Inayat Panda — orthopaedic surgeon. Writing on surgery, trauma, the history of fixing bones, and the software he builds for clinicians.https://inayatpanda.com/en-gbhttps://inayatpanda.com/blog/the-learning-curve-nobody-warns-you-about/https://inayatpanda.com/blog/the-learning-curve-nobody-warns-you-about/The 10,000-hour rule is told by people who never counted. The hours are not linear — and the plateau is where judgement is quietly built.Sun, 14 Jun 2026 00:00:00 GMTmarrowpracticenebulahttps://inayatpanda.com/blog/what-a-fracture-clinic-is-actually-optimised-for/https://inayatpanda.com/blog/what-a-fracture-clinic-is-actually-optimised-for/A fracture clinic is graded on throughput. The patient experiences something else entirely. The gap between the two scorecards is where all the interestingFri, 12 Jun 2026 00:00:00 GMTmarrowtraumapracticehttps://inayatpanda.com/blog/reverse-shoulder-interactive/https://inayatpanda.com/blog/reverse-shoulder-interactive/Why putting the ball where the socket was lets a torn-cuff shoulder lift again. Toggle the geometry and watch the deltoid's moment arm grow.Thu, 11 Jun 2026 00:00:00 GMTmarrowshoulderinteractivehttps://inayatpanda.com/blog/glenoid-version-playground/https://inayatpanda.com/blog/glenoid-version-playground/Why a few degrees of retroversion matters — with a baseplate you can tilt yourself. Drag the sliders and watch the failure risk climb the curve.Mon, 08 Jun 2026 00:00:00 GMTmarrowshoulderinteractivehttps://inayatpanda.com/blog/the-cloud-is-just-someone-elses-computer-and-your-patients-d/https://inayatpanda.com/blog/the-cloud-is-just-someone-elses-computer-and-your-patients-d/Most clinical tools assume the data should live in someone else's data centre. For a great deal of what clinicians build, that assumption is quietly backwaFri, 05 Jun 2026 00:00:00 GMTforgebuilding-softwarepracticehttps://inayatpanda.com/blog/navigated-shoulder-replacement/https://inayatpanda.com/blog/navigated-shoulder-replacement/Navigation for glenoid baseplate fixation is usually sold as precision for its own sake. The real value is what it does to your worst cases.Thu, 28 May 2026 00:00:00 GMTmarrowshoulderhttps://inayatpanda.com/blog/your-femur-is-hollow-and-it-did-that-on-purpose/https://inayatpanda.com/blog/your-femur-is-hollow-and-it-did-that-on-purpose/A long bone resists bending far better than the solid rod it could have been — at the same weight. The reason is geometry, not material, and the skeleton wThu, 28 May 2026 00:00:00 GMTmarrowinteractiveforgehttps://inayatpanda.com/blog/robert-liston-and-the-operation-with-300-mortality/https://inayatpanda.com/blog/robert-liston-and-the-operation-with-300-mortality/The fastest knife of the pre-anaesthetic era, and the famous amputation that supposedly killed three people. The legend is irresistible. It is also, sadly,Wed, 20 May 2026 00:00:00 GMTold-bonesmarrowhttps://inayatpanda.com/blog/what-the-checklist-actually-fixes/https://inayatpanda.com/blog/what-the-checklist-actually-fixes/A reading note on Gawande's Checklist Manifesto. The list is not about memory. It is a device for flattening hierarchy just long enough for someone to findTue, 12 May 2026 00:00:00 GMTmarginaliapracticehttps://inayatpanda.com/blog/the-same-easy-5k-in-three-cities/https://inayatpanda.com/blog/the-same-easy-5k-in-three-cities/Run the same slow five kilometres in three places and each one quietly tells you something the daytime works hard to hide: the pavements, the light, and exSun, 03 May 2026 00:00:00 GMTatlasafter-hourshttps://inayatpanda.com/blog/the-rotator-cuff-is-a-set-of-guy-ropes-and-that-explains-a-l/https://inayatpanda.com/blog/the-rotator-cuff-is-a-set-of-guy-ropes-and-that-explains-a-l/Why a torn shoulder still lifts the arm sometimes, and refuses other times. It is levers and angles, not magic. Drag the line of pull and find out.Wed, 22 Apr 2026 00:00:00 GMTmarrowshoulderhttps://inayatpanda.com/blog/bone-setters-history/https://inayatpanda.com/blog/bone-setters-history/For centuries fracture care belonged to families of bone-setters, not surgeons. Some of what they practised survived peer review remarkably well — and one family changed surgery itself.Sun, 19 Apr 2026 00:00:00 GMTold-bonesmarrowhttps://inayatpanda.com/blog/trepanation-the-operation-that-refuses-to-die/https://inayatpanda.com/blog/trepanation-the-operation-that-refuses-to-die/Humans have been drilling holes in living skulls for about 7,000 years, and a surprising number of patients survived. What the holes tell us, era by era.Wed, 15 Apr 2026 00:00:00 GMTold-bonesmarrowhttps://inayatpanda.com/blog/how-long-does-a-new-hip-last-it-depends-who-is-asking/https://inayatpanda.com/blog/how-long-does-a-new-hip-last-it-depends-who-is-asking/A joint replacement does not have a use-by date. It has a survival curve, and reading one honestly means asking who the patient is. Poke the curve and see.Wed, 08 Apr 2026 00:00:00 GMTmarrowarthroplastypracticehttps://inayatpanda.com/blog/two-clocks-one-surgeon-and-the-case-of-the-missing-morning/https://inayatpanda.com/blog/two-clocks-one-surgeon-and-the-case-of-the-missing-morning/Fly east, operate at dawn, and your body insists it is the middle of last night. A live body-clock dial of the best and worst hours to operate.Wed, 01 Apr 2026 00:00:00 GMTatlaspracticehttps://inayatpanda.com/blog/the-first-surgical-textbook-and-the-first-honest-i-dont-know/https://inayatpanda.com/blog/the-first-surgical-textbook-and-the-first-honest-i-dont-know/The Edwin Smith papyrus is the oldest known surgical text. Its bravest cases are marked an ailment not to be treated — medicine's first honest limit.Mon, 30 Mar 2026 00:00:00 GMTold-boneshttps://inayatpanda.com/blog/i-replaced-an-enterprise-system-with-a-laptop-and-a-weekend/https://inayatpanda.com/blog/i-replaced-an-enterprise-system-with-a-laptop-and-a-weekend/A single SQLite file did what a six-figure platform could not. Sometimes that is the right call, and sometimes it is a trap. Race the queries and decide.Wed, 25 Mar 2026 00:00:00 GMTforgebuilding-softwarepracticehttps://inayatpanda.com/blog/being-mortal-what-a-good-day-actually-means/https://inayatpanda.com/blog/being-mortal-what-a-good-day-actually-means/A reading note on Atul Gawande's Being Mortal — autonomy, the limits of medicine, and why a surgeon should ask what a good day actually looks like.Thu, 12 Mar 2026 00:00:00 GMTmarginaliapracticehttps://inayatpanda.com/blog/why-surgeons-should-build/https://inayatpanda.com/blog/why-surgeons-should-build/The tools clinicians are given are built by people who have never carried a bleep. The gap between workflow and software is a design brief.Sat, 07 Mar 2026 00:00:00 GMTforgebuilding-softwaremarrowhttps://inayatpanda.com/blog/comping-what-jazz-taught-me-about-taking-a-history/https://inayatpanda.com/blog/comping-what-jazz-taught-me-about-taking-a-history/A good history, like good comping, is mostly knowing when to shut up. Tap out a phrase and watch something gentle answer in the space you leave.Thu, 05 Mar 2026 00:00:00 GMTafter-hourshttps://inayatpanda.com/blog/your-screen-is-lying-about-colour-and-thats-the-clever-part/https://inayatpanda.com/blog/your-screen-is-lying-about-colour-and-thats-the-clever-part/A phone screen has no yellow pixels, yet shows you yellow. That isn't a cheat — it's additive RGB and the quirks of your own eye, doing exactly their job.Thu, 26 Feb 2026 00:00:00 GMTnebulaforgeinteractivehttps://inayatpanda.com/blog/how-to-find-a-significant-result-in-pure-noise-please-do-not/https://inayatpanda.com/blog/how-to-find-a-significant-result-in-pure-noise-please-do-not/p<0.05 does not mean what most people think. Keep testing the same nothing and a significant result will eventually appear. Watch the trap spring, live.Wed, 18 Feb 2026 00:00:00 GMTmarrowresearchpracticehttps://inayatpanda.com/blog/everything-films-get-wrong-about-an-operating-theatre/https://inayatpanda.com/blog/everything-films-get-wrong-about-an-operating-theatre/The flatline that beeps urgently, the chatter, the surgeon scrubbing then touching the door. Step through four movie OR scenes and spot what is wrong.Tue, 10 Feb 2026 00:00:00 GMTafter-hourshttps://inayatpanda.com/blog/the-fermi-paradox-for-tired-people/https://inayatpanda.com/blog/the-fermi-paradox-for-tired-people/Where is everybody? The Drake equation is less a calculation than a row of knobs measuring our ignorance. Twiddle them; watch the answer swing wildly.Tue, 20 Jan 2026 00:00:00 GMTnebula