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Discussion » Statements » Rosie's Corner » A surgeon goes in to remove an appendix. Once in he notices several tumors. Does he ignore them?

A surgeon goes in to remove an appendix. Once in he notices several tumors. Does he ignore them?

They are outside his original agreed-upon scope of discovery. He also notices other lesions and suspicious deformations and odd discoloration and oddly twisted body parts all outside the scope of original discovery. When is "one thing leads to another" OK to pursue and when is it outside the purview and ought not be investigated? Why?

Posted - April 3, 2018

Responses


  • 44797
    Mr. Literal says : "If he did, he would not be a very good doctor."
      April 3, 2018 12:10 PM MDT
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  • 7280
    Best comment I could find:  

    Address consent for multiple or possible procedures.
     Ensure that the consent process includes disclosure and documentation of possible or contemplated procedures that might be performed based on intraoperative findings. For example, a patient undergoing a lumpectomy could potentially require a more aggressive procedure based on pathological findings made during surgery. While many consent forms contain language that authorizes a provider to perform additional, necessary procedures based on that practitioner's clinical judgment, this permission should apply only to unanticipated, emergent procedures. Possible procedures with a reasonable likelihood of being performed should be clearly listed on the consent form.



    https://www.fortherecordmag.com/archives/0916p28.shtml
      April 3, 2018 2:04 PM MDT
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