"There are errors of commission (the hubristic removal of too much tumor) and of omission (the missed diagnosis). There are errors that go unreported (after a successful surgery, Marsh might decide not to tell a patient about a close call) and errors for which Marsh is held accountable. (He writes that, after one operation, 'I told them to sue me. I told them I had made a terrible mistake.') There are errors of delegation�as when Marsh allows a resident to perform a simple spinal surgery, and the patient is left with a paralyzed foot�and historical errors: at a mental hospital, Marsh encounters victims of lobotomy. One morning, Marsh operates after having a petty argument with another surgeon, and the operation paralyzes half the patient�s face. He writes, 'Perhaps this was going to happen anyway�it is called a "recognized complication" of that particular operation�but I know that I was not in the right state of mind to carry out such dangerous and delicate surgery, and when I saw the patient on the ward round in the days afterwards, and saw his paralyzed face, paralyzed and disfigured, I felt a deep sense of shame.'"
From a New Yorker article by Joshua Rothman � "Anatomy of Error/A surgeon remembers his mistakes" � about a book by the neurosurgeon Henry Marsh titled "Do No Harm: Stories of Life, Death, and Brain Surgery."
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