go in for shoulder surgery until you are showing a pattern of dislocating it or have other lasting damage that requires repair.