[Speaker 1] Patient comes to me in the OPD and then he needs some kind of surgery. I have advised surgery, I have advised admission in the hospital. But the patient refuses the admission. So am I supposed to take in writing from the patient? Or what am I supposed to do? Or just write? I am writing or normally what I'm doing is that I am writing on the paper that no, patient refused surgery and patient is not willing for admission. What is the right way ahead medicolegally?

[Speaker 2] Great Dheeraj, but let me give you the insight of the legal, the judgement of Manchanda case etc., the law in Kashmira Koli case about the consent part and all where defense needed to be on the power of documentation. And where whatever you do and whatever you write on a paper including the design, including the counseling, including everything is the part and parcel of medical record which we say is a document in that domain. When we see the consent part, it is very clearly said under the judgement that one need to explain about the benefit and naturally the process and procedure which is going to be opted patient. Second, definitely a part of complication if at all there, with alternatives. Alternatives, suppose this surgery you advise but patient wanted to go for this and their complication. And fourth is very important which is related to your question, that refusal consent. Refusal consent is must because if he refuses to doctor's advice, he owe the responsibility. And there we say it is a contributory negligence on his part. So whenever any patient refuses to do like CT scan, investigation for want of money or any surgeries because of whatever the reason, it is anytime better to either on OPD paper or any paper take a signature with the refusal of patient that doctor has advised and I have not, because that is going to save my doctor in court of law. And that document plays a vital role.