Prof. Dr. Arpana Neopane

Prof. Dr. Arpana Neopane Contact for consultancies and appointments related to respiratory medicine, internal medicine and endocrinology.

My recent interview with Setopati where I discuss about critical care.
12/12/2023

My recent interview with Setopati where I discuss about critical care.

(श्वासप्रश्वास तथा सघन उपचार विज्ञ प्रा.डा.अर्पणा न्यौपाने नेपाल मेडिसिटी अस्पतालमा कार्यरत छिन्।) ...

14/04/2023

**Second time with Covid**

Last Saturday evening was a fun filled one with a massive family get together filled with fun dance and frolics. At the end of the evening everyone had a cone of ice cream with glee. Although many senior members were complaining of bad throat none of them refrained from having a lick. Next day 4 of them were down with high fever, cough running nose and I as a family physician was happily telling them it is usual seasonal flu and not to worry. My confidence was shattered when I myself was down with high fever, running nose and a sore throat on the fourth day. My throat was so painful that I can swear it was the worst of my life.

For two days and three nights I could not sleep because of the fever, headache and painful throat. When the fever didn’t subside on the fourth day, I gave a throat swab for Covid RT-PCR. And low and behold, I was positive. It was then I remembered again the party, the crowd and the celebration without mask.

Although we have been saying since last year that Covid has become endemic like the common cold. But there is definitely subtle difference between the two.

In late 2020, after circulating for almost a year in the human population, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) exhibited a major step change in its adaptation to humans. These highly mutated forms of SARS-CoV-2 had enhanced rates of transmission relative to previous variants and were termed 'variants of concern' (VOCs). Designated Alpha, Beta, Gamma, Delta and Omicron, the VOCs emerged independently from one another, and in turn each rapidly became dominant, regionally or globally, outcompeting previous variants. The success of each VOC relative to the previously dominant variant was enabled by altered intrinsic functional properties of the virus and, to various degrees, changes to virus antigenicity conferring the ability to evade a primed immune response. The increased virus fitness associated with VOCs is the result of a complex interplay of virus biology in the context of changing human immunity due to both vaccination and prior infection.

The variant that caught me is XBB.1.16 of omicron. It caught me without a hint and I was confident it was usual cold. Only when I started to have high grade fever for four consecutive days and also most severe sore throat of my life did I suspect.

This was my second encounter with covid. But I must say this time I was more tired, fatigued and had repeated leg cramps. I was coughing relentlessly and was wheezing. I took a full ten days to be fully alright.

Hence I want to every one to continue personal protection like mask and hand wash. As of now
two people have lost their life to covid and it is still a threat to humans endemic or not. As this Omicron variant is very contagious it will rapidly pe*****te a lot of population. More spread, more chance of mutation and development of severe disease causing strains. Although vaccination is helping to prevent severe disease boosters have to be taken every 6 to 12 months.

How much it is feasible for us is a big question. Hence prevention, personal protection and preventing spread by isolation is the clue. I want to request all to read this and implement.

Also, wishing you all a happy, healthy and prosperous New Year. Take care, mask up. Stay safe, keep others safe. 🙏

Nepal Army in collaboration with Mayor B***n
14/12/2022

Nepal Army in collaboration with Mayor B***n

***nshah /Edit : Deepak Giriके तपाईले हाम्रो च्यानललाई SUBSCRIBE गर्नु भयो ? गर्नु भएको छैन भने यस्तै रमाईलो र सन्दे...

About me...MBBS (Calcutta University), MD (TUTH)Professor of Medicine KUTrained in Pulmonary, Sleep and Critical Care Me...
26/02/2022

About me...
MBBS (Calcutta University), MD (TUTH)
Professor of Medicine KU
Trained in Pulmonary, Sleep and Critical Care Medicine (Pune)
Present appointment:
1. HoD Department of Pulmonary Sleep and Critical care
Kathmandu medical college
Sinamangal

2. HOD Critical care Department
Nepal Mediciti Hospital

3. OPD
Nepal Mediciti Hospital
Time: 4:00 to 6:00 pm

|| विजया दशमी २०७८ को उपलक्षमा सपरिवारमा सुख,शान्ति र समृद्धि तथा उत्तरोत्तर प्रगतीको हार्दिक मंगलमय शुभकामना ||
12/10/2021

|| विजया दशमी २०७८ को उपलक्षमा सपरिवारमा सुख,शान्ति र समृद्धि तथा उत्तरोत्तर प्रगतीको हार्दिक मंगलमय शुभकामना ||

This is to bring to your kind notice that I will be taking appointments at Kathmandu Medical College Hospital, Sinamanga...
26/09/2021

This is to bring to your kind notice that I will be taking appointments at Kathmandu Medical College Hospital, Sinamangal from Sunday to Friday 9:30 AM-1 PM.

Please contact KMC Hospital Sinamangal to book appointments 🙏.
Sorry for the inconvenience due to location change.

16/05/2021

हाल नेपाल कोरोना भाइरसको नयाँ भेरिएन्टले ग्रसित बनेको छ । जंगलमा डढेलो लागेको जस्तै सबैजना एकपछि अर्को संक्रमित....

28/04/2021

This is to bring to your kind notice that OPD has been suspended for the lockdown period as directed by Ministry of Health and Population hence I will not be able to take appointments during this period.

I will however be updating you about dos and donts through this page.

Will be updating about the new variant next.

Till then take care, stay safe and double mask up.

09/02/2021

Will be taking appointments at Kathmandu Medical College (KMC), Sinamangal, Sunday- Thursday, 2.00 PM - 4.30 PM.

Take care. Stay safe.

🙏

12/11/2020

*IMPORTANT INFORMATION ON HOME ISOLATION*

As COVID- 19 spreads in the community, more and more people are getting symptomatic infection. As the government resources exhaust, hospital beds are getting scarce and many people are forced to stay in home isolation without proper medical care.

Recently I was surprised to hear that a senior medical professional was staying at home with self-treatment of COVID-19 as there was no hospital beds available. The person concerned was injecting herself with Heparin at home and taking oxygen as she had difficulty in breathing. Although this kind of situation should have been anticipated and proper planning done, we are still lost amid COVID rise with very less idea about how to deal with this scarcity.

To deal with this situation discussing about what to do during home isolation would rather be a good solution than to talk about the lack of bed and ventilators. So here are few tips to those who are staying and/or might have to stay in home isolation:

Keep a thermometer and oxygen meter (pulse oxy-meter) with you and monitor every 6-8 hour. You can also keep oxygen cylinder at home if needed.
The three main symptoms needing treatment if COVID 19 patient is in home isolation are:
1. Fever which can be very high sometimes
2. Cough which can be bothersome
3. Chest discomfort and difficulty in breathing which may be the sign of COVID pneumonia

Fever: If you have high temperature
-Get a lot of rest
-Drink plenty of fluids (best would be water) to avoid dehydration- if well hydrated your urine should be light yellow and clear
-Take paracetamol every 6-8 hr. If fever not decreased you can add Flexon ( paracetamol with Ibuprofin) once or twice a day.

Cough: If cough
-Avoid lying on your back. Lie on your sides or upright.
-You can add an anti-allergic like Allegra or Cetrizine to your medication after trying a spoon of honey with eight drops of ginger juice and lukewarm turmeric water
-If cough persists, try to take a medical opinion

Chest discomfort/awareness of breathing: This may be a sign of your disease becoming severe.
-You should be able to read aloud a short paragraph without difficulty. If you need to stop in between to take breath then be alert.
-If you have an oxygen meter and your oxygen saturation is less than 94% then take medical help. It may be due to COVID-19 pneumonia and other COVID complications. It is better to see your chest HRCT and your blood and start further medications like steroid, Heparin, etc.

At home you can help yourself by trying to:
-Open the windows
-Breathe slowly in through your nose and out through your mouth, with your lips together like you are blowing out a candle
-Sitting upright in a chair
-Relaxing your shoulders
-Leaning forward with support of your elbow and knee on the floor with hip up. Known as knee elbow position provided you can do it comfortably.
-If needed start home oxygen 1-3 liters to keep your oxygen saturation above 94%
-If not possible and shortness of breath persists, call an ambulance and go to hospital.

WEAR A MASK. STAY SAFE. TAKE CARE.

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Kathmandu Medical College (KMC)
Kathmandu

Opening Hours

Monday 16:00 - 18:00
Tuesday 16:00 - 18:00
Wednesday 16:00 - 18:00
Thursday 16:00 - 18:00
Friday 16:00 - 18:00
Sunday 16:00 - 18:00

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