Ru, I'd actually been half-planning to see Mike Hayton even before your post - I gather he did some pretty bespoke surgery on Molly Thompson-Smith's pulleys. Was it him who said he wouldn't operate if you could do press-ups? Seems beside the point (but in line with the prevailing idea that SL injuries happen from axial loads/falls onto outstretched hand), and I'd hoped to find someone who could respect the goal of getting back to climbing..