[Speaker 1] what will happen is that sometime I have also seen that patient has got admitted in this hospital and then because of budget issues or whatever issues, he is not happy with the hospital. He says ya you only operate but we will go to another hospital and operate the second surgery. I don't want to do it here. So what is my liability? And sometime this also happens that I have done the primary stage, but now patient says that emergency mein I have done it but right now I don't have the budget or I don't want to do with you. I want to go somewhere else and get it done. Either you refer or I'll go on my own. So where does my liability end here?

[Speaker 2] See, two things again in your question. This is a two question. One, if at all I need to do multiple surgeries, or secondly a patient goes to some other doctor or wishes to go to some other doctor. In both the cases, documentation are going to save the medical record, right from admission form to IPD form to OT notes and again followed by your TPR chart and discharge card and everything, including your consent form. Now when I talk about because standard documentation are going to be... but when I talk about consent form. Now consent law has settled, as I said in honorable Supreme Court's judgment. Now it says that if at all you have decided for one surgery, you give a consent, you have taken a consent for one surgery, you should limit to yourself except in emergencies. Same consent is not going to be useful. Like this was a case of that where lap diagnostic was done by the doctor where he found some disease in the uterus and wanted to remove the uterus and consent was only for the lap diagnosis, not for the uterus. And patient became infertile and filed the case and this judgement came. Where court has said you should have closed the abdomen, again explained the patient and then gone for the hysterectomy. That there you are wrong and they are liable, doctor was held liable. So every surgery has got different complication altogether. And when you are explaining for one trauma, one surgery, it has got limitation to that particular complication. Further to that you are doing some other surgery, you are going to have other complication. So it is advisable to have every time consent form fresh taken from the patient, depending upon the procedure you are going to adopt on the patient, for a multi-trauma patient. Or if at all your patient called later for the surgery or in future surgeries, need to be explained to the patient while discharging a patient that you are going to need a surgery for that, for this purpose you need to come with this x-ray, you need to come, we can take a call. So everything should be part of a documentation. Now when patient want to change the doctor. Yes, you take a note of that on documentation and law is settled. The moment you handed over to some other doctor or patient went to some other doctor, the liability of first doctor will vitiate. So whatever you have done, you are liable only for that. What other doctor does, you are nowhere liable for that purpose because he is again a qualified doctor, the patient has chosen him, went with him and further process was done. Even if at all to connect the procedure, then also liability is going to differ. Being that doctor with their procedure, he is going to be liable. You are liable to that extent only.