Tag Archives: medical

What makes a Psychiatrist?

Years.

Years of learning that the smallest details of a patient’s life can be the most compelling and important part of their story.

Years of listening to to tales of love, anger, and loss until the patterns become less daunting and more obvious.

Years of hearing things that are so bizarre, so far-fetched, so on the fringe of humanity that nothing surprises anymore, but everything still fascinates unceasingly.

Years of trying every new thing under the sun until you finally realize that there isn’t.

Years of feeling guilty, so profoundly guilty, about losing a patient, even when you know in your heart of hearts that you did everything you could possibly do to keep them alive.

Years of feeling like a student, then a competent medical doctor, then a counselor, then a social worker, then a nurse, then a psychiatrist, and then a student again, and finally understanding why you had to be all of them in turn.

Years of learning how important timing really is. Too soon, and the patient is not ready to hear what you have to say. Too late, and the patient is no longer around to hear what you have to say.

Years of preparation to learn how to be wrong, and to admit it, in the best, most productive way possible.

Years filled with moments of pure joy when you see that little spark of insight, so hard won, roar into a giant flame of confidence.

Years to understand that if you do your job to the best of your ability, your patients should no longer need you, and that you can model for them how to say goodbye.

Years of learning that if all you carry in your tool kit is a hammer, everything that walks in your door will most certainly look like a nail.

Years of pride and satisfaction knowing that someone will tell you the darkest secrets of their heart and their most terrifying fears and will expect you to keep them to yourself.

Years of balancing the utter joy at seeing something rare and odd and wonderfully interesting, studying it objectively, but then always, always coming back to the humanity of the poor soul who suffers every day because of it.

Years of learning exactly what it is that you do not know, and realizing that the list grows longer every year.

Years of knowing that when things are spinning out of control and you are the most stressed you thought you could ever be, your teachers’ and mentors’ examples and training are something you can always fall back on.

Years of dreading your own obsolescence, but knowing that a listening ear, a kind word, and an understanding heart will never go out of style.

Years of your life when you could have been doing something, anything else.

Years that could never have been spent in a more noble enterprise.

What makes a psychiatrist?

Years.

Written by Greg Smith, who is a psychiatrist and blogs at gregsmithmd.

Read this here and really liked it.. Thought to share it here as well 🙂

A marvellous gift of Allah subhanahu wa ta’ala:Dates

Dates

Assalamu’alaykum

For many days I was thinking to write something about the “dates” also known as “tamar or temer” in Arabic, “Khajoor” in Urdu and “Khurma” in Persian  which are commonly associated as an emblem of Muslim culture , and are specifically associated with Ramadan.

Date and Palm dates have been mentioned several times in the Quran in Surah al-Baqarah verse 266, Surah Al-Anaam verse 99 and 141, Surah Ar-ra’d verse 4, Surah Nahl verse 11 and 67, Surah Al-Isra verse 91, Surah Kahf verse 32, Surah Maryam verse 23 and 25, Surah Mominoon verse 19,  Surah Ash-Shuara verse 148, Surah Ya-seen verse 34 and 39, Surah Fussilat verse 47, Surah Ar-Rahman  verse 11 and 68, Surah Abasa verse 29 and many other verses. Dates have also been honored in Qur’an as a blessing of Jannah.

The botanical name of dates is “Phoenix dactylifera L.”  It’s a perennial plant & starts giving fruit within an average of 5 years.

Dates are also been mentioned frequently in the many Hadiths of Holy Prophet(peace be upon him)

‘A’isha reported Allah’s Messenger (may peace be upon him) as saying: ‘A’isha a family which has no Dates (in their house) its members will be hungry; (or) ‘A’isha the family which has no Dates its members may behungry. He said this twice or thrice.  (Sahih Muslim Book 023, Hadith 5079)

Narrated Salman ibn Amir: The Prophet (peace_be_upon_him) said: When one of you is fasting, he should break his fast with dates; but if he cannot get any, then (he should break his fast) with water, for water is purifying.  (Abu Dawud Book 13, Hadith 2348)

Narrated Ibn ‘Umar: Allah’s Apostle said, “Amongst the trees, there is a tree, the leaves of which do not fall and is like a Muslim. Tell me the name of that tree.” Everybody started thinking about the trees of the desert areas. And I thought of the date-palm tree but felt shy to answer the others then asked, “What is that tree, O Allah’s Apostle ?” He replied, “It is the date-palm tree.”  (Sahih Bukhari Book 3, Hadith 58)

 

Some Nutritional facts:

The flesh of date is low in fat and protein but very rich in sugars; particularly Glucose and the Fructose and has a high caloric value, easily digestible, and very important for brain. It contains, carbohydrate (total sugars, 44-88%), fat (0.2-0.5%), 15 salts and minerals, protein (2.3-5.6%), vitamins and a high percentage of dietary fibre (6.4-11.5%). The flesh of dates contains 0.2-0.5% oil, whereas the seed contains 7.7-9.7% oil. 100 g of flesh can provide an average of 314 kcal. Important minerals like boron, calcium, cobalt, copper, fluorine, iron, magnesium, manganese, potassium, phosphorous, sodium and zinc are present in various proportions. The consumption of 100 g of dates can provide over 15% of the recommended daily allowance from these minerals. They are high in dietary fiber (8.0 g/100 g), insoluble dietary fiber is the major fraction of dietary fiber in dates. Date seeds contain higher protein (5.1 g/100 g) and fat (9.0 g/100 g) as compared to the flesh. It’s also high in dietary fiber.

The protein in dates contains 23 types of amino acids, some of which are not present in the most popular fruits such as oranges, apples and bananas. Dates contain at least six vitamins including a small amount of vitamin C, and vitamins B(1) thiamine, B(2) riboflavin, nicotinic acid (niacin) and vitamin A. Dates are also rich in folic acid.

Dates are used as nutritious food as well as a medicine. Hazrat Maryam (A.S) was commanded to eat this fruit in Surah Maryam:

The pains of labour drove her to the trunk of a date-palm. She [Maryam] said, “Oh if only I had died before this time and was something discarded and forgotten!” A voice called out to her from under her, “Do not grieve! Your Lord has placed a small stream at your feet. Shake the trunk of the palm towards you and fresh, ripe dates will drop down onto you. Eat and drink and delight your eyes…” (Qur’an, 19:23-26)

Maryam(A.S) was inspired to understand this point, in order to make her own labour easier.

Research suggests that women who consumed date fruit prior to delivery had significantly higher mean cervical dilatation, and a significantly higher proportion of intact membranes. Spontaneous labour occurred in 96% of those who consumed dates. Use of prostin/oxytocin was significantly lower and the mean latent phase of the first stage of labour was also bserved to be shorter in women who consumed date fruit.

Oxytocin induce contractions in the uterine muscles. Dates can ease the stages of labour.

  • In addition to this, dates contain Iron an intergral part of the Hemoglobin molecule and prevents anemia. Also folic acid which helps in the maturation of Red blood cells and prevents a birth defect called “Spina Bifida” if administered prior to conception. The Iron and folic acid requirements increases significantly during pregnancy.
  • Calcium and phospates are needed for the effective mineralization of bones and teeth. Calcium is important for the blood coagulation.
  • Zinc plays its role in preventing atherosclerosis (reduction of artery lumen due to fats deposition), helps in wound healing.
  • Potassium is good for hypertensive (high blood pressure) patients.
  • Flourine being good for teeth.
  • Magnesium and copper are important for the nervous system integrity.
  • Vitamin A is good for the eyes and skin.
  • Niacin prevents Pallagra (characterized by 3Ds; dermatitis, dementia, Diaorrhea)
  • Vitamin B1 is important in protein metabolism
  • Dates are a good source of antioxidants, mainly carotenoids and phenolics.

Thanks to “dates” for being a good reservoir of vitamins & minerals.

It’s a long established custom among Muslims parents to put a piece of well chewed date (or other available sweet fruit) in the mouth of the newborn baby.

Abu Musa reported: A child was born in my house and I brought him to Allah’s Apostle (may peace be upod him) and he gave him the name of ibrahim and he rubbed his palate with Dates.  (Sahih Muslim Book 025, Hadith 5343)

The researches indicate that doing so decreases the pain in neonates, in an interesting scientific medical study, published in the British Medical Journal (No. 6993, 10 June 1995), according to which sugar seems to reduce crying and the autonomic effects of a painful procedure in healthy normal babies and may be a useful and safe analgesic for minor procedures in neonates like circumcision etc.

  • Ajwa Dates is a soft dry variety of date fruit from Saudi Arabia. It is

    Ajwa Dates

    cultivated in Madinah, Saudi Arabia. The Ajwa date is a delightfully soft fruit date with a fine texture. They are mentioned several times in hadiths. In one of the Hadith Prophet Muhammad (peace be upon him) told us that they are from “Jannah”

 The Messenger (Sallallaahu Álayhi wa aalehe Wasallam) said, “Ajwa dates are from paradise.” [Tirmidhee (2068)]

  • Ajwa dates are specifically beneficial in heart diseases as narrated in the hadith of Sunan Abu dawud

 Narrated Sa’d: I suffered from an illness. The Apostle of Allah (peace_be_upon_him) came to pay a visit to me. He put his hands between my nipples and I felt its coolness at my heart. He said: You are a man suffering from heart sickness. Go to al-Harith ibn Kaladah, brother of Thaqif. He is a man who gives medical treatment. He should take seven ajwah dates of Medina and grind them with their kernels, and then put them into your mouth.  (Abu Dawud Book 28, Hadith 3866)

  • In another Narration of Bukhari,

Narrated Saud: I heard Allah’s Apostle saying, “If Somebody takes seven ‘ajwa dates in the morning, neither magic nor poison will hurt him that day.”  (Sahih Bukhari Book 71, Hadith 664)

 

Other benefits:

  • Dates Increases the Immune Function
  • Reduces the Risk of Colon Cancer due to high fiber content
  • Dates have been found beneficial in patients of allergic rhinitis and common cold.
  • Date Fruit extract is a neuroprotective agent.
  • Dates are beneficial in gastric ulcers
  • Alleviation of Hypertension (High Blood Pressure)
  • Prevention of Alopecia (Spot Baldness)
  • Stroke Prevention
  • Antioxidant Protection
  • Prevention of Epileptic Seizures

In a nut shell, dates are the marvellous gift from Allah subhanahu wa ta’ala for us that can be used as both medicine and food.

Ibn Qayyim in his Tibb al-Nabawi writes: Dates are a type of fruit that is also used for its nutritional and medicinal value, being favorable for most bodies and for their role in strengthening the natural heat. Moreover, dates do not produce harmful wastes or excrement like other types of food and fruits. Rather, dates preserve the body wastes from being spoiled and from rotting, especially for those who are used to eating dried dates.”(Healing with the Medicine of the Prophet, Translated by Abd el-Qader bin Abd el-Azeez, Dar al-Ghadd al-Gadeed, al-Mansoura (Egypt), 2003 p.121)

P.S; Ramadan Mubarak

Some facts about sleep!

Lately, I was reading about sleep, so I thought why not to Post something about it as well. So, here I’m with another doctoricious post!

 About sleep, Allah subhanahu wa ta’ala mentioned in the Holy Quran that “Among His signs is sleep” (30:23) and “and made your sleep for rest” (78:9).

Essentially, sleep is important to the body functioning, promoting bodily rest and rejuvenation in the neurons and other cells that are replaced or repaired during times of sleep. Sleep has also been proposed to conserve energy, detoxify the brain, control thermoregulation within the brain, and consolidate  the memory.

While sleeping, a person goes through stages of two types of sleep that alternate with each other. They are called

(1) slow-wave sleep, in which the brain waves are strong and of low frequency,  and

(2) rapid eye movement sleep (REM sleep), in which the eyes undergo rapid movements despite the fact that the person is still asleep.

Most part of the sleep is of slow-wave variety; which is deep, restful sleep and is experienced by a person during the first hour of sleep REM sleep, on the other hand, occurs in episodes that occupy about 25% of the sleep time in young adults; each episode normally recurs about every 90 minutes. This type of sleep is not so restful, and it is usually associated with vivid dreaming.

Non-REM sleep

Further divided into four stages.

Stage one: Light Sleep

During the first stage of sleep, we’re half awake and half asleep. Our muscle activity slows down and slight twitching may occur. This is a period of light sleep, meaning we can be awakened easily at this stage.

Stage two: True Sleep

Within ten minutes of light sleep, we enter stage two, which lasts around 20 minutes. The breathing pattern and heart rate start to slow down. This period accounts for the largest part of human sleep.

Stages three and four: Deep Sleep

During stage three, the brain begins to produce delta waves, a type of wave that is large (high amplitude) and slow (low frequency). Breathing and heart rate are at their lowest levels.

Stage four is characterised by rhythmic breathing and limited muscle activity.

REM Sleep:

Bouts of REM sleep lasting 5 to 30 minutes usually appear on the average every 90 minutes. When the person is extremely sleepy, each bout of REM sleep is short and may even be absent. Conversely, as the person becomes more rested through the night, the durations of the REM bouts increase. 

Although we are not conscious, the brain is very active – often more so than when we are awake. This is the period when most dreams occur. Our eyes dart around (hence the name), our breathing rate and blood pressure rise. However, our bodies are effectively paralysed, said to be nature’s way of preventing us from acting out our dreams.

After REM sleep, the whole cycle begins again.

So why do we sleep??!!
Well, its not exactly known but there are many theories that are proposed regarding this, which I am enlisting below.
  1. Inactive theory: suggest that inactivity at night is protective to harm to the animals from the predators, also called adaptive/evolutionay theory
  2. Energy Conservative theory: suggests that the primary function of sleep is to reduce an individual’s energy demand and expenditure during part of the day or night, especially at times when it is least efficient to search for food.
  3. Restorative theory: suggests that sleep in some way serves to “restore” what is lost in the body while we are awake. Sleep provides an opportunity for the body to repair and rejuvenate itself.
  4. Brain plasticity theory: suggests that sleep is correlated to changes in the structure and organization of the brain – phenomenon known as plasticity.
  5. Consolidation of memory: episodic memory is converted into long term memory.
  • Previously, its thought that sleep is a time when your body and brain shut down for rest and relaxation but we know that in REM sleep brain is highly active, secretion of some hormones and memory is also consolidated, besides, brain is the regulatory organ which is never completely shut down!
  • Also its thought that Nap is a waste of time but researches reveals they can be restorative and help counter some of the impaired performances during the day.
——
Sleep and Memory: 
So, this part is most fascinating about sleep.
Scientist hypothesized that the memory is converted in long term memory during sleep 🙂
Scientists hypothesized that REM sleep played an essential role in the acquisition of learned material, both declarative  and procedural memory. 
Researchers now hypothesize that slow-wave sleep (SWS), which is deep, restorative sleep, also plays a significant role in declarative memory by processing and consolidating newly acquired information.
Sleep is very important before taking exams, the saying goes, “Rest is best for the test” 
as sleep plays its role in consolidating whatever we have learned and refreshes us as well.
the potential ramification of sleep deprivation, you can see in the below illustration
**YAWN* *YAWN*
Now on a lighter note, Do you know the amount of sleep required by the average person ??!!
A question to check whether you’re still awake while reading it or not!! Do answer to let me know! 😀
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By the Figs and the Olives (Qur’an, 95:1)

Assalamu’Alaykum

In the previous post I have mentioned that I will be starting a series of post related to the medical and health benefits of the things that are mentioned in the Qur’an. So I decided to start with Fig and Olives.

Allah says in Surah At-teen,

[I swear] By the fig and the olive. (Qur’an 95:1)

Figs:

Figs (Ficus carica)

The biological name of fig is Ficus carica (Urdu:انجیر, Arabic:تین)

The nutritional value of Ficus Carica is given below:

  • Energy  1,041 kJ (249 kcal)
  • Carbohydrates  63.87 g
  • – Sugars                47.92 g
  • – Dietary fiber    9.8 g
  • Fat          0.93 g
  • Protein 3.30 g
  • Thiamine (vit. B1)             0.085 mg (7%)
  • Riboflavin (vit. B2)           0.082 mg (7%)
  • Niacin (vit. B3)   0.619 mg (4%)
  • Pantothenic acid (B5)     0.434 mg (9%)
  • Vitamin B6          0.106 mg (8%)
  • Folate (vit. B9)   9 μg (2%)
  • Vitamin C             1.2 mg (1%)
  • Calcium                162 mg (16%)
  • Iron        2.03 mg (16%)
  • Magnesium        68 mg (19%)
  • Phosphorus        67 mg (10%)
  • Potassium           680 mg (14%)
  • Zinc        0.55 mg (6%)

Some health benefits of Figs are as follows:

  1. Prevention and medicine for constipation (due to the presence of dietary fibers)
  2. Ca/P(Calcium to Phosphorus ration) ratio is lies as recommended by nutritionists so the patients suffering from stone formation in kidney may also use it safely
  3. Due to High potassium in fig is beneficial to patients of hypertension
  4. High potassium avoids calcium loss in urine.
  5. Good for bones.
  6. Has anti-cancerous component.
  7. Has anti-diarrheal activity
  8. Effective for diabetics
  9. Anti-oxidant activity(due to the presence of antioxidant vitamins)
  10. Anti-inflammatory action
  11. Good for eye-sight (due to the presence of Vitamin A)
  12. Good source of vitamin B-complex
  13. Results of a prospective study involving 51,823 postmenopausal women for an average of 8.3 years showed a 34% reduction in breast cancer risk for those consuming the most fruit fiber compared to those consuming the least. In addition, in the subgroup of women who had ever used hormone replacement, those consuming the most fiber, especially cereal fiber, had a 50% reduction in their risk of breast cancer compared to those consuming the least. Int J Cancer. 2008 Jan 15;122(2):403-12. (Figs contain high amount of fibers)
  14. Protection against heart diseases.
  15. Good for weight management ( due to presence of dietary fibers).
  16. Being used as aphrodisiacs.

Olives 

Olives :Olea europaea

Botanical name: Olea europaea (urdu and arabic :زیتون)

Olives have been mentioned about six times in the Holy Quran,

1) It is He Who sendeth down rain from the skies: with it We produce vegetation of all kinds: from some We produce green (crops), out of which We produce grain, heaped up (at harvest); out of the date-palm and its sheaths (or spathes) (come) clusters of dates hanging low and near: and (then there are) gardens of grapes, and olives, and pomegranates, each similar (in kind) yet different (in variety): when they begin to bear fruit, feast your eyes with the fruit and the ripeness thereof. Behold! in these things there are signs for people who believe.(6:99)

2) It is He Who produceth gardens, with trellises and without, and dates, and tilth with produce of all kinds, and olives and pomegranates, similar (in kind) and different (in variety): eat of their fruit in their season, but render the dues that are proper on the day that the harvest is gathered. But waste not by excess: for Allah loveth not the wasters. (6:141)

3) With it He produces for you corn, olives, date-palms, grapes and every kind of fruit: verily in this is a sign for those who give thought. (16:11)

4) Allah is the Light of the heavens and the earth. The Parable of His Light is as if there were a Niche and within it a Lamp: the Lamp enclosed in Glass: the glass as it were a brilliant star: Lit from a blessed Tree, an olive, neither of the east nor of the west, whose oil is well-nigh luminous, though fire scarce touched it: Light upon Light! Allah doth guide whom He will to His Light: Allah doth set forth Parables for men: and Allah doth know all things. (24:35)

5) And olives and Dates, (80:29)

6) By the Fig and the olive,(95:1)

Nutritional value of Olives:

  • Calories: 81                                        
  • Proteins: 0.97 g
  • Total Fat: 6.87 g
  • Fatty acids,
  • monounsaturated: 5.071 g
  • saturated: 0.909 g
  • polyunsaturated: 0.586 g
  • Carbohydrates: 5.61 g
  • Fiber: 2.5 g
  • Water: 84.34 g
  • Calcium: 94 mg
  • Iron: 3.32 mg
  • Magnesium: 4 mg
  • Phosphorus: 3 mg
  • Potassium: 9 mg
  • Sodium: 735 mg
  • Zinc: 0.22 mg
  • Copper: 0.226 mg
  • Selenium: 0.9 mcg
  • Manganese: 0.020 mg
  • Thiamin: 0.003 mg
  • Niacin: 0.022 mg
  • Pantothenic acid: 0.015 mg
  • Lutein + zeaxanthin: 510 mcg
  • Choline: 6.6 mg
  • Beta carotene: 204 mcg
  • Vitamin A: 346 IU
  • Vitamin B-6: 0.012 mg
  • Vitamin C: 1.5 mg
  • Vitamin E (alpha-tocopherol): 1.65 mg
  • Vitamin K (phylloquinone): 1.4 mcg

Medical benefits of Olives:

  1. Patients of Rheumatoid arthritis showed much improvement when they used fish oil supplements in combination with olive oil.
  2. Olive oil may have a protective effect on the development of CRC (colorectal cancer)
  3. Has antihypertensive effect (lowers blood pressure)
  4. Antioxidant activity
  5. Prevents oxidative DNA damage and so has anti carcinogenic effect on cells.
  6. Protection against Breast cancer
  7. Usage of olive oil decreases the incidence of Cardiovascular diseases (due to presence of LDL)- has anti-atherogenic effects
  8. Lower incidence of stroke with the use of olive oil is observed
  9. Bactericidal activity
  10. Protection  against oxidative stress (so has anti- Aging effect)
  11. Well tolerated by stomach
  12. Provide protection for skin

P.S., The benefits of Figs and Olive[oil] mentioned above are complied from various research papers.