Now he would have to pay for the surgery out-of-pocket which he couldn’t afford. He cleverly came up with a creative solution to his grave problem. In full view of a security guard, he committed petty theft and was promptly arrested. He asked the judge, who was probably inclined toward a token sentence or probation, to sentence him to at least one year so he could get the surgery and post-op treatment. The judge complied and said, “Get your surgery.” The strategy worked. When the patient returned to prison, “I took him to the operating room, removed his two aneurysms, and replaced his hepatic artery and its right and left branches with reversed internal iliac artery from his own leg. Surgery went great, and he recovered nicely.”