Right vs wrong

IN a society as morally perverse and corrupt as ours, does a centre of ethics have any relevance? A cynic’s answer would be a resounding ‘none whatsoever’. The idealist/reformer would say, ‘all the more’. That is a dilemma that faces all activists in this country seeking to light the spark of change.

In this context, the SIUT’s Centre for Biomedical Ethics and Culture (CBEC) faces a daunting challenge. It has been struggling for the last 13 years to introduce an ethical perspective not just in healthcare but also in the non-medical sector. Its endeavours became meaningful and received international recognition when last week WHO declared the CBEC a Collaborating Centre for Bioethics — one of the eight to receive that prestigious status worldwide. Continue reading “Right vs wrong”

Blame rests on ….

By Zubeida Mustafa

IN August, Pakistan will be celebrating the 70th anniversary of its independence. This has understandably spawned a spate of soul searching. It was in abundance at the Karachi Literature Festival. The session titled “Pakistan: a fragile state or resilient nation” focused entirely on the state and didn’t address the issue of resilience at all. The state was held responsible for all the evils that have befallen us.

Unsurprisingly, the speakers concentrated on identifying the villain of the piece that was said to be the ‘state’ — an abstract term. As the discussion proceeded, the state became the “invisible state” and then the “deep state”. The audience clearly understood that these terms referred to the army which has played a central role in determining Pakistan’s destiny. Continue reading “Blame rests on ….”

The secret of success

By Zubeida Mustafa

Why is the SIUT a success story when other health institutions in the public sector in Pakistan have failed? This question is frequently asked by people who are wonderstruck by the SIUT’s performance. Few can believe that this immaculate  hospital that sprawls before them is in the public sector. It has taken it 40 years to reach its present greatness. And it is still growing.

The only feature that betrays its ownership is the over-crowding you see there. Being in the public sector, this tertiary healthcare institution attracts all and sundry. Moreover it is a hospital that is affordable and actually works, where people are treated and recover from their illness.  Continue reading “The secret of success”

Message of hope?

 

By Zubeida Mustafa

IN these times of despair, even the dead can give us hope and inspiration. That is the powerful message that emerged from the Orangi Pilot Project-Research and Training Institute’s forum on Jan 22. It was organised to commemorate the birthday of Perween Rahman who was shot fatally in March 2013.

Why was Perween killed? It might sound bizarre but the fact is that there are vested interests in our society who feel threatened by people who work for the poor. That was confirmed by SP Akhtar Farooqi who said on the occasion that the murder was not motivated by personal enmity but by economic factors. Continue reading “Message of hope?”

Loss of dignity

By Zubeida Mustafa

A FRIEND sent me his greetings on New Year with this verse: “Apnay haathon say dastar sumbhaloon kaisay/ Donon haathon mein kashkol pakar rakha hai.” (How should I hold up my turban when I hold the begging bowl with both my hands?)

The truth of this verse hit me when a news item in this paper reported the proceedings of the Senate recently. The government had come under fire from a PTI member for piling up external and domestic debts to such proportions that servicing them was becoming impossible.

One should not dismiss this as political gimmickry to embarrass the ruling party. After all, which party in Pakistan has even attempted to be self-reliant by adopting austerity as a policy to reduce the government’s dependency on loans? With few parties remaining in office for too long, every ruler spends money with abandon knowing that the chickens will come home to roost when he will not be around to cope with the problem. Continue reading “Loss of dignity”

A hill station in decay

The snow covered Thandiani mountaintop in the background  can no more be seen from a point of one's choice due to buildings like this one.
The snow covered Thandiani mountaintop in the background can no more be seen from a point of one’s choice due to buildings like this one.

By: Nasser Yousaf

guest-contributorAbbottabad. The name sounds romantic. But romantic it is no more. The small hill station, named after its first district administrator, is not even a shadow of its former glory. Sir James Abbott had been so greatly enamoured by the pristine beauty of his place of posting and temporary abode that he wrote an emotional poem in its praise. Continue reading “A hill station in decay”

No trashy issue

TWO seemingly insignificant events could amount to the writing on the wall for our municipal administrators all over the country. It is plain, the public will no longer turn a blind eye to poor sanitation. People are now beginning to understand the implications of environmental pollution.

Recently, the inhabitants of a village in Fatehjang tehsil (Punjab) protested against the garbage dump which the district municipality had created near their homes. Some of them actually travelled to Islamabad to meet the director of the National Commission of Human Rights to lodge their complaint. They were not happy with the odour that pervaded their homes. Even more encouraging was the fact that the inhabitants of neighbouring villages refused to allow the DMO to pile garbage near their homes when he tried to shift the dumping site. Continue reading “No trashy issue”

Consulting a doctor

Dr  Zeba Hisam (MBBS FCPS)

zubeida-3-001-1I am always amazed at people who do not have a family physician from whom they can seek medical advice, when they are ill No matter what is the nature of their health problem, there is no family physician to decide if there is any need for a referral to a specialist. Even patients who are educated and are from the privileged class  declare proudly that they do not need a doctor as they have not suffered from any disease.  In this scenario, if any emergency arises, they panic and seek an immediate appointment from the most renowned and famous specialist they can think of.

My observation is that the more affluent and educated a person is, the more awkward he feels in seeking medical advice. He decides himself which specialist he should consult. His choice sometimes proves to be wrong.

Continue reading “Consulting a doctor”

Eyes on diabetes

 

banting-top2_World Diabetes Day, 14 November, is a day to create awareness on diabetes, a metabolic disorder with a fast rising incidence. The International Diabetes Federation (IDF) and World Health Organization launched the WDD in 1991. This date   was selected to pay homage to the co-discoverer of Insulin, Dr Frederick Banting whose birthday fell on that day. Every year a new theme is selected for the WDD. Most countries of the world observe the day by organizing programmes participated by the general public, health care providers and policy makers. It is a day to raise awareness among all, old and young to fight against the disorder.

zubeida-3-001-1By Dr Fatema Jawad

Mr X’s eyes have been giving him trouble of late. He goes to the doctor. After an examination and some laboratory tests he is informed that he has diabetes. The news comes as a shock to him.

But not to his doctor. It is now known that diabetes is a fast growing metabolic disorder. There are 415 million adults with diabetes worldwide. Simply put,  10.7 percent of the global adult population is living with it. IDF has estimated that by the year 2040 this figure will rise to 642 million or 11.2 percent.. This means one in ten adults has diabetes. About 80 percent of the people with diabetes live in the middle and low income countries and a majority are between 40 and 59 years of age, the most productive years of life. (International Diabetes Federation Diabetes Atlas, 2015) Continue reading “Eyes on diabetes”

Days with Herpes Zoster (shingles)

 By Dr Zeba Hisam

zubeida-3-001-1TEN days ago I started feeling a peculiar pain in the scapular region of my back. It was localised at one point and was constant. It didn’t seem to be the routine muscular pain that I get after vigorous home chores. I took an analgesic but it didn’t go away. I was perplexed as to what it could be.

The mystery was solved after four days when some papular rashes appeared in a line at the same site. I made my diagnosis. It was  Herpes Zoster which is termed Shingles in popular parlance. Yet I went to the skin ward of the Karachi Civil Hospital to confirm my diagnosis. And the doctors there endorsed it and put me on antiviral acyclovir tablets five times a day.

I am not going to college where I teach. Neither do I attend my clinics at the hospital where I work. Continue reading “Days with Herpes Zoster (shingles)”