Ego or Confidence? Reflections from a Tentative Heart
A 77-year-old retired schoolteacher presented to the neurosurgery outpatient clinic to go over her lumbar spine MRI results. After looking at the computer screen for a matter a seconds, one of the leading spinal surgeons in the country turned to me and declared the diagnosis: “Spinal stenosis. There is nothing I can do for her. She is elderly, has a weak heart, and a smoking history. The risks are too great.” We went into the …