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21/11/2025

Medicines and Surgeries are never as simple as helpful or harmful, for those who have a black and white view on such topics. Everything a good doctor learns teaches him/her the benefits and potential risks of a treatment or preventive pathway.
"Knowing when to act is just as important as knowing when to abstain. "

10/10/2025

R E S O L V E
Your strength isn't a constant, it is altered by a plethora of factors outside and within. Your resolve isn't just how powerful you can be all the time. It is how many times you can get back up after falling. Reclaiming that resilience isn't always a miraculous process during great feats, it can happen in any spontaneous moment of pondering.

1: One 30 hour long Morning, Evening, Night and Morning Shift later2: Seeing the Sun Again3: The Sight of your Chariot.....
02/02/2025

1: One 30 hour long Morning, Evening, Night and Morning Shift later
2: Seeing the Sun Again
3: The Sight of your Chariot...
4: And the comfort of the chair knowing you're heading home
6: Passed out on my sofa after bathing and freshening up... Feeling at ease you did your diligence to the best

PRE-OP ANXIOLYSIS IN PEDIATRIC SURGERY PATIENTSThe practice of calming children down as much as possible to ensure more ...
28/12/2024

PRE-OP ANXIOLYSIS IN PEDIATRIC SURGERY PATIENTS
The practice of calming children down as much as possible to ensure more positive outcomes and reduction of perioperative risks such as compromised IV lines or potential physical injuries.
Pharmacological Interventions such as Midazolam are useful, but the social approach by simply being friendly to the tiny humans, distracting them and showing them a caring hand as their parents would can have efficacious results as we've seen. Of course it depends on the child also, seperation anxiety can be excessively pronounced in some children, but like any other aspect of medicine, where prudent, the conservative approach should be favoured.

References
Sen S, Thakurta RG, Gupta SD, Bhattacharya S, Mukherji S. Preoperative anxiolysis in pediatric population: A comparative study between oral midazolam and oral ketamine. Anesth Essays Res. 2013 May-Aug;7(2):200-5. doi: 10.4103/0259-1162.118960. PMID: 25885833; PMCID: PMC4173508.

Heikal S, Stuart G. Anxiolytic premedication for children. BJA Educ. 2020 Jul;20(7):220-225. doi: 10.1016/j.bjae.2020.02.006. Epub 2020 Apr 21. PMID: 33456954; PMCID: PMC7807914.

Cassady, Joseph F. Jr., MD; Wysocki, Timothy T. PhD; Miller, Kathryn M. PhD; Cancel, Dawn D. MA; Izenberg, Neil MD. Use of a Preanesthetic Video for Facilitation of Parental Education and Anxiolysis Before Pediatric Ambulatory Surgery. Anesthesia & Analgesia 88(2):p 246-250, February 1999. | DOI: 10.1213/00000539-199902000-00004

PERCUTANEOUS NEPHROSTOMYOne of the primary emergency procedures taught to us during Urology Rotations in trainingAn inte...
28/12/2024

PERCUTANEOUS NEPHROSTOMY
One of the primary emergency procedures taught to us during Urology Rotations in training
An interventional radiology (IR) procedure whereby a drainage catheter is percutanously placed in the renal collecting system. The procedure is used most commonly for decompression of an obstructed upper urinary tract. Since the publication of the first report describing this procedure in 1955, PCN has become the primary choice for temporary and at times long-term drainage of an obstructed upper urinary system
(Medscape)

3rd International Pediatric Urology CongressA meeting from Pediatric Urologists from all across the world, from the UK, ...
28/12/2024

3rd International Pediatric Urology Congress
A meeting from Pediatric Urologists from all across the world, from the UK, Egypt, China, UAE and Pakistan to discuss their Surgical Prowess and Achievements and gain new perspectives that staying in one place cannot give us
For myself, it meant (in the order for the posts)
1, 4. Functioning as Master of Ceremony alongside my own case presentation
2, 3. Managing the Conference as the consultants gave their key note talks and performed Surgery live from our Operation Theatre
5. Assisting the Surgeries while the Live Broadcast was displaying
6. Backroom management to make sure what we announce is cross checked
7. A Well Deserved Break after Three long days of Work
8. A moment of levity with the department

28/12/2024

THE OUTPATIENT DEPARTMENT

1. Neck Examination: A patient of Cervical Lymphadenopathy
2. Our Work environment in a less busy time ft. My Fellow Resident and Consultant
3. Listening and Counselling, what takes up the most of a physician's time in the OPD
4. Realizing that I am actually tired Forty to Fifty individual consultations later... To peer at the light of the Late Afternoon Sun after 7 hours that pass by in a heartbeat

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