[Speaker 1]: So now we come to further complications. Now see, infection is something which I'm totally aware of. Then there are some unforeseen complications which we see, like a nerve injury or artery injury of course is a dreaded injury and that I know that basically is a life threatening injury. But what about a nerve injury which I know may recover after two, three months or may not recover and may require a second surgery. So and we may have not taken the consent for that nerve surgery because it is a rare thing. So do we include all rare things in the consent? Do we take a procedure specific consent?
[Speaker 2]: Good question, Neeraj, because this was again in the same judgment of Kashmir where the real consent and informed consent was discussed in court of law. Real consent where reality need to be spoken, like what you said. Reality means there could be a possibility of nerve injury which is followed in European countries, UK and other countries. And whereas informed consent is little lighter type, which has been followed under Canada, USA and other parts which was presented to the court, saying that informed consent we may not or need not explain the rarest rare complication, which could be a nerve injury or per say DIC, which cannot be foreseen. So even that information if at all not being given to the patient but information about every aspect is properly given, the broader aspect. So that can a great and good consent. So what we follow in our country today is informed consent. So rarest to rare complication if at all we missed, we have got a good defense in court of law because it cannot be seen and we can safeguard ourself with the particular documentation. But wherever you feel that this could be one of the complication, it is advisable to explain to the patient. Suppose you with your past experience got the idea that nerve injury or operation is such where the possibilities of touching a nerve is there.
[Speaker 1]: Yes.
[Speaker 2]: Then in such a cases, it is advisable to intimate a patient or put on a consent paper prior to taking a signature, inform the patient this could be one of the possibilities. It will double safeguard my doctor in any court of law.