European Stars and Stripes (Newspaper) - August 22, 1978, Darmstadt, Hesse                                The stars and stripes tuesday August 22, 1978 is this operation really necessary Here Are some valuable guidelines new York surgery. Only about 20 percent of these ions Are emergencies in which neither nor doctor has a real Choice about or when to operate. Emergency sur is performed for example to control bleeding for suspected appendicitis to e severe pressure on the brain or to de a baby that cannot be delivered safely s usual  remaining 80 percent of operations Are tire in which the patient Basing his Deci i the advice of his doctor chooses to be  the Choice involves a life or i matter As in Eli s Case or surgery toe a cancer but it is not a medical Emer there is time to consider alternative apy and to decide How when where and t whom the operation should be done in the vast majority of operations the Deci i does not involve a life threatening Situa Lut rather a condition that affects the it s Quality of  you stick to � rigid diet and put up with Asiona discomforting attacks or should have your Gall bladder removed should a Hysterectomy be undertaken Tor those both ersome fibroid Back surgery to remove a sometimes painful disk a tonsils Ottony for recurrent sore throats a face lift to get rid of telltale wrinkles americans Are the most operated on people in the world. We have the highest ratio of surgeons to population and most of us have insurance that picks up most or All of the costs of surgery. Surgery is so commonplace that Man people Tail to realize that All operations Are serious and potentially life threatening an should not be undertaken lightly. They forget that sometimes people die or suffer Perma nent disability As a result of a so called Rou Tine or minor  outcome of surgery can Vaty greatly depending upon who is the patient and who Isth surgeon and where he operates As Well As a variety of other factors. Yet most of us would select a new car with far greater care than we would consider in selecting a  Are some guidelines to help you deter mine the necessity and desirability of any operation you May be considering and to help tic disorder is being controlled Cleveland up a nightmarish neurological disorder whose bizarre symptoms have Long been misdiagnosed As childhood tics or psychological illness is now being con trolled with a tranquil Izer a Cleveland clinic neurologist reported. The disorder Tourette syndrome causes wide Range of involuntary muscular and vocal tics such As head jerking Eye blinking kick ing Barking grunting screaming and Throat Clearing said or. Gerald Erenberg child neurologist. But he reported that 12 Tourette syndrome patients ranging in age from 9 to 24, currently Are being treated at the  considered an extremely rare Condi Tion the disorder has come under intensified research Only the last Tew years Erenberg said. He estimates there Are 15,000-20,000 Vic Tims of Tourette syndrome in the United  physicians Are Uncertain Why it works a tranquil Izer called Balo Peridot has been found to be highly successful in control Ling the disorder s symptoms. Assure that any surgery you undergo is per so by a we Alifier physic a under circumstances that would favor a healthful _ �., using � surgeon As your regular physician or As the first doctor you see about a problem. A surgeon is someone to consult Ifan internist a family practitioner or other physician thinks surgery May be  surgeon is less Likely than an internist to give equal consideration to non surgical a choose a surgeon who has been certified by the appropriate american specially Board _ for example obstetrics and Gyo ecology. General surgery otolaryngology  As you would t select a banker to in stall plumbing you would t want an Ortho medic surgeon to remove your uterus or a general practitioner to operate on your  55 percent of doctors who perform sur Gery Are Board certified surgeons. White Siatis no guarantee of excellence it Means the doctor has had at least two years of special training and has passed a rigorous Examina Tion. The surgeon should operate in a Hospital accredited by the joint commission on accreditation of hospitals. Ideally the surgery should be performed at a teaching Hospital Orone affiliated with a medical school especially if the surgery is complicated or the patient s condition makes an otherwise straightforward operation particularly dangerous or difficult. You should know what is supposedly wrong with you and How the doctor arrived at his diagnosis. If the explanation is unclear ask questions until you understand. Ask about  the surgeon should also explain to your satisfaction just what benefits you re Likely to gain from surgery and what risks you will face. Ask specifically about complications and death rates. Discuss the alternatives to surgery. You May want to give one of them a try before deciding to go ahead with an operation. Ask the surgeon about his personal experience with the operation. How Many has redone what percent succeeded what Are the complications major and minor and what percentage of his patients developed them choose a surgeon who is skilled at the operation you will undergo someone who operates frequently say several times a week but not one who does Assembly line surgery All Day Long. The busiest and richest surgeons Are not necessarily the Best. Onn dear Ann husband evening out Iton Idman children. It  across still asleep intr Tobim ii cooking spice botany 14 female Raff. 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