What could dr leonard potentially raise as a defense, Other Subject

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What could dr leonard potentially raise as a defense

Problem

Dr. Leonard is a spinal surgeon. While performing surgery on Kenee, he accidentally nicks Renee's spinal cord. As a result, Renee suffers a loss of mobility in her leg. Renee sues Dr. Leonard for negligence. What could Dr. Leonard potentially raise as a defense? How would the standard of care be determined in this case?

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