You know that you are speaking to a surgeon when he tells you that you can correct hyperkalaemia with a bag of normal saline. You know that you are speaking to a surgeon when he tells you that you can correct hyponatraemia of a patient who is nil by mouth and difficult to cannulate with a bag of Walkers crisp. You know that you are speaking to a surgeon when he tells you to call the elderly care team when the relatives of a surgically fit for discharge patient is too difficult to deal with. You know that you are speaking to a surgeon when he stops the intravenous fluids when the patient takes two sips of water in the last 24 hours without checking their fluid balance charts. You know that you are speaking to a surgeon when he looks blankly at you when he is told that the patient had a myoview scan. You know that you are speaking to a surgeon when they tell you to call the Diabetes Registrar when someone has hyperglycaemia 1 hour post-TPN feeding. You know that you are speaking to a surgeon when he asks you what Aricept is. You know that you are speaking to a surgeon when he tells you that a 94-year old lady with dilated large bowels is not a spring chicken. You know that you are speaking to a surgeon when you are having a good time in theatre after a long tiring day!