Wednesday 21 May 2014

Breathe and Believe ,, By: Zahra Belal

Sometimes life takes such a turn that the very earth beneath our feet is shaken. We scramble around blindly to make sense of what is happening to us. In doing so, we pass from stages of shock, denial, incontrollable grief to acceptance or numbness.

Despite all our courage, we are at times helpless in taking charge of our feelings; involuntarily, we seem to sink deeper and deeper in to a dark abyss of self-pity, pessimism and worthlessness.

In times like these, we feel akin to a tree in winter that has shed all its leaves, leaving it branches stark and barren in the cold wind. We are able to relate to this image of an entity that has nothing to give any more; frozen in stagnation and purposelessness—in, so to speak, death.

Our suffering distorts all our senses, seeping little joys in life, colouring everything in dark. We find it hard to fathom how everything around us can be so normal when there is a storm inside us.

In those moments of despair, there are certain things that we need to remind ourselves again and yet again—ad infinitum.

Foremost is the fact that we are always in a flux, moving from one state to another. This is perhaps why it is said that we cannot step in to the same river twice, for on our second attempt both the river and we have changed. The phenomenon may not be perceivable to us, it is not necessarily observable or tangible but an irrefutable nature of the world it is—nothing lasts, everything is inexorably and incessantly moving towards one culmination after another.

Our own body is a testament to this with constant reproduction of cells, countless dead cells replaced or repaired by new ones; every moment you are being changed, matured and aged with years that you live.

Look around you. The dynamics of the cosmos beckons us to believe in change; the tireless movement of the planetary objects that shapes our day and night and one season after another.

This is why Allah subhanahu wa ta`ala (glorified is He) says again and again, “And [in] the alternation of night and day and [in] what Allah sends down from the sky of provision and gives life thereby to the earth after its lifelessness, and [in His] directing of the winds are signs for a people who reason,” (Qur’an 45:5).

That you will face hardships in this life is a foregone conclusion. Allah (swt) says: “And We will surely test you with something of fear and hunger and a loss of wealth and lives and fruits, but give glad tidings to the patient,” (Qur’an 2: 155). During our trials and tribulation, we are being closely monitored, which is true for all times, but how we react can either please or displease Allah.

Our vibrant Islamic history is full of such examples. The Qur’an recounts the lives of so many prophets and glorifies their steadfastness (sabr). Our beloved Prophet Muhammad ﷺ (peace be upon him) faced one trial after another; orphaned before he was born, lost his mother and grandfather in his childhood, lost his loving wife and uncle in a span of a year, endured persecution from his own tribe and others, travelled to Taif with hopes but was rejected with cruelty, forced to immigrate from his place of birth, ridiculed by the Jews of Madina and made to fight one ghazwa (battle) after another in such challenging circumstances. Then one day he stood holding his dead son in his arms with tears falling profusely from his eyes. Despite all this, he remained firm in his iman (faith) and true to his cause.

And Allah rewarded every Prophet with ease after hardships; we only have to show our commitment for Allah to cool a fire, part an ocean, grant a throne, send a flock of ababeel, descend thousands of angels and conquer a city. Allah (swt) says, “O you who have believed, seek help through patience and prayer. Indeed, Allah is with the patient,” (Qur’an 2:153).

The same ayah (verse) is followed by allusion to Safa and Marwah, which Allah says is among his signs, “sha’ar Allah.” In your misery, think about Hajar`alayha as-salam (peace be upon her), a beautiful woman who was stranded by her husband on Allah’s command, in a barren, unhabituated valley with her wee son. As time took its toll, her son began crying for water but where can water be found in such a lifeless place? Does that daunt her? Does she make a mad dash in her anxiety? Or does she listlessly sit down, giving up and bemoaning her fate?

No, no, not this woman. She gets up and runs from one hill to another, trying to discern for any clues of a passing caravan from a vantage point. This is sa`i—struggle to achieve an end while harbouring complete trust in Allah (swt); believing that He indeed will pull her through. Sure enough, a spring burst forth from a rock and forever transformed that desolate place into a bustling city. And Allah found her act so endearing that He prescribed it as part of Umrah and Hajj which is why to this day, droves of people—both men and women—emulate this amazing woman by doing sa`i between the two hills to earn Allah’s pleasure.

In quite moments of reflection, relate your disappointments and losses in this life to that of the Day of Judgement, a day when there is no turning back from what we have earned for an eternity. If our fleeting sorrows of this life bow us over to this extent, contemplate on how unimaginably tremendous would be a loss on that day, when every atom of good and bad will be weighed. Indeed, if trials do not remind us of our beginning (inna lilahi—to God we belong) and end (wa inna ilaihi raji`oon—and to Him we shall we return) then we truly have bargained a great loss.

Therefore, feel a kinship with a tree in winter but do not pity it. That tree is far from a symbol of hopelessness, it is indeed a symbol of patience (sabr) as it braves the cold, quietly biding its time till the first glimmer of spring, when sun rays will rejuvenate it with lush, green leaves, when vibrant flowers will break out all over and when its boughs will droop with the weight of the fruits it will bear.

And that is what we need to do; last out the rough patch. Tell yourselves, breathe and believe. It doesn’t get any simpler than that.

Saturday 17 May 2014

ECG findings in mitral stenosis

In mitral stenosis the ECG is often normal.
Pathological changes in the ECG include:
*.left atrial hypertrophy:
*.causes P mitrale
*.increased voltage in the later part of the P wave gives it a large, bifid appearance in leads II, III and aVF
*.the second half of the P wave is negative in V1
*.atrial fibrillation is present in 60 to 70%
*.right ventricular hypertrophy:
*.a dominant R wave in V1 and V2 indicates pulmonary hypertension
*.right axis deviation
*.there may be digitalis effects

Friday 16 May 2014

FCPS part 1 Medicine solved mcqs with explanation Q25



Patient after an ischemic attack has ventricular Tachycardia. Drug of choice is:
a) Amiodrone
b) Metoprolol
c) Lidocaine
d) Verapamil

Correct Answer: c

Explanation:
Lidocaine is classified as a class Ib anti-arrhythmic drug. It is also used as a local anaesthetic. It selectively blocks sodium channels in depolarized cardiac cells (e.g; ischemic cardiac muscle). It is therefore considered as a first line drug in ventricular tachycardia in acute MI or after cardiac surgery. It is given through the IV route.
Adverse effects of Lidocaine:
  • high concentrations may cause bradycardia, hypotension and even asystole
  • in 10% of patients may induce ventricular arrhythmias
  • GI upset with nausea and vomiting
  • CNS: parasthesiae, twitching and generalized tonic-clonic seizures

FCPS part 1 Medicine solved mcqs with explanation Q24



Thymus is derived from:
a) 4th Pharyngeal pouch
b) 2nd pharyngeal pouch
c) 3rd pharyngeal pouch
d) Tuberculum impar

Correct Answer: c

Explanation:
Derivatives of pharyngeal pouches:
  • 1st pouch: Middle ear cavity, Eustachian tube, mastoid air cells
  • 2nd pouch: epithelial lining of palatine tonsil
  • 3rd pouch: inferior parathyroid gland + thymus
  • 4th pouch: superior parathyroid gland
NOTE: It might seem strange that the inferior parathyroid glands arise from the 3rd pouch while the superior parathyroid glands arise from the 4th pouch. But this is how it is.

FCPS part 1 Medicine solved mcqs with explanation Q23



Action of Gluteus Medius and Gluteus Minimus muscle is:
a) Abduction & Medial rotation
b) Abduction & lateral rotation
c) Adduction & medial rotation
d) Adduction & lateral rotation

Correct Answer: a

Explanation:
The Gluteus Medius & Gluteus Minimus abduct the thigh when the leg is fully extended. They also turn the thigh inward that is, medially rotate the thigh. Weakness of these two abductors of thigh such as due to a lesion of superior gluteal nerve (which supplies these two muscles) can result in Trendelenburg Gait.

FCPS part 1 Medicine solved mcqs with explanation Q22



A patient has fracture of surgical neck of humerus. Now he cannot raise his arm above his shoulder and also has sensory loss on lateral surface of arm. Which of the following nerves is damaged?
a) Musculocutaneous nerve
b) Axillary nerve
c) Radial nerve
d) Ulnar nerve

Correct Answer: b

Explanation:
The Axillary Nerve comes off the posterior cord of brachial plexus and has a root value of C5 & C6. During its course it is accompanied by the posterior circumflex humeral artery and vein.
Motor Supply: Deltoid muscle (abductor at the shoulder joint), Teres Minor muscle
Sensory Supply: Skin over the lower half of deltoid muscle, shoulder joint
The nerve most commonly damaged due to fracture of surgical neck of humerus is the Axillary nerve. It is a very commonly tested nerve. Commit it to memory. It supplies the major abductor (unable to raise the arm above the head) of the arm – Deltoid muscle. Also there is loss of sensation from the lower half of skin covering the deltoid (lateral aspect of arm).

Monday 12 May 2014

Billy joel

A bump in the road is either an obstacle to be fought, or an opportunity to be enjoyed... it's all up to you.

Sunday 11 May 2014

Highest courage

The highest courage is to dare to be yourself in the face of adversity. Choosing right over wrong, ethics over convenience, and truth over popularity. These are the choices that measure your life. Travel the path of integrity without looking back, for there will never be a wrong time to do the right thing.

Saturday 10 May 2014

Alexender graham bell

The most successful men in the end are those whose success is the result of steady accretion. It is the man who carefully advances step by step, with his mind becoming wider and wider, and progressively better able to grasp any theme or situation -persevering in what he knows to be practical, and concentrating his thought upon it. This is the man who is bound to succeed in the greatest degree. -Alexander Graham Bell

joseph ross

It takes time to succeed because success is merely the natural reward of taking time to do anything well.-Joseph Ross

Michael jordan

I have missed more than 9000 shots in my career. I have lost almost 300 games. On 26 occasions I have been entrusted to take the game winning shot.. .and I missed. I have failed over and over and over again in my life and that's precisely why I succeed
-michael jordan

Elbert Hubbard

The greatest mistake youcan make in your life is to becontinually fearing that youwill make one.-Elbert Hubbard

Tuesday 6 May 2014

BE HAPPY :-) By: REEHAB RAMADAN

BE HAPPY By: REEHAB RAMADAN

At times, I like to close my eyes and imagine his face, ﷺ (peace be upon him). I like to imagine what he looked like, the shape of his eyes and the color of his skin. Without fail, one thing always finds its way into my imagination, and that is his beloved smile. Never have I imagined him without it on his face, and it’s always one that is purely genuine. He was a man of truth, and his inner state was the same as his outer state. He smiled, because he was happy.

Today, everyone wants to be happy, but we don’t always realize that Allah subhanahu wa ta`ala (exalted is He) wants us to be happy too. We don’t realize that the Prophet ﷺ encouraged genuine happiness. When someone begins to become “religious” often times the people around him or her start to notice a loss of something very essential: their smile. The person may begin to dive deep into texts and rulings, they may begin to look around and see all the injustices that surround us and that we ourselves commit and find no choice other than grief and sadness. Yes, there are sad things in this world, devastating actually, but that doesn’t mean we need to be constantly in grief. The Prophet ﷺ himself said, “The best of all deeds is that you bring happiness to your Muslim brother, pay off his debt or feed him bread.” With that being said, how can someone who is constantly unhappy, bring happiness to anyone else?

We know that we should constantly look up to our beloved messenger to see how we should be living our lives, so let us take a moment and ponder:

The Prophet ﷺ said “When you smile to your brother’s face, it is charity.”
Jareer Ibn Abdullah said, “I have not seen the Prophet, since I embraced Islam, without a smile on his face. I saw him smiling when he could not see me and he was smiling in my presence.”
Abdullaah Ibn Haarith said, “I never came across a person who smiled as much as the Prophet. The Prophet regarded smiling with a brother as an act of charity.”
Now, we know that this religion is a religion of truthfulness not hypocrisy. Hypocrisy is a discrepancy between the inner and the outer. Truthfulness, on the other hand, is inner and outer harmony. Thus in seeing that our beloved constantly smiled and encouraged us to do the same, we know that he is asking us to exercise more than simply our facial muscles. He wants our hearts to smile. When our hearts smile, so much more happens than simply curled lips. Through a smile that comes from the heart, happiness is spread. Through a smile that comes from the heart, many pains can be forgotten. This religion wasn’t sent down to us to make us robotic and cold. Rather it was sent down as a benefit to us, a benefit to those around us, and to liven our cold hearts and encourage happy hearts. And when one’s heart is happy, so many of the tasks we deem difficult or stressful begin to become easy and fruitful.

So next time you find yourself slipping into a downward slope of sadness, stop. Close your eyes, and imagine his face. Imagine his beautiful eyes and his soft skin. And once you have done that, imagine his beautiful heartfelt smile. Open your eyes, and rather than focusing on the dreary side of things, pick out smile-worthy things that are right before your eyes. And be happy, genuinely happy. It’s Sunnah!