When surgeons publish their results they include statistics regarding how many patients did well, and how many didn’t. When the authors breakdown their failures, a major consideration is non-compliance.
That basically means that the surgeon is blaming you for not following his/her instructions.
Many surgical failures are attributed to non compliance. It’s very easy (and safe) to blame the patient.
After all we explained everything clearly…
Did we ask if the you understood the restrictions?
Did you understand the implications of non compliance?
My own experience shows that despite long discussions, there exists a gap between what I meant and what you heard…. and understood.
So the next time the failure of a surgical reconstruction is blamed on a patient due to
non-compliance — perhaps we as surgeons should determine if it was instead a result of poor communication.