A place for thoughts, stories, and things I am figuring out.
I write about what I am learning, building, noticing, and trying to understand, from everyday stories to tech, money, health, and ideas that stay with me.
Dr Vivek’s Blog — Clinical Notes GINA 2025Asthma in ChildrenWhat You Need to Know A concise summary of GINA 2025 guidelines focused on pediatric asthma — diagnosis, challenges, and stepwise treatment for children under 5 and aged 6–11 years. GINA 2025 Pediatrics Dr. Vivek Asthma is one of the most common chronic diseases in children.…
We were assigned to do posting in Autism care centre this week. It was far from our hospital and I was happy to do so, both excited to go out of the hospital for a few days and also learn new things about the Autism Centre. We went there, and then we were trying to…
So today was my first day of Oncology posting, a new day after thesis submission. The last two weeks were a rollercoaster for me. So many thesis corrections, so many edits, so many overnight SPSS runs and rewriting the results and discussions again and again. At one point I was almost sure I wouldn’t be…
As pediatricians, we often say that children are not just “small adults.” Their presentations can surprise us, puzzle us, and at times humble us. Recently, I came across a case that has stayed with me — not just because of the diagnosis, but because of how it unfolded, how easily it was missed, and the…
As a pediatric resident working in a tertiary hospital in Nepal, there are days where I feel helpless. Some days I feel like a magician when a dying child survives from my little efforts. But there are also days where I feel that tightness and heaviness in my heart and remind me how fragile life…
A comprehensive guide on heart attack tailored for Nepal’s unique healthcare landscape Heart Attack – The Silent Threat in Nepal Cardiovascular disease has become the leading cause of death in Nepal, claiming more lives than accidents, infections, or other diseases. Whether you live in bustling Kathmandu, the hills of Pokhara, or remote mountain villages, knowing…
Some thoughts become essays. Some stay as quick notes. This space leaves room for stories, tech experiments, finance ideas, mental health reflections, and the occasional thing I simply wanted to save.