https://www.youtube.com/watch?v=tUeDothQIqM

Beyond the WhiteCoat, Kathmandu (2026)

29/09/2026

Being a Topper Doesn't Guarantee Success | Dr. Ramila
Topper हुँदैमा सफल भइन्छ भन्ने छैन | डा. रमिला

“Topper हुँदैमा तपाईंले सोचेको ठाउँमा पुग्नुहुन्छ भन्ने छैन। कहिलेकाहीँ average विद्यार्थी नै धेरै अगाडि पुग्छ।”

डा. रमिला एउटा यस्तो कुरा गर्छिन् जुन धेरै विद्यार्थीले आफ्नो पढाइको समयमा सुन्न आवश्यक हुन्छ।
Topper हुनु र जीवनमा सफल हुनु एउटै कुरा होइन।
“Just because you're a topper doesn't mean you'll end up where you expect. Sometimes the average student goes much further.”

Dr. Ramila talks about something many students need to hear: academic achievement and success in life are not always the same thing.
Being a topper does not guarantee that you will end up exactly where you imagined. At the same time, people who were average students, or even struggled academically, can go on to build remarkable careers and meaningful lives.
She explains how her own thinking has changed over time.
Earlier, talent, marks and being a topper might seem like the most important indicators of success. Today, she believes much more strongly in grit, resilience and the ability to keep moving toward your goal.
Because life does not always reward you immediately.
There will be setbacks. There will be failures. There will be moments when your effort does not produce the result you expected.
But resilience means getting back up.
Sometimes the person who keeps going eventually goes further than the person who started with the greatest advantage.
Your starting point does not completely determine where you finish.
Keep your mind focused on your aim. Keep working toward it. Let setbacks make you stronger rather than convince you to stop.
For Dr. Ramila, this has become one of her biggest motivations.
Success isn't only about being talented or being the topper. Sometimes, it's about having enough grit to keep going.

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28/09/2026

Can Food Adulteration Increase Cancer Risk? | Dr. Ramila

If unsafe substances are being added to the food we eat every day, shouldn't we be asking about the long-term health consequences?

Dr. Ramila raises an important public-health question about food adulteration and its potential impact on long-term health.
Food safety is not only an individual's responsibility. From production and processing to storage, distribution and sale, proper monitoring and regulation are needed to ensure that the food reaching consumers is safe.
Dr. Ramila questions whether unsafe practices, contamination or adulteration of food could contribute to serious health problems, including cancer risk in certain circumstances.
It is important to make one distinction: not every form of food adulteration causes cancer. The health effect depends on what substance is involved, the level of exposure and how frequently and for how long someone is exposed to it.
However, some substances that can contaminate food are known or suspected hazards, and long-term exposure to certain carcinogenic substances can increase cancer risk.
This is where government regulation and enforcement become important.
Dr. Ramila calls for stronger food-safety monitoring, testing, regulation and enforcement so that consumers can have greater confidence in the safety of the food available in the market.
We often talk about what individuals should do to stay healthy.
But public health also depends on having systems that make the healthy and safe choice easier.

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27/09/2026

Is 3 Months of Rest Enough After ACL Surgery? | Physiotherapist Prayoush

ACL surgery does not mean you can simply rest for 3 months and return to normal. Proper rehabilitation is a major part of recovery.

One of the biggest misconceptions after an ACL injury or ACL surgery is that the knee simply needs a few months of rest before everything goes back to normal.
Physiotherapist Prayoush Neupane explains why ACL recovery requires much more than simply waiting for time to pass.
After ACL surgery, rehabilitation focuses on progressively restoring muscle strength, walking pattern, balance, stability, movement, confidence and functional performance.
A patient cannot simply stop rehabilitation for several months and expect the knee and surrounding muscles to automatically return to their previous condition.
Rehabilitation should be progressive and based on how the patient is actually performing. Strength, movement quality, balance, stability and functional ability all need to be assessed as recovery progresses.
Milestones such as 3 months, 6 months, 9 months and 12 months can help patients understand their rehabilitation journey and set realistic goals. However, these should not be treated as rigid deadlines because every patient recovers differently.
For athletes, returning to sport should be based on more than simply asking, “How many months has it been?”
Strength, balance, stability, movement quality and functional performance all matter when deciding whether someone is ready to progress toward sport.
ACL surgery is only one part of the journey.
The surgery may address the ligament. Rehabilitation helps rebuild the strength, movement and confidence needed to use the knee again.
If you are recovering from ACL surgery, don't think only in terms of time.
Think about function, strength, control and progress.

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26/09/2026

Vaccines That Can Help Prevent Cancer | Dr. Ramila
Cancer prevention isn't only about lifestyle. Some cancers can actually be prevented through vaccination.

Dr. Ramila talks about two vaccines that have an important role in cancer prevention: the HPV vaccine and the Hepatitis B vaccine.
Persistent infection with high-risk HPV is responsible for cervical cancer and is also associated with several other cancers, including pe**le, a**l and mouth/throat cancers. HPV vaccination can help prevent these HPV-related cancers by preventing infection with cancer-causing HPV types.
Hepatitis B is another important example. Chronic HBV infection can cause cirrhosis and significantly increase the risk of hepatocellular carcinoma, the most common form of primary liver cancer. Hepatitis B vaccination prevents HBV infection and its long-term consequences, including liver cancer.
Nepal has also taken an active role in this area. In 2025, Nepal launched a nationwide HPV vaccination campaign and subsequently integrated HPV vaccination into the routine National Immunization Program.
Dr. Ramila emphasises that the cancer-prevention benefits of these vaccines are not based on a new theory or a single study. Their safety and effectiveness are supported by years of research, clinical evidence, real-world vaccination programmes and ongoing safety monitoring. WHO continues to recognise HPV and hepatitis B vaccination as important cancer-prevention measures.
We often talk about treating cancer after it develops.
But when we have an opportunity to prevent certain cancers before they develop, prevention matters.

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25/09/2026

A Doctor Must Know When to Say “I Don’t Know” | Dr. Uttam & Dr. Amit
Knowing your limits is part of being a good doctor. Referring a patient when necessary is not failure. It is good medicine.
DESCRIPTION
This conversation between Dr. Uttam and Dr. Amit highlights one of the most important responsibilities in medicine: knowing your own domain, expertise and limitations.
No doctor can be an expert in every medical condition. When a patient's problem falls outside a doctor's area of expertise, recognising that limitation and guiding the patient toward the appropriate specialist can be an essential part of safe care.
Dr. Uttam makes an important point: if a doctor is not confident that they can appropriately manage a patient's problem, they should recognise their limit rather than continue treatment simply because the patient is already in front of them.
A patient's health, time and money should never be compromised by a doctor's reluctance to admit a limitation.
Sometimes the right thing to do is to say, “This is beyond my area. You should see someone who specialises in this.”
That is not weakness.
It is professionalism.
Dr. Amit also emphasises the importance of knowing one's domain and providing appropriate safety-net advice. Patients should understand what warning signs to watch for, when they should return and when they need further evaluation or referral.
Medicine is not about pretending to know everything.
It is about knowing what you know, recognising what you don't know and putting the patient's safety first.
A doctor who knows when to refer may be doing more for the patient than a doctor who refuses to admit their limits.
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25/09/2026

🔥 Empowering Pharmacists for Healthier Futures
Think pharmacists only dispense medicines? There’s much more to the profession.
Pharmacists are an important part of the healthcare system, contributing to medication safety, patient counselling, appropriate medicine use, disease prevention, pharmacovigilance, public health and pharmaceutical research.
From the community pharmacy to the hospital, laboratory, pharmaceutical industry and research centre, pharmacists work behind the scenes and alongside other healthcare professionals to help patients receive safe and effective treatment.
💊 Checking medicines
💊 Understanding drug interactions
💊 Supporting safe medication use
💊 Counselling patients
💊 Promoting adherence
💊 Contributing to public health
💊 Supporting the development of medicines
Today, September 25, we celebrate World Pharmacists Day and recognise the knowledge, dedication and responsibility carried by pharmacists around the world.
The 2026 theme, “Empowering pharmacists for healthier futures,” highlights the importance of giving pharmacists the skills, recognition and support needed to respond to changing healthcare needs.
To every pharmacist and pharmacy professional in Nepal and around the world, thank you for being an essential part of healthcare. ❤️
🇳🇵 नेपालमा पनि फार्मासिस्टहरू स्वास्थ्य सेवाको महत्वपूर्ण हिस्सा हुन्। औषधि वितरण मात्र होइन, औषधिको सही प्रयोग, dose, drug interactions, medication safety र बिरामीलाई आवश्यक जानकारी प्रदान गर्न फार्मासिस्टको भूमिका महत्वपूर्ण हुन्छ।
फार्मेसी पढिरहेका विद्यार्थीहरूदेखि अस्पताल, community pharmacy, pharmaceutical industry, research र public health मा काम गरिरहेका सम्पूर्ण फार्मासिस्ट तथा pharmacy professionals लाई World Pharmacists Day को शुभकामना।
💊 सही औषधि
🧠 सही जानकारी
🩺 सुरक्षित उपचार
❤️ स्वस्थ भविष्य
तपाईंको विचारमा pharmacists को healthcare मा सबैभन्दा महत्वपूर्ण भूमिका के हो? Comment गर्नुहोस् 👇

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23/09/2026

Growing rapidly, changing shape, changing colour or becoming painful? Don't ignore unusual changes.

Dr. Ramila talks about changes in a lump, mole or other unusual skin symptom that should prompt attention.
If a lump or mole is growing noticeably over weeks or months, changing in shape or size, developing an irregular appearance, changing colour, becoming painful or causing changes in the surrounding skin, these can be warning signs that deserve medical evaluation.
A new change in an existing mole or a lump that continues to grow should not simply be ignored.
However, these signs do not automatically mean cancer. Many benign conditions can also cause changes in lumps or moles.
The important message is to pay attention to new or changing symptoms and have them assessed by an appropriate healthcare professional when necessary.
When cancer is involved, early detection can be important. Knowing what changes to watch for can help people seek medical advice sooner rather than later.

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22/09/2026

Patients should know about their disease, possible complications and what their treatment involves.

Dr. Uttam explains why transparent communication between doctors and patients is so important.

According to him, doctors should clearly explain the patient's disease, relevant complications, treatment options and important risks involved in their care.

When patients understand what is happening, they can participate more meaningfully in decisions about their treatment. This is also an important part of informed consent.

For Dr. Uttam, taking consent after properly explaining the situation gives the doctor greater peace of mind and gives the patient greater clarity and confidence about their treatment.

Consent is more than simply signing a form. Patients should have an opportunity to understand what is happening, what treatment is being proposed and what important risks or complications may be associated with it.

Good communication builds trust and allows patients to become informed participants in their own healthcare decisions.

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20/09/2026

Hair loss is the side effect everyone knows about. But chemotherapy can also affect white blood cells and increase the risk of infection.

Dr. Ramila explains why hair loss is one of the most commonly recognised side effects of chemotherapy.
It is something almost everyone has seen, even in movies where chemotherapy patients are often shown losing their hair. But chemotherapy can affect much more than hair.
Some chemotherapy drugs can affect the bone marrow, where blood cells are produced. This can cause a decrease in white blood cells (WBCs), particularly neutrophils.
White blood cells play an important role in protecting the body against infections. When these cells become significantly reduced, the body's ability to fight infections can be weakened and the risk of infection can increase.
That is why blood counts are commonly monitored during chemotherapy and why signs of infection should be taken seriously.
Chemotherapy affects each patient differently, and not everyone experiences the same side effects.

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18/09/2026

She was already a consultant, yet patients kept asking the three male junior residents instead.

Dr. Ramila talks about a social challenge she experienced as a female doctor: situations where patients may instinctively place more trust in male doctors or assume that a male doctor has more experience.
She recalls a time when she was working as a consultant and had three male junior residents with her. Despite being the consultant, patients would sometimes direct their questions to the junior doctors instead.
The junior residents would then have to explain, “She is our Ma’am.”
For Dr. Ramila, experiences like this reflect the cultural and social attitudes that female doctors can sometimes encounter.
However, she also points out that society is changing. Female doctors are increasingly being accepted and recognised as capable and trusted medical professionals.
A doctor’s ability is not determined by gender. Knowledge, clinical skills, experience, communication and dedication are what matter when caring for a patient.
Her story highlights both the challenges that female doctors have experienced and the gradual change in how society sees women in medicine.

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