Based on the experiences of James Lemons, Sarai Holguin, and Mireya Nelson, what factors influence the decision to remove bullets lodged in the body after being shot?
1. Pain: All three individuals experienced pain caused by bullets remaining in their bodies. Lemons and Holguin both expressed a desire to have the bullet removed due to the pain it caused.
2. Location of bullet: Doctors in the U.S. often leave bullets buried deep in a person’s body, at least at first, so as not to cause further trauma. In this case, Lemons was hesitant to have the bullet removed because it was located near an artery, but ultimately opted for removal. Holguin’s bullet remained near her knee and she considered it a “companion.” Nelson’s bullet fragments were left in her shoulder because they weren’t causing significant harm.
3. Potential lead poisoning: Lead is particularly concerning for young children, whose developing brains make them especially vulnerable to its harmful effects. Mireya Nelson was tested for lead levels in her blood and doctors were monitoring her for potential complications related to the bullet fragments still present in her shoulder.
4. Patient preference: Ultimately, the decision to remove a bullet is influenced by the patient’s own preference, in consultation with their healthcare providers. Lemons and Holguin both expressed a strong desire to have the bullet removed, while Nelson was more indifferent.
5. Financial considerations: Cost can be a factor influencing the decision to remove a bullet. Lemons initially believed he couldn’t afford the surgery, but discovered that the surgery would be covered by donations. Holguin also received assistance covering her medical expenses, which she attributed to the Mexican Consulate in Kansas City.
6. Psychological impact: Some individuals, like Holguin, may develop a close relationship with the bullet lodged in their body and choose to leave it there. Others, like Lemons and Nelson, may experience distress or trauma related to the presence of the bullet. The psychological impact of living with a bullet in the body may influence the decision to remove it.
7. Medical necessity: Bullets may also be removed if they pose a medical risk or are causing significant discomfort, regardless of the patient’s preference. For example, Holguin’s bullet fragmented and was causing significant damage, prompting doctors to leave them behind rather than attempt to remove them. Similarly, Nelson’s bullet fragments were left behind because they weren’t causing significant harm.
8. Insurance coverage: Insurance coverage may also be a factor influencing the decision to remove a bullet. Lemons’ surgery was covered by donations, while Holguin’s medical expenses were covered by her insurance. However, Nelson’s mother expressed concern about the high costs associated with treating bullet wounds, despite insurance coverage.
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