The Patient Selection - NOW, LATER or NEVER.

"Not every patient presenting to a Surgeon, should automatically qualify to be an eligible candidate for a specific surgical procedure. But, a Surgeon's earnest endeavour should be to ensure that each selected patient, would in all probability, re-present as a satisfied patient post-procedure."

Indication & Contraindication: WHEN TO DO & WHEN NOT ?

The relative ability or familiarity of a Surgeon to perform a specific surgical procedure, should never become the sole indication to perform a specific surgical procedure. 

Whereas, a Surgeon's relative inability or unfamiliarity to perform a given surgical procedure, should constitute an absolute contra-indication to do the same, following the basic non-violent principle of medical practice 'Primum non nocere' - 'First do no Harm', which should encompass everyone - the patient, the procedure, the surgeon, the team, the speciality, and even the health care facility.

The OR Tantrum - DRAMA in Scrubs.

Observing surgeons loose their composure in OR for simple things is a known event, but what makes it amazingly remarkable and hilarious is whenever a surgeon blames everyone around for things that no one has anything to do with. 

To me, it is representative of a commander of an engaged battalion stuttering in panic with fear of an imagined impending doom, wherein his outbursts only reinforce his insecure state of mind by blaming everyone except himself; whilst he is expected to be calmly directing the proceedings with the available resources towards a safe & smooth conclusion, no matter what circumstances or situations are arise or are encountered during an emergent or even an elective operation. 

Surgery is mostly about absorbing tortuous pressures with tremendous patience and grace powered by an honest intention to heal a life in physical pain; like a sponge soaks every single time it is shoved into a pool of blood to absorb, to contain & reveal the bleeder, irrespective of the reason, the quality, the quantity, the origin or the consequence of haemorrhage.

The only time it is to considered acceptable, is when his serious instructions are to be executed with equal swiftness, when probably he realises and is trying to prevent an organ, a limb and/ or consequently a life from falling apart.

Fear & Panic are spoilt twins of Chaos & Mishap.

The Struggle with Surfing - Locating the Suffering Planes.

The more I try to struggle with comprehending the phenomenal human anatomy and its subtle but super-intelligent layout, the less I seem to struggle with my supposedly stressful, surgical surfing endeavours. 


The Summum bonum being, like any where else, its all about getting your basics right. No matter what art employs you to serve humanity, big things surprisingly have a culture of religiously towering on a foundation of simple but strong & beautiful basics.