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Bariatric surgery is a surgical procedure which is done on intestine or stomach to induce weight loss.  The incident of Obesity (BMI > 30) is rising gradually and it is estimated by the end of 2025 more than 40% of the United States population will be affected by obesity.  It is not easy to deal with the obesity with diet and exercise alone, although diet, exercise, and pharmacological therapy are the first line therapies to deal with the obesity, but if the BMI becomes more than 40 then the safe bariatric surgical procedure becomes an appropriate and preferable therapy. A number of bariatric surgical procedures are being done worldwide, these include.  1. Laparoscopic Roux-en-Y Gastric ByPass (LRYGBP) 2. Laparoscopic adjustable gastric banding (LAGB) 3. The Laparoscopic Sleeve Gastrectomy (LSG) Among these procedures, LAGB has higher long term failure rates, LRYGBP & LSG are done more frequently and among these two LSG is safer, quick a...

In this article, we will briefly discuss the Irish Medical Council Registration Requirements for Pakistani and Non-EU doctors and PRESS exemption. PRESS exemption and Registration requirements for the general category of Irish Medical Council have changed from September 2015. In my opinion, it has been made better and more reliable, although it costs more. Step No 1: Document verification Now you have to verify your documents through epic. ( https://www.ecfmgepic.org/ ). EPIC is an organization which verifies medical credentials and directly send them to medical councils. Australian medical council and US Medical Councils already use this portal.  Now Irish Medical Council has also started to use EPIC since September 2015. If you want to apply for PRESS exemption and registration with Irish Medical Council then have your documents verified through EPIC. Once your documents are verified, tell EPIC to send a verification report to Irish medical council, but first start the reg...

Pakistan Thalassemia Center Islamabad is the first dedicated thalassemia center of Pakistan. The tertiary care hospitals of Pakistan do have small thalassemia units inside the hospital where blood is transfused to the affected children. But Pakistan Thalassemia Center Islamabad which is located inside the beautiful F-9 Park of Islamabad is the first of its kind which is built only for the thalassemic children. Pakistan Thalassemia center is equipped with latest laboratory and patient care facilities. In the Pakistan Thalassemia Center, the affected children are transfused with blood free of cost and they are also provided with necessary medications. Aerial View of Pakistan Thalassemia Center F9 Park Islamabad Pakistan Barrister Abid Waheed Sheikh who is the Managing Director of Pakistan Bait-ul-Mal came up with the vision of developing a dedicated Thalassemia Center in Pakistan in the Mid of 2014. "When i announced that i was going to start a thalassemia center. Every...

If you are looking for PPHI KPK Jobs and you are a doctor then it is highly not recommended to do a job in such a corrupt mafia which will destroy your personality as a doctor. This PPHI Department of KPK has already put many doctors into depression and so this article is being written in support of them and to expose the corruption and frauds of this department that they do with the doctors and use newly graduated doctors in making illegal money for themselves. They harass newly graduated young doctors who can easily be trapped by them and they become victims of their cruel behaviour. PPHI officials especially DSMs and his clerical staff don't facilitate the doctors at all and if a doctor asks for facilitation they propose him to resign and if a doctor resigns they deduct his pay of whole month and plus the security and they give a reason that you had to inform us a month ago. Here we will Share the mysterious strategy of DSM PPHI Mansehra Gul Mehnaz that she uses to harass the do...

( Author: Dr Adil Ramzan ) Pakistan Bait-ul-Mal Thalassemia center is a new institute that has been established by the Managing Director of Pakistan Bait-ul-Mal, Barrister Abid Ali Sheikh . PBM Thalassemia center will bear all the expenses of the affected children.   The cost of Thalassemia is very high and most of the affected children belong to poor and lower class. So many affected children die in early childhood. Searching donors for blood is not their only problem. These children also need chelating agents that help to excrete iron out of the body. Red blood cells have iron. There is no effective way in our body to excrete iron. Repetitive blood transfusions result in the accumulation of iron in their body. So the chelating agents which combine with iron and excrete it in urine or stool, are needed to decrease the iron overload. The cost of these chelating agent is very high.   Pakistan Bait-ul-Mal Thalassemia center will bear all the cost of these chelating agent and wil...

Pakistan Institute of medical sciences has a separate department of Thalassemia and BMT (Bone Marrow Transplant) which are headed by Dr Tazeen and Dr Itrat respectively. In Pakistan, it is estimated that every year around 5000 children are born with Thalassemia. Most of the population of these children belong to the lower class and those people who are uneducated. “We have counseled the parents number of times about avoiding next Thalassemia baby. We have told them the methods which can be chosen to avoid having them. We tell them that it is very important to do chorionic villous sampling, a test which is used to diagnose Thalassemia in-utero. But still they don’t understand and next time come with another affected baby. That is why the population of Thalassemia affected children is increasing with-in the population of these poor and un-educated people” said Dr. Tazeen, the head of Thalassemia center PIMS. The treatment of Thalassemia is very costly. Every month many of these children...

There is a difference between a tumour and cancer . We can say that every cancer is a tumour but not all tumours are cancer. Tumour is a Latin word that means swelling. Not every swelling is cancer, but we may call a swelling as a tumour. Some also say that human fetus is the fastest growing physiological tumour of human body and fetus is neither cancer nor it is harmful. Burkitt lymphoma is found to be the fastest growing cancer in the human body. This tumour is capable of doubling its size within 14 hours. It is very aggressive. It is the most common childhood tumour of African children. It commonly affects children between 4-20 years of age. It is more common in male children and rarely affect the female child. Lymphoma has two types; Hodgkin and Non-Hodgkin. Burkitt lymphoma is of Non-Hodgkin type. It has further two types, endemic and sporadic form. Endemic form is that form which is prevalent in Africa and sporadic form occurs in America and other countries. Most of the cases o...

Breast cancer is the commonest cancer of women all over the world. But in Asia, Pakistan is the country that has the highest incident of breast cancer according to 2014 statistics. According to a study that is done by the doctors of Agha Khan Hospital Karachi, every one out of 9 women has breast cancer in Pakistan. This is the highest in Asia. In Capital Hospital Islamabad, during a weekly academic conference, Dr Naeem Taj, the head of the surgical department, told the audience that breast cancer has high mortality and morbidity in Pakistan because in here, it is diagnosed in late stages. Most of the patients we receive in our general OPD usually have Grade III or Grade IV disease. The main reason for the late presentation is poverty, lack of facilities, illiteracy, lack of information, lack of interest of the government in the health sector and women’s shyness. For example, if a woman has a lump and present to a secondary level hospital that doesn’t have the facility of breast c...

In Capital Hospital Islamabad A workshop on the basics of upper gastrointestinal endoscopic techniques was held on 30th of October 2014. Dr Siddique Akbar Satti the Patron, with cooperation and coordination of Dr Farhal Ali, managed to conduct this auspicious, educational and practical session with great success. The chief guest was Dr Shoaib Shafi, the Professor of Medicine from Rawalpindi Medical College, Pakistan, who is also well-known for his efforts to modernize the field of gastroenterology in Pakistan. “ The objective of this workshop is to educate the young doctors about the indications and prerequisites of upper of GI endoscopy, the basic technique and procedure, complications during and after the procedure, counselling of the patient ”, said Dr Siddique Akbar Satti, The Supervisor and patron of the course. The workshop started with the recitation of holy verses from The Holy Quran. After that, Dr Farhan Ali introduces the speakers, Dr Beenish, Dr Zahid ul Zahidin and Dr...

Dr. Siddique Akbar Satti, who is a part of the board of examiners of College of Physicians and Surgeons Pakistan, shares his views about “how examiners  conduct viva exam, how they scan the mind of the student and what type of questions they ask?” Dr Siddique Akbar Satti is Head of department of medicine, Capital hospital (CDA Hospital Islamabad). He is a gastroenterologist and a graduate of Rawalpindi Medical College. He shared his views while teaching his trainees in Capital Hospital Islamabad during a teaching session. Dr. Satti, discussed with his students, a short case  of the FCPS – Part two exam of 2014. He said “there was a female patient in her 60s lying in the bed, she had absent radial and brachial pulses of both arms, right carotid was absent while left carotid was weakly palpable. Arteries of lower limbs were palpable, she also had a hyper pigmented rash below the eyes and on the forehead”. Now my command was to do the general physical examination of this patient....

Dr Maha Ahmed, working as a medical officer in Capital Hospital (CDA Hospital) of Islamabad, Pakistan says, “Rabies is a fatal disease, with a mortality rate of 100%. Once signs and symptoms of rabies appear, nothing much can be done but there are only six patients from all around the world, who have survived rabies after developing its signs and symptoms”. Who are these lucky people and how they survived? This is what we are going to discuss in this article. Unlike many other viruses and bacteria, Rabies virus doesn’t spread via blood. It spreads when an animal that can transmit rabies , bites a human. The rabies virus is present in the saliva of the rabid animal. The virus when introduced into the wound of the patient attaches itself to the nerves and starts travelling to the central nervous system. When it reaches the brain, it stimulates and causes generalized inflammation of the brain, damages it and this is the point of no return. The patient starts showing the signs and sympto...

Dr Siddique Akbar Satti, the supervisor of post-graduates trainees of Department of Medicine of Capital Hospital Islamabad, and also the Examiner of College of Physicians and Surgeons Pakistan for Fellowship - Part 2 Exam, today brought a chest x-ray with an unusual finding. Questions about this X-Ray were also asked from the trainees in the last FCPS-Part II Exam. Today we like to share that x-ray with our readers. Kindly have a look at the X-ray that is shown below and think about it and make your own list of possible abnormalities and differentials before looking at the answer that is given at the end of this article. Here is the  Chest – X-Ray, PA view: This is a posterior-anterior view of chest on X-ray film. What do you see? By looking at this X-Ray, you clearly notice an elongated or vertical opacity along the right border of the sternum . If you look below, it disappears behind the right pericardial border. What is this elongated opacity in the mediastinum?  Also...

Dr Naeem Taj , a Pakistani Surgeon and Head of Department of Capital Hospital Islamabad has removed gall stones and gall bladder from a 4-year-old boy, the youngest person to have gall stones and gall bladder removed. This is a new world record and Guinness has been notified about this achievement. Previously, Danyelle Oteni was the youngest child who had her gall stones and gall bladder removed at the age of 5 years and 6 months. It is not the only record of Dr Naeem Taj, He also had removed the longest gall bladder from a 70-year-old lady, which measured 25.5 cm, remember that the normal length of the gall bladder is just 5 cm. He has also removed the world longest appendix and has removed gall bladder from the world's oldest lady. In one of his gall stones surgeries, he removed 5568 gall stones. Isn’t it awesome? His name had also been included in Guinness Book of World Records. “4 years old.boy with multiple gall bladder stones. Cholecystectomy was done successfully on 27.9...

Federal Government Services Hospital Polyclinic Islamabad, eats a large share of Federal Health Budget. It is situated near the parliament house of Pakistan. The Executive Director of polyclinic hospital Dr Zahid and Deputy Executive Director Dr Shahid Hanif are involved in the worst merit violation of house officer’s recruitment and dis-honoured this high-budgeted government institute. They had conducted the exam of medical graduates on the 18th of June, 2014. The result was declared on the same day. Dr Adil Ramzan, who stood 5th in the merit list, was very happy that at last he had got a place on merit, in Pakistan. But yet he had to appear in the interview. In every medical institute, in the interview for house officer recruitment, only one question is asked from the successful candidates, ie, in which department they want to go, either medical or surgery. But here, the scenario was different, they asked some illogical questions from the candidates. 1. From where you are graduated....

It was thought that better sleep is good for health. But now we should refine our statement to "moderate sleep is good for health" . Now scientists discovered that too much sleep is bad for heart but they have also found that too little sleep has the same effects too.  Here are the details: People who sleep less than six hours per night or more than eight are more likely to suffer heart problems than people who sleep between six and eight hours, said a US study on Sunday (March 2012) The findings confirm those in previous, smaller studies, but are based on what researchers described as a nationally representative sample of 3,000 people covering five separate heart ailments and their links to sleep duration. The subjects for the study were people over age 45 who participated in a survey of health issues in US households known as the National Health and Nutrition Examination Survey. Subjects were asked to describe their sleep patterns and were also asked if they were ever tol...

Benefits of Cupping (Hijama) – Why and how it Works   Dr Izharul Hasan   Lecturer, Dept of preventive and social medicine,   AIU Medical College, Muzaffarnagar   Emil: drizharnium@gmail.com Cupping in Arabic is known as "Hijamah" it is a special technique of evacuation used in the treatment of certain lethal diseases. Treatment is done by producing a partial vacuum in the cup glasses placed on the body surface by heat or suction, in order to evacuate morbid material or to divert the material from the deeper tissues or diseased part. History: The history of cupping can be dated back over 3000 years in countries such as China, Egypt and Greece. Originally, hollow animal horns were used in place of cups. Later on, bamboo and ceramic were used. Modern practitioners of fire-cupping now use glass with rounded smooth edges (to not cut into the patient's skin). In order for it to be effective, a vacuum inside the cup must be created. The practitio...