Seven weeks of building the Safety Officer Ben framework from first principles. With departure four weeks away, that framework becomes a packing list — cold water protection, thermal regulation, footwear, wound management. Built from mechanism, not a retail checklist.

Hook injuries, deck falls, and the wrist loading of extended fly casting — a hand surgeon who fishes offshore and plans to fly fish in Alaska has a professional relationship with the injuries this sport produces. Most are not dramatic. Most are also entirely preventable.

The injuries I see most predictably are not the dramatic ones — they are the falls. And falls start at the ground. Every fall prevention conversation is also a hand and wrist injury prevention conversation. Your hands go out first — which means what is on your feet determines what ends up on my operating table.

The OR/OR standard and the four-question framework for evaluating risk in any environment. Why predictable injuries are preventable injuries — and why a surgeon sees gear choices as clinical decisions made outside the hospital.