Medical Journey and beyond

22/08/2025

link to join the conference :

https://meet.google.com/nhw-wtvz-qre

07/08/2025

Patient Testimonial on Cancer Research & Treatment by Dr. Tshetiz Dahal

My Name is Matt Ode – A Journey Through Cancer, Resilience, and Giving Back

At the age of 24, I was diagnosed with Stage 3C Testicular Cancer. By 25, I was placed in a two-week non-induced coma after doctors discovered an 11 cm tumor in my small intestine. I underwent five grueling rounds of BEP chemotherapy, followed by a 10-hour surgery to remove the tumor.

What came next was an unimaginable series of complications—my body shut down, leading to complete kidney and liver failure. I fell into a two-week coma, spent 40 of my 53 hospital days in the ICU, and went into cardiac arrest just one week after waking up—resulting in another week-long coma. Over the course of this journey, I underwent four additional surgeries, the last of which left me with an open abdominal wound. I had to learn to walk again and rebuild every part of my life, dropping from a 185 lb personal trainer to just 110 lbs within 8 months.

I’m honored to now be collaborating with Dr. Tshetiz Dahal, whose pioneering work in cancer research and treatment is bringing new hope to the fight against cancer. Today, I am cancer-free. I’ve regained my strength, my weight, and my purpose. I’ve turned my experience into a mission to help others—survivors, patients, and caregivers—find healing and direction through their own battles.

Dr. Dahal’s dedication to advancing therapies and improving outcomes for patients is both inspiring and essential. His involvement further strengthens our community’s commitment to not just surviving—but thriving.

“As someone who has been through the darkest depths of cancer, I can say with full conviction that hope is often found in the hands of those who refuse to give up on us. For me, that hope came through the groundbreaking research and compassionate care of Dr. Tshetiz Dahal.

Dr. Dahal’s approach to cancer treatment goes beyond medicine—it’s rooted in deep humanity, relentless innovation, and a fierce commitment to saving lives. His cutting-edge work in cancer research didn’t just treat my condition; it reignited my belief that a cure is not a dream, but a future that’s being built today.

Thanks to his guidance and the therapies pioneered through his research, I not only survived—I found strength I never knew I had. Every day I wake up, I’m reminded that I’m living proof of what can happen when brilliant science meets unwavering compassion.

Dr. Dahal, thank you for being a beacon of hope in a world that so desperately needs it. Your work is changing lives—and I’m honored to be one of them.”

Let’s continue to uplift, rebuild, and find meaning beyond the battle.

— Matt Ode

07/08/2025

https://youtu.be/_X2zYD_OYio?si=wtS-B077v2Bk82hq

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Join Dr. Dahal in this enlightening video as he uncovers the latest breakthroughs in cancer research that could revolutionize treatment and patient care! Dis...

14/07/2025

COMING SOON : FIRST EDITION

Book : Textbook of Oncology and Hematology

Autbored By : Dr. Tshetiz Dahal

ISBN: 978-93-343-4518-6

ORCID ID : 0000 0002 4042 7768

01/07/2025

Wishing a very Happy Doctor’s Day to the ones who heal with their hearts and treat with their wisdom. To all the doctors who work selflessly to keep us healthy, we salute you. Happy Doctor’s Day ...

Doctor’s Day is a special day dedicated to honoring doctors and medical professionals for their tireless service, dedication, and commitment to saving lives and improving public health.

In India, Doctor’s Day is celebrated on July 1st every year in memory of Dr. Bidhan Chandra Roy, a renowned physician and the second Chief Minister of West Bengal, who was born and died on the same date (1st July). He was also awarded the Bharat Ratna for his exceptional contributions to medicine and society.

🩺 Significance of Doctor’s Day
1. Acknowledging Sacrifices – Doctors often work long hours under stressful conditions and make personal sacrifices to care for patients.
2. Celebrating Medical Progress – It is a reminder of the critical role that medicine and healthcare play in society.
3. Building Trust – It strengthens the bond between patients and healthcare providers, promoting respect and trust.
4. Inspiring Future Generations – It encourages young people to consider careers in medicine and healthcare.

On this Doctor’s Day, take a moment to thank the doctors in your life and take a step towards your own health by scheduling your annual full body checkup. Staying informed about your health is one of the best gifts you can give yourself—and it makes your doctor’s job a lot easier ...

28/06/2025

Medical Case Report on a Heart Attack (Myocardial Infarction):

Case Report: Acute Myocardial Infarction in a 54-Year-Old Male

Patient Information:
• Age/S*x: 54-year-old male
• Medical History: Hypertension for 5 years, smoker (1 pack/day for 30 years), sedentary lifestyle
• Family History: Father died of myocardial infarction at age 60
• Presenting Complaint: Sudden onset of severe, crushing chest pain radiating to the left arm and jaw, lasting more than 30 minutes
• Associated Symptoms: Nausea, profuse sweating, shortness of breath

Clinical Findings:
• Vitals on Admission:
• BP: 90/60 mmHg
• HR: 110 bpm
• RR: 24/min
• SpO₂: 92% on room air
• ECG: ST-segment elevation in leads II, III, and aVF (suggestive of inferior wall MI)
• Cardiac Enzymes:
• Troponin I: Elevated
• CK-MB: Elevated

Diagnosis:

ST-Elevation Myocardial Infarction (STEMI) – Inferior Wall

Management and Treatment:
• Immediate administration of:
• Aspirin 300 mg and clopidogrel 600 mg orally
• Sublingual nitroglycerin
• Intravenous morphine for pain relief
• Patient was transferred for primary percutaneous coronary intervention (PCI) within 90 minutes
• Coronary Angiography: 100% occlusion of right coronary artery
• Treatment: Balloon angioplasty followed by stent placement
• Post-Procedure Medications: Dual antiplatelet therapy, beta-blockers, statins, ACE inhibitors, lifestyle counseling

Outcome and Follow-Up:
• Patient was stabilized and discharged after 5 days
• At 1-month follow-up: No recurrence of chest pain, improved exercise tolerance, adherence to medications and lifestyle changes
• Cardiac rehabilitation advised

Discussion:

This case highlights a classic presentation of acute myocardial infarction and underscores the importance of rapid diagnosis and timely intervention. Risk factors such as smoking, hypertension, and family history were strongly contributory. The use of primary PCI significantly improved the patient’s outcome, reinforcing current guidelines.

28/06/2025

🎗️Case Report :

1. Spontaneous Coronary Artery Dissection (SCAD) in a Young Woman
• Summary: A 35-year-old woman with no cardiac risk factors presented with acute chest pain. ECG showed ST-elevation MI. Angiography revealed SCAD.
• Learning Point: SCAD is an important differential for MI in young women without atherosclerosis.

25/06/2025

This CT scan belongs to a 73-year-old woman in whom doctors discovered a 30-year-old calcified fetus.

Known medically as a lithopedion, this rare condition occurs when a fetus dies during pregnancy and is not expelled from the body. Instead, the body responds by surrounding the remains with calcium deposits, effectively preserving the fetus in a calcified form. This usually happens when fetal death occurs during the second trimester and the body does not recognize or respond to the loss, allowing the fetus to remain in the abdominal cavity undetected for years.

25/06/2025

Research Title : Genomic variation, prospective accuracy, and prevalence of previous malignancies in non-small cell lung cancer (NSCLC) associated with alterations in PIK3CA

Original Article
Author Details : Tshetiz Dahal*
Volume : 8, Issue : 2, Year : 2025
Article Page : 35-43

Pdf link : https://pdf.ipinnovative.com/pdf/24680

Journal link : https://www.sajhp.com/article-details/24680

Citation : Dahal T , Genomic variation, prospective accuracy, and prevalence of previous malignancies in non-small cell lung cancer (NSCLC) associated with alterations in PIK3CA. South Asian J Health Prof 2025;8(2):35-43

19/06/2025

This is an important and nuanced question, " why indian people are not much interested in Medical Research", rather the issue is more about systemic barriers, infrastructure gaps, and prioritization challenges that have historically limited India’s contribution to global cutting-edge medical research relative to its potential.

Here’s a breakdown of the key reasons:

1. Low Funding for Research
• GDP Allocation: India spends only around 0.7% of its GDP on R&D, compared to ~2–3% in countries like the US, China, or South Korea.
• Medical Research Gets Less: Within that, medical research receives only a small slice. Most funding goes to defense or space.

🏥 2. Clinical Burden > Research Focus
• Doctors in India are overburdened with clinical work due to the high doctor-patient ratio. For example:
• Government hospitals are overcrowded.
• Private hospitals prioritize service delivery and profits.
• This leaves little time or incentive for research activities.

🎓 3. Academic & Institutional Weakness
• Many Indian medical colleges lack a research culture.
• MBBS and MD/DM programs focus heavily on rote learning and exams, not critical thinking or scientific inquiry.
• Faculty promotions have historically not been based on the quality of published research.

🧠 4. Brain Drain
• Many of India’s brightest minds go abroad (especially to the US, UK, or Europe) for PhDs, postdocs, and medical training — and stay there.
• India produces talent, but often doesn’t retain it.

💰 5. Lack of Industry-Academia Collaboration
• In countries like the US, pharmaceutical and biotech companies collaborate extensively with universities and hospitals.
• In India, such partnerships are rare and often limited to clinical trials, not innovation.

⚖️ 6. Regulatory and Bureaucratic Hurdles
• Approval for trials, ethics clearance, and research grants is slow and often unpredictable.
• Clinical trials have faced controversy and public mistrust, leading to restrictive policies post-2013.

🌍 7. Global Inequity in Recognition
• Research done in India often gets less visibility in top journals.
• Language, funding, and publishing barriers make it harder to participate in high-impact global discourse.

But — It’s Not All Negative:

India has made progress in some areas:
• ICMR, AIIMS, CSIR, and DBT fund important research.
• COVID-19 accelerated domestic research capabilities (vaccines, epidemiology, etc.).
• Institutes like NIMHANS, Tata Memorial, and CCMB do publish high-quality research.
• Startups in biotech (like Bharat Biotech or Serum Institute) are growing.

🔑 So, Why the Perception?

It’s a combination of:
• Structural challenges
• Underfunding
• Lack of prioritization
• Low visibility of existing work

But there is interest in medical research in India. What’s missing is a national strategy to support, scale, and retain it.

NATIONAL STRATEGY :-

🧱 1. Boost Investment in Medical R&D

National Level:
• Increase public health R&D spending from

16/06/2025

The posterior cord of the brachial plexus gives rise to five branches: the upper subscapular nerve, thoracodorsal nerve (also known as middle subscapular nerve), lower subscapular nerve, axillary nerve, and radial nerve. These nerves innervate muscles in the shoulder and upper arm, as well as providing sensory innervation to the posterior arm, forearm, and hand .

13/06/2025

The preauricular sulcus is a bony groove found on the inferior aspect of the ilium (hip bone) near the sacroiliac joint. It is often described as a characteristic feature of the female pelvis, appearing in about 20% of women. The sulcus can vary in size and depth, from a slight concavity to a deep groove with overhanging edges.

Location:
The preauricular sulcus is located on the inferior aspect of the ilium, which is the upper part of the hip bone.

It's situated near the sacroiliac joint, which connects the ilium to the sacrum (the triangular bone at the base of the spine).

It's often described as being adjacent to the inferior surface of the sacroiliac joint.

Appearance:

In females: The sulcus is often described as being deeper and having more clearly demarcated edges.

In males: It is usually shallow with open sides.
The sulcus can vary in size and depth, even within a single s*x.

It can range from a slight concavity to a deep groove with overhanging edges.

Use in S*x Estimation:

The preauricular sulcus is sometimes used as a tool in forensic anthropology and archaeology to help estimate the s*x of an individual based on skeletal remains.

However, it's not a perfect indicator of s*x, and other features of the pelvis are also considered.

Studies have shown that the sulcus is not always present in females and can be present in some males .

Age and other factors can also influence the development of the sulcus .

Therefore, it's important to consider multiple features when estimating s*x from the pelvis .