Comment I hate this cliche. (Score 0) 5
I suspect that it's more symptom than cause, and probably not at the top of the list of causes; but I cannot overstate how much I loathe the hyperbolic use of the term 'unthinkable' in these sorts of situations. Both because it's false; and because it often acquires a sort of implicitly exculpatory implication that is entirely undeserved.
Not only is it 'thinkable'; having something awful happen when you perform a procedure that requires longterm hardcore immunosuppression and then let them follow through the cracks is trivially predictable. It's the expected behavior. Successfully reconnecting a whole ton of little blood vessels and nerves is fairly exotic medicine; predicting that thing will go poorly without substantial follow-up is trivial even by washout premed standards.
This isn't to say that it isn't ghastly, or that I could imagine being in that position; but 'unthinkable' is closer to being a claim of unpredictability or unknowability; which is wholly unwarranted. None of this was unthinkable; but nobody really cared to check or wanted to know all that much.
Not only is it 'thinkable'; having something awful happen when you perform a procedure that requires longterm hardcore immunosuppression and then let them follow through the cracks is trivially predictable. It's the expected behavior. Successfully reconnecting a whole ton of little blood vessels and nerves is fairly exotic medicine; predicting that thing will go poorly without substantial follow-up is trivial even by washout premed standards.
This isn't to say that it isn't ghastly, or that I could imagine being in that position; but 'unthinkable' is closer to being a claim of unpredictability or unknowability; which is wholly unwarranted. None of this was unthinkable; but nobody really cared to check or wanted to know all that much.