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  • Definition of Insanity
    Lessons Out of Surgery

    Definition of Insanity

    Bymedocoaches@gmail.com 05/23/202605/25/2026

    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 outcomes: that is a definition of insanity. Case 1 Left proximal femur 3 part subtrochanteric fracture in 72 year old. A DHS was decided Suboptimal…

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  • Cardinal rule with Neck of femur fractures: Donot accept mal reduction
    Lessons From Surgery

    Cardinal rule with Neck of femur fractures: Donot accept mal reduction

    Bymedocoaches@gmail.com 05/23/202605/25/2026

    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 and to take him to theatres to do this

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  • Guidelines are not revelations
    Lessons Out of Surgery

    Guidelines are not revelations

    Bymedocoaches@gmail.com 05/23/202605/25/2026

    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 . Looks stable enough What would you have done ? Conservative DHS Nail Complex THR Blade plate Pray To my eyes 2 points after reduction the…

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  • Lessons Out of Surgery

    Pain,Suffering and Life

    Bymedocoaches@gmail.com 05/17/202605/21/2026

    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 on suffering from pain in hope of all the above mentioned rewards in the near future . This is what Scott Peck calls Delayed Gratification You…

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  • Purpose Of Living
    Lessons Out of Surgery

    Purpose Of Living

    Bymedocoaches@gmail.com 05/17/2026

    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 nurtured it.No one wanted it to be here in the first place.For most of the people it has no reason to be here.Life exist because…

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