Sundays are for looking back, so here's what this week left me with.   Quiet days teach more than loud ones. During a slow list I finally paid attention to how a patient's arm gets positioned, and why recovery nurses keep asking about it after. Small...

One myth that keeps coming up: awake under a spinal does not mean you feel pain.   A spinal block stops pain signals from reaching the brain below the level of the injection. You stay awake, and you may notice pressure, tugging or movement. That is t...

Most trainees lose viva marks not because they don't know the thing, but because they answer in circles. A format that holds up: define, classify, then use. Say what the thing is in one sentence, give the common categories, then say where it matters ...

Most people think anaesthesia is just the injection that makes you sleep. What you don't see is that while the surgeon is operating, the anaesthetist is working nonstop: holding the airway, keeping oxygen and blood pressure in safe ranges, managing f...