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Title : Surgery without sedation and a question about charity.
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Surgery without sedation and a question about charity.

"Most cataract surgeries are performed using a local anesthetic as well as 'conscious sedation,' which involves an anesthesiologist putting patients into a sort of twilight state. But some practitioners will do the procedure without the sedation. Although not for everybody, surgeons say, this approach is worth asking about if you’re a calm patient. It can be especially appealing if you don’t have someone to help you get home, or your insurance doesn’t fully cover the cost of an anesthesiologist."

From "What Doctors Don’t Tell You About Cataract Surgery/Patients should know about choices to be made about the procedure and postsurgery adjustments that may be unexpected" (WSJ).

I don't like that headline, because based on my experience, doctors do tell you all those things. Maybe some doctors don't tell you, and I'll bet some patients don't understand or remember what they are told. But I didn't know that "some practitioners will do the procedure without the sedation." That surprised me. A tough person who hates sedation might like this option, but I think it's terribly sad if someone picks this option because they don’t have anybody to help them get home or because they can't cover the cost of sedation.

I suspect that not having someone to help you when it is required for a medical procedure is a troublesome problem for many aging people who are proud of living independently. It would be nice if there were an easy, Uber-like service for this need.

And yet why am I so sad about this? I know that extremely low-cost cataract surgery is provided to millions of people in other countries. I've researched some of the charities that do this work, and they say $25 is all it take to remove cataracts. Presumably, sedation is a luxury. Maybe we comfortably squeamish Americans should be asked if we would forgo the sedation if it would cover the cost of cataract surgery for 100 individuals in poor countries.

Thus articles Surgery without sedation and a question about charity.

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