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The excerpt discusses informed consent in a medical context, illustrating a conversation between a doctor and a patient, Mr. Miller. The doctor explains test results indicating potential appendicitis and outlines the option for a keyhole surgery. However, the patient is left with several unanswered questions, such as the meaning of CRP, the nature of an appendix, and details about keyhole surgery. The text emphasizes that valid patient consent should involve clear information and understanding, highlighting that not all patients feel confident enough to ask questions or express their confusion about medical procedures.