There really is no a choice here. Myocardial ischemia is time sensitive. The more you wait, the more muscle dies and is a true emergency. Uchi’s operation must be performed now, while the other can wait. He would be committing malpractice by looking for a substitute.
@TheGTF
I understand where you're coming from. Being in endemic area probably heavily influences my bias for dengue fever. Let's hope that the author will provide a plausible explanation.
@TheGTF
I'm from a country where dengue is pretty common too and in fact many patients have no symptom beside malaise and high fever. Rash may or may not develop. There are warning signs, such as abdominal pain or bone-breaking pain but absence of these symptoms does not rule out dengue fever...
You can argue that the patient is not in a right state of mind to make judgement due to the life threatening condition, thus the doctor is able to ignore his "Do not resuscitate" wish.
However, if the patient has a written living will then that's another story. A doctor would likely be sued to...
@First_Mate_Zoro
Even without the anesthesia aspect, the post-op recovery was going to be a huge deal. As you can image, cutting up a person's abdomen is no laughing matter. In the scenario that Doctor Koto did nothing after opening hip um, this old man is going to be bed-bound for at least 2-3...
Wtf koto
The best surgeon is the one who know when he does not need to cut a patient.
He knew that the patient has terminal pancreatic cancer.
Just by putting the frail old man under general anesthesia and cutting him up, without an anesthetist, he ran the risk of killing his patient right...
This is hard to happen IRL since aside from the surgeon, there are also nurses and especially the anesthetist who would also reviewed the patient extensively before getting into the OR. One of them would surely notice the ascite cytology and notify the lead surgeon of metastasis beforehand.