The Realm

The Realm Personal Blog
Pediatric Surgery Resident
Poetry
Medical Advice
Creative Writing..many more services

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

ON CALLA time in the hospital from Sunrise to Sunset the next dayJumping from task to task, ensuring with full measures ...
19/10/2024

ON CALL
A time in the hospital from Sunrise to Sunset the next day
Jumping from task to task, ensuring with full measures they're done with, leaning back for one second only to ponder what more can be done and getting back to it

From checking patients, to interventions, to documentation, to walking around not knowing why you have a few minutes to spare before getting back to it

Presenting a case at Urocon for Pediatric UrologistsAn honour indeedOur case was about a 10 year old Girl Suffering from...
18/10/2024

Presenting a case at Urocon for Pediatric Urologists
An honour indeed
Our case was about a 10 year old Girl Suffering from Urolithiasis, with extensive stones throughout her Renal pathway, where we utilized ECIRS (Endoscopy Combined Intrarenal Surgery) to remove them
Credit to Dr. Ghulam Mujtaba Zafar, HOD Pediatric Urology, Children Hospital Lahore for performing the procedure and giving me the opportunity to present the case in front of a panel of Pediatric Urologists

Elden Ring: Shadow of the ErdtreeA spectacular DLC for one of the greatest masterpieces ever created in the likes of gam...
30/09/2024

Elden Ring: Shadow of the Erdtree
A spectacular DLC for one of the greatest masterpieces ever created in the likes of gaming spectacles
The conclusion, a battle to free the war hardened general hero, Radahn from his half brother's manipulation to create a new flawed world
Simply, Perfect

Coming Soon
11/02/2024

Coming Soon

11/02/2024

Hello Everyone
It is with great pride I finally introduce the expansion of my page into a multidimensional public forum for all kinds of creative solutions as well as my blog for sharing the activities that take up most of my time,
As you all may know, I am a Pediatric Surgery resident and through this change will show you the paradigm of healthcare I deal with regularly including my personal take on aspects of provision of healthcare.
With this, of course, I will continue my Poetry, but in a more personally directed methodology.
I would also like to announce that I plan to publish my completed book Whims of the Maturing Mind soon, and that my second book is in Post-production, and will be announced soon.
The Realm will now expand also, to Instagram for more regular updates.
Amidst these new changes, I would also like to announce the start of my Creative Writing and Study Solutions Service, which will help further offer my skill and proficiency in English for the betterment in all aspects mentioned.

Creative Writing and Study Solutions
1. Articles (Especially Medical)
2. Audit Guides and Writing
3. Essays
4. IELTS (Practice Sessions Tutorials for all Components)
5. Grammar Correction and Proof Reading
6. Basic Application Writing
7. College Application Essays
8. Presentation Skills and Presentation Making (PowerPoint, Word, PDF making made easy)
9. Poetry: Review, Rapid Writing for everything between Romantic, Friendship, Family, Teachers to Breakups, "I Hate You" Insult Poems
10. O and A Level Mathematics and Sciences for better Concepts

Poetry Solutions
Want to express your intense love or hatred for someone around you?
Do you love your Wife / Husband? Want to express what you feel for them in the most flattering way possible? Contact me now and tailoring your experience with my drive for Poetry, we will pen a masterpiece for you that will dwarf any feelings that simple flowers, chocolates or serenades could bring
Poems are available for anything between Birthday Celebrations, Special Occasions of any kind, getting out of prison, whatever you may come across
Have you been through a breakup? If so, my heart bleeds for you. Allow me then, to take every bit of anger and rage you feel, and project it in a poem meant for the A*****E you've been with.

Career Counselling
Allow me to help you and your parents discover what career is best for you and your path of life

Medical Referral Solutions
Feeling Unwell, but not sure where to present to receive the best healthcare for your specific illness? Contact me now, and gain guidance on where you should go that would be economically and logistically feasible for you

Pediatric Care and Nutrition Solutions
You've just had a child, but you're unsure how to make sure they receive the best in Nutrition? Contact me now, and with the Aid of our Pediatric Medicine Specialist, Neonatologist and Pediatric Nutrition expert, Dr Mohammed Imran Mir, we will help you develop the best guideline for how to take care of your child's nutrition during every stage of development.

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Zaman Colony
Lahore
54000

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