cataract operation phobia and concern

Ibrahim5

It's a bog standard operation that is carried out everyday in their thousands. You can either have a local anaesthetic or a general anaesthetic. If the patient wants a local anaesthetic they can't be forced to have a general. If they want a general they can't be forced to have a local. The patient has the final decision.

elsien

Ibrahim5 said:

It's a bog standard operation that is carried out everyday in their thousands. You can either have a local anaesthetic or a general anaesthetic. If the patient wants a local anaesthetic they can't be forced to have a general. If they want a general they can't be forced to have a local. The patient has the final decision.

If they want a GA they can’t be forced to have a local. Nor can they insist on a GA if it’s just not on offer. 

Ibrahim5

Patients have to be informed of all treatment options. General anaesthesia is always available.

elsien

Not if there are medical reasons why it is not appropriate for that person at that time. 

Ibrahim5

They can have their general anaesthetic when it is appropriate then.

Pollycat

Ibrahim5 said:

It's a bog standard operation that is carried out everyday in their thousands. You can either have a local anaesthetic or a general anaesthetic. If the patient wants a local anaesthetic they can't be forced to have a general. If they want a general they can't be forced to have a local. The patient has the final decision.

Ibrahim5 said:

Patients have to be informed of all treatment options. General anaesthesia is always available.

According to the OP, general anaesthesia is not an option available to him/her:

confusion21 said:

As i said above I did meaning ask, but it always is best to get opinions from people who have had it done, the medical team does not answer how well a sedation tablet works, only people who took it can say oh gosh it worked for me very well, I can not remember anything etc, I have had many iv sedations which knock you out and told the surgeon that is what I need but was told all they do is give tablet sedation, 

Ibrahim5

The OP doesn't mention general anaesthesia. They just say that if they are having sedation that they want heavy IV sedation with no memory of the procedure.

Pollycat

Ibrahim5 said:

The OP doesn't mention general anaesthesia. They just say that if they are having sedation that they want heavy IV sedation with no memory of the procedure.

Do you think the OP's consultant would have discussed the procedure fully with the OP?
Including all possible means of sedation?

The OP seems pretty clear that the idea of sedation is a worry.

kirtondm

If the consultant does something that the patient doesn't want he (or she) will be committing a criminal offence. They can't have the 'final say'.

Not sure what you mean?. The px has the right to consent or not to consent to surgery i.e. they may not consent to the op under local but the consultant also has the choice whether to operate or not. They may and do decline to do surgery under general anesthetic if they feel it is to risky i.e. 100 year old with severe medical issues.

So my point is that the surgeon will have the final say in whether the operation goes ahead on the day of the operation after the px has consented nut it is not something anyway would like to bring up on the actual day of the opeartion

Ibrahim5

Maybe we could agree that the patient has the final say unless they are nearly dead.