Doctors should be forced to tell patients they are seriously impaired from lack of sleep before they operate

Tuesday, January 04, 2011 by: S. L. Baker, features writer
Tags: surgeons, sleep deprivation, health news

eTrust Pro Certified

Most Viewed Articles
Popular on Facebook
BACK INTO THE CLOSET: Why U.S. reporters are not allowed to write about rainbow events in nations where being gay is still condemned
Depopulation test run? 75% of children who received vaccines in Mexican town now dead or hospitalized
INVESTIGATION: Three days before Dr. Bradstreet was found dead in a river, U.S. govt. agents raided his research facility to seize a breakthrough cancer treatment called GcMAF
A family destroyed: Six-month-old dies after clinic injects baby with 13 vaccines at once without mother's informed consent
Biologist explains how marijuana causes tumor cells to commit suicide
BOMBSHELL: China and America already at war: Tianjin explosion carried out by Pentagon space weapon in retaliation for Yuan currency devaluation... Military helicopters now patrolling Beijing
Companies begin planting microchips under employees' skin
BAM! Chipotle goes 100% non-GMO; flatly rejecting the biotech industry and its toxic food ingredients
ECONOMIC SLAVERY FOR ALL: While we were distracted with the Confederate flag flap, Congress quietly forfeited our entire economic future via fast-track trade authority
McDonald's in global profit free fall as people everywhere increasingly reject chemically-altered toxic fast food
March Against Monsanto explodes globally... World citizens stage massive protests across 38 countries, 428 cities... mainstream media pretends it never happened
SCOTUS same-sex marriage decision may have just legalized the concealed carry of loaded firearms across all 50 states, nullifying gun laws everywhere
Vicious attack on Dr. Oz actually waged by biotech mafia; plot to destroy Oz launched after episode on glyphosate toxicity went viral
Nearly every mass shooting in the last 20 years shares one surprising thing? and it's not guns
Holistic cancer treatment pioneer Dr. Nicholas Gonzalez dies suddenly; patients mourn the loss of a compassionate, innovative doctor who helped thousands heal from cancer
Inuit Elders tell NASA Earth Axis Shifted
Wild eyes and bowl cuts: Why do mass shooters always share the same hair styles and crazed zombie stares?
Genetically white woman now claims self-identify as black: If you can choose your gender, can you also choose your race? What about your species? Can a human claim to be a llama?
(NaturalNews) Here's another one of those stories about mainstream medical practices that sounds like it couldn't be true -- but it is. According to an editorial just published in the New England Journal of Medicine, there are currently regulations in place to restrict the work hours of doctors in training -- but no such rules for fully trained physicians. That means doctors who are severely sleep deprived are currently performing operations on unsuspecting patients who have no idea their surgeons are as impaired as if they were drunk out of their minds. "Studies have shown that sleep deprivation impairs psychomotor performance as severely as alcohol intoxication," the authors of the study pointed out in a media statement.

The editorial presents a compelling case that these sleep-deprived physicians should not be allowed to perform elective surgery unless their patients give informed, written consent agreeing to be operated on by an impaired doctor. "This approach would represent a fundamental shift in the responsibility patients are asked to assume in making decisions about their own care and might prove burdensome to patients and physicians and damaging to the patient-physician relationship," the authors wrote. "This shift may be necessary until institutions take the responsibility for ensuring that patients rarely face such dilemmas."

So just how dangerous is it to be operated on by a doctor who is sleep-deprived? A 2009 study in the Journal of the American Medical Association found a significant increase in the risk of complications in patients who underwent elective daytime surgical procedures performed by surgeons who hadless than a six-hour opportunity for sleep during a previous on-call night. What's more, doctors who are sleep-deprived are often not able to accurately recognize how severely they are impaired.

"Sleep deprivation affects clinical performance. It increases the risks of complications. And it is clear from survey data that patients would want to be informed if their physician was sleep deprived and that most patients would request a different provider," Michael Nurok, M.D., Ph.D., an anesthesiologist and intensive care physician at Hospital for Special Surgery who is first author of the editorial, said in a press statement. "We think that institutions have a responsibility to minimize the chances that patients are going to be cared for by sleep-deprived clinicians."

The editorial concludes that sleep-deprived physicians should be required to inform patients of their condition; it also argues that patients have the right to be told of the potential hazards that can come from surgery performed by sleep-impaired surgeons. And patients should be given the opportunity to go ahead with the procedure, proceed with a different doctor, or reschedule for another time.

If patients decide they want to go ahead with a planned operation performed by a sleep deprived doctor, Dr. Nurok and his co-authors believe they should be required to sign a consent form on the day of the procedure in front of a witness to show they understand the potential risks. Although it would seem like a no-brainer that patients have a right to know a surgeon they are trusting their bodies and lives to is not impaired, the editorial authors say there are many barriers to the idea of this informed consent.

Not surprisingly, one of the biggest problems is based on the fear that when patients learn doctors are impaired from lack of sleep, there will be financial consequences for hospitals and physicians. Some doctors will lose cases and have a drop in income and medical centers will lose money if patients reschedule and go elsewhere for their surgery. However, Dr. Nurok and his colleagues counter that by giving patients the facts and true informed consent, any income lost by docs and hospitals will be offset by improved surgical outcomes and reduced complications.

"There has been widespread discomfort with the idea that patients are having procedures performed by physicians who are fatigued," Dr. Nurok concluded. "New policies are needed."

For more information:

Follow real-time breaking news headlines on
Surgeons at
Join over four million monthly readers. Your privacy is protected. Unsubscribe at any time.
comments powered by Disqus
Take Action: Support by linking back to this article from your website

Permalink to this article:

Embed article link: (copy HTML code below):

Reprinting this article:
Non-commercial use OK, cite with clickable link.

Follow Natural News on Facebook, Twitter, Google Plus, and Pinterest

Colloidal Silver

Advertise with NaturalNews...

Support NaturalNews Sponsors:

Advertise with NaturalNews...


Sign up for the FREE Natural News Email Newsletter

Receive breaking news on GMOs, vaccines, fluoride, radiation protection, natural cures, food safety alerts and interviews with the world's top experts on natural health and more.

Join over 7 million monthly readers of, the internet's No. 1 natural health news site. (Source:

Your email address *

Please enter the code you see above*

No Thanks

Already have it and love it!

Natural News supports and helps fund these organizations:

* Required. Once you click submit, we will send you an email asking you to confirm your free registration. Your privacy is assured and your information is kept confidential. You may unsubscribe at anytime.