Doctors, where art thou?
Pakistan has a count of ‘athara crore awaam’ (thank you, dear politicians, for continuously repeating this in the television talk shows) while the doctor/patient ratio was a mere 1:1,800 in 2010 – that means a single doctor catered to the medical woes of 1,800 people, and the situation has not seen much improvement ever since. The constitution of Pakistan clearly describes that the state has a responsibility, “To provide basic necessities of life, such as, food, clothing, housing, education and medical relief, for all citizens, irrespective of sex, caste, creed or race.” But where does the problem lie? It lies in the fact that ...
Read Full PostYour child needs surgery – come back in 2016
Here’s something interesting that happened a few days ago. I was going about my routine afternoon work when I was interrupted by a lady who walked into my office with a cute four-year-old boy by her side. The lady introduced herself as the daughter of a maid who used to work at our house a long time ago. As she spoke I could not help but notice the little boy, Rehman was his name, as he had already started fiddling with a pen that had been sitting on my desk. As my attention shifted back to the mother, she handed me ...
Read Full PostA Belgian nun in Manghopir
It was wonderful to meet Sister Jeanine Geuns, a Belgian nun who has lived in Pakistan for 50 years and works at the Marie Adelaide Leprosy Centre, at the International Women’s Association tea for International Women’s Day. Sister Jeanine came out here at the age of 21, three days after her birthday, originally planned to be here for only three years, and has stayed on ever since. A short woman with close-cropped hair and remarkably clear skin and eyes, she’s determined and hard-working, speaks better Urdu than me, and wears a shalwar kameez. She lives in Manghopir and looks after the ...
Read Full PostWho you calling crazy?
Imagine being paralysed to a point that living your day to day life becomes a constant struggle and challenge. Imagine that a simple task that you do on any given day becomes an obstacle and causes great anxiety. No, I am not referring to being physically paralysed or having a physical impairment but rather the crippling impact of dealing with serious mental health problems. I find it difficult to speak so openly about this issue as someone very dear to me has been struggling with bipolar disorder and a severe form of anxiety since I was relatively young. This someone happens ...
Read Full PostLiving with multiple sclerosis
I suffer from multiple sclerosis. I also suffer from a cocktail of other ailments that such abbreviations bring. However you never know what or which. You spend endless hours every week with new symptoms that could fit into other definitions. There is a concoction of medications and an assortment of supplements that promise good health, but is there ever hope? Never. Hope is about knowing that the disease will go away. Hope is for the foolish. Here, there is fighting; there is preparedness; and there is perseverance. I must live as the capacitor that can store every iota of strength for my ...
Read Full PostBeing a nurse in Pakistan
Nurses work shifts that last 12 to 24 hours. They perform numerous unpleasant procedures and even put their own lives at risk for the sake of their patients. Many nurses say they are harassed by young men who come in as either patients or relatives of the patient. They are asked personal questions and are, often unable to perform their duties due to harassment. Asking a nurse for her phone number is a regular occurrence in the hospitals of Pakistan. Patients even ask them if they can photograph them, and sometimes take pictures while the nurse is not looking. Under these conditions, ...
Read Full PostWhat I saw in the Emergency Room
I have grown up watching “ER” and later “House MD“ because medicine in every form has never failed to captivate me. George Clooney looked like a Greek god in blue scrubs while running for surgeries in ER. So when I, a doctor was told that my next 12-hour shift is going to be in the Accident and Emergency department, I was a little too excited and scared. Patting myself on the back, I reassured myself that it was extremely wise to be trained in major and minor emergencies because we live in an emergency hub. I told myself it was nothing ...
Read Full PostThe problem with a Rs90 dengue test
There is a major dengue fever outbreak in the city of Lahore. Several thousand patients have been documented, and many more have gone undiagnosed. In addition, there is a general sense of paranoia, and people are very scared of the illness. One of the important aspects in the care of dengue fever patients is the establishment of the diagnosis. Since a large number of patients are poor and cannot afford treatment, it is important to make arrangements to make these diagnostic facilities accessible to all. However, it must also be ensured that the diagnostic facilities and resources are not wasted. One ...
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