Jwaji ( mood )

Yes I am still alive and I have no reason to leave my blog like this for this long time , I am as busy as everyone of you so the reason I guess is that I don't have the mood or what we call in Libya Jwaji to log into the blog world .

speaking of moods or jwaji as I prefer to call it, I want to say how much this word means to us as libyans , everything in here is driven by jwaji , why this street is closed for constructions today without any warning ? it's simple somebody's jwaji told him to close it and work here today , why the guy working in this office not here doing his job? ,well we are sorry he doesn't have jwaji to work today , in TMC ( tripoli medical center ) they closed the gate to the main parking area and now you have to take a whole big turn around Libya to get to the parking area and when I asked one of the security staff working there and insisted on knowing why he just laughed and said jwaji, everywhere you go you would find somebody working according to his jwaji so my advice to you next time you go to a place where you need to be served you ask the man or the lady behind the desk do you have jwaji today if yes then it's your lucky day if not then try again some other day when they have jwaji for you.

I hope I get my jwaji back for blogging

Anisto

Note: thank you for all who asked about me when i was away :)

صور من بلادي

يوم الاحد الماضي كان الجو من اروع ما يكون وكان احلي شي انه العيلة كلنا مشينا الي قماطة اللي اصلنا منها, الجو الهادي والناس الطيبة والماكلة الحلوة كلها غادي

يامحلاك يا بلادي

نسيت نحط صورةالفكرونة اللي لقيتها في قماطة سمينها سلحوبة وهي توا عايشة معانا في الحوش

معليشي يا انجلو صقع عليك الفكرونة القماطية

Without بدون

مش عارف شورني خديت علي الكسل والتنبلة كل ما تجيني فكرة تدوينة جديدة نقول خلاص تو نكتبها الليلة وما تجي الليلة لين يكون حيلي مهدود وعظامي مدقدقات وخاصة عظام صوابع ايدي الزوز لانه هاليومين شادها سهريات علي البلاي ستيشن نلعب كورة انا وصحابي والصراحة لقيت البلاي ستيشن خير من العلاج الطبيعي لصبعي

توا خلي نقولو كلمتين جد, وانا في السوبر ماركت صادفت شي غريب عليا يضحك ويبكي يعني خلاص ضاقت معاش لقو شني يجيبو , الباين يمهدو للجاي اللي بدون بدون

تاسوعاء و كتاب تفسير العشر الاخير

السلام عليكم
انشاء الله ربنا يتقبل صيامكم اليوم هو تاسوعاءوغدا عاشوراء فمن لم يصم اليوم فليتذكر غدا انشاء الله , وقد وصي الرسول صلي الله عليه وسلم بصيام تاسوعاء فعن عبد الله بن عباس ـ رضي الله عنهما ـ قال: حين صام رسول الله صلى الله عليه وسلم يوم عاشوراء وأمر بصيامه قالوا : ثم يا رسول الله إنه يوم تعظمه اليهود والنصارى!! فقال رسول الله صلى الله عليه وسلم : (فإذا كان العام المقبل ـ إن شاء الله ـ صمنا اليوم التاسع) .
قال : فلم يأت العام المقبل حتى توفي رسول الله صلى الله عليه وسلم. رواه مسلم


واحببت بهذه المناسبة ان أهدي لكم هذا الكتاب القيم اللذي حط بين يدي منذ وقت ليس ببعيد , كتاب تفسير العشر الاخير من القرآن الكريم وهو يحتوي علي

أولاً : آيات وأحاديث عن فضل القرآن الكريم وتلاوته وتدبره .

ثانيا : الأجزاء الثلاثة الأخيرة من القرآن الكريم التي يركز غالبية المسلمين عليها قراءة وحفظاً .

ثالثا : تفسير هذه الأجزاء لأنه لا تتم الفائدة إلا بمعرفة المعنى الموصل لتدبرها و العمل بها .

رابعا : بعض أحكام التجويد المهمة لتحسين التلاوة .

خامسا : توضيح عقيدة المسلم بطريقتين :

الأولى: طريقة السؤال والجواب ، بالإجابة المختصرة الواضحة لستين سؤالا في أهمّ المسائل العقدية .

الثانية: طريقة الحوار وسرد القصص الهادفة من خلال موضوع : ( حوار هادئ ) .

سادس : أركان الإسلام ابتداء بالشهادتين ، ثم أحكام الطهارة و الصلاة ، ثم الزكاة و الصيام و الحج .

سابعا : نظراً للتنبيه في أسئلة العقيدة عن تحريم الذهاب للسحرة والمشعوذين ، ولإتمام الفائدة ذكرنا البديل الشرعي لذلك وهي الرقية الشرعية ليلجأ المسلم إلى الله في كل أحواله ، ثم ذكرنا صفات الساحر والمشعوذ للتفريق بينه وبين الرجل الصالح لأن أكثرهم يتنكر بزي الصلاح .

ثامناً : ونظراً للتنبيه في مسائل العقيدة على تحريم سؤال ودعاء أصحاب القبور والأولياء من دون الله ، ذكرنا البديل الصحيح لذلك وهو الدعاء المشروع الوارد عن رسول الله صلى الله عليه وسلم ، مع ذكر أسباب وموانع الإجابة وأمثلة من الدعاء المأثور ، ثم تكلمنا عن ذكر الله وفوائده وفضائله ، مع بعض الإذكار الواردة .

تاسعاً : تلخيص أكثر من سبعين باباً في فضائل الأعمال من كتاب رياض الصالحين على شكل جدول مختصر نذكر فيه العمل الفاضل مع حديث صحيح في فضله ، بالاضافة إلى تلخيص أكثر من ستين باباً في الأعمال المنهي عنها مع الدليل .

عاشراً : وختمنا هذه المجموعة بصفة مصورة عن كيفية الوضوء وكيفية أداء الصلاة وبعض الأخطاء في ذلك .

تستطيع تحميل اي محتوي من الكتاب من هنا

لييم

سلام

الجو هاليومين مش ولا بد مرة صقع ومرة مطر , مرة شمس ومرة سحاب الزكمة كاثرة والناس نصها تكحكح لكن الحمد لله انا مريح روحي وديما متغلف باهي شمس ولا سحاب صقع ولا نو هكي الواحد يستريح من هم الزكمة والخشم المغلوق

يوم الجمعة كان الجو معقول فقررت انا وصاحبي نمشو لمزرعتهم ونلقطولنا شوية لييم ( برتقال)

ماشاء الله المزرعة كانت معبية اشكال وانواع

درت علي الشجرات كلهم تقريبا ذقت منهم لين بطني انتفخت وعبيت شوية لويمات للحوش

بعدين جت طويسة شاهي عدلت الدماغ مع الجو الهادي والهوا النظيف

لما جيت نحط الشكاير في السيارة انخلعت شني بندير بالليم هذا كله, زي ما قالت امي الباين شيرتي مذهوبة

أنستو

It's a new year

Honestly I don't feel any change but I hope it will bring the best for all the world inshallah

I have no plans for the new year except to work for the same goals I have in my head which I still didn't achieve.

I am still going to physiotherapy sessions and I feel a little improvement in my finger alhamdulilah , I also bough exercising ball ( I named it Balla ), I keep it with me all the time and use it everywhere ,even the consultant of the unit I work at now caught me playing with it during the round ,I don't knwo I can't stop playing with Balla I love the sensation of squeezing it's very relaxing, sometimes even while driving I find it in my hand without knowing and squeezing it , I am addicted to it .

This is lucky the laziest cat in the world , I am not used to having cats wandering around because my dad never liked having any kind of animals at home his excuse was I already have too many , I was at my friend's house that day and I slept there and while dreaming I started to feel something walking on me I thought it was with the dream till I opened my eyes and screaming like a girl i found lucky was standing on my chest , I wonder how cat owners live their lives having somebody always walking around the house I think people with cats or pets get robbed more than people who don't have any pets , it makes sense that the slightest abnormal sound will wake me up in the middle of the night but if I had a cat I will think oh it's just the cat.

now time to go back to my miserable life routine

Anisto

Thumb, Laptop and Libya

First of all, I am sorry for all the people who wasted their time by checking my blog in the last two months I really have no excuse for disappearing like this, sure I was busy with my duties as an intern, working and many other things but I always did some free time in my hands but I had no Neeya to blog like most of you because I can see there wasnt that much updating from most of the libyan bloggers, maybe a bug infected us all but now hopefully we all come back to wasting our time at least twice a week to write in our blogs .

So what happened with me all this time I was away?

• I had a deep cut wound at the base of my left thumb, it was deep enough to cut the tendon causing me to loose the movement of the finger at the distal joint, I had a minor operation on it where they connected the tendon ends to each other but the movement is still not that good yet it needs time and physiotherapy, I only removed the stitches yesterday after three weeks of having my hand in a cast, inshallah I regain the full movement of the finger soon (please id3oli )

• I got a new laptop (((( FINALLY )))) HP pavilion 6426us so no more waiting for the computer to be free.

• I finished my Medicine course and this week is the last weel in Orthopedics course which I didn't get much done in it because my hand was splinted and when every patient would see me they would stare and think of the Libyan saying ( ما لقي الطب لروحه )

• One of my best friends came back from Greece to stay here forever so everyone is bothering him with WHY DID YOU COME BACK HERE??!! like him I faced this question so many times before, I can never think of leaving Libya forever, there are things here you wouldn't find anywhere else like not getting a speed ticket no matter how fast you drive :P and a very long list of things you find here that makes us live outside this world

----------------Update ----------------

• somehow I forgot to share with you all how I injured my thumb, I was on a ladder picking something from an aluminum shelve (scafali) the ladder slipped away and while I was falling involuntary as any human being would do I grabbed the edge of the shelve and you know the rest. There was blood everywhere, for the first time I saw my finger wide open. Trust me, it was not a pleasent sight. I quickly ran to the bathroom and put some water on the cut and checked it out to find that it's really deep.. I tried moving the finger but it wouldn't move :(

• I broke my glasses which I had for more than 3 years (a new record) so I had to buy new frames. Buying glasses is like getting a new face, they have to be nice enough because I am gonna see myself wearing them everyday and other people will see me wearing them. So I went to my favorite shop and bought these half nice half girly glasses I seriously do not know how the girl in the shop convinced me to buy them, I think the part where she said they make me look thin made me decide to buy them immediatly. However, only after buying them I starting thinking in what way exactly do they make me look thin? Us men get fooled easily by women thats why women shouldn't be allowed to work in places where men shop. Some people take advantage of our weakness and put a girl to answer the phone for customer service. Because if the caller was a guy and a nice friendly women voice is on the other line, that voice would make him forget why he called in the first place and if it was a women they would end up talking for hours on the phone about something else. With women you can never win, its either you back out or loose :P

Yes
Na3am
Aywa

I am still alive and missing you all , I am here as you all know to wish you a happy eid with my usual way by copying one of the eid sms so here it goes

عيد سعيد
وعصبان لذيد
وحبل معبي بالقديد
وشواء يفحفح من بعيد
وكل عام وانت سعيد

Happy eid everyone

عيدكم مبارك

انشاء الله كل عام والجميع بألف خير و عيدكم مبارك يا رب
مش عارف شني بنقول اكثر من هكي فاخترت نكتبلكم مسجين من تيلفوني وخلاص

رزقك الله قوة الزعيم
وشجاعة ابو شهاب
وتوبة الادعشري
وصبر ابو عصام
وأبعد عنك امثال ابو غالب وفريال
وظلل عنك اشباه سطيف
( أنا وأهل الحارة كلها بنقولك كل عام وانت بخير يا زكرد)
---------------------------------------------
زادك الله نور
وضاعف لك الأجور
و سهل لكالأمور
و بلغك العيد بسرور

Libya and medical ethics

Working in a public hospital in Libya opened my eyes on so many things but one of my biggest concerns is The Medical Ethics issue ,I already knew the same as most of the Libyans that our hospitals filled with unethical doctors and health care staff and how in our hospitals the way the patient treated is less than a prisoner anywhere else in this world ,but it was shocking to live this fact and to see all the violation of the patients privacy and the way the doctors treat the patients , I don't know if all this because the medical ethics wasn't introduced as a studying material in Medical school until recently or is it because all the hospital staff doctors and nurses feel like they are above the law and no one will judge them when things go wrong .

It's just so sad to see a doctor with no ethics and to see a patient treated as a subject not as a human being , private hospital or public it doesn't matter because the same mentality working in either places, that what makes almost 90% of the Libyans go to Tunisia for therapy or check up , even most of the hospitals in Tunisia are working only to get as much money as they can from the Libyans but I can't blame the people who go there because I know at least they will get the attention and the psychological support that they will never find here, and it's not only our doctors and health staff who make all these people seek health care outside Libya but also the shortage of everything in our hospitals starting from the plaster to the Imaging machines .

there is a lot more to add but I will leave you with this nice article I read in the Libyan Medical Journal

	Medical ethics in Libya: where to start?
			Elmahdi A. Elkhammas, MD, FACS Department of Surgery, Division of Transplantation, 343 means Hall, 1654 Upham Dr., Columbus, Ohio, 43210, USA

---

When it was decided that I will write the editorial for the second issue of the Libyan Journal of Medicine, I was not sure where to start. There are many topics that are related to global health issues and many are specifically related to the health system in Libya. For this issue, I decided to start some discussion on medical ethics as it relates to the Libyan medical culture. In our culture we tend not to inform the patient about the seriousness of his or her illness especially if the case is terminal. We do tell the family and some times other relatives. We even answer questions about it during social events. This means that the patient’s lack of information is complicated by lack of privacy and confidentiality. We have very little time to sit with the patient and discuss the issues with him. Of course the situation is better in private practice (anecdotal, but no scientific studies). Some consultants tend to make rounds as they wish without respect to their teaching duties or their patients needs. Others have neglected patients after a major surgical procedure and not visited the patient at all until the patient’s death. Is it a wrongful death? The answer is beyond the scope of this editorial. It is not unusual to be sarcastic and make fun of the older patient who present with symptom of sexual dysfunction and remind him that he is too old for that and he should be ashamed of himself. The social status of the patient is a key factor for how he or she will be talked too and treated. If you are rich or poor, high ranking official or average human being, young person or old, presented to a Government hospital or to a private clinic, all of the above criteria may make a difference in how the patient is received or treated.

I have to admit that the issue is very complex. Most of the ethical or unethical behavior of physicians of my generation was obtained as part of the cultural and the religious backgrounds. No courses on medical humanity and ethics were taught as part of medical school curriculum. One might argue that common sense and the basic principles of our religion should be adequate to lead us to the ethical behavior. That might be true to some extent, but when you see your teacher’s behavior over seven years in medical school, and during the time you spend with him or her (attachment, internship, house officer) you will certainly be influenced. Therefore, it becomes our responsibility to read about medical ethics and to develop the correct courses with the help of professionals in the field.

It is our obligation to be the role models for the new generation of physicians and medical professionals. It is our obligation to show our students and residents that the patient is not a number. The patient is a human being who is suffering from illness, and came to you as an expert in the field to solve his problem. If we learn to show them that, then we will also show them that we need to talk to the patient with respect, honesty and full truth. We need to listen to them and give them a chance to explain all their symptoms. We show the students how we take patients’ complaints seriously. It does not matter if the case is in a general hospital or a private clinic. We need to go back to a very basic principle which tells us that if you lack knowledge you cannot teach it. So if you lack the ethical behavior, then you cannot teach medical ethics. I am stressing our role as seniors to start with ourselves and improve our ethical behavior. We also need to make sure that we have a strong course of medical humanity and medical ethics being taught at our medical schools.

It makes sense to me if all medical schools in the country have one committee to develop such curriculum to be taught cross the country. There is a need for a code of ethics at all levels. We need Code of ethics for the secretary of health, faculties of medicine and all hospitals. We need to train and form ethics committees in all hospitals and teaching institutions.

As Libyan Journal of Medicine being the official publication of Ibnosina Medical Association, it makes sense that we follow Ibnosina (Avicenna) footsteps. He was the ideal physicians and philosopher who followed ethical principles with his profession. For that reason UNESCO established an Ibnosina prize for ethics in science during its 166^th session (2002). The first prize was awarded to Professor Margaret A. Somerville, Professor of Law and medicine at McGill University, Montreal (Canada). I believe it is about time to make medical ethics part of our life in Libyan medical education and profession. Maybe one day we can nominate one of our professors to this prize. At this point I think it would be a challenging task to choose one.