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DIAGNOSTIC AND THERAPEUTIC ERCP (ENDOSCOPIC RETROGRADE CHOLANGIO

PANCREATOGRAM):

     1.   Infection.

     2.   Bleeding which may require transfusion.

     3.   Perforation of esophagus, stomach, intestinal wall or ducts
which may require surgery.

     4.   Cardiac arrhythmias (irregular heartbeats).

     5.   Pancreatic inflammation.
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DIGESTIVE SYSTEM TREATMENT AND PROCEDURES:

Cholecystectomy (removal of the gallbladder) with or without common bile
duct exploration:

     1.   Pancreatitis (inflammation of the gland that produces insulin).

     2.   Injury to the tube (common bile duct) between the liver and the
bowel.

     3.   Retained stones in the tube (common bile duct) between the liver
and the

          bowel.

     4.   Narrowing or obstruction of the tube (common bile duct) between
the liver and

          the bowel.

     5.   Injury to the bowel and/or intestinal obstruction.
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DIRECT LARYNGOSCOPY (PASSAGE OF LIGHTED TUBE INTO THE VOICE BOX):

     1.   Persistent hoarseness.

     2.   broken teeth.

     3.   perforation of throat.
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ENDOCRINE SYSTEM TREATMENTS AND PROCEDURES:

Thyroidectomy:

     1.   Injury to the nerves resulting in hoarseness or impairment of speech.

     2.   Injury to parathyroid glands resulting in low blood calcium
levels that require

           extensive medication to avoid serious degenerative conditions,
such as  cataracts, brittle

          bones, muscle weakness and muscle irritability.

     3.   Lifelong requirement of thyroid medication.
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ENDOSCOPIC SINUS SURGERY:

     1.   Bleeding.

     2.   Infection.

     3.   Scar formation.

     4.   Spinal fluid leak with possible infection of brain tissue.

     5.   Injury to eye, including blindness.

     6.   Injury to sense of smell.

     7.   Injury to tear duct drainage.
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ENUCLEATION OR EVISCERATION (removal of eye or its contents):

     1.   Bleeding.

     2.   Infection.

     3.   Chronic discomfort or pain.

     4.   Less attractive appearance.

     5.   Need for additional treatment and/or surgery.
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ESOPHAGEAL MANOMETRY:

     1.   Esophageal perforation which may require surgery.

     2.   Aspiration pneumonia.

     3.   Cardiac arrhythmias (irregular heartbeats).
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ESOPHAGEAL DILATION/ESOPHAGOGASTRODUODENOSCOPY:

     1.   Infection.

     2.   Bleeding which may require transfusion and/or surgery.

     3.   Perforation of esophagus, stomach, intestinal wall which may
require surgery.

     4.   Respiratory arrest.

     5.   Cardiac arrhythmias (irregular heartbeats).
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EXCISIONAL BREAST BIOPSY:

     1.   Infection.

     2.   Blood clot (hematoma).

     3.   Failure to obtain accurate diagnosis.

     4.   Disfiguring scar.

     5.   Failure to locate and remove abnormality.
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EYE MUSCLE SURGERY:

     1.   Loss of vision or decrease in vision.

     2.   Loss of eye.

     3.   Double vision.

     4.   Need for additional eye muscle surgery.

     5.   Infection.

     6.   Less attractive eye
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FEMALE GENITAL SYSTEM TREATMENTS AND PROCEDURES:

Abdominal hysterectomy (Removal of Womb Resulting in Sterility):

     1.   Uncontrollable leakage of urine.

     2.   Injury to bladder.

     3.   Death.

     4.   Injury to the tube (ureter) between the kidney and the bladder.

     5.   Injury to the bowel and/or intestinal obstruction.

     6.   Infection.

     7.   Damage to major blood vessels, hemorrhage, need for transfusion
of blood

          products.

     8.   Painful intercourse.

     9.   Ovarian failure requiring hormone administration.

     l0.  Pulmonary embolism (blood clot from pelvis or legs that moves to
lungs).

     11.  Formation of fistula (leakage of urine or bowel contents through
vagina).

     l2.  Unsatisfactory sexual function.

     l3.  Bleeding.

     l4.  Failure of wound to heal.

     l5.  Permanent and disfiguring scarring.

Vaginal hysterectomy (Removal of Womb Resulting in Sterility)

     1.   Uncontrollable leakage of urine.

     2.   Injury to bladder.

     3.   Death.

     4.   Injury to the tube (ureter) between the kidney and the bladder.

     5.   Injury to the bowel and/or intestinal obstruction.

     6.   Infection.

     7.   Damage to major blood vessels, hemorrhage, need for transfusion
of blood

          products.

     8.   Painful intercourse.

     9.   Ovarian failure requiring hormone administration.

     l0.  Pulmonary embolism (blood clot from pelvis or legs that moves to
lungs).

     ll.  Formation of fistula (leakage of urine or bowel contents through
vagina).

     12.  Unsatisfactory sexual function.

     l3.  Bleeding.

     l4.  Failure of wound to heal.

     l5.  Permanent and disfiguring scarring.

     l6.  Completion of operation resulting in abdominal incision.

All fallopian tube and ovarian surgery with or without hysterectomy,
including removal and lysis

of adhesions:

     1.   Injury to the bowel and/or bladder.

     2.   Sterility.

     3.   Failure to obtain fertility (if applicable).

     4.   Failure to obtain sterility (if applicable).

     5.   Loss of ovarian functions or hormone production from ovary(ies).

     6.   Injury to ureter.

     7.   Injury to major blood vessels, hemorrhage, need for transfusion
of blood products.

     8.   Failure to remove entire ovary possibly requiring further
surgery (Ovarian Remnant

Syndrome).

     9.   Pulmonary embolism.

Abdominal endoscopy (peritoneoscopy, laparoscopy):

     1.   Puncture of the bowel or blood vessel.

     2.   Abdominal infection and complications of infection.

     3.   Abdominal incision and operation to correct injury.

     4.   Injury to bladder.

     5.   Injury to ureter.

     6.   Possible air embolus.

Removing fibroids (uterine myomectomy):

     1.   Uncontrolled leakage of urine.

     2.   Injury to bladder.

     3.   Sterility.

     4.   Injury to the tube (ureter) between the kidney and the bladder.

     5.   Injury to the bowel and/or intestinal obstruction.

     6.   Pulmonary embolism.

Uterine suspension:

     1.   Uncontrollable leakage of urine.

     2.   Injury to bladder.

     3.   Sterility.

     4.   Injury to the tube (ureter) between the kidney and the bladder.

     5.   Injury to the bowel and/or intestinal obstruction.

     6.   Painful intercourse.

     7.   Pulmonary embolism.

Removal of the nerves to the uterus (presacral neurectomy):

     1.   Uncontrollable leakage of urine.

     2.   Injury to bladder.

     3.   Sterility.

     4.   Injury to the tube (ureter) between the kidney and the bladder.

     5.   Injury to the bowel and/or intestinal obstruction.

     6.   Hemorrhage, complications of hemorrhage with additional operation.

Removal of the cervix:

     1.   Uncontrolled leakage of urine.

     2.   Injury to bladder.

     3.   Sterility.

     4.   Injury to the tube (ureter) between the kidney and the bladder.

     5.   Injury to the bowel and/or intestinal obstruction.

     6.   Completion of operation by abdominal incision.

     7.   Pulmonary embolism.

Repair of vaginal hernia (anterior and/or posterior colporrhaphy and/or
enterocele repair):

     1.   Uncontrolled leakage of urine.

     2.   Injury to bladder.

     3.   Sterility.

     4.   Injury to the tube (ureter) between the kidney and the bladder.

     5.   Injury to the bowel and/or intestinal obstruction.

     6.   Risk of hemorrhage.

     7.   Risk of infection.

     8.   Painful intercourse.

     9.   Risk of formation of fistula between the urinary tract and
vagina or intestinal tract and the

vagina.

     l0.  Difficulty urinating.

     ll.  Pulmonary embolism.

Abdominal suspension of the bladder (retropubic urethropexy):

     1.   Uncontrolled leakage of urine.

     2.   Injury to the bladder.

     3.   Injury to the tube (ureter) between the kidney and the bladder.

     4.   Injury to the bowel and/or intestinal obstruction.

     5.   Painful inflammation or destruction of pubic bone (osteitis pubis).

     6.   Risk of infection.

     7.   Risk of damage to urethra.

     8.   Risk of difficulty urinating.

     9.   Pulmonary embolism.

Conization of cervix:

     1.   Hemorrhage with possible hysterectomy to control.

     2.   Sterility.

     3.   Injury to bladder.

     4.   Injury to rectum.

     5.   Failure of procedure to remove all of cervical abnormality.

     6.   Scar tissue formation of mouth of womb (cervical stenosis).

     7.   Weakening of mouth of womb resulting in miscarriage with future
pregnancies

          (incompetent cervix).

     8.   Pulmonary embolism.

Dilation and curettage of uterus (diagnostic):

     1.   Hemorrhage with possible hysterectomy.

     2.   Perforation of the uterus.

     3.   Sterility.

     4.   Injury to bowel and/or bladder.

     5.   Abdominal incision and operation to correct injury.

     6.   Formation of scar tissue in uterine cavity (Ashermann Syndrome).

Dilation and curettage of uterus (obstetrical):

     1.   Hemorrhage with possible hysterectomy.

     2.   Perforation of the uterus.

     3.   Sterility.

     4.   Injury to bowel and/or bladder.

     5.   Abdominal incision and operation to correct injury.

     6.   Formation of scar tissue in uterine cavity (Ashermann Syndrome).

     7.   Failure to remove all products of conception.
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