00:00When you tell I'm going to do a brain surgery, everybody's like, the eyes are going to open up.
00:04It's like, really?
00:06So, yes, but in the condition like what we are talking today, it's do or die.
00:12Example, if you do, you have a chance of surviving.
00:16If you never do the high risk, the high likely, the high percentage that you're going to pass away.
00:23You're very enthusiastic to push the patient to OT, but you have issues with the consent.
00:28And sometimes they are worried, the public's not worried what would be the outcome.
00:31But maybe you could share some of your experiences that after the surgery, they really, really improve after that.
00:36Okay, the challenge is actually the surgery itself, all right?
00:41So, first of all, when you tell I'm going to do a brain surgery, everybody's like, the eyes are going to open up.
00:46It's like, really?
00:48So, yes, but in the condition like what we are talking today, it's do or die.
00:53Example, if you do, you have a chance of surviving.
00:59If you never do the high risk, the high likely, the high percentage that you're going to pass away.
01:05So, my option I always give to the patient is like, what I'm doing today is life-saving surgery.
01:12It's not like I'm going to make sure that he can walk back or make sure he can like function as a normal human.
01:19I say, no, at this moment, this time, you have 30 minutes to decide for me.
01:24It's like, do or die.
01:26So, I will explain everything regarding what are the possibilities that you might be in ICU for three months, four months.
01:34But the decision is still in the family hand, right?
01:39So, sometimes the challenges is like family wants to talk to somebody like, oh, doctor, I want to have a meeting with my family.
01:45So, when you ask when is a meeting, I say tonight, I say, no, you have no time.
01:49It's like, I need it.
01:50I give you maybe 15 minutes, 20 minutes.
01:53Because like the decision making is something is very big.
01:56Because like you told me, like how you mentioned just now, even putting a small hole on your skulls and going inside the brain also, people think a lot.
02:06But in a dire emergency condition, they said the decision must be fast.
02:12So, that's why we said we give them time and we try to convince them.
02:16We try to explain what are the possibilities that can happen.
02:20Like I might come up with my own statistic that what I did, my experience.
02:25So, they might be agree with you.
02:26Then we proceed.
02:27In certain condition, they will refuse.
02:29So, when they refuse, we have to respect the patient's choice and family's choice.
02:33Then we have to ask them to sign the against refusal form.
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