Malik Doctor V K

17/02/2026

Fill in the blank .

Our darkest hours pave the way for our redemption if only ......?

29/04/2022

Delhi reported over 1490 new cases in last 24 hours.
======================
Wear a mask,
Carry a sanitiser,
Get your booster shots,
Follow COVID Appropriate Behaviour (CAB),
Experts advise and warn that the " pandemic isn't over yet""
😷😷😷😷😷😷😷😷😷

14/01/2022

Cough and sneeze etiquette to reduce the risk of spreading Covid... Simple yet effective!

10/01/2022

Steps to take take if you are RT PCR POSITIVE...

08/01/2022

Should you visit hospital for non Covid conditions?
Hospitals are seeing surge of Covid patients due to Omicron variant.. Since highly transmissible is this varient, the risk of acquiring Covid is very high if you come in close contact with a patient harbouring virus, with or without symptoms...And this is exactly the scenario that prevails in the hospitals, whether designated Covid or non Covid facilities.. So what should you do if you have a medical condition needing a hospital visit...?
Set up a video consultation and let your caregiver decide whether you need a hospital visit or not..
If it's a serious medical emergency, then alone you should visit Hospital..Here too with all Covid appropriate precautions..like mask, distancing with only one attender..
If you, or someone you are looking after is scheduled for an intervention or therapy, do check in with your caregiver about the course of action to undertake..
By all means avoid hospital visit for minor problems to help hospitals cater to needier ones.
Stay safe.. stay masked when outdoor..

07/01/2022

A photo is worth 1000 words...more so in corona times... Stay masked, stay safe..

06/01/2022

Omicron wave is waging strong...it is likely to peak in 2 weeks' time and subside equally rapidly...
Save yourself; go out only if essential, follow the vaccine mandate, mask properly, frequently wash hands, and isolate yourself if you have any hint of Covid to prevent spread to others.
Looks like the Pandemic is in its last stages; brave some hardships here and there to reach the coast safely..

03/11/2021

Finally..

Covid live: 'Bharat Biotech's Covaxin gets WHO approval'
https://timesofindia.indiatimes.com/india/coronavirus-in-india-live-updates-covid-19-vaccination/liveblog/87497013.cms?utm_campaign=andapp&utm_medium=referral&utm_source=native_share_tray
Download the TOI app now:
https://timesofindia.onelink.me/mjFd/toisupershare

The United States can now start giving children aged 5-11 the Pfizer-BioNtech Covid vaccine, US health authorities said Tuesday as they gave final ap

26/05/2021

Just in case you need consultation from the safety of your home..

22/05/2021

Waiting for Surgery ...read the following... Be informed, choose wisely...

*Surgery after Covid*
High Risk of infection to Surgical team and High Mortality in Patient..

*Suggested waiting times from the date of COVID-19 diagnosis to surgery* # :

1️⃣. *Four weeks for an asymptomatic* patient or recovery from only mild, non-respiratory symptoms.
2️⃣.Six to *seven weeks for a mild symptomatic* patient (e.g., cough, dyspnea) who did not require hospitalization.
3️⃣.Eight to *10 weeks for a moderate* symptomatic patient who is diabetic, immunocompromised, or hospitalized.
4️⃣. *Twelve weeks for a patient who was admitted to ICU* intensive care unit due to COVID-19 infection.

Note : These *timelines should not be considered definitive*; each patient’s preoperative risk assessment should be individualized, factoring in surgical intensity, co-morbidities, and the benefit/risk ratio of further delaying surgery.

‼️ *PAC in Post Covid patients*:
A thorough *preoperative evaluation*, with special attention given *to the cardiopulmonary systems*,

🌹 *Evidence in favour of guidelines*:🌹
An international, multicentre, prospective *study of 140,231 patients undergoing surgery in 116 countries* during pandemic including AIIMS. Published in _Anaesthesia_

30 day post operative mortality compared in patients with pre-operative SARS-CoV-2 infection with those without previous covid.

‼️ *30 day post surgical mortality in patients with no evidence of pre op covid was1.5%. It increased to two and half time (4%)when patients were operated within 6 wks of mild covid but remaimed at 1.5% if patients were operated at 7-8 wks after SARS-CoV-2 diagnosis*. ‼️

*Further Delay beyond 7 weeks in cases of persistent post-covid symptoms*
patients who are still symptomatic seven weeks after SARS-CoV-2 infection and undergo surgery, have an increased mortality rate.
Such patients may benefit from a further delay until their symptoms resolve.

Q *When should RTPCR be done before surgery?*
A: In non admitted patients testing is advised *within 96 hours before surgery*. After testing patient should be instructed to limit their social interactions to their own household given the as short as 2 day incubation period of COVID-19 after exposure.

Q. *Can we accept a COVID-19 test done 96 or more hours before surgery?*
A: Since the incubation period (time from exposure to symptoms) is as short as 2 days with COVID-19, the clinician should ask the family if they have limited their contact with their own household. If not, please retest.

Q: *How long is a negative test good in admitted patients?*
A Admitted patients who tested negative for COVID on admission do not need to be retested unless the patient develops new symptoms of COVID-19 or worsening conditions.

# ASA-APSF Joint Statement on Elective Surgery and Anesthesia.

29/04/2021

Very useful advice for Covid patients by an expert..
Dr Sanwar Aggarwal MD Raipur..
अगर आप कोविड पाजिटिव हैं, आपको साँस की तकलीफ़ नहीं है और आपका आक्सीजन का प्रतिशत ९४% से अधिक है, आपको Ramdesivir की ज़रूरत नहीं है। Steroids भी केवल उनको चाहिए जिन्हें आक्सीजन की आवश्यकता से अस्पताल जाना पड़े , शुरुआत में यह नुक़सान पहुँचाता है!
दुनिया के नामचीन अस्पतालों ने प्लाज़्मा देना बंद कर दिया है! बैक्टीरिया से संक्रमण ज़्यादातर गंभीर मरीज़ों में होता है, इसलिये ९५% मरीज़ों को एंटीबायोटिक की ज़रूरत नहीं है!