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Old 04-26-2008, 02:36 PM
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Bruinrab
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Default Re: Getting Old.... So Old.

Quote:
Originally Posted by Budmano786 View Post
okay, but how about those not suffering mental problems due to their apperance...who just want it because they want it...a young, 22 year old attractive girl with an attractive apperance who wants breast augmentation...she doesn't tell you why, but she wants it...very straight forward case, healthy, everything lines up...something like that...I ask because some of the things I do in my line of work is similar to plastics
That, I have more of an issue with. If a patient can't articulate to me why they want a procedure, I'm not going to do it. If it's "I want to fill out clothes better because nothing fits properly" and she's flat as a board, that's one thing - she's just given me a reason to operate on her. But if she just wants it because it's the fashionable thing to do, or "just because" I won't operate.

I have no problem saying to a patient that I need a good reason to cut them open, because they need to have their own idea of what their personal cost-benefit ratio is. If they don't have a good reason for getting the work done, ultimately the cost of having the surgery is going to be too great - they'll go from being ok pre-op to being unhappy post-op (and they will find something to be unhappy with). It plays into the whole psychological aspect, patient selection, and how to avoid getting your ass sued.
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