To the Editor: We were disturbed by the Clinical
Crossroads article1 and Dr Eisenberg's accompanying
Editorial2 regarding a 58-year-old woman
dissatisfied with her care. We are concerned that the authors may lack familiarity
with anesthesiology and have interpreted this patient's experience out of
It was assumed that patients have sufficient knowledge to select specific
anesthetic drugs. Anesthetic choices (general vs regional) are within patients'
purview; however, it is no more appropriate for patients to select the exact
spinal anesthetic agent than to select the specific medication to treat their
hypertension or the type of suture for their surgery.
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