Brain surgery Quote by Paul Kalanithi
““operative risk, it was the best kind of tumor to have, and the best place to have it; surgery would almost certainly eliminate her seizures. The alternative was a lifetime on toxic antiseizure medications. But I could see that the idea of brain surgery terrified her, more than most. She was lonesome and in a strange place, having been swept out of the familiar hubbub of a shopping mall and into the alien beeps and alarms and antiseptic smells of an ICU. She would likely refuse surgery if I launched into a detached spiel detailing all the risks and possible complications. I could do so, document her refusal in the chart, consider my duty discharged, and move on to the next task. Instead, with her permission, I gathered her family with her, and together we calmly talked through the options. As we talked, I could see the enormousness of the choice she faced dwindle into a difficult but understandable decision. I had met her in a space where she was a person, instead of a problem to be solved. She chose surgery.””
About This Quote
The physician chooses shared decision‑making, turning a complex medical choice into a personal, understandable option, empowering the patient to act.
In simple terms: Humanizing medical communication.
Empathy transforms consent.
Themes
Mood
Type
When to use this quote
- explaining treatment options
- addressing patient fear
- family involvement in care
- ICU decision contexts
Key Concepts
Practical Applications
- shared decision‑making workshops
- communication training for clinicians
Questions to Reflect On
- How does empathy affect patient outcomes?
- What barriers exist to shared decision‑making?