Taking care of patients whose cultures, belief systems, and family hierarchy structures differ from those on which many U.S. laws and regulations involves strategies—particularly regarding end-of-life care and surrogate decision making.
A physician describes how patients are selected for gastric bypass surgery in his practice and the lifelong relationship he commits to with his surgical patients.
Patients for gastric bypass surgery should be carefully selected on the basis of several objective factors, and those chosen should be treated and monitored by specialized teams to optimize outcomes.