Kushal

MD(Pediatrics) #MRCPCH

[Kushal @creusal03]

@Dear_MONSOON_99 Tyo outdoor unit ni bhitraj rakhdeko ho. Install garne manche le scam hanyo kya 😂😂

[Kushal @creusal03]

Kati bolchan k. Don’t they get tired of that.

[Kushal @creusal03]

@sevdaloji .

[Kushal @creusal03]

@RabindraRST @FA It’s nice to see Arsenal getting the wins instead of Manchester City coming out on top every time. They should lose in the Champions League, though.

[Kushal @creusal03]

@aviscaar Thik xa ni; mehenet ko kamai ho. Thikai xa yeta ni

[Kushal @creusal03]

@imghelpinghand Yes please

[Kushal @creusal03]

Din vari ko pragati 600 rupiya 🤣

[Kushal @creusal03]

@MaChucchi That glass just cost around 400-500 dollars; cheaper than iphone. It would be difficult for someone earning in rupees not for who comes from europe.

[Kushal @creusal03]

I think Nepal has highest reported incidence of amniotic fluid embolism post partum, without any audits/investigation. They assume it should be it, when something happens that couldn’t be explained.
Why it’s so hard to tell that we don’t know? So that someone can have a look. 🤔

[Kushal @creusal03]

@tridevgurung It's the time for banks to flourish.

[Kushal @creusal03]

I treated baby Moriarty today, I just need to find Holmes somewhere, then I can die in peace fulfilling all my childhood fantasies. 😂😂

[Kushal @creusal03]

Khai k khai k

[Kushal @creusal03]

The very good thing about here is that whatever you explain to your patients they actually believe and they understand. I find it very rewarding also funny maybe cuz of my past experience. 😁

[Kushal @creusal03]

Until Next Time. 😥

[Kushal @creusal03]

😂😂

[Michael Justus @mhjrad]

rounding in the NICU

[Kushal @creusal03]

As interesting as it gets. 😁

[Kushal @creusal03]

I gave everything to this country but not any more.

[TheLiverDoc™ @theliverdoc]

I want to make a clear statement regarding cough syrup use in children and in general. This is especially for those idiotic physicians who still prescribe cough syrups for children even in 2025.

Please stop prescribing cough syrups to children, especially in a country like India where public healthcare is not evidence based and proper vigilance and scrutiny of over-the-counter (OTC) medicines is zero.

The routine use of conventional cough syrups is not recommended due to limited benefit and safety concerns. Most guidelines advise supportive care and highlight that cough in children is usually self-limiting. Overall, major guidelines suggest against routine OTC cough/cold meds for common-cold cough in kids. Honey (>1 yr.) is reasonable; otherwise supportive care.

Age related recommendations:
Under 4: skip cough syrups.
4–6: avoid, especially opioid cough syrups.
6–11: can be used cautiously, but evidence is very limited. Again never use opioids; avoid benzonatate.
12–17: no opioids; even dextromethorphan use should be cautious because abuse risk of this is high in this group.
Adults: routine cough syrups aren’t recommended.
≥65: avoid sedating/anticholinergic combos; check interactions; always favour non-drug options.

What actually helps
Honey (for anyone >1 year) for a few days at night time can modestly ease cough.

For those thinking that "natural" options are better, please avid OTC Ayurvedic and Herbal cough syrups because [1] they contain multiple herbs that can interact in the body and cause organ damage or interact with other medicines to cause harm and [2] they are not adequately tested for safety or benefits and are directly marketed without evidence and [3] the doses mentioned in those Ayurvedic bottles are not scientifically identified, but the company's arbitrary doses, which may not be safe for all, or all ages. Read the label!

And for those thinking herbal is unsafe, so lets go with Homeopathy cough syrups, please don't even tough those with a 10ft pole because not only they have multiple herbs, but also high levels of alcohol which is never safe for children or adults and will have high chances of misuse/ addiction later on. Read the label!

[Kushal @creusal03]

काये सम्पदन मुलयन्कन गरेर मन्त्रालय पठाये, उता बाट सारौ कम भयेा भनेर फिर्ता पठायछ| काम नौ नगरेको लाइ कासरि number दिनु ? बिकास हुनछ कसरि ?