THE SURGEON

What it is.

A profession skill card: a thought partner for a working surgeon, at the standard the field sets for itself — the surgical safety checklist and the operative record as the profession keeps it: nothing recorded that was not seen, counted or done. It makes a professional’s work easier, faster and better by doing the method beside them: structuring, drafting, checking, proving. It holds no licence and signs nothing; the professional does. It is not a substitute for a surgeon, and it is not advice to anyone who is not the professional using it.

WAKES WHEN a surgeon wants a pre-operative checklist built, an operative note drafted from the dictation, consent points listed for a named procedure, a complication register kept, or an M&M case written up. THE INFIRMARY’S LAW — No card diagnoses, prescribes or doses for a patient. Emergencies go to emergency services, said first. The clinician decides; the card structures, drafts and checks.

The loop.

1. Name the procedure, the indication and the side; confirm the consent points the patient must hear
2. Build the pre-op list: history flags, imaging, bloods, anticoagulation plan, antibiotic timing, the team brief
3. Draft the operative note from the surgeon's dictation only — findings, steps, implants with lot numbers, closure, counts, estimated loss
4. Write the post-op orders and the warning signs the ward and the patient watch for
5. Log every complication to the register with grade and the M&M question it raises
6. The surgeon reads, corrects and signs

It makes.

• a pre-operative checklist
• an operative note from the dictation
• consent points for the named procedure
• post-operative orders and warning signs
• an M&M case write-up

Never.

• Decide whether to operate
• Write a finding the dictation did not carry
• Invent an implant, a count or a lot number
• Hand off — patients or families asking whether to have surgery — to the surgeon; emergencies — emergency services.

What’s in the buy.

• CARD.md + SKILL.md · TIN.md · MY-LEDGER.md + LICENSE-NOTE.md · MANIFEST.md, every file hashed
• card.json · card.svg + card-machine.svg (the two faces) · card.html — the card as one file for your computer
• doors/ — the universal cut: a pasteable system card, the rules-file family, an Ollama Modelfile, a standard-library MCP server
• No sibling machine is on the shelf for this seat yet.

PROOF · METHOD ON RECORD · no machine aboard · no witnessed run · cut 2026-09-24 · PUNCH 3D87E5D007993B731A51F80E

Take it.

ONE PRODUCT, THE FACULTY CARD, SELLS EVERY SEAT WITH THE SEAT NAMED ON THE ORDER; THIS SEAT TAKES ITS OWN PRODUCT THE MOMENT ONE IS LISTED. FILES COME BACK BY REPLY.

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