Should risky medical procedures be used on patients in dire circumstances?

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Sissi Li (9) | STAFF REPORTER

For hundreds of years, humans have been plagued with illnesses such as cancer, cystic fibrosis and numerous heart diseases. Before the age of modern medicine, nothing more could be done than to hope for patients to die before suffering too much. But now, advancements in medical treatments and surgery have allowed many to be cured and lives to be saved. Albeit some of these procedures are of high risk, when humans have the ability to help someone, shouldn’t they try everything in their power to do so? Thus, risky medical procedures should be used on patients in dire circumstances. 

When a patient rolls into the ER with fatal wounds or life threatening conditions, if nothing is done in time, the patient will likely die. In the case of aortic dissection, an emergency condition like many heart diseases, if treatment is not given in time, it will be too late for an attempt at recovery. Thoracic aortic dissection repair is an open heart surgery that is a risky emergency surgery which increases the risk of stroke. However, performing it lifts the patient from life threatening conditions, and the risks of human error or concerning aftermath is far outweighed by the certainty of fatality if left alone.

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In cases where conditions are not time sensitive or an immediate emergency, risky procedures should still be used in order to prevent the condition from getting worse and becoming life threatening. When a disease is diagnosed early on, the option to undergo a high risk procedure should still remain an option. Otherwise, it would manifest, spread and worsen until the rate of success in treating it eventually becomes too low. An example of this is oesophagectomy, which removes the oesophagus to prevent cancer from spreading to the rest of the stomach and other organs. There is high risk of infection in the lungs and stomach clots, but allowing the cancer to fester is a far more life threatening alternative. At one point, it could reach a point where nothing could be done about it at all.

When a patient is in a dire enough circumstance that calls for high risk treatment, it means that no ordinary procedure would be able to solve the problem. For example, craniectomy removes a fraction of the skull to relieve pressure in the brain but could cause infection, bleeding and further damage to the brain. It reduces swelling or bleeding for victims of brain injury, stroke, and other conditions with raised intracranial pressure. It is performed as a life saving measure to prevent further swelling of the brain that can lead to brain compression and brain death, which is far more fatal than the surgery itself. Moreover, it is only through more application of high risk procedures that they become low risk procedures. By performing higher risk operations, more information can be gathered, with experience gained and progress obtained. All of the conventional methods of safer surgery have once been considered high risk. It is only through trials and applications can procedures become fully developed.

Severe conditions call for severe action and doing something is more effective than doing nothing at all, which is why high risk procedures should be used on patients in dire circumstances.