My postoperative experience after a facelift began with a complaint about my face. Instead of…read moreaddressing it, Dr. Steven Garner focused on my right ring finger and said he could cut it off ..., an alarming statement that made me question his judgment and intentions.
Before the procedure, my dominant right hand functioned well. Although my ring finger bent at one joint, I could make a fist by trapping it with my little finger, and I was not seeking hand surgery. Garner never told me, on April 27, 2005, that he intended to perform surgery on my hand. The surgery took place the next day, April 28, 2005 ..., and I was under anesthesia for approximately six hours, during which students were present and participated, something I was never told about or asked to consent to.
What followed was, in my experience, far beyond what I understood myself to be consenting to. I was left with serious loss of function in my right hand ..., from better than 50% median nerve function beforehand to what specialists later described as complete loss. In the years afterward, I consulted hand specialists and spent extensive time trying to determine what had been done and why.
My concerns are supported by handwritten notes from 2007, in which I disputed the description of my preoperative hand, disputed his claim that he had cut into a preexisting forearm scar, questioned the use of a Hunter rod, questioned what I had consented to, and sought expert opinions and records. Two hand specialists I consulted, Diao and McCarroll, told me it would have been impossible to graft a tendon from my middle finger to my ring finger because the tendon wasn't long enough ...,directly contradicting the explanation I'd been given.
A hand surgeon who later examined me said, in his opinion, that Garner appeared to want to get a Hunter rod procedure "under his belt." I cannot know Garner's private motivation and present that only as the surgeon's opinion, not established fact.
This experience changed my life. Patients considering significant procedures should obtain a clear written explanation of the proposed treatment, alternatives, who will perform each part, and the precise scope of consent.