Tour de pakistan

I have been hearing about all the beautiful places my homeland has since I
came in here but making a trip to all these places wasn't easy. After being
done with my housejob I decided to finally make the very long awaited trip.
After getting all The trip planned I headed first to Lahore,the city with a
whole history in it. I planned to make this trip a bit more adventurousand
interesting by travelling through bus. I opted Daewoo Pakistan and it payed
me off.I was thinking that it would be no different than other services but
it proved me wrong. So I started off my trip at 8pm(which I shouldn't
have..I will tell u later why). The first stop was at around 1am bt Moro.I
went off to charge my cellphones. Afterwards I had a little chit chat with
the driver. Driver: sir I will switch off the lights inside the bus as we
will move till sukkur. Me: why?? Driver: sir in the past 15 days there has
been a lot of looting incidents have taken place and one of our drivers has
been shot at and he is badly hurt so, it will be the precaution,moreover
when the guard will give signal just duck down so that u don't get hurt.
Me: (*thinking* shit why did I take night coach and y on earth is he
tellingme all this now :-S)good. So my plan of taking a nap got screwed and
I fixed my gaze towards the window all the way to sukkur after which he
declared it safe.I dosed off for a while and got up at rahimyarkhan where
the Daewoo stopover point was recently refurbished with all the basic
things a traveller might need including good quality food..after sunrise we
set again for journey. As I passed RYK the first scenery that I saw was
absolutely astonishing. It was of the fields which were being watered and I
could see steam coming off these beautiful fields. As I moved on I saw
fields of cotton, sugarcane and oranges(kinu). Though the cotton season was
over but there were a few of them unharvested. Therewere beautiful white
birds In the harvested fields. All the way I could see the beauty of my
country, which was amazing.
(guys i couldnt upload pics in her so go to facebook link for the pictures )

https://www.facebook.com/ibrahimhashmi11?sk=photos#!/ibrahimhashmi11?sk=photos

Every Thing Happens for reason...?

Life is full of surprises. Every other day something happens and we evaluate it on our own sight that whether it is good or bad for us. At times things happen which for instance seem a bad thing to happen but as time passes by that thing might have saved you from a lot of other problems. But does everything happens for a reason,everything has some message for us and others.Have you ever thought of it?
Few months back a plane crashed in the hills of Margalla (Pakistan). Many people were killed in the crash and it was termed as the biggest crash in the Aviation history of Pakistan.Almost 13 people got their tickets cancelled due to bad weather,and were lucky. One MNA who needed that flight was denied as the flight was "FULL".He tried his best to get in but he did not succeed. Wonder what he would have been thinking after the crash.This is just one incident but try to look back at your lives ,there may have been many instances where something you thought went wrong but later turned out to be your saviour.
Now lets have a look at other side of story.If you will keep on thinking that whatever is happening (good or bad) is supposed to be in your favour and you quit exerting your effort,then the result will be no more different than what we are observing today. We are becoming ethically dead day by day. There is a blast every other day and the government's responsibility seems ti end by saying that Taliban are involved in it,everyone forgets it the very other day. In our lives we are not honest,we lie to earn more and we to get a bigger profit margin even if it is at the cost of others rights. We try not to respect the signals because it is easier for us to bribe a policeman than to go and wait in queue and submit our ticket. The list can go on and on but wait. Is this Happening for our own good. Are we not trying to hammer an axe on our own foot, what will be the end result??
After the earthquake of 2005 and floods of 2010 we are still paving our way towards wrong path. Has it not taught us anything. Are these warning signs not enough for us to mend our ways. Are we waiting for some miracle to happen or are we living in fools paradise by thinking its for our own good?When will we start thinking on right path....

Other Side of Story

Once it was said that medical profession is the most respectful profession, the doctors were respected in the society, enjoyed many relaxations because the were the Messiah of the society. They treated people and people used to get well, and respected the profession and the doctor more than before. But recently where has this respect gone to? Doctors don't enjoy respect, rather they are treated worst than criminals at many times. The medical profession does not enjoy the immunity it used to enjoy once and everyone is frustrated and unhappy with them.Every other day we hear doctors going on strike, killing a patient by giving wrong injection and killing a patient as if he/she was an enemy. But lets also go and have a look at other side of story and make a fair decision on where who is right and wrong.
The position holders of every school want(or rather wanted) to be a doctor. They study hard to score higher and get admission in the medical school. They drain their brain and energy and finally get into Medical school.The next five years they study harder even more than before and finally they get their MB BS degree. From here starts the story. The training starts by doing house job in which they work for 36 hours straight every alternate day and it is given the name of training in lieu of which they are paid 12,000 rupees only if they are lucky but usually after all sorts of deductions they get around 8000-9000 rupees. If the doctor is supported by family then its another story but usually its not the case. Most of our doctors come from lower middle to poor sect of society, who strives hard for success all their lives and when they get this amount in return of all their efforts and hard works, they are not the happy people.Apart from monetary aspect they are threatened every now and then and many of these doctors have been murdered brutally only because they are doctors.
When they are done with their house jobs they are stuck in the post graduation TRAINING which has again more or less same issues. When they get home after doing 36 hours of duty and get time to watch TV our respected media shows any negligence case, which many at times is not the truth. It is the human nature that when any dear one is departed the loved ones are shocked and after recovering from the denial phase starts holding doctors guilty. Though at times there might be the fault of a doctor but it is not always the case as portrayed.Both sides of the story should be investigated and then an opinion should be made, so that whatever is the truth should prevail. When a doctor observes this that every other person is hating him and pointing him to be guilty they get upset and in turn they take revenge which is again not the right thing to do. It only worsens the matter. The doctors go on strike and they don't give due attention to the patient. The patient gets more infuriated and the viscous cycle continues.

Today another association in Punjab has called for strike all over the province, but don't only hold the doctor responsible for this try to hold their necks whom you have voted for in the elections to give doctors some respectable life so that the viscous cycle be broken and the doctors given the respect they deserve and the people get the attention they deserve.

Doctors fault??

It is said by a friend of mine that we(doctors) visit each and every part of world by living in the hospital. Some might agree while others might not. Since the start of my medical career i have seen some very interesting cases which have made me a firm believer of this statement.some of those experiences i want to share with you all.
There was once a patient who came for abdominal pain which very severe. After taking proper history and assessing him, we administered him some pain killers and other relevant medications. But he complained of the worsening of pain as the time passed. We tried our second line medications for pain relief but it did not make any difference. Let me tell you that there are very few occasions when these drugs don't work, either the patient is resistant to the drug by having used it frequently or the patient is drug addict, in which we have to increase the dosage and have to use some very potent pain killers. There are some other condition also in which these drugs don't work but we ruled out those conditions as well...I tried to ask the patient again if he is a drug addict but the attendants were not letting him answer and said that he is very religious guy and he will never use any sort of drug...The only drug left for us to try was a morphine derivative which was the last choice...We again tried our best not to give it because it has its own consequences. All of our floor doctors went in the room and tried to counsel him and bingo..he finally admitted that he was an addict...the thing which he was hiding from us which lead to deterioration of his condition and our management..
The point here is that it is not always the fault of doctors but also the patients sometimes mislead us causing these mishaps...
It is just the beginnig of my career but this is just one example, there are a lot of other cases which i will write sometime else..The bottomline is, try to listen to both sides of ftories before making an opinion...

Emotional attachment

"Doctor bed no 4 is calling u"...it was my 4th or maybe 5th call duty when i was being called by a nursing staff..i went there and saw a patient lying with slight bleeding from the recently operated wound...The attendents were a bit worried and called me to see the bleeding..i cleaned and dressed the wound, which was not a matter to worry for a new house officer...The bleeding was mild and was deep so nothing was very much appaerent on the surface..i called my consultant to tell him that the patient was bleeding and he asked me to clean and dress the wound which i already did...I thought it was all over..I did took care of the patient, took a look at the patient every 3-4 hours even if the attendents didn't asked me to, cuz my sixth sense was giving an alarm...The next day i again visited the patient,and after my duty was over, gave the history and other details to the next doctor incharge and went home..
I have to tell you that we have call duty every third day, so on my next call duty i came to check with the patient. The bleeding worsened and there was some vessel bleeding which lead to drop in the hemoglobin count...I took the summary of the past 3 days and i was shocked...The consultant had some meeting in Islamabad and he left 2 days back...as per protocol, if you are going somewhere and you will not be able to attend the patient, specially any critical patient, you pass the patients file to some other consultant who is available..But the doctor didnt do so..Let me tell you that the consultant i am telling about has a very bad name among us but he has an excellent councelling ability due to which he is able to gather patients...He is very poor in his surgical techniques and according to the record, he has KILLED 3 patients in the past 3 months...Anyhow he didnt passed the file to any other Consultant though we have some very good consultants of the city, rather the country in our list of Surgeons but he did not did so...I remembred in my duty i dressed him thrice and i called him(consultant) twice...The patient became critical in the afternoon but he ordered to delay the surgery till night as he was returning then...We waited and waited and atlast he arrived and the patient was rushed to the Operation theatre...Another operation was done and the patient was shifted to the ICU...The next day i visited the patient...he looked better then before but there was something wrong still...Blood was being transfused and he was all surrounded with tubes and wires....
Today when i went to the hospital in the morning i was told by a colleague of mine that he is on ventilator and CPR is being done on him...At the same time an exam was being conducted of our final year student...The consultant didnt bothered to go at first place...He went there only with another doctor after half an hour later when things worsened...The patient collapsed and died but he even then did not bother to tell the truth to the family..He told them to arrange blood and tell them not to worry...Then he came down,started taking the exam with a juice in his hand and a biscuit on the other...At that moment i wondered how insensitive a person can be...He did not declared the patient dead, the deceased's sons were running for blood in every corner of the City and that Guy was having juice and biscuit...I was told later that he never went back and the death was declared by another doctor 2 hours later, when he saw that the consultant was in no mood of declaring the death...
When i heard that i was taken back..It reminded me of his eldest son, who was pleging me to make his father healthy by doing anything,who came from another country for the sake of his father, his wife who used to weep when i went for the dressings and said "Beta meray shoher ko theek kar do" (make my husband better)...and all our colleagues tried their best..but everything was ruined by our head, the consultant who preferred not to lose a penny then losing a patient...
Today when he was declared dead we all were shocked...All i can say is that May Allah give them strength to pass this difficult time.

P.S: Always ask any reliable person before getting a treatment from the doctor..Whether the doctor is competent enough or not..Living in Ireland for 15 years is not a confirmation of him being a good surgeon/doctor

Thank you

It all started off when i was a kid and my parents used to tell on the only two professions in the whole wide world...As i was not very good in Mathematics i decided to opt for medical profession so, then after doing my high school i landed in a med school and that was turning point of my life.
Life teaches you a lot...you cannot get in the highway of life without knowing the road which will lead there and that road, and that road is a bumpy one,almost always...I have seen lows and highs of life in these years...and if it would not have been with the prayers of family and friends and Allah's help, i would not be able to be what i am now...
I remember the first day of my med school, that orientation class,trying to know the class fellows, and the biggest challenge was to cope up with the pace of studies. I had always heard about the medical studies being hectic, then i experienced it,I remembered memorizing the human bones and their anatomy(the only subject i liked in the first 2 years), trying to cram the human physiology and biochemistry(the ones i disliked the most :@)and then the tension of final exams...that sure was difficult.
then we started off with clinical studies in which we used to confront patients, try to sympathisize with them and trying to help them in anyway possible. i have seen people dying, i have seen miracles happening, i have seen physicians malpractsing and i have seen physician being so sweet to their patients as if they were one of their family members. And i count them all as the lessons of my life from which i have learned.
once i read somewhere that butterfly is once an ugly looking caterpillar,no one would look at it but as it goes into its cocoon, it transforms into a butterfly and it is said that the strength of butterfly depends on how much force it exerts while coming out of a tiny hole from cocoon. The smaller the hole, the more force it exerts and the more force it exerts, the more beautiful and strong it is.I learned from life that everything happens for a reason and every bad experience makes u strong.it is the strength that you exert when you are down which decides how strong person you are.
I think that if someone gets in this profession he can view all the aspects of life, love, hate, anger,happiness, i mean anything u name it , u will experience it here. just imagine how would one feel if he has saved ones life by giving him/her the first aid and also imagine a doctor whose patient dies due to inappropriate management. I mean that we have extremes in here, its either veeeryyy High or veeerrryy low.
And today i became a doctor.. I want to thank Allah, for giving me this oppurtunity, my parents who helped me all the way, my siblings who prayed for me, my friends who made me realize my mistakes and helped me where i needed and my teachers who helped me at every step and ppl who hated me because they helped me to go for an extra mile.
And in the end i would like to thank a special person, without whom it would be very difficult for me to be here, who supported me throughout, with whom i shared all the happiness and who supported me in the very hard times of my career, he has been there whenever i needed support and help, and everyone knows him , he is Shoaib Hashmi. Really hats off to him and he was one of the greatest support i ever had in my life...Thank you for this all.

Inevitable death???

Each day you read newspaper, you will read that there are atleast 3-4 cases of murder and committing suicide in the front page. We open our TV and there are cases of suicide and murder. We overlook these news because we read this sort of news evryday in the news. We dont seem to have any much importance for these news and we move on. But this negligence is getting worst. Today on the floor of National Assembly of Pakistan MNA from PML (Q) Mr.Riaz Pirzada gave a remark regarding the increase in the number of suicide in the country. He said "We should'nt interfere in the matters of Allah, every one who came in this world has to die and it does not matter if they die by committing suicide... Media is only creating hype in this situation"
Now the matters of suicide is not a concern for the people we chose an sent in the assemblies to decide the fate of this country and in short the fate of the people of Pakistan. They are not concerned if the people who chose them, live or die as it is a matter of nature to decide. They increase the prices of daily usage items, increase the prices of bread and pulses which was once thought to be the diet for poor, they impose new taxes on the masses and dont pay taxes themselves but rather steal the tax money, they use 70+ cars protocols interms of national security, They try to beat the hell out of a commoner who raises his voice over their protocols due to which there has been deaths in ambulances, inshort they try their best to narrow the option of living for a common man and in the end they say "Yeh Allah ki marzi hay, hum is may kia kar sktay hain"(It is God's will, what can we do).
One should be brave enough to lead from the front. If they call themslves the leaders of the common man they should behave like one, and if they think its Allah's will that commoners commits suicide due to hunger then they should step down from their seats, and leave the country to whom they think its will of, or else the Day will be near when the public will rise against them and will treat them as they treated Arbab Ghulam Raheem on the national assmbley veranda.