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Hi there All,
I am a Registered Nurse, working in a very busy Sydney public hospital. Just like all members of the human race there are good ones and bad ones, not just doctors. Younger doctors are more approachable than older ones, passing all of their exams and being able to call themselves a specialist can be the turning point. I have seen many doctors change once they become a "boss".
This is also part of the doctor culture. All doctors will tell you how bad and dangerous things are when they are forced to work 36hrs or more without sleep. The problem is that nothing will ever be done about it because the older doctors believe that they had to go though the long hours ect, so the younger dr's need to as well.
There is also the culture of "thats not my job" call my intern, he will do it. Things have changed over the years, but its going to take a very long time.
In the past, when a person has gone to the doctors it was always, "Doctor do what you think is best". People are starting to want to have a greater say in their health care. I once heard a surgeon talking to another doctor about 10yrs ago expressing his distaste for the internet because it was making people question his judgement. He was very unimpressed by a particular patient who had the audacity to have researched their condition before they went to the doctors. Luckily we are finding more doctors these days who are welcoming patients inputs into their health care.
About the point of taking too much from around a lesion. I am sure you could talk to your doctor about not taking too much, but I am sure you would be advised that it is better to take more now, then less, then discover that all of the lesion has not been taken and having to go back to take more. By going back to take more they would probably have to take even more tissue then they would have originally because they don't have the original lesion as a reference point. You should always however, be able to ask your doctor questions and have him/her explain things to you, as this is all part of giving an informed consent. Always remember, same as going to a mechanic, you can always get a referal to another doctor if you are having problems with the one you are seeing. Also, if a doctor is confident about their diagnosis, they should be very happy to refer you to someone for a second oppinion. If you are not happy with the way they will carry out a procedure, there is no reason why you can't see another doctor and see if they will be willing to do it differently.
As with the other people, prevention is better than cure. Slip, slop and slap and as they say in the TV add hopefully you won't find yourself in the operating theatre getting any lesion removed.
Regards
Paul
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