The moment I think of the possible expenses a patient will incur especially if he/she will be admitted, I start to cut corners and rely on my clinical eye and experience. Though I have not made any mistake for doing so, sometimes this delays a procedure or the contemplated surgery.
I was about to do a THYROIDECTOMY to a patient when on CARDIOPULMONARY CLEARANCE ( done by a cardiologist), she discovered that the patient has a high THYROXIN meaning she has TOXIC GOITER. She cannot undergo surgery. I did not repeat this test preoperatively because she had one 30 days before the scheduled surgery. This single test would add more expense to the budget of the patient which she begged not to over spend because she only got the money from her brothers. Though we know how much would a surgery cost by experience, we cannot control possible expenses that could be incurred by the patient post-operatively; more antibiotics, more tests if there are abnormalities occurring.
Because of this finding preoperatively, we have to postpone the surgery for at least 2 weeks to bring down the toxicity of the patient. I sent her home after all the preparations we did the past 2 days.
I was about to do a THYROIDECTOMY to a patient when on CARDIOPULMONARY CLEARANCE ( done by a cardiologist), she discovered that the patient has a high THYROXIN meaning she has TOXIC GOITER. She cannot undergo surgery. I did not repeat this test preoperatively because she had one 30 days before the scheduled surgery. This single test would add more expense to the budget of the patient which she begged not to over spend because she only got the money from her brothers. Though we know how much would a surgery cost by experience, we cannot control possible expenses that could be incurred by the patient post-operatively; more antibiotics, more tests if there are abnormalities occurring.
Because of this finding preoperatively, we have to postpone the surgery for at least 2 weeks to bring down the toxicity of the patient. I sent her home after all the preparations we did the past 2 days.
No comments:
Post a Comment