Thursday, December 20, 2007

Is Attitude Everything?

Does attitude play a role in their success? What about the attitude of the doctor? Does the doctor have to believe that a treatment will succeed for it to do so? I once watched this special about a medical trial where people with enlarged hearts were being treated by chopping out a piece of their heart to make it smaller. The procedure was developed by a doctor in South America, Dr. Randas Batista. The TV special was about an American doctor who wanted to try the same technique, but he could only get approval to try it on very high risk patients, at a much higher risk of dying than the people who were being treated in South America. So he rounded up the men who qualified for the trial and reduced the size of their hearts and they all died.

In my two previous posts, the patients who take things into their own hands are very young and strong and the most likely to survive from tried and true treatments, so is a doctor really going to advise them to take a very high risk treatment that has not been proved? Does attitude play a huge role such that these patients might benefit from many treatments that others would not such that their results shouldn't even be counted?

What if there were a device that could measure attitude and treatment could be advised based on attitude? What if your doctor came in and put the attitude thermometer in and said,
"Sorry, we are going to have to do something about your attitude before we continue." Or would doctors use this measure to determine who gets the 'soma' like in brave new world and goes out softly and who goes out fighting for every medical trial?

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