I saw the video from that accident on the Channel 3 News Dono. Fucked up.
Gear, it went like this. I initially didnt want to do the surgery, because I felt what had brought me there to begin with was the switch in drugs, and all I needed to do was go back on the old drugs with the new ones and I could progress.
The Dr pointed out that that might prolong my life, but in a morbid state (as you describe) The idea that I might take the chance at a quality of life with the same lack of guarantee of immortality was the difference. Did I want to just mark time and hope for the best, suffering all along the way, or did I dare to take the risk, and take a chance that my actions might improve the quality of whatever life I had left no matter what the cost.
One was a sure thing (not surgery) I would continue to live with the drugs hiding the symptoms that were showing up without them. With diet, exercise and lifestyle change, maybe nothing bad would happen.
On the other hand, although the surgery had risks and complications, it was a practiced proven procedure that improved the quality of life of anyone in my condition who would take the leap.
But, I had to jump, and didn't want to.
Hence, mortality vs morbidity. I had never had it put that way before, and it really helped ground me. My wife was impressed by the way I held court to make the decision, and once made was 100% in his hands.