Lesson from Life and Surgery
What we learn from Life and its difficulties through a medical lens. Please share yours through our contact box

Our Approach to Medical Learning
We believe in collaborative growth. By learning alongside peers, seniors, and juniors alike, we turn shared clinical experiences and real-world mistakes into actionable insights.
Lessons Out of Surgery
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The First Two Weeks: A Survival Guide for Every New Trust
Every rotation starts the same way. New badge, new corridors, new consultants whose names you’ll mix up for a fortnight, and that particular flavour of chaos only a fresh induction…
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Time line for a typical Portfolio Application
Stage Typical duration Evidence-gathering (before you even open the application) 12–36 months Application window (open → submit) Up to 24 months (fixed limit) GMC processing after submission 6–12 months Royal…
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The T&O Portfolio Pathway: Your Route to the Specialist Register
What the GMC actually wants in your evidence bundle — broken down from the Specialty Specific Guidance for Trauma and Orthopaedic Surgery. Unlike the CCT route, the Portfolio Pathway doesn’t…
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The Renal Medicine Portfolio Pathway: Your Route to the Specialist Register
What actually has to be in your ePortfolio before the GMC will add your name — broken down from the JRCPTB 2022 curriculum. Every renal trainee eventually asks the same…
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Definition of Insanity
You will see 3 cases where the 1st decision could have changed the whole scenario. But if we keep doing the same thing over and over again and except different…
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Cardinal rule with Neck of femur fractures: Donot accept mal reduction
25 year old biker comes after RTA with a neck of femur fracture What would you do Fix- CRIF ORIF Replace-Arthroplasty We chose to fix And obviously for known reasons…
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Guidelines are not revelations
Right so this is fall from height of a 52 years old who is a tree surgeon The images are from A&E and then image intensifier when in theaters ….
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Pain,Suffering and Life
Because pain is something that will soon be followed by:– Change– Comfort– Progression– Appreciation (by yourself and appreciation by others)– Good memories– And the greatest of all ‘LIFE’. We keep…
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Purpose Of Living
For the first time I saw this view on the roof of my neighbours house, I gathered up a lot of hope.No one expected this Life to be here.No one…
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Performing Surgery for the 1st time
It was like driving the car for the first time. I was excited,petrified an scared shitless. When i gave an incision. it felt like all the cars are coming my…
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Why I love Orthopaedics
Because it make me feel like a super hero Working in Orthopaedic surgery is like being part plumber and part carpenter.Mallets,chisel,screws,nails,hammers,awls,pliers,metal wires are common tools of trade.What surprised me and…
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Things to Learn in the Final Year of Medical School.
By a Doctor Who Once Quit Medicine After His First Call By a Doctor Who Once Quit Medicine After His First Call I was on-call in Medicine on my first…
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The Most Uselessly Brilliant Sentence in Medical School
Every medical student reaches a point where the human body starts feeling less like anatomy and more like a cruel memory game designed by sleep-deprived scientists. And then comes the…
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“Big Bones” — The Most Successful Excuse in Human History
Almost every overweight person has either said this or heard it from a loving auntie: “Beta, you’re not fat… you just have heavy bones.” It sounds scientific. It sounds comforting….
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Doctor knows ,but most people don’t
1. The number of deaths caused by breast cancer and road traffic accident are less than the death caused by Medical errors. In a 2006 study medication errors are among…
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Ataraxia in the Operating Room
. Why the Best Surgeons Must Be Both Brave and Afraid The ancient Greek philosopher Epicurus used a fascinating word: Ataraxia. He described it as a state of profound calmness…
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The best surgeon is both a wimp and brave at the same time.
A “wimp” because fear creates caution. Fear makes you double-check anatomy before cutting. Fear forces humility. Fear reminds you that every human body can punish arrogance in seconds. Fear prevents…
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The Loneliness of Surgical Training
“Morning and eveningSomeone waits at Matsushima!One-sided love.” — Matsuo Bashō Surgical training often feels like this haiku. A resident waits morning and evening — outside operating rooms, beside hospital beds,…
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Could Iron Man Even Stand Up? — The Brutal Physics Behind the Suit
Could Iron Man Even Stand Up? — The Brutal Physics Behind the Suit Every time we watch Iron Man fly across the screen firing missiles, lasers, and sarcasm, one question…
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Planning, Luck, and the Revision Hip: When Plan A Needs a Plan F
Case Summary 76-year-old lady BMI 37 Right THR performed 19 years ago Comorbidities: Heart failure Hypercholesterolemia High BMI Presented with 3 dislocations in 3 months Dislocations occurred with trivial movements…
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A Surgical Series of Unfortunate Events
A Surgical Series of Unfortunate Events Primary Total Knee Replacement Complicated by Intraoperative Medial Femoral Condyle Fracture “Good judgment comes from experience, and experience comes from bad judgment.”— Rita Mae…
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Powerlessness
On December 27, 2007, I was on call as a resident at Rawalpindi General Hospital — now known as Benazir Bhutto Hospital. That evening, the Casualty Medical Officer urgently called…
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Ars longa, vita brevis
In super specialities or as some people like to call them sub specialities e.g Orthopaedics, neurosurgery, plastic surgery, etc., it takes a lot of years to be an expert in…
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A Good Design
Maurice Muller is the father of modern day orthopaedics. He started the use of metallic screws, plates, nails and wires to fix the human bones. Ultimately, when his methods became…
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