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Patients Nibbled by Rodents (My Letter in The Frontier Post))

2012-02-12T23:54:00.000-08:00

Patients nibbled by rodents
Posted on February 13, 2012

Recently I read a news report in an Indian newspaper, that a comatose patient, being kept on ventilator in an ICU of Mathura Das Mathur Hospital Jodhpur, was nibbled by rodents on ear, lips, cheeks and nose, while the nursing staff slept. In reaction, the responsible staff was suspended.
This story reminds me of some scenes that I have seen in Civil Hospital, Hyderabad, a hundred times. One being healthy cannot take care of him/her self here, I have seen staff nurse being bitten by a cat twice, one doctor friend, while examining a patient was bitten by a cat on foot. Cats are not only inside hospital but in the wards too. Poor people, accompanying patients, usually sleep on floors along with their food and other stuff, beacuse of lack of place.
Cats touch their stuff, half eat their food and lot more. In or near surgical OTs, these cats have been noticed eating the human flesh, which is taken off from body during some opertation, like placentas, appendix, etc. Patients visit hospitals for cure or care, but here unfortunately the caretakers are not even safe. At night, when the hospital is quiet and the inside roads are empty, one is scared to walk there because of stray dogs.
Before we experience a bad scene due to presence of these animals in the hospitals, the authorities should take them out of hospitals, and they should seal all such entrances of the wards and rooms where from cats and rodents can enter. This was one of the several basic problems of government hospitals. By focusing and taking care of these basic things, one can make these public sector hospitals, better place for the sick ones.

Dr. Mubashir H. Shaikh

Hyderabad, Sindh

20 rupees per head to see the 40 ft Whale Shark in Karachi

2012-02-09T11:24:00.000-08:00

Tuesday (7-2-2012): 40 ft brown and black spotted Whale Shark, found dead in Arabian Sea, bought to the Fish harbour (karachi) ..... 20 rupees per head were charged to see this giant animal, thousands of people crowded around, to touch, see and snap a picture with this rare animal.

Historical Event: Pakistan Whitewash England in Test Series

2012-02-06T07:43:00.000-08:00

First time in the history of world test cricket, Pakistan has whitewash the giant England team in three test series .... Historical test series, historical event, Pakistan Zindabad. Congratulations to the fans of Pakistan Cricket ....

Recaps:

First Test .. 17 to 21 january ... Pakistan beat England by 10 wickets

Second Test .. 25 to 29 january .. Pakistan beat England by 72 runs

Third Test .. 3 to 7 january .. Pakistan beat England by 71 runs

SPSC Commission Exam .... Experience Sharing

2012-02-04T15:57:00.000-08:00

SPSC Exam for the Post of Medical Officer BPS-17, in the Home (Prisons) Department ...... My Experience .. ;)

Sindh Public Service Commission announced the vacant posts of Medical Officer BPS 17 in the Home Department (Prison Department) in last months of 2011 ..... those who applied, got the admission letter (in january) to sit in the written exam, which was conducted on 1st of Feb 2012, in various centers of Hyderabad and Karachi .... I also took the exam, my center was Noor Mohd High School, hyderabad ... test started at 10.15 am ...... in admission letter it was written that there will be some 100 questions from the basic+clinical sciences .... but only 50 questions came in the exam .... the distribution of questions, as i counted was: 4 questions from gyne and obs, 8 from eye, 4 from neuro, 2 from toxicology, 2 from community med, 8 from endocrinology, 2 from anatomy, 1 from patho, and amony rest, few were from git, cardio and liver. Questions were nor tough neither very easy .... like in few questions they asked about the causes of conditions like clubbing, PPH, and hyperthyroidism ..... there was one question on clinical features of acute pancreatitis .. I memorized all the questions (not stems/options), and have made a pdf document for that paper, will soon upload it here on my blog, for all those who want to practice them for future exams .... it was a nice experience, could have done better in the absesnce of eye and gyne questions ;) ....

Dog Bites on the Rise in Hyderabad: Posing a Potential Threat of Rabies

2012-01-30T02:46:00.000-08:00

Dog bite on the rise
Posted on January 30, 2012

In Hyderabad, the number of stray dogs is increasing day by day, posing a potential threat of rabies in the city. Rabies is a very painful and deadly viral disease, that invades the central nervous system and disrupts its functioning. It is spread through the bite of affected animals, usually dogs, bats and foxes, but can affect any animal, it is present in their saliva. I am a young doctor from Hyderabad, have spent a year now in civil hospital, and on average have seen 5 to 6 cases of dog bites daily, including all age groups and children being the most affected one. These cases are not all from Hyderabad, few are referred from nearby villages and cities. In US, rabies is rarely spread through the bites of dogs and other rabid animals, because most of the animals are vaccinated in the states, but in our part of the world, where half of the human population is not vaccinated for the common preventable diseases, how can one talk about ‘vaccinating the animals’. Here, in our settings, killing dogs by giving them poisonous capsules or transferring them to some other place are the only valid options. Administration may adopt an animal birth control method to control the increasing population of stray dogs. I hope that the responsible administration is aware of the deadly outcome of rabies, and will soon initiate a full-fledged campaign to take some actions to prevent dog bites and rabies.

Dr. Mubashir H. Shaikh
Hyderabad

This was published in Dawn on 4th of feb 2012, and in Frontier Post on 30th of january 2012

Sharmeen Obaid (Pakistani Director) Nominated for Oscars

2012-01-24T22:28:00.000-08:00

Sharmeen Obaid Chinoy is a Pakistani Journalist and a Documentary Filmmaker ...... She was born and raised in Karachi, Pakistan and received a bachelors degree from Smith College and went on to complete two masters degree from Stanford University.

Specials:
She is the First:

non-American to win the Livingston Award for Best International Reporting

Pakistani to win an Emmy Award for her documentary Children of the Taliban (2010)

Pakistani to be nominated for Oscar Award, for her documentary Saving Face (24 Jan 2012)

Her Films Include:

Terrors Children

Reinventing the Taliban?

On a Razors Edge

Pakistans Double Game

City of Guilt

Cold Comfort

Highway of Tears

The New Apartheid

Women of the Holy Kingdom

Assimilation No, Integration Yes

Birth of a Nation

Lifting the Veil / Afghanistan Unveiled

Iraq: The Lost Generation

Pakistans Taliban Generation / Children of Taliban

Transgenders: Pakistans Open Secret

Saving Face

More About Her:

Read About Sharmeen Obaid on Wikipedia - Click Here

For her Official Site - Click Here

FCPS Part 1 Preparation [ Tips, Tricks, Recipe - Post No 1 ]

2012-01-12T11:25:00.000-08:00

How do I prepare for FCPS -1 .......... here are some tips ... taken from pfmsg forum

1. You should be aware of fcps exam

2. Get recommended books.

3. Plan yourr study schedule (Study only - hours should be divided on the available time till exam, lets say if u have 6 months then 5 hrs a day would be enough, the more u study the better it is. Studying well depends on ur stamina how long u can study before ur brain gets exhausted).

4. Stick to ur plan, dont get distracted.

5. Its better to have a study partner, with whom u can discuss topics and your study problems.

6. Pray ALLAH for ur success.

Dream Scene: Aamir and Shahrukh together in a movie (Sharing Frame)

2012-01-10T10:08:00.000-08:00

Sindhi Version of Song "Why This Kolaveri Di"

2012-01-10T09:01:00.000-08:00

"Why this Kolaveri Di" ... needs no Introduction .... but the Video below surely Needs one ... its the Sindhi Version of Famous Song Kolaveri Di .... Though not much of the sindhi songs have entertained me .... but this one is JhakAaaS.
..:: Gull Pari Laal Pari Maula Wari Dini Aa Munkhay ::..

Alamgir has Polycystic Kidney Disease, He is Staying with Shabnam and Robin Ghosh

2012-01-08T12:05:00.000-08:00

Many Pakistani Stars of 70's and 80's are missing ..... many of their fans are finding them .... trying to know that where are they ? what are they doing now ? how are they living ? ..... one such fan is writing this post here .... Yesterday i searched my all time favourite Star Shabnam on web ... and i found her ... in late 80's when lollywood industry was facing a hard time, she disappeared from Pakistan and settled in Dhaka (Bangladesh) with her Husband Robin Ghosh and Parents. She left Lollywood ... according to her she is no more part of the Pakistani Film Industry .... but ... she didnt left acting ... she did films in Bangladesh but not in main lead, she played character roles .. her last film was Amma Jaan in 1999. I was happy that i got some bit of latest info about her .... she was having complications of her old stroke, but is fine now ... she is now a house wife, taking care of her Husband ...

Today, i read a news in Dawn that Alamgir, the pioneer of Pop Singing in Pakistan is in Distress, he is having Kidney problems, and according to Wikipedia he has Polycystic Kidney Disease and undergoes Dialysis thrice a week. ............ and he is staying in Dhaka with none other than the great Music Composer Robin Ghosh and Her Faboulous Star wife Shabnam.

Qeemay Aalay Poore By Sajjad Ali

2012-01-07T12:52:00.000-08:00

After KirKir on Coke Studio, Sajjad Ali releases his New Music Video - "Qeemay Aalay Poore"

Here's the Video

Celebrating Century - Just Crossed 100 .... its 102nd Blog Post

2012-01-02T12:41:00.000-08:00

This is 102 nd post of Shaikh Online .... Great .... it took 2 years and 2 months to complete century of my blog posts. I am blogging here since September 2009 ..... Lush Yaar ...... any ways its not the End ... its another begining ... Happy New Year ... its late but not too late ;) :P ...

The Dusk (Pakistani Movie - 2012) ...... Movie Posters

2012-01-02T12:32:00.000-08:00

The Dusk (Pakistani Movie - 2012) ...... Movie Posters

Source: All are taken from web (blogs n sites) through Google (Search Images)

The Dusk - Another Pakistani Movie (2012)

2012-01-02T12:22:00.000-08:00

The Dusk - (2012)

Official Trailor: Click Here
Official Site: http://www.theduskfilm.com/
Genre: Drama
Produced By: Wajahat Abbas Kazmi
Directed By: Z-Shan Kazmi
Cast: Salman Khan and Uzma Khan
Releasing Year: 2012

The Dusk - Official Theatrical Trailer - Pakistani Upcoming Movie

2012-01-02T12:19:00.000-08:00

Waar - the Movie (2012) ........... Movie Stills and Behind the Scenes (Images)

2012-01-02T11:37:00.000-08:00

Waar - the Movie (2012) ........... Movie Stills and Behind the Scenes (Images)

Source: All are taken from web (blogs n sites) through Google (Search Images)

Waar - the Movie (2012) ........ Movie Posters

2012-01-02T11:32:00.000-08:00

Waar - the Movie (2012) - The Most Anticipated Movie in the History of Pakistan

2012-01-02T11:22:00.000-08:00

Waar - The Mosst Anticipated Movie in the History of Pakistan ............. seems to be true ... i didnt knew about this movie at all, today one of my friend told me about waar ... just saw its trailor on You Tube, i have shared that video in my earlier post. Whenever i come against any of Aamir khans new movie trailor, i desparately start waiting for the release of that movie, and today first time that same feeling is coming in me for WAAR .... Trailor was LUSH, hope movie will also do well ....

WAAR - the Movie (2012)

Genre: Action, Thriller, Drama

Official trailor: see my last post or Click Here

Official Site: http://www.waarthemovie.com/

Cast: Shaan Shahid, Aisha Khan, Shamoon Abbasi, Meesha Shafi, Ali Azmat & Hamza Abbasi.

Releasing Date: Expected Summer Release

Film Budget: Expected $2,000,000 (PKR 170M or 17 Crores)

Produced By: MindWorks Media with Hunt Lowry and Warner Bros

Directed By: Bilal Lashari

Written By: Hassan Waqas Rana

Shot in: In and Outside of Pakistan

Time Duration: 140 min

This film is currently in its Post Production Stage. This will first be screened at some International Film Festivals, and then will be released World Wide.

WAAR the movie (2012) - OFFICIAL FIRST LOOK TRAILER

2012-01-02T11:21:00.000-08:00

Interview Experience for a Medical Job in an NGO

2011-12-26T22:07:00.000-08:00

It was sunday morning, when i got a msg from my friend that some NGO is taking interviews today for the post of Medical Officer in one of their projects working in flood affected areas. He told me the time and place, only one hour was left. I hurried, and reached on time ..... we were three friends, and including us there were total 10 candidates (8 males and 2 females).

They wrote our Name, Qualification, Mobile Number ... serial wise on a paper .. then called accordingly for interview. I was on 3rd number .... when they called me .... i went in .. i said:

Me: Asalamo Alaikum (there were 2 people, i shaked hand with both of them)

Interviewers: Wa alaikum salam, Have a seat.
Me: Thank You.
Interviewer: I am Dr. XYZ and he is Mr. ABC, we are employees of VVV NGO, which is working in Pakistan since long ..... currently we have our projects in progress in all flood affected areas. Along with other things we work for Health Care also, and for that we need Medical Officers, who can work in our medical camp field areas. ok so Dr, tell us about your self shortly...

Me: I am Dr. M.H.S, belong to Matiari district , but born and bought up in Hyderabad, i did my MBBS in december 2010, doing my house job, which will be finished in one month etc

Interviewer: Any future plan for postgraduation?

Me: yes, i will do PG ship in Pediatrics.

Interviewer: have you bought your CV?

Me: Yes (and given)

(After all this introductory Gup Shup, he started asking questions about Medicine)

Q. What are the common diseases in flood affected areas?

Q. what is the treatment of Diarrhea?
Q. what is AFP?

Q. what is Polio?

Q. how many cases of Polio have been reported in Pakistan this year?

Q. how will you proceed in a patient with urinary retention?

Q. what is the method of passing NG tube?

Q. what is the treatment of Hyperthyroidism?

Q. what is the treatment of Hypothyroidism?

Q. what are the second line of drugs for TB?

Q. what will you give to a patient who has some allergic reaction which is not resolved after the administration of Dexa+Avil?

Q. what is the treatment of Typhoid?

(then the interviewer switched to another topic)

Q. how did you heard about this job and interview?

Q. what do you know about our NGO?

Q. why should we hire you?

Q. what salary are you expecting from us?

Q. will you able to stay away from home in our office which is near by our field ares?

Q. Do have any field experience before?

(then he said: Dr, give us a copy of your identity card, if you will be selected, we will call you in 2 days ...... duty timings will be 8am to 2 pm ... you have to see atleast 60 patients daily, and you have to fill our survery forms also, and have to give report weekly ... there will be a team with you, one lady dr, dispensor, driver etc ... thank you and best of luck)

........................ they have not called me yet :) but it was a nice experience ...

Study Books with Patients .... you will learn this way

2011-12-18T06:48:00.000-08:00

"To study the phenomena of disease without books is to sail an uncharted sea, while to study books without patients is not to go to sea at all." - Sir William Osler

I am hearing about the procedure "Exchange Transfusion" since final year MBBS ...... i have read this in books for so many times ........ still after reading in detail i had not idea how it all goes in real. Yesterday, i not only saw this practically but i also assisted my senior Doctor in Exchange Transfusion of a 5 year old baby boy, whose bilirubin was 33 mg/dl.

My senior says, stand at bedside, open your books and then examine the patient. I have seen my seniors ... opening his/her books while managing the patient of DKA (Diabetic Ketoacidosis) ..... There is no harm in opening a book in front of patients ..... you will learn this way.

I'll share few more things and my experience about Exchange Transfusion in my coming posts .... see you .... tata

What is SGPT and Why my SGPT levels are high?

2011-12-14T05:24:00.000-08:00

Yesterday, i recieved a msg on facebook from someone (not Friend) ........ he wanted to know that what is SGPT and why his SGPT blood levels are bit high ...... his LFT report was attached with the msg ..... showing disturbance in SGPT levels .... that was 51 U/L (normal: upto 41).

I dont know whether he was worried over his raised SGPT or not, but this was clear from his report that some thing is surely wrong with his body .... lets see whats could be the possible reason for his high SGPTWhat is SGPT? its an Enzyme, mainly contained in Liver Cells ..... when the liver is injured, liver cells release SGPT (Serum glutamic-pyruvic transaminase) or ALT (Alanine Transaminase) in blood (circulation), and raising its level in blood ...... and signals that something is wrong with YOUR LIVER, thus its an indicator of your Liver's Status.

What are Enzymes? their Functions? Enzymes are nothing but Protiens, present throughout the body, each having their Unique function. They help to accelerate the necessary chemical reactions in our body.

I dont know, who adviced him this Investigation and why ...... so lets discuss generally, that what are the symptoms in which you should go for this Investigation (but on your Doctor's Request). It is ordered when you have liver disorder symptoms like abdominal swelling .. with or without pain, jaundice (yellow discolouration), itching (pruritis), nausea, vomiting, loss of appetite, weakness, fatigue, dark urine or light coloured stool. It may also be ordered, if the person have known history of Hepatits, or any possible exposure to Hepatitis Virus, if the person is a Drinker, having positive family history of liver diseases, obesity, diabetes or Drug that can cause harm to the Liver. So, the causes of Raised SGPT include: Viral Hepatitis, Alcoholism, Fatty Liver, Obesity, and use of antibiotics.

His further lab reports show that his Anti HCV and HBsAg is Negative, so Viral Hepatits is excluded. He is not a Drinker, and he has not taken any antibiotics recently, so Medication and Alcoholism excluded. Yes, he eats junk food, he is obese, and there must be lack of exercise, so the possible cause of raised SGPT in his case is Fatty Liver.

Medical Advice in his case should be: Loose weight, have low fat diet, do some exercise ... thts it, no need of Liver Tonics and other Medications.

Aamir Khan blessed with a Baby Boy

2011-12-10T11:27:00.000-08:00

On Dec 1, Aamir Khan and his 2nd wife Kiran Rao got blessed with a baby boy. The couple named their son Azad Roa Khan after scholar and freedom fighter Maulana Abul Kalam Azad, Aamir's "great grand uncle".

Fauji's Duffers hain Duffers - says Asma Jehangir

2011-12-10T11:12:00.000-08:00

watch (n Listen) this Video ..... and think

Bal Thackeray's Grand Daughter Neha Marries a Muslim

2011-12-10T10:41:00.000-08:00

Bal Thackeray's (chief of Hindu Extremist Party Shiv Sena) grand daughter Neha Gupta married a Gujrati Muslim Doctor on December 4. Neha is the daughter of Late Bindumadhav, who is the eldest son of Bal Thackeray. Neha married Dr. Nabi Muhammad in Hotel Taj Lands End Mumbai.