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Welcome 2018

IQBAL EBRAHIM
UNDERSTANDING ISLAM

We have ushered in the New Year and we should all pray that it will bring with it joy, happiness, peace and goodwill to all mankind.

But we should also reflect on the past year and take note of the lessons that we learnt from it or can learn from it; for some of us it may have been a difficult year and they couldn’t wait for it to be over, but for others it could have been a great year. Similarly with this new-year that we have just entered, some of us will be looking at it with certain trepidation, uncertainty and nervousness but others will be looking forward to it as a promising year.

With the festivities and holidays over we are back at work and in our daily routines in life. During the festivities some of us may have gotten carried away and over indulged, overspent or just threw caution to the winds during the festive holidays. Unfortunately we now have to face reality if we had been somewhat carefree with our spending and our budgets are looking bleak – because the New Year brings with it the usual school fees, books, uniforms and other expenses.

Regardless of whom we are, from the day we come out of the womb we are destined for the tomb, there is no getting away from that fact. It is for this reason that we need to undergo an introspection of our lives to see if we live our lives in congruence with our religious faith and beliefs. Let’s look at a spiritual reawakening from within in order that we learn to take control of our mind, body and soul so that our lives return to those eternal values that were part of our upbringing, our religious beliefs, and human character. We must learn to free ourselves from being slaves of this material world so that we begin to live a life that brings us closer to our Lord and Creator.

We can start in a small way by changing our inner self to have a more positive outlook in life; how about being friendlier, showing kindness, controlling our tempers, jealousy, showing humility, patience and other positive personal traits. These and other qualities bring about a much needed change to our lives.
    

However change has to come from within; it is only when we can love ourselves will we be able to love others; we can touch the hearts of others only once we have opened our own hearts. If we can’t care for ourselves, how can we care about others? If we don’t feel good, how can we do good? If we don’t trust ourselves, how can we trust others? If we are incapable of finding peace within ourselves, it is pointless to search elsewhere. Believe it or not but a change of heart can change everything.

The Quran advises: ‘Verily, never will Allah change the condition of a people until they change it themselves with their own souls’. (Quran 13:11). ‘Whoever works righteousness and has faith, verily to him We will give a new life, a life that is good and pure…’ Quran 16:v97

Many of us should try looking forward positively to this New Year with excitement, renewed energy, and hope for a better life, hoping that it will bring us peace and comfort, happiness and most of all a change in our lives, our hearts, minds and souls.
Whilst it is common for many to have made our resolutions for our worldly things and desires, but how many of us have made a resolution to turn our lives around onto the path of righteousness and finding the guiding light to salvation?

Yes we need to remind ourselves to think seriously about those changes in our lives before it is too late. Just for a start, how many of our family members, friends and other people whom we knew passed on last year? Just like us they had their wishes, dreams and ambitions but when to death came knocking at their door,  there was no holding it back, whether they were believers or non- believers. We are fortunate to still be alive and to be able to take life’s lessons since we still have the opportunity to reawaken and turn around our lives if we have not been sincere and faithful in our beliefs.

This reawakening cannot happen overnight but with a conscious daily effort to make small changes so as not to be overwhelmed by the changes. Let us sincerely seek the Hand of our Creator and ask for His Guidance with sincerity. The Qur’an reminds us ‘nor say anything, I shall be sure to do so and so tomorrow without adding “Insha Allah” ( if Allah so Wills)’ (Qur’an 18: 23). The Bible similarly echoes: “you don’t even know what your life will be tomorrow.

You are like a puff of smoke, which appears for a moment and then disappears. What you should say is this ‘if the Lord is willing, we will live and do this or that’.” (James 4: 14-16). "Be not conformed to this world; but be ye transformed by the renewing of your mind, that ye may prove what is that good, and acceptable, and perfect will of God" (Romans 12:2).
 If we try to follow any one of the suggestions below, one for each day of the week, and start all over again, we will see a definite change in our character before long.

This year I will seek to be closer to my Lord, remember Him with Prayer, pray in the best manner I can, seek His forgiveness, follow His way. “Verily in the remembrance of Allah do hearts find rest”(Quran  13:28)

This year I will be grateful and thankful to the Lord for all the Blessings that He has Bestowed upon me. “And if you count the graces of Allah never could you be able to count them” (Quran 16:18) “So hold that which I have given you and be grateful”(Quran 7.144)

This year I will strive to walk in the path of righteousness, plant goodness in my heart to get rid of pride, jealousy, hatred and hypocrisy. “Let not your hatred of others make you swerve to wrong and depart from justice” (Quran 5:8). “If any one does a righteous deed. It is to the benefit of his soul; if he does evil it works against his own soul”. (Quran 45:15)

This year I will try to control my temper, I will try to refrain from vain talk, foul language and obscenities. I will try not to backbite. “Woe to every kind of scandalmonger and backbiter (Quran 104:1) “….For Allah does not love the arrogant and vainglorious” (Quran 4:36)

This year I will treat people with respect, be kind to them, smile at them, talk to them in a respectful manner. “Then he will be of those who believe, and enjoin patience, constancy and self-restraint and enjoin deeds of kindness and compassion” (Quran 90:17) “ Treat with kindness your parents and kindred, and orphans and those in need, speak fair to  people……(Quran 2:83)

This year I will try to help others, to visit the sick, to feed a hungry person and I will be merciful to the elderly and needy. “And do good to parents, kinsfolk, orphans, those in need, neighbours who are near, neighbours who are strangers, the wayfarer….”(Quran 4:36)

This year I will try to tone down my behaviour, and ensuring that I am moderate in my walk, talk and actions. “And swell not your cheek with pride, nor walk in insolence through the earth, be moderate in your pace, and lower your voice, for the harshest sounds without doubt is the braying of an ass” (Qur’an 31: 18-19)

Life is like a Book. Some chapters are sad, some are happy and some are exciting, but if you never turn the page, you will never know what the next chapter has in store for you – so turn a page today. Similarly our New Year Book is thick and voluminous but with all its pages blank. Therefore it is up to us to write upon each day’s page things that at the end of the year we can look upon with happiness and rejoicing rather than regret. Let us pray that the New Year brings Blessings of peace, joy and happiness in our lives and into our hearts so that this world becomes a better place.

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Appendicitis: Recognising the Signs

29th March 2022

Many a times I get clients casually walking into my room and requesting to be checked for “appendix”.  Few questions down the line, it is clear they are unaware of where the appendix is or what to expect when one does have it (appendicitis). Jokingly (or maybe not) I would tell them they would possibly not be having appendicitis and laughing as hard as they are doing. On the other hand, I would be impressed that at least they know and acknowledge that appendicitis is a serious thing that they should be worried about.

So, what is Appendicitis?

Appendicitis is an inflammation of the appendix; a thin, finger-like pouch attached to the large intestine on the lower right side of the abdomen. Often the inflammation can be as a result of blockage either by the faecal matter, a foreign body, infection, trauma or a tumour. Appendicitis is generally acute, with symptoms coming on over the course of a day and becoming severe rapidly. Chronic appendicitis can also occur, though rarely. In chronic cases, symptoms are less severe and can last for days, weeks, or even months. 

Acute appendicitis is a medical emergency that almost always ends up in the operating theatre. Though the appendix is locally referred to as “lela la sukiri”, no one knows its exact role and it definitely does not have anything to do with sugar metabolism. Appendicitis can strike at any age, but it is mostly common from the teen years to the 30s.

Signs to look out for

If you have any of the following symptoms, go and see a Doctor immediately! Timely diagnosis and treatment are vital in acute appendicitis;

Sudden pain that starts around the navel and shifts to the lower right abdomen within hours

The pain becomes constant and increases in severity (or comes back despite painkillers)

The pain worsens on coughing, sneezing, laughing, walking or deep breaths

Loss of appetite

Nausea and vomiting

Fever

Constipation or diarrhoea

Abdominal bloating/fullness

Diagnosis

The doctor often asks questions regarding the symptoms and the patient’s medical history. This will be followed up by a physical examination in which the Doctor presses on the abdomen to check for any tenderness, and the location of the pain. With acute appendicitis, pressing on and letting go of the right lower abdomen usually elicits an excruciatingly unbearable pain. Several tests may be ordered to determine especially the severity of the illness and to rule out other causes of abdominal pain. The tests may conditions include: blood tests, a pregnancy test, urinalysis, abdominal  “How do ultrasound scans work?” ultrasound (scan), CT scan or MRI Scan.

Treatment

The gold standard treatment of acute appendicitis is surgical removal of the appendix known as appendectomy. Luckily, a person can live just fine without an appendix! Surgical options include laparoscopy or open surgery and the type will be decided on by the Surgeon after assessing the patient’s condition. Painkillers and antibiotics are also given intravenously usually before, during and after the surgery.

Complications

Appendicitis can cause serious complications such as;

Appendicular mass/abscessIf the appendix is inflamed or bursts, one may develop a pocket of pus around it known as an abscess. In most cases, the abscess will be treated with antibiotics and drained first by placing a tube through one’s abdominal wall into the abscess. The tube may be left in place for a few hours or days while the infection is clearing up but ultimately one would still have surgery to remove the appendix.

Peritonitis – without treatment, the appendix can rupture/burst. The risk of this rises 48–72 hours after symptoms start. A ruptured appendix spreads the infection throughout the abdomen (peritonitis). This is life threatening and requires immediate surgery to remove the appendix and clean the abdominal cavity.

Death – The complications of appendicitis (and appendectomy) can be life threatening, only if the diagnosis has been missed and no proper treatment has been given on time. This is rare though with the evolved medical care.

If you need further advice or treatment please call 4924730, email  HYPERLINK “mailto:info@themedicscentre.co.bw” info@themedicscentre.co.bw or visit www.themedisccentre.co.bw

Antoinette Boima, MBBS, BMedSci, PgDip HIV/AIDS, Cert Aesth Med is the Managing Director of The Medics Centre in Palapye.

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A degree of common sense

7th February 2022

Here’s a news item from last month you may have missed. In December 2021 the University of Staffordshire announced it would be offered a degree course in pantomime! Yes, that’s right, a degree in popular festive entertainment, the Christmas panto.

We used to have one here, put on by the Capitol Players, though it seems to have fallen away in recent times, but the spectacle is still alive and well in the UK, both in local ad-dram (amateur dramatic ) societies and on the London stage and most of the major cities, these latter productions usually featuring at least one big-draw name from the world of show business with ticket prices commensurate with the star’s salary.

In case you’re unfamiliar with the pantomime format, it consists of a raucous mixture of songs and comedy all based around a well-known fairy or folk tale. Aladdin and His Magic Lamp, Cinderella, Jack & The Beanstalk & Dick Whittington are perennial favourites but any well-known tall tale goes. There is no set script, unlike a play, and storyline is just a peg to hang a coat of contemporary, often bawdy, gags on, in what should be a rollicking production of cross dressing – there has to be at least one pantomime dame, played by a man and always a figure of fun, and a Principal Boy, ostensibly the male lead, yet played by an attractive young woman.

As an art form it can trace its roots back to 16th century Italy and the Commedia Del’Arte which used a mélange of music, dance, acrobatics along with a cast of comic stock characters so it has a long and proud theatrical tradition but you have to wonder, does that really qualify it as a suitable subject for a university? Further, what use might any degree be that can be acquired in a single year? And last but not least, how much standing does any degree have which comes from a jumped-up polytechnic, granted university status along with many of its ilk back in 1992, for reasons best known to the government of the time? Even more worrying are the stated aims of the course.

Staffordshire University claims it is a world first and the masters course is aimed at people working inside as well as outside the industry. Students on the course, due to start in September 2022, will get practical training in the art form as well as research the discipline.

“We want to see how far we can take this,” Associate Professor of Acting and Directing Robert Marsden said. The role of pantomime in the 21st Century was also going to be examined, he said, “particularly post Me Too and Black Lives Matter”. Questions including “how do we address the gender issues, how do we tell the story of Aladdin in 2021, how do we get that balance of male/female roles?” will be asked, Prof Marsden added.

Eek! Sounds like Prof. Marsden wants to rob it of both its history and its comedic aspects – well, good luck with that! Of course that isn’t the only bizarre, obscure and frankly time and money-wasting degree course available. Staying with the performing arts there’s Contemporary Circus and Physical Performance at Bath Spa University. Sounds like fun but why on earth would a circus performer need a university degree?

Or how about a Surf Science and Technology degree at Cornwall College (part of the University of Plymouth). Where the one thing you don’t learn is….how to surf!

Then there is a  degree in Floral Design at University Centre Myerscough. No, I hadn’t heard of it either – turns out it’s a college of further education in Preston, a town that in my experience fits the old joke of ‘I went there once…..It was closed’ to a ‘T’!

Another handy (pun intended) art is that of Hand Embroidery BA (Hons), offered at the University for the Creative Arts. Or you could waste away sorry, while away, your time on a course in Animal Behaviour and Psychology. This degree at the University of Chester teaches you about the way animals think and feel. Cockroaches have personalities according to the subject specs– you couldn’t make it up.

Happily all these educational institutes may have to look to their laurels and try to justify their very existence in the near future. In plans announced this week, universities could face fines of up to £500,000 (P750m), be stripped of their right to take student loans or effectively shut down if they cannot get 60 per cent of students into a professional job under a crackdown on ‘Mickey Mouse’ courses. Further, at least 80 per cent of students should not drop out after the first year, and 75 per cent should graduate.

The rules, published by the Office for Students (OfS), aim to eliminate ‘low-quality’ courses by setting new standards & requiring courses to improve their rating in the TEF, the official universities ratings system. Universities not meeting the new standards will not be able to charge full annual fees of £9,250. Unconventional courses that could fall victim to the new rules could include the University of Sunderland’s BA in Fashion Journalism, where students learn essential’ skills such as catwalk reporting and the history of Chanel.  They have only a 40 per cent chance of entering highly skilled work 15 months after leaving.

At University College Birmingham, BSC Bakery and Patisserie Technology students – who learn how to ‘make artisan bread’ – have a 15 per cent chance of a professional job within 15 months. Universities minister Michelle Donelan welcomed the move, saying ‘When students go to university, they do so in the pursuit of a life-changing education, one which helps pave their path towards a highly skilled career. Any university that fails to match this ambition must be held to account.’

OfS found that at 25 universities, fewer than half of students find professional work within 15 months.  Business and management courses at the University of Bedfordshire (14.8 per cent) were among the least likely to lead to graduate-level jobs.  Asked to comment, the University of Sunderland said it always looked ‘to find ways to improve outcomes’; University College Birmingham said data on graduates and definition of ‘professional work’ was limited. I’ll bet it is! As the saying goes, ’what the eye doesn’t see, the heart doesn’t grieve over’. What a pantomime!

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Why regular health checks are important!

7th February 2022

With the world still reeling from the negative impact of the Coronavirus disease-19 (COVID-19), and the latest Omicron variant (which is responsible for the ongoing global forth wave) on everyone’s lips, we should not forget and neglect other aspects of our health.

While anyone can get infected with corona virus and become seriously ill or die at any age, studies continue to show that people aged 60 years and above, and those with underlying medical conditions like hypertension, heart and lung problems, diabetes, obesity, cancers, or mental illness are at a higher risk of developing serious illness or dying from covid-19.

It is a good habit to visit a doctor regularly, even if you feel healthy. Regular health checks can help identify any early signs of health issues or assess your risk of future illness hence prompting one to take charge and maintain a healthy lifestyle. Heart disease, diabetes, some cancers and other non-communicable diseases (even communicable) can often be picked up in their early stages, when chances for effective treatment are high.

During a health check, your doctor will take a thorough history from you regarding your medical history, your family’s history of disease, your social life and habits, including your diet, physical activity, alcohol use, smoking and drug intake. S/he will examine you including measuring your weight, blood pressure, feeling your body organs and listening to your heart and lungs amongst the rest. Depending on the assessment, your doctor will notify you how often you need to have a health check. If you have a high risk of a particular health condition, your doctor may recommend more frequent health checks from an early age.

Diet – a healthy diet improves one’s general health and wellbeing. It is recommended that we have at least two serves of fruit and five serves of vegetables daily. Physical activity – regular physical activity has significant health benefits on one’s body, mind & soul. It contributes to preventing and managing non-communicable diseases such as cardiovascular diseases, cancers and diabetes, reduce symptoms of depression and anxiety, enhances thinking, learning, and judgment skills and improves overall well-being. According to the world health organisation (WHO), people who are insufficiently active have a 20% to 30% increased risk of death compared to people who are sufficiently active. Aim for 30 minutes to an hour of moderate physical activity at least four days in a week. Examples of moderate physical activity include brisk walking, gentle swimming and social tennis.

Weight – maintaining a healthy weight range helps in preventing long-term complications like cardiovascular disease, diabetes and arthritis. It is also vital for one’s mental wellbeing and keeping up with normal activities of daily living. Ask your doctor to check your body mass index (BMI) and waist circumference annually. If you are at a higher risk, you should have your weight checked more frequently and a stern management plan in place.

Alcohol – as per WHO reports, alcohol consumption contributes to 3 million deaths each year globally as well as to the disabilities and poor health of millions of people. Healthy drinking entails taking no more than two standard drinks per drinking day with at least two alcohol-free days in a week.

Smoking –Nicotine contained in tobacco is highly addictive and tobacco use is a major risk factor for cardiovascular and respiratory diseases, many different types of cancer, and many other debilitating health conditions. Every year, at least a whopping 8 million people succumb from tobacco use worldwide. Tobacco can also be deadly for non-smokers through second-hand smoke exposure. It is not ‘fashionable’ if it is going to cost you and your loved ones lives! If you are currently smoking, talk to your doctor and get help in quitting as soon as possible to reduce the harm.

Blood pressure: Hypertension is a serious medical condition and can increase the risk of heart, brain, kidney and other diseases. It is a major cause of premature death worldwide, with upwards of 1 in 4 men and 1 in 5 women – over a billion people – having the condition. Have your blood pressure checked annually if it is normal, you are aged under 40 and there is no family history of hypertension. You might need to have it checked more frequently if you are over 40, your blood pressure is on the high side, or you have a personal or family history of high blood pressure, stroke or heart attack. Your doctor will be there to guide you.

Dental care – eating a low-sugar diet and cleaning and flossing the teeth regularly can reduce one’s risk of tooth decay, gum disease and tooth loss. Visit a dentist every six months for a dental examination and professional cleaning, or more frequently as per your dentist’s advice.
Blood tests – annual to five-yearly blood tests may be done to further assess or confirm risk of disease. These may include blood sugar levels, cholesterol levels, kidney function, liver function, tumour markers, among other things. They may be done frequently if there is already an existing medical condition.

Cancer screening – various screening techniques can be done to detect different cancers in their early or pre-cancer stages. These include; skin inspections for any suspicious moles/spots, two-yearly mammograms for those at risk of developing breast cancer, Pap smear or the new Cervical Screening Test (CST) every five years, stool tests and colonoscopy (every five years) for those at most risk of bowel cancer, prostate cancer screening for those at risk (over 45 years of age, family history of cancers etc.). Discuss appropriate tests with your doctor.

Vaccinations – You should discuss with your doctor about the necessary routine immunisation, in particular; the Covid-19 vaccines, an annual flu shot, a five-yearly pneumococcal vaccine if you have never had one or you are immunocompromised and any other boosters that you might need.

If you need further advice or treatment please call 4924730, email HYPERLINK “mailto:info@themedicscentre.co.bw” info@themedicscentre.co.bw or visit www.themedisccentre.co.bw

Antoinette Boima, MBBS, BMedSci, PgDip HIV/AIDS, Cert Aesth Med is the Managing Director of The Medics Centre in Palapye.

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