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when you walk into the hospital you have to tell them and be careful about how you fill out the paperwork that you know you only want this and not anything else because they will a typical consent form in the United States basically youre giving the hospital the ability to to make all the decisions for you in other words youre waving your consent for each individual treatment or procedure youre giving them consent to do whatever they deem necessary and that is a very very dangerous proposition because they could then for example come and test you for you know the Big C and if you were positive they would just put you on the protocol and you already agreed to it so you want to make sure you dont sign that and say you know Im going to give consent on a caseby Case basis for everything like if you pass one pill into my food without telling me uh its going to be a lawsuit and that way if theyre giving you a problem theyll just do exactly what you want and theyll get you out of the