Move on

On the treatment of idiopathic inter-cranial hypertension, 

Where the pressure inside the skull increases for no pathological cause, we treat it by opening a hole in the skull to relieve the pressure applied on the brain different structures, earlier this decade the removed part of the skull was preserved for later closure of the whole after the pressure resolves and decreases to normal again. 

It was preserved in the abdominal fat tissue to get blood supply and stay in normal body temperature. 

This preservation method is not used any more, for so many reasons including atrophy of the bone piece duo to decrease blood flow to it which basically means that the bone get smaller and when trying to put it back to place it cant cover the whole opened area, or infection either in area of insertion due to sudden switch in abdominal flora - which is the covering layer of bacteria that lives on or body surfaces and cavities and differs from one region to the other-

Or infection of the area of the bone in the brain when returning the bone to its place duo to the same reason which is an invasion of abdominal flora in the brain. 

Later on, the surgeons decided that, if we throw this piece and use later an artificial bone piece- a human-made bone-like structure- this can decrease a lot of the risks and suffering that patient and his might go through. The point of all of this patient is your life and the bone piece is a lot of people, relationships, things that we think we can't live without, and implanting it the abdominal area is the same action to hold on those people, stuff and relationships that lead to more cons than pros. As much as giving up parts that might look so loved to our hearts, so close to our souls that might sound hard even impossible to give up on it at the moment. It still sometimes more healthy to give up than to hold, things even loved things, even people can some time get smaller like an atrophic piece of bone that wont fit in your life and cause so much damage, or it will be as toxic as a wired flora in your life that can invade you life causing massive breakdowns.

This transformation in method should teach humans to give up on things when we have to give up regardless the pain that can be caused by giving up, you have to let go on things that you love but it is harmful to you, because sometimes the pain caused by letting go is nothing compared to pain of keep holding.

The way we deal with our dear pieces can determine how our life will go so make sure to let go when you should let go.

relationships

In relationships, you have to trust your partner, his decisions, his thought, and above of that his presence.That isn't only in your love life, it is in your work, in your friends' circle.And that means you trust yourself, you trust your choices knowing that no matter how far things can get mad Your relationships will survive because you are the one who chooses them.And you are a fighter with history for stupid decisions that made you smart enough to choose the right people in your life, you are a human being with a history of lose-lose relationships, with history of people who used you, who took advantage of you. The history that made you realize how to choose your partners in love and war, made you aware of your mistakes and how to avoid them. Made you logical enough to give people in your life the benefit of doubt, but without letting anyone use you. That is why exactly you have to trust your partner because he worth it and above all, he is your choice that worth to be trusted.

failure

Medicine is a sample, a small sample of real-life out there. And so failure is a part of the deal, a deal that you either take it all or leave it all. 

And as long as failure is a large piece of the cake, then you should learn how to accept it, not only except it but learn how to live with it and be proud of your failures. 

I used to be full of shame every-time one of my teachers gave me that speech about how bad you are to fail? As if what I did was the taboo action that we get raised for not doing it, it is bad to fail it is totally your right to feel mad about it and to feel anger on yourself and your mistakes, but what is it worse is to keep yourself stuck where you failed forever not allowing yourself to restart, or to give anyone the power of putting down your value and worth because of a mistake you have done. 

Be proud of your failure, it is what makes you who you are, be proud of them so no one could have the power or the authority to control your life and bully you just because you have failed. 

No one can live without failure otherwise we won’t know what success tastes like.

vacations

If you have a medical student in your life, you probably know that they never have long vacations max they get is a month and a half or 2 months, and if they have a vacation they most probably have a test to get ready for, paperwork to finish, assignment to complete.
Never long enough vacation for them to get out of the student or the doctor mood, vacations that they are long enough to relax but not long enough to feel free and live like normal people.
After an experience that forced me to take 3 months of vacation, I understand that this is exactly the right thing, long vacation is not allowed for a reason, it isn’t that they want to force students to get robotic or for them to lose the compassion and enjoyment of normal life. On the contrary, they want us to have fun not to forget our human side, but not to forget our duty toward the job, the oath and the human we deal with.
Vacations are important but hard because having fun can make the human forget how to commit to his duty and go back when he must go back.
Not only this is the reason why vacations are hard they make you put high expectations about your reality that you forget how it is if you spend a long time away of, the longer the vacations the higher your expectations get and the harder your hit get when you land on the rock of reality.
This vacation that will end soon in latterly in less than 48 hours from now, and lasted 3 months and a half, had taught me the value of short vacations. 

العلم والخرافة

إن العلم بالتعلم والفهم بالتفهم ولم يكن ديننا يوما ممانعا للعلم كان دوما داعما، يقول يوفيل نواه هراري إن الدين هو ما يعطي التبرير الأخلاقي للبحث العلمي فلا يمكن نكران أهمية كلا الموضوعين وترابطهم العميق، أكثر من يعاني من التناقضات التي يخلقها المجتمع بين الدين والعلم هم الأطباء.

إن الطبيب يواجه دائما مشكلة لحل الخرافات التي تحيط بالعلم الطبي بسبب إيمانات البعض الروحانية نرى كثيرا من الشكاوي على مواقع التواصل الإجتماعي فلان من الناس يصاب بتشنجات عصبية فيقول أهله إنه مس من عمل الشيطان فلنجري إلى الدجال.

إحدى الفتيات يصيبها اكتئاب مابعد الولادة فتشتكي للناس أن زوجها لم يعد يتحملها وتطلب أن يساعدوها باسم شيخ يساعدها. يأتي أحدهم للدكتور بعد أن صار معه تلبك معوي من كثرة الأعشاب المقروؤ عليها والحجابات التي تناولها لأنه يواجه مشكلة عصبية أو نفسية.

لا أعلم أين حدث الخطأ وما الذي جعلنا نفقد السيطرة على تفكيرنا بهذه الطريقة! ولكن في لحظة ما منعنا عقلنا من التفكير فانهار كل شيء في أحضاننا وأول ما انهار كان عقولنا.

إن أول ما نزل في القرآن كان إقرأ ولم تكن الآية وحدها الحاثة على العلم
فالسورة ككل حملت أمر التعلم وحلت أكبر قضية شغلت الخلق وهي تكون البشر في الأرحام واظهرت وسيلة التعلم الأساسية وهي الكتابة حيث قال الله تعالى علم بالقلم، والقراءة عندما قال اقرأ.

فما سبب ما أصاب الأمة بالجهل؟يقال أن الدين يفقد قوته التصحيحية والأخلاقية عندما يفقد صلته بالواقع وبالتطور العلمي، حقيقة لم يكن خطأ ديننا أنه فقد الصلة بالواقع نحن من فصله نحن من أفقدناه تواصله مع الواقع عندما ترفع العلماء عن تعليم المجتمع وترفع الجهل عن البحث فيما يجهله فنتج عن عدم التواصل هذا أن وصل مجتمعنا لطريق لا رجعة فيه الكلمة الأخيرة فيه للجهل.

نحن ننتصر للخرافة نرى في أن الخرافة تستحق أن تحيا بينما أرواحنا لاتستحق، نحن نضحي بأرواحنا وأرواح من يحبنا لتحيا الخرافة لتعيش وتتمدد.

فمريض التشنجات العصبية التي دار به أهله بين رجال الخرافة والمكبسين والدجالين تشنج واحد كفيل بأن يرميه في عداد الأموات، فهي أمراض قد تكون على سهولة ماتبدو عليه ولكنه مميتة أو خطيرة وتحتاج مراعاة خاصة.

تلك الصبية التي أصيبت باكتئاب مابعد الولادة قد ينتهي بها الحالة بحالة نفسية تعرضها للانتحار.

إن العلم لا يتعارض مع الدين لكن يتعارض بكل تأكيد مع الخرافة، إن الخرافة مميتة ومحرقة للأرواح.

لم يفلح قوم ولو أمرهم للخرافة، هي مادة سريعة الاشتعال تنتشر انتشار النار بالهشيم ماتلبث أن تمسك عقل أحدهم حتى تنتقل كعدوى مرض بين العقول فتسيطر على العقول والقلوب والأرواح، وهي على عكس العلم الذي يصعب انتشاره لأنه يهز قواعد الإيمان الاجتماعي ويحارب النظريات اللامنطقية التي تؤمن بها الشعوب فهو كالدين حديث العهد وكالثروة الفتية يصعب على الناس اتباعهم ولو عرفوا مدى صدقهم وقوة حجتهم، لكن يبقى للناس أن يبقوا في جهلهم الهادئ لأنه الطريق الأسهل وليس لأنه الصحيح.إ

I am always a student

Medicine is a life long learning process, it is the only place where you really can't say I got enough of learning, the only place you never find yourself in point where you know everything. simply it is impossible. 

As a medical student, or resident, or even a professor you should never feel that you know it all. If it happens to feel so you should take a step back and take a look at yourself, reconsider your thoughts. Cause feeling so means only one thing you are on the wrong page of the book. 

It is ok to feel confident but between confidence and ego is one thin line that can easily get broken. 

The difference is that when you are confident about your knowledge you will be always open for a new perspective, open to say that I don't know. Know that it is nothing shameful about not knowing. 

A medical worker is someone who is learning as long as the person is alive, the moment the worker says I want to learn no more is practically dead. 

You should keep yourself motivated to learn and work, any other field has the luxury of stop practicing the moment the worker leaves the office, for medicine, it isn’t the case. You are a doctor in your school, at the office, in the street, at a bus, on an airplane, you are always a doctor wearing your white coat or not, having your stethoscope in your bucket or leaving it home. You are always a doctor, and you should always learn, read and study. 

You should be always ready.   

Battle that have been lost

It is hard for a medical students to reach the ideal balance between heart and brain, it is actually one of the hardest obstacles in a medical career. To reach objectivity is something far too hard, way much like catching fume with bared hands both are closer to imagination than reality. Although being objective is very easy when it is not related personally to you, it is very hard when the subject is related to you, it is complicated when the subject is demanded to be objective. 

Today however, I was put in the situation where objectivity is demanded of me when I got humiliated. Being an objective medical student is ridiculously hard, but being an international medical student that demanded to be objective is way harder. 

You as a reader might not know but I am Muslim, hijabi, international medical student who her study took place in country still trying to heal from racism against foreigners, not all people of course I have some great turkish friends and teachers. But some of the older generation is still not fully accepting the fact that a foreigner can have a chance on their grounds. 

The problem is with my lack of experience, and their lack of acceptance I lost my first battle of being objective. Me the so called a fighter soul couldn’t stand their treatment, letting them wen a battle of my war against everyone who says I cant, who thinks I shouldn’t be here. 

With their entrance to the room, and when the doctor wasnt there as any medical student I tried to do my job helping them to finish their routine post op follow up as fast so she can relax and go home as soon as the doctor finish her visit. I started to ask her the normal questions, when she pretended that she could not figure out what I have been saying “I cant understand you!” With a huge sarcasm and full of bad intentions voice tone. 

I ask about the patient with other workers aberrantly she lived long in UK, and she has a huge problem with hijabis covered women. The funny part UK has a lot of hijabi or Muslim doctors, from Pakistan and different countries, and they are very smart and successful. 

People who are racisi are just so pathetic that they cant take the benefit of very good intentions individuals who come into their way. 

Blue Code

In medicine internationally you have different colored codes in hospitals each one means something, the code is a sign that can be given in a hospital to give the workers a warning about something or to call for help, the Blue one, for example, is a code to give a sign that someone is on cardiac arrest and that they need help for that.

But why all these details you might ask ?? The other day we had a blue code in the hospital, while I am spending my time in the cardiology clinic we get the call we run behind our doctor to see the case (as we call it) that 15 mins between us knowing about the code and reaching the pt room was one of the weirdest times crossed me my entire life. Emotional tornado crushed me, I left the clinic exited running to keep my place as the second in a row after doctor, second in a row means more chances for me to intervene we were running all around with excited glow out of our eyes, a glow of learning something new, intervening with what we haven't seen before, but when I reached the ER room I found out the reality I found out about the irony

of life, I entire the ER I see a women crying, praying another woman was trying to chill her down, the hospital security everywhere trying to keep thing in the hands, and under control, everyone is running and the place is in big mess, here where was the irony at this moment I realized that different stories have different sides, the same story that made an entire class thrilled to see running on stories of hospitals, is the same story that broke someone's heart. This is the worst part of medicine what makes us happy and excited is education clinical in particular, but what makes us happy makes other people sad and might break their life in pieces. But what shall we do? The only thing we have in our hands is to keep our empathy high and keep our professional acts always to control the situation, and always remember that our job is changing things that might turn people lives to hell into good things that make people happy again.

الدحيح ونظرية المؤامرة

الدحيح ونظرية المؤامرة

المجتمع العربي مجتمع قائم على نظرية المؤامرة بشكل يكاد يكون غير مصدق

المجتمع العربي مصاب بالبرنويا حتى من اصابع قدميه

جرب لمرة في حياتك ان تتفرج على برنامج مثل الدحيح امام احد افراد اسرتك كم الانتقادات الهائل الواقع عليك وعلى ذوقك حيكون مرعب

وقد يكون احد التعليقات التي يمكن ان تمر عليك

سرعة حديثو كل الهدف منها انو المعلومة تنزرع بلا تفكير فيها

سؤالي هو لماذا يصاب الناس بهذا لاقدر من التحفظ على برنامج مثل الدحيح او الاسبتالية

او حتى TEDX

بينما برامج اخرى اقل قيمة واقل فائدة

لمجرد احتوائها على محتوى من وجهة نظرهم جميل ورقيق

حقيقة أنا لا اوافق على فكرة أن مصر في فترة فاتن حمامة وسورية بفترة دريد لحام كانت جميلة ومليئة بالجمال

الفترة هذه حملت شيء واحد فقط زرع افكار تافهة في عقولنا

بحجة ثقافة الممثل او قدرته على الابداع ولكن من وجهة نظري من كان يصل للشهرة منهم هو من كان يملك قدرة كافية على توصيل المعلومات المرادة من المجتمع

حتى وصلنا الى مرحلة كل ما هو ذا محتوى مختلف او به فائدة ما يستسخف من قبل الناس

حتى من السهولة بالامر أن يتهم بنظرية المؤامرة وبمحاولته لزرع معلومات فاسدة او غير صحيحة بمعنى دس السم بالعسل

لان مجتمعنا أصبحت عادة عنده أن المحتوى دائما تافه وبالتالي اي شيء مفيد هو عبارة عن مؤامرة وسموم بين السطور