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)
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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

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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.

عودة

السلام عليكم

أولا ولو انها متأخرة لكن كل سنة وانتو طيبين بمناسبة رمضان وانشاء الله ربي يتقبل صيامكم

شكرا لكل من حط تعليق او سأل عني وسامحوني علي التأخير في الاجابة لكن انشاء الله خلاص الايام هذي مكسد وإنشاء الله حنكتب علي بعض اليوميات الكويسة منها واللي تدره الكبد .

انا مش عارف امتي اخر مرة خشيت علي النت وشفت اي حاجة ثانية غير الإيميل يعني علي أساس مش فاضي و وقتي معبي ,انا صح كنت مشغول الفترة الماضية بامورمنزلية و دراسية والحمد الله كل شي تمام توا , خلاص كملت الدراسة وبديت في سنة الامتياز يعني وليت دكتور بس مازال من غير شهادة لكن اهو علي الاقل خششت راسي في معمعة المستشفيات وانشاء الله هالسنة تمر علي خير.

نسيت نقول مبروك لكل مشتركي LTT وأخيرا الADSL صار ب 20 دينار شهريا مع حصة 7 GB لكن يا فرحة ما تمت اي نعم الانترنت رخص لكن الخبزة سعرها ارتفع مش عارف كيف وامتي لكن صاحب الكوشة من ايام فاتو فنص فيا لما مديتله ربع وانا واخد 10 فردات قالي نحي زوز توا الثمانية بربع
امتي صار يا عمو
توا
شني هني بس
لا في كل مكان
شني السبب
الدقيق ناقص
وبعدين
فنص فيا وعرفت شني يقول في خاطره ( خود ولا خلي تره بلا تدريه كبد)
زمطت رياقتي و طلعت وانا نتمتم ( نحي من اللحية وحط في الشارب(
الباين اللي بنوفره من الانترنت بنحطه في الخبزة وخلاص وزي ما انتو عارفين حني الليبيين شعب خبزاوي يعني كل شي ناكلو فيه بالخبزة من نفاص الطن لطبيخة الفاصوليا بالكرشة وفيه ناس اي شي لازم ما تاكله بالخبزة كمثال زمان قري معاي واحد في المدرسة جايب سندوتش فسطه عصيدة ورب وعندي صديق ياكل في سندوتشات بالموز يعني فردة خبزة وفسطها موزة ولا موزتين , وصدقوني عمركم ما حتشوفو زحمة علي الكوشة زي ما عندنا الناس غير يسمعو الدقيق ناقص كلهم تجيهم النية في الخبزة ويبدو قريب يتقاتلو عليها , زمان وانا صغير لحقت شوية علي ازمة الكوش لما كانت بالطابور ( قصدي كمشة ناس والصحيح ياخد) وللأسف المنظر هذا بعد ما اختفي لفترة طويلة لكن السنة هذي الزحمة زي زمان واحرف .

الحمد لله علي كل حال وزي ما تقول جدتي انشاء الله هذا حد السو

Crazy people

I had couple of Japanese friends who thought that we are " the rest of the world " weired and crazy so take a look at this and tell me if they were right or not ?

Ping Pong Matrix style

Food Fighting

Desktop personality

So what does this background say about me ?
waiting for your analysis Dr.Akak

MiniFan

Are you feeling really hot these days ?
Is your air conditioner not working probably?
Do you have troubles with repeated electricity cut offs ?


now we have the solution for you
MiniFan
it's the world's smallest cooling device
MiniFan
it works without electricity or battaries
MiniFan
it works very easily
just shake it right and left and the cool breeze will hit your face
MiniFan
fits in your pocket so you can take it everywhere with you
MiniFan
Makes your summer cold :)

MiniFan

Caution

not suitable for children under 3 years of age ( it's easily swallowed )

How dumb I can be

I open the fridge there is only fat free milk which I hate so much and the whole milk isn't in the fridge but in the cupboard so i decide ok let me use the fat free milk, I pour it in my mug put it in the microwave till it gets hot then I add cocoa to it, now I remember why didn't I use the normal milk :S didn't I just boiled the cold fat free milk .


I arrive just in time for my favorite show on tv , the show starts and I am watching but where is the remote control, I get up and look for it in the whole room, half the episode has passed and I can't find it I look outside the room during commercials I keep looking till the show is over and I still can't find the remote , why didn't I just sit and watch ? what I was going to do with the remote anyway ? .


What will happen if I put the cd the wrong side? , I've thought about it so many times and I decided to be dumb enough and try it , surprisingly the computer didn't explode as I thought and the cd driver is still working good but there is one thing I was hoping to happen, I wanted to get an error message saying WRONG SIDE flip the CD over .


I was hungry and lonely I wanted to eat something, I find a can of Fooll mdamis , I put the pan on the cooker I add oil and then put whats in the can all on the frying pan with really hot oil and the fire almost reached the ceiling I flip the pan in it's place and cut off the gas , what a mess now .
my mind tells me to always put the frying pan on the cooker then add some oil then eggs cos I am used to making fried eggs only , and I forgot that this time the fooll mdamis can contains water and when you add that to hot oil a fire will start .

La Extraordinary Liga

I actually don't bite my nails but I pull them off with my other nails when I am so stressed or excited, yes I am that crazy and you wouldn't understand why until you see how stressing and exciting the last few games in the Spanish league (La Liga) were. My team; Real Madrid were loosing the whole time until the last minute when they turned everything the other way around and won, they didn't do it in one game or two but for the last few rounds on the Spanish league every game for Real Madrid was so special because they fought till the last minute and always got over the other teams and win.

I am sure if I had heart problem I would be dead by now from all the moments I went through while watching the last three rounds of the Spanish league.

Last night was the last game in the league and I can't describe to you how happy I was when Real Madrid finally and after four years of waiting they won the Spanish league :D , I swear if you hated football you would still love and enjoy the excitement of the Spanish league this year, the heat was until the last match between three teams; Real Madrid, Barcelona and Seville. Real Madrid surprisingly came from behind and stole the lead from Barcelona and managed to keep the lead till the last game even though they were equal in points, 76 each but Real won the league because they won the results of the two games between them and Barcelona.

I feel so sorry for all Barcelona's fans who were showing off the whole year and now in the end the best team won :D

من خطبة الجمعة - خمس خصال

روي أن رجلاً جاء إلى إبراهيم بن أدهم فقال له : يا أبا إسحاق إني مسرف على نفسي ، فأعرض على ما يكون لها زاجراً ومستنقذاً لقلبي

قال : إن قبلت خمس خصال وقدرت عليها لم تضرك معصية ولم توبقك لذة

قال : هات يا أبا إسحاق !
قال : أما الأولى : فإذا أردت أن تعصي الله عز وجل فلا تأكل رزقه

قال : فمن أين آكل وكل ما في الأرض من رزقه ؟

قال : يا هذا ! أفيحسن أن تأكل رزقه وتعصيه ؟
قال : لا ,هات الثانية .
قال : إذا أردت أن تعصيه فلا تسكن شيئاً من بلاده

قال الرجل : هذه أعظم من الأولى ! يا أبا إسحاق إذا كان المشرق والمغرب وما بينهما له فأين اسكن ؟

قال : يا هذا! أفيحسن أن تأكل من رزقه وتسكن بلاده وتعصيه ؟

قال لا ، هات الثالثة .
قال : إذا أردت أن تعصيه وأنت تحت رزقه وفي بلاده فانظر موضعاً لا يراك فيه مبارزاً له فاعصه فيه

قال : يا إبراهيم ! كيف هذا وهو مطلع على ما في السرائر ؟

قال يا هذا أفيحسن أن تأكل من رزقه وتسكن بلاده وتعصيه وهو يراك ويرى ما تجاهر به ؟

قال : لا هات الرابعة .
قال : إذا جاءك ملك الموت ليقبض روحك فقل له : أخرني حتى أتوب توبة نصوحاً واعمل لله عملاً صالحاً

قال : لا يقبل مني !

قال يا هذا فأنت إذا لم تقدر أن تدفع عنك الموت لتتوب ، وتعلم أنه إذا جاء لم يكن له تأخير ، فكيف ترجو وجه الخلاص ؟

قال : هات الخامسة

قال : إذا جاءتك الزبانية يوم القيامة ليأخذوك إلى النار فلا تذهب معهم

قال : لا يدعونني ولا يقبلون مني

قال : فكيف ترجو النجاة إذا ؟

قال له : يا إبراهيم حسبي حسبي , أنا استغفر الله واتوب إليه , و لزمه في العبادة حتى فرق الموت بينهما .

اسأل الله ان يلطف بأهل عمان ويحفظهم وخاصة اختنا العزيزة ليبية وأهلها

TAQNYA 2007

I went to TAQNYA 2007 The International Telecom & Information Technology Exhibition, it wasn't that intersting as it was more for the companies than individuals who are just curios like me,but again it's nice to see new stuff plus I had nice time learning from this guy at a company showing their finger print operated locks quite intersting how it works I even tried it .

any way here is some pctures from the exhibition dedecated to misratia who couldn't coem this year .

This is the entrance to the exhibition

LTT was the first thing I saw just to the right of the entrance , I asked them some questions but again there were no useful answers , but at least they said may be this September they are going to lower the prices for the adsl to 20 dinars instead of 50 a month and also make some changes on the services to make it better than it's now .



LTT had open WiFi Internet connection in the area of the exhibition, and they also had this questionnaire that I answered quite honestly so I hope they don't cut my connection at home .

Motorola

The General post and telecom company

Almadar Telecom

Althuraya

Nokia was there with a big collection of music players that work as phones as well , it's really amazing how the phone settings became the last thing you look for in a mobile phone .

HP

Ericsson

Libyana hand nothing to show except leaflets on their 3G service which we already know everything about it

NEC

not trying to look at the empty half of the cup but things like this entrance to the exhibition makes me so irritated and I wonder why they can't make entrance that doesn't make you feel like going into a prison .

No comment for this one , if you are interested it's just few meters away from the exhibition entrance