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The End

Rough Draft / Under Construction

The Registered Nurse First Assistant was a career sex predator who frequently groped male patients and manipulated and flirted with the men she worked with to keep them in her orbit if not in her bed.

The surgeon was a sociopath who devoted half of his thought to the maintenance of his image of respectability and prestige and virility, especially with his nurses who had to view him as the most desirable male in their universes or be held outside of his circle.

The nurse anesthesiologist was a short, pudgy, bespectacled guy who was well enough acculturated in medicine to know that if something bad happens in the operating room, or anywhere in medicine, the first thing to do is to act as though nothing bad has happened. Otherwise the patient might figure it out.

The second nurse knew that as well, and, like everyone else, knew that when something bad happens to a patient one does not ask the patient if he/she is all right. That is an indication that something might not be and can be used in the future by the patient to prove that things were not right.

The third nurse, like everyone else, knew all that too, and, like everyone else, also knew that when something really bad happens it is necessary to be sure not to mention it or talk about it with anyone. That would increase understanding and memory. The last thing the risk management department wants is for there to be any understanding or memory of the bad things that happen to patients.

In medicine they use the term "second victim" to refer to any health care worker who caused something bad to happen to a patient, because now that worker has to worry that something impacting his or her career could result. In meetings in medicine about bad things that happen, all the discussion is about how to keep anything from becoming discoverable. The entire focus is on protecting the institution and the workers. You never hear anyone ask how the patient is. You never hear anyone ask if perhaps someone should get the patient's side of the story. That is the last thing they would want.

Meanwhile, the patient is learning that when patients get injured by health care workers, it can be impossible to get anyone to treat the injuries. The patient also is learning that the people who won't treat the injuries don't think they are not treating injuries.

This can happen no matter how the injuries were incurred, but if they were inflicted willfully, those probably are the hardest ones to get treated. Everyone in medicine is so confident that everyone else in medicine is saintly. As they see it, the big problem is patients imagining things to complain or sue about that ruin the careers of innocent colleagues. They do not see it when patients are intentionally injured by those colleagues. They don't believe that ever would happen.

Margaret is the woman who had climbed her specific rungs of the corporate ladder and now was in charge of complaints for the entire hospital. "What is it you want to complain about?" she had asked. When told, she said, "That surgeon wouldn't do that." Explaining that the complaint was not about what the surgeon "would" do but about what the surgeon "did" do did nothing to alter her position. This complaint would not be accepted because the surgeon would not do that.

Deputy Steve had the same position, for the most part. The first police officer called had been Officer Walker. He had said that there was no point in filing the charges because all the people in the operating room were going to stick together. So another call was made to connect to a different police officer and Deputy Steve said that the charges could not be filed without a physician's verification of the injuries. But that was part of the problem. No physician would diagnose the injuries lest the diagnoses be used in a suit or a complaint.

The state medical board said that some doctor had to verify that the injuries in question were caused by that specific surgeon. Explaining that no one can do that fell on deaf ears. When JFK was wheeled in to the hospital in Dallas, the doctors could not look at his injuries and say, "Oh, yeah. We know who did this." That is not what doctors are able to do. But the state medical board is run by doctors. Doctors believe in and protect other doctors, not injured patients. So they require that one of their trusted colleagues do what no doctor can do or else they dismiss the patient's complaint.

The state medical board should not have accepted the complaint in the first place since it was about a violent crime. State medical boards have no authority or facility for investigating crimes. The police are the only people allowed to investigate crimes. State medical boards have so many ways to stall patients and then dismiss their complaints, but when the patient is so smart and dediciated that he or she gathers enough evidence to make it impossible to dismiss the case for lack of evidence. when it is a crime they then dismiss it as an issue that they are not legally bound to address. That is because it is a crime and they are not allowed to investigate crimes. Although they do accept and dismiss complaints about crimes.

And it was the police who said to take it to the state medical board in the first place. The police also said that if it happens in a hospital it is civil, not criminal. The police turn out to be full of nonsense that they make up as they go along.



His eyes were dilated, but it would not be until later that that would be explained to him. When he woke up on the operating table, the lights in his eyes seemed very bright. But he still could see the nurse standing at his hip. Later she would testify that it would have been impossible for him to see her. But when he opened his eyes, she smiled at him.

There was chatter in the operating room. As he listened at one point he interjected a quip and heard laughter. That's what he did routinely wherever he was. He saw that the nurse standing at his hip laughed too. When she did, he felt her hands move. They touched his private parts. What was she doing? The normal assumption of patients in medicine is that caregivers are doing what they are supposed to be doing. More often than patients realize that is the wrong assumption.

Are you aware of the high percentage of urologists who are homosexuals? Who else is interested in spending that much time focused on men's private parts? A nurse who is could work with a urologist. Or she could become an OR nurse where hernia repairs are done. Some nurses in the OR merely hand instruments to the surgeon, or are in charge of the anesthesia. One nurse has her hands virtually on top of the patient's private parts frequently during open inguinal hernia repairs. A nurse who was so inclined could have her hands on, or even at times wrapped around, a man's private parts. HJ had a history of being so inclined. But if he thought this was bad, it was nothing compare to what the surgeon was going to do. And if he thought that was bad, it was nothing compare to what a community of physicians was going to do to cover it up. And if he thought that was bad, it was not compared to sitting across from the nurse who started the whole thing as she filed a lawsuit against him. She sat sat across the table from him lying under oath. She stood up in court and lied about simple medical information that easily could be refuted if anyone tried.

But then there was another level of subterfuge. He called the hospital to file a complaint. The person in charge of complaints said that the surgeon would not do what he was complaining about and would not let him file a complaint. So he went to the police. The crimes committed against him were committed in a Catholic hospital. The police were Catholics. They would not let him report the crimes. They sent him to the state medical board. The state medical board was run by doctors. They do not do serious investigations of complaints filed by patients. They work to protect doctors from what they assume must be frivolous complaints.

During all this he had been trying to get treatment for his injuries. Do you know what happens when you go to a physician to try to get treatment for injuries caused by someone else in medicine? You don't get treatment.


When he finally ran out of places to complain he posted his complaint on the internet and sent a link to it to the head of the hospital. 

What it would take years to learn was that all of this is normal in medicine.


And since medicine is what it is, she would get rich for lying in court and suing Aaron for complaining about it.




The end of everything Aaron cared about came on an operating table. In medicine they can do most anything they want to patients, even in front of witnesses, and usually they will get away with it - even sex abuse, even violence.

It only was supposed to be a routine inguinal hernia repair. One of the stretches the orthopedic surgeon prescribed for him to do made the injury in his back worse. The other gave him a hernia. Later he would learn that the one stretch is to be avoided at all costs when one has a herniated disk. And the other stretch was a unique invention of that particular surgeon. No one else ever had seen it before. After Aaron demonstrated it for a couple of physical therapists one day, and they tried it themselves and analyzed it, they told him to stop it before he got a hernia. As it turned out, their advice was too late.

When he first went to see the surgeon about the inguinal hernia, the surgeon only barely focused on him at the beginning of the visit and then never looked at him again. Usually Aaron could get a chuckle or a smile out of someone he had just met. From this surgeon he got nothing.

"Oftentimes excusing of a fault
doth make the fault the worse by the excuse."
- Shakespeare


Places, events, and situations in this story are purely fictional.
Any resemblance to actual persons, living or dead, is coincidental.