Marat Sharapov biography

“Leonid Roshal:“ To blame the doctor of an erroneous decision that is not easy to kill a profession. Medicine is a philosophy, a set of views on diseases. There are a great many diseases, and the number of their combinations has no boundaries. The laws of diseases do not fit into the framework of physics. They cannot be explained by a mathematical model and calculate with the most modern technology.

There are not only rules in the laws of diseases, but also rules, but also rules, but also rules, but also rules, but also rules, but also rules. Exceptions and exist according to their own rules, it is known that the infarction can occur as pneumonia, appendicitis is like a flu, flu - as an appendicitis, and gastritis - as a heart attack, and that all these diseases can have a completely “unclean” clinical picture.

Protocols. Thus, even the most serious scientific evidence provides only a ninety-five-percent possibility of a correct diagnosis and outcome of treatment. In the modern world, not even the most sophisticated technique can diagnose abdomen or head pain. This will do a living person. There is not a single reason why at least one doctor in the world would be interested in the deterioration or death of his patient.

Or trepanation. It depends on what hurts you. An unexpected course of illness or surgery. Or childbirth. A rare reaction to treatment. An unexpected combination of several diseases. It is in such situations that standard protocols do not work, and the doctor almost alone makes a decision. It switches the arrow - on the invisible fork of the roads of your fate.

Decides - to operate or lead conservatively. Take the baby on the operating table - or not to take it. Caes or wait. Remove the organ affected by the tumor, or save, remove the hypotonic uterus or take a chance, not to remove. Hospitalize the child - or leave at home. Whether to go for a second operation, to prescribe thrombolysis and shunt whether the brain.

In many such cases, the risk of intervention is almost equal to the risk of non -interference. Sometimes there are a couple of days to make a decision, sometimes one night, sometimes a few seconds. And so he decides. Any treatment is costly. All calculations, forecasts, binary elections in such cases are based on the intuition and experience of the doctor.

And if, for example, you happened to be in the five of these percent - consider that both are not lucky here: both you and your doctor. Here, unfortunately, mathematics is different: fifty to fifty. If the doctor extends the wrong card, this is called a medical error. It is at this point, at the intersection, that the doctor takes responsibility for the decision.

Well, if the risks were originally equal - it turns out, the doctor will be wrong more often. And he will fall under a flurry of accusations, to the execution of criticism. It was necessary to act wrong! And imagine how it is to make a decision at such a moment. Try it, take it. Make a choice. With adrenaline, with a wet forehead. Next to Asistolia, with a clinical death. With a fist on the aorta.

With mats of three floors, echoing in the operating room. With insomnia, with tachycardia at the resuscitation door. With sunk eyes. With a load for the rest of his life. The conclusion is the main one. To blame the doctor for a mistake in a decision made by this price means completely killing a profession. Make all this experience meaningless. Take care of the doctors. Young people will not drive youth into medicine.

Unfortunately, I understand what typhoon we are in .... I have several such cases in the vaunted England and the USA ....