THINK WITH DR.SHADAB!!

Lets Play Diabetes Game!!

noreply@blogger.com (Dr.Shadab Kamal) — Fri, 07 Mar 2025 00:35:00 +0000

Thinking you are growing up with an inherited disease that might alter your life upside down, is itself a disaster.

We all are living in the 21st century, an era where life is controlled by machines, leaving us doing less physical activity. What we call a sedentary lifestyle.

Just grab ur boots and walk along the streets, you will find restaurants and streets filled up with people eating all sorts of unhealthy food, laughing, enjoying their taste buds and life as it's a part of their life that they can't quit. But what they don't see is the tornado growing inside their body which will suddenly be a cause of massive destruction not only for their life but will have a mass effect to the entire family.

I am Dr. Shadab and i will enlighten you about your health with some real check boxes. It is a game. Grab a pen and paper and get to know about your lifestyle and habits!!

I don't need your answers. It is not a test. Answer and Mark for your ownself!

Starting from your favourite part.

SLEEP!!

1. What are your night time sleeping hours?

10 pm to 5am or 12 pm to 7 am ... 3️⃣ points

2 am to 10 am or 4 am to 12 pm ... 2️⃣ points

4 am to 2 pm ... 1️⃣ point

FOOD!!

1. What do you like the most?

deep fried fast food or italian/continental including rice/pastas .. 1️⃣ points

desi hot and tarka/oily type where oil is seen on top of your curry and rice leaving a shiny texture to ur plate ...2️⃣ points

more vegetables and protein / fibre in a steamed/ grilled fashion and porridge at least in 1 meal ...3️⃣ points

2. How frequent you eat fast foods/ pastas/ chowmein / noodles / paratha /butter /margarine /mayonnaise /peanut butter / cheese / jam /marmalade etc?

1 time in 6 months ... 3️⃣ points

1 time every month ...2️⃣ points

more than 3 times every month ...1️⃣ point

everyday from any of the above .. 0️⃣ point

3. How frequent you eat vegetables?

daily.. 3️⃣ points

once in a week.. 2️⃣ points

once in a month.. 1️⃣ point

never.. 0️⃣ point

4. How frequent you eat porridge/ dalya/ barley /oats?

everyday.. 3️⃣ points

once in a week.. 2️⃣ points

once in a month.. 1️⃣ point

never.. 0️⃣ point

5. Know your healthy/unhealthy fruit intake?

Any one seasonal fruit or a cup of that fruit daily.. 3️⃣ points

Any 2 seasonal fruits daily (like one banana one orange) . 2️⃣ points

Any whole 3 seasonal fruits daily ( like one banana, one apple, one orange) .. 1️⃣ point

6. How much protein do u take in a day?

protein is chicken/ beef/ muttton / fish / egg / pulses (daal) ?

more than 150 g .. 3️⃣ points

100 to 150 g .. 2️⃣ points

less than 100 g .. 1️⃣ point

less than 30 g .. 0️⃣ point

7.How often do u eat good fat?

Good fat includes olive oil/ walnuts/almonds etc?

everyday .. 3️⃣ points

once in a week.. 2️⃣ points

once in a month.. 1️⃣ point

once in six months.. 0️⃣ point

8. Let's talk about your sodium (table salt) intake?

low in salt food both home cooked and processed.. 3️⃣ points

moderate salt in home cooked and high in processed.. 2️⃣ points

high salt in both home cooked and processed.. 1️⃣ point

exclusive fine dining and processed food intake.. 0️⃣ point

9. How much water do u drink every day?

3 litres ...3️⃣ points

2 to 1 litre ... 2️⃣ points

less than 1 litre ...1️⃣ points

less than 500 ml.. 0️⃣ point

PLEASURES!! ( or ADDICTIONS!!)

1. Do you smoke? (smoking status)

never smokers...3️⃣ points

former smokers ...2️⃣ points

current smokers ...1️⃣ point

2. smoking packs years?

zero pack years.. 3️⃣ points

1 to 20 pack years .. 2️⃣ points

more than 40 pack years .. 1️⃣ point

3. Do u drink alcohol?

not at all.. 3️⃣ points

occasionally (moderate to light).. 2️⃣ points

every other day (heavy drinkers).. 1️⃣ point

BODY MASS INDEX!!

Have you ever tried calculating your Body mass index aka BMI? if not, calculate now!!

BMI CALCULATOR

Calculated? So, where do u lie?

normal bmi .. 3️⃣ points

overweight.. 2️⃣ points

obese 1️⃣ point

AGE!!

20 to 30 ... 3️⃣ points

31 to 45 .. 2️⃣ points

46 to 60 and above .. 1️⃣ point

PHYSICAL APPEARANCE!!

Let's talk a bittttt about your physical appearance.

Do u have a protruded belly ??

As in abdominal fat/ centrally obese??

Yes .. 1️⃣ point

No .. 3️⃣ points

COMORBIDITIES!!

1. Are you a diagnosed hypertensive?

( blood pressure rehta hai/ medicine khatay hain?)

No .. 3️⃣ points

Yes .. 1️⃣ point

2 . Are you a diagnosed hypercholestrolemic or dyslepidemic?

( cholesterol rehta hai/ medicine khatay hain?/ kbhi test mein badha huwa aya hai? )

Yes.. 1️⃣ point

No.. 3️⃣ points

PHYSICAL ACTIVITY!!

workout/gym .. 3️⃣ points

walks 5 miles (10,000 steps) everyday .. 2️⃣ points

2 to 4 miles everyday.. 1️⃣ point

less than 1 mile everyday .. 0️⃣ point

The End ....

Enough of adding scores, guys.

let's now take a look on what u got and where u stand.

Are the alarms rung or are they gonna be ringing soon or are you on a safe side more than ever!!!

60 to 45 points - a very good healthy state.

45 to 30 points - alarms will be ringing soon.

30 and below - check on to your serum levels for diabetes and see a doctor. alarms are rung!!! now u run!!

These were all modifiable risk factors for type 2 Diabetes mellitis which everyone can fight.

Lastly,

Have you ever get your serum/blood levels checked for diabetes??????

if not, Here is a list!

✅OGTT

✅Hba1C

✅Fasting Lipid profile

✅Liver function test (LFT)

Home monitoring:

✅monitor your blood pressure regularly and make a timed and dated chart.

✅monitor your blood glucose levels of fasting and random regularly and make a timed and dated chart.

Seek help from a medical professional specialist , i.e. diabetologist/ endocrinologist/ internal medicine specialist and a Nutritionist.

Learn how to use a glucometer on your own.

Learn about low and high glycemic index foods.

Learn the mechanism of Diabetes.

When you know it, then you can fight it.

Remember, Knowledge is wisdom and Precaution is better than cure.

Written by,

Dr. Shadab Kamal

DIMS LECTURES

noreply@blogger.com (Dr.Shadab Kamal) — Thu, 28 Jul 2022 08:36:00 +0000

DIMS AUDIO LECTURES DOWNLOAD!!!

DOCTOR'S INSTITUTE OF MEDICAL SCIENCES

IS THE LEADING INSTITUTE IN MEDICAL EDUCATION IN PAKISTAN SERVING FROM LAST 11 YEARS, FOUNDED BY TWO PIONEERS DR.ABBAS (MD, USA) AND DR. AHMAD MURTAZA (FCPS AND MRCP, UK).

NO MATTER FROM WHERE WE TAKE GUIDANCE, EACH AND EVERY PMDC / PMC PREP. STUDENT DESIRES TO HAVE ACCESS TO THEIR NOTES AND AUDIO LECTURES.

AS I'VE STATED IN MY ARTICLE "MY JOURNEY TO PMDC" , I ALSO BEGAN MY SUCCESSFUL JOURNEY WITH THEM.

IN ORDER TO DOWNLOAD DIMS NOTES VISIT, THIS DIMS NOTES PAGE.

ITS, FREE!!!

PMDC IS CONVERTED TO PMC, NEB LICENSE EXAM IS CONVERTED TO NLE BUT

DIMS AUDIO LECTURES ARE STILL IN DEMAND. THAT IS THE BEAUTY OF A WELL- KNOWN INSTITUTE AND REMARKABLE TEACHERS.

WITH ALL DUE RESPECT, AND GIVING ALL COPYRIGHTS CREDIT TO THE DIMS PIONEERS.

MY BLOG SERVES FRESH FOREIGN MEDICAL GRADUATES AND LOCAL MEDICAL GRADUATES.

ON YOUR DEMAND, HERE ARE;

DIMS AUDIO LECTURES.

THE LECTURES FILE SIZE IS 25 GB. THEREFORE, IT IS DIVIDED IN TWO LINKS.

CLICK ON THE DOWNLOAD BUTTON BELOW, AND GRAB THE KNOWLEDGE.

YOU ARE ALL WELCOME.

LINK 1:

LINK 2:

YOU CAN LISTEN DIRECTLY (ONLINE) , OR YOU CAN DOWNLOAD AND PLACE THEM ON YOUR VLC MEDIA PLAYER LIST TO LISTEN OFFLINE.

BEST OF LUCK!!

NEED ANYTHING ELSE??

KINDLY, COMMENT BELOW TO LET ME KNOW!!

- DR.SHADAB KAMAL

Click here for USMLE BOOKS-FIRST AID TESTS!

Click here for PMDC PAST PAPERS!

Click here for DIMS NOTES!

BIOCHEMISTRY

noreply@blogger.com (Dr.Shadab Kamal) — Fri, 05 Jun 2020 09:44:00 +0000

BIOCHEMISTRY STUDY RESOURCES

The only and only way to ace the Biochemistry portion in PMDC license exam is to study FIRST AID FOR USMLE STEP 1.

There are six portions in biochem section of this book:

1. Molecular

2. Cellular

3. Lab techniques

4. Genetics

5. Nutrition

6. Metabolism

Total no. of mcqs asked in pmdc Neb exam is 300.

150 each paper 1 and 2.

Biochem occupies 40 mcqs.

20 each paper 1 and 2.

Among these 40 MCQs, 70% MCQs are from nutrition and metabolism.

The remaining 30% are from the rest, including genetics 10% as a whole and the all left overs with the 10% MCQs.

Therefore, your primary focus should always be for the 70% part.

Now, let me tell you no matter how much u mug key points for biochem from any book or notes provided by various academies, you are never gonna kick this part good in exam if you left first aid book.

MY EXPERIENCE: Only and only first aid biochem and ALHAMDOLILAH I was hardly stucked in less than 5 MCQs in the exam from this major portion.

I even returned back and compiled all the biochem MCQs, for next batch.

Click here for December 2019 Paper!

A highlight from biochem MCQs from dec 2019 paper

To download my biochem FA book pages for free, click on the link below:

Molecular - biochem FA step 1

Cellular, lab tech, genetics - biochem FA step 1

Nutrition - biochem FA step 1

Metabolism - biochem FA step 1

Click on the links below to watch my video lectures on FA biochem

for free!!

VIDEO LECTURES	DATED	TIME	RECOMMENDED SPEED
LECTURE 1 (Nutrition)	05/06/2020	02:00:07	1.5x
LECTURE 2 (Nutrition cont.)	06/06/2020	01:20:19	1.5x

Video lectures will be updated as soon as i will deliver it on my youtube channel...

SUBSCRIBE THINK WITH DR. SHADAB ON YOUTUBE TO GET NOTIFIED AS A LECTURE IS UPLOADED.

- Dr. Shadab Kamal

ANATOMY LECTURE NOTES!!

noreply@blogger.com (Dr.Shadab Kamal) — Wed, 27 May 2020 15:04:00 +0000

ANATOMY WEBINAR SERIES!!

(pmdc special)

LECTURE NOTES.. FROM SNELL REVIEW BOOK 12TH EDITION..

NOTES AND WEBINAR BY DR.SHADAB KAMAL

Download link to PDF NOTES: UPPER LIMB

Download link to MCQs:

MCQs joints and muscles Upper Limb

Download image on arterial supply from Lecture 4!

Download PDF of images on upper limb arterial supply!

Download PPT on Lecture 5 (venous supply, axilla and lymphatic drainage)

Download image on Lecture 6 (Brachial Plexus)

Download image on Lecture 7(Brachial Plexus)

Download PDF image on Lecture 8 (Sensory supply of forearm,arm,hand)

ALL UPPER LIMB LECTURES
Dated	Total time	Recommended speed
LECTURE 1: UPPER LIMB (27-05-2020)	01:33:43	1.5x
LECTURE 2: UPPER LIMB (29-05-2020)	01:47:44	1.5x
LECTURE 3: UPPER LIMB (30-05-2020)	01:27:00	1.5x
LECTURE 4: UPPER LIMB (01-06-2020)	00:47:31	Normal
LECTURE 5: UPPER LIMB (05-06-2020)	01:40:27	1.5x
LECTURE 6: UPPER LIMB (06-06-2020)	00:56:10	1.25x
LECTURE 7: UPPER LIMB (09-06-2020)	01:29:30	1.5x
LECTURE 8: UPPER LIMB (11-06-2020)	01:24:52	1.5x

" THE LECTURE LINK IS UPDATED!!

KINDLY KEEP YOURSELF IN TRACK VIA FACEBOOK PAGE "PMDC MATERIAL"

THE VIDEOS WILL BE UPDATED ON DAILY BASIS!

THANKYOU!!.

DIMS NOTES

noreply@blogger.com (Dr.Shadab Kamal) — Mon, 25 May 2020 00:32:00 +0000

STEP 1 PMDC

DOCTORS INSTITUTE OF MEDICAL SCIENCES IS THE LEADING INSTITUTE IN MEDICAL EDUCATION IN PAKISTAN SERVING FROM LAST 11 YEARS, FOUNDED BY TWO PIONEERS DR.ABBAS (MD, USA) AND DR. AHMAD MURTAZA (FCPS AND MRCP, UK).

NO MATTER FROM WHERE WE TAKE GUIDANCE, EACH AND EVERY PMDC PREP. STUDENT DESIRES TO HAVE ACCESS TO THEIR NOTES.

AS I'VE STATED IN MY ARTICLE "MY JOURNEY TO PMDC" , I ALSO BEGAN MY SUCCESSFUL JOURNEY WITH THEM.

THERE ARE SEVERAL WAYS TO HAVE THEM IN HAND...

DOWNLOAD A SOFT COPY,

ORDER A HARD COPY FROM DIMS ACADEMY ITSELF

OR TAKE ADMISSION AND GET TRAINED UNDER THESE AMAZING TEACHERS!

For more info, Click here to visit the website: DIMS

DON'T WASTE TIME, CLICK ON "DOWNLOAD NOW".

NEED AUDIO LECTURES??

ON YOUR ONE CLICK,

>>>>>> DIMS AUDIO LECTURES<<<<<< AVAILABLE!!

- DR.SHADAB KAMAL

Click here for USMLE BOOKS-FIRST AID TESTS!

Click here for PMDC PAST PAPERS!

Physiology stuff

noreply@blogger.com (Dr.Shadab Kamal) — Sun, 24 May 2020 23:30:00 +0000

Read

and Download

BRS PHYSIOLOGY 6TH EDITION!!

Click on the Download Now button..

THIS BOOK IS ALREADY HIGH-YIELD, IN ORDER TO FIND MORE HIGH-YIELD POINTS REGARDING EVERY CHAPTER OF THIS BOOK, A SERIES OF VIDEO LECTURES IS RIGHT ON YOUR WAY.

DOWNLOAD THE BOOK AND FOLLOW THE VIDEOS SIDE BY SIDE.

WE OUR WORKING IN ORDER TO PROVIDE YOU MAXIMUM OUTPUT FROM OUR PMDC EXAM EXPERIENCE.

STAY TUNED TO TO REMAIN UPDATED!!

VIEW HOW TO DOWNLOAD FILES?

YOU CAN ALSO FOLLOW DIMS NOTES!

AND

DR.ASIF KEYPOINTS! - for LAST MINUTE REVISION! (to be updated soon)

- Dr.SHADAB KAMAL

Click here for PATHOLOGY STUFF!

Click here for PMDC past papers!

PMDC PAST PAPERS!

noreply@blogger.com (Dr.Shadab Kamal) — Wed, 20 May 2020 04:00:00 +0000

ALL PAST PAPERS - PMDC STEP 1

All past papers are compiled by Dr. Asif Khan, a very competent doctor, Alhamdolilah.

Open the PDF in your Google drive or Download it just by a single click!!

HOW TO DOWNLOAD FILES???

MOST REPEATED 50 MCQS!

BY DR. HAMEED BALOCH

DOWNLOAD NOW...

DECEMBER 2019 PAPER!

COMPILED BY CANDIDATES

DOWNLOAD IT NOW...

-BY DR.SHADAB KAMAL

DONE WITH FIRST AID?

YOU MIGHT NEED TO RE-EVALUATE YOURSELF!!

CHECK OUT HIGH YIELD USMLE FIRST AID TESTS!!

USMLE BOOKS!!

noreply@blogger.com (Dr.Shadab Kamal) — Tue, 19 May 2020 21:28:00 +0000

FIRST AID FOR USMLE STEP 1

Running out of phone storage, read online!!

Want to keep it forever?

Click here to

USMLE FIRST AID TESTS!!

Click here to view it on your Google Drive.

FIRST AID FOR THE USMLE CK 2 10TH EDITION

You can not preview this file as it is 141 MBs.

Click here to

HOW TO DOWNLOAD THESE FILES???

As we are primarily working for PMDC Exam, Other USMLE books will be uploaded shortly...

-DR. SHADAB KAMAL

Click here to Download Pathology stuff for License exam!

What materials I used for Step 1 PMDC??

noreply@blogger.com (Dr.Shadab Kamal) — Sat, 16 May 2020 21:06:00 +0000

LET'S MOVE SUBJECT WISE FOR YOUR EASE...

BRS PATHOLOGY - 5TH EDITION

Running out of phone storage memory, Read Online!!

Want in your phone 24/7. Direct Download it from here!!

SEE HOW TO DOWNLOAD FILES???

OTHER PATHOLOGY RESOURCES:

1. WATCH!!

Click to OPEN link!!

2. OSMOSIS VIDEOS!!

Click to OPEN link!!

3. GENERAL PATHOLOGY USMLE QBANK!!

Log into Google and View it on your Google Drive!

4. PATHOMA:

Want in your phone 24/7. Direct Download it from here!!

You will also enjoy,

Click here for PHYSIOLOGY STUFF!!

Click here for USMLE BOOKS!!

Click here for Dec 2019 exam Compiled Exam paper!!

Click here for DIMS STEP 1 Notes!!

Click here for Pathoma lecture videos!!

- DR.SHADAB KAMAL

My Journey to Med License exam-NEB PMDC!!

noreply@blogger.com (Dr.Shadab Kamal) — Sat, 16 May 2020 21:03:00 +0000

My Journey to Med License exam-NEB PMDC!!

I do not know where to start from. Sometimes we are just off and wanting to give time to our ownselves sorting life out. I had not posted for a long time. Being a medical student sucks at times. Its been a long time i am struggling with my license exam and life things altogether. At times the energy in me is as bright and fresh as the day. The other time, its just dim and gloomy to a level that it made me think why did i chose this profession. Sigh..

(Scroll down for step 2 and 3)

I appeared on 1st december 2019. I missed my june attempt and that was quiet depressing. I was up to this exam when i returned back to pakistan in jan 2018 for internship. I joined a private hospital for 10 months, The patel hospital but left it in 7 months duration cuz of pmdc preparation stress. My friends have already gone to lahore, DIMS academy for preps and i hadn't. After quitting hospital i started self study by ordering DIMS notes in hard copy for step 1 and used multiple resources like, osmosis.org and Dr. Najeeb videos. i used multiple youtube channels for different subjects like, Prof. Rabiulhaque for pathophysiology and sketchy medical for micro.

Also, juhi mittal microbio (which i guess she have removed now). I was never comfortable in listening Dims audio lectures (indeed they were great but i am a fast listener and a visual learner). Therefore, i tried youtube. It took me 3 months to complete pathophysio, and partial pharma, then i had to leave for graduation. Meanwhile,back in china i never get that motivation and i wasted hell of a time. It was my 2 month stay. I returned back to pakistan in feb 2019. Since then it was even harder for me to get in form and ace this process. I was so unsure of my preparation that inspite of having time i missed my attempt.

This whole thing happened just cuz of my internal fears. The fear of failing. I never failed an exam in my entire life. Gradually, i went in serious depression. I started on escitalopram. 3 doses and encountered anxiety attack twice. Which was even worser than depression. The whole day i saw my fingers shaking. Resting tremors. Solely an anti-depressant side effect. I cut off all contacts. Friends, Family, No outings. Spent my whole day in a closed room over thinking. Had no idea how to overcome this all. No body knew what i was going through except one friend. He was so concerned,therefore i had to. No one else ever bothered. No complains.

Well, life just happen to everyone this way. It is a never ending disaster. And so it was to me. There were so many things in between that i don't even want to mention. All I noticed was that my mind was in need of a break.

Therefore, I stood up one day and packed up my med books. I planned PLAB years back.. So, i started on its journey from IELTS after discussing it with my closed ones. My parents have always been my major support. I was happy studying for that. It brought new zeal, new stamina. It was a change and as per my nature, i tend to dig out something new all the time. So, being it to be my 1st experience,i should say it went lovely. I scored a 7 overall. It was unexpectedly wonderful but a bit depressing as i needed an overall 7.5, with a thought i have to give it again. I hardly took 26 days to prepare. Soon after that, the result of pmdc june attempt appeared and all my friends were passed. I was so happy for them. Prayed.. thanked Allah. But a part in me was sad,too. Sad.. cuz i missed. I didn't let myself give it a chance. In that state of mind i called up onto a friend and he talked to me on it. He was the same friend. He helped me come out of that trauma. I believe he was an angel sent to me in all my hard times and I know your reading this. I thank you for everything. <3

In the course of congratulating my friends on their success and me with my communicating journey; one afternoon i got a phone call from a colleague who is also my friend. He advised me to study for step 2 as i was already been preparing for step 1 and knowing me, he believed that i have the potential to hit both at the same time.

I knew the drill and i was convinced. While searching step 2 dims notes i came across this institute named three steps, in Karachi. It made a sense that it attracted me cuz i reside in the same city.

I made up my mind and went there for seeking help for step 2 classes. There i met some of my university mates. All of them advised me to take a demo class of step 1 and i agreed.

There comes Dr. tanveer, a PGR5 Neuro surgery, JPMC.

Dr.tanveer was reviewing upper limb anatomy with his old students. Let me tell you, I studied that myself thrice in med school and even after that but anatomy is always forgetting if not revised. It's that day and today. I can say its stuck in my memory as forever. While writing this i am back into those moments and i can still feel that guilt of walking out from that demo class leaving the lecture in the middle as my sister was waiting for me. Its somehow a disgrace to the teacher who's teaching and u have to leave. The whole night i was in a dilemma state and then i decided to join for step 1.

It's had been 40 days now. I love going there. I love studying in there. Another thing i loved is we are like a family.

When one family member is stucked in, the other one helps, right? There were students who needed a teacher, a guide to hold on and carry them to step on the ladder by themselves. Dr.tanveer did dat. I still remember when he asked questions to them( without mentioning their names ) i used to say within myself k bolloo yarr.. and when they answer it right it made me smile and say yess deep inside. That something nobody knows. In short, i met two teachers who were really teachers.The other one is Dr.Sajid who owns that institute and is dedicated. It was there sincerity towards the work they were doing. It was not only for us, but in a long run they were building good doctors to serve humanity.

My study routine was 10 am to 8 pm in academy. Sometimes when i had to go by 2pm then I used to wake up at 8am. Self study by 10 am keeping the margin of 1.5 hour travel. (My home and academy are two poles of the city). On sunday or any other holiday, i used to wake up early and study like 7 to 8 hours straight. Solved mcqs and read from joiya series 4th edition as much as i can.

Visit "What materials i used for step 1 prep - pmdc" for a detailed guide.

I left the academy one month prior exam. I had never been a good group study person so i have to leave it anyhow. Meanwhile i set my time table. However, in my last days all i did was i read Dr. Asif Khan last minute keypoints. I even left practicing mcqs. I just read keypoints from all books and revised USMLE first aid step 1 twice. (over all i have read like 5 times biochem and pharma from it).

And in the train (22 hrs to islamabad) i did past papers twice. Thats all. So, this was a step towards success that only happened cuz i started to believe in myself.

Visit "What materials i used for step 1 prep - pmdc" for a detailed guide.

Today (may,16th 2020) I m very contented. I m thankful to Allah for all that depression, i missed an attempt, all my mental and physical struggles, bad times; all in all. I landed up to a better place meeting these people. People who actually think like u. Who want to do something..something different. For people. For humans.

Another thing that i wanna mention here is,

Do u believe in destiny? No matter how hard u try and plan, i believe there is nature behind every little move u ought to take. Now see, how destiny worked for me. God knows that words of people who are close to your heart turned out to be more powerful. And when you loose them, the only thing you can do for them is to keep a hold onto good times and good memories and try'na fulfill their desires. Therefore, i always used to connect all the dots from it to my dreams. What i wanna do as a Dr for people. What i wanna do as a human and as a lady holding a loving heart for kids. Landing in somewhere for preparation purpose but coming out of it with a decision to stand is all that made my journey aspiring. This was only my step 1 journey, as beginnings are always long and tough!!

I have cleared all my steps this feb 2020 and Alhamdolilah all in very first attempt. Today when i look back it feels i achieved something but the moment i look forward, i realize it was nothing. There are many giant hurdles up on the way to my personal success. And this journey which was just a chunk, is worth a reminder for an everlasting motivation. I hope you love reading it and may it help you gear up with your preps. Good Luck for your future med folks! Do not loose hope!

Dr.Shadab.

Do check the link for the preparation material. All set for you in one place newbies. Remember this is your journey and u have to study for your ownself.

Visit "What materials i used for step 1 prep - pmdc" for a detailed guide.

I have also done a detailed research; soon i will write an article on

"What paths you can adopt after your MBBS/MD graduation??" which will be based on multiple dimensions and opportunities.

Thanks.

REVIEW: CORONA VIRUS, EXPLAINED. A vox produced Netflix series.

noreply@blogger.com (Dr.Shadab Kamal) — Thu, 30 Apr 2020 21:55:00 +0000

CORONA VIRUS, EXPLAINED. A vox produced series.

image source: netflix

Written by: Dr.Shadab Kamal

Produced by:

Sam Ellis , Sara Masetti

Starred:

J.K. Simmons .. self narrator

Bill Gates .. self-gates foundation (co-chair)

Maryn McKenna .. self- journalist

Episode 1- Knew it coming!! Or a mystery yet to unravel?

Opening shot: Snaps of different countries in lockdown, sirens hailing, birds chirping, empty roads, no human. J.K. Simmons intones, “Before closing their borders, and locking down their citizens, many world leaders downplayed the new virus that was sweeping the globe."

Sars_2002 , Mers_2012 and then Sars COV-2 named Covid 19 (corona virus disease 2019)

Over the millennia, the epidemics have been mass killers on a scale.

6^th century pandemic – Plague of justanian – killed 50 million people

14^th century pandemic – plague of Black Death – killed 200 million people in Europe.

20^th century pandemic – the Small Pox – was estimated to kill 300 million people but have not.

Worlds’s 1^st vaccine – for small pox that had been available since 1796 saved the disaster.
However, in “1980 we had massive global virus campaign and small pox was the 1^st virus that had been successfully eradicated from the world”, as well. [fact stated by J.K.Simmon in CORONA VIRUS EXPLAINED].

On 7^th November 2019, a Netflix EXPLAINED series, EP 4 titled
“THE NEXT PANDEMIC”,

(Also narrated by J.K.SIMMONS Starring Bill Gates) described how a virus like the coronavirus spreads in live animal markets like the one in Wuhan. People who aren't worried about a looming global pandemic probably should be; preparing for an outbreak; Bill Gates and other experts weigh in.

They discussed about past pandemics, the bubonic and pneumonic plague, Ebola, the famous 1918 flu and small pox. Role of human technology being a cause of pandemic and its role in studying, identifying, diagnosing,treating and preventing diseases.

image source: netflix

The episode narrated china's wet markets as DISEASE X FACTORY;

image source: netflix

These wet markets are strikingly similar to the sea food market in wuhan. Since the sars epidemic a number of researchers were catching bats for researches and then after Chinese sea food markets, the source was thought to be a research lab. However, till date it is unknown!!

Many people around the Globe are now confidently stating it as conspiracy. Let’s hope this “CORONAVIRUS EXPLAINED”, come up to a conclusion in the end.

The documentary narration read,

Dr.anthony fauci national institute of allergy and infectious disease director said on march 12,2020 live on c-span3 “it (vaccine) gonna take a year or year an half to really knows if it works”

In this episode from 2019, experts including Bill Gates discuss the history of pandemics, how they spread and what could be done to prevent them.

image source: netflix

1918 flu –“ st. Louis city took that approach quickly shutting its schools and public places while Philadelphia city didn’t and allowed a big parade to go ahead”.

Noting that, Some 50 to 100 million people died in the 1918 influenza pandemic – numbers that surpass the death toll of World War One, which was being fought at the same time. The 1918 flu virus infected one in every three people on the planet.

All in All it discussed from where it began, its spread, corona virus strains, immunity based survival , what approach is used to break the chain, WHO notifying policy, work load in hospitals, a call announcing threat of pandemic hitting the country by dr. wei liang, poor prompt decision making abilities by Italy and USA and the poor health care systems of under developed countries.

image source: netflix

The evolution of covid 19 from epidemic to pandemic have given us massive information, if you have been following this since it began, this first episode mainly covers the exact same story. And I believe that is fair enough as it’s the very first 20 minutes to “corona virus explained” series.

Andrew Cuomo governer of new York on march 29,2020 said “at what point on the other side of the curve do you go back to work?” – THE MAIN QUESTION!!

image source: netflix

“196 countries signed onto the WHO notifying policy but most never complied” – FACTS REVEALED!!

image source: netflix

Appreciating points:

Historical overview of viruses, replication mechanism, the story behind H1N1 (repeated though) and providing a deeper insight to encourage countries how social distancing worked in the past, proper statistical data and researches quoted.

My comments:
Being a health professional I didn’t find anything new and interesting in “CORONA VIRUS EXPLAINED” EPISODE 1.

The max part has been focused on SOCIAL DISTANCING. [which is GOOD!]

image source: netflix

"the problem is that, if we're not careful that smoldering outbreak can last a long time"

However, if I have to rate this article as a common man who is not into reading research papers and digging the HOW’S, BUT and IFs, I will look it as an eye catching pictorial piece of knowledge, easy to understand and retain.

Another narration read;

“It isn’t china and it isn’t just bats”,

and a contrast map showing most likely regions showing a new virus leap to humans. [Another repetition]

“we should have been more prepared..”

– definitely after being in this situation #shouldhave!!
Parting shot:

“we know what it takes and we have been on this earth since life began and a virus hasn’t beaten us yet.”

– I hope you have said this in sarcasm!! #Hasn’t??

Let's see where it takes us!

#recommended

Disclaimer:

All the image sources are from netflix documentary on "CORONAVIRUS EXPLAINED".

Written by: Dr.Shadab Kamal

UNDERSTAND YOUR BODY IN RAMADAN

noreply@blogger.com (Dr.Shadab Kamal) — Sat, 25 Apr 2020 18:52:00 +0000

"UNDERSTAND YOUR BODY IN RAMADAN"

BY DR.SHADAB KAMAL

TOPICS COVERED:

You can directly go on your desired topic by clicking on the links.
HOW OUR BODY RESPONDS WHEN WE FAST?
HEALTH BENEFITS OF DATES (KHUJOOR):
FOODS THAT ARE ADVISED FOR BREAKING THE FAST:
FOODS THAT ARE NOT ADVISED TO BREAK THE FAST:
HOW MANY TIMES YOU SHOULD EAT AFTER BREAKING A FAST?

HOW OUR BODY RESPONDS WHEN WE FAST?

There are 3 major macro nutrients our body use as fuels. Carbohydrates, protein and fats.

When we eat food, we ingest it in complex form starch or cellulose, the polysaccharides (carbohydrates), proteins and fats. These macro nutrients are broken down into simpler forms in our gut by the action of certain enzymes.

The main source of energy carbs are broken down into oligo, di (sucrose-table sugar) and monosaccharides (glucose- which is the main form that is processed in, fructose- fruit sugar, galactose- which makes milk sugar).

When taken in high quantities this glucose is stored in our fat cells, but only in the presence of insulin. Insulin is secreted by pancreas (lablaba in urdu) in response to glucose.

When our body is in fasting state, another hormone called glucagon is secreted from pancreas. It stimulates the conversion of stored complex sugar (glycogen) into glucose. We call this glycogenolysis in medical terminology, which gives you energy while fasting. It also activates another process, in which it converts proteins and fats into glucose thus aiding in weight loss and reversal of diabetes, prevention from heart diseases. This is termed as gluconeogenesis in our terminology.

The other health benefits of intermittent fasting on cellular repair, reducing oxidative stress and inflammation in the body, cancer and on our brain can be read on this article which I went through and found really interesting.

https://www.healthline.com/nutrition/10-health-benefits-of-intermittent-fasting#section8

HEALTH BENEFITS OF DATES (KHUJOOR):

A survey published on may 2017 in express tribune stated,

Mostly, the kinds of dates are being sold in twin cities of Rawalpindi and Islamabad, including Irani dry dates, Arabian dates, Pakistani Aseel, Karblain, Irani Rabai, Mazafati, Shareefa and others, Inaam Ullah a dates-seller in Sunday bazaar said.

People usually buy Iraqi Basra and Pakistani Aseel due to the taste and affordable price. There are more than 150 varieties of dates produced in Pakistan.

Out of these varieties, Begum Jangi of Balochistan, Aseel of Sindh and Dhakki of Dera Ismail Khan were the varieties which are much popular among people due to their exotic taste, he added.

https://tribune.com.pk/story/1422535/everyone-looking-dates-ramazan/

However, another survey from may 2019 stated that Shopkeepers said the demand is for the imported varieties of dates, such as Zahidi, Muzafati and Rabai while locally, the Aseel variety – which is mostly produced in Sukkar, Sindh – is the most sought after in Ramadan.

https://www.arabnews.pk/node/1490921/pakistan

No matter whichever variety you are consuming, health benefits of dates are uncountable, as this fruit is affluent in natural fibres and packed with vitamins and minerals. Low in fat and free from cholesterol. They are immediate boosters of energy as they contain natural sugars; glucose, fructose and sucrose. However, they are very low in calories and are suitable for the health conscious people as well.

Micronutrients in dates involves vitamin B1,B2,B3 and B5 along with vitamin A and C. They are rich in potassium and low in sodium. Thus effective for high blood pressure patients as well.

They are high in iron content making a home for anemic patients in this holy month of Ramadan.

Usually when we fast, are body gets deprived of water making us vulnerable to constipation. Date like, mazafati are rich in moisture defining its soft, caramal like texture and packed in high amounts of fibres that aid in preventing constipation and many intestinal problems.

That is the reason our beloved Prophet Muhammad (pbuh) advised to eat date in suhoor as well as breaking the fast from it is also his sunnat.

FOODS THAT ARE ADVISED FOR BREAKING THE FAST:
Globally,depending on the regions we are already witnessing 14 to 21 hours of fasting.

As per the health point of view, many nutritionist, dieticians and health coaches have been speaking a lot about intermittent fasting and the most popular among them is 8:16 hours.
i.e. a window of 8 hours of eating followed by 16 hours of fasting.
Ramadan is that beautiful holy month which is an opportunity for all the muslims around the globe to unite on one platform equally and perform the act of physically and spiritually cleansing our body and soul from all the impurities and wrong deeds.

Do you know the word “iftaar” is derived from the word “futoor” which means “break fast”.

It’s the same breakfast we do every day other than Ramadan. i.e. the very first meal of your day after a period of no eating. So, what’s the best way to break a fast and ease your body back into eating. You should know that eating way too much after a long awaited empty stomach is like you are being loaded with a lots of work on day 1 back from your vacation which can lead you to exhaustion.

So, people while sitting on your dining table (dastarkhwan) keep in mind do not exhaust your stomach and liver way too much. Keep it light and filling so that you reach the level of satiety without creating trouble.

Here’s a list of what you should eat:

2 dates have average 75gm carbs,7 gms dietry fibre,113 gm sugars and around 300k energy. (a high source of instant glucose)
2 glasses of water will bring u back on hydration and by this time you have given enough fuel to kick start your metabolism.
Fresh juicy fruits like melon, watermelon, strawberries, oranges, papaya are also a good source of vitamins, fibre, low-glycemic index carbs and high in water. Cucumbers being a water friendly vege can also help you in this process.
Fermented food like Yogurt with a combination of chick peas (chana) and potato can make you feel fuller and are high in starch (a complex carb), proteins and good fat.
Or instead you can prepare a bowl of healthy meal including boiled spinach, red or white kidney beans and cottage chease, sprinkled with herbs and spices of your choice adding a spoonful of olive oil.
Or I can say all these foods I listed above adding few more like; mushrooms, avocados and bananas are extremely rich in potassium, which can help reduce muscle cramps and will aid in maintaining fluid and electrolyte balance, as well.

FOODS THAT ARE NOT ADVISED TO BREAK THE FAST:
What you should not include:

Fried food items, fast foods, samosaz, pakoraz, spring rolls, pizzas, fried dumplings, French fries, and even our desi oily curry are not good to break your fast.
Deep frying reduces the natural water content in food and absorbs the fat your using as a cooking oil 90 folds more. No matter how health conscious you are and you do not buy oil without checking its nutrition label, in the process of deep frying you are converting unsaturated fat to trans fat which is difficult to digest and can cause heartburn.
Even if you are habitual of having such foods, you can consume it after few hours of breaking your fast to protect your liver being over work loaded or can have one piece at a time and eat the rest of them later.
Similarly, food in high sugar content like carbonated drinks and certain powdered and liquid beverages are also to be avoided in breaking fast. The reason is they are high in calories but low in nutritions and can cause bloating (gases) and indigestion. Also they can raise your sugar levels really high that are also unhealthy for your brain activities.

HOW MANY TIMES YOU SHOULD EAT AFTER BREAKING A FAST?
Well it totally depends on your own body. What I do is I try to eat small meals and 3 times after fasting.

Usually I tend to eat dates, fruits and yogurt and water as my 1^st meal, the iftaar.

Then, after 2 hrs I eat the veges/chick peas or whatever is available in home be it proper dinner. I try and eat little and then late night like 1 am or 2 am I go with a banana or an apple..

Meanwhile I drink lot’s of water. Your daily requirement of water should be 8 to 12 glasses or 3 litres in your eating window. You can keep a track by writing a name on your water bottle of 1.5 litre and drinking only from it or setting 8 to 12 alarms on your phone and drink 1 glass everytime it buzz.

In short, you have to decide how many times and what quantity suits you the best but make sure to avoid binge.

I hope this helps you in your upcoming iftaar. If you want me to update on some other health related topics, do follow my insta and fb page and leave a message straight in my inbox. These blogs are for you.

STAY BLESSED!

AM I DEPRESSED OR IS IT JUST OVERTHINKING??

noreply@blogger.com (Dr.Shadab Kamal) — Wed, 22 Apr 2020 19:01:00 +0000

Image source: How to stop overthinking: 10 effective tips by Lachlan Brown

By, Dr.Shadab Kamal

TOPICS COVER:

What is circadian rythym?
How circadian rythym affects your mental health?
Deeper Insights About Melatonin
cortisol functions in maintaining circadian rythym.
what exactly the word depression entitles to?
What can be the possible causes of depression-like behaviour?

Oh my God! I feel like I am going in depression. I am not even thinking about it yet I am sad, I do not feel like going out, meeting people, going to work or study. I am just being so hopeless.
What is happening to me? This is not me at all.

After wasting the whole day, you ended up in bed to sleep but in your great mind here pops some fancy thoughts. You tossed a couple of times left to right and right to left. Sometimes supine sometimes prone and whoosh!

I can see a light in your room now, where it’s coming from?
Hold on!! You are on your phone now??? Perhaps searching a way out of your thoughts!!!
And the clock ticks 12..2..4..5……AM!
Its almost dawn. Shit!! A light to frustration and despair.

Day 2:

You wakeup (your room is definitely going to be bright) and clock says “GOOD AFTERNOON”, it is already noon!!
Your circadian rythym is not matching the world clock. And here you start mentoring your brain “I am sleeping for only 06 to 07 hours” that’s healthy…
However, I sense some guilt in your inner voice.

By now I am sure you are smiling and figuring that this story almost relates you.
If you wanna understand the phenomenon, here’s a bit of science.

If not, you can skip to click here to what exactly the word depression entitles to?

What is circadian rythym?
A circadian rythym is a natural 24- hours endogenous molecular clock that is running in the background of your brain. In simpler words, you can call it a sleep-wake cycle monitorization unit and it works on the principle of your day (light) and night(dark) routine by osscilating every 24 hours.

It is controlled by a part of our brain called hypothalamus. A bidirectional relationship exists between mood disorders and circadian rhythms. Mood disorders are often associated with disrupted circadian clock-controlled responses, such as sleep and cortisol secretion, whereas disruption of circadian rhythms via jet lag, night-shift work, or exposure to artificial light at night, can precipitate or exacerbate affective symptoms in susceptible individuals. (1)

How circadian rythym affects your mental health?
Exposure to light at night perturbs the circadian system because light is the major entraining cue used by the body to discriminate day and night. When exposure to light is mistimed or nearly constant, biological and behavioral rhythms can become desynchronized, leading to negative consequences for health. (2)

Melatonin and cortisol the two key hormones play their role in maintaining effective sleep wake cycle.
Melatonin is referred as a “sleep hormone” or “hormone of darkness”, named after its surge at night time when the surroundings are dark. However, Cortisol (a glucocorticoid) is referred as a “stress hormone” that is in higher concentrations early morning as you rise.

Deeper Insights About Melatonin
Melatonin is synthesized by pineal gland ( a deep seated part of brain), produced from an inhibitory neurotransmitter Serotonin that regulates and balances the affect of excitatory neurotransmitters of brain. Serotonin is made from tryptophan (an amino acid) through a cascade of enzymatic reactions.
Note that, Pineal gland which is interestingly located outside the blood brain barrier, does not allow serotonin to enter the BBB via serotonergic pathways and this perhaps accounts for the ability of the pineal gland to have a large uptake of tryptophan leading to a high melatonin production and secretion in response to darkness.

However, the suprachiasmatic nucleus ( SCN , a master clock in hypothalamus, as discussed earlier) also has some modest direct projections to presympathetic neurons in the paraventricular nucleus, and therefore may drive some sympathetic rhythms directly, particularly those that regulate sympathetic drive to the pineal gland, and therefore melatonin secretion. (3)

The SCN functions as the central circadian oscillator. Clocks throughout the body remain synchronized with one another by responding to signals from the SCN, either through direct neural inputs or indirect signals such as humoral, behavioral, or other physiological rhythms. For example, timing of feeding and body temperature can help synchronize peripheral oscillators. Aberrant light exposure that disrupts these rhythms may drive downstream dysregulation of circadian rhythms in peripheral systems. Thus, via suppression of melatonin rhythm, light at night has the potential to substantially alter physiology and behavior. (1)

Cortisol functions in maintaining circadian rythym.
Cortisol is an essential steroid hormone secreted by the adrenal gland and like many other physiological processes in the body has a circadian rhythm. This rhythm is also regulated by the main circadian oscillator (pacemaker) in the suprachiasmatic nucleus (SCN). Normal individuals, without disease of the hypothalamo—pituitary— adrenal (HPA) axis, at midnight, have very low or undetectable cortisol levels that build up overnight to peak first thing in the morning. Cortisol levels then decline slowly throughout the day. (4) The HPA axis receives input from the central pacemaker which controls the circadian release of corticotrophin-releasing hormone (CRH) in the paraventricular nucleus, this is also stimulated by physical and emotional stressors. CRH in turn stimulates the release of adrenocorticotrophic hormones (ACTH) from the corticotroph cells in the anterior pituitary, and thence the glucocorticoid cortisol from the adrenal cortex. In turn, cortisol exerts inhibitory effects at pituitary and hypothalamic levels, in a classical negative feedback loop although there is no feedback on the SCN. (4)[Oster et al. 2006b].

A bidirectional relationship exists between cortisol rhythmic activity and the sleep wake cycle (SWC) although both systems have two separate generators in the SCN [Spath-Schwalbe et al. 1992]. Sleep disturbances associated with increased daytime fatigue have been reported for patients with adrenal insufficiency [Lovas et al. 2003]. Rapid eye movement (REM) sleep latency and time may vary in patients with adrenal insufficiency on conventional treatment thus interrupting sleep continuity [Garcia-Borreguero et al. 2000]. (4)

What exactly the word depression entitles to?
Depression or MDD (major depressive disorder as per DSM-5 criterion ) lies under the category of Mood Disorder and is describes as alterations in mood, typically increased sadness and/or irritability that is accompanied by at least one of the following psychophysiological symptoms: alterations in sleep, sexual desire, or appetite, inability to experience pleasure, slowing of speech or actions, crying, and suicidal thoughts.

Picture Source: https://www.researchgate.net/figure/Diagnostic-criteria-for-major-depressive-disorder-MDD-in-the-DSM-5-and-ICD-10_tbl3_296607799

Now take some time to evaluate if you fall in this criteria. If not, perhaps you are not suffering from this mood disorder. The other way around is a depression-like behavior. [A common misnomer of depression (MDD) but have the ability to develop it in future].

Note that, the neurotransmitter I discussed earlier “serotonin” is the one that plays a major role in precipitating low mood and the disruption of circadian rythym can cause disproprortion of this neurotransmitter making the person vulnerable to become a diagnosed case of Depression.

What can be the possible causes of depression-like behaviour?
If I want to sum up, all the possible causes in just word , I will state “stress”.

Death of a loved one
Loss of a job
Financial burdens/obligations
Divorce
Getting married
Any sort of physical and emotional trauma (harassment, violence, rape, abuse, accident, burns)
Financial trauma and emotional trauma (theft)
Taking care of a sick patient

These all are external stresses i.e. induced. However, there are internal stresses that comes from within. And the major one is “Over-thinking”. Worrying unnecessarily can cause a shift in your hormones that can precipitate low mood.

Let’s take an example,

of a work environment where your boss is not too appreciating. In such an environment, you will always be feel pressurized, as you do not want to loose your job and self-esteem.

Likewise, parent stresses; how our kids should move in future? Uncertainty about their future, worrying about their marriages… and many more..

Or, take this covid-19 pandemic. News channels, social media, news papers are literally shouting.. disrupting mental health. Indeed they are a source of awareness and keeps all of us up to date, still we can see increasing numbers of patients seeking help from psychotherapist and psychiatrist.

Wrapping up all in a nutshell,
From the above listed depression (MDD) symptoms, if five of them from the chart along with a low mood are not lasting for about 2 weeks. You are over thinking!! You are pushing your mind and body to develop it. You need to STOP!!

If you are suffering as per the diagnostic criteria without a single day break of healthy happy mood till 2 weeks, you need serious help! Consult a psychotherapist/psychiatrist…

Do not listen to people/ do not care what the society will think.
Just as all parts of your body needs a doctor when you fall ill, so does your brain related issues. Sounds Perfectly normal? It is… normal.

Works Cited
1. Circadian rhythm disruption and mental health. Walker, W.H., Walton, J.C., DeVries, A.C. et al. 2020, Transl Psychiatry. https://doi.org/10.1038/s41398-020-0694-0

2. Timing of light exposure affects mood and brain circuits. Bedrosian, T., Nelson, R. jan 2017, s.l. : Transl Psychiatry, 2017. 0028-0836. https://doi.org/10.1038/tp.2016.262

3. Clifford B. Saper,Ruth L. Stornetta. science direct. [book auth.] Ruth L. Stornetta Clifford B. Saper. The rat nervous system (4th edition). s.l. : Elsevier, 2015. https://doi.org/10.1016/B978-0-12-374245-2.00023-1

4. Replication of cortisol circadian rhythm: new advances in hydrocortisone replacement therapy. Sharon Chan, Miguel Debono. s.l. : sage journal, 2010. https://doi.org/10.1177/2042018810380214

DUNYAWI KAMYAABI

noreply@blogger.com (Dr.Shadab Kamal) — Mon, 20 Apr 2020 16:33:00 +0000

IF A MAN ACHIEVES WORLDLY SUCCESS AND DOES NOT BLEND INTO HIS LIFE - A PROGRAM OF SELF-IMPROVEMENT TO BRING ABOUT A SENSIBLE BALANCE, HE NO DOUBT WILL END UP AS A FAILURE. - JOHN. H. VANDENBERG

20th April,2020
By Dr. Shadab Kamal

Zaroorat aur khwahish. Khwahishat ka taaluq chahat aur mohabbat se hai jab k zaroorat survival ka doosra naam hai.
Mohobbat se meri murad unsiyat hai. Us ki waja ye hai k ek waqt men insan kayi rishton se ghira hota hai aur sab hi se usay lagao aur unsiyat hoti hai. chunke ye dono anasir zindagi guzarne ki bunyaad hain is liye mere nazdeek zindagi ki ek tareef apnay iradon aur khwahishaat ko poora karne ki koshish ka naam hai jis men kamyabi har shakhs ka darwaza nahi khatkataya karti.

Insaan is dunya men akele aata hai aur is dunya se akele hi jata hai magar is dunya men tanha zindagi nahi guzar sakta. Maa baap behen bhai aur deegar khooni rishton se uska taaluq maa k paet se hi jura hota hai. Ye rishte wo khud nhi bnata balke us k janam lete hi ye us ki zindagi men shamil hjatay hain. Tou na in rishton ka naim ul badal hai na kabhi ho skta hai.

Aap ne umooman suna hga k humsafar milna b qismat k khel hain. beherkaif men asa nhi samajhti. Kia Khudadaad salahiyaton ka hamil insani dimagh apni samajh boojh k mutabiq apne liye ek insan ka tai'yun b sahi nahi karskta? Beherkaif ye ek doosra mudd'ua hai.

Wo insan jis se apki zehni hum aahangi hjaye wo hi apki zindagi men apko apka sab kuch lagne lagta hai aur phr hum usay apne gard o nawa k tehet apni zindagi men shamil krne k faislay mn ya tou kamyab hotay hain ya phr na kaam. Kamyaabi ki soorat mein usi shakhs k sath zindagi ki seerhiyan teh krte krte kayi doosre rishte janam lete hain aur dunya ka nizam yunhi chalta chala jata hai.
Nakami ki soorat men wohi log ya tou apke behtareen dost bn jatay hain ya phr ek yaad. Achi ya buri? Is ka taai'yun wo eendhan krta hai jis ko men dimagh kehti hun.
Khuda taa'la ne insan ko badi khoobsurti se takhleeq kiya hai aur insan us khaliq ki takhleeqat ka sab se haseen aur pur kashish shahkaar hai, har ek insaan doosre se mukhtalif bhi hai aur bazahir ek jaisa bhi.

Is tafreeq ki waja wohi eendhan hai. Ye ek kamra numa shay hai jis men kayi khanay hain. Har ek khanay men ek alag jadooyi potion hai jis ki waja se insan ki soch ka mehwar halaat aur waqiyaat k tehet tabdeel hota rehta hai.

Nakamiyon ki soorat men jazbati jang, udaasi, na umeedi, jaise ehsaasat jisay medical science depression kehti hai. Ye sab us hi jadoyi kamre ki marhoon e minnat hain.
In mushkil marahil se guzarta huwa insan Joon joon dunya mein larkharata, khud ko bachata, apne qadam jamata huwa, apni jaga talaash krta hai wo mukhtalif raaston se guzarta huwa apni shanakht ko ayan krta chala jata hai. Yahi shanakht usay muashray men mojoud logon se mutaarif krwane ka zariya banti hai aur ahiste ahiste wo khud ko muashray men qubool krne lag jata hai. Qubooliyat k is safar pr phnchay tak wo naazuk mor aa jata hai jis par zaroorat janam leti hai.

Yaad rahay Zaroorat ka taaluq khwahishat se nhi hai. khwahishaat aur zarooryaat ki jang mein jeet humesha zarooryat ki hoti hai. Azal se abad tak kayi misaalen mojoud hain k wo shakhs jis ne zarooryat par khwahishat ko tarjeeh di aur zarooryaat se ghafil raha wo apni shanakht ko bigarta chala gaya yahan humen is baat ka andaza bhi hota hai k zindagi ko dekhne ka ek doosra rukh bhi hai. Jahan khwahishat ko poora krne ka naam zindagi hai wahan khwahishat se samjhota karne aur apni ana ko barqarar rakhne ka naam bhi zindagi hi hai.
Ub sawal ye paida hota hai k dunya men survival kis trha mumkin hai?

Muashray men jahan aqal o fehem rakhne walay kayi dimagh mojoud houn wahan tazad ka laazim hona teh shuda baat hai. Yahi waja hai k zindagi ki har seerhi pr charhte huwe jama aur tafreeq ka amal jaari rehta hai.

Mukhtalif zehen mukhtalif kirdaaron yani personalities ko janam dete hain jin k sath hum rehte huwe mukhtalif potions ka istimaal krte hain.
Jin mn mere nazdeek sab se taqatwar potion sabar hai. zamana gawah hai k kisi bhi chez ki zyadati ya kami humesha nuqsan ka ba'is rahi hai. Ye do anasir insan ki zindagi mein us k zehen ki nashonuma k ehem juz hain. Kisi bhi qism ka disproprotion us jadoi kamray mein mojoud potions mn honay walay chemical changes ki waja banta hai. Jis k liye men hormonal instability ka lafz istimaal krn gi.

Kamyaab insan wohi hai jo khud ko tamam tar haalat k mutabiq ek sanchay mn dhaal le magar us ki zindagi men hone wali in tabdeelion k aiwaz jo loss hai wo us ki apni zaat ka ek ehem hissa hota hai. Is trha k insan ko jab khangaal kr dekha jaye, us ki zindagi k safhaat ko palta jaaye tou aqal hairan reh jati hai. Wo ye baat nahi janta hota k us ka aaj us ki zindagi ki asal kamyabi hai. Asay shakhs ko ap sirf shikayaat mn ghira dekhen gay kun k wo samajhta hai k lafz kamyabi apni khwahishaat ko hasil karlene ka naam hai jab k dar haqeeqat wo is baat ko samajhne se aari hai k dunya mein apne simtay huwe wujood k sath survival aur apni shanakht ko barqarar rakhna hi asal dunyawi kaamyabi hai.

Written by: Dr. Shadab Kamal

Keywords: #badaltechehre #zaahirikhol #masnoyimuskurahatian #khwabreezareeza
#kamyabikasafar-khushianbarayefarokht
#jaddojuhad #nashukrainsan

YOU CAN MAKE ANYTHING BY WRITING!!

noreply@blogger.com (Dr.Shadab Kamal) — Sun, 19 Apr 2020 18:33:00 +0000

"YOU CAN MAKE ANYTHING BY WRITING"

STEP INTO A SCENE AND LET IT DRIP FROM YOUR FINGERTIPS
- MJ Bush

Written by, Dr. Shadab kamal.

Let's see today, how beautiful anger is,
The love residing in this abstract feeling is beyond any other emotion. 😊

**********************

"Janice wait!", he shouted.
She looked at him with anger, her pink cheeks were red but didn't dared to say a word.
Watching her like this,Edward's lips started smiling. Stepping towards her,his big sneaky eyes gave her a playful smile.
She bowed down as if to avoid the mixed feelings of her anger and love.

Leaning closer to her face he calmly whispered in her ear," you are only my woman, do not dare to walk away."
His dominant tone made her face turned even more red than before. She stood silent by his side making no move.

Janice's beautiful eyes were looking down with sadness, thinking why she is helpless with him.
Drowned in her deep thoughts she was suddenly pulled a bit closer, his big hand held her waist with another hand on her shoulder making her turn towards Edward.
Her stiffened body language depicts an essence of shyness.
she lifted her beautiful long lash, her clear, elliptical dark brown eyes made an intersection with his.

Edward looked down at her half opened lips and even saw the white skin on her chest through the neckline of her cloths.
"Damn! This woman", he said to himself wanting to kiss her long-awaited lips.
She felt an unease.
The only thing she could feel was the heat of this moment. She looked at him in amazement.

"You..." , "i am still angry..."

And she could not make out a single more word.
Her over bearing kiss made her heart flutter and bloom.

"You silly girl, you love me so much", Edward smiled cunningly while driving back to home.

"Why do u always want to fight with me?", teasing her knowing it would make her angry even more. He laughed aloud.

Edward stopped the car at the ice-cream shop and bought Janice, her favourite crunchy chocolate flavour with colorful candy topping and chocolate dripping down the glass served with a box of rounded waffer sticks to dip n lick in.
She was left with nothing to destroy this alluring moment anymore, looking at his handsome face with a french beard having a touch of white grace, she looked straight into his sparkling eyes, and could not resist but smiled nodding her head in a no, whispering herself. "This guy is helpless,why i so love you".

*************************
July 14th, 2019

KNOW ME !!

noreply@blogger.com (Dr.Shadab Kamal) — Sun, 19 Apr 2020 16:32:00 +0000

I'm Shadab, by profession a doctor.
welcome to the About Me page.

Eight years ago, I went to China for studying medicine, a country where i knew no one. It had been a year i was legal. Nineteen. Chasing dreams, i set on an amazing journey which was full of bumps and jolts but in the end it gave me access to the ultimate power of expressions. The words.

Originally i belong to a crowded, metropolitan city of Pakistan, Karachi.

Belonging to a very renowed and noble family, therefore, the genes.

The environment in which we live and grow, plays the biggest factors to unlock our hidden talents.

So, my journey began with writing a daily diary, however, with the passage of a scheduled life I was not able to develop this attitude in a habit. Afterwards, I only used to write in my extreme mood zones. 😊

You might have heard about about a geminian wit and intellect and how expressive they are. Some how these zodiac traits also have played wonders in building my personality so far.

With the advancement of technology, mobile notes and online notepads took control of my pen and paper and with the rise of the blogger communities, I am able to find opportunities to make my words public.

As per my personality i would like to keep my intro light and straight.

M a travel geek, a great cook, social media nerd and a future neuro surgeon.

how u do'in?? 😉

48 HOURS!!

noreply@blogger.com (Dr.Shadab Kamal) — Fri, 17 Apr 2020 23:00:00 +0000

48 hours- vicious/virtous cycle?

zindagi ka maqsad tou wo pehle hi talash kr chuki thi.

Science ki jadeediyat ne aj humen kis khadar global bna dia hai k hum apne ghr bethe hi doosre mumalik ki saer krlete hain aur apne pyaron se guft o shaneed bhi bs ungliyon ki zara harkat se ek touch ki doori pr hgai hai.
Ek zehen hai jis mn is khayaal ne janam liya hoga aur kayi zehen hain jo is ek takhleeqi khayal ki takmeel ka zariya banay hngay.
apne mobile mn mojoud 360 degree cameray se har simt ka jaiza lete huwe wo in sochon mn ghark hgayi aur bht der tk usay khamosh harkat diye manazir se dil behlati rhi.

Har janib chehel pehel aur zindagi ki bhag dor thi. Ek shor tha. Hungama sa. Yun lag raha tha jaise har shakhs kisi uljhan men ghar se nikla hai. Sooraj ki shuwaon se chamakta huwa us shakhs k maathay ka paseena aur sath hi parne wali shikan, us k labon ki sakat aur tez qadam.
"Oh ye shakhs tou meri janib araha hai" palak jhapakte hi uske peeche ek rail a kr ruki aur wo usay dekhe bina hi us mn sawar huwa aur phr ye ja wo ja.
Rail se anay walay musafiron ki us bheer mn ek nojawan shakhs hath mn tuntuna liye kuch door apni folding chair khol us pr beth gya. har simt manazir tabdeel ho rahay thay.

Asa lag rha tha k ub sare log us taraf muttawajja hn gay pr asa na huwa. Haqeeqatan us bhag dor ka hissa wo b thi lekin uske andar k tajassus ko na janay us dhun se kis trha suroor mila k wo door usi platform pr kharay apne lens ko zoom krti hui us nojawan ko dekhne lagi. gandumi rang aur halki halki bhoori darhi, jaise khizan k baad ek nayi subha, ous ki bondun pr parne wali suraj ki kirnoun mn chamakta huwa wo ankhon ko tamazat bakhsta huwa sabza.. kali rang ki ainak lgae betha ek khush shakal nojawan. Magar ye kia.. "ek safaid laathi??"
Lamhay bhar mn wo dhun apna manzar tabdeel krne lgi. Wo shakhs nabeena tha. Ub yun lag rha tha jaise us shakhs ne apne tamam dukh yakja kr k ye masroor dhun tayyar ki ho.

Bs inhi kch manazir mn khoi uski wapsi ki rail ka waqt hgaya aur wo apna bag latkaye us mn sawar hgayi.
"Shukar hai aj bethne ki jaga mili".
Kuch hi minton ki masafat k baad wo ghar phnch gayi thi.

***************************
"Ya Khuda, ye neend kun nhi aati"
Ub kia krna tha mobile na dekhne ki tou qasam kha rakhi thi. Kuch der tou yun hi letay chet aur pankha dekhti rhi lekin akhir kb tk dekhti.
akhir ko mobile utha hi liya.
"Kia karun?" , "hm..playlist"
Bs phr kia tha, kaanon men handsfree aur zehen k dareechon men utarte huwe alfaaz usay humesha ki trha kisi doosri hi dunya men le gye.
"Bazeecha e atfaal hai dunya mere aagay
Hota hai shab o roz tamasha mere aagay"

Dopeher k manazir, ghazal k ashaar aur uske zehen men uthne walay un khayalaat men na janay kb us ne handsfree utar diye ,phir kia tha, wo thi aur wohi daira. Thapaeren maarta huwa Masbat aur manfi khayalaat ka bhanwar. (Vicious/Virtous cycle)
"Zindagi kis qadar rawan hai".

Tamaam ehbaab se raabta munqata kiye huwe poore 48 hours hgae thay.
Lekin kisi ka na message tha na hi koi phone call. agle hi lamhe kal honay wali phli guftugu se wo muskura uthi "Aray bhae kahan ghayab ho, do din se online nhi ai ho larki".
Aur phr mun hi mun mn badbadai.
"Ahha.. log bhi kia khoob htay hain"
technology ne raabton ko jahan asaan bnaya hai wahan rishton ko utna hi bey rabt bhi. Bs dil k behlanay ko hum rozana isay utha lete hain aur jhunjhunay ki trha baja k khel liya krte hain aur phr is khof se k kahin apka wo dost shikayat na krde aur humen us awkward moment se guzarna na par jaye"chalo men hi pouch lun" jaisa ek khayal unko is takalluf se bharpoor lafzon kay ek majmoway ko takhleeq krne pr majbooran aamada kr hi leta hai. jis ka umooman ehsaasat aur fikr se koi taaluq nhi hota.

apni zaat men kuch talaash krti wo bht der tk karwatain badalti rhi. "chalo kch b ho, pouch tou lete hain" ye keh kr phr khamosh hgai aur muskura kr ek bar phr handsfree kaanon mn lga liye. Is dafa wo khoob ley men gunguna bhi rahi thi.
"is ek jumlay ne itna sukoon kun dia"?
"Kia hi ho agar zindagi k har mor par, pehli soch hi masbat ajaye" tez raftaar waqt men jahan kuch log bs bhag rahay hain wahan kuch laakh takaleef k bawajood bhi apne gird o nawa k mahol ko khushnuma bnane ki koshish kar rahay hain. Aur bht dheeme se lehje men ankhen band krti mun hi mun men badbadai jis se mjhy ye guman huwa k keh rhi hai "Shayad kisi ko wo nabeena shakhs hi nagawar guzra ho"

Pas un adtalees ghanton ki majlisi khamoshi se kuch yun acha zaroor hogaya k uske zehen k tamam goshon k zavyay durust hogaye.

Tehreer, Dr.Shadab Kamal

THINK WITH DR.SHADAB!!

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KNOW ME !!

48 HOURS!!

48 hours- vicious/virtous cycle?

STEP INTO A SCENE AND LET IT DRIP FROM YOUR FINGERTIPS
- MJ Bush