The operation note records a 360-degree Vaser liposuction with abdominoplasty, a Brazilian butt lift and hip dip correction, done in February last year. She went home the next day, a Sunday. Within hours her blood pressure was falling and she was vomiting, so she rang the hospital. By her account the nursing staff told her no doctor was available because it was Sunday, told her to drink salted rice water, and asked her to come back the following day.

She came back on Monday, still hypotensive. She was given intravenous fluids and blood, kept deteriorating, and by that evening was being shifted across the city, where she had cardiac arrest as she arrived. The workup at the second hospital showed septic shock from Pseudomonas aeruginosa with renal failure. She says she can no longer do the software job she had. Local police had moved to shut the investigation down. Justice G Girish refused, and called the decision to operate in that building “an abhorrent violation of medical protocol”.

A woman in Dindigul district came to a nursing home with severe lower abdominal pain. The gynaecologist found a tender swelling high on the vaginal wall, read it as infection, started antibiotics and sent her for a scan: a likely Gartner duct cyst. She went home and stayed away about seven weeks. When she came back the pain was worse, and she was taken up for excision that same night on the strength of that old scan. The rectum tore on the table.

Four days later her husband took ₹4,00,000 in cash and signed an undertaking before a notary that he would go to neither the police nor a court. The commission heard the complaint anyway and ordered ₹13,25,000. It never argued the surgeon’s judgement. It asked for the consent form, which never named the rectum, the record of what was examined before operating, which did not exist, and the discharge summary, which the hospital never issued.

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TRANSCEND-T2D-2 put 1,298 adults with type 2 diabetes, still above target on metformin, on retatrutide 9 mg, retatrutide 12 mg or semaglutide 2 mg for 80 weeks, open label, setting a drug that hits GLP-1, GIP and glucagon against one that hits GLP-1 alone. The gap opened on weight. From a mean starting weight of 102.4 kg, patients lost 20.9% on the 12 mg dose and 19.5% on 9 mg, against 9.4% on semaglutide, the strongest Ozempic dose licensed for type 2 diabetes, which is about 21.5 kg against 9.5 kg. Both retatrutide doses landed on the same HbA1c number, so the extra 3 mg bought nothing for sugar and cost 7.9% discontinuation for side effects against 4.8% on the lower dose and 2.7% on semaglutide. All of it is topline, from a company press release: no full dataset, and no numbers behind the lipid and blood pressure improvements it also claims.

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Round 1 filled 2,513 General Surgery seats in 2026, 160 more than last year, and government MS Open closed at rank 14,012 against 11,507 in Round 1 of 2025. Every category went deeper. The best rank to take the branch slipped from 22 to 73, and Surgery held fourth place in the top 500, behind Medicine, Radiology and Dermatology.

Round 2 opens on 6 November, and last year it moved Surgery a long way. Of the 2,353 Round 1 allottees in 2025, 1,076 never reported and 72 surrendered. Round 2 then filled 1,305 seats fresh and took government Open to 15,331, with the typical college closing 1,379 ranks deeper. Closing ranks by category for MS, DNB and deemed seats, the colleges toppers actually picked, and the state by state table are in the full piece.

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Atul Gawande tells the story in Complications. He was an orthopaedic surgeon at the top of his field, and the hours did not look like a problem until the damage was already done. We have put the whole case on Instagram, including the part about what brought him back.

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