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Friday, December 30, 2011

Jum'ah Journal-Seven 'F's for Successful marriage

 I learned from a wise friend hoping he will forgive me for not asking his permission
1.Faith
2.Forgiving
 3.Forgetting
4.Forbearance
 5.Flexibility
 6.Friendship
7. Friendly attitude with family members (both spouses)

Please visit my Urdu blog at http://saugoree-bsc.blogspot.com/

Friday, December 23, 2011

Jum'ah Journal--Life is short

 Isbah wife of my nephew, Mansoor (Son of Bhaijan Meraj marhoom) went into coma after a couple of vomits and never made any recovery. A shocked  family mourning today.
Inna Lillah-e-wa inna ilaihi rajeoon
  May Allah forgive her sins and award her al-Jannah-Aameen


Please visit my Urdu blog at http://saugoreebsc.blogspot.com/

Sunday, December 18, 2011

Sunday Surkhi- 18th of December and Xmas

Exactly fifty years ago today--
 Yes, an important day of my life. This was the first day of my work in the West.-- Royal South Hants Hospital in Southampton England where I started my first job as junior house surgeon. There were two surgical teams and two wards one female and one male The male ward's name was Aldridge and female's name ---I cant remember now.
  First day was my team's intake- (all surgical emergencies to be admitted to our care)- my boss Mr. Richardson, a tall typical Englishman rather showy type who was considered (as he told me one day) a vascular surgeon. Had long fingers and fond of such quips like:
 "Ahmad, we had summer last year on a Wednesday"
 He was a pleasure to work with. My immediate superior called 'Registrar' was an Australian chap,   He was of my size but a good energetic surgeon. In England anybody who has passed Fellowship examination of RC Surgeons turns into Mr. again from Dr. Because when the Royal College of surgeons was established traditionally the Barbers were the ones who did surgery, so they were called Misters and not Doctors. The College continued the tradition.
 If you remember that in India/Pakistan the Khatna ( Circumcision) of male Muslim child is/was performed by Barbers (experienced in that procedure)= haha what a legacy for surgeons but back to Christmas celebrations.
Like here in US there was "Christmas-mania" all over the place by the time I got into the residential rooms of the hospital so that when I started work all the wards had already been 'decorated' for Christmas. Each ward had a 'theme' for decoration. Male surgical ward was "Circus" so there were all kinds of Circus pictures and big plaques of circus kind of things like a man standing bending an iron bar or a lion or elephant etc. They called it "Aldridge Circus" and I saw signs in the hospital pointing to "Aldridge Circus" that way. Of course, this was all very unusual and new to me. I did not know how Christmas is celebrated and that was my first experience. Even Mr. Green told me-- Ahmad, "they become crazy on Christmas".
 I remember I had four surgical emergencies admitted that day all (probably) acute urinary retention (Prostate enlargements) and I learned from my Registrar a "non-touch" technique aseptic introduction of (soft) catheter for emptying the urinary bladder. Somehow I do not remember much about the female ward. On the second floor, right on top of Male surgical was the male medical ward and their theme of decoration was Robinhood. The house surgeon whose job I took over started in the male medical, and so I know more about male medical, also because my ultimate interest was medicine. I remember attending a case presentation by the medical consultant of that ward- a case of Temporal Arteritis- and I remember I was very impressed by his teaching.

Please visit my Urdu blog at http://saugoreebsc.blogspot.com/

Friday, December 16, 2011

Jum'ah Journal-advancing age

"When you are on the decline and Death is advancing, what then?
The inevitable meeting has accelerated its approach" Ali RA
 "Say, The Death from which ye flee will truly overtake you; then ye will be sent back to the knower of things secret and open: and He will tell you (the truth of) the things that ye did." Sura Jum'ah, Aya 8.

Please visit my Urdu blog at http://saugoreebsc.blogspot.com/

Wednesday, December 14, 2011

All American Muslim

 I have not had the pleasure of watching that show yet. Lowe's has been fooled by some people.
 The Ilsamophobic organization, I am surprised, has taken such methods to continue their jihad against Muslims, American or others. Strictly speaking there is nothing new about people being against Muslims or Islam. It started as soon as the prophet SAWS opened up the message. The circumstances and political atmosphere of the world has generated the current spirited activity against Muslims helped greatly by 9/11 and is expected to continue in USA, I do not know for how long in one form or the other.
 Some comments stated, "There is no such thing as all american muslism"
   The term seems to hurt these people but I think it is time to promote this term more widely. Some plans regarding that should be started by us. May be some of my readers will have better ideas about that. . I will add my own way when I can think up some practical way.


Please visit my Urdu blog at http://saugoreebsc.blogspot.com/

Sunday, December 04, 2011

Sunday Surkhi- Beginning Muslim New Year

  I know today is NOT New Year's day for Muslims but actually 8th of the first month, Muharram-ul-Haram.
 Some body remarked, (Long time ago I heard) while others have jubilations (and lot of drinking) and parties to greet the new year Muslims' new year begins with weeping mourning etc. (Probably meant as a joke)
   The prophet SAWS had asked Muslims to fast for 9th as well as 10th days of Muharram. These are voluntary fasts, not obligatory. That has nothing to do with "maatam" or observing the martyrdom.
 'Weeping and crying' as Maatam (in these 10 days) was added by Muslims who do that for observing Imam Hussain RA's martyrdom on the 10th day. Although only Shia community does that kind of maatam and other Muslims do not, it does not mean that other Muslims do not feel and condemn the appalling attitudes of the Muslims of that time who had the guts to cut down the beloved grandson of the prophet SAWS. It is so difficult to imagine such things could be actually happening in the Muslim community, but there is no doubt it did happen. Even earlier his father Ali RA, the very first male to accept Islam, the first cousin and husband of the prophet's most favorite,youngest daughter, was cut down while in Sajda by a "Khariji". What is most amazing is the man killed Ali RA considering him to be Kaafir, unbeliever, The very person who had the authority and knowledge to teach the Islamic law even from the earliest days and was consulted and held in that regard by the earlier Khalifas of the prophet SAWS.
Just imagine those early Muslims considering that anybody who commits a major sin (I am not discussing details but Ali RA was categorized in such group by those Muslims) becomes a non-Muslim and as such punishable by death immediately. The khariji concept, what a twisted logic?. But you know what 'tradition' seems to have 'survived' through fourteen centuries. We, the ordinary Muslims, are still suffering. It seems we need to make Maatam every day for the whole year for that kind of thinking among Muslims.


Please visit my Urdu blog at http://saugoreebsc.blogspot.com/

Friday, December 02, 2011

Jum'ah Journal--Holiday concept.

 You may feel surprized on my suggestion but it is true in Pakistan Jum'ah has been tried as holiday of the week when I was not in Pakistan.
 Muslims hold this day 'holy', Jews hold Saturday 'holy' and Christians consider Sunday; although Christians 'think' that God 'worked' for making earth and heavens in six days. Then rested on seventh (Sunday) I do not know whether they think God needed rest so we should also rest but the concept is different from others
 Should there be a holiday, one or two days in a week?
 I do not know. May be there should be because we as human beings do need rest from work sometimes
 Other than schools where it was sooooo very much needed by us students that there is no need to consider 'restful day' at all. The Mulims are told in no uncertain terms first to go to prayers when Azan is called on Friday and stop your work. Then after the prayer back to your work although the first part is considered as 'command' but the after salat going back to work is not interpreted as order but as suggestion (Convenient) If that was also considered a command then the poor Muslims will not be having any holiday. As simple as that. So this interpretation of going back to work as suggestion rather than command has helped us out for holiday on Fridays which some Muslims countries do observe.
 What has been common in the West is one full day (Sunday) and one half day (Saturday) will be 'holiday' from work That keeps Jews and Christians both happy. For Jews actually Sabbath begins on Friday after sunset.
Real work however suffers.
 Holiday mood actually kicks in from Friday midday Half day on Sat. is not for all and Sunday full day is not questioned. The real mood for work starts sometimes after midday Monday as the Monday morning is 'lazy'
 Having worked in hospitals and having seen emergencies, I always pray to God
 "Make me sick, if You have to, on a Tuesday when I can get full attention from doctors and Nurses"

Please visit my Urdu blog at http://saugoreebsc.blogspot.com/

Sunday, November 27, 2011

Sunday Surkhi--NATO and Pakistan

 This is a huge loss for Pakistan such forceful attack has to be calculated and NOT, as touted by NATO allies, mistake. Again, as ALWAYS expected, they say (just like the Israel says about Gaza), Pakistan fired first.
 The fact is there was no loss to NATO even if somebody might have fired from Pakistan side. The fact is that 28 Pakistani soldiers are dead. This cannot be forgiven by saying "sorry" because the force used was so much and for so long a time that it leaves no doubt about the deliberateness of this condemnable action. This is NOT an accident.
I think this is an excellent opportunity for Pakistan to re-orientate relations with not just NATO but USA. I think Pakistan needs to dictate clear terms, that the help that was offered by Pakistan Army MUST stop now. The NATO and USA must deal with the remaining Afghan problem on their own. No better opportunity will ever come their way. This is it.

Please visit my Urdu blog at http://saugoreebsc.blogspot.com/

Friday, November 25, 2011

Jum'ah Journal--Celebrations in USA

 Every country/civilization have their own days of celebration What should Muslims celebrate in USA?
 Well to begin with the prophet PBUH allowed the Muslims to celebrate the two Eids in Madina Munawwara, in preference to the Pagan celebrations of those times. So is that it for Muslims today?
Some strict Muslims will say yes that is all and Muslims should not celebrate 'Pagan', or preferably speaking non-Muslim customs even if they are not necessarily religious like "Thanksgiving". Every holiday season there is that question discussed in Masajid and Islamic centers where all the rules are re-iterated why the Muslims should not join in celebrations because "they worship other God/Gods etc." so joining them means you commit 'shirk'
 Yet I clearly remember one Muslim leader in New York wanted to put up crescent and star to join the celebration of Christmas where there were Christmas emblems as well as Jewish Menorah. If you recall the crescent and star was vandalized. He said we as Muslims have as much if not more right to celebrate prophet Jesus's birthday than Christians.
On the whole I tend to agree with the Islamic concept that we do not 'celebrate' human beings but we do celebrate 'events' or happenings. that is as far as the 'religious celebrations' are concerned. However the holidays with no religious connection and/or related to a country's cultural aspects need not be given the same negative attitude by Muslims.
 The problems are usually encountered on the greatest celebration of the West, that is Christmas. the Muslims have to hide themselves to some place to avoid answering "Merry Christmas" greetings. Some may take an attitude of saying "Season's Greetings" to their Christian friends instead of saying Merry Christmas. Others have some other excuses made for not responding but on the whole it is really very awkward to live in a Christian country and not offer bonuses or presents to your Christian employees on such occasions (I am only mentioning some of the problems). I have personally lived offering such greetings and Christmas presents to  hospital wards, colleagues, nurses etc. and so technically speaking I have committed 'shirk' so many times but my employees and colleagues knowing that I was Muslim and did not celebrate Christmas still offered me presents and how many could I get excused from?
 Some of the things have been aginst my own convictions like
 "we should not call non-Muslims as brother" or 'sister' I had difficulty subscribing to such suggestions for I had grown up and always believed in Sa'adi Shirazi's teachings:
بنی آدم اعضائ یک دیگر اند
کہ در آفرینش زیک جوہر اند
چو عضوے بدرد آورد روزگار
دگر عضوہا را نماند قرار
(Children of Adam are like limbs of each other. For they are all born out of single 'essence'. When one limb gets pain, all others become restless)


Please visit my Urdu blog at http://saugoreebsc.blogspot.com/

Thursday, November 24, 2011

Happy Thanksgiving

 Happy Thanksgiving to all
 This has been quiet one Children having their own get-togethers so parents are not much priority any more. I wonder if they still consider this as their home or the ones they have acquired for their spouses and kids. Maybe we did not 'celebrate' thanksgiving with the required American Zeal with them when they were growing up, we cant complain now. It is too late. We wish them happiness nevertheless. I am not writing this on FB which they follow more often and rarely visit my blogs, so it is safe, they wont know the 'complaint'. I will however send email thanksgiving wish


Please visit my Urdu blog at http://saugoreebsc.blogspot.com/

Sunday, November 20, 2011

Sunday Surkhi--Pakistan&Bangladesh

 There is news about Bangla Desh asking Pakistan Government an apology.
 Seems OK but the actions taken by the then Pakistan Government were aginst the rebellious elements in East Pakistan that were wanting to separate from their mother country so the action by itself was not wrong as there was no Bangladesh at that time.
 The atrocities that the Military committed however are a different matter. These were crimes against humanity and totally UN-ISLAMIC and need to be condemned openly which the proposed "apology" does not cover. These actions were committed by Muslims against their Muslim brothers and sisters and they need to be assessed and recognized, because this was too much brutality and over the needed force required for suppression of "mutiny' if you will. I feel that condemnation is more important than apology. I do not wish to go into what our Bangla brothers did wrong
because that is now pointless to talk about. It needs to be recognized that 'Brotherly relations' between the two 'brother' countries are already overdue

Please visit my Urdu blog at http://saugoreebsc.blogspot.com/ and my Hindi blog at http://wahajuana.blogspot.com/

Friday, November 18, 2011

Jum'ah Journal-Shariah in America?

I guess many more better qualified writers have done justice to that subject but I continue to have this complaint because some people (Non-Muslism) never fail to surprise me by writing that Muslims are up for introducing Sharia Law in USA.
 Are you kidding?
There is NO Muslim country currently where Sharia Law is promulgated and there has not been for centuries.
 O yes may be some present day Muslim countries make claims they have sharia but THEY ARE TELLING LIES. I do not know which one but some"stoning" for  some woman for Adultery was touted as example but that is just the point, some selected sharia-recommended punishment in one or other selected case does not mean that law is functioning there. No.
 Now why or how any Muslim can think of Sharia in a non-Muslim country is beyond me. Muslims are at best trying to make themselves understood and accepted here and no matter how much some people say Obama is a Muslim he is NOT and has no intentions to be as far as I can see. Even if a Muslim does in some unforeseeable future becomes president of USA I doubt he would know much about Sharia Law. I do not claim myself that I know enough and I would like to challenge any scholars here who may claim to know enough to promulgate that law here, whereas they could never be able to do it in any Muslim country even Taliban-operated one.
 Now that is off my chest

Please visit my Urdu blog at http://saugoreebsc.blogspot.com/ and my Hindi blog at http://wahajuana.blogspot.com/

Sunday, November 13, 2011

Sunday Surkhi- Piyara Zayd

 I had started my blogs with birth of Musa (5 yrs ago) and now Ayesha my piyari baitee gave us the Eid tuhfa of Zayd. He was supposed to be born on 14or 16th November, but he started making his move on Arafat day and I got suspicious. (he had already been named Zayd) I think this lad was anxious to see what is all the hullabloo about Eid-al-Ad-ha so he decided to join us on Eid day  (November 6 )  He did not care that his nana and nani had to hurry and to drive to Maryland (from Raleigh) just after salat-el-Eid to welcome him; he was quiet and composed, not bothered about all the difficulty he had put the older folks like us in .
 It was so nice to see him though. He made everybody double happy on this Eid day--our Eidoo baita. May God make him a good person a good Muslim, a good son, a good brother. Surkhi is of course not new by now however it is worth reporting to all of you.

Please visit my Urdu blog at http://saugoreebsc.blogspot.com/ and my Hindi blog at http://wahajuana.blogspot.com/

Friday, November 11, 2011

Jum'ah Journal-Unique day

  Yes, whether you see it from right or left, in British way or American way etc. today the month and the year and the day is the same. Every year such a day has been coming last year it came on the last day of my 76th year.
 BUT this is also Veterans Day.
 I never knew its meaning un til I started working in the VA hospital.
My hat-tip to the Veterans.

Please visit my Urdu blog at http://saugoreebsc.blogspot.com/ and my Hindi blog at http://wahajuana.blogspot.com/

Friday, November 04, 2011

Jum'ah Journal- Principle of Sacrifice

 Day after tomorrow (Sunday when I may not find time for my usual "Surkhi") all over the Muslim world animals will be sacrificed and plenty of meat will be available for all those poor who cannot afford meat much. Is that all what sacrifice means though?
 God clearly says:
 "It is not their blood that reaches Allah; it is your piety that reaches him............." (S Al-Hajj Aya 37)
So what is being given to us as a lesson? piety which briefly means staying away from the prohibited and doing what is pleasing to god.
 A prominent Urdu poet said it nicely
دل کسی کا ہاتھ مین لے حج اکبر جان لے
 Literally meaning take someone's heart in your hand that would be equal to Great Pilgrimage. It can be interpreted as helping some in who is poor, giving a helping hand to a needy person, spending time giving company with some one lonely, sacrificing one's time for the benefit of another less fortunate. Sacrificing one's ego and forgiving a person who may have done wrong to you. That is real sacrifice-that of 'self'Of course there are more meanings to 'sacrifice' that for example I have not even mentioned sacrificing the most beloved thing in your life (Like Prophet Ibrahim did of his only son, what is being 'commemorated'.)

Please visit my Urdu blog at http://saugoreebsc.blogspot.com/ and my Hindi blog at http://wahajuana.blogspot.com/

Sunday, October 30, 2011

Sunday Surkhi-Ahmedis/Mirzaies

 I sometimes look at Dawn news. Most news are dis-heartening. This one was refreshing, a news about prejudice against Ahmedies deplored, mostly by young writers.

 My own take.
 I prefer to call them Mirzaies because strictly speaking we, the ordinary Muslims are better suited for that name-Ahmadi. I believe that Mirza Ghulam Ahmed was schizophrenic or too much of knowledge of Islam got to him. His teachings initially showed he  had correct understanding but within 10 years period he claimed himself to be a prophet on his own accord. He had followers all along and many continued with him and thus a 'religion' was born which was initially a sect of Muslims "Ahmediyya movement in Islam" and by the time in September 1977 they were declared minority (thrown out of the pail of Islam) the hatred that had appeared over the previous 3-4 decades including some bloody clashes (and I was in Lahore at that time), increased.  Fighting was started by Mirzaies from the railway station of Rabwah (which ,BTWwas clearly a mistake of the new Pakistan Government in 1947).
 I personally have had no respect for the Mirziae sect or religion but I am not against the Mirzaies who I do  NOT consider  Anti-Pakistan. They had established themselves well in Pakistan from the times of Sir Muhammad Zafarullah Khan and have been loyal citizens of Pakistan. They deserve the same respect as is given to other non-Muslim citizens if not better. Although they are not considered Muslims now but the Muslims need to approach them like they did before that legislation or even better. I know they made mistakes but such things like expelling a student from a teaching institution because of being Mirzaie is ridiculous and deplorable. I believe that the Government should take action against such activity to restore the full rights of these citizens. The Ulama need to do the same and invite these people to mutual understanding rather than continuing polarization which does not serve any purpose. Many of such Mirzaiees believe in Prophethood of Muhammad (SAWS) as the last prophet. The prejudice against the Mirzaies needs to come to rest and bond of mutual cooperation needs to be developed


Please visit my Urdu blog at http://saugoreebsc.blogspot.com/ and my Hindi blog at http://wahajuana.blogspot.com/

Monday, October 24, 2011

I Doc, Mairajunnabi and Wahi

 I wrote some aspects on these two subjects when discussing Sura Najm (My blog of November 2008)

 Here I'll concern myself with some hearsay, misinterpretation or exaggeration that took hold in the non-Muslim perception. I shall quote just the one instance which prompted this blog. Dostoevski's epilepsy is well-known and studied by neurologists. What was picked up by the non-Muslim writers (mostly non-neurologists) is his clever description of his aura that he sometimes felt"supreme exaltation of emotional subjectivity"-- he goes on to say that "probably it was such an instant that the epileptic Mahomet was speaking when he  said that he had visited all the dwelling places of Allah within a shorter time than it took for his pitcher full of water to empty itself" (Alajouanine, T. Dostoevski's epilepsy, Brain 86: 209-218, 1963). Any Muslim familiar with the details of Mairaj-un-Nabi can see the fallacy and imagination of the poorly and deceptively informed non-physician (some may concede this to an epileptic's 'first-hand' knowledge of the disease). He was not the only one with 'prejudiced' opinion, but the surprise for me was when a more educated professor of neurology made a 'differential diagnosis of the "spells of Muhammad,the prophet of Islam, as recently as 1976 (Freemon,F.R., in 'EPILEPSIA' 17: 423-427). This professor gathered information from the Western writers and therefore could not see the truth at all. Prejudice against the epileptics has existed from the times of Bible as I can tell (Mathew 17:14 goes like "Lord, do have pity on my son, for he is a lunatic and is in a terrible state. he is always falling into fire or into the water. I did bring him to the disciples, but they could not cure him."). There is more to it than just what I am writing but my point here is that in the past epileptics have been considered "possessed, hysterics, malencholic, suffering with 'falling-sickness' etc. etc. and so the prejudiced Western writers delighted in this label without any proof and so did this professor although writing  wearing the cloak of a Neurologist and imparting an air of  "authenticity" by publishing it in the journal named Epilepsia' leaving out all other Neurology Journals.
  Actually I am quoting from my own article that I had published in the journal of Islamic Medical Association (Vol14, pages23-26, 1982), but now to make some observations on the epilepsy and the aura.
'Ecstacy' as aura I personally did not observe in my 30 years experience, there may have been one patient about which I cannot remember much. It is rare but not unknown. Crying-weeping or being sad is more often seen and one patient I studied I remember he would incessantly continue weeping during attack (I recorded continuous epileptic discharge on EEG during his weeping episode) and would not remember it after the attack. I was intrigued because I did not recognize he was in attack when I first saw him in the ER. He was crying and saying something to which I did not pay much attention until after admiting him. There are all kinds of auras known to neurologists, but trying to "explain away" the episodes of Wahi or Nuzool-e-wahi one meets with several difficulties as one might expect.
 If you or others read prof. Freeman's article (quoted above) and are interested, I will be happy to discuss further but for the moment my points are more directed to that Dostoevski problem only.

Please visit my Urdu blog at http://saugoreebsc.blogspot.com/ and my Hindi blog at http://wahajuana.blogspot.com/

Friday, October 21, 2011

iDoc PVS,PVS-like conditions and Muslims

 Enough was written about Persistent or Permanent Vegetative State when Terry Schiavo was in that condition and national News broke out with the case. Briefly I shall place before you other names/terms that physicians/Neurological physicians use for patients who have suffered irepairable neurological dmage resulting in a state in which:
The patient is unable make any or minimal movements which may not be purposeful; paralyzed in all four limbs. Heart and lung function preserved without assistive devices and sleep-wake cycle.
 He/she may be alert, that is eyes may be open but may not respond to verbal stimuli or may appear to respond minimally
He/she may not have ability to eat or drink or take care of the self-hygiene
 This condition may be temporary or permanent depending on the extent and type of brain damage. Common name used is PVS (Well-defined by and accepted by American Neurologic Association and Americal Academy of Neurology).  I have already stated the other name of Brain death is "Irreversible Coma "Some other names for conditions similar to PVS are
 Akinetic Mutism,
Coma Vigilante
Severe Abulia
Appalic Syndrome
Locked-in Syndrome.
    Each condition must be examined in its own perspective by the physician trained in Neurological sciences to make a definite diagnosis and prognosis explained.
      Islamic understanding for PVS is associated with full care (Palliative care) of the patient including maintenance of nutrition and hydration. The question of how long this should be maintained is very difficult and several factors are involved singly or in combination.(This is not necessarily a comprehensive statement covering all situations)
   The patient in this state is unable to discharge any duties of life required of a Muslim and should have a "No Code" label in the hospital. Beyond that a clear statement cannot be made, for instance of the N/G tube or Gastrostomy  or other invasive procedures be considered in the "extraordinary means of life maintenace" or given a separate consideration. If long time has elapsed (many months, a year or more) and recovery is considered hopeless and depending on the location (Hospital, hospice or home) etc. development of complications such as lung or urinary infection, the treatment options need to be discussed by/with the family and appropriate action taken. Islamic teachings have given us two options to choose from:
     Treat with full effort with all means available when recovery is possible/expected
     Leave the patient/disease to take its normal course without treatment when there is no hope.
 The Muslim family has the responsibility to take appropriate actions and decisions should be made after with consultation with Knowledgeable Muslim Physician and Knowledgeable Islamic Scholar (Telephone consultations may not be appropriate). Continuing extraordinary life-support measures on a presumption of a 'miracle' or because somebody said their loved one came out of coma after so many days or weeks or months, is un-Islamic. I understand there is a lot available on the internet which may be confusing and misguiding instead of guiding and helping because each case has its own conditions for consideration.
(Allah knows best)
 
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Friday, October 14, 2011

Brain Death and Muslims

 Ever since first heart Transplant was carried out,in 1967 the question of recognition of brain death surfaced with urgency not only in the scientific and clinical circles but also amongst the lawyers, states, clergy and society in general. Since then Brain death has been recognized as the death of an individual and medically criteria have been established and accepted all over the world. My writing here is specifically for the Muslim Families and Muslim physicians
 Islamic position is that brain death is accepted as death in Shariah, the Ulama signing a document in mid-september 1986 in Amman Jordan. The statement is similar to official position of Islamic Medical asssociation of North America published in their Journal (Vol.29; 1997, Page99)
 It reads:
"A person will be considered dead when one or both conditions given below are met
    1.A physician has determined after standard examination that a person's cardiopulmonary function has come to a permanent stop.
    2. A specialist physician has determined after standard examination that the function of brain including the brainstem has come to a permanent stop even if some organs of the body continue to show some activity (by artificial means)."
  Muslims living in the West are likely to be confronted with a situation (God forbid) where brain death will be diagnosed on one of their loved one and they will have to accept it as most hospitals in most  states will enforce discontinuing the use of artificial means of maintaining life. It therefore behoves on all of us to understand this from Islamic standpoint. The Qur'an states "It is Allah that takes the souls at death and those that die not (He Takes) during their sleep. Those on whom He has passed the decree of death He keeps back (from returning to life) but the rest He sends (to their bodies) for a term appointed....." (Sura 39, Verse 42)
 And also, "Nor can a soul die except by Allah's leave; the term being fixed as by writing........." Sura 3, verse 145.
   Islamically therefore we can say that every living person must die and there is a time fixed, known to Allah and that the soul separates from the body permanently, at the time of death. Physicians do not know exactly where the soul resides in the body. Physicians make the diagnosis of death traditionally when they find heart and lungs have stopped functioning. When lungs and heart functioning is carried out with artificial menas that is  the time when 'brain death' is considered for diagnosing death. In this situation the heart may be functioning with important medications being given and lungs may be functioning because the automatic machines are pumping the lungs and the kidneys may be forming urine etc. these functions can be maintained with machines for prolonged periods, from many hours to many days or weeks. The physicians make a decision of starting and maintaining these life-sustaining equipments function depending upon the cause and disease of the person that resulted in that state. This 'death' is called 'Irreversible coma" in clinical terms and is very different from other comas or coma-like conditions. Only the physicians know these types of comas. It is stated without hesitation that no patient has ever recovered from irreversible coma diagnosed with accuracy. Those cited examples in the media were NOT CORRECTLY DIAGNOSED who recovered. Also the question of Persistent Vegetative State is very different and should not be confused with irreversible coma.
 It must be stated then clearly that physicians decide to continue because they have hope of tiding over this suspended function requiring automatic machines to sustain 'life'. That hope is dependent upon the condition which may or may not be treatable and may or may not be reversible. For example:
 If there has been brain injury (Trauma or loss of oxygen supply to brain for a critical time for whatever reason) which does not result in brain death the physicians will maintain the machines until the brain recovers or dies.
 Coming back to Islamic understanding of body-soul connection, all the functions of the body including the brain function are present with the connection of the body and soul and all functions of the body stop when soul has left he body permanently. So how do we tell the soul has departed-- by the functions of the body. Now all the functions of the body depend on continuous supply of aerated blood which depends on adequate function of heart and lungs If the heart and lung functions are artificially maintained, we would be forced to depend on brain function ( to diagnose death) as it is the brain that runs all the functions of the body including the heart and lungs even though heart and lungs have some limited ability to function for a few seconds to minutes without brain connection. That is not because we feel that the soul resides in the brain but soul commands the function of all organs including the brain, and the brain commands on all the rest of the organs.
  It is thus we as Muslims come to understand the process of death. The Ulama had their sharia supported methods of coming to that statement  of Brain Death the details of which are not known to me but I came to know the results of their meeting/s  that were held in 1976 or so) I as a physician and as a neurologist accept the Brain Death as the death of a person.
 I have tried to simplify as much as I could but I would be very happy to answer any questions by anybody physicians or non-physicians. I have been involved in very emotionally draining situations for some families on such occasions and would like to advise the Muslim physicians to understand and be able to answer the doubts and question of families under such situations, May Allah keep us from such situations by His Grace. I humbly suggest that neither the physicians should make statements to the families concerned without knowledge nor the family members should take the statements of non -physicians during their difficult time.
Also the physician should make clear statements so that the family does not get confusion or doubts.

Please visit my Urdu blog at http://saugoreebsc.blogspot.com/ and my Hindi blog at http://wahajuana.blogspot.com/

Thursday, October 13, 2011

Fifty Years ago today

 It was a foggy morning and I arrived at the Karachi Airport (old one) and boarded the PIA plane a  Boing-727 jet. I do not remember seat number (I have a bad habit of remembering funny things). When we reached London by this PIA flight it was around 4pm and beautiful sunny afternoon. By the time I reached Saeed 's hospital  (Chasefarm) in Essex it was 8-9 pm. A week later I wrote down my experience of this very first  (commercial) flight of my life and so it is easy to recall and write now how I felt on that day. It feels like 50 years have just passed in a year or so. Little did I know I'll end up in USA and will not return to Pakistan for living. Please see FB and Twitter  also


Please visit my Urdu blog at http://saugoreebsc.blogspot.com/ and my Hindi blog at http://wahajuana.blogspot.com/