Making an Informed Decision

Making an Informed Decision

It’s your body. Have you made a responsible and informed decision in order to proceed with treatment?

An informed decision is a gradual process. The first step is made when choosing to see Prof. Malham. With his help, expertise and guidance, you will be taken through a comprehensive decision-making process.

Prof. Malham will diagnose and explain your condition. Please listen carefully during the consultation and thoroughly read the information sheets that may be provided to you. Do not be afraid to ask questions, or seek further information with additional consultations.

Please remember, that not all conditions require neurosurgical treatment. You may be advised or choose not to proceed with surgery. You may prefer the option of medical treatment using injections or tablets, with observation of your condition by review appointments and repeat imaging.

Whether you require medical or surgical treatment, there must be a firm commitment from you in working towards recovery. Medical treatment can help relieve your symptoms, and may not be able to heal your body to its former condition.

Following medical or surgical treatment, you must make a physical and mental commitment towards regaining your lost abilities/functions. It is your effort, your lifestyle choices and the severity of your condition that will ultimately determine the final outcome of your preferred choice of treatment.

As the patient, you are the only person who can decide upon which treatment is the best for you. We believe that it is essential that you understand and participate in decisions involving your health care. You will ultimately be asked to make the final decision on what you believe is best for you, and therefore it is important that you ask questions about anything you do not understand.

Your family and friends may also be a part of this decision-making process and we encourage you to bring a support person to consultations and discuss your treatment options with them. We prefer that you do not make “on the spot” decisions. If you choose to proceed with surgery, your family and friends will also play a very important role in offering support and encouragement to you during the post-operative rehabilitation phase of your treatment.



Deciding whether to proceed with surgery means weighing up the risks and benefits of each procedure offered to you.

Do you have any major health problems?

Have you informed us of the medications that you are taking – especially Aspirin and Warfarin?

What are the alternative treatments for my condition?

What is the natural history of my condition without any treatment?

What is the success of the procedure?

What are the risks or complications of the procedure?

How long is the operation?

How long will I be in hospital?

Who are the anaesthetist, assistant and physician helping Mr. Malham with my operation and hospital stay?

How long is the recovery?

When can I go back to work?

When can I resume normal activities, including sport?

Do you have a positive mental attitude towards your planned procedure?

Are you prepared to set realistic goals?

Are you prepared to participate in recommended exercise or rehabilitation regimes to achieve an anticipated outcome?


If you have the answers to these questions, you are now able to sign the Consent Form for the operation.
This can be obtained at your Consultation Appointment. 


Prof. Malham’s Private Consulting Rooms

Suite 8.3
89 Bridge Rd,
Richmond VICTORIA 3121

Phone: (03) 9866 6650
Fax:      (03) 9866 6681



Epworth Private Richmond
89 Bridge Rd,
Richmond VICTORIA 3121

Phone: (03) 9426 6666
Fax:      (03) 9427 0353