Talha Bhutta – Medicsi

Managing Your Pain

Patient Information Blogs Managing Your Pain (A Growing Specialty with Comprehensive Solutions) Courtesy of: Dr. Sarah Haider Malik; Anaesthesiologist, Medicsi 15/06/2024 Managing Your Pain (A Growing Specialty with Comprehensive Solutions) Courtesy of: Dr. Shaukat; Anaesthesia Registrar, Medicsi 15/06/2024 In recent years, the field of pain management has emerged as a critical specialty in healthcare, offering hope and relief to millions suffering from acute, chronic, and cancer-related pain. With its multifaceted approach and a wide array of treatment options, pain management is poised to become a cornerstone of modern healthcare. Understanding Acute Pain Acute pain is often the body’s way of signalling injury or illness. While it typically resolves with time or appropriate treatment, uncontrolled acute pain can lead to unnecessary suffering and complications. In the field of pain medicine, the focus is on providing immediate relief through interventions such as medication, physical therapy, and minimally invasive procedures known as ‘Nerve Blocks’. By addressing acute pain promptly, patients can recover faster and regain their quality of life. Navigating Chronic Pain Chronic pain, on the other hand, persists beyond the expected healing time and can significantly impact daily functioning and mental well-being. Unlike acute pain, chronic pain often requires a long-term management strategy that addresses both the physical and psychological aspects of the condition. Pain management specialists employ a holistic approach, combining medications, physical therapy, behavioural therapy, and interventional procedures to alleviate suffering and improve function in patients with chronic pain. Compassionate Care for Cancer Pain Cancer-related pain presents unique challenges due to the complex nature of the disease and its treatments. Pain Physicians work closely with oncologists and palliative care teams to ensure that patients receive comprehensive support throughout their cancer journey. From pharmacological interventions to nerve blocks and advanced techniques such as Neurolysis, Radiofrequency Ablation, pain physicians offer a range of options to manage cancer pain effectively. When it comes to cancer pain management, each type of cancer presents its own set of challenges. For instance: Breast Cancer: Pain management for breast cancer may involve a combination of medication, physical therapy, and nerve blocks to alleviate pain resulting from surgery, chemotherapy, or radiation therapy. Prostate Cancer: Patients with prostate cancer may experience pain due to the tumour itself or as a side effect of treatments such as hormone therapy. Pain management strategies may include medications, radiation therapy, and minimally invasive procedures. Lung Cancer: Lung cancer can cause pain in the chest, back, or shoulders, as well as nerve pain due to tumour growth. Pain Physicians utilise a variety of Interventional procedures to provide relief and improve quality of life. By tailoring treatment plans to the specific needs of each patient and collaborating closely with oncologists, pain physicians play a crucial role in enhancing the quality of life for individuals living with cancer and terminal illness. The Scope of Pain Management As a specialty, pain management encompasses a diverse range of disciplines, including anesthesiology, neurology, psychiatry, and rehabilitation medicine. This multidisciplinary approach allows for a tailored treatment plan that addresses the unique needs of each patient. Furthermore, advancements in technology and research continue to expand the scope of pain medicine as a specialty offering innovative solutions such as neuromodulation and regenerative therapies. In conclusion, Pain Medicine represents a beacon of hope for individuals grappling with acute, chronic, and cancer-related pain. By embracing a comprehensive approach that combines medical expertise, compassionate care, and cutting-edge treatments, pain physicians are transforming lives and reshaping the landscape of modern healthcare. In recent years, the field of pain management has emerged as a critical specialty in healthcare, offering hope and relief to millions suffering from acute, chronic, and cancer-related pain. With its multifaceted approach and a wide array of treatment options, pain management is poised to become a cornerstone of modern healthcare. Understanding Acute Pain Acute pain is often the body’s way of signalling injury or illness. While it typically resolves with time or appropriate treatment, uncontrolled acute pain can lead to unnecessary suffering and complications. In the field of pain medicine, the focus is on providing immediate relief through interventions such as medication, physical therapy, and minimally invasive procedures known as ‘Nerve Blocks’. By addressing acute pain promptly, patients can recover faster and regain their quality of life. Navigating Chronic Pain Chronic pain, on the other hand, persists beyond the expected healing time and can significantly impact daily functioning and mental well-being. Unlike acute pain, chronic pain often requires a long-term management strategy that addresses both the physical and psychological aspects of the condition. Pain management specialists employ a holistic approach, combining medications, physical therapy, behavioural therapy, and interventional procedures to alleviate suffering and improve function in patients with chronic pain. Compassionate Care for Cancer Pain Cancer-related pain presents unique challenges due to the complex nature of the disease and its treatments. Pain Physicians work closely with oncologists and palliative care teams to ensure that patients receive comprehensive support throughout their cancer journey. From pharmacological interventions to nerve blocks and advanced techniques such as Neurolysis, Radiofrequency Ablation, pain physicians offer a range of options to manage cancer pain effectively. When it comes to cancer pain management, each type of cancer presents its own set of challenges. For instance: Breast Cancer: Pain management for breast cancer may involve a combination of medication, physical therapy, and nerve blocks to alleviate pain resulting from surgery, chemotherapy, or radiation therapy. Prostate Cancer: Patients with prostate cancer may experience pain due to the tumour itself or as a side effect of treatments such as hormone therapy. Pain management strategies may include medications, radiation therapy, and minimally invasive procedures. Lung Cancer: Lung cancer can cause pain in the chest, back, or shoulders, as well as nerve pain due to tumour growth. Pain Physicians utilise a variety of Interventional procedures to provide relief and improve quality of life. By tailoring treatment plans to the specific needs of each patient and collaborating closely with oncologists, pain physicians play a crucial role in enhancing the quality of

Managing Your Pain Read More »

PREMATURE MENOPAUSE: IT IS BEING DIAGNOSED TOO LATE

Gynaecology / Talha Bhutta

Patient Information Blogs PREMATURE MENOPAUSE: IT IS BEING DIAGNOSED TOO LATE Courtesy of: Dr. Fatimah Ashraf; Embryologist, Resident 3rd Year in OB/GYN at ICSI & Medicsi 08/06/2024 Premature menopause means going through the changes of menopause earlier than normal. Menopause usually occurs in women in their late 40s to early 50s. Menopause is premature if it occurs before the age of 40. Premature menopause is not a normal phenomenon; it is associated with many common diseases that are prevalent in our society. Having premature menopause means Your fertility will be reduced due to the loss of eggs from the ovaries Your bone health will be reduced and you can develop osteoporosis You are at an increased risk of heart disease Symptoms of menopause include hot flushes, vaginal dryness, reduced duration of periods, reduction in sex drive and mood changes As you can see, the symptoms of early menopause can be vague; most women will not experience symptoms until the function of the ovaries has become very very reduced. At this point, it becomes very difficult to provide options for fertility and child-bearing. We, therefore, strongly recommend that all women who are AT RISK of premature menopause should have their ovarian function tested 1-2 times per year, and report immediately to a fertility specialist if they develop symptoms of menopause. Some conditions that increase your risk of premature menopause (also known as premature ovarian insufficiency or failure) include Autoimmune disease – this is one of the commonest causes in our society. Many women know they have autoimmune disease (for example, Hashimoto thyroiditis, Graves’ disease of thyroid, ankylosing spondylitis, SLE, autoimmune kidney disease, type 1 diabetes, Myasthenia gravis, Rheumatoid arthritis, multiple sclerosis, psoriasis); HOWEVER, none of the women with autoimmune disease who were diagnosed elsewhere and reviewed at ICSI or Medicsi were aware that their disease can cause premature menopause. Endometriosis – this is a well-documented cause of premature menopause Chromosomal and genetic disease Premature menopause related to treatment – this includes chemotherapy, radiotherapy, and surgery on ovaries Premature menopause in your mother or sister – studies have shown that the tendency of a women to develop early menopause is significantly affected by her mother’s age at menopause How to monitor your ovarian function Ovarian function is assessed by the following blood tests for hormones. Serum FSH and LH – these must be done on day 2-5 of your periods. If they are done later than this the results are not reliable for diagnosing menopause Serum AMH – this is a marker of how many eggs your ovaries have left in ‘reserve’; this test can be done on any day of your cycleThere is a possibility for cysts of the ovary to interfere with these tests. If your ultrasound shows ovarian cysts, please discuss your blood test reports with a fertility specialist. NOTE: do not wait for a doctor to prescribe these tests for you. If you are known to have autoimmune disease, please get your hormones done at regular intervals. What treatment options are available for women with premature menopause? For Bone and Heart Health – women have the option of starting HRT (hormone replacement therapy), which replaces the female hormones that were naturally being produced by your ovaries before menopause. These hormones include oestrogen and progesterone and play a protective role in bone and heart health. For Fertility – women have the option of preserving their fertility by freezing their eggs or embryos. This option is available to all women who have reached puberty, including unmarried women as they can freeze their eggs (which can be fertilised later on once she gets married). This option is also suitable for those who have been diagnosed with cancer and are due to start chemotherapy or radiotherapy – in such cases, urgent egg/embryo freezing is done so that cancer treatment is not delayed.It is also possible to remove a small piece (less than 1cm) of your ovary and freeze it – this is known as ovarian tissue freezing. This is not currently available in Pakistan, but liaison can be made with fertility clinics abroad to avail this option. For more information regarding premature menopause, hormone replacement therapy, and fertility preservation, please email us at info@icsi.com.pk and we will get back to you promptly. Recent Blogs edit post PREMATURE MENOPAUSE: IT IS BEING DIAGNOSED TOO LATE Read More edit post Minimally Invasive Surgery At Medicsi Read More edit post Ensuring Your Comfort and Safety Read More

PREMATURE MENOPAUSE: IT IS BEING DIAGNOSED TOO LATE Read More »

Minimally Invasive Surgery At Medicsi

Surgical Expertise / Talha Bhutta

Patient Information Blogs Minimally Invasive Surgery At Medicsi Courtesy of: Dr. Reem Shahid; Sen. Reg., Medicsi 07/06/2024 Minimally Invasive Surgery At Medicsi Courtesy of: Dr. Reem Shahid; Sen. Reg., Medicsi 07/06/2024 Minimally invasive surgery (MIS) came about in the 1980s as a safe way to meet surgical needs. In recent years, minimally invasive surgery (MIS) has revolutionised the field of surgery, offering patients less pain, faster recovery times, and fewer complications compared to traditional open surgery. Since then, the use of minimally invasive surgery has spread widely in many surgical areas, including abdominal, pelvic, and lung surgery, etc. Here at Medicsi, we believe it is essential to raise public awareness about the benefits and the awareness of this remarkable approach to surgical care. What is Minimally Invasive Surgery? Minimally invasive surgery, also known as laparoscopic or keyhole surgery, involves performing operations through small incisions using specialised instruments and a camera. The camera sends live video to a monitor / TV screen in front of the surgeons, which allows them to visualise the anatomy as they perform complex surgeries with minimal trauma to the patient. This technique contrasts sharply with traditional open surgery, which requires larger incisions to access the area of concern. Minimally invasive surgery (MIS) came about in the 1980s as a safe way to meet surgical needs. In recent years, minimally invasive surgery (MIS) has revolutionised the field of surgery, offering patients less pain, faster recovery times, and fewer complications compared to traditional open surgery. Since then, the use of minimally invasive surgery has spread widely in many surgical areas, including abdominal, pelvic, and lung surgery, etc. Here at Medicsi, we believe it is essential to raise public awareness about the benefits and the awareness of this remarkable approach to surgical care. What is Minimally Invasive Surgery? Minimally invasive surgery, also known as laparoscopic or keyhole surgery, involves performing operations through small incisions using specialised instruments and a camera. The camera sends live video to a monitor / TV screen in front of the surgeons, which allows them to visualise the anatomy as they perform complex surgeries with minimal trauma to the patient. This technique contrasts sharply with traditional open surgery, which requires larger incisions to access the area of concern. Key Advantages of Minimally Invasive Surgery Reduced Pain and Discomfort Smaller incisions mean less trauma to the body, resulting in significantly reduced postoperative pain and discomfort. This often translates to a decreased need for pain medication. Faster Recovery Times Patients undergoing MIS typically experience quicker recovery periods. They can return to their normal activities and work sooner compared to those who have had traditional open surgery. Shorter Hospital Stays The reduced trauma and faster recovery associated with MIS often lead to shorter hospital stays, allowing patients to return home sooner and lowering overall healthcare costs. Lower Risk of Complications Minimally invasive techniques are associated with a lower risk of infections and other complications. The precision of these procedures minimises damage to surrounding tissues and reduces blood loss during surgery. Smaller Scars The small incisions used in MIS result in smaller, less noticeable scars, which can be an important consideration for many patients, especially when the surgery involves visible areas of the body. Common Procedures Performed with Minimally Invasive Surgery Minimally invasive techniques are now widely used for various types of surgeries worldwide. Below-mentioned surgeries are currently being done here at Medicsi. Abdominal Surgeries Gallbladder Resection (Cholecystectomy) and Appendicectomy Hernia Repair Gastric Surgery, like Gastric bypass. Colorectal procedures, including cancer resections, can be performed using MIS, improving outcomes and reducing complications. Gynaecological Surgeries Ovarian Cystectomy Endometriosis Surgery Ectopic Pregnancy Tubal Ligations Myomectomies Hysterectomies Intrauterine Surgeries Pelvic Organ Prolapse Repairs The following minimally invasive procedures will be introduced soon at Medicsi: Vascular Surgery Endovascular Aneurysm Repair Endovenous Laser Therapy (EVLT): Treatment of varicose veins using laser energy to close off the affected veins. Gastro-Intestinal Surgeries Neurosurgery Orthopaedic Surgery Arthroscopy Minimally Invasive Knee and Hip Joint Replacement Thoracic Surgery Video-Assisted Thoracoscopic Surgery (VATS): Treatment of lung conditions, such as lobectomy for lung cancer, pleural effusion drainage, and biopsy, using a thoracoscope. Minimally invasive esophagectomy Minimally invasive thymectomy Thoracoscopic sympathectomy Urological Surgery Laparoscopic nephrectomy Laparoscopic prostatectomy Ureteroscopy Percutaneous nephrolithotomy Transurethral resection of prostate Ent Surgery Endoscopic Sinus Surgery Septoplasty Endoscopic Laryngeal Surgery Endoscopic Ear Surgery Balloon Sinuplasty If you or a loved one are facing the possibility of undergoing surgery, Medicsi encourages you to discuss minimally invasive options with your consultant. Understanding the benefits and possibilities of MIS can help you make informed decisions about your surgical options. Key Advantages of Minimally Invasive Surgery Reduced Pain and Discomfort Smaller incisions mean less trauma to the body, resulting in significantly reduced postoperative pain and discomfort. This often translates to a decreased need for pain medication. Faster Recovery Times Patients undergoing MIS typically experience quicker recovery periods. They can return to their normal activities and work sooner compared to those who have had traditional open surgery. Shorter Hospital Stays The reduced trauma and faster recovery associated with MIS often lead to shorter hospital stays, allowing patients to return home sooner and lowering overall healthcare costs. Lower Risk of Complications Minimally invasive techniques are associated with a lower risk of infections and other complications. The precision of these procedures minimises damage to surrounding tissues and reduces blood loss during surgery. Smaller Scars The small incisions used in MIS result in smaller, less noticeable scars, which can be an important consideration for many patients, especially when the surgery involves visible areas of the body. Common Procedures Performed with Minimally Invasive Surgery Minimally invasive techniques are now widely used for various types of surgeries worldwide. Below-mentioned surgeries are currently being done here at Medicsi. Abdominal Surgeries Gallbladder Resection (Cholecystectomy) and Appendicectomy Hernia Repair Gastric Surgery, like Gastric bypass. Colorectal procedures, including cancer resections, can be performed using MIS, improving outcomes and reducing complications. Gynaecological Surgeries Ovarian Cystectomy Endometriosis Surgery Ectopic Pregnancy Tubal Ligations Myomectomies Hysterectomies Intrauterine Surgeries

Minimally Invasive Surgery At Medicsi Read More »

Ensuring Your Comfort and Safety

Anesthesia / Talha Bhutta

Patient Information Blogs Image by brgfx on Freepik Ensuring Your Comfort and Safety Courtesy of: Dr. Shaukat; Anaesthesia Registrar, Medicsi 06/06/2024 Ensuring Your Comfort and Safety Courtesy of: Dr. Shaukat; Anaesthesia Registrar, Medicsi 06/06/2024 At Medicsi, we understand that undergoing a surgical procedure can be a daunting experience. That’s Why Our Anesthesia Services are designed to ensure your comfort and safety throughout your journey with us. What is Anesthesia? Anaesthesia or anaesthesia is a state of controlled, temporary loss of sensation or awareness that is induced for medical purposes. It may include some or all of analgesia, paralysis, amnesia, and unconsciousness. An individual under the effects of anaesthetic drugs is referred to as being anaesthetised. Anaesthesia is a medical treatment that prevents patients from feeling pain during surgical, medical, or other procedures. Our team of experienced anesthesiologists and certified registered nurse anaesthetists (CRNAs) use various types of anaesthesia to tailor care to each patient’s unique needs. Types of Anesthesia Services We Offer General Anesthesia: We ensure that you are completely unconscious and pain-free during your procedure. Regional Anaesthesia: Numbs a specific region of your body, such as a limb, to minimise discomfort. Local Anaesthesia: Numbs a small area where the procedure is taking place. Sedation: Helps You Relax And Feel Drowsy, but still allows you to respond to commands. Image by brgfx on Freepik What is the role of an anaesthesiologist? The anaesthesiologist monitors and controls the patient’s vital life functions, including heart rate and rhythm, breathing, blood pressure, body temperature, and body fluid balance. Control the patient’s pain and level of consciousness to make conditions ideal for a safe and successful surgery. Our Anesthesia Team Our team of experts has years of experience in providing pain-free and comfort-based anaesthesia care. Our anesthesiologists and CRNAs work closely with the surgical team to ensure that you have a pain-free procedure experience. What to Expect Before Your Procedure, our anaesthesia team will: Evaluate your medical history and current health Discuss your anaesthesia options and answer any questions Develop a personalised anaesthesia plan During Your Procedure, our team will Monitor your vital signs and adjust anaesthesia according to the needs of the procedure being done. Ensure your comfort and safety. Make sure that when you wake up, it’s a smooth transition from sleep to being alert. After Your Procedure, our team will Monitor your state of consciousness and vitals closely when you are in the theatre recovery area and manage any pain or discomfort. Provide clear instructions for post-procedure care. Recovery: After the operation, the anaesthetist will stop the anaesthetic medication and you will gradually wake up. You will be in the recovery room at first, before being transferred to the room or ward. Depending on your procedure you might be staying in the hospital for a few hours to a few days after your operation. General anaesthetics can affect your memory, concentration, and reflexes for a day or two, so it’s important for a responsible adult to stay with you for at least 24 hours after your operation, if you are allowed to go home. You will be advised to avoid driving for 24 to 48 hours. We as an anaesthesia team do the best possible efforts to provide you with safety and comfort during the surgical procedures; in spite of which some complications cannot be completely avoided. In case any such things happens; our teams both surgical and anaesthesia will be there for you at arm’s length. At Medicsi, your comfort and safety are our top priorities above everything else. At Medicsi, we understand that undergoing a surgical procedure can be a daunting experience. That’s Why Our Anesthesia Services are designed to ensure your comfort and safety throughout your journey with us. What is Anesthesia? Anaesthesia or anaesthesia is a state of controlled, temporary loss of sensation or awareness that is induced for medical purposes. It may include some or all of analgesia, paralysis, amnesia, and unconsciousness. An individual under the effects of anaesthetic drugs is referred to as being anaesthetised. Anaesthesia is a medical treatment that prevents patients from feeling pain during surgical, medical, or other procedures. Our team of experienced anesthesiologists and certified registered nurse anaesthetists (CRNAs) use various types of anaesthesia to tailor care to each patient’s unique needs. Types of Anesthesia Services We Offer General Anesthesia: We ensure that you are completely unconscious and pain-free during your procedure. Regional Anaesthesia: Numbs a specific region of your body, such as a limb, to minimise discomfort. Local Anaesthesia: Numbs a small area where the procedure is taking place. Sedation: Helps You Relax And Feel Drowsy, but still allows you to respond to commands. What is the role of an anaesthesiologist? The anaesthesiologist monitors and controls the patient’s vital life functions, including heart rate and rhythm, breathing, blood pressure, body temperature, and body fluid balance. Control the patient’s pain and level of consciousness to make conditions ideal for a safe and successful surgery. Our Anesthesia Team Our team of experts has years of experience in providing pain-free and comfort-based anaesthesia care. Our anesthesiologists and CRNAs work closely with the surgical team to ensure that you have a pain-free procedure experience. What to Expect Before Your Procedure, our anaesthesia team will: Evaluate your medical history and current health Discuss your anaesthesia options and answer any questions Develop a personalised anaesthesia plan During Your Procedure, our team will Monitor your vital signs and adjust anaesthesia according to the needs of the procedure being done. Ensure your comfort and safety. Make sure that when you wake up, it’s a smooth transition from sleep to being alert. After Your Procedure, our team will Monitor your state of consciousness and vitals closely when you are in the theatre recovery area and manage any pain or discomfort. Provide clear instructions for post-procedure care. Recovery: After the operation, the anaesthetist will stop the anaesthetic medication and you will gradually wake up. You will be in the recovery room at first, before being transferred to the room or ward. Depending on your

Ensuring Your Comfort and Safety Read More »

Vaccination Schedule For Your Child

Baby Health Matters / Talha Bhutta

Patient Information Blogs Vaccination Schedule For Your Child (Courtesy of: Dr. Joza Khurshid; Consultant Paediatrician and Neonatologist, Medicsi) 26/05/2024 Vaccination Schedule For Your Child (Courtesy of: Dr. Joza Khurshid; Consultant Paediatrician and Neonatologist, Medicsi) 26/05/2024 Vaccination is THE WAY to protect your child’s health from harmful diseases that could cause serious complications. Vaccines are safe and effective. Having your children vaccinated on time is important and helps ensure that they get the protection they need as early as possible. Vaccines strengthen the immune system and prepare your child’s body with the defense it needs to fight against diseases, that your child comes across in everyday life. Recommended Vaccination Schedule Age Vaccines Birth BCG + OPV + HBV 1 ½ Months IPV + HBV + DTap + Hib + Rotarix 1 2 Months PCV 13 2 ½ Months IPV + HBV + DTap + Hib + Rotarix 2 3 ½ Months IPV + HBV + DTap + Hib 4 Months PCV 13 6 Months PCV 13 9 Months Measles 12 Months MMR + Varicella 15 Months PCV 13 18 Months Hepatitis A + IPV + HBV + DTap +Hib 24 Months Hepatitis A + Typhoid 1 5 Years DTap + Typhoid + MMR + Varicella 12 Years DT Others Meningococcal Flu Vaccinations as indicated above are used for: BCG is for Tuberculosis OPV and IPV is for Polio HBV is for Hepatitis B DTap is for Diphtheria, Tetanus, and Pertussis (whooping cough) Hib is for Haemophilus influenzae type B Rotarix is for Rotavirus Infection PCV is for Pneumococcal Infections MMR is for Measles, Mumps and Rubella Checklist for your child’s immunization visit: Bring your child’s immunization record to keep it up to date. Bring your child’s favourite toy to comfort them through the procedure. Book your child’s next appointment to ensure it happens on time. Dealing with missed vaccination: if your baby has missed routine vaccination, please talk to your doctor. Can vaccination have side effects? Most children tolerate vaccines well. In some cases, your child may: Have a mild fever Be sleepier than usual Have pain, swelling, or redness where the injection was given Maybe fussy than usual These reactions are normal and usually go away within a few days. You can give your child medication to help with the pain or to lower a fever if needed. Check with our paediatricians if you need advice about which medication to use. Vaccination is THE WAY to protect your child’s health from harmful diseases that could cause serious complications. Vaccines are safe and effective. Having your children vaccinated on time is important and helps ensure that they get the protection they need as early as possible. Vaccines strengthen the immune system and prepare your child’s body with the defense it needs to fight against diseases, that your child comes across in everyday life. Recommended Vaccination Schedule Age Vaccines Birth BCG + OPV + HBV 1 ½ Months IPV + HBV + DTap + Hib + Rotarix 1 2 Months PCV 13 2 ½ Months IPV + HBV + DTap + Hib + Rotarix 2 3 ½ Months IPV + HBV + DTap + Hib 4 Months PCV 13 6 Months PCV 13 9 Months Measles 12 Months MMR + Varicella 15 Months PCV 13 18 Months Hepatitis A + IPV + HBV + DTap +Hib 24 Months Hepatitis A + Typhoid 1 5 Years DTap + Typhoid + MMR + Varicella 12 Years DT Others Meningococcal Flu Vaccinations as indicated above are used for: BCG is for Tuberculosis OPV and IPV is for Polio HBV is for Hepatitis B DTap is for Diphtheria, Tetanus, and Pertussis (whooping cough) Hib is for Haemophilus influenzae type B Rotarix is for Rotavirus Infection PCV is for Pneumococcal Infections MMR is for Measles, Mumps and Rubella Checklist for your child’s immunization visit: Bring your child’s immunization record to keep it up to date. Bring your child’s favourite toy to comfort them through the procedure. Book your child’s next appointment to ensure it happens on time. Dealing with missed vaccination: if your baby has missed routine vaccination, please talk to your doctor. Can vaccination have side effects? Most children tolerate vaccines well. In some cases, your child may: Have a mild fever Be sleepier than usual Have pain, swelling, or redness where the injection was given Maybe fussy than usual These reactions are normal and usually go away within a few days. You can give your child medication to help with the pain or to lower a fever if needed. Check with our paediatricians if you need advice about which medication to use. Recent Blogs edit post PREMATURE MENOPAUSE: IT IS BEING DIAGNOSED TOO LATE Read More edit post Minimally Invasive Surgery At Medicsi Read More edit post Ensuring Your Comfort and Safety Read More

Vaccination Schedule For Your Child Read More »

Immediate Neonatal Care

Baby Health Matters / Talha Bhutta

Patient Information Blogs Immediate Neonatal Care (Courtesy of: Dr. Joza Khurshid; Consultant Paediatrician and Neonatologist, Medicsi) 26/05/2024 Immediate Neonatal Care Courtesy of: Dr. Joza Khurshid; Consultant Paediatrician and Neonatologist, Medicsi 26/05/2024 The birth of a baby is one of life’s most wondrous moments and none other experiences in life can be compared to this. At Medicsi, we strive to take care of your baby and support the mother and family in the best possible way. At the time of the baby birth, one of the nursery staff is there to receive the baby. The umbilical cord is clamped and cut near the navel. We perform delaying cord clamping after 60 seconds which has several benefits for your baby. If your baby is doing well, it will be placed skin-to-skin on the mother’s tummy or chest. Placing baby skin-to-skin with you will help baby adjust to being outside of the uterus, promote bonding between mother and baby, and help regulate baby’s temperature. Under the circumstances; that the baby needs help with breathing he or she will be taken immediately to the Nursery for active resuscitation. Our nurses will support and guide the mother with breastfeeding as soon as possible after the delivery of your baby. The early initiation of breastfeeding helps with the bonding between you and your baby. The baby will be brought to you for the first feed after your delivery process is complete which usually takes about 20 min after the birth of the baby. After the initial mother feed, your baby will be kept in observation for a couple of hours in the nursery where a head-to-toe assessment is performed by a paediatrician to ensure the baby is well. If no health concerns are found the baby is shifted to the room with the mother. In case of any unexpected observations that warrants close monitoring, the baby will be kept in the nursery till needed. Baby is given the following vaccinations in the nursery soon after birth; Hepatitis B vaccination and Vitamin K injection. In the meantime, the father or the next of kin are provided with the necessary information regarding the baby and any management that is being done with the baby. Once the mother has been shifted to the room from the labour ward area the baby will accompany her to the room. Once in the room, relevant guidance is given on breastfeeding, burping, bathing the baby, and temperature control. If the baby is in hospital, the baby is bathed 24 hours after delivery. Before discharge, the consultant visits the baby in the room, during the morning rounds, and a repeat head-to-toe health assessment of the baby is done. At discharge, the parents are provided with information regarding various topics related to the baby's health using a set checklist to ensure all information is given to the parents and their questions addressed. This includes information on: Vaccination Breastfeeding Nappy change Cord care Jaundice Formula milk, if the mother asks Bathing the baby Temperature control for baby Vision and hearing Cardiac health Circumcision, if applicable Any other questions or concerns that the mother or caregivers may have. A follow-up visit with the paediatrician is scheduled at the time of discharge. The birth of a baby is one of life's most wondrous moments and none other experiences in life can be compared to this. At Medicsi, we strive to take care of your baby and support the mother and family in the best possible way. At the time of the baby birth, one of the nursery staff is there to receive the baby. The umbilical cord is clamped and cut near the navel. We perform delaying cord clamping after 60 seconds which has several benefits for your baby. If your baby is doing well, it will be placed skin-to-skin on the mother’s tummy or chest. Placing baby skin-to-skin with you will help baby adjust to being outside of the uterus, promote bonding between mother and baby, and help regulate baby's temperature. Under the circumstances; that the baby needs help with breathing he or she will be taken immediately to the Nursery for active resuscitation. Our nurses will support and guide the mother with breastfeeding as soon as possible after the delivery of your baby. The early initiation of breastfeeding helps with the bonding between you and your baby. The baby will be brought to you for the first feed after your delivery process is complete which usually takes about 20 min after the birth of the baby. After the initial mother feed, your baby will be kept in observation for a couple of hours in the nursery where a head-to-toe assessment is performed by a paediatrician to ensure the baby is well. If no health concerns are found the baby is shifted to the room with the mother. In case of any unexpected observations that warrants close monitoring, the baby will be kept in the nursery till needed. Baby is given the following vaccinations in the nursery soon after birth; Hepatitis B vaccination and Vitamin K injection. In the meantime, the father or the next of kin are provided with the necessary information regarding the baby and any management that is being done with the baby. Once the mother has been shifted to the room from the labour ward area the baby will accompany her to the room. Once in the room, relevant guidance is given on breastfeeding, burping, bathing the baby, and temperature control. If the baby is in hospital, the baby is bathed 24 hours after delivery. Before discharge, the consultant visits the baby in the room, during the morning rounds, and a repeat head-to-toe health assessment of the baby is done. At discharge, the parents are provided with information regarding various topics related to the baby's health using a set checklist to ensure all information is given to the parents and their questions addressed. This includes information on: Vaccination Breastfeeding Nappy change Cord care Jaundice Formula milk, if the mother asks Bathing the baby Temperature

Immediate Neonatal Care Read More »

The FLU-Vaccine

Physician Notes / Talha Bhutta

Patient Information Blogs The FLU-Vaccine Courtesy of: Dr. Musa Qazi; Sen. Reg. Internal Medicine, Medicsi 26/05/2024 The FLU-Vaccine Courtesy of: Dr. Musa Qazi; Sen. Reg. Internal Medicine, Medicsi 26/05/2024 Vaccines are biological preparations that can protect individuals from some otherwise fatal infections. The term ‘vaccines’ is used interchangeably with the terms "Vaccinations" or "Immunizations." The flu (medical term: Influenza) is a viral infection that can cause fever, fatigue, body aches, cough and other respiratory symptoms. Additional symptoms may also occur. In the absence of appropriate measures, especially in the immuno-compromised or in those at the extremes of age, things may get more serious. Examples include the usual "seasonal" flu, the H1N1 pandemic of 2009-10 (also called the "swine" flu), and the bird flu (also called the "avian" flu). The available flu vaccines currently do not protect against bird flu. Here, the discussion specifically entails the ‘seasonal flu’. The vaccines are available in different forms. A consultation with the doctor may help in deciding which form would be better suited to you. A shot that goes into the muscle A nasal spray Vaccines are biological preparations that can protect individuals from some otherwise fatal infections. The term ‘vaccines’ is used interchangeably with the terms “Vaccinations” or “Immunizations.” The flu (medical term: Influenza) is a viral infection that can cause fever, fatigue, body aches, cough and other respiratory symptoms. Additional symptoms may also occur. In the absence of appropriate measures, especially in the immuno-compromised or in those at the extremes of age, things may get more serious. Examples include the usual “seasonal” flu, the H1N1 pandemic of 2009-10 (also called the “swine” flu), and the bird flu (also called the “avian” flu). The available flu vaccines currently do not protect against bird flu. Here, the discussion specifically entails the ‘seasonal flu’. The vaccines are available in different forms. A consultation with the doctor may help in deciding which form would be better suited to you. A shot that goes into the muscle A nasal spray Do I need to get vaccinated? Yes, all those aged 6 months or older should get themselves vaccinated against the flu. For people who are immunocompromised or suffering from other serious health issues, the doctor would sketch out a vaccination plan, including vaccinations against some other commonly occurring infections. How frequently do I need to get vaccinated with the flu-vaccine?Ideally, every year. What is the best time to get vaccinated?Usually, just before the winter season begins. The doctor would go through your past vaccination history and consequently, assess if more than one dose is to be administered. Do otherwise healthy individuals need to get vaccinated? Yes, it can help you from getting the infection. Even if you catch the infection, it would help reduce the severity of symptoms. More importantly, it can also protect those around you from getting sick. It is important to know that the effectiveness of the vaccine varies from year to year. This is because, over time, viruses evolve. Hence vaccine development is a continual process, and so should its administration be. Does the flu-vaccine cause any side-effects? Usually, none that serious.Mild symptoms may occur and include; Mild fever Mild Rash Headache or body aches Redness or soreness for a short span of time (in case the vaccine was in the form of a shot) The occurrence of serious allergic reactions is rare. The flu-vaccine in itself does not make one sick. If symptoms occur, they are usually linked to the fact that the person had already gotten sick with the flu or with another virus, at the time the vaccine was administered. The flu vaccination and a COVID-19 vaccination may be done at the same time. Pregnancy and the flu-vaccineDuring pregnancy, the flu symptoms can aggravate very rapidly, even to the extent of leading to adverse outcomes for the mother and the baby. The flu vaccine for these individuals, is hence, very important. I have an egg-allergy, would the flu-vaccine be safe?Although some forms of flu vaccines contain trace amounts of egg, the amount is not sufficient enough to trigger an allergic reaction in those who have egg-allergy. The flu vaccine should still be used. Are any additional measures required of me? Frequent hand-washes using soap and water. Alcohol-based hand rubs can be used, alternatively. Avoidance of close contact with those who get sick. How can I play my part in reducing the spread?If you get infected, it is imperative to adopt appropriate measures to prevent the spread of the disease in the community. To prevent the spread via respiratory secretions/droplets, you must place the inside of your elbow over your mouth and nose when coughing or sneezing. You may have to skip work or school. This is done till you’re off a fever for at least 24 hours, without having to use fever-reducing-medications. Those working in healthcare settings may need extra time off if they’re persistently symptomatic. There are available antiviral medicines that may help protect you from the flu, however, their use is not always appropriate for everyone. Additionally, they are effective only when taken early in the course of the infection. Timely vaccination helps prevent infection, and subsequently serious flu-related complications! Do I need to get vaccinated? Yes, all those aged 6 months or older should get themselves vaccinated against the flu.For people who are immunocompromised or suffering from other serious health issues, the doctor would sketch out a vaccination plan, including vaccinations against some other commonly occurring infections. How frequently do I need to get vaccinated with the flu-vaccine?Ideally, every year. What is the best time to get vaccinated?Usually, just before the winter season begins. The doctor would go through your past vaccination history and consequently, assess if more than one dose is to be administered. Do otherwise healthy individuals need to get vaccinated? Yes, it can help you from getting the infection. Even if you catch the infection, it would help reduce the severity of symptoms. More importantly, it can also protect those around you from

The FLU-Vaccine Read More »

Experience Birth Your Way

Labour / Talha Bhutta

Patient Information Blogs Experience Birth Your Way (The Personalized Birthing Experience at Medicsi Hospital) 25/05/2024 Experience Birth Your Way (The Personalized Birthing Experience at Medicsi Hospital) 25/05/2024 At Medicsi Hospital, we understand that the birth of a child is one of life’s most extraordinary events. That’s why we are thrilled to introduce our Personalized Birthing Experience, an innovative service designed to make the arrival of your little one as unique and special as your family. This tailored approach to childbirth is the latest innovation in obstetrics, offering expectant mothers and families the opportunity to customize their birthing experience to fit their personal desires and comfort. What is a Personalized Birthing Experience? A personalized birthing experience allows you to have a significant role in planning and customizing how you bring your new baby into the world. This approach goes beyond the standard medical care; it encompasses aesthetic and emotional elements that transform this life-changing event into an even more memorable and intimate celebration. Benefits of a Personalized Birthing Experience The benefits of customizing your birthing experience are profound: Emotional ComfortBeing surrounded by a setting that is calm, familiar, and reflective of your personal tastes reduces stress and anxiety, making the birthing process smoother and more enjoyable. Husband InvolvementHaving your partner actively participate, such as being present in the delivery room to cut the umbilical cord, fosters a deeper bond between parents and the newborn. Memorable MomentsEnhancing the birthing room with elements like soft music, dim lighting, and scented candles creates a serene environment that makes the experience unforgettable. Customizing Your Birth at Medicsi Hospital At Medicsi Hospital, we offer various options to personalize your childbirth: Presence of the HusbandWe encourage the participation of your partner in the delivery room, including the cutting of the umbilical cord, to share this profound moment together. Ambiance ControlYou can choose dim lights, scented candles, and soft background music to create a soothing environment that feels more like home. Room Decoration ServicesAfter the birth, our team can decorate your room to celebrate the new arrival with style and warmth. Neonatal PhotographyCapture the first moments of your baby’s life with professional photography—a beautiful way to keep these cherished memories alive. Customized Resin PlatePreserve memories of this significant day with a customized resin plate that can include your baby’s picture, your family photo, a piece of the dried umbilical cord, the baby’s first hair, the name tag, a urine pregnancy strip, and personalized text. How to Plan Your Personalized Birthing Experience To start planning your personalized birthing experience at Medicsi Hospital, schedule a consultation with our Personalized Birthing Experience team. We’ll discuss all available options and help you design a birth plan that meets your wishes. From the moment you arrive at our facility to the joyous departure with your new baby, every step can be tailored to ensure your comfort and happiness. At Medicsi Hospital, we’re dedicated to making your childbirth experience as joyful and individual as the new life you’re about to welcome. Let us help you celebrate this monumental occasion your way, creating memories that will last a lifetime. Connect with us for a Personalized Birthing Experience! Dr. Zainab AliProject Director03315957580 At Medicsi Hospital, we understand that the birth of a child is one of life’s most extraordinary events. That’s why we are thrilled to introduce our Personalized Birthing Experience, an innovative service designed to make the arrival of your little one as unique and special as your family. This tailored approach to childbirth is the latest innovation in obstetrics, offering expectant mothers and families the opportunity to customize their birthing experience to fit their personal desires and comfort. What is a Personalized Birthing Experience? A personalized birthing experience allows you to have a significant role in planning and customizing how you bring your new baby into the world. This approach goes beyond the standard medical care; it encompasses aesthetic and emotional elements that transform this life-changing event into an even more memorable and intimate celebration. Benefits of a Personalized Birthing Experience The benefits of customizing your birthing experience are profound: Emotional ComfortBeing surrounded by a setting that is calm, familiar, and reflective of your personal tastes reduces stress and anxiety, making the birthing process smoother and more enjoyable. Husband InvolvementHaving your partner actively participate, such as being present in the delivery room to cut the umbilical cord, fosters a deeper bond between parents and the newborn. Memorable MomentsEnhancing the birthing room with elements like soft music, dim lighting, and scented candles creates a serene environment that makes the experience unforgettable. Customizing Your Birth at Medicsi Hospital At Medicsi Hospital, we offer various options to personalize your childbirth: Presence of the HusbandWe encourage the participation of your partner in the delivery room, including the cutting of the umbilical cord, to share this profound moment together. Ambiance ControlYou can choose dim lights, scented candles, and soft background music to create a soothing environment that feels more like home. Room Decoration ServicesAfter the birth, our team can decorate your room to celebrate the new arrival with style and warmth. Neonatal PhotographyCapture the first moments of your baby’s life with professional photography—a beautiful way to keep these cherished memories alive. Customized Resin PlatePreserve memories of this significant day with a customized resin plate that can include your baby’s picture, your family photo, a piece of the dried umbilical cord, the baby’s first hair, the name tag, a urine pregnancy strip, and personalized text. How to Plan Your Personalized Birthing Experience To start planning your personalized birthing experience at Medicsi Hospital, schedule a consultation with our Personalized Birthing Experience team. We’ll discuss all available options and help you design a birth plan that meets your wishes. From the moment you arrive at our facility to the joyous departure with your new baby, every step can be tailored to ensure your comfort and happiness. At Medicsi Hospital, we’re dedicated to making your childbirth experience as joyful and individual as the new life you’re

Experience Birth Your Way Read More »

How to Use Inhalers

Physician Notes / Talha Bhutta

Patient Information Blogs How to Use Inhalers Courtesy by: Dr. Nagman Bashir; Consultant Physician, Medicsi 23/05/2024 The control of asthma or COPD depends on the proper technique of inhaler use. Inhalers are of two types. MDIs (Metered Dose Inhalers) and DPIs (Dry Powder Inhalers). It is utmost important to use these correctly. If you are prescribed MDIs, then DO NOT use these directly into your mouth. Instead, ALWAYS use these with SPACERS. Place the inhaler into the spacer. Put the mouthpiece of the spacer in your mouth. Press the inhaler ONCE to spray the medicine into the spacer. Take FIVE slow smooth deep breaths in and out of the spacer. Once done, remove the spacer from your mouth and continue normal breathing. After two minutes, repeat the same steps. It is always advisable to use BEFORE meals. If you are using DPIs the technique is different. Place one capsule of medicine into the appropriate device. Puncture the capsules in the device. Exhale deeply. Place the mouthpiece into your mouth. Inhale as quickly and forcefully as possible to pull all powder medicines deep into your lungs. The technique of inhaling medicines from a disc-type inhaler is the same as DPIs, a deep forceful quick inhalation. Remember to use MDIs with slow deep breaths and DPIs with quick forceful inhalation. Recent Blogs edit post PREMATURE MENOPAUSE: IT IS BEING DIAGNOSED TOO LATE Read More edit post Minimally Invasive Surgery At Medicsi Read More edit post Ensuring Your Comfort and Safety Read More

How to Use Inhalers Read More »

Pain Relief Options for Delivery of a Nonviable Baby

Labour / Talha Bhutta

Patient Information Blogs Pain Relief Options for Delivery of a Nonviable Baby Courtesy of: Dr. Ammar Ali Shah; Consultant Anaesthesiologist, Medicsi 22/05/2024 Pain Relief Options for Delivery of a Nonviable Baby (Courtesy of: Dr. Ammar Ali Shah; Consultant Anaesthesiologist, Medicsi) 22/05/2024 Finding out about the demise of an unborn baby is always devastating news and experience. Your obstetric team shall discuss with you the possible options for delivery of the baby. Vaginal birth is considered a safer option because it incurs fewer risks to the mother and the body recovers quickly. Although some mothers find the idea of vaginal birth after the demise of the baby as distressing, it is the best option if safely possible. During your stay at the delivery suite, your husband/relative can stay and support you while our experienced midwife will also be there to help you. Finding out about the demise of an unborn baby is always devastating news and experience. Your obstetric team shall discuss with you the possible options for delivery of the baby. Vaginal birth is considered a safer option because it incurs fewer risks to the mother and the body recovers quickly. Although some mothers find the idea of vaginal birth after the demise of the baby as distressing, it is the best option if safely possible. During your stay at the delivery suite, your husband/relative can stay and support you while our experienced midwife will also be there to help you. Possible pain relief options that we offer. We endeavor to ensure good pain relief for you during these testing times. You can try relaxing techniques like deep breathing exercises, massage, listening to music, or Quranic verses; however, we understand that relaxing at this time is easier said than done. Based upon your general health and medical history we can advise you to give strong painkillers (opioids) or epidural. Your wishes and latest practice guidelines shall be considered before finalizing a plan for you. Strong opioids: This group of medications has a strong pain relief effect. However, they can at times make you feel dizzy and nauseated. We might also have to keep observation on your blood oxygen levels as a precaution. Some patients might feel itching as a side effect. Epidural: An epidural is the most effective methodology for pain relief. A consultant from our team of anesthetists shall use a needle to put in the epidural space in your back. The needle shall be promptly removed while a thin little pipe shall remain in place and deliver the medication during labour. The tube inserted in your back will be connected to the epidural pump for delivery of the medication. We use a combination of local anesthetics and opioids to numb the pain fibers carrying sensation from your belly and birth canal to the brain. Your safety is of utmost importance and hence the anesthesia team will take into consideration your medical history and current medications. An important and recent test needed, before we give an epidural is a complete blood picture profile. We need to see platelet count which has to be more than 80 to administer the epidural analgesia. Once the plan is finalized it takes almost 15 mins to place the epidural and it takes another 20 minutes to be fully effective. As with all interventions in medicine, there are some risks involved. Your blood pressure can come down so we will have to give you some fluids intravenously and frequent monitoring of your blood pressure. About 1 in 100 ladies may develop a headache after epidural placement that is self-limiting but sometimes may require simple treatment measures. Your legs might feel heavy during the infusion. The movement will be slightly difficult owing to the attachment with the infusion pump. A urinary catheter may need to be put in whilst you have the epidural infusion. All through the process Inshaa’Allah our experienced multidisciplinary team will be available to assist you in every respect. Possible pain relief options that we offer. We endeavor to ensure good pain relief for you during these testing times. You can try relaxing techniques like deep breathing exercises, massage, listening to music, or Quranic verses; however, we understand that relaxing at this time is easier said than done. Based upon your general health and medical history we can advise you to give strong painkillers (opioids) or epidural. Your wishes and latest practice guidelines shall be considered before finalizing a plan for you. Strong opioids: This group of medications has a strong pain relief effect. However, they can at times make you feel dizzy and nauseated. We might also have to keep observation on your blood oxygen levels as a precaution. Some patients might feel itching as a side effect. Epidural: An epidural is the most effective methodology for pain relief. A consultant from our team of anesthetists shall use a needle to put in the epidural space in your back. The needle shall be promptly removed while a thin little pipe shall remain in place and deliver the medication during labour. The tube inserted in your back will be connected to the epidural pump for delivery of the medication. We use a combination of local anesthetics and opioids to numb the pain fibers carrying sensation from your belly and birth canal to the brain. Your safety is of utmost importance and hence the anesthesia team will take into consideration your medical history and current medications. An important and recent test needed, before we give an epidural is a complete blood picture profile. We need to see platelet count which has to be more than 80 to administer the epidural analgesia. Once the plan is finalized it takes almost 15 mins to place the epidural and it takes another 20 minutes to be fully effective. As with all interventions in medicine, there are some risks involved. Your blood pressure can come down so we will have to give you some fluids intravenously and frequent monitoring of your blood pressure. About 1 in 100 ladies

Pain Relief Options for Delivery of a Nonviable Baby Read More »

Author name: Talha Bhutta

About Us

Quick Links

Newsletters

Medicsi Clinics

Recent Blogs

Recent Blogs

Our Locations

Bahria Town (Lab)

About Us

Quick Links

Newsletters

Medicsi Clinics

Recent Blogs

Our Locations

Our Locations

Bahria Town (Lab)