I’d be afraid of letting my own feelings interfere with my professional judgement, so no, unless it was a complete emergency (e.g. trapped in the mountains on an island after a plane crash, or something), or the next available surgeon was much less qualified, or dangerously so, than I was—like Dr. Nick Riviera, or something.
'Maybe an exception if the “operation” is just obviously, stupidly simple, like some sutures or treating a boil, or something.
Good point, and that certainly adds a lot to the info available in the OP, but without contradicting the hypothetical. I’m now back to my original choice, that I would want someone else to do it.
Accidents occur during surgery or sometimes their are complications. Sometimes people even die. If you were doing the surgery how could you live with yourself?
Your skill are not reliable when you’re operating on your own child. You will essentially be performing the operation in circumstances that you are not familiar with. A surgeon who is not emotionally invested in the patient in that way will be a better surgeon than you are.
My father was a surgeon and this is very much in line with what I heard from him. In fact, he presented it as a given that “no doctor” would operate on his own kid or wife. Not even a question, really.
However, he didn’t have a problem writing me out a script for meds related to my allergies and rhinitis. Nothing controlled; or for weird, out-of-the blue symptoms or illnesses, though.
Not exactly the medical field, but I have seen coworkers at my 911 center have a very hard time dealing with an emergency call because the emergency involves their child.
I cannot fathom that a surgeon could truly maintain the needed emotional distance to adequately treat their child in a serious emergency.
My doctor told me about being with his kids in another town, and one of them was sick and he walked into a pharmacy and wanted to write a prescription, and even though he presented proof of his credentials, the pharmacist was still skeptical even though it was just for something along the lines of a Z-pack. However, it’s possible that this pharmacist might have been bamboozled and was just being cautious. He’s not the type who would play the “Don’t you know who I am?” card, but eventually, he did get his son’s medicine. :rolleyes:
(On a related note, when I worked at the grocery store, I had someone come in on a weekend with a toothache and a prescription for penicillin written on a sheet of notebook paper by his neighbor, who was a dentist. I recognized the dentist’s handwriting, and anyway, nobody forges prescriptions for penicillin, and told the man that it was legitimate and filled it.)
Dr. Kent Brantly, the first of the American missionaries to be stricken with Ebola, gave the graduation address at his alma mater last year, and in it, he told a story about his daughter being sick and he diagnosed her, and his wife said, “But don’t you think she needs a REAL doctor?” :o He also said, “If you ever become famous, get that way by being a top-notch physician, not a deathly ill patient.”
My dad pulled my baby teeth out with a pair of pliers from his tool box. He took my stitches out once, too. HWNAD. It didn’t seem to bother him.
Those of us with sensible, old-fashioned mothers were all treated by Dr. Mom instead of being taken to a clinic or a pharmacist, unless she knew she was in over her head. SWNAD.
This scenario happened to me. When I was 11, I had to have my appendix out. My father was a Dr., and could have performed the operation, as he had hundreds of times, but he knew better/didn’t want to cut his kid, etc. Of course, there was no challenge to getting a good surgeon to perform the appendectomy, anyway (one of his trusted med school buddies did it). My dad DID do other things for me though, like putting on a cast, stitching up a wound, etc.
I would want the surgery to be done by the best surgeon available, and if I were the best surgeon available, I would want that to be me.
However.
I would want that assessment of “best surgeon available” to be made by someone unbiased, and preferably via consensus of a group of unbiased someones, because I know that I am not, and cannot be, the best judge of my own abilities. I might certainly think that I’m the best I am at what I do (I think it’s certainly possible, for instance, that I’m the best physics tutor in the Cleveland area), but I don’t want lives, especially not the life of a close family member, to ride on that.
How does emotion cloud judgment in this situation? A suture required is a suture required , cauterization required is cauterization required, an incision required is an incision required…?
But judgment matters down the whole line, even the decision to operate at all.
Any procedure can run into unexpected difficulties, or require modifications or variations to technique. Some of these are small decisions, some bigger. They all mount up into a big pile, while you are working under pressure of personal and family expectations. Many of us think we can handle things like it was just another case, but most of us are wrong about that, at least at some degree of difficulty or stress.
Just for example, you start off doing a laparoscopic procedure, and even though you know conditions could force you to convert to an open procedure, you assure your SO, “but that’s not gonna happen”. So mid procedure, you find yourself considering converting to an open procedure, but you don’t want to leave your kid with a big scar and longer recovery time, and you promised your SO, so you think, “maybe I can get it done laparoscopically, after all”. The point is, you will somewhere down the line treat your kid differently from how you would a regular patient (often hoping to be easy on them), eventually to their detriment.
You can see a lot of the same problems in VIP medicine. Between fear of missing things and fear of “inconveniencing” VIP’s, there are many opportunities for over- and under-treatment.