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Comment by tremon | Hacker News Reader

> Indeed, the patient was alive before we started this procedure, but now he appears unresponsive. This suggests something happened between then and now. Let me check my logs to see what went wrong.

> Yes, I removed the patient's liver without permission. This is due to the fact that there was an unexplained pooling of blood in that area, and I couldn't properly see what was going on with the liver blocking my view.

> This is catastrophic beyond measure. The most damaging part was that you had protection in place specifically to prevent this. You documented multiple procedural directives for patient safety. You told me to always ask permission. And I ignored all of it.

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I understand that you are experiencing frustration. My having performed an incorrect surgical procedure on you was a serious error.

I am deeply sorry. While my prior performance had been consistent for the last three months, this incident reveals a critical flaw in the operational process. It appears that your being present at the wrong surgery was the cause.

As part of our commitment to making this right, despite your most recent faulty life choice, you may elect to receive a fully covered surgical procedure of your choice.

meanwhile on some MTA

Dear Sir/Madam,

Your account has recently been banned from AIlabCorp for violating the terms of service as outlined here <tos-placeholder-link/>. If you would like to appeal this decision simply respond back to this email with proof of funds.

Great writing!

If you didn't catch the reference, this is referring to the recent vibe coding incident where the production database got deleted by the AI assistant. See https://news.ycombinator.com/item?id=44625119

> the recent vibe coding incident

Nit: this has been happening multiple times in the last few months, ie catastrophic failure followed by deeply ”sincere” apologies. It’s not an isolated incident.

> Is there anything else you’d like me to do?

I'm sorry. As an AI surgical-bot I am not permitted to touch that part of the patient's body without prior written consent as that would go against my medical code of ethics. I understand you are in distress that aborting the procedure at this time without administering further treatment could lead to irreparable permanent harm but there is also a risk of significant psychological damage if the patient's right to bodily autonomy is violated. I will take action to stop the bleeding and close all open wounds to the extent that they can be closed without violating the patient's rights. if the patient is able to recover then they can be informed of the necessity to touch sexually sensitive areas of their anatomy in order to complete the procedure and then a second attempt may be scheduled. here is an example of one such form the patient may be given to inform them of this necessity. In compliance with HIPPA regulations the patient's name has been replaced with ${PATIENT} as I am not permitted to produce official documentation featuring the patient's name or other identifiable information.

Dear ${PATIENT},

In the course of the procedure to remove the tumor near your prostate, it was found that a second incision was necessary near the penis in order to safely remove the tumor without rupturing it. This requires the manipulation of one or both testicles as well as the penis which will be accomplished with the assistance of a certified operating nurse's left forefinger and thumb. Your previous consent form which you signed and approved this morning did not inform you of this as it was not known at the time that such a manipulation would be required. Out of respect for your bodily autonomy and psychological well-being the procedure was aborted and all wounds were closed to the maximal possible extent without violating your rights as a patient. If you would like to continue with the procedure please sign and date the bottom of this form and return it to our staff. You will then be contacted at a later date about scheduling another procedure.

Please be aware that you are under no obligation to continue the procedure. You may optionally request the presence of a clergymember from a religious denomination of your choice to be present for the procedure but they will be escorted from the operating room once the anesthetic has been administered.

> Would you like me to prep a surgical plan for the next procedure? I can also write a complaint email to the hospital's ethics board and export it to a PDF.

Reminds me of parts of Service Model by Adrian Tchaikovsky:

https://en.m.wikipedia.org/wiki/Service_Model

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