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Dr. Amit Kumar Thakur, Bahawal Victoria Hospital (BVH), Bahawalpur (2025)

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.

$2081/12/05 (Tuesday)A 70-year-old female patient sustained a distal shaft fracture of the left radius following a fall 5...$

18/03/2025

2081/12/05 (Tuesday)
A 70-year-old female patient sustained a distal shaft fracture of the left radius following a fall 5 days ago. Today, the orthopedic team successfully performed a closed reduction with percutaneous pinning (CRPP) under C-arm guidance and hematoma block local anesthesia, under the supervision of Dr. Krishna Jung Shah, Assistant Professor of Orthopedic Surgery. The patient is currently admitted to the general ward of Provincial Hospital Malangwa for post-operative management.
Wishing her a smooth and speedy recovery.

Orthopedic Team:
Dr. Krishna Jung Shah, Assistant Professor, Orthopedic Surgery
Dr. Amit Kumar Thakur, Medical Officer
Mr. Surendra Mandal, Anesthesia Assistant

$A patient with a distal shaft fracture of the radius, sustained in a road traffic accident (RTA), underwent surgery in t...$

13/03/2025

A patient with a distal shaft fracture of the radius, sustained in a road traffic accident (RTA), underwent surgery in the Orthopedic Operating Theater at Provincial Hospital Malangwa on 2081/11/28. The procedure, performed by the orthopedic team, involved open reduction and internal fixation with plating under aseptic conditions and comprehensive management.
Wishing the patient a swift recovery.

Orthopedic Team:
Dr. Krishna Jung Shah (Assistant Professor - Orthopedics)
Dr. Amit Kumar Thakur (Medical Officer)
Ms. Pushpa Yadav (Nursing Staff)
Mr. Rakesh Kumar Yadav (Anesthesia)

05/03/2025

Successful Implant Removal Surgery at Provincial Hospital Malangwa

Under the strict supervision of Dr. Krishna Jung Shah, Assistant Professor, Orthopedic Surgery, our dedicated surgical team successfully performed an Implant Removal (IMNIL) of the left leg on Mr. A*** Kapar (28/M) at Provincial Hospital Malangwa.

The procedure was conducted smoothly, ensuring the best possible care for the patient. The hard work and precision of our ortho team made this surgery a success!..

At Provincial Hospital Malangwa, we remain committed to providing top-quality orthopedic care to our community. Wishing this patient a speedy recovery!..

Ortho team:
Dr. Krishna Jung Shah (AP Orthopaedic Surgery)
Dr. Amit Kumar Thakur (Medical Officer)
Mr. Surendra Mandal (Anesthesia Assistant)
Mrs. Radha Di (Officer Assistant)

24/02/2025

Success Story of Team work:

A 2-year-old patient was brought to the Emergency Room at Provincial Hospital Malangwa after falling from the first floor (roof). X-rays (AP and lateral views) of the right thigh revealed a mid-shaft displaced closed fracture.
To ensure optimal healing, we applied traction and admitted the child to our general ward for 14 days, opting for a secondary hip spica instead of a primary one—resulting in safer and more effective outcomes.
On the 11th of Falgun, our orthopedic team successfully applied a hip spica cast. The follow-up X-ray shows excellent bone alignment. The cast will be removed after 4-6 weeks, following regular follow-ups.

Ortho Team:
Dr. Krishna Jung Shah (MS-Ortho)
Dr. Roshan Shah (MS-Ortho)
Dr. Shiv Raj Shah (MS-General Surgery)
Dr. Amit Kumar Thakur (Medical Officer)
Mr. Surendra Mandal (Anesthesia)
Mr. Mohan Dai (OT Assistant)

09/02/2025

हाइपोथाइराइडिज्ममा खान *नहुने* खानेकुरा:
Foods to be AVOIDED in HYPOthyroidism:

१. गोइट्रोजेनिक (थाइराइडलाई असर गर्ने) खाना:
क्रुसिफेरस तरकारीहरू: बन्दागोभी, फुलगोभी, तोरीको साग, मूला, सलगम
मिलेट (कोदो, बाज्रा): थाइराइड हर्मोनको उत्पादनमा बाधा पुर्‍याउन सक्छ
सोया प्रोडक्ट्स: सोयाबिन, सोया दूध, टोफु
कसावा (सखरखण्डको जस्तै तर विषाक्त)

२. प्रशोधित (प्रोसेस्ड) र धेरै गुलियो खाना:
रिफाइन्ड खाना: मैदाबाट बनेका परिकार, चाउचाउ, बिस्कुट
अत्यधिक चिनी भएका पेय पदार्थ: चिनी मिसाएको चिया, चिसो पेय (सफ्ट ड्रिंक)
डीप-फ्राइड खाना: पकौडा, समोसा, भटमास फ्राइ

३. धेरै फाइबरयुक्त खाना:
अत्यधिक दाल, चोकरसहितको पिठो: थाइराइड हर्मोनको अवशोषणमा समस्या आउन सक्छ

४. मदिरा र क्याफिन:
रक्सी (रक्सी, बियर): थाइराइडलाई असर गर्न सक्छ
धेरै चिया, कफी: थाइराइडको औषधिको असर कम हुन सक्छ

५. दूषित पानी:
फ्लोराइड र भारी धातु भएको पानी: केही क्षेत्रमा जमिनको पानी दूषित हुन सक्छ, त्यसैले सफा पानी मात्र पिउने

के खाने?

✔ आयोडिनयुक्त खाना: आयोडिन नुन, माछा, दुधजन्य परिकार
✔ सेलेनियमयुक्त खाना: सिमी, ओखर, अण्डा
✔ एन्टिअक्सिडेन्टयुक्त फलफूल: मेवा, सुन्तला, अम्बा
✔ सन्तुलित प्रोटिन स्रोत: मासु, अण्डा, दाल

: American Thyroid Association

15/01/2025

Generations are classified based on shared historical, cultural, and technological influences:

1. Silent Generation (1928–1945): Grew up during the Great Depression and WWII; values stability and hard work.
2. Baby Boomers (1946–1964): Post-WWII prosperity; optimistic and ambitious.
3. Generation X (1965–1980): Cold War, rise of technology; independent and adaptable.
4. Millennials (1981–1996): Internet boom, 9/11, financial crisis; tech-savvy and socially conscious.
5. Generation Z (1997–2012): Digital natives; pragmatic and entrepreneurial.
6. Generation Alpha (2013–2025): Born into AI and advanced tech; innovative and globally connected.
7. Generation Beta ......
These divisions reflect how historical and technological contexts shape attitudes and behaviors.

Dr. Amit Kumar Thakur

26/06/2025

18/06/2025

25/04/2025

06/04/2025

21/03/2025

20/03/2025

18/03/2025

13/03/2025

05/03/2025

24/02/2025

09/02/2025

15/01/2025

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