#Child Kidney Doctor In Delhi

[pediatric-nephrology-india]

Child Kidney Specialist in Delhi

Dr. Sidharth Kumar Sethi

Kidney & Urology Institute

He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. He has been actively involved in the care of children with all kinds of complex renal disorders, including nephrotic syndrome, tubular disorders, urinary tract infections, hypertension, chronic kidney disease, and renal transplantation.

He has been a part of 8-member writing committee for the guidelines of Steroid Sensitive Nephrotic Syndrome and Expert committee involved in the formulation of guidelines of Pediatric Renal Disorders including Steroid Resistant Nephrotic Syndrome and urinary tract infections. He has more than 30 indexed publications in Pediatric Nephrology and chapters in reputed textbooks including Essential Pediatrics (Editors O.P. Ghai) and “Pediatric Nephrology” (Editors A Bagga, RN Srivastava). He is a part of Editorial Board of “World Journal of Nephrology” and “eAJKD- Web version of American Journal of Kidney Diseases”. He is a reviewer for Pediatric Nephrology related content for various Pediatric and Nephrology journals.

Call Now: 0124-4141414 Visit: www.pediatricnephrologyindia.com

You can also search for: Child Kidney Specialist in India Child Kidney Doctor in IndiaBest Pediatric Nephrologist in India Nephrotic syndrome Specialist in Delhi

[bestpediatricnephrologistindelhi]

Best Pediatric Nephrologist in Delhi

Child Kidney Specialist in India

A Glimpse On Chronic Kidney Disease

CKD (chronic kidney disease) is a lifelong condition in which the kidney function slowly declines over many years. It is common in adults but extremely rare in children. It can be caused by a number of conditions affecting the kidney and can present at birth or later on during childhood. All kidney conditions do not cause CKD and all kids with CKD do not always progress to the end stage. It is a complicated disease with a wide spectrum from which full recovery is not possible but timely specialist care can help your child live a long, healthy and wholesome life.

How Severe Is My Child’s Disease?

CKD is divided into 5 stages based on GFR [glomerular filtration rate- tells how well the tiny filters (glomeruli) inside your child’s kidney are cleaning the blood].

How Would My Child Be Treated?

Your child will require specialized medical care from a pediatric nephrologist. It is important that you regularly visit the clinic for follow-up appointments even if your child feels well. At each of these visits, the growth(height,weight) and kidney function of your child would be monitored to avoid any future complications. The medical treatment aims at-

Reducing blood pressure [by low salt diet and medicines]

Slowing protein loss in the urine [by medicines like ACE-I(angiotensin converting enzyme inhibitor) or ARB(angiotensin receptor blocker)]

Avoiding bone disease [by calcium and vitamin D supplements] 

Controlling anemia [by erythropoietin supplements or blood transfusion]

Healthful living-

Ensure that your child eats at least five servings of fruits and vegetables a day. Cut down on his/her sugar and fat intake.

Get him/her plenty of exercise.

Avoid taking common medicines like ibuprofen/diclofenac without higher supervision as they cause further kidney damage.

Many children with progressive disease who develop ESRD would ultimately need dialysis, which uses special equipment to remove waste products and extra water from their body. The best treatment is a kidney transplant, in which a healthy kidney from another person is transplanted into the child. After a successful kidney transplant, the child can live a healthy life, but will need to take medicines to look after the new kidney.

What To Anticipate About My Kid’s Future?

CKD can take a heavy emotional toll not just on the kid but the entire household. Speaking with families of other children with CKD can be a huge support. Your child will need to take care of his or her health throughout life. As an adult, he/she will be supported by a new team. Due to the current medical advancements, children with CKD can reach their adulthood with better kidney outcomes. They should be encouraged to live a full and fulfilling life, pursue higher education, work and have a family.For any queries or concerns, please visit this website/contact Dr. Sethi today.

TAG : Child Kidney Specialist in Delhi, Child Kidney Doctor in Gurgaon, Pediatric Nephrology India

[pediatric-nephrologist]

Acute kidney injury (AKI) is common in neonates admitted to neonatal intensive care units (NICUs). There is a need to have prospective data on the risk factors and outcomes of acute peritoneal dialysis (PD) in neonates. The use of kidney replacement therapy in this population compared to older populations has been associated with worse outcomes (mortality rates 17–24%) along with a longer stay in the NICU and/or hospital.

[indiamedicaltourism]

Sickle Cell Anemia Treatment in India for Foreign Patients

Sickle cell disease is a hematological disease. Sickle cell is a genetic disorder that affects the hemoglobin in red blood cells. Red blood cells are shaped like sickle or crescents in sickle cell anemia. These cells block blood flow in our body. Red blood cells are generally flexible and round. Sickle cell anemia breaks down the red blood cells that carry oxygen for our body. A change in the HBB gene causes sickle cell anemia. For a child who has sickle cell amenia, both parents must carry one copy of the gene and pass it to the child. Their blood might hold sickle cells, but generally do not have symptoms. It can pass from person to person and change over time. Symptoms normally develop around six months of age. Some symptoms of sickle cell anemia may include anemia, swelling of hands and feet, episodes of pain, frequent infections, vision problems, delayed growth and puberty, etc. There are various types of sickle cell disease. These different types depend on the hemoglobin genes of a person from their parents. The main types are:

Hemoglobin SS (HBSS)

Hemoglobin SC (HBSC)

Hemoglobin Beta Thalassemia (HBS)

HBSD, HBSE, and HBSO

Sickle cell treatment may begin with antibiotics for newborns and children. This treatment focuses on managing complications, and symptoms and improving the quality of life. Some treatment methods for sickle cell anemia are pain management, preventing infections, red blood cell transfusions, marrow or stem cell transplants, gene therapy, supportive care, and all.

Sickle Cell Anemia Treatment Cost in India

Comparedto many Western countries India offers the most effective treatment options at affordable prices. Sickle cell treatment cost depends on the treatment plan according to the patient's condition. The average cost of sickle cell treatment in India starts from 15000 USD and goes up to 40000 USD. 

Best Sickle Cell Anemia Treatment Doctors in India

India has many top doctors for sickle cell treatment. These doctors have years of experience in handling complexity with skill. Here are some best sickle cell treatment doctors in India.

Dr.Revathi Raj (MBBS, DCH, PLAB, MRCP, FRCP Senior consultant – pediatricHeamatology Oncology)

Dr.Pravas Chandra Mishra (HOD, Heamato-OncologIst)

Dr.Anoop P (professor & specialties of pediatricHeamato-Oncology)

Dr. T P R Bharadwaj (specialties of paediatric Heamato-Oncology)

Dr. Ashish Dixit (consultant – pediatricHematology Oncology)

Top Sickle Cell Anemia Treatment Hospitals in India

There are manygreat hospitals for sickle cell treatment in India. These hospitals provide the latest technologies, a team of expert doctors and specialists, innovative infrastructure, and comprehensive care. Some top hospitals for sickle cell treatment in India are given below:

Apollo Hospitals (Delhi)

KokilabenDhirubhaiAmbani Hospital (Mumbai)

Medanta - The Medicity (Gurgaon)

Jaslok Hospital (Chennai)

Narayana Health Institute (Bangalore)

Fortis Malar Hospital (Chennai)

Al AfiyaMedi Tour is one of the best medical tourism companies in India. We offer medical tourism services in India foreign patients. Some of the main countries are Bangladesh, South Africa, Uganda, Zambia, Namibia, Iraq, Kenya, Ethiopia, Nigeria, and so on. We provide free assistance for TURP surgery cost, lung cancer treatment, stomach cancer treatment,liver transplant cost, best hospital for heart valve replacement, liver cancer treatment cost, bone marrow transplant cost,arthroscopic surgery, best liver transplant hospital, brain tumor surgery cost, kidney transplant, cancer treatment cost, liver transplant treatment, best bone marrow hospital, etc.  If you are searching for free medical and healthcare consulting to find the best hospitals and top doctors and surgeons in India for any treatment then contact us- Alafiyameditour.com.

Source: https://alafiyameditour1.blogspot.com/2024/05/sickle-cell-anemia-treatment-in-india_28.html

[jeenasikholifecare]

Ayurvedic Clinic For Kidney Disease in Faridabad .

What Is the Health-Care Scheme of the Central Government?

Employees of the Central Government have access to healthcare and medical care under the Central Government Health Scheme. The CGHS meets all of the democratic pillars’ healthcare demands. It includes the Press, the Legislature, the Judiciary, and the Executive. Employees and retirees of the Central Government have access to excellent health care through the CGHS. In addition, the CGHS covers 74 cities across India to improve healthcare accessibility. CGHS also regulates allopathic, homoeopathic, Ayurveda, Unani, Siddha, and Yoga health-care systems.

Benefits Of Central Government Health Scheme? (CGHS)

CGHS provides outstanding facilities for retirees and Central government employees to receive effective healthcare treatment for any health condition. Take a look at the following details to understand more about its benefits: You can seek OPD treatment, which includes medication issues. Consult a recognised polyclinic/government hospital or an ayurvedic clinic. Excellent treatment services are provided by government and empanelled hospitals. Pensioners and other designated beneficiaries can receive cashless care at CGHS-approved hospitals and diagnostic centres in Delhi NCR. Expense reimbursement is possible in clinics and hospitals. Family Welfare, Maternity, and Child Health Services are available to you. Ayurveda, homoeopathy, unani, and siddha medicines can provide medical care and therapies (AYUSH).

Eligibility For Central Government Health Scheme .

To join the CGHS To avail CGHS facility at the CGHS empanelled clinics in Delhi, you need to meet some specific criteria for availing of excellent healthcare services. To know more, take a look at the details given below:

All central government employees, Central Civil employees, and dependent family members in the CGHS areas are eligible for CGHS. Similarly, pensioners, railway, armed forces, retiring employees, widows of the central government, Delhi Police personnel and families, and Civilian employees of defence can avail of CGHS healthcare services.

Ex-Governors and Lt. Governors families, Ex-Vice Presidents, Military Officers, Governments servants transferred to a non-CGHS area, IAS Officers on North-Eastern Cadre, Parliamentary Secretaries, Sitting Judges of Supreme Court and High Court of Delhi, and former judges are also eligible for CGHS.

And, other Central govt. Employees and retired employees can also get CGHS healthcare services.

How You Can Avail Free Treatment?

– Get free treatment services through a CGHS card.

– Referral is must for patients below 75 years.

– Also, by availing insurance, you can get free treatment for every health issue.

– Lastly, all employees of central governments will get healthcare treatment through reimbursement.

Reasons To Visit CGHS Empanelled Clinics & Hospitals In Delhi NCR Visiting the CGHS certified clinics and hospitals in Delhi ncr can offer you excellent services that can help you get effective treatment services. To know more, take a look at the list of benefits listed below:

Get cashless treatments.

From eye care, dental care, and every health issue, services are offered by CGHS empanelled hospitals and clinics. You can avail excellent and certified services for ayurvedic treatment. In which, panchakarma therapies, ayurvedic remedies, and yoga are also there. Avail of effective treatment for OPD care. Serious to acute disease can be easily treated at CGHS empanelled hospitals and clinics. Similarly, you can get effective natural care for health through Ayurveda, panchakarma therapies and get a free consultation from ayurvedic doctors and experts.

Top CGHS Approved Clinics In Faridabad .

Jeena Sikho Lifeacaer limited Ayurveda Clinics & Hospitals is one of the CGHS approved Health care Center in Faridabad . At Jeena Sikho Lifecare Limited Ayurveda Clinics, you can get certified Ayurvedic care for every health issue. So whether you’re suffering from kidney failure, liver problem, heart disease, digestive problem, mental illness, low immunity or any other serious illness at Jeena Sikho Lifecare Limited Ayurveda Clinics, you can get total care through dietary changes, panchakarma therapies, and ayurvedic remedies. Apart from that, if you’re facing any critical health issues, then you can visit Jeena Sikho lIfecaer . This is the best CGHS Empanelled Hospitals in Faridabad for holistic care through Ayurveda, homoeopathy, and naturopathy. Therefore, if you want to lead a healthy life, you can surely visit Jeena Sikho Lifeacare Limited Faridabad Clinic .

You Can Contact us on - 9896096271 - 7873578735

or Visit our Clinic in Faridabad - Address: Shop. No. 2, Basement Shushma Complex Sector 20-B, Ajronda Chowk, Near, Neelam Flyover, Faridabad, Haryana 121001

[drprashantjain1]

Hydronephrosis Treatment In Delhi

Many people have never heard of the term hydronephrosis. That’s because it is only prevalent in around 1% of the general population according to a research paper published by Science Direct. Hydronephrosis can affect both children and adults. In fact, it can even affect babies in the womb; this can be found via prenatal ultrasound. The same study by Science Direct observed that 1 in 100 to 200 fetuses suffered from hydronephrosis. Because of this, finding out that you suffer from hydronephrosis and require surgery might seem daunting. But don’t worry about it. You can find hydronephrosis treatment in Delhi without breaking a sweat!

What exactly is it?

Hydronephrosis is a condition wherein one or both of the kidneys swell up. This happens either because of some blockage in drainage system of urineor urine refluxing back in the kidneys which can eventually damage the kidney of child.

Therefore, it is essential that you consult doctor once hydronephrosis has been diagnosed. Once the diagnosis is made child needs to be evaluated in detail. Not all hydronephrosis requires surgical intervention but needs to be monitored closely to avoid any renal damage.

Signs of Hydronephrosis

Here are some of the most commonly known signs and symptoms of hydronephrosis.

Antenatal diagnosis on ultrasound scan.

Urinary tract infection

Pain and lump in the back and the sides.

Urinary symptoms like frequent urination, crying during urination etc.

These signs are particularly useful to suspect hydronephrosis in children. Infants, in particular, can have failure to thrive. If you have suspicion that your child may be suffering from hydronephrosis or has all the signs mentioned above, it might be a good idea to consult a doctor.

Causes of Hydronephrosis

As mentioned above, hydronephrosis is a condition that prevents urine draining from the kidneys, which causes the kidneys to swell up. Hydronephrosis usually develops because of two main causes:

Obstruction in Urinary System

Blockage in the upper ureter (Pelvi-ureteric Junction) or lower ureter (Uretero-vesical junction) or Bladder oulet (Posterior urethral valve) can cause hydronephrosis on one side or both sides.

One of the commonest cause is blockage at ureteropelvic junction. This is essentially the very point (or junction) where the ureter and kidney meet.

Posterior Urethral valves are seen in boys and usually causes bilateral hydronephrosis. This is treated by endoscopic resection surgery. If not treated timely it can cause significant morbidity.

Vesicoureteral Reflux

Another cause of hydronephrosis is the vesicoureteral reflux where the urine flows backward from the bladder to the kidneys via the ureter. This condition is unique because usually the urine should only flow from the kidneys to the bladder- not the other way around.

Hydronephrosis treatment in Delhi

If you’re looking for hydronephrosis treatment in Delhi, then you’ll be happy to know that there’s plenty of options available. Your doctor who, after examination, ask for a few tests. This may include the following:

Blood test

Urine test

Ultrasound Imaging

Voiding Cystourethrogram

Renal Scan (DTPA or DMSA scan)

Combined, these tests examine your kidneys, bladder, Urethra and checks if they’re working fine. The kind of treatment you’ll receive for hydronephrosis depends strictly on how severe the condition is.

Some of the causes are self-limiting and may need just close observation with regular testings. Hydronephrosis causing recurrent urinary infections or deterioration of renal functions might require surgical intervention.

However, we do not recommend that you go with this approach as it can even lead to your mild case developing into a severe case of hydronephrosis, which will need surgery. Hydronephrosis surgery cost depends solely on how critical the situation is.

However, you should not look at hydronephrosis surgery costs when looking to treat the disease. As we mentioned, it’s not life-threatening at the same time living with hydronephrosis can severely impact your quality of living. So don’t wait it out!

[mymedtrips]

Neurosurgery Cost in India

Brain surgeries in India have a success rate of 80-90%. In most cases, neurosurgery is successful when brain tumors are detected earlier and proper medication is given. Moreover, the total cost of neurosurgery can reach a total of six figure receipt. So let's now discuss about the neurosurgery cost in India, best neurosurgery hospitals in India, and best neurosurgery doctors in India.

To treat the diseases or disorders of the nervous system, neurosurgery is performed on the patient. The nervous system includes the brain, spinal cord, or spinal column. This surgery can be performed on either an adult or a child, whomsoever is required to undergo it. The neurosurgeons, the ones who specialise in neurosurgery are responsible to diagnose the neurological disorders, treat the patient by performing a surgery, followed by rehabilitation.

Neurosurgery has been gaining recognition from the early 1900s, Since then, the methods and techniques used in neurosurgery have been highly developed, thereby increasing its success rate. There are various methods of neurosurgeries such as conventional neurosurgery, microsurgery, endovascular neurosurgery, etc., each one being adopted based on the type of neurological disease of the patient. Inspite of all the latest advancements of technology, neurosurgery still has certain risks associated with it, which includes brain swelling, seizures, blood clotting in the brain, problems with speech, memory, balance, strokes, and many more. But when it becomes necessary, it has to be performed before the disease worsens.

Neurosurgery Cost in India

The neurosurgery cost in India is dependent on a variety of factors. The surgeon's fee, the surgeon himself, the type of neurosurgery, the hospital, tests and scans, room charges, and medical condition of the patient, all these factors together affect the cost of neurosurgery. However, the average cost of neurosurgery in India is around INR 1 lakh and the maximum cost can reach up to INR 4,50,000. This cost is a generalised picture, and is prone to fluctuate based on the aforementioned factors.

Best Neurosurgery Hospitals in India:

To get a good treatment, you need first-class facilities. Following are the best hospitals for neurosurgery in India with the facilities and treatment:

IBS Institute of Brain and Spine, Lajpat Nagar III, Sarojini Nagar, New Delhi

Artemis Hospital, Bindapur, Haryana, Gurgaon

BGS Gleneagles Global Hospitals, Uttarahalli Main Road, Sunkalpalya, Bengaluru, Karnataka

Best Neurosurgery Doctors in India:

Apart from a good neurosurgery hospital, a good neurosurgeon with all the skills and expertise is also equally vital. Below are the best doctors for neurosurgery in India:

Dr. V.P. Singh, Medanta - The Medicity, Gurgaon, Haryana.

Dr. Sanjeev Dua, Max Super Specialty Hospital, New Delhi.

Dr. R. Srinivasa, Aster CMI Hospital, Bangalore.

My Med Trip is one of the best medical tourism companies in India. We provide complete medical and healthcare services with consulting in India for patients from all over the world including South African countries like Kenya, Ethiopia, South Africa, etc. We help you in finding the best hospitals, doctors, and good accommodations at affordable costs in India. We offer Kidney, liver, lung, heart, and bone marrow transplants and treatment; shoulder replacement surgery cost in India, knee replacement surgeries, breast cancer surgery cost in India, skin cancer treatment, kidney transplant cost in India, heart transplant, bone marrow transplant cost in India, heart replacement, top heart hospital in India, knee replacement, best Kidney transplant hospital in India and so on. Source: https://mymedtrips.blogspot.com/2023/09/neurosurgery-cost-in-india.html

[thewokeindia]

AIIMS Delhi performs groundbreaking surgery on three-month-old baby, sets global record

AIIMS Delhi sets global record with groundbreaking surgery on 3-month-old baby:

Department of Paediatric Surgery at AIIMS Delhi performed Bilateral Laparoscopic Pyeloplasty on a three-month-old infant, setting a new record for the youngest patient to have undergone this procedure. The child was discharged from the hospital in just three days following the successful surgery, which not only demonstrates AIIMS Delhi's dedication to providing cutting-edge paediatric surgical treatment.

AIIMS Delhi doctors planned carefully for laparoscopic surgery on both kidneys: The surgical team, directed by Dr. Vishesh Jain, decided to perform a laparoscopic procedure on both kidneys to reduce invasiveness and maximize advantages.

Careful planning was done by AIIMS Delhi doctors before the procedure to improve cosmesis and strategically place incisions to allow for surgery on both sides without using the same incisions.

For more reads : AIIMS Delhi

[deepikashomeopathy]

Homeopathy Kidney Specialist in Delhi | Dr. Deepika's Homeopathy

Dr. Deepika's Homeopathy is India's best homeopathic clinical chain, Where we restore your health naturally. we have experienced doctors with a demonstrated history of working in the health wellness and fitness industry. Our Expertise in Kidney Stones, GallStones, PCOS/PCOD, Thyroid, Fatty Liver, Skin issues, Warts, Piles, Infertility, Child Health, and Male/Female Sexual issues.

Visit Us:- https://drdeepikashomeopathy.com/

[drsidharthkumarsethi]

Healthy kidneys for Healthy kids call Dr. Sidharth he is Child Kidney Specialist and Child Kidney Doctor in Gurgaon, Delhi, India.

[bestpediatricnephrologistinindia]

Therefore, we provide here a position paper centered on emergency preparation with resource allocation for critical COVID-19 cases within the pediatric population, specifically where renal conditions worsen due to the onset of AKI.

[pediatric-nephrology-india]

Kidney Disease Care especially for Children

Kidney Disease Care especially for Children

Dr Sethi at Medanta, The Medicity is the leading Pediatric Nephrologist providing diagnostic and treatment services for children with conditions of the kidney, especially Nephrotic syndrome, Glomerular disorders, rare tubular disorders and Chronic Kidney disease. Our team is the leading dialysis and renal transplant service center for children.

Dr Sethi & team believes in personalized care that focuses on individual patient and family needs. Our team understands the challenges many of our families face when trying to access the care they need. Our caring goes beyond diagnostics and treatment. Our team is nationally recognized for their innovation, experience, dedication and expertise. We have the newest dialysis technology and provides comprehensive kidney transplant care to children of all ages.

Dr. Sidharth Kumar Sethi

Kidney & Urology Institute

He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. He has been actively involved in the care of children with all kinds of complex renal disorders, including nephrotic syndrome, tubular disorders, urinary tract infections, hypertension, chronic kidney disease, and renal transplantation.

He has been a part of 8-member writing committee for the guidelines of Steroid Sensitive Nephrotic Syndrome and Expert committee involved in the formulation of guidelines of Pediatric Renal Disorders including Steroid Resistant Nephrotic Syndrome and urinary tract infections. He has more than 30 indexed publications in Pediatric Nephrology and chapters in reputed textbooks including Essential Pediatrics (Editors O.P. Ghai) and “Pediatric Nephrology” (Editors A Bagga, RN Srivastava). He is a part of Editorial Board of “World Journal of Nephrology” and “eAJKD- Web version of American Journal of Kidney Diseases”. He is a reviewer for Pediatric Nephrology related content for various Pediatric and Nephrology journals.

To schedule an appointment With the Child Kidney Doctor in Delhi, please contact: Name: Dr. Sidharth Sethi (Child Kidney Doctor in Delhi) Address: Division of Pediatric Nephrology, Kidney Institute, Medanta, The Medicity, Gurgaon, Haryana, India, 122001 Phone: 0124–4141414 Website: www.pediatricnephrologyindia.com

[pediatric-nephrologist]

Risk factors and outcomes of neonates with acute kidney injury needing peritoneal dialysis

Acute kidney injury (AKI) is common in neonates admitted to neonatal intensive care units (NICUs). There is a need to have prospective data on the risk factors and outcomes of acute peritoneal dialysis (PD) in neonates. The use of kidney replacement therapy in this population compared to older populations has been associated with worse outcomes (mortality rates 17–24%) along with a longer stay in the NICU and/or hospital.

Methods:

The following multicentre, prospective study was derived from the TINKER (The Indian PCRRT-ICONIC Neonatal Kidney Educational Registry) database, assessing all admitted neonates ≤28 days who received intravenous fluids for at least 48 h. The following neonates were excluded: death within 48 h, presence of any lethal chromosomal anomaly, requirement of congenital heart surgery within the first 7 days of life and those receiving only routine care in nursery. Demographic data (maternal and neonatal) and daily clinical and laboratory parameters were recorded. AKI was defined according to the Neonatal Kidney Disease: Improving Global Outcomes criteria.

Results:

Of the included 1600 neonates, a total of 491 (30.7%) had AKI. Of these 491 neonates with AKI, 44 (9%) required PD. Among neonates with AKI, the odds of needing PD was significantly higher among those with significant cardiac disease (odds ratio (95% confidence interval): 4.95 (2.39–10.27); p < 0.001), inotropes usage (4.77 (1.98–11.51); p < 0.001), severe peripartum event (4.37 (1.31–14.57); p = 0.02), requirement of respiratory support in NICU (4.17 (1.00–17.59); p = 0.04), necrotising enterocolitis (3.96 (1.21–13.02); p = 0.03), any grade of intraventricular haemorrhage (3.71 (1.63–8.45); p = 0.001), evidence of fluid overload during the first 12 h in NICU (3.69 (1.27–10.70); p = 0.02) and requirement of resuscitation in the delivery room (2.72 (1.45–5.12); p = 0.001). AKI neonates with PD as compared to those without PD had a significantly lower median (interquartile range) duration of stay in NICU (7 (4–14) vs. 11 (6–21) days; p = 0.004), but significantly higher mortality (31 (70.5%) vs. 50 (3.2%); p < 0.001). This discrepancy is likely attributable to the critical state of the neonates with AKI.

Conclusions:

This is the largest prospective, multicentre study specifically looking at neonatal AKI and need for dialysis in neonates. AKI was seen in 30.7% of neonates (with the need for acute PD in 9% of the AKI group). The odds of needing acute PD were significantly higher among those with significant cardiac disease, inotropes usage, severe peripartum event, requirement of respiratory support in NICU, necrotising enterocolitis, any grade of intraventricular haemorrhage, evidence of fluid overload more than 10% during the first 12 h in NICU and requirement of resuscitation in the delivery room. AKI neonates with PD as compared to AKI neonates without PD had a significantly higher mortality. There is a need to keep a vigilant watch in neonates with risk factors for the development of AKI and need for PD.

TAG-  Kidney Doctor in Gurgaon, Child Kidney Specialist in India, Best Pediatric Nephrologist in India 

[coochiequeens]

If I ever had to undergo a hysterectomy I would tell the doctor to destroy it afterwards than have it be part of a frankensurgery.

A doctor in New Delhi, India has announced he is preparing a surgical plan to implant a womb in a biological male who identifies as transgender.

Dr. Narendra Kaushik, who runs a transgender surgery clinic, told The Mirror that he was preparing to utilize a womb taken from either a deceased organ donor or a hysterectomy performed on a female-to-male transgender patient.

“Every transgender woman wants to be as female as possible, and that includes being a mother,” said Dr. Kaushik said, continuing: “The way towards this is with a uterine transplant, the same as a kidney or any other transplant. This is the future. We cannot predict exactly when this will happen but it will happen very soon.”

Dr. Kaushik says plans are in the process of being finalized, but no indication was given in whether or not he has a patient lined up for the procedure. 

In 2017, Dr. Richard Paulson, then the head of the American Society for Reproductive Medicine, claimedthat it was possible for biological males to get pregnant with currently-available medical technology.

“There would be additional challenges, but I don’t see any obvious problem that would preclude it … I personally suspect there are going to be trans women who are going to want to have a uterus and will likely get the transplant,” Dr. Paulson said at the time.

Similarly, Dr. Christopher Ingerfeld of the London Transgender Clinic also called for trans-identified males to be allowed womb transplants, claiming that the procedure would be effectively identical to womb transplants performed on “cis” women, but failing to note any anatomical differences inherent in biological males.

In 2021, scientists at the Naval Medical University in Shanghai, China ignited widespread controversy after impregnating a male rat in what was considered by many to be an experiment that was unethical and unnecessarily cruel to the animal subjects. 

The scientists castrated a male rat, implanted a uterus into it, and then connected it to the circulatory system of a pregnant female rat. Fertilized embryos were then transferred into the male rat’s ‘uterus,’ and pups delivered via cesarean section survived in only 4% of cases, with most of them dying within hours of delivery. 

There is only one recorded case of a male having received a womb transplant. 

In 1931, Lili Elbe, a trans-identified male from Denmark, received a womb transplant and rudimentary vaginoplasty. Elbe died three months after the surgery, his body rejecting the organ and developing a serious infection which resulted in a fatal cardiac arrest. 

Reduxx is a newly-launched independent source of pro-woman, pro-child safeguarding news and commentary. We’re 100% reader-funded! Support our mission by joining our Patreon, or consider making a one-time donation.

By

Jennifer Seiland

Jennifer is a Marxist feminist and aspiring polyglot, living begrudgingly in the American South. She is passionate about women's rights, animal rights, and her several cups of morning coffee

[drethanramslay]

A funny thing called Fate: Chapter 2

Pairing: Bryce X MC (Aisha Khurrana)

Word Count: 4.6 K words (yeah yeah its more than usual)

Series Masterlist

Masterlist

Warning: None, just some cursing

Author’s note: The next chapter is here and it is in Aisha’s POV!!

I decided to take part in @choicesseptemberchallenge20​ and the prompt is heaven which you will find in bold. 

TERMS THAT YOU NEED TO KNOW:

- IIT, Delhi: It’s one of the most premier institute for engineering in India. Delhi campus is said to be the best one in the country. The majority of the Indian CEO’s like Google, at least have a degree of IIT under their belt. 

-ku'uipo: Sweetheart

-'Ae: Yes

- Beta padhai par dhyaan do, dost aate jaate hai: Child, focus on your studies, friends come and go (TBH this is the one line which maximum desi kids have heard while growing up. That's why we can be uh.. awkward in making new friends lol)

-Main kya gadhi hoon: I'm such a dumbass (side note: gadhi (female) actually means donkey in hindi)

-Duniya main maine itna bada gaandu kabhi dekha nahi hai maine: I have not seen a bigger asshole than this guy. (yes I love swearing in hindi and what about it)

Forgive me if i made any errors

10 YEARS AGO- AISHA'S POV

My fingers ran against the spines of the book, my head tilted as I searched for a new book to dive into.

"Found anything of your liking, Aisha?" Tina, the librarian asked, her kind eyes twinkling. The old librarian loved me because I always helped around in sorting the books or with checkout. She suggested that if I were to help her, she would pay me so I decided why not?

But the lack of people coming to the library and their constant need to be fake on social media, flexing about their looks instead of textbooks often left the library empty which consequently resulted in free time.

Not that I minded.

In that free time I would either catch up on my study assignments or I would read the books recently added to the collection be it fiction, politics, history, astronomy... I wasn't picky about the genres.

But lately, my attention is being drawn to medical journals and textbooks. Yes, I'm 16 and that its definitely not people my age do but, to be the person balancing on the tightrope between life and death, the person who stands between existence and heaven... it's just a beautiful paradox that I can't help be captivated by the concept.

That and my strengths are biology and chemistry so its just an added plus. So, I definitely dream of being a world class doctor. 

Not to brag, but I know all the pulse points in the body and can name the bones of the skull in my sleep. My parents don't know that because... let's say there is a reason why I stay out of home for the majority of the day.

Are we again going to go over this? I am sick and tired of your fucking indiscipline. How I wish you could be more like Aditya... Mama's voice rung in my ears which made me close my eyes and take a shuddering breath.

Now is not the time to think about how awful you are. I repeated it in my head like a mantra, making it a point to message my brother and rant about the newest development.

Despite our parents trying to pit me against bhaiya, we were thick as thieves. We always had each other's backs and we're there to cheer each other up. Whenever our parents would scream at any of us, we would wait until they fell asleep to do something to lift the other person up. Midnight feasts, movie binge or just cuddling and imagining a future where we were away from them... That always managed to cheer me up and I knew bhaiya enjoyed it too.

I don't think we fought that much either because we were pretty close in age, with only three and a half years difference. We are pretty like-minded and scientifically inclined only he was interested in computer engineering while I was fascinated by the engineering of the human body.

It sucked that he is in IIT, Delhi while I'm so far away. We still manage to video call irrespective of the time zones but it is not the same as having the comfort of your older brother.

"I think I will take this." I handed her a battered copy of Gray's anatomy.

Tina just gave a knowing smile and I checked out. I headed to the nearby Fleming Beach Park, which is one of the most popular beaches in Maui. It was a five-minute walk from the library and the majority of the school population used to come here to hang out in the evenings.

Not that I was paying any attention to my oblivious classmates.

I headed to Kimo's Beach Shack and the owner gave me a gentle smile.

"What will it be, ku'uipo? The usual?" They asked as they wiped their hand on the dishtowel.

"'Ae." I smiled at them and they started making my favourite drink- Strawberry milkshake.

Precariously balancing my bag, the drink in one hand and my wrist-thick library book under the armpit of my other hand, I headed to the quieter side of the beach, away from the raucous.

I settle down under the shade of the palm trees and lean back against the rocks, taking in the view around me. I could see people from my school roaming around in their swimming suits either playing volleyball or surfing. As I sipped my milkshake (looking like an absolute loner, must I add) my eyes drifted to their happy faces as the joked around, laughing and having fun with their friends.

The two concepts that are so unfamiliar to me.

When I was back in India, I had a good group of friends who I would hang out with and play basketball with. It was good but shifting to a new place can strain those relationships. I do follow them on social media but seeing them enjoying and doing the things which we used to do together, it causes my heart to ache.

And I never really tried making friends here in Maui because a) The people here didn't consider me as one of them and b) My parents kept on saying it is temporary so there was no point focusing on that. Beta padhai par dhyaan do, dost aate jaate hai. My dad told me the one night I decided to express my excessive loneliness.

Thanks papa, real helpful. I shook my head, sipping my drink as I carefully opened my library book.

"You look sad." A childish voice spoke up breaking me out from my melancholy. I looked up and saw a four-year-old girl, her doe-like eyes staring down at me. She was wearing a pink summer dress and a cute bow hairband, taming her light brown hair.

"Huh?"

"You look sad... and lonely."

"I am okay, keiki... Don't worry."

The kid's eyebrows furrowed with confusion. "How did you know my name?"

My eyes widened. In the two years in Hawaii, I had learnt a little bit of Hawaiian and spoke in bits and pieces. And I'm pretty sure keiki meant 'child' in Hawaiian so you could imagine the shock I felt when her name was the literal translation of child.

Who the fuck names their child... child?

"A lucky guess. It is nice to meet you Keiki." She moved her hand forward and Keiki's hand clutched my big hand with her small ones shaking it. Her hand was as big as my palm.

"What's your name?" Keikie asked as she sat down next to me.

"I'm Aisha. And, what are you doing here all alone?"

"I came with my elder brother but he and his friends were playing and he forgot his promise to build a sandcastle with me. So I just went walking." She huffed and crossed her short arms across her chest.

"Well, your brother would be worried about you, won't he?" I asked as her eyes scan the crowd, looking for a guy who remotely looks like my little companion.

"Well, I think that's a go-good puni-shi-ment for him." She struggled with the big word.

Aisha chuckled and soon Keiki's giggles joined hers.

"You remind me of the times when I used to bother my elder brother like that. He would get so mad."

"Where is he now?" She asked as her hands fisted the sand, her eyes moving to look at the brunette.

"Well, he is in university, in a completely different country."

"Do you miss him?"

"A lot." I sighed. Her puppy eyes met mine and she reached to hold my elbow. I smiled down at her, appreciating the gesture. She opened her mouth to ask me more questions when we heard a commotion.

"KEIKI!! There you are!" A shout wafted towards us, interrupting Keiki. I saw a tall guy jogging towards us and when my eyes landed on him, I immediately recognized him.

Bryce Lahela. The golden boy of my school, with girls and guys falling for him, left, right, centre. And right now, he was approaching me completely shirtless, his abs glistening in the evening sun. He had a Polynesian tattoo wrapping around his left bicep and ending a little below his collarbone which had me feeling... uh thirsty?

Cool, cool, cool, just act like yourself.

Yeah as if that's helped you deal with your awkwardness. Her conscience snarked at her.

“Shut up.” I muttered to myself. But, I wasn’t subtle enough and Bryce turned towards me, a weird look in his eyes.

Off to a great start, Aisha. Keep up the good work. I mentally groaned as I went back to reading my library book. 

"Thank god Keiki you are okay... I was so worried." He kneeled and hugged her, immediately forgetting my weird mumblings. I could feel the body heat emanating from him and suddenly, the anatomy of the kidney seemed more interesting than the hot guy beside me.

"Its okay Bryce. I was talking to my new friend." Keiki squeaked as she pulled away from the hug, two sets of hazel eyes staring at me now.

My eyes widened and I subconsciously reached to push my glasses up my nose, feeling the back of my neck heating up.

"Well, thank you so much." His voice reverberated and I swear I felt as if I would combust at the spot.

I looked up and shot a tiny smile. "No worries. Keiki here makes a nice study buddy."

I internally smacked my head. Study buddy? Really? Who uses that term now?

"Of course. Daddy says that I'm a beauty with brains." She said with a smug smile.

"Well, that's the one thing that I agree with dad," Bryce said as he settled down on her other side. The one feet distance enabled my mind to resume working.

I smiled down at Keiki and I found that Bryce was looking at me intently.

O... okay?

"Wait... You go to my school right? Lahainaluna High School?"

I nodded my head. I was about to introduce myself when his eyebrows furrowed in concentration.

He was snapping his fingers when his face lightened up with recognition. "You are Aisha, right? The newbie who joined us last year I was in your chemistry class last year."

The drink almost fell from my hand and I had to clutch it tighter to prevent myself from making a bigger mess. Clearing my throat I smiled nervously. "Yeah, that's me. You are Bryce, right? You are on the basketball team, right?"

"You know me?" He asked, shocked and I could hardly stop myself from rolling my eyes.

"Duh?! You are Mr. Popular with really good looks and either people love you or hate you." I rambled off.

A small smile played on his lips. "And which category would you belong too? The love or hate category?"

I gave a shy smile. "Let's just say I'm on neutral grounds. Give me a good reason why I should like you."

"Because of my dashing looks? My tattoo?" He stretched his hands wide, gesturing towards himself. His hair caught the evening light, making it look like a halo. His hazel eyes had flecks of gold which threatened to drown me but before I could get lost in his sheer beauty, I shook my head to snap out of the daze of his presence and gave a mocking sigh.

"Aaaannnndd, he is just like other dumb jocks who is overly obsessed with his looks. Why are they all the same?"

Keiki put her hand sympathetically on my lap. "Don't worry Ash. I don't like Bryce when he talks about his looks either."

Bryce gasped. "Keiki you are breaking my heart."

"Good."

He reached for her and started tickling her which made her squeal with laughter. I had to get up so that the sand doesn't get on me, laughing at the sight. "Brryyccee!! Stopp!!"

"Not until you tell me I'm the best brother in the world."

Gasping for breath with tears in her eyes, Keiki breathed out in defeat. "Okay, okay. You are the best... brother in... the world."

Bryce pulled back a grin playing on his lips.

"Good."

My phone rang and I saw Mama's name flash on the screen which made me sigh.

"Your mom?" Bryce asked.

"Yep. should reach home before she turns into momzilla." We chuckled as I put my book into my bag.

"Bye Keiki, it was nice talking to you."

"Bye Ash. I like you. Can we make sandcastles next time?" I laughed and nodded, "Sure sweetie."

"Where is my goodbye?" Bryce pouted.

I rolled her eyes. "Bye Bryce. See you around."

And with that, I turned on her heel, and walked home, feeling much better.

PRESENT

Aisha felt like banging her head against the wall of the hospital out of utter embarrassment. In the span of 7 hours, she had pissed off her superior, met her ex from ten years ago, got stuck with a partner who hardly did anything and now managed to embarrass herself yet again in front of her role model.

Rookie... Are you hiding from me? The way Dr. Ramsey had an eyebrow raised, as if to question why she was hiding behind another intern and the appalled expression as she stumbled over her words were forever imprinted in her mind.

Not my brightest moment. Aisha recollected as she sighed at the way she stuttered and finally came up with an excuse.

I'm doing charts. She mocked herself as she shook her head. There was a table right next to me!! I could have come up with anything but that weak ass excuse.

And she had always dreamed that if she were to meet Bryce in real life, she would definitely insult the fuck out of him and then for the finishing stroke, she would probably punch him in his handsome face or kick him in the crown jewels.

But sadly, you seldom get the things you wish for.

I don't have time for this - Main kya gadhi hoon. She mentally groaned as she tried to shut off the part of her brain which was so hell-bent on making her feel humiliated.

She entered Annie's room to find her curled up in her bed, playing idly with her phone. She perked up a little when she saw Aisha, forcing a smile on her face.

"Oh. Hi, Dr. Khurrana."

"I just came by to see how you're feeling Annie."

Annie shrugged. "The same. The nurse came by and gave me some medication a little while ago.."

Opening Annie's chart she checked. "Yeah, antibiotics. It's too soon to see any improvement yet, but hopefully, we'll see some results soon."

Aisha was about to turn on her heel and leave when she heard Annie's small voice. "hey, could you stay awhile? It's... kinda lonely, being here all on my own."

Aisha gave an empathetic smile and reached to sit down on the chair near her bed. "Of course I can."

"Thank you once again doc."

"No, thank you. I haven't been off my feet since I got out of bed this morning. So Annie," Aisha leaned forward, "what are you studying?"

Annie blinked as if she was confused by the question. She took a couple of heavy breaths before attempting to answer.

"My master's is in... English... but my... my..." She swayed, her voice woozy as she tried to finish her sentence.

Aisha was on alert. "Annie, are you feeling okay?" She asked as she felt her pulse which was dropping before Annie passed out.

The heart rate monitor sounded a long, flat tone as her heart stopped.

"OH MY GOD!! Code blue, I need some help here!!" Aisha shouted, pressing the button near her bed.

"C'mon Annie stay with me." As Aisha stood on the nearby stool, performing CPR as she waited for the code team to arrive.

"Aisha?!" Jackie's shocked voice made her lookup.

"Jackie, where is the code team?"

"Room 502 called a code blue just before you. Just keep up with CPR. They'll get to you when they can!"

Aisha's eyes flashed. "That could be too late!! Help me, Jackie we are losing her fast."

"What were her symptoms?" Jackie asked as she snapped on the latex gloves and moved towards the bed.

"Symptoms were headache and nausea. Started during her vacation to Indonesia. Aurora and I did a blood workup and gave her cefpodoxime." Aisha opened the gown and Jackie's eyes narrowed in on the rash rapidly spreading on the side of the body.

"She is breaking in hives. She is in anaphylactic shock!"

"Now that I think about it, it may be because of her allergy to the antibiotics I gave... I had fucking asked her, dammit." Guilt made her chest heavy.

Jackie's face turned into a scowl as she wheeled the defibrillator cart closer. "It doesn't matter whose fault it is. This girl needs you now! We have to get her heart started ourselves."

Aisha nodded as she opened Annie's gown, baring her chest. She took a steadying breath. You have done this numerous times in AIIMS, you can do this.

Taking the paddles, she placed one paddle on the right side, beneath her collarbone and the other paddle on the left side, just beneath her armpit.

A small impressive smile made its way on Jackie's lips. "Good, now set the charge."

"Charging to 300 volts... Clear!"

Annie's body spasmed as the paddles discharged. Keeping them aside, Aisha resumed her compressions on Annie's chest.

C'mon Annie... You can do this... Come back to me. Aisha prayed.

The monitor beeped twice before Annie's heartbeat returned, accelerated but constant.

She let out a sigh of breath as she bent over the bed. Jackie clapped her back. "You are soooo lucky."

"Shut up. Now just give her an epinephrine injection and intubate while I maintain compression."

Jackie nodded her head and Aisha shot a grateful smile as she continued her compressions, her hands aching.

"What the hell is going on in here, Rookie?"

Yikes. Aisha winced at the tone and looked up to find Dr. Ramsey glaring from the doorway.

Time to own up, buddy. She sighed and spoke up. "Dr. Ramsey, she was allergic to the antibiotics I prescribed.

She couldn't gauge his reaction from so far away. "Well... at least you are taking responsibility. Sometimes patients don't know about their own allergies. That's why you always have to be cautious."

Jackie injected the epinephrine pen into Annie's tight. Still unconscious, Annie took a shuddering gasp of air.

"And now we intubate."

"Excellent work, Doctor...?"

A self-satisfied smile made its way on Jackie's face. "Varma."

"You were assigned to this case?"

"No, I was passing and I hear Dr. Khurrana calling a code blue."

A smile made its way on his face which shocked Aisha. This man voluntarily uses his facial muscles to smile? I wouldn't have known. "The patient's very lucky you were here. I'm not confident Dr. Khurrana could have handled this alone."

Now, wait a damn minute... Aisha clenched her jaw. This wasn't her first time she was getting insulted and yeah it was called for but it didn't help her feel any better either.

Jackie bit her lip and glanced at Aisha, which Aisha pointedly ignored. Watch her jump at the opportunity in 3...2...1

"Thank you. Just doing my job, Dr. Ramsey."

There it is.

Gulping down her annoyance, Aisha spoke up. "Dr. Varma really bailed me out." Aisha turned towards Jackie and nodded stiffly. "Thank you, Dr. Varma."

Jackie tried to read her, guilt swimming in her eyes.

She should be guilty, she took the credit of the save when I was the one calling the shots.

"...Anytime."

Fuck you. She narrowed her eyes slightly which made Jackie wince.

Luckily, Dr. Ramsey gave Jackie an out. "Dr. Varma, you should return to your patients."

A relieved smile made its way on her face. "Yes, Doctor." Throwing a backward glance towards Aisha, she walked out.

Dr. Ramsey swivelled towards Aisha, his face drawn tight with annoyance. "And you... you need to have a long hard think about whether or not you're ready to be here. It doesn't matter that it's your first day, or that you're still learning. Whether this girl lives or dies is on you. Is that clear?"

"Crystal, Dr. Ramsey."

"You still have no idea what's wrong with her, and your first attempt nearly killed her. This is the real world. No room for mista--"

"Hi, Dr. Ramsey? Sorry to interrupt." A short Asian intern interrupted him and Aisha let out a small sigh of relief.

This guy would give my parents a run for their money. Why do I meet assholes everywhere I go?

"For the love of God, what now?"

"One of the nurses told me... that one of the other interns told them... that one of the doctors said..."

Dr. Ramsey certainly didn't enjoy beating around the bush. With a biting voice, sharp enough to make both Aisha and the intern to flinch, he commanded. "Skip to the point."

"Dr. Toussaint needs to see you urgently." She rushed.

Dr. Ramsey pinched the bridge of his nose, muttered something about 'interns' under his breath.

Straightening his coat, who gave pointedly glanced at Aisha. "Remember what I said, Rookie. Next time I see you, you'd better have solved the case." He turned on his feet and stormed out making the petite intern jump.  

Aisha stepped out into the hall with the intern, leaned against the wall and let out a sigh.

"Thank god for Dr. Toussaint. I swear if he wouldn't have called, Dr. Ramsey would have burst a vein or something."

The intern leaned against the wall adjacent to Aisha. "Yeah... Too bad he doesn't actually need to see Dr. Ramsey."

Aisha's eyes widened and she turned to stare at the other intern. "Huh?"

"I made it up! I could hear Ramsey chewing you out halfway down the hall, I figured you might need a save."

Oh my god, that is the sweetest thing anyone has done for me.

Aisha smiled brightly. "Thank you so much. I really appreciate it. But you could get in serious trouble if he realizes it."

She shrugged with a cheeky grin. "If. Besides, I'm tougher than I look. I'm Sienna by the way. Or Dr. Trinh. Whichever floats your boat."

"I'm Aisha Khurrana. Thanks again." Aisha's pager beeped and she looked down and sighed. "As fun as our little adventure was, I need to get back to work. Nice talking to you Sienna and once again, thanks for the save."

"Bye, hope you solve the case. Also, wait! I heard all the doctors hang out at this bar called Donahue's. I think, just down the street. Apparently, it's like the place to go and decompress after a long shift. Wanna come?"

"Sure!! If only I survive my first shift."

Sienna gave a brilliant smile. "Assuming you live through the next few hours, I'll meet you in the atrium after we clock out."

And Aisha got back to work, tending to her other patients but Annie's unconscious face kept on flashing behind her eyelids and Ramsey's words echoed in her head, like a broken tape recorder.

You need to have a long hard think about whether or not you're ready to be here.

She took a shuddering breath, doubt slipping into her mind, making her question everything she did. Every patient she treated and every prescription she signed.

Am I really cut out for this?

She tried to stop the rising anxiety but it still continued to swell in her like a balloon. Her throat began to dry up and it felt as if the weight on her chest didn't allow her to breathe.

Oh god, it's happening.

Feeling like she was on the verge of a breakdown, she ducked into a dark supply closet so nobody could see her while she tried to pull herself together.

It's okay. You worked your way through med school to get here. You are worthy. She chanted, taking in gulps of air.

It had hardly been a minute when the door suddenly opened and she heard footsteps.

Aisha internally groaned in annoyance. "Get in or get out. Just quit holding the door." She turned around and saw Bryce.

Oh fuck.

He nervously cleared his throat and walked towards her, maintaining his distance. "I feel like I'm interrupting something. Are... are you okay?"

Thanks to the dark, he couldn't see her tear rimmed eyes. Sighing loudly she untied her hair and ran her fingers through it, something she often did when she felt like her life was on the verge of falling apart.

"Nothing. I'm just looking for something." She tried to speak in a sharp tone but it just sounded like her voice was cracking.

She knew that Bryce had definitely heard how close she was to crying. Concern laced his voice. "Hey, I know when we met I was nothing but a dumb, self-obsessed jock but it's different now. I... I know you are not okay. Want to talk about it? Or vent?"

Goddamit Bryce. "Fine! I almost killed my first patient and I fucking swear to god I saw my career flash before my eyes. But it was lowkey my fault. I should have checked for allergies. But I tried fixing my error by calling the shots and Jackie helped me. BUT that's not it! Instead of being a humble person, Jackie swoops in and takes the credit of my save and Dr. Ramsey just goes on congratulating her as if she won some fucking AMA Award-"

"Aisha, breathe."

Taking a lungful of air she continued. "- And don't even get me started on Dr. Ethan Freaking Ramsey. Duniya main maine itna bada gaandu kabhi dekha nahi hai maine. What a dick!! He should get fucking laid to work off all his anger issues-"

Bryce snorted but didn't dare to interrupt Aisha. From the short time they dated, he knew better than to interrupt her mid-rant, it only managed to instigate her.

Another deep breathe. "- Boy does he manage to make me doubt myself in every step of the way like am I worthy of being here? I mean, I threw my heart and soul into med school because I wanted to be the best doctor out there but dammit I don't think I am ready."

When he made sure she wasn't going to launch into a new roast session, he spoke up. "Wow. You managed so many years of med school, but eight hours into the shift and you're surrendering? Didn't take you for a quitter."

Excuse me? Aisha's eyes narrowed.

"You don't know me anymore Bryce. The Aisha you dated is long gone and dead." She said in a low voice.

He shrugged. "True, but I know that you still have the fire in you to do what you love the most. C'mon, you have dealt with worse but yet you are here, standing tall. This is just temporary. I know you can pick yourself back up and break down all the obstacles in front of you."

She looked up at Bryce, only able to see the faint outline of his body. He still was the same- tall, well built and with really good hair. "No offence but... you used to be the guy who would wet himself during chemistry practicals, what happened to make you so...?" She gestured her hand at him, accidentally hitting his hand.

He hesitated. "As you said, things changed and you don't know me anymore Aisha."

"Fair enough."

The lack of space and the awkward silence just fueled the tension between them. She could feel his converse bumping into her shoes and the heated gaze on her face.

There used to be a time when Aisha and Bryce would talk for hours on end and they never ran out of topics to talk about. Be it something as lame as which is the superior flavour of ice cream or as deep as life after death.

Look at us now... Aisha thought to herself, gulping.

Her hair fell on her face as she averted her eyes, unable to come up with something to talk about. Bryce's hand involuntary reached to push back the rebel strands behind her ear, his hands caressing her cheek in the process. It felt as if electric sparks shot up her cheeks, making her blush.

Bryce opened his mouth. "Aisha-"

The door opened and she heard a feminine voice. "Bryce I saw you giving me the look so I decided to join you-"

A woman walked around the corner of the help and Aisha's jaw dropped. It was not because she was shocked that he was dating, he could screw the entire hospital for all she cared but, no... she was topless.

"Oh." The unknown woman placed her hands beside her.

"Sam-" Bryce began and Aisha spoke up at the same time. "I was just-"

The confusion was interrupted again when the closet door opened again and a senior resident stood before them, aghast. "What is going on over here?"

"Oh fuck." The expletive spilt from Aisha's lips.

The topless woman, whose name apparently was Sam, quipped in. "Yeah what she said."

Well, this is totally not awkward.

AUTHOR”S NOTE #2:

Number one, yeah I dragged PB a bit in regards to Keiki’s name.. PB do your research challenge 🙄

Number two, okay so about the tattoo part, me and @bratzlahela​ were just talking about Bryce having Polynesian tattoos based on this post and I had to integrate it in my series lol

This is something I imagined 🤭

Number 3, Also I tried to change up the scene a bit with Jackie because tbh, Aisha is pretty fucking smart and she won’t be like “Boo-hoo. I don’t know anything” And about the part where she spoke about using the defibrillator numerous times in AIIMS, In India the medical education is a little more hands-on and focuses more on clinical practice rather than theory. Medical students from first year start doing ward duty and help around in the hospitals taking patient history, etc. Also, they have a mandatory year of internship without which you don’t get your license.  

Number 4, So about that supply closet scene, how many of y’all thought would you get a make out sesh?

If yes, here is your clown wig 🤡

Number 5, AND CAN WE TALK ABOUT TODDLER KEIKI I SWEAR I WAS JUST GUSHING THE ENTIRE TIME 🥺

Lastly, IT PHYSICALLY HURT ME TO ROAST ETHAN LIKE IM SO SORRY SWEETIE 😭🥺🤧

This was a pretty long author’s note heheheh

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