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In The Doctor's holonovel Photons Be Free, Tom Paris, while playing the part of the holographic doctor on the USS Vortex, received a patient who, after being scanned with a medical tricorder, had an aortic rupture. Before Paris could treat the crewman, Captain Jenkins had the crewman killed with a phaser, so he could treat Lieutenant Marseilles first. (VOY: "Author, Author")