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To the Editor.—
I cannot agree with Dr Vaisrub that aortocoronary bypass surgery necessarily leads to a "Quality of Life Manqué" (236:387, 1976). The fact that a substantial number of such individuals remain unemployed or do not return to work and have not, therefore, "enhanced their social usefulness" following this surgery does not indict such a procedure.What it does emphasize is that a certain percentage of such patients give up their type A way of life, that some accept the dependency on insurance policy security, and that others never recover their self-confidence or motivation because of anxiety or depression.The physician should certainly attempt to help such patients regain their self-confidence, but he should not endeavor to instill his own way of life and his own motivations in his patients. Obviously, it is a physician's responsibility to appraise as fully as possible not only his patient's feelings but those
Coodley A. Aortocoronary Bypass Surgery and Quality of Life. JAMA. 1976;236(18):2052–2053. doi:10.1001/jama.1976.03270190014012