Let's say I have colon cancer. Here are my options.
Surgery A
Chance cured without complication 80%
Cured with colostomy 1%
Cured with chronic diarrhea 1%
Cured with intermittent bowel obstruction 1%
Cured with wound infection 1%
No cure (death) 16%
Surgery B
Chance cured without complication 80%
No cure (death) 20%
Without any time for consideration, I chose Surgery B. Death over Diarrhea.
"Why?" the speaker at the Medical Decision Making talk I was attending asked the few of us who selected Surgery B.
For whatever reason when I thought about me having colon cancer I imagine I'm old.
Not that I know anything about age incidence and colon cancer.
And of course my children are financially independent and my life insurance and estate will be my parting gifts.
A bunch of stuff might be medically wrong with me at that age anyway.
And while it sounds dark, death is a certainty at some point.
If I die in surgery B I won't care. I'm dead. I can't care.
Both surgeries come with a possibility of survival and a possibility of death. More chance I get cured than not. I also have a notion that because something highly unlikely medically already happened to me I've paid my dues. I understand this isn't an accurate notion at all. But I have it nonetheless.
Something about Surgery B seems braver to me. I've not really thought much about old lady Jamie but I would like to think she's brave. Then again, I think about life with the aforementioned complications. I would probably find humor in them because, well, I would have to.
As the speaker continues to talk I wonder if I'm kidding myself.
Would I really prefer death over diarrhea?
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