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  • Planning, Luck, and the Revision Hip: When Plan A Needs a Plan F
    Lessons From Surgery

    Planning, Luck, and the Revision Hip: When Plan A Needs a Plan F

    Bymedocoaches@gmail.com 05/16/202605/23/2026

    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 Patient had completely lost confidence in her right hip Planning, Luck, and the Revision Hip: When Plan A Needs a Plan F Planning, Luck, and…

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  • A Surgical Series of Unfortunate Events
    Lessons From Surgery

    A Surgical Series of Unfortunate Events

    Bymedocoaches@gmail.com 05/16/202605/24/2026

    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 Brown 87-year-old gentleman Short-term memory loss Independent and living alone Wheelchair-bound secondary to severe right knee pain Daughter held Power of Attorney (POA) Clinically looked…

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  • Benazir Bhutto Hospital
    Lessons Out of Surgery

    Powerlessness

    Bymedocoaches@gmail.com 05/16/202605/24/2026

    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 me to attend a case of firearm injury in the Emergency Room. I went with my senior resident. When we entered the E.R., there was…

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  • Endless Dark Hospital Corridor
    Lessons Out of Surgery

    Ars longa, vita brevis

    Bymedocoaches@gmail.com 05/16/202605/24/2026

    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 the field. And as soon as you develop a rapport of a good surgeon or become good at it, its time to die. In super-specialties…

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  • DAVOS
    Lessons Out of Surgery

    A Good Design

    Bymedocoaches@gmail.com 05/16/202605/29/2026

    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 famous, he established a proper research center in his hometown, DAVOS, devoted to improving his bone fixation techniques. The research center building itself look like…

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