A British surgeon has the freaky distinction of pleading guilty to two counts of assault - but not for punching people in the face.
Bramhall denied the more serious charge of assault occasioning actual bodily harm, a plea which was accepted by prosectors.
He used an argon beam, a device used by surgeons to prevent bleeding and sometimes to mark where to operate on an organ.
Simon Bramhall branded his initials into transplanted livers while his patients were under anesthesia.
The act itself isn't usually harmful and the marks would normally disappear but still. why.
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The incident occurred at Queen Elizabeth Hospital in Birmingham and both patients did not know this sick act of the surgeon until one of them had to operate again. Those assaults were wrong not just ethically, but also criminally.
Dr Bramhall resigned from the University Hospitals Foundation Trust in May 2014 after a disciplinary hearing.
Speaking in court this week, prosecutor Tony Badenoch said the markings were "an intentional application of unlawful force to a patient whilst anaesthetised", and an abuse of the surgeon's position. "It was done in the presence of colleagues", he added. "His acts in marking the livers of those patients, in a wholly unnecessary way, were deliberate and conscious acts on his part".
The 53-year-old surgeon threw Birmingham Crown Court into unprecedented legal territory this week over a case in which "SB" was laser-etched into patients' organs.