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James D. Cardea discusses a surgery in which an infant, who had a tethered spinal cord, was improperly treated. In this case, which also involves a surgeon breaching protocol (to Identify, Isolate and Protect the vital structures around the area of the surgery), the results are tragic. An infant is permanently paralyzed because of a surgeon’s negligence and must live with this condition for the rest of his life. This case is a good example of why putting caps on medical malpractice awards is problematic.