A few years ago a Russian surgeon, using mirrors and local
anesthetic, successfully removed his own appendix. No one
knows why he undertook such a bizarre feat. Some have sug-
gested that the man was just an egotistical doctor who believed
himself to be the greatest surgeon in the world and reasoned
that he should have only the very best for his own operation.
Whatever that surgeon s motivations were, his operation re-
mains to this day the pinnacle of do-it-yourself surgery.
Few among us, even skilled surgeons, feel any inclination to
repeat such death-defying surgical acrobatics. Yet, if confronted
with the advice to have an operation, most of us, suddenly
transformed from self-sufficient people into relatively helpless
patients, would wish to have more to say about what was going
to happen. But, although most people feel free to ask doctors
the facts about diabetes, arthritis, or high blood pressure, few
l~e, el comfortable discussing the mystical realm of surgery in
which opening, repairing, and healing of the human body seem
almost miraculous.
Consequently, most patients simply accept their doctors ad-
vice to have operations as "godlike" proclamations and follow
orders like lambs being led to slaughter, lying down upon oper-
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