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[Music] being thorough around gaining adequate consent is not only good practice but also go some way in protecting clinicians should a complaint to be made later the case were looking at this time examines how thoroughly a clinician discussed the pros and cons of an operation with the patient before surgery when things went wrong the question we were asked was did the search and get adequate consent a forty-year-old nurse went to her doctor with back pain and was given a prescription for pain relief after a month with no signs of improvement she went to see a neurosurgeon privately who recommended conservative measures another month passed and the patient still in pain phoned the surgeons saying she was now suffering from left-sided sciatica her GP arranged an MRI which showed the disc bulge responsible for it the neurosurgeon advised that she have a micro diskectomy and discussed the pros and cons with her over the phone the phone call was recorded in the notes but the details of t