dr.rebeccaqr_lim

dr.rebeccaqr_lim Hand & Reconstructive Microsurgery

I return often to Meditations โ€” not to study an emperor, but to understand endurance ๐ŸคHe ruled an empire, commanded armi...
11/04/2026

I return often to Meditations โ€” not to study an emperor, but to understand endurance ๐Ÿค

He ruled an empire, commanded armies, buried children, faced betrayal, illness, war โ€” and still wrote private notes reminding himself to be patient, to be kind, to forgive, to wake up and do the work again.

He did not write to sound wise.
He wrote because he was struggling to remain good.

That is why I admire him.

Not for power.
Not for greatness.
But for the honesty of a man afraid of becoming hardened by responsibility.

In surgery, I feel that tension every day.

We stand close to suffering.
We witness fear before anesthesia, hope after incision, silence while waiting for healing to declare itself.
There are outcomes we celebrate quietly, and others we carry home long after the operating theatre lights dim ๐Ÿ•ฏ๏ธ

And still โ€” morning comes.

What moves me about Meditations is that even an emperor needed reminders:
to be gentle with people,
to accept uncertainty,
to do oneโ€™s duty without resentment,
to serve without believing oneself important.

He understood something surgeons slowly learn โ€” that the real battle is not against disease, but against indifference, ego, and exhaustion of the spirit.

I do not idolize him because he was extraordinary.
I admire him because he kept choosing humanity while holding immense responsibility.

Some days, reading his words feels like standing beside someone across two thousand years who whispers:

Do the work.
Be decent.
Begin again. โœจ

And so we scrub in once more.

08/04/2026

An unusual scaphoid case took me somewhere unexpected ๐Ÿฆดโœจ
Sometimes a case gives you more than a diagnosisโ€ฆ it gives you a question โ“

We saw a patient with unusual scaphoid anatomy, so we used 3D reconstruction to understand it better ๐Ÿ–ฅ๏ธ๐Ÿ”
And suddenly, what seemed rare started to make sense.

The shape.
The continuity.
The relationship to the adjacent os centrale.

Comparative 3D studies show striking similarities between bipartite scaphoids in adult humans, embryos, primates, and even Neandertals ๐Ÿงฌ๐ŸŒ

In true bipartite scaphoid anatomy, the smaller os centrale often sits distal and posterior to the scaphoid, while the scaphoid itself remains morphologically continuous from proximal pole to tubercle โ€” a key clue that helps distinguish it from fracture non-union ๐Ÿฉป

And that raises a bigger thought:
maybe this is not just a clinical anomalyโ€ฆ
maybe it is part of an evolutionary story ๐ŸŒฟ

So this case became a journey:

๐Ÿ‘€ seeing
๐Ÿงฉ reconstructing
๐Ÿค” questioning
๐Ÿ’ก understanding

Medicine is at its best when it stays curious โค๏ธ
Not every unusual finding is something to fix right away.
Sometimes it is a clue โ€” to development, function, and even where we come from.

3D imaging doesnโ€™t just help us see better. It helps us think better. ๐Ÿ”ฌโœจ

Every case is a chance to learn.
Some are also a chance to wonder.

๐ŸŒ When hands are mangled, hope must be reconstructed โ€” together.This Sunday (29 March 2026), the International Microsurg...
27/03/2026

๐ŸŒ When hands are mangled, hope must be reconstructed โ€” together.

This Sunday (29 March 2026), the International Microsurgery Club (IMC) and the WSRM Educational Committee bring the global microsurgical community together for an inspiring forum:

โœจ Challenging Cases in Mangled Hand Reconstruction

๐ŸŽ™ Moderator
Rebecca Lim ๐Ÿ‡ธ๐Ÿ‡ฌ

๐Ÿ‘จโ€๐Ÿซ Global Expert Panel
Fatih Kabakas ๐Ÿ‡น๐Ÿ‡ท
Mehmet Armangil ๐Ÿ‡น๐Ÿ‡ท
Bauback Safa ๐Ÿ‡บ๐Ÿ‡ธ
Pierluigi Tos ๐Ÿ‡ฎ๐Ÿ‡น
Cheng-Hung Lin ๐Ÿ‡น๐Ÿ‡ผ
Hari Venkatramani ๐Ÿ‡ฎ๐Ÿ‡ณ
Hinne Rakhorst ๐Ÿ‡ณ๐Ÿ‡ฑ
Jorge Boretto ๐Ÿ‡ฆ๐Ÿ‡ท

Together, we will explore complex decision-making, challenging reconstructions, and lessons learned from difficult mangled hand injuries across continents.

๐ŸŒŸ We will also introduce the 2027 World Society of Reconstructive Microsurgery Meeting, to be held 3โ€“5 June 2027 in Istanbul, Tรผrkiye โ€” celebrating global collaboration, innovation, and friendship in microsurgery.

๐Ÿค IMC Faculty Recruitment
If you are passionate about education, mentorship, and advancing reconstructive microsurgery worldwide, register your interest:
https://forms.gle/WtzXKqYnnVx3Vq13A

๐Ÿ”— Join the Meeting
https://internationalmicrosurgeryclub.webex.com/internationalmicrosurgeryclub/j.php?MTID=m5ddd563855036955accc7c6d51617fc7

Meeting number: 2510 263 6473
Password: imcloveswsrm

๐Ÿ•’ Global Meeting Times

Mexico City / Houston / Chicago โ€” 07:00
Boston / New York City / Toronto / Lima โ€” 08:00
Buenos Aires / Rio de Janeiro โ€” 10:00
London / Lisbon โ€” 13:00
Lagos / Paris / Berlin / Johannesburg โ€” 14:00
Helsinki / Kyiv / Athens โ€” 15:00
Cairo / Istanbul / Moscow / Riyadh โ€” 16:00
New Delhi โ€” 18:30
Bangkok / Jakarta โ€” 20:00
Taipei / Beijing / Singapore / Bali โ€” 21:00
Tokyo / Seoul โ€” 22:00

โœจ Because every reconstructed hand represents restored dignity, independence, and hope.

Looking forward to learning together with colleagues and friends around the world.

Happy to share our article in Orthopaedic Surgery describing a novel two-stage temporary ectopic implantation strategy f...
26/03/2026

Happy to share our article in Orthopaedic Surgery describing a novel two-stage temporary ectopic implantation strategy for complex hand reconstruction after devastating bilateral upper-limb trauma โ€” a reconstructive pathway designed for the rare circumstance in which conventional immediate replantation is not feasible, yet meaningful recovery remains worth pursuing.

The significance of this work lies not only in technical ex*****on, but in outcome: restoration of protective sensibility, grasp, pinch, and eventual return to occupation. We hope this technique adds meaningfully to the armamentarium of original microsurgical reconstruction methods for carefully selected cases.

What lingers most is not only the technical originality of the operation, but the philosophy beneath it: when the usual options fall away, thoughtful reconstruction can still offer dignity, function, and hope.

Beyond anatomy and technique, this is a story about refusing to let catastrophe have the final word.

Grateful to the entire team behind this work.

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