Thursday, January 31, 2008

My heart will go on


I was reading through the most prestigious medical journal, the New England Journal of Medicine, to see what's new in the world of medicine.

I came across this study, "Cardiovascular Events during World Cup Soccer"

This well-designed study showed that the incidence of heart attacks increased during the 2006 World Cup and was highest during the most competitive games that Germany (host country) participated in.


That spike numbered 5 is inreference to Germany's game against Argentina that ended up in penalty shoot-outs, and you can tell the incidence of heart problems (on the Y-axis) being very high that day.
I bet you I had an abnormal EKG during the entire 120 minutes of that game.

Man, medicine and football combined, that is orgasmic.

Monday, January 28, 2008

George vs. George and a World Without Islam

I was reading an article in Foreign Policy magazine titled "A World Without Islam". Graham Fuller, who used to work for the CIA, describes how the Middle East would have turned out to be if Islam have never existed, if no Prophet Muhammad was born, if Quran have not been there, and if more than one billion people who are Muslims now would have been followers of other religions.

Fuller does a good job in trying to figure out how history would have been shaped. After a few pages of interesting and thought-provocative read, he comes up with a conclusion: the world would have witnessed, more or less, the same conflicts that are present this day. Middle Easterns, whether Muslims or not, would have resisted the crusades and the invasions by the Western civilisation. I will not write in details how he reached this conclusion, but he gave plenty of examples of how many conflicts this day could have occured, and might have even been worse even if Islam was not present. He described how most major tragedies were not caused by Muslims.

Yesterday George Habash died. I may not agree with all what he have done in his life, but I'm pretty sure a time will come when I will miss him. Arabs will miss him, Palestinians will miss him. He dedicated his life to fighting the Israeli occupation and resisting the injustice that have encouraged by the West. Another George is the biggest supporter of this kind of injustice. He lead a war that killed more than 100,000 people and yet kneels on his knees every Sunday and claims Jesus tells him what to do.

I hope we can reach a moment of maturity where we realize that it's not your religion that makes you good or evil. I really hope people will start believing in this fact just like they believe in God. Religion is a powerful tool that can make anything you do or say, whether "good" or "evil", more powerful.
I hope you'll believe.

Monday, January 21, 2008

It's happening again


Doctors in Gaza decided to stop doing surgeries for their patients, because the electricity generated by the main hospital's generator is so scant that it can only run the ventilator machines in intensive care units.

These generators do not last forever, and in less than 24 hours they will shut down.

Another crime committed by Isarel, the country that attacks ambulances, bombs schools and destroys houses on its inhabitants without a warning.

Israel was founded by offending the right of others, killing the innocent, and with blood on its hands. It would be naive to believe that it would behave differently in order to defend itself.

Sunday, January 20, 2008

الأردن.... يلعن أبوك إذا حبيته ويلعن أبوك إذا ما حبيته



محبة الأردن ظاهرة تستحق الدراسة. أحياناً بتهيأيلي أنو في منافسة على الوطنية وهاي مش مشكلة فالانتماء للوطن أمر مطلوب لكن يبدو أن الانتماء للأردن أصبح يقاس بمعايير بحطها ناس ما في وراهم شغلة إلا الصراخ ليلا نهاراً أنهم للوطن ومن الوطن.
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أحد أهم المعايير المستخدمة حالياً هو الأصل فإن كنت من أصل فلسطيني فمقياس وطنيتك ينحدر بشدة حتى لو عبرت عكس ذلك، أما لهجتك المستعملة فتلعب دوراً إضافياً فكلما اشتدت حدة لهجتك وعبرت عن بعض الغضب في أي موضوع يطرح فمقياس وطنيتك يزداد، أما إذا تجرأت وقلت أن النظام العشائري نظام رجعي عندها ستدخل في خانة المغضوب عليهم.
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قد نكون البلد الوحيد في العالم الذي يخصص لجاناً ويقيم حملات وطنية يصرف فيها أموال الشعب من أجل إقناع هذا الشعب نفسه أن يحب الوطن. طيب يا أخي وحياة الله إني بحب الأردن وحتى في أميركا بدافع عن سمعته وإذا طلعلنا واحد أردني فظيحة باميركا بحكيلهم هادا مش أردني بس ما بدي مصاري الشعب تنصرف لتعبي جيوب شركات الاعلانات أو لتنصرف معاشات لمجموعة من نواب معظمهم فاسد نسي أهله ولم يوصله للقبة إلا العشائرية والقبلية
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بعض الفلسفجية أيضاً يعتقدون أن تأييد الحكومة ينبع من الوطنية، شوف أنا بصراحة مش محلل سياسي لكن بقدر أقلك بصراحة إنك إذا كنت فعلا حريص عالاردن ففي كثير حكومات كان لازم تعارضها
مجموعة الفلسفجية أيضاً استنتجت أن مقياس وطنيتك يعتمد على مقدار حبك للنادي الفيصلي وبغضك للوحدات، وكأن الوحدات يمثل عدواً استراتيجياً لمصلحة الوطن
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باتر وردم نبه لظاهرة جديدة نسبياً ربما لم ينتبه لها الكثيرون وهي أن الاجيال الجديدة من الاردنيين الشراكس بدأوا ينعزلون عن الحياة السياسية والاجتماعية في الاردن وازدادوا انغلاقاً على أنفسهم وما ألاحظه أنه ليس وحدهم الشركس الذين رغم حبهم وانتمائهم للأردن الذي لم يعيشوا في وطن غيره لكن شريحة كبيرة من الأردنيين بدأت تعزل بأنفسها عن شعارات تبدو وطنية في الظاهر لكنها معبأة بالحقد والعنصرية لدرجة كبيرة لم نعتد عليها في السابق

Wednesday, January 16, 2008

The Silent Weapon

Pictures from the oil crisis in 1973




"I waited for five and a half hours. FIVE and a HALF f**-ing hours, then they told me I can only have 3 gallons!"

Bob, the car salesman, looked pretty tense. He wasn't talking about the lack of oil in a 3rd world country, he was talking about the US 35 years ago during the oil crisis. "They didn't have enough for everyone!". Even after all this time, he had a tone of disbelief in his voice.

In 1973 Arab countries decided to stop selling oil to the US and Western Europe as a protest for their support of Israel. The price of oil doubled, and the economy of the strongest country in the world was in jeopardy. For some rare moment in history, Arabs used non-violence as a way to show that they are still in the game. The oil crisis was over in 1974, and since then the American and European support for Israel has been unapologetically enormous.

There were Republican primary elections in Michigan today. It's the state with the highest number of Arab Americans in the US. Nobody on news channels mentioned us, except for a 5-minute report on CNN Monday afternoon. The time that CNN allocated for Britney Spears' underwear was at least 100 times more than the time spent casting light on the opinions of Arab Americans in the coming elections (I'm dead serious). Only one candidate, a democrat called Dennis Kucinich, approached Arab Americans last year. He didn't even mention he would support them; he just recognized their existence.
Every time Barack Obama is asked whether or not he's Muslim he denies this "accusation" as if he would automatically be considered a terrorism supporter. Analysts believe that because 8% of Americans think he's Muslim his chances of winning the nominations are seriously hurt.
Meanwhile, any presidential candidate like Kucinich can kiss his hopes good-bye if he did not show a blind support for Israel and its right to exist, and its right to "defend itself" whatever that means. For a fact, the number of American Jews is not larger, and might as well be less than that of Arab Americans.
I don't want Arabs to cut oil again from any country, but I want them to be able to. I want them to have the option. Nobody died from oil crisis in 1973, but huge numbers of innocent Palestinians have died because of the US and European support of Israel.
We don't need lunatics to run planes into buildings and terrorize people. We can have the most successful resistance without shooting a bullet. We can do it the very calm way, the same way others are using to deny us the right to our own existence.

Sunday, January 13, 2008

Popular Songs and Stories and More

Every song was inspired by a person, a story or an event.
Here are some songs that I found were somewhat different. Whatever was the reason for the birth of these songs was someone or something quite interesting, unusual, or tragic!

1- American Pie.
Buddy Holly, Ritchie Valens, and J. P. Richardson were pioneers in rock and roll in the 1950s. They were flying together in a tour and their plane crashed, killing all three men. Don McLean called February 3rd, 1959 "The Day the Music Died" and 12 years later came up with "American Pie"

But February made me shiver
With every paper I’d deliver
Bad news on the doorstep
I couldn’t take one more step....



2- The Way.
Real story: An elderly couple decided to leave everything behind them and travel together like crazy teenagers. They have disappeared,lost touch with the world, and none of their friends or family could find them. Fastball made a song out of it, and guess what? It was a number ONE hit in 1998.

They made up their minds
And they started packing
They left before the sun came up that day
An exit to eternal summer slacking
But where were they going
Without ever knowing the way?





3- Tears in Heaven.
Eric Clapton was a rock singer. In 1991, his 4-year old son fell down from the 53rd floor of a building in New York and died. Eric was shocked by the incident but was able to make a song out of it: Tears in Heaven. A decade later he decided to stop playing the song.

Would you know my name
If I saw you in heaven
Will it be the same
If I saw you in heaven
I must be strong, and carry on
Cause I know I don't belong

Here in Heaven






4- Hey There Delilah


A guy meets a girl who happens to be a runner, and asks her out, she was already in a relationship so she turned him down. He made up a song to express how much he loved her. Watch the Olympic Games this summer, you might see Delilah DiCrescenzo running in the 800-meter competitions. A love song not inspired by a love story.

5- Billie Jean

In the early 1980s, a woman claimed that Michael Jackson was the father of her child, and her husband. Her name was Billie Jean. She called herself "Billie Jean Jackson". Investigations showed that she was mentally disturbed and lying, but Jackson made one of the most successful songs in modern music history out of this story, and named it "Billi Jean" in a honor of the crazy woman.

Billie Jean is not my lover

She's just a girl who claims that I am the one

But the kid is not my son

She says I am the one, but the kid is not my son


6- How to Save a Life

This young man was working as a mentor for troubled teenagers. One of them had a behavioral problem that could not be solved by his family members and therapists. This inspired the young man from the Fray to come up with "How To Save a Life"

Step one you say we need to talk

He walks you say sit down it's just a talk

He smiles politely back at you

You stare politely right on through

Some sort of window to your right

As he goes left and you stay right

Between the lines of fear and blame

And you begin to wonder why you came......




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Hope you liked it,
Fares

Friday, January 11, 2008

Preferences


Obama over Edwards, Edwards over Mccain, Mccain over Ron Paul, Paul over Hillary, Hillary over Huckabee, Huckabee over Thomspson, Thompson over the devil, the devil over Guiliani.

In other words.... The black dude over the Southern meterosexual, over the demented Arizonan, over the delerious gynecologist, over the bitch, over the self-proclaimed son of God, over the cold failing actor, over Satan, over the cross-dresser son of a bitch.
I hope you enjoyed reading my political analysis.

Sunday, January 06, 2008

The Scream of Silence


This young guy comes to the emergency room.
Problem: a small mass on his butt.

The emergency room doctor feels like there's a big infection and decides to keep him in the hospital. The young patient gets a surgery for his back, and a huge 30-cm cancer is found stuck to his muscles and bones.
Further tests show that this is an aggressive cancer that has spread to his liver and lungs as well.

Tom has been in the hospital for 3 months now, and had a major surgery to remove the tumor in hope of prolonging his life a few more months. He now has a very large scar on his buttocks and thighs. He hasn't walked or even sat in his bed in three months.

He is 36, but now looks double his age.

I have seen many depressed people. I've met some people who tried to kill themselves because of depression. I had a patient who once tried to slash his wrists inside the hospital. But I've never met a person with this kind of depression that this guy has.

Tom stopped talking. He barely says anything now. His brain, vocal cords, mouth and tongue are (still) working, but he's not talking. I asked him how was his day going, did he have any pain, did he feel like crap, and he kept silent.

I've never seen anyone so depressed, so defeated, and so broken like him.

Eventually, we told him there was no chance for him to be cured, and we'd prefer him to receive comfort care at home where he can be pain-free and more comfortable. He said a few words, "I don't want to". He wanted to stay in the hospital and live the illusion that one day he might get better, but the end is very close and we all know it. I know that he'll die in pain, and that he'll die silent, very very silent.

Silence was his language. It was his voice and his way of communication. It could have been the source of his strength or the expression of his defeat, or maybe both. I would never know, and I would never ask him because he'd answer me with a long pause that will make me ashamed of myself.
I've just learned that silence can be the most powerful scream.

Friday, January 04, 2008

Football in 2007

Didn't have time to post it in 2007, so here it is.
MOMNETS of 2007

Best Team:

IRAQ
They challenged everything including themselves and, against all expectations, won Asia's Cup. The victory was big, big, big.
Here's Iraq's winning goal against KSA in the final:


Second comes AC Milan, who won the Champions League and FIFA's Club World Cup. They're performing quite horribly in the Serie A now.
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Best Goal:
Are you kidding me?? It's Lionel Messi's against Getafe. I don't think I'll be around at the end of the century but I'm sure someone will pickup this goal and say "this should be the goal of the century"



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Worst Fight:
The Inter-Valencia fight in Champions League. Very uncivilized. Also Burdisso's nose was broken.



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Worst Transfer Deal:

David Beckham's transfer to LA Galaxy for 250 million dollars. He was injured throughout most of the season.

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Saddest moment: The shocking deaths of Antonio Puerta (Spain),23, and Phil O'Donnell (Scotland), 35, on the pitch while they were playing for their teams.
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Shocker of the year:
England failing to qualify for 2008 European Championship

Here's the final whistle from their last game at home against Croatia 2-3.

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Tuesday, January 01, 2008

Reality

People say "hope you'll have a great wonderful new year"

I'd like to wish everyone a satisfactory new year,

an acceptable new year, without any mega-disasters

Wednesday, December 26, 2007

Santa Closed

Date: Today, Christmas Day.

Place: IHOP Restaurant.

Reason to go there: the only open place that sells food.

Place's capacity: 150

Number of people present: more than 150.

Nationality of people present: 90% Mexican, 10% Mexican-American.

Hareega's order: meat omlette to-go.

Time to get that order: 50 minutes.

I was sitting on the sofa waiting for my omlette, and as time passed the restaurant quickly started to empty up. The last couple next to me were delighted when the cute latina waitress told them, "Your table is ready , follow me pliss, taank you"

Nobody was waiting but me, and next to me sat Santa.

I Couldn't help but notice his wrinkled skin behind the fake moustache.

He looked at a waitress standing behind the cash, "Leslie, can I leave now?"
"No, you have to stay for 40 more minutes"
"But I wanna see my granddaughter before she leaves"

She didn't answer but grabbed a menu and faked a wide smile at the new customers arriving at the restaurant that moment.

A little kid then came rushing from a table and went towards Santa grabbing his pants,
"Quiero tomar un foto con Santa"- I wanna take a photo with Santa

Santa, exhausted, took good ten seconds before he stood up up and looked at the camera to have his photo taken with the happy kid.

Santa then sat down and started looking anxiously at the clock.
I told him, "You know something, you're the first Santa I see this Christmas!"

He looked at me and didn't answer, didn't even nod his head.... totally ignored me.

He stood up and started walking towards the empty space outside. It was pretty clear he was limping, couldn't tell if he was faking a Santa limp or if it was real.

He returned in five minutes and saw that I was sitting there. He asked, "How's your Christmas?"

"It's alright, yours?"

Again, he turned his head away and totally ignored me. I was hoping he'd treat me like a little kid and ring his bell at my face or throw some candy at me, but he remained silent.

Forty minutes passed and I finally got my omelette. Santa went to the cashier and gave her his small bag of candies and for some reason didn't take off his moustaches or beard, maybe because it would protect his frail body from the cold weather outside or maybe because he liked this new person he's hiding behind, one that people cheer to see and kids love to take pictures with.

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By the way, Merry Christmas everyone :)

Monday, December 24, 2007

The right to exist

I believe in human rights...
You have the right to education, health care, and the right to vote.
I will add another right: the right to exist.
This is a right you're given retrospectively, meaning I believe that you had the right to exist after you've already existed.

However if you're over 12 and you're someone who sends e-mails/letters/funwall posts thinking that you'll be rewarded or punished based on forwarding these messages, you're someone who should not have existed.

If it was to me, I would have denied your right to exist.

Have a great holiday

Sunday, December 23, 2007

Just a dream....

Some people are not enjoying the holidays this time of the year, and they have a good reason not to....

Oh, life is bigger
It's bigger than you
And you are not me
The lengths that I will go to
The distance in your eyes
Oh no, I've said too much
I set it up ...
That's me in the corner
That's me in the spotlight,
I'm Losing my religion
Trying to keep up with you
And I don't know if I can do it
Oh no, I've said too much
I haven't said enough ...
I thought that I heard you laughing
I thought that I heard you sing
I think I thought I saw you try.....
But that was just a dream
Try, cry, why try?
That was just a dream
Just a dream, just a dream.... Dream



Monday, December 17, 2007

The Journey


People know that it takes a long time for a doctor to graduate, but they don't know about the whole process. I'll give you a brief description of how a clueless high school graduate ends up a doctor.

After high school, the lucky (or unlucky) ones get into medical school. In Jordan it's six years. The first year is "the general sciences" with chemistry, physics and biology. Years 2 and 3 include medical sciences with no clinical experience. During years 4,5,6 students rotate through different clinical rotations in clinical settings, and they sit for exams at the end of the year. It's during these years that a student decides on the speciality s/he's interested in.

In the US it's a bit different. Students do not go directly into medical school but they have to get a degree first in something like chemistry, biology, economics...etc and they spend as long as it takes to finish these studies before doing the MCAT exams. If they did well in college and scored well on the MCAT, they get an acceptance into medical school.
That's why thousnads of Jordanian high school graduates have joined the AUB to study medicine but those who actually graduated from its medical school are fewer than 50.

After graduation from medical school, these "doctors" are still not allowed to practise medicine in the US, while in Jordan they're allowed to open their private clinics or join the hospital of their choice under the title "general practitioner".

In the US, they have to go through residency. There are dozens of specialities. Residencies last between 3 to 7 years. Residents start as interns, then they progress to more senior residents. Residents in general do the most work and they are supervised by an attending physician (specialist). The most senior residents are almost completely independent and comfortable working without supervision , however they cannot get patients in or out of the hospital or make major decisions without their attending physician's approval, and they need to give him a daily update on the patient and discuss the treatment plan with them.

The residency system is not much different between Jordan and the US, and at the end doctors can practise on their own or choose to do something called "fellowship", or a sub-speciality. For example a doctor who specialized (did residency in internal medicine) can choose to to become an internist or do a sub speciality in lung or heart or kidney disease. A surgeon can choose to stay a general surgeon or specialize in heart surgery and so on.

In general people who decide to do fellowships spend extra years but at the end become the experts in a certain area they truly enjoy doing, and earn more money. In Jordan fellowships have very recently started to emerge but they were nonexistent when I left Jordan in 2004.

That is a very general idea on how it works.

I joined medical school in 1996, finished residency in 2002, did a year of "imtiaz" that was a total waster of time, started residency in internal medicine in 2004, finished residency in 2007, and started the fellowship in infectious diseases last July. I will be done with fellowship in June 2009. Although I currently have my own patients in the clinic that I follow, and I make most decisions on the ill patients I see in the hospital, I am still always under the supervision of a specialist and I can't even leave a note on a patient without his signature on it.

I started in 1996, will be done in 2009 !!
I was 16 that time, will be 29 when I'm done
..... 13 years
totally worth it.

Thursday, December 13, 2007

Ho Ho Ho!

I got a call from a psychiatrist.

He goes, "Are you with infectious diseases?"
"Yes"
"I want to consult you about this lady, 30 yr old with psychosis. She's hallucinating ....etc"
"Ok what's the infectious problem?"
"She tested positive for syphilis, I don't know if it's the cause of her psychosis"
"OK I'll come and see her in a little bit"
"She's at risk of having syphilis"
"Why is that?", I asked
"Well, she's a professional sex worker"
"What?"
"A professional sex worker"

I started wondering what a professional sex worker exactly meant.
"What kind of job does she have ?", I asked
"She's a professional sex work... has sex for money"
"Oh....."
"Yeah!"
"A prostitute?"
"Yeah..... Yeah....."
"Ok thanks."

It's amazing how the political correctness in the US has now affected the world's oldest profession.
I wonder if we're going to start to call alcoholics "booze admirers" , intravenous drug users "needle lovers", and murderers "end-of-life fans".

Monday, December 10, 2007

And no religion too?

A lot of people were murdered, slaughtered, and tortured in His name, in the name of God, in the name of religion.

Do you think the world would have been a better place without religion? If Moses, Muhammad, Jesus, Budha and the rest didn't come to the world, wouldn't have people made their own prophets and fought over them?

Give me your 2 cents

Sunday, December 09, 2007

The best ten non-Arabic non-English songs

Here's a random list of songs that I think are the best ten songs sun in languages other than Arabic or English. I almost can't understand any word other than amour. The choruses are in italic.
Enjoy.....


1- Sono l'italiano !
A great song by Toto Cotungo

Lasciatemi cantare con la chitarra in mano
Lasciatemi cantare una canzone piano piano
Lasciatemi cantare, perché ne sono fiero.
Sono un Italiano, un Italiano vero





2- The blind man makes you see magic.
Andrea Bocielli singing Vivo per lei with Helene Segara. She sings in French.


Vivo per lei da quando sai
la prima volta l'ho incontrata
non mi ricordo come ma
mi è entrata dentro e c'è restata
Vivo per lei perché mi fa
vibrare forte l'anima
vivo per lei e non è un peso




3- Lambada!
Always reminds of a stupid juice commerical, but the song is great.

A recordacao vai estar com ele aonde for
A recordacao vai estar pra sempre aonde for




4- El Comanadnate.....
Hasta Siempre, a very old song for the memory of Che Guevara. I love Nathalie Cardone's version the most.

Aquí se queda la clara,
La entrañable transparencia
De tu querida presencia,
Comandante Ché Guevara.





5- Nocturne.
Magestic music. This song of few words won Norway the Eurovision song contest in 1995

La dagen f
Sin hvile n
Og natten vil vke for den
Nocturne




6- Aicha.... Aicha
by Khalid.

Aïcha, Aïcha écoute moi,
Aïcha, Aïcha t'en vas pas
Aïcha,Aïcha regarde moi,
Aïcha, Aïcha réponds-moi




7- Para bailar la bamba.
Los lobos's greatest work.



8- Macarena!
This should be the world's eighth wonder, it made Al Gore dance!
Unofrtunately, couldn't find the Spanish verison on youtube, here's a semi-Spanish one.

Dale a tu cuerpo alegria Macarena
Que tu cuerpo es pa' darle alegria y cosa buena
Dale a tu cuerpo alegria, Macarena
Heeeeey Macarena


9- La Copa de la Vida
This was the official song of the 1998 Mundial. Good job Ricky

Tu y yo! Ale ale ale
Go, go, gol! Ale ale ale
Arriba va! El mundo esta de pie
Go, go, gol! Ale ale ale




10- Voice from the skies
Bocielli again, with con te partiro...

Con te partiro
Paesi che non ho mai
Veduto e vissuto con te
Adesso si li vivr?
Con te partiro
Su navi per mari
Che io lo so
No no non esistono pi?
Con te io li rivivro



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Other great songs are Caruso (recommended by caroline), The mass-era (recommended by Majd Batarseh), X simarik (kiss kiss) recommended by Hala, and a random but good Turkish song -actually in English , by Gowaider.

Hope you liked them
Hareega