Choosing the right timing in the treatment of diseases has become one of the important areas of medicine. Not starting antibiotic treatment for an upper respiratory tract infection caused by viruses is a normal process of treatment and is correct. But if a bacterial infection is added to the disease, it becomes inevitable to add antibiotics to the treatment. However, good nutrition, regular sleep, rest and adequate fluid intake will be largely sufficient for the treatment of upper respiratory tract infections of viral origin.
In the treatment of a person with skin cancer, removing the tumor tissue from intact skin borders constitutes the first stage of the treatment. Pathological examination of the removed part and naming the tumor will allow other oncological treatments, such as appropriate chemotherapy or radiotherapy, to be started correctly. If the cancer has reached an advanced stage and spread to other vital organs of the body, even if the oncological treatments applied are correct, it will be very difficult for the disease to respond to these treatments and for the patient to recover. In this case, it is not correct for the patient's general condition to deteriorate and to attribute this to the surgery performed. Because there is no scientifically meaningful relationship between surgery and the progression of the disease. In other words, touching cancer with a knife has no proven relationship with the spread and progression of the disease.
When should surgery be performed for our patient who has bleeding in one of the veins in his abdomen? Now? What if he waits for a while and his general condition worsens? Even if his general condition worsens, what if his general condition worsens after waiting for a while? Who should decide whether the surgery should be performed? Our patient? First degree relatives of our patient? Doctor? Is it someone else who has nothing to do with medicine, health or our patient?
The surgery probably includes the following stages. First, the abdominal wall is opened. Depending on the area where the bleeding is intense, the bleeding vein is found and the bleeding is stopped. The opened abdominal wall and other structures are closed in accordance with the normal anatomy. As a result, the type of surgery performed for our patient is the same as everywhere else in the world, and only those who have full responsibility for the patient can decide when this surgery should be performed. The doctor will make the decision in consultation with the patient and their relatives. At these stages, the doctor's sole purpose is to save the life of his patient, and the opinion of anyone who does not have this purpose is not important when making his decision. Please do not ask the opinion of anyone who is not your patient when deciding on your relative's surgery.
More than ninety percent of herniated discs do not require surgery. This group of patients is primarily treated with non-surgical methods such as medication, exercise or physical therapy. Emergency surgery is required for our patients who develop symptoms such as foot drop, urinary incontinence, and loss of sensation in the anus area. However, this rate is very low. It is appropriate for patients who require surgery but are not urgent to undergo surgery as soon as possible. The rate of these patients is not very high. However, almost everyone has an opinion about when the surgery will be performed for our patients who require surgery. The most common and also dangerous among these ideas is “surgery is a last resort”. However, if the necessary surgery is delayed, the lost nerve functions will not be restored easily and the people who give their opinions on this issue will not be responsible for the consequences of this situation. All consequences will be experienced by the patient himself/herself.
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