![]() ![]() No shame, no judgment, no dismissal from my practice – just patience and faith. I carefully decided that while I would not operate on an active meth user, I would give him as many chances as needed to show up for the surgery with a negative urine drug test. I’ve always believed that a good surgeon knows when not to operate. There was one small wrinkle in our plan: his methamphetamine addiction. I sensed his desperation to return to work from the moment I met him in the office he was eager to tell me how long Calviva had taken to process his referral, and I was just as eager to help him put the hernia behind him. Given his education level and social issues, his career prospects were limited to manual labor. He suffered from a large inguinoscrotal hernia that was symptomatic but not dangerous, a condition that had threatened his welfare for the past several months. I regretfully told my 65-year-old patient in the preoperative area, “I’m going to have to cancel your case.” We both knew this was coming. ![]()
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