Rizwan Zafar

Guidance needed! Hello Teachers and Seniors. I need guidance on a cross infection protocol. I came across many international videos where they autoclave this part. but usually in routine practice here in Pakistan, it is wrapped with sterlized sleeve. A sterlized hand piece is attached. My question is 1.What are guidelines for this motor part? 2. Is wrapping with sterlized sleeve equally effective as sterlizing this part? means either can be done and it will make no difference? 3. if only sterlization in recommended for this part, what effect steam autoclaving have on its life? Thankyou.

https://bit.ly/3JDQAq9 SGLT2-Inhibitors have now completely dominated the arena of kidney disease management. In Pakistan alone, I have more than 300 patients who are using one of these drugs, showing significant improvement in their proteinuria. Most important, I haven't had a single patient with any significant side effect. All in all, a great feat. In a part of this aricle, I have chronicled the rise of SGLT2-Inhbitors along with other kidney-protective drugs. #ckd #kidneydisease #kidneyhealth #diabetes #health #protein

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Classic TRIADS which are highly tested on USMLE STEP 1.

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?????Calling for Ethical Practices in Telehealth Partnerships! After spending more than 2.5 years in Pakistan based Telehealth industry as top rated Pediatrician with 100% patient satisfaction score, I feel an urge to discuss about exploitation of partner doctor interest and ethical practices in tele-health partnerships. . While telehealth offers incredible opportunities for convenience and accessibility, some companies may exploit the dedication and expertise of healthcare professionals for their own gain, neglecting the fact that skilled partner doctors are backbone for telehealth infrastructure. . . Here's what we can do to promote ethical partnerships in telehealth: 1. Fair compensation. 2. Transparency. 3. Quality control. Let's work together to uphold the integrity of telehealth partnerships. . I invite fellow healthcare professionals and industry stakeholders to join the conversation and share your insights on this important topic. Together, let's advocate for ethical standards in telehealth partnerships! #telehealth #ethics oladoc - Your Health Companion Marham Sehat Kahani MedIQ Smart Healthcare Healthwire

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A #Brain_Aneurysm is a localized dilation or ballooning of a blood vessel in the brain, often at arterial junctions, caused by a weakened vessel wall. It can be classified by type, location, and severity, impacting the appropriate ICD-10 code selection. #Types_of_Brain_Aneurysms : 1. Saccular (Berry) Aneurysm: Most common type; rounded sac-like shape. 2. Fusiform Aneurysm: Spindle-shaped dilation affecting the entire circumference of the artery. 3.Dissecting Aneurysm: Occurs when there is a tear in the vessel wall, leading to blood leaking between the layers. #Severity: - Unruptured Aneurysm: Often asymptomatic but may cause symptoms if pressing on surrounding structures. - Ruptured Aneurysm: Causes subarachnoid hemorrhage, a medical emergency with high morbidity and mortality. ICD-10 Codes : - I67.1:Cerebral aneurysm, nonruptured - Used for unruptured aneurysms. - I60.- series: Nontraumatic Subarachnoid Hemorrhage - Used for ruptured aneurysms (specific codes vary by location, e.g., I60.9 for unspecified location). #Treatment: #Ruptured_Aneurysm: Emergency surgery (clipping or coiling), ICU care for managing complications such as vasospasm, hydrocephalus, and rebleeding. . . video credit: instgram - technikogroup . .#MedicalCoding #HealthcareBilling #ICD10 #CPTCode #icd10 #cpt #medicalbilling #MedicalCoding #brain #HealthcareBilling #ICD10 #CPTCoding #HealthcareManagement #HealthcareAdministration #MedicalBilling #HealthcareIndustry #HealthcareProfessionals

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Medication error are some of the reasons adverse drug reactions can occur. Education is the first step to prevent them. As medical personnel is important to keep in continuous medical education looking forward to clinical pharmacology education. #pharmacovigilance #medicationerror #farmacovigilancia

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Attention #Match2025 Applicants!! Many of you have already started working on your ERAS application, especially the Personal Statement and CV. Remember, you know yourself better than anyone else. That's why I began my personal statement early. I wrote hundreds of drafts, taking ideas from various sources, and then refining and reorganizing them after getting feedback from seniors and friends. Here are a few tips that helped me: 1. Start Early: Begin writing your personal statement well in advance. This gives you ample time to revise and improve it. ?? 2. Use Available Resources: There are numerous free samples and guides from different universities and hospitals online. Search for "Residency Personal Statement samples" on Google and use these resources for inspiration. 3. Write Your Own Story: While it’s helpful to read samples, don’t copy them. Write your personal statement in your own words, sharing your unique story. This will create a genuine connection with the program directors who read it. 4. Refine and Review: Get help with refining your statement, especially for punctuation and grammar errors. Have friends, mentors, or seniors review your drafts and provide feedback. 5. Keep Writing: It might be daunting at first, but keep writing. Your statement will improve with each draft. #usmle #personalstatement #eras

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Belief in life after death: ???? Bangladesh: 98.8% ???? Morocco: 96.2% ???? Libya: 95.2% ???? Turkey: 91.8% ???? Iran: 91.3% ???? Pakistan: 89.3% ???? Egypt: 88.1% ???? Philippines: 83.8% ???? Nigeria: 83.1% ???? Ethiopia: 82.4% ???? Malaysia: 81.9% ???? Indonesia: 73.5% ???? Mexico: 70.8% ???? USA: 68.2% ???? Argentina: 58.2% ???? Iceland: 58.0% ???? Venezuela: 57.2% ???? Thailand: 57.1% ???? Canada: 56.9% ???? Brazil: 56.7% ???? Australia: 53.8% ???? Mongolia: 51.1% ???? UK: 41.7% ???? Norway: 39.3% ???? Russia: 38.7% ???? Spain: 38.1% ???? Vietnam: 34.1% ???? Japan: 32.2% ???? China: 11.5% Note: percentage of population who believes in life after death. According to World Values Survey (2017-2022) #World_statistics.

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I had the privilege of attending the "Master Interview Skills to Ace Your Next Job Interview Webinar 10.0," organized by RxConnect Pk. Thanks to Dr Faizan Ali insightful guidance, this event was a phenomenal opportunity to enhance my interview skills. Key Highlights from the Webinar: - Effective Communication Techniques: Dr. Ali shared valuable tips on articulating your thoughts clearly and confidently during an interview. - Professional Grooming: The session emphasized the importance of professional appearance and etiquette, which can significantly influence the interviewer's perception. - Interview Preparation: Comprehensive strategies for researching the company, understanding the job role, and preparing for common interview questions. - Body Language: Insights into maintaining positive body language and non-verbal cues that demonstrate confidence and engagement. - Mock Interviews: Practical exercises and mock interviews to practice and refine our skills. Special Thanks: - Soha F.: Thank you, Founder/CEO of RxConnect PK, for organizing this enlightening webinar. - Novaira B.: Co-founder of RxConnect PK, known for her remarkable organizational skills. - Dr Faizan Ali: A heartfelt thank you to Dr. Faizan Ali for taking the time out of his busy schedule to share his knowledge and skills, which considerably improved our understanding of effective interviewing tactics. For those who missed it, you can watch the recording of the webinar here: Master Interview Skills to Ace Your Next Job Interview Webinar 10.0 - YouTube Thank you very much

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?? Exciting Update ?? I'm thrilled to have received a Certificate of Attendance for the "Quality Assurance Webinar" organized by RxConnect Pk on May 26, 2024! This certificate recognizes my achievement in joining the webinar, led by the amazing Novaira B., Co-Founder, Dr. Soha F., Founder/CEO, and featuring the insightful Asif shah as the guest speaker! Here are the key takeaways I gained from the webinar: ?? What is Quality Assurance? ???Quality Assurance (QA) is a systematic process that ensures products or services meet specific requirements and standards. ???In the pharmaceutical industry, QA is crucial to ensure the safety, efficacy, and quality of drugs and medications. ???I learned about the importance of QA in maintaining compliance with Current Good Manufacturing Practices (CGMP) standards and regulations. ?? Pharmacist Opportunities: ???I discovered various career opportunities in quality assurance for pharmacists, including roles in industry, academia, and regulatory agencies. ???I gained practical knowledge on how to apply my pharmacy skills to a career in QA, including quality control, quality management, and regulatory compliance. ???I also learned about the importance of continuous professional development in QA to stay updated with industry trends and regulations. These learning points have equipped me with a solid understanding of quality assurance principles and practices, enabling me to pursue a career in this field with confidence! The webinar was a game-changer, offering valuable insights into the importance of quality assurance in the pharmaceutical industry, including maintaining top-notch quality management systems and protocols! I'm now equipped with the knowledge to make a difference in the field of quality assurance, and I can't wait to apply my skills and make a positive impact! Thanks, RxConnect Pk, for this incredible opportunity! #RxConnectPK #QualityAssuranceWebinar #QualityMatters #PharmaExcellence #QualityAssuranceWarrior #PharmaFuture

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In-depth Guide to Coding for Obstetric Cases (ICD-10-CM Chapter 15: Pregnancy, Childbirth, and the Puerperium)- PART -3 11. Pre-existing vs. Pregnancy-Related Conditions In pregnancy coding, it's important to differentiate between pre-existing conditions (conditions the mother had before pregnancy) and those that develop due to the pregnancy. Pre-existing conditions: These are health issues that the mother had before becoming pregnant, such as chronic hypertension or diabetes. When coding, use the Chapter 15 code that shows the condition is complicating the pregnancy. Pregnancy-related conditions: These are conditions that arise because of the pregnancy, like gestational diabetes or preeclampsia. When these conditions occur, use the relevant Chapter 15 codes for pregnancy complications. Key Point: If the provider indicates that a condition worsened because of the pregnancy (even if it existed before), still use the Chapter 15 codes that show it is now complicating the pregnancy. 12. Hypertension in Pregnancy Hypertension during pregnancy can be either pre-existing or caused by the pregnancy itself (gestational hypertension). Pre-existing hypertension: For patients with hypertension before pregnancy, use codes from O10 (Pre-existing hypertension complicating pregnancy, childbirth, and the puerperium). This includes: Hypertensive heart disease: Use additional codes from I11 to indicate heart disease. Hypertensive chronic kidney disease: Include codes from I12 for chronic kidney disease. Key Point: Always add secondary codes for specific heart or kidney disease conditions when necessary. Pregnancy-induced hypertension: For hypertension that develops because of the pregnancy, use codes from O13 (Gestational [pregnancy-induced] hypertension without significant proteinuria) or O14 (Preeclampsia). These indicate the complications specific to pregnancy. 13. Fetal Conditions Affecting Maternal Management Fetal conditions can affect the care the mother receives during pregnancy, even though they are not maternal conditions. Use codes from O35 (Maternal care for known or suspected fetal abnormality and damage) or O36 (Maternal care for other fetal problems) when the fetal condition requires additional care, such as extra monitoring, diagnostic studies, or even termination of the pregnancy. Key Points: These codes should only be used if the fetal condition directly impacts the mother’s treatment plan. If surgery is performed on the fetus while still in the womb (in utero surgery), the maternal record should include the appropriate fetal condition code from O35 and the correct procedure code. Important: Chapter 16 codes, which are used for perinatal conditions, should not be used in the mother's record to code fetal issues. Surgery on the fetus is considered an obstetric encounter, so it must be coded accordingly.

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#WPV #GPEI #Polioeradication #PolioEndemic #Poliovaccination A second child has been detected #positive with #poliovirus in a short span of 5 weeks in #Hyderabad, #Pakistan as per confirmation from health authorities on 28 Sep 2024. Total number of #WPV cases reported this year (2024) from the country so far is #24compared with only #6cases detected #in2023, which is #alarming, although 84 cases were detected in 2020 and 147 in 2019. One of the crucial steps of the polio eradication #strategy is continued #alignment of #Pakistan's #vaccination schedule with #Afghanistan's vaccination schedule, as #coordination between these 2 countries is critical to #interrupting poliovirus #transmission within and across the shared #epidemiological region. https://lnkd.in/g-rg4m34

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**Pakistan Cardiac Society Mardan Chapter Hosts Expert Consensus on 360-Degree Treatment and Approach to Heart Failure** **Mardan, Pakistan – September 19, 2024** – The Pakistan Cardiac Society Mardan Chapter successfully hosted an insightful event on the 360-degree treatment and approach to heart failure at Bacha Khan Medical College. The event, held from 12:00 PM to 2:00 PM, brought together leading cardiac experts to discuss and reach a consensus on the comprehensive management of heart failure. The participants were warmly welcomed by Assistant Professor Dr. Noor Ul Had and Dr. Asfandiyar. The event commenced with a brief yet informative presentation by Dr. Shafiq Alam, who provided an in-depth overview of the guidelines-directed management of heart failure. His presentation set the stage for a robust discussion on current practices in Pakistan and the necessary improvements to enhance patient care. Following the presentation, the forum was opened for an engaging discussion among the attendees. The dialogue focused on the existing practices in the management of heart failure within Pakistan and identified key areas that require enhancement to align with international standards. The collaborative effort of the participants led to a consensus on the following points: 1. **Integrated, Individualized, Patient-Centered Care**: Current practices need to be tailored to provide integrated and individualized care that centers on the patient. 2. **Frequent Follow-Up Visits**: Patients should have frequent follow-up visits to titrate guideline-directed medical therapy (GDMT) to the maximum tolerated doses. 3. **Contemporary Treatments**: The role and importance of contemporary treatments such as Implantable Cardioverter Defibrillators (ICD) and Cardiac Resynchronization Therapy (CRT) were discussed. Due to financial issues related to these procedures, the forum reached a consensus to request the government to include these treatments in the Sehat Sahulat Program. The Pakistan Cardiac Society Mardan Chapter remains committed to advancing cardiac care through such educational and consensus-building events. This initiative underscores the society's dedication to improving patient outcomes and fostering a collaborative approach to healthcare.

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Issuing this post in interest of GP doctors at Dubai. There is a trend in Dubai by locals and expats to take blockbuster drugs like mounjaro and ozempic over the counter from pharmacists or GP doctors without or with prescription. This is wrong. Neither drugs is approved for weight loss in UAE. If in doubt refer such patients to local doctors from ministry internal medicine specialists or endocrinologists. Don't encourage them to take Glp 1 without certain criteria like hba1c above 7.5 fasting sugars more than 120 and bmi above 30.There are cases of patients dying due to paralytic ileus by taking glp1 without prescription or meeting criteria. It's approved for use in USA and UK for obesity alone and only in those countries. UAE is yet to frame guidelines for use in obesity alone so doctors have to respect UAE rules. Also though novo nordisk is meeting non endocrinology doctors Eli Lilly hardly meets any internists or GP doctors so there is no need to promote these molecules for obesity. However as diabetics medications they are good for post prandial sugar control and may benefit obese diabetes cases in UAE. #diabetes

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