Dr. Amit Kumar Thakur

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Pakistan
Bahawalpur
Dr. Amit Kumar Thakur

Medical Officer: Sukraraj Tropical and Infectious Disease Hospital, Teku
MBBS: Quaid-e-Azam Medical College, Bahawalpur

28/11/2025

Kidney stones removed yesterday by the team of Prof. Dr. Mumtaz Rasool.
Prevention is always easier than surgery—drink water, stay healthy.

24/11/2025

Somewhere doctors are crying silently when Pantop became a chatpate spoon 😂😂
When patients say they’re taking medicines ‘as prescribed’… but the Pantop (Pantoprazole) is busy serving chatpate.🤐🤐🤐

07/10/2025

It always feels wonderful to share my knowledge with all of you.
Your support constantly inspires me to keep learning, learning more, learning better so I can provide the best care to my patients, both now and in the future.
I truly appreciate your feedback, whether through comments or messages. It means a lot and helps me grow further..
We’re now a family of over 1,000 followers on Facebook (Dr. Amit Kumar Thakur) and 5K loading on YouTube (Dr. Amit’s Lectures).
Small milestones, yet deeply meaningful and worth celebrating.
Thank you all for being a part of this journey ❤️🙏

03/10/2025

Rabies Survivor’s Story:
Rabies has long carried the reputation of being almost universally fatal. Yet in recent years, a handful of rare survival stories have emerged—21 documented cases so far, with the possibility of being more unreported.

🔹 Exposure: Every known survivor had sustained WHO Category III dog bites. Nearly all received anti-rabies vaccination (ARV), though rabies immunoglobulin (RIG) was either delayed, given inadequately, or not administered at all.
🔹 Clinical Course: The incubation ranged from 15 to 90 days. Presentations often strayed from the textbook “furious” or “paralytic” rabies, appearing atypical in many.

🔹 Management:
No specific antiviral has ever been effective.
The so-called Milwaukee Protocol has not delivered consistent success.
What saved lives was supportive intensive care—airway protection, ventilation, fluid and electrolyte balance, seizure control, and stabilization of autonomic disturbances.

Some patients received RIG late, but most had completed multiple ARV doses.

📌 The 21st Case: Pakistan
The recently reported survivor from Pakistan fits this global pattern. What made the difference was not a miracle drug, but early ICU admission, aggressive supportive management, and careful stabilization of complications, followed by long-term rehabilitation.

So survival from rabies, while possible, remains the exception. The real weapon is still prevention—immediate wound washing, timely vaccination, and appropriate RIG administration. Supportive critical care may occasionally save lives, but stopping rabies before it starts is far more effective.

28/09/2025

Finally after two years of starting this project, I’m happy to have this paper published.
Thanks to Dr. Javeria Aslam ma'am for her supervision..
Link: https://lnkd.in/davkTCRC
Requesting everyone to give a read...

26/06/2025

Successful Hydrocele Surgery at Provincial Hospital Malangwa

On behalf of our surgical team, I’m pleased to share that we successfully performed a right-sided hydrocele surgery under spinal anesthesia at Provincial Hospital Malangwa. A total of 600 ml of fluid was drained from the hydrocele sac.

This was a team effort, and I’d like to express my sincere appreciation to everyone involved:
Surgery Team:
Dr. Sanjiv Kumar Jha, MS, General Surgery
Dr. Amit Kumar Thakur, Medical Officer

Anesthesia Team:
Dr. Sanjiv Chaudhari, MD, Anaesthesiology
Rakesh Yadav, Anesthesia Officer
Niru Di, Office Assistant
Grateful for the coordination, professionalism, and dedication shown by the entire team. Together, we continue our commitment to delivering quality surgical care to the community.

Every incision is a promise-to do our best, to do no harm, to do what's right.

18/06/2025

Why Ciprofloxacin should be avoided with Diclofenac?
Cipro + Diclo = CNS Disco (seizures dance)

🔴 Increased risk of seizures
⚠️ Ciprofloxacin is a fluoroquinolone antibiotic.
⚠️ Diclofenac is a NSAID.
📍 Both of them affect the central nervous system (CNS).
💊 Ciprofloxacin can lower the seizure threshold (makes the brain more likely to have seizures).
💊 Diclofenac can enhance this effect.
⚠️ So, using them together increases the risk of seizures, especially in:
📌 Elderly patients
📌 People with epilepsy
📌 Those with brain injury or other CNS problems

25/04/2025

Management of Snake Bites:

Initial First Aid and Transfer

1. Reassure the patient and immobilize the affected limb.
2. Transport the patient to the nearest facility with ASV availability.

Avoid letting the patient walk or run.

If an ambulance isn't available, use a motorcycle or bicycle—time matters, but unnecessary exertion worsens outcomes.

Hospital Management

1. Assess ABC (Airway, Breathing, Circulation) and vitals. Reassure the patient continuously.

2. If signs of envenomation are present:

For patients over 13 years, give 0.25 ml (250 mcg) Adrenaline SC as a *prophylactic dose.*

Administer 10 vials (100 ml) of ASV, each diluted with 10 ml of the provided diluent and mixed in 400 ml of NS/DNS/Dextrose (total 500 ml).

Infuse at a rate so that it will finish in an hour (500/60 = 8.3ml/min of fluid (NS+ASV) (or 100/60 = nearly 2ml/min ASV), closely monitor for anaphylaxis or pyrogenic reactions.

3. If symptoms persist (in neurotoxic (repeat ASV only if symptoms worse) or hematotoxic bites (repeat ASV whether symptoms persist or worse)), give a second dose of 5–10 vials (total 250–500 ml) at the same rate.

*Do not exceed 20 vials and same dose, same dose 10-20 vials in children as well*

If still no improvement, give supportive/symptomatic treatment like intubation, FFPs and refer to a higher center with ventilatory support.

*Remember, patients can survive envenomation without ASV if ventilation is provided in time.

Managing ASV Reactions

Anaphylaxis:

*Stop ASV. Administer 0.5 ml (500 mcg) Adrenaline IM in the anterolateral thigh.*

Reassess in 5 minutes. Repeat up to 3 doses if needed.

If no response, add Corticosteroids, Pheniramine, and IV fluids as required.

Pyrexia:
Treat with Paracetamol infusion.

Ventilatory Support

If respiratory distress develops, intubate immediately and transfer with Bag-Mask ventilation to a higher center.

*Snakebites are avoidable, preventable, and treatable. Timely and appropriate management can save lives.*

06/04/2025

On this World Health Day, I send my warmest wishes to everyone. This year’s theme, ‘Healthy Beginnings, Hopeful Futures’, beautifully reminds us that the foundation of a healthier world begins with nurturing every life from the very start.
As a doctor, I’ve seen how early care, awareness, and support can shape not just individual lives, but entire communities. Let’s commit to giving every child, every family, and every community the chance to thrive—because when we invest in healthy beginnings, we create the path to hopeful, resilient futures.

$A 7-year-old brave girl presented to our Emergency Department with a spiral, displaced mid-shaft fracture of her right f...$

21/03/2025

A 7-year-old brave girl presented to our Emergency Department with a spiral, displaced mid-shaft fracture of her right femur. After prompt immobilization in the ER, she underwent a successful Closed Reduction and Internal Fixation (CRIF) with Titanium Elastic Nails (TENs) under spinal anesthesia and C-arm guidance at Provincial Hospital, Malangwa.

This complex procedure was made smooth and effective thanks to the outstanding teamwork and dedication of our skilled Orthopedic and OT team:

Orthopedic Team:
Dr. Krishna Jung Shah , Assistant Professor, Orthopaedic Surgery
Dr. Amit Kumar Thakur, Medical Officer
Dr. Firoz Ali, Medical Officer
Mr. Rakesh Yadav, Anesthetist
Mr. Roy Harekrishna Yadav, Radiographer
Miss Lata, Nursing Staff
Mrs. Mina, OT Assistant
A big salute to the entire team for ensuring excellent care and swift recovery for our young patient!
Proud of Team Provincial Hospital, Malangwa!

20/03/2025

A case of precision, teamwork, and compassionate care.

A 7-year-old male presented to the Emergency Department with a fracture of the head and neck of the right humerus. The patient was promptly stabilized with immobilization and pain management in the ER. Following this, he was prepared for Closed Reduction and Internal Fixation (CRIF) using Kirschner wires under Intravenous Anesthesia (IVA).
The procedure was carried out successfully under the expert supervision of:

Ortho Team:
Dr. Krishna Jung Shah, Assistant Professor Orthopaedic Surgery
Dr. Amit Kumar Thakur, Medical Officer
Mr. Rakesh Yadav, Anesthetist
Miss Pitul, Nursing Staff

Performed at Provincial Hospital Malangwa, this case highlights the seamless coordination and dedication of our orthopedic team in restoring function and ensuring the well-being of our young patient.

Address

Bahawal Victoria Hospital (BVH)
Bahawalpur
86100

Telephone

+923150468518

Website

https://youtube.com/@amitslectures7800

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