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Dr. Thomas, MD
Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 63757
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
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Would you recommend gallbladder surgery for an 89 year old,

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Would you recommend gallbladder surgery for an 89 year old, 82 pound woman with Alzheimers and other medical problems? She has a DNR

DrThomasMd :

hello

DrThomasMd :

Yes

DrThomasMd :

If the person is stable, ant the gallbladder is causing pain

DrThomasMd :

are you there?

DrThomasMd :

You have apparently gone off line.

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I will change the format to q and a

DrThomasMd :

please use rely to expert if you have further queestions

DrThomasMd : hello
DrThomasMd : Yes
DrThomasMd : If the person is stable, ant the gallbladder is causing pain
DrThomasMd : are you there?
DrThomasMd : You have apparently gone off line.
DrThomasMd : I will change the format to q and a
DrThomasMd : please use rely to expert if you have further queestions
Customer: replied 3 years ago.

Did not receive an answer to my queston.

The answer is above.
Yes I would let her have it out if she is in pain but otherwise stable.

You have given me no other information.
What does the surgeon say?
Customer: replied 3 years ago.


We have a consultation Monday. Patient has a DNR, is adamant about not revoking & many surgeons will not operate under those conditions.

A DNR precludes resuscitation, which can become a need during surgery.
That is your one stumbling block.
I would go ahead and have her evaluated to actually assess surgical need, then discuss this /and the surgeons requirements, with her.
Technically, there is no reason not to take the gallbladder out if it is going to become an acute problem.

Let me know if you have further questions.



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