مروت

مروت رشتوں میں عزت کا واحد در ہے

یہ لحاظ کی چادر میں ادب کا مسکن ہے

یہ خدی میں سخاوت کا پیکر اور انا کا وہ پھول ہے جس کی خوشبو رشتوں کو مروت کے صدقے دوام بخشتی ہے

یہ کیفیت میں چھپی وہ نا ہے جو طبعیت میں ہاں پیدا کردے

(ڑاکٹر رضا)

مروت

مروت رشتوں میں عزت کا واحد در ہے

یہ لحاظ کی چادر میں ادب کا مسکن ہے

یہ خدی میں سخاوت کا پیکر اور انا کا وہ پھول ہے جس کی خوشبو رشتوں کو مروت کے صدقے دوام بخشتی ہے

یہ کیفیت میں چھپی وہ نا ہے جو طبعیت میں ہاں پیدا کردے

(ڑاکٹر رضا)

علی علی

امیرالمومنین مولائےکائنات مولا علی المرتضیٰ علیہ السلام
کی شانِ اقدس میں
22 مستند احادیث مبارکہ *حدیث نمبر :-1*

“علی (علیہ السلام ) کا چہرہ دیکھنا عبادت ھے”۔
بحوالہ :- (مستدرک الحاکم جلد 3 صفحہ11) *حدیث نمبر :- 2*

“علی ( علیہ السلام) کا ذکر عبادت ھے”۔
بحوالہ:- (کنز العمال جلد11صفحہ601) *حدیث نمبر :- 3*

“علی(علیہ السلام) کو مجھ (ص) سے وھی نسبت ھے ، جو موسی (ع) کو ہارون (ع) سے تھی”۔
بحوالہ :- (صحیح بخاری جلد 3 صفحہ 1142 ، صحیح مسلم جلد31 صفحہ نمبر5931) *حدیث نمبر :- 4*

یوم خیبر ، “کل علم اس کو دوں گا ۔ جو اللہ ، اسکے رسول (ص) کا محبوب ترین ھوگا”۔
حوالہ :- (صحیح مسلم جلد31 صفحہ5917) *حدیث نمبر :- 5*

“میرے بعد جو چیزیں باعث اختلاف ھوں گی ، ان میں علی (علیہ السلام) کی عدالت سب سے بہترین ھے” ۔
بحوالہ :- (کنز اعمال جلد13 صفحہ 120) *حدیث نمبر :- 6*

“علی (علیہ السلام) تمہارے درمیان بہترین حاکم ھے”۔
حوالہ :- (کنز اعمال جلد 13 صفحہ 120) *حدیث نمبر :- 7*

” میں سردار فرزندان آدم ھوں (علی علیہ السلام) سرور عرب ھے”۔
حوالہ :- (مستدرک الحاکم جلد 3 صفحہ 123) *حدیث نمبر :- 8*

“یوم خندق ضربت علی (علیہ السلام ) ثقلین کی عبادت سے افضل ھے “۔
حوالہ :- (مستدرک الحاکم جلد 3 صفحہ 34) *حدیث نمبر : 9 *

“علی (علیہ السلام) کے گھر کے علاوہ مسجد نبوی (ص) کے اندر کھلنے والے تمام دروازے بند کر دیئے جائیں” ۔
حوالہ :- (مستدرک الحاکم جلد3 صفحہ125) *حدیث نمبر :- 10*

“علی ( علیہ السلام ) مجھ (ص) سے ھے ۔ اور میں (ص) علی (علیہ السلام) سے ھوں”۔
حوالہ جات :- (مسنداحمد ابن حمبل جلد 5 صفحہ 606 ، صحیح ترمذی جلد 13،صفحہ 168) *حدیث نمبر :-11*

لشکر روانہ کرتے وقت فرمایا ، “خدایا مجھے اس وقت تک موت نہ دینا ۔ جب تک علی (علیہ السلام) کو دوبارہ دیکھ نہ لوں ، راوی ام ایمن ” ۔بحوالہ :- (صحیح ترمذی جلد 13صفحہ 178) *حدیث نمبر :- 12*

علی (علیہ السلام ) حق کے ساتھ ھے ۔ اور حق علی ( علیہ السلام ) کے ساتھ ھے ۔ بحوالہ :- (صحیح ترمذی جلد31 صفحہ 166) *حدیث نمبر :- 13*

کسی نے آدم (ع) کا علم ، نوح (ع) کا تقدس ، ابراہیم (ع) کی استقامت ، موسی (ع) کی طاقت ، عیسی (ع) کی عبادت دیکھنی ھو تو علی (علیہ السلام ) کو دیکھے ۔ (کتب اہل سنت) *حدیث نمبر :- 14*

“جس نے علی (علیہ السلام) کو ستایا ، اس نے مجھے ستایا”۔
بحوالہ :- (مسند امام احمد ابن حمبل جلد 4 صفحہ 534) *حدیث نمبر :- 15*

“جس نے علی (علیہ السلام) سے دشمنی کی ، اس نے مجھ (ص) سے دشمنی کی”۔ (مناقب علی ابن ابی طالب صفحہ 192) *حدیث نمبر :- 16*

“اے علی (علیہ السلام ) مومن کے علاوہ کوئی تم سے محبت نہیں کرسکتا ، منافق کے علاوہ کوئی تم سے بغض نہیں رکھ سکتا”۔
بحوالہ :- (صحیح ترمذی جلد 13صفحہ 177) *حدیث نمبر :- 17*

“علی (علیہ السلام ) کی دوستی برائیوں کو یوں کھاتی ھے ۔ جیسے آگ لکڑی کو” ۔ حوالہ :- (کنز العمال جلد11صفحہ 125) *حدیث نمبر :- 18*

“اے علی (علیہ السلام) جو ھماری اطاعت کرے گا ۔ اس نے خدا کی اطاعت کی”، راوی ابوذر غفاری ۔
بحوالہ :- (مستدرک الحاکم جلد 3 صفحہ 123) *حدیث نمبر :- 19*

(میرا پروردگار مجھے رات کو آسمان لے گیا اور علی ( علیہ السلام) کے بارے میں مجھے 3چیزوں کی وحی کی )
“علی (علیہ السلام) پرہیز گاروں کا پیشوا ، مومنین کے ولی ، اور نورانی چہروں کے رہبر ھے”۔
حوالہ :- (مستدرک الحاکم جلد 3 صفحہ 138) *حدیث نمبر :- 20*

میں (ص) علم کا شہر ھوں ۔ اور علی (علیہ السلام) اسکا دروازہ ھے۔
حوالہ جات :-(کنز العمال جلد 13 صفحہ 148 ، مستدرک الحاکم جلد 3 صفحہ 127) *حدیث نمبر :- 21*

مواخات مدینہ ،
“اے علی (علیہ السلام ) تم دنیا آخرت میں میرے بھائی ھو”۔
بحوالہ :- (تاریخ ابن کثیر جلد 3 صفحہ 223) *حدیث نمبر :- 22*

اہل سنت کے مفسّر و امام جلال الدین سیوطی علیہ رحمۃ نے تفسیر در منثور میں درج کیا ھے کہ :
جب قرآن کی یہ آیت آئی کہ :- اے رسول (صلی اللہ علیہ وآلہ وسلم) پہنچا دیجئے ۔ اپنے رب کی طرف سےجو آپ پہ نازل ھوا ۔ اور آپ نے ایسا نہ کیا ۔ تو یوں سمجھیں کہ رسالت کا کوئی کام نہیں کیا۔۔
(سورہ مائدہ 67) اس آیت کے بعد آخری حج سے واپسی پر خم غدیر کے مقام پر رسول اللہ صلی اللہ علیہ وآلہ وسلم نے سوا لاکھ صحابہ کرام کے مجمع میں علی (علیہ السلام ) کا ہاتھ بلند کر کے اعلان کیا :-
من کنت مولاہ فہزا علی مولا ۔ “جس جس کا میں مولا، اس اسکا علی (ع) مولا
التماس دعا : بندہ احقر ڑاکٹر رضا حیدر

زار و قطار

فلسفہ:

دل نہ ہو تو آ نسوں مقدر نہیں ہوا کرتے

خوف دشمنی کا نہیں خوف محبت کا ہوا کرتا ہے

بچھڑنا تقدیر ہو تو رونا مقدر میں لکھی تحریر ہوا کرتا ہے

حال دل زباں سے نہیں نظروں سے بیاں کیا جاتا ہے

تڑپ میں جستجو قیدو سلاسل کی مانند ہوا کرتی ہے جو پالینی کی جنگ آزادی کی صورت لڑا کرتی ہے

پیار ہونا تو ایک بہانہ ہے ورنہ سچ تو یہ ہے کہ کسی کہ لیے دل کا دھڑکنا ہی دراصل محبت کا پیمانہ ہے

پیار کسی کی جاگیر نہیں اور نہ ہی کسی کا اختیار ہے

یہ نہ زور ہے نہ زبردستی بلکہ یہ تو زیر ہونے کا نام ہے کسی کو زبر کرکے یوں خد کو پیش کردینے کا نام

اجازت تو وہاں لی جاتی ہے جہاں در حائل ہو جہاں دل مائل ہو وہاں قربت دو دل ایک دھڑکن ہوا کرتی ہے

محبت میں اقرار زبانے دل کو قفل دینے کی مانند ہے یہ اس لیئے کہ دل دھڑکنوں سے اپنے پیار کا حال بیان کرتا ہے ، زبان تو فقط دل کے حال کا احوال بیان کیا کرتی ہے

یہ ضروری نہیں کے حسن کی تعریف کی جائے کیو کے حیاء ، حصول، حثار خد اپنے اختیار کا تعین کیا کرتے ہیں

محبت ہوتی نہیں ، محبت ہوجاتی ہے

نہ یہ جبر ہے نہ یہ استحصال ہے

یہ تو اظہار ہے جو بااختیار ہے مگر لاچار ہے

(ڑاکٹر رضا)

دنیا

ہے تکلف کے تیری بات کی شنوائی ہے

ورنہ کیا چیز تیرے پاس جو رعنائی ہے

تیری نصیحت سے ہمیں سن بے اعتنائی ہے

کیوں کہ دنیا یہ فقط کھیل تماشای ہے

(ڑاکٹر رضا)

شجر

غلاف نور میں پیوستہ اک شجر کی طرح

وجود ایسا کہ ہر زرہ اک نثر کی طرح

ہے گو بشر ہے وہ پر حسن میں ہے ذر کی طرح

سکوت طور میں آ غوش پیامبر کی طرح

ہے نازکی میں کسی شر سے وہ جدا تو نہیں

ہے دور تجھ سے مگر تجھ سے بےوفا تو نہیں

یہ عاشقی میں جو دل ہار جایا کرتے ہیں

سفر تمام ہو ناکام عشق گلا بھی نہی

نظام قدر میں ہر سجدہ گو خدا کے لیے

ہے سجدگاہ رخ آ دم ہے وہ خدا بھی نہیں

(ڑاکٹر رضا)

نیند

تعجب ہے مجھے اس نیند پر جس کی آغوش میں وجود موت سےبھی بے پرواہ ہو جایا کرتا ہے
بس ایسا غافل کے غفلت بھی ایک نعمت کی مانند کے پھر کوئی خوف نیند کے حسین سحر میں شر نہ کر سکے (ڑاکٹر رضا)

Noor

غلاف نور میں پیوستہ اک شجر کی طرح

وجود ایسا کہ ہر زرہ اک نثر کی طرح

ہے گو بشر ہے وہ پر حسن میں ہے ذر کی طرح

سکوت طور میں آ غوش پیامبر کی طرح

ہے نازکی میں کسی شر سے وہ جدا تو نہیں

ہے دور تجھ سے مگر تجھ سے بےوفا تو نہیں

یہ عاشقی میں جو دل ہار جایا کرتے ہیں

سفر تمام ہو ناکام عشق گلا بھی نہی

نظام قدر میں ہر سجدہ گو خدا کے لیے

ہے سجدگاہ رخ آ دم ہے گو خدا بھی نہیں

(ڑاکٹر رضا)

Tareef us Khuda ki jis nay tujhay banaya

وہ جو ابتداء میں پہل ہوئی

تیری یاد میں سحر ہوئی

رہی رات ساری وصال میں

میں پہنچ گیا یوں حصار میں

نہ میں بت پرست نہ میں بت شکن

رہوں تیری یاد میں بس مگن

نہ تو خاک پر یو ں اتارتا

یوں نہ حور کر کے سنوارتا

نہیں پوچھ مجھہ سے یہ حال کیو

تیرا کن ہی اس کا جمال تھا

فیاکن نے کر دیا حال یہ

تیرا کن ھی ایسا کمال تھا

نہیں مانگتا تیرا جاء وجل

عطا کر دے وہ جو خیال تھا
(ڑاکٹر رضا)

Nauroz aur Quran by DrcRaza Haider

نوروز اور قرآن:

ہر آ نے والا دن ایک نعمت اور پروردگار کی رحمت ہے

رحمت وہ احساس ہےجو زندگی کو قیام اور سانسوں کو دوام ریتی ہے

یہی دوام وہ انتظام ہےجو زندگی کی زمانت اور اس کی حفاظت ہے

اس کے برعکس اگر خدا اپنی رحمتوں کو روک کر وہ دن کا آغاز کر دے جس دن آ سمان پھٹ جائے اور زمین ہل جائے تو رحمت پھر زحمت میں بدل جائے

یہی وجہ ہے جو ہر آ نے والی سانس یہ فلسفہ دیتی ہے کے اپنے پروردگار کا شکر کر جس نے تجھے ایک اور موقعہ دیا

قرآن:

قریش کے مانوس کرنے کے سبب (۱) (یعنی) ان کو جاڑے اور گرمی کے سفر سے مانوس کرنے کے سبب (۲) لوگوں کو چاہیئے کہ (اس نعمت کے شکر میں) اس گھر کے مالک کی عبادت کریں (۳) جس نے ان کو بھوک میں کھانا کھلایا اور خوف سے امن بخشا (۴)

سُوۡرَةُ قُرَیش

نوروز بھی ہر آ نے والی سانس کی طرح وہ دن ہے جو تمھیں اپنے پروردگار کی اصل حیثیت کی طرف مائل کرتا ہے

تصادم کا تعلق کیفییت سے ہے اور کیفیت انسان کی اپنی حد, نگاہ

کائنات کی ہر زندہ شے حکم, خداوند کی محتاج ہے اور فلسفہء ہدایت میں کوئ شے بیکار اور بے مصرف نہیں۔
موسم کا بدلنا زندگی کو نیا روپ دینے کی نشانی ہے اور زندگی ایک خالق کی خد دلیل

یہ نہیں ہو سکتا کہ رماغ جس حقیقت کو مانے ،ہدایت اس کا انکار کر دے

آ ئمہ صالحین وہ ہدایت ہیں جو پروردگار کی صرف خوشنودی ہی بیان نہیں کرتے بلکہ ازن,مولا کائنات کو چلانے والے ہی_

اور وہی تو ہے جو اپنی رحمت کے مینھہ کے آگے ہواؤں کو خوش خبری بنا کر بھیجتا ہے۔ اور ہم آسمان سے پاک (اور نتھرا ہوا) پانی برساتے ہیں (۴۸)

سُوۡرَةُ الفُرقان

اور آسمان سے برکت والا پانی اُتارا اور اس سے باغ وبستان اُگائے اور کھیتی کا اناج (۹)

سُوۡرَةُ قٓ

کیا تم نے نہیں دیکھا کہ خدا آسمان سے پانی نازل کرتا پھر اس کو زمین میں چشمے بنا کر جاری کرتا پھر اس سے کھیتی اُگاتا ہے جس کے طرح طرح کے رنگ ہوتے ہیں۔ پھر وہ خشک ہوجاتی ہے تو تم اس کو دیکھتے ہو (کہ) زرد (ہوگئی ہے) پھر اسے چورا چورا کر دیتا ہے۔ بےشک اس میں عقل والوں کے لئے نصیحت ہے (۲۱)

سُوۡرَةُ الزُّمَر

بےشک آسمانوں اور زمین کے پیدا کرنے میں اور رات اور دن کے ایک دوسرے کے پیچھے آنے جانے میں اور کشتیوں اور جہازوں میں جو دریا میں لوگوں کے فائدے کی چیزیں لے کر رواں ہیں اور مینہ میں جس کو خدا آسمان سے برساتا اور اس سے زمین کو مرنے کے بعد زندہ (یعنی خشک ہوئے پیچھے سرسبز) کردیتا ہے اور زمین پر ہر قسم کے جانور پھیلانے میں اور ہواؤں کے چلانےمیں اور بادلوں میں جو آسمان اور زمین کے درمیان گھرے رہتے ہیں۔ عقلمندوں کے لئے (خدا کی قدرت کی) نشانیاں ہیں (۱۶۴)

سُوۡرَةُ البَقَرَة

خدا ہی تو ہے جس نے آسمانوں اور زمین کو پیدا کیا اور آسمان سے مینہ برسایا پھر اس سے تمہارے کھانے کے لیے پھل پیدا کئے۔ اور کشتیوں (اور جہازوں) کو تمہارے زیر فرمان کیا تاکہ دریا (اور سمندر) میں اس کے حکم سے چلیں۔ اور نہروں کو بھی تمہارے زیر فرمان کیا (۳۲)

سُوۡرَةُ إبراهیم

کہو کہ بھلا دیکھو تو اگر تمہارا پانی (جو تم پیتے ہو اور برتے ہو) خشک ہوجائے تو (خدا کے) سوا کون ہے جو تمہارے لئے شیریں پانی کا چشمہ بہا لائے (۳۰)

سُوۡرَةُ المُلک

یہ اس لئے کہ خدا نے جو چیز نازل فرمائی انہوں نے اس کو ناپسند کیا تو خدا نے بھی ان کے اعمال اکارت کردیئے (۹)

سُوۡرَةُ محَمَّد

معارفت اور محبت

،ہمارا فرض ہے کہ اپنے دور میں اپنے امام ع کو پہچانیں نہ یہ کہ صرف محبت کریں وہ بھی بغیر معرفت کے، میرا مقصد یہ ہرگز نہیں ہے کہ میں محبت پر تنقید و اعتراض کروں کیونکہ یہ تو ممکن ہی نہیں کہ جو علی ع کو پہچان جائے اور پھر ان سے محبت نہ کرے، لیکن یہ معرفت کی محبت ایک عظیم روح، ایک باوقار پاک باز شخصیت سے روشناس کرائے گی اور پھر ایسی محبت یقیناً نجات دہندہ بھی ہوسکے گی اور ایسی ہی محبت پورے معاشرے کی روح بن سکے گی نہ وہ محبت جو ورثے میں مل رہی ہے اور جس کے زریعے ہم چند عقیدے بھرے ” شعر ” یا چند عقیدت سے بھرپور جملے ادا کردیا کرتے ہیں، ایسی محبت کا نتیجہ نہیں ہوگا ۔۔۔میرا خیال ہے مولا کائنات بھی اس محبت کو اہمیت نہ دیں گے اور ایسے عشاق کو اپنا نہیں سمجھیں گے،

کچھ لوگوں کا کہنا ہے کہ مولا کائنات کی محبت آخرت میں شفاعت کے کام آئے گی پر میرا کہنا ہے بنا معرفت والی محبت کبھی کام نہیں آسکتی.❣️

حوالہ : کتاب علی (ع) اور تنہائی

ازقلم | ڈاکٹر علی شریعتی

ازقلم | ڈاکٹررضا حیرر

محبت میں دلیل و معرفت بےمسند وممبر آ شیانہ ہوا کرتا ہے

دل زبان کہ اثر اور سوچ کہ حصار سے آ زاد دھڑکا کرتا ہے

محبت میں دھڑکنے والا دل انجام سے غافل ہوا کرتا ہے

محبت دستخط دے کر دروازہ کھلنے کا انتظار نہیں کیا کرتی یوں محبت میں پیار کہ دریچےفقطا اظہار کہ پھول برسایا کرتے ہیں

مقام عشق میں معارفت قبلہ نہیں ہوا کرتا

جنہیں دکھتا ہے انہیں پیار ہوجایا کرتا ہے

معارفت تو موجود کی منطقی دلیل ہے مولود کی نہیں

یہ اس لیئے کہ مولود دھڑکنوں سے وجود کہ حصار میں وجود کہ اظہار پیار میں اپنا حصار تلاش کرتا ہے

محبت آ گ میں پہلے کودا کرتی ہے یقین کامل بعد میں ہوا کرتا ہے

محبت جسد سے آ زاد، نگاہے یار سے بےپرواہ ، دھڑکنوں کے رواج می، معارفت سے غافل ، انجام سے اندھی ، اور جاء و جلال ملال سے آشنہ ہوتے ہوئے ناآشنا ہوا کرتی ہے یوں طبیعت فقط دھڑکنوں کی طابع ہوا کرتی ہے اور خواہش حصول کے یوں آ نکھیں تلاش میں اور وجود موجود کو آ غوشہ حصار میں یہ فقط اس کہ پیار میں کہیں داستان اور کہیں افسانہ بن کر زینتء کمال عشق بن جایا کرتا ہے

عشق ہر آسمانی ، جسمانی،وجود و خلقتء بشریت سے آ زاد طبعیت رکھتا ہے یوں آ گ میں کود پڑتا ہے اس وقت جب معارفت محوے تماشہ ہو

نساب, عشق میں دھڑکن نظام, قلب لیے

وجود زیر, اثر محو تماشاو جسد و جسد لیے

ہے معارفت سے جدااپنا نظم و ظبط لیے

رواج دید میں آ زار بس اک قلب لیے

نہ پوچھ مجھ سے کہ وہ کون ہے کہاں سے ہے

ہے وہ وجو ،نہ موجود پر وجور لیے

(ڑاکٹر رضا)

منزلِ لا شعور ، شعور سے جدا ہوا کرتا ہے

آ نکھیں مسکن نہیں مسحور کیا کرتی ہیں

دل کے مکین کیفیت, کونومکاں سے آ زاد ہوا کرتے ہیں

جو بستے ہیں وہ برسا نہیں کرتے بلکے عیاں ہوتے ہیں

نفرت اور محبت کبھی زباں سے کہیں دل سے بیاں ہوتے ہیں

رل کیفیت کا نام ہے اور زبان حیثیت کا

دل اثر ہے ،اور زبان مظہر

معارفت فنون ہے، دل جنون ہے

معارفت حصول ہے ،اور دل حلول ہے

معارفت زرہ، اور دل محلول ہے

معارفت طور ہیں، اور دل نور ہے

معارفت محصور ہے ، دل سرور ہے

معارفت عشق ہے اور دل قلب

معارفت ارارا ہے اور دل غافل انجام

معارفت سکون ہے اور دل جنوں میں سکوں

معارفت رسائ ہے اور دل توانائ

معارفت ناخدا ہے اور دل خدائ ہے

معارفت ارتقاء ہے ، دل ازل

معارفت ابتداء ہے دل انتہاء

معارفت اسم ہے ، دل اسم معارفت

معارفت رسم ہے ، دل اسم الٰہی
اک خدا ہے دوسری خدائ

نہی شریک کوئی اس کا ہمشریک مگر

نظام قدر میں ہر شہ صفت قدیر لیے

(ڑاکٹر رضا)

Zeenat

زینت جسم و جاں میں سرور لیے

حسن ایسا کمال حور لیے

یہ جو چہرا مثال نور لیے

ہے فقط بس حصار طور لیے

اک بنا عمل میں یوں پنہا اجر

روسرا خواہشوں کا سور لیے

ہے زمیں پر جو زینت اسباب

حسن خلقت کمال نور لیے

(ڑاکٹر رضا)

Ber dushman e ahle bait Laanat

یہ ضروری تو نہں میں تیری
تا ئید کرو

کچھ تصنیف کرو یا کوئی تالیف کرو

دشمنی گر ہو اگر بعد مخالف کی طرح

ہے یہ کافی تیرے دشمن کی میں تعریف کروں

(ڑاکٹر رضا)

Wahid

مجھ کو باطن سے جدا کرکے یوں ظاھر سے الگ

خد شمارے میں چھپا ہے میرے مولا ایسے

ایک ہندسے سے ہے ظاھر تیری اپنی خلقت

اس گنتی سے جدا ہے مجھے بتلا کیسے

(ڑاکٹر رضا)

The immaculate❤️ wish:

The immaculate❤️ wish:

And there comes a day when Desires were shuttered and passion guttered with eyes folded and visions moulded sight rolled ànd words bold.

Passion graved and and love nailed destiny paved with indemnity unsaved living caved and person enclaved.

One shall never deßire for de$ire shall never fulfil.

Beauty remains masked & hope envisaged.

This is the day when ego shall raise or the passion shall waste.

Purity in passion must have casted shadow or the silhouette shall lost in meadow.

Save soul not body or the same shall veil and the body shall kneel though remains the diamond gold and steel but no one to deal.

Never let the one to go away just for fun remember none! (Dr Raza)

DIL

کیفیات ❤️ دل کا جنبش زباں سے کوئی تعلق نہی ہوا کرتا

یوں خاموشی کبھی ارادے نہی ظاھر کیا کرتی

جن کو آ نکھیں پڑھنے کی عادت ہوا کرتی ہے وہ ❤️رھڑکن سن ہی لیا کرتے ہیں

چہروں کہ آ ثار دل کا غبار دکھا دیا کرتے ہیں

سوچو کے مدار میں ہاتھ قلم سے آ نکھیں نم کریتا ہے اور دل❤️ غم سے ❤️ دل دھڑکنے کی سمت بیان کر دیا کر تا ہے

چوٹ دل پر لگا کرتی ہے جسم کی تکلیف تو ❤️ دل کے دھڑکتے رہنے کا فدیہ ادا کرتی ہے

خوبصورتی اگر چہرے رنگت ہاتھ پاؤں کا نام ہوتا تو راتیں کبھی حسین ❤️نہ ہوتیں

محبت ❤️میں صبح زندگی اور شام بندگی ہوا کرتی ہے یوں رات انتظار یار یو ایک بار پھر صبح کا ا نتظار

پیار کا اظہار تو فقط اک شاعرانہ طرز ہے حال ❤️دل بیان کرنے کا

آ نکھیں عشق کا اظہار تلاش سے کیا کرتیں ہیں

پیار میں دل ❤️ نہیں دماغ آلودہ ہوا کرتا ہے

دل ❤️نفس سے بے پرواہ ہوا کرتا ہے
اور نفس صبر میں آ زمودہ اور خواہشات کہ اثر میں
بیہودہ ہوا کرتا ہے

محبت کا اظہار زبان اور اقرار خاموشی ہے

دل❤️ ایک ایسا مسکن ہے جہاں محبت اور نفرت کی جگہ ہمیشہ پای جاتی ہے

(ڑاکٹر رضا)

Nuqta

رحیم بن گیا نقطے سے رجیم

ایک نقطے نے بنایا تجھے کس طرح لئین

گر نہ ہو علم تجھے غیب کا اے طالبعلم

سجدا زر ہو کہ یہی بات سکھاتا ہے حلم

ہے تجھے ناز کیو خلقت پہ ہے خالق پہ نہی

بندہ پرور کو سکھاتا ہے یہی بات علم

سجدہ خالق کو نہی سجدہ اطاعت کو ہے

اب کیا بات ہے لکھ چھوڈا ہے قرآنِ کریم

پیروی دین میں بندو کی ہے کتاب نہی

پہلے اترے تھے یہاں لوگ، کوئی کتاب نہی

(ڑاکٹر رضا)

$hadeß of 🌈

ẞhades of rainbow …

In the middle of night…

over the darken sky filled with pearly drops of rain….

What one can desire … Just little more than fire…

A sign of godessess with a throne of love…

A mood full of passion …

a passion full of lust …

Impression of flirt with a session of hurt …

Just unmatchable being where desire is always seen as mean …..

Though i want her but my efforts are wean.

Thief of ❤️

❤️Majestic , cute and celebritious…

❤️ freßh and frozen without a fictitious flexor line …

A natural shore of elegance with warm cleft of built-in cliff….❤️.

❤️A ray of light that delights sight…..

❤️ An arrogance that demands respect and respect that exhibits arrogance…..

❤️A fragrance dipped sillhoute of freshly torn roßes that magnetically create plethoras over the buccal pads….

A clopetric view whenever reviewed with a glittering eyes and bridging nostrils….❤️

A complete women where fall is a certain and beat is worthin…..❤️

❤️ a plateau where Heart always rest and soul relax….

Undoubtedly a gift of God.❤️

The God & godesess

👆👆

💕Masha Allah, clean, cute, Majestic & Magnificent. 💜

🌹A scented sweet with an elegant grandeur that stupify for sure .

💐An untouchable slippery soul and body that justifies itself proudly.

🌜A glimpse that charge rudeness and a sack that codons spectator in shack & shackle.

⚡A poison that heals and healing that is feel so to kneel🙇🏽 before the soul as god of passion and goddesses of Love.

You are simply beautiful.

Accept my gratitude Plz .

Death

2 February, 2017
11:03

Defining Death!

Death is a sequence of events eventually culminating into failure to thrive and survive .

A disturbance of fulcrum between life as drive and revive .

It is a failure to strive over strike.

It is an inability to escape therefore being safe.

It is an action of reaction as opposite and in different direction.

It is a silence just behind noise that cordon the sight in scene making ones focus in realm of imagination in dream as escape to phenomenon as been seen.

It is an impact that we can not expect but had to respect .

It is a pact of analytic strategic tact that becomes enact as act thrashing life from new phase of dimension in to new dimension already mention as life after death.

It is a phasic distribution after tragic dilution that forms new solution of life as life after death.

Death is just like life with different dimension and in indifferent dimension though seen before death as apprehension .(Dr Raza)

Lady in black

Word 🙏🏻of thought

Keep yourself🙋‍♂ above all u see in and around .

Nothing is precious🎗️ than what you think about yourself.

Not many peoples adore people but less often🙄 and never when one is looking magnificient👌🏻.

Here is a difference between praising and adorableness.

Praising is like prayers🕌 and prayer is when u believe someone as god or goddesses.

Adoring is an influence of sight as a one time sight as if sighting🌜 a first moon for a second and then as a blue moon and not in blues🌛

I am the one bowing🙇 in front of u as praising believing you as one fine art of Allah as goddess among one of his beautiful creation that mesmerises⚡ and glamourise the worthy and weighty art of Almighty.

Please accept my regards💜 on your charismatic💕 charisma.

Taqdeer

تیرے ہر زور پہ جو زیر و ذبر دکھتا ہے
یہ جو قوت میں تیری میرا اثر دکھتا ہے

ہر گھڑی جو بھی تھی گزری تیری تقدیر سے کی

جو بھی تائید تیری کی فقط تدبیر سے کی

(ڑاکٹر رضا)

گناہگار

دراصل گناہگار اپنے گناہ کو لیے خدا کے وجود سے انکار پر دلالت کیا کرتا ہے یوں خدا کا منکر ہوا کرتا ہے ہر سزاوجزا سے گویا خدا کی موجودگی کا

(ڑاکٹر رضا)

یوسف

قیدخانہ سے نکالو میں پڑا ہوں کب سے

زکر کرنا اے میرے دوست تو اپنے رب سے

اہل دربار مجھے خواب کی تعبیر تو دو

اک کھٹن وقت پڈا ہے کوئی تدبیر تو دو

ہے پریشان سا یہ خواب نہی جانتے ہم

کیوں نہیں کوئی یوں یوسف کی طرح خواب شکن

(ڑاکٹر رضا)

علی

گر مصیبت ہو تو میزان بڑھا دیتا ہے

صبر ہر درد کو آسان بنا دیتا ہے

(ڈاکٹر رضا)

نام حیدر کیفیت میں گر ہو نسبت کا سرور

سوچتا ہےکیا امر الہام کی مانند نزول

ہر قدم ہے فیصلہ اب امر کہ طابع لیۓ

بیچ دینا نفس مومن کی روایت ہے اصول

(ڈاکٹر رضا)

Jism e natawan

ہے غزا بھوک لئے جسم ناتواں کے لئے

ہے جڈا رزق فقط تیری ہی بقاء کے لئے

ہم نے ہر نفس جدا کر دیا نزاع کہ لئے

ورنہ کیا چیز ضرورت میری عطا کے لئے

(ڑاکٹر رضا)

Ya Rasool allah PBUH

تیرے مزاج میں ہر کیفیت الہام لئے

عجب ہے روپ ملائک ملک ہے نام لئے

بشر کے شر سے جدا گو بشر بغیر شر

,ہے کیا وجود کہ موجود اک نظام لئے

خدارا کچھ تو بتا کیا تیری رضا اس میں

اتارتا ہے جسے وہ تیرا ہی کام لئے

یہ جو نصاب عقیدت یے امتزاج لیئے

ہے کائنات کا اک رنگ سوز و ساز لئے

(ڑاکٹر رضا)

Roop

Jahan roop husn ki soorat hisaar ki haysiat laylay …………..wahan roop bhari aur kayfiat tari hojaya kerty hai

Jahan Zuban kalaam say hut ker ilhaam say jurr jaa-aye …………whan zuban ilhaam ko leay kayfiat mein dhul jaya kerty hai…………. Aisay kay shaoor per la-shaoori kayfiat tari hojaya kerty hai

Bus aisee zuban joe shaoor mein bhee La-shaoor say jurr ja-aey …………faqat wahee ka aser rukhtee hai…… aur yoon who zuban ………….ilhaam say jurray kalaam ki haysiat ki manind

Jahan tajullee he roop ki soorat her shey per muqadaam ho wahan zuban khamosh aur paygham faqat muhabbat hua kerta hai ……..aisay kay sajda leay …sajid ki soorat …..muwaddat leay ibadat

Uss husn ki kia tareef kee jai jis ka khaliq hee haseeno kay husn kay peechay khaliq ki soorat asal Malik ho

Such toe yeh hai k hum zuban ko akser upney khamoshi say chahat ka paygham ………Upney muhabbat ki soorat………khamosh rehnay say dea kertay hai…… aisay kay piar ka Iqrar (Dr Raza)

Mairay Yaar

نہ دہراۓ کیے جاؤکہ چھپ جاۓ مگر

خوب واقف ہے پیامبر تیرے سینے میں ہے کیا

موت آتی ہے کبھی غار میں بھی یار لۓ

ہا کبھی قلم لۓ کاغذو اعتبار لۓ

نہ بتا ؤ مجھے ہے کون کہا سے وارد

ایک مرحب نے بتا چھوڑا کیا شاہکار لیۓ

دین لاۓ تھے مسلمان ہی اسلام لۓ

جو بھی داخل ہوا کافر تھا نہ ایمان لۓ

جن کی مدحت میں مرے جاتے ھو ایمان لۓ

نسل در نسل رہے کفر صبح شام لۓ

(ڑاکٹر رضا)

منتظر

عجب ہے پیار کہ ہر گھر ہے منتظر تیرا

حصارِ پیار میں ہرپل ہے منتظر تیرا

ہے انتظار مجھے تم بھی انتظار کرو

گو دربدر ہیں سبھی در ہے منتظر تیرا

(ڑاکٹر رضا)

Nizam

نظامِ حشر میں ہر شہ کوئ نصاب لیے

نہ جسد کوئ مگر نفس ہر کتاب لیے

میں گو بے راہ مگر منکرے خدا تو نہیں

جہد میں لمحہ میرا ہر ہے جستجو لیے

(ڑاکٹر رضا)

Khuda

کس سے منسوب ہے کس در سے ہےنسبت تیری
اس کو اک سمت بتا جس کو ضرورت تیری
میں دعا مانگ رہا ہوں تجھے موجود لیے
اے فقت نور دکھا سمت ضرورت تیری
( ڑاکٹر رضا)

karabal e mauch

خون سے خون میں فطرت کا ہے آتا ہی اثر

ہم نےمقتل سے چلو جوڈ لیا ناطہ مگر

کربلا شام و سحر اپنا لبادا ہے ضرور

تیرے اجداد کا ہے کھولدیا کھاتہ مگر

(ڑاکٹر رضا)

فتنہ

فتنہ دراصل ان حالات اور واقعات سے جڑا عمل ہے جسکا اثر مخصوص لوگوں تک محدود نہ ہو بلکہ اثرات گناہگار سے بیگناہ تک شامت, حال بن جأۓ
(ڑاکٹر رضا)

لافانی

کہیں پہ پہل ہو کیو کر کہیں پہ ھو ثانی
کوئ تو بات بتاو کہ ھے پریشانی

لگا کے آگ پکارے ھو ہے کہاں پانی
ہے جان عشق میں کوئ کہیں پہ ھے جانی

کہیں پہ فاقہ فقط اور کہیں فراوانی
مرے نصاب میں ھر چیز ہے یہاں فانی

بشر کی نظر میں ہم بھی یہاں پہ ربانی
بچا ہے کون یہاں اک خدا ہے لافانی

(ڑاکٹر رضا)

مومن مانند کافر

جنوں میں ڑوبے ہوئے پاسبانے شر وبشر

بتا رہے ہیں کہ دینِ خدا میں کیا کجھ ہے

کہیں پہ گردنِ شبیر پر چھرے کی طرح

کہیں پہ لاش ہے بیگور وسوز و ماتم ہے

عجب محال کہ سنت بھی اک وبال یہاں

کہ اب تو حال کہ شریعت بھی اک تصادم ہے

خدا کہ دین کو اس طرح استعمال کیا

کہ اب کتاب میں مومن بہی ایک کافر ہے

ڑاکٹر رضا

قیمت

ہمارے شھر میں قیمت ھمارے سر کی لگی

لگی جو آگ تو ھر بار ھمارے گھر میں لگی

اٹھا کہ سر سرِنیژا لگا کہ آگ بشر

لگا رھیں ھیں وہ قیمت کچہھ اسطرح سے میری

ڈاکٹر رضا حیدر

نماز

نماز عشق میں سجدے شمار کر نہ سکے

تھے ساتھ ساتھ مگر پھر بھی ان پہ مر نہ سکے

بہت تھے کام سفر میں مگر وھ کر نہ سکے

وھ گھر پہ آئے مگر اہتمام کر نہ سکے

تھی مشق ساتھ لب دریہ تھا سامنے پانی

کٹا کہ ہاتھ بھی اے آب تجھ کو بھر نہ سکے

عجب سا شور بپا ساحل فرات پہ یوں

تھے بس قریب مگر کچھ بھی ہم کر نہ سکے

نہ تھا موجود نہ وجود اس کہانی میں

مگر وفا کو لئے باوفا نہ بن نہ سکے

ڑاکٹر رضا

Sureh Ale Imran

3.153 ال- عمران (علامہ مودودی)

حصار ہوش میں بیہوش بھاگتے ہی رہے

پکارتا وہ ر ہا اور وہ بھاگتے ہی رہے

پلٹ کے دیکھ کے تجھ کو پکارتا ہے نبی

نثار جا سے جدا ہوکے بھاگتے ہی رہے

روش تھی خوب تیری ، جانثار خود کو کہے

مگر تھا خوف کے شب بھر وہ جاگتے ہی رہے

خدایا کچھ تو بتا کو ن اس روش کے پلے

صفر کھٹن ہے بھگوڑے نہ میرے سات چلیں

میں کس طرح سے بتا تُجھ کو ان صفوں میں رکھو

مجھے ہے خوف کے پھر سے نہ تو یوں بھاگ پڑے

ہمیں خبر ہے تم اجداد کی روش پے چلے

یہی وجہ ہے کے ہر جنگ میں یوں بھاگ پڑے

(بندہ – علی)

Tafseeri Translation qurani ayat ..in poetic verse and stanza

Liput he jai ga sooraj bhee aur sitaray bhee

Jibaal upnee hee chalo pey jub chulain gay khudhi

K jub samait leaye jain gay wahoosh o hashar

Bharak perray ga Samander ajab hee khoaf say jub

Da-huktee aag jehunum ka paish khaima jub

Fisher e aag mein us nufs ka safeena leeay

Toe tuu tehr k ubhee bus tera hisaab hua

Yeh Jan o jism ka kuch dair mein nisaab hua

Bata qasoor k kio ker rawa kia tha jurm

Tha kia qasoor joe mara unhain khata o situm

Kio baykhata unhain madfoon is situm say kia

Zara si dair kio aya na yeh khayal tujhay

K ikk kitaab abhi hai tera hisab leay

Hata dea hai yeh perda k dekh lay tu samaa

Lay qurb mein hai woh firdous joe buseee thee kaheen

Lay ub to bol k laya hai kia yaha k leaaey

Nahee jo kuch bhee teray haath mein shifaut ko

Yaha bhee teray leay kuch nahee hai Rahat ka

K kha raha hoo qasam mein bbee un sitaro ki

Woh teergi mein chuphay subho k nazaron ki

K yeh kalam her ikk soe faqat rasool ka qol

Karim aisa tawana bulund Muraatib mein

K her hokum mein chupha iktiyar e noor e nazar

Joe hai qadeer bhee qadir bhe amr o hakim bhee

Suno hai kufr ki daldal mein doobtay chehro

Nahee rafeeq yeh majnoo koi bukheel nahee

Hai door sher ho ya shaitan is ki manzil say

Na qol e sher mein hai doobi huee zuban e amar

Toe phir batao k kio ker kaheen bhutuktey ho

K kia wajah hai joe tum zikr mein utuktey ho

K hai yeh zikr faqt raasti ki raah ko leeay

K raastay hai yeh ghalib aser khuda ko leay

Na zor upna chulao k kuch nahee hota

Khuda jo saath to kho ker bhee kuch nahee khota (Dr Raza)

زہرِ قاتل

نہی ہے آپ کے بس کی محبت میّسر جو، زہر دے ڈالئیے اب
ڈاکٹررضا**********************
ہے خود ھی زہرِ قاتل یہ محبت نھی اب زہر کی مجھ کو ضرورت
ڈاکٹررضا

Covid -19 management, a deviated rationale in treatment and professional practice, By Capt ® Dr Raza Haider

Deviation from rational and ethical mode of treatment has crossed the road of ancillary management in Covid -19 like a cause way, shattering its paved route of management in to multifaceted and multi-fate disease with variant morbidity and mortality ratio.

Never has been this was a
precedent earlier in which, modalities and options of treatment was a standardized operative procedure and yes same in prescription also where regimen was a protocol that was still under direct discreatory power of the clinician to finally decide what not be prescribed.

It is less of a Covid -2 virus and its virulence propensity that is taking the spike of death ratio but definitely a wrong precedent of dictated methodology of designed prescribed structural WHO treatment that is snatching love one from lovers.

What for God sake on earth has arrived that has uncontrolled milieu to the extent that even the best on earth as human race altogether gone in to compulsive submission as failure in spite of God’s best given abilities in front of just a virus?.

This is because a ridiculous unprecedented scoop of rationale of treatment being put as command by few of the backbenchers to the many on front desk to execute, institute and implement what is being put in the name of management protocol by the so called non professional functionary elites of the globe working in herd and under umbrella of WHO.

To the mount of belief and faith a very unnatural submission of doctors in front of newly define modalities of un-text and syllabi treatment is again a cause of massive death rate.

Out of my decades of professional practice never in my life have seen such stringent, sting, strict and sculptured directive dictation in treatment and options to the last as death but the only where disease as irreversible which could not succumb but to be put on machine as support.

On the contrary, as of today; there comes a disease whose only option after its contract is a machine from where no one returns as killing machine, the Ventilator.

I am astonished over the class of professional intellects as clinician whom has given up their skilled maneuvering excellence in front of fear and fright thereby reluctantly escaped leaving patient on the fate and fatality of good luck and fortune thus handing over their expertise and skilled intellect over and to a ventilator.

So the ultimate decision to the last as still to come opinion in the hand of a seasoned and polish clinician whom once fight till last with its immense skill, never take its flight to fight that will sooner land with patient survival.

Here is the reason why the masses have irrevocably run away from the hospital thereby discarding once a god on earth as clinician.

Is in it strange that cascade of events that is brought about in any fatal or grave disease, to the extent of reversible or irreversible stage, has a declared texted eventual outcome and fatality and symptoms comprehensively written and teach in thereof books have always the counter influence of added written texted management and methodology.

However since the starting day of the pandemic we do not see such hard hitting skilled retaliation stance from the clinicians that was previously used to get patient out of irreversible agony hence not a single institution of trial or regimen based patient revitalization could be seen that could revert fate with fight but, a horny fate of cruel ventilatory death.

Once any disease may it be fatal to any gravity was a mere challenge in front of doctors yet strangely things have now been upside down and it seems clear that fear has taken flee to flight than fight.

In my opinion a non statistical early endemic data being collected is put as guardian angel and the next modality of treatment as further management is assigned as protocol to be followed by whole world till further and next order of the day.

Here lies the reason of exemplary deaths in COVID-19 which are actually not treated but managed as per untested dictated protocol of WHO that has always changing minutes without penalizing and penalty to the disease but standardized dictated protocol as if an auto drag down procedures that ought to be followed without ifs and buts.

In my opinion modalities in treatment of Covid -19 should be renewed and revived as was previously treated with response to cascade of symptoms for there is nothing that is a new concept in management which is tearing and torturing human body vide ventilator.

Cytokine storm or secondary DIC (Disseminated intravascular coagulation or viral replication and infectivity all and must be an “over the counter” subject for doctors and as such treatment to shortness of breath to other fever, cough and Myalgia shall all have to be treated as was previously being treated in other respiratory ailments by steroids or antihistaminic or vasodilators at least as a first line trial regimen.

But nevertheless the same never turned up as rational rather concealed myth of treatment with dictative primary methodology of WHO deliberate policy.

Ventilators do not need medicine if you don’t prescribe.

Patient will continue to live like a dead man lying.

Let him stay for year or 8 years.

How come the last option became the first whereas what remained forerunners as wonder drugs and procedure were put aside in the name of pandemic disease with perhaps no treatment?

What is this term being used as no treatment when the cascade of event has eventual symptoms already known to clinician as well as prescibed by books therefore to turn andbtopple with treatment.

The decision to begin mechanical ventilation should start with a mode that should presume a conditional requirement as to what sort of ventilation shall be the necessary need of patient among assisted or controlled.

We must understand Mechanical ventilation cannot control disease process which needs to be corrected as such and as per prescribed text.

This intervention is a critical mode of treatment which has its own backfire as backlash.

In my opinion mechanical ventilation is only indicated when spontaneous ventilation is inadequate to engrave life hence to safe guard as prophylaxis before impending collapse of respiratory or physiological functions.

Although we all understand the myth behind falling oxygen saturation and necessity in relation to it, yet the reality is to cage and corner over gauge that machine has its predominant function that will cast and cost as ultimate loss .(Dr Raza)

Aurat, Merd aur Mehbooba

غلط…… بیوی ضرورت نھی، چاھت ھوا کرتی ھے جو دل کی مانند انسانی دلھڑکنوں کی صورت زندگی کی ضرورت

یھی ضرورت نسل کی ضمانت اور یھی حلالی ھونے کی شرط

محبوبہ اک ضرورت پر مبنی رشتہ ھوا کرتا ھے جو بلآخر ٹوٹ جایا کرتا ھے ضرورت پوری ھونے پر یا ضرورت پوری نہ ھونے پر

انسانی زندگی کی تکمیل وفاداری پر ھوا کرتی ھے اور وفادار عورت کی تصویر میں بیوی ھوا کرتی ھے

محبوبہ تو راستے کی وہ گرد ھے جو سفر میں آلودگی کی مانند فقط راستے کی ضرورت جس کی پہنچ کبھی منزل پر نھی ھوا کرتی اگر دائرہ نکاح سے منسلک نہ ھو
(ڈاکٹر رضا)

فطرت

فطرت سے ہٹ کر فقط قدرت ہوا کرتی ھے اور قدرت معجزات کے اثر میں ہوا کرتی ھے. انبیاء آئمہ پر لازم ھے کہ وہ قدرت کے اثر سے باہر شخصیات کے اثر پر اور فطرت پر قدرت سے باہر کیفیتِ صبر پر بشر کی اہمیت اور منزلت دکھائے دعا کے اثر میں نہ کہ معجزات کے سحر میں

ڈاکٹررضا

Hospital Precautions and standing operative procedures during attending patient in various presentations during Covid -19 pandemic by Capt(R) Dr Raza Haider

08 June 2020
14:47Hospital Precautions and standing operative procedures during attending patient in various presentations during Covid -19 pandemic:Wards SOP’s:• All patients attending hospital shall be considered as Covid (+ Ive) unless and otherwise proven.
• Any admission with respiratory sign and symptoms or fever of unknown origin should be kept separately from patients that are admitted for relatively other problems.
• Be vigilant, cautious and conscious and report any remarkable symptom immediately to the concerned specialist.
• Any investigation or lab requirement pertaining to bed ridden patient shall be taken or done in full SOPs within ward by maintaining minimal physical contact and preferably distancing.
• Clinician shall follow same SOPs while attending patient and under no means will attend ward without recommended stocks and gloves.
• Beds should be at a distance of 8 to 10 feet.
• There should be a curtain between beds preferably.
• There will be no attendant except when called upon in need or as necessitate.
• If patient is oriented in time and space without respiratory problem, he or she shall wear Mask.
• Any one; Ward in & ward out, shall wash hand or use sanitizer before entering or leaving.
• All ward staff on duty should not leave there place of duty unreasonably and such move as to and fro shall be restricted guarding SOP’s.
• Rest room wash room utilized by patient should be washed frequently with disinfection spray as and when required.
• All wards will be disinfected as per SOP daily or twice whatever necessitates.
• Nursing Staff should wear face visor before attending any patient where as in the mean hours should wear disposable apron or washable gowns.
• Proper gloving be ensured and surgical gloves should be worn during duty hours whereas added polythene disposable gloves shall be used during attending patient.
• A fresh polythene glove shall be used for attending each patient.
• No attendant shall get access in ward unless under possession of relevant mandatory recommendations as Mask etc.
• No children below 12 years are allowed in hospital and the same goes for wards. However patients as and with such ages are exempted with strict abidance as per SOP.
• No aerosol procedure like nebulisation etc will be conducted in ward but at solitary room with preferably negative pressure.
• Air conditioning system with their filter grill should be wash & disinfected daily and necessary precautionary majors be taken to avoid any contaminated spread due to cooling system.
• All disposal infectious or non infectious should be disposed as if infectious disposal and precautions to be taken for proper discard by incineration.
• All donning and doffing procedure related to wearing as mask gloves or apron or visor shall be followed by SOPS for proper disinfection and reuse.
• Relevant info regarding update and review of SOPs will be put forth as and when and time to time.
• There will be an extra Covid charges to be charged from the patient as mandatory with in hospital charges as obligatory .ERE SOPs:• All patient attending ERE will be examined under strict protocol and as per recommended SOPs.
• Reporting in ERE will be through the preliminary level 3 safety station .
• If the provisional diagnosis at triage level 3 safety station is of fever or respiratory complain patient will be refered to Fever Clinic @ level 4 Safety Station (ERE) as suspected Covid -19ERE will have , Level 4 Safety Station
Here basic concerned is again suspected covid triage through symptoms and finding.• Triage for suspected Covid -19 at fever /respiratory/other clinic1. Fever evaluation clinic
Check for fever >38 Degree2. Respiratory evaluation clinicCough shortness of breath (etc)3. GIT ,CNS or others Symptoms• Vomiting, Loose motions, cerebral issues• If symptoms suggest provisional Covid -19 diagnosis as positive (suspect)
• Hold patient at Isolation Bay at EREProtocol at Bay• Separate from the rest of the patient• Detain /hold patient temp at Holding Bay• If test available at HC Facility Perform Covid testing/ Lab• If not refer to HC facilty for Covd -19 testingBay Environ Requirements• Single room with negative pressure.
(Negative pressure prevents airborne diseases like TB and Flu from escaping from room and infecting others . This is perform by a Machine that pulls air in to the room and filters it before moving out.A positive air pressure is used when patient has a weakened immunity in which a clean filtered air is constantly pumped in to keep contagious disease out of room.)• Ensure healthcare personnel (HCP) caring for the patient adhere to Standard, Contact, and Droplet Precautions• Only essential HCP with designated roles should enter the room and wear appropriate personal protective equipment.2. If symptoms suggest provisional Covid -19 diagnosis as Negative(asymptomatic)• Issue provisional clearance slip for OPD for further referral to OPD / ERE (non traumatic emergency cases only)OPD SOPs:• Clinician will wear mask, face visor gloves and shall be in possession of alcohol base sanitizers.
• All patients and their attendant shall wear mask and gloves and must maintain a distance of 01 meter.
• OPD reception should have through and through glass or plastic shield at reception to avoid close contact and exposure to reception staff.
• There will be fewer OPDs at a time and in a day.
• There will be minimum number of patient in OPDS to avoid rush hence to maintain proper social distancing etc.
• There will be an extra Covid charges to be charged from the patient as mandatory.
• All admission /investigation and laboratory test shall be with in compliance of SOPs
• Admission for surgeries shall have necessary Covid testing as mandatory or will not be entertained.
• All clinician shall be in possession of their relevant Mask /Visor / gloves /sanitizer at their own or the same can be provided by hospital at minimum charges.
• However disinfection and necessary related cleansing will be at the disposal of hospital.Lab SOP’s:• All staff will wear gloves gown, mask and visor with preferably PPE if available.
• There will be one patient at a time in laboratory with rest in waiting area under compliance of SOP.
• Reception should have through and through glass or plastic shield at reception to avoid close contact and exposure to reception staff.
• All waste and disposal should be treated as if biosafety level 3 labs.
• All donning and doffing procedure related to wearing as mask gloves or apron or visor shall be followed by SOPS for proper disinfection and reuse if washable.
• Relevant info regarding update and review of SOPs will be put forth as and per time to time.Radiography SOPs:• All staff will wear gloves gown, mask and visor with preferably PPE if available.
• There will be one patient at a time in Radiology with rest in waiting area under compliance of SOP.
• Reception should have through and through glass or plastic shield at reception to avoid close contact and exposure to reception staff.
• Staff should practice social distance avoiding unnecessary close contact.
• Relevant info regarding update and review of SOPs will be put forth as and when and time to time.
• Reception should have through and through glass or plastic shield at reception to avoid close contact and exposure to reception staff.
• Any surface that shall have direct contact with machine or couch shall be disinfected before new matchable patient.
• Relevant info regarding update and review of SOPs will be put forth as and when and time to time.Operation theatre SOP:• Surgeries shall have necessary Covid testing as mandatory or will not be entertained.
• Emergency surgeries that has limited time span shall be considered as Covid positive and all SOP’S with pre and post surgical intervention will be carried out accordingly and as per Covid SOPs.
• All C-Sections /Labor and NVD deliveries will get through Covid testing prior to attending hospital as mandatory.
• It will be customary to wear mask, gown and gloves by all staff attending OT.
• Anesthetist is the prime contact that is vibrantly exposed to the threat where as the next on threat are surgeon and assistant on table.
• Anesthetist should ideally be in PPE and should follow protocol with heart and spirit.
• Since intubation and further anesthesia is an effective aerosol procedure any such threat can only be minimized by taking care.
• Disinfection of O.T, collection of histopathology and disposal of waste should be practiced as per SOP and in strict compliance.
• All instrument used be sterilized with standard solutions and methodology.Minor OT:• All protocol relevant to standard recommendation will be followed.
• Waste bandages and swab will be discarded as per SOPDialysis SOP:• It is a very difficult situation for dialysis department since many patients are chronic and undergoes twice or thrice dialysis weekly
• As such it is difficult to conduct Covid testing test every time and now and then.
• Such patient otherwise needs to be treated without undergoing test and the risk to exposure increases many fold.
• It is therefore suggested that any new comer should go for Covid testing before he comes for dialysis and all individuals who are on weekly treatment as chronic shall get a monthly testing.
• Mean while dialysis machine should be cleaned with full disinfectiing meathod as per SOP after each dialysis as if virtually Covid patient has been put on.
• All staff members should ideally be under PPE or at least washable gown and disposable gloves and mask.
• Hand sanitizers should be a regular practice and disinfection after every case is a must.
• No touch technique should be executed and attendant along shall stay out with mask and gloves.
• By now extra charges in the name of Covid changes are applicable that should be the part of treatment.ICU Protocol:• ICU will be treated a Covid Wing.
• Every one while working in ICU whether as a Covid Wing or not shall be under strict precaution with PPE or to the utmost full sleeves gown gloves face visor, shoes and cap.
• All disposal as waste will be treated as infectious and disposed as infectious item.
• Donning and doffing of kit will be conducted as per SOP.
• All beds shall be at a recommended distances with shielding effect by curtain or stand.
• Any aerosol procedures being done should be cautiously performed after taking necessary precautionary measures.
• Suction intubation, bedding, shedding cleansing & changing must all go through strict compliance of declared SOP.
• Relevant info regarding update and review of SOPs will be put forth as and per time to time.
(Dr Raza)

Ibadat

07 June 2020
12:56

Insaan firt-e-jazbaat mein kayfiat izhaar ko leay koi na koi wajood talash kia kerta hai taskeen-e -dil ko leay .

Yahee waja hai jo wajood ki ghair mougoodgi mein wajood say jurre her shey ko ishq- e -bayqarar ki manind dhoonda kerta hai

Meri nazar mein ibadat k taqaxo mein ahtaraam aur mohtaram aqeedato say jurre ghair-e-insaan wajood ya moujood ashiya joe bayherhaal her mazhab, deen aur aqaid mein kisi na kisi soorat pai jati hain woh bilashuba mazil -e- ibadat per wajood -e-mehboob say berter nahee hua kerty magar kumter bhe nahee hua kerty.

Yeh is leay k izzat aur maqam yuksaa’ na hon to ahtaram aur adab e ahtaram furqan- e- adalat per nahee bulkay bugz -o – adawat per mubnee hua kerta hai

Ajab nahee k devi mandiro say juree aqeedat mazar, mehrab- o- mimber say paywusta sajood, ibadat ko leay Kaabay aur hajr-easwad k putharo say aqeedat yoon khaak ko leeay karbala -e-muallah say ishq bayher haal aqeedato ka woh anser hai joe insaan ko wajood- e- khulq mein zahirun abdd ka rutba ata kerta hai joe upnay ikhtiyar k bawajood khud ko kisi zaat k agey sajood mein bayikhtiyar samjhta hai goya ghayb mein bhee wajood ko upnay say berter dekha kerta hai .

Such to yeh hai k insani sajood ki dastan asman say zameen tak kisi na kisi deo malai guman- o -haqeeqat say juree hai

Yeh bhee sach hai k ibadat k her taqazay upnee irtiqa say aik ibtida leeay hain yoon her ibtida uss nafs k sajood say juree jisay quran nay upnay raastay ka rehnuma bataya aisay k

“Humay un k raastay chula”

Meri nazar mein her ibadat mein mushghool paraatna, dua,rakoo, qayam aur sajood say jurray upnay treeqo aur saleeqo per som o salat ko leeay kisi bhe mazhab o deen k payrokaar joe bayher haal upne upnee reet riwayt aur dastoori ibadaat k taqazo per amal payra hai bilashuba aik zaat- e- wahid per wajood ki soorat sajda ker rahey hain

Yahee woh manzil hai jahan talash kubhi puther ki moorti per bhagwan ki soorat sajdegah talash kerty hai ya kubhi munjanib puther upna qibla.

Werna such to yeh hai k moortee ko banay wala bhee insaa aur Kaabay ki tasweer say tabeer denay wala bhee insaan.

Meri nazar mein saancho say tayyar putharao mein Khuda tatolnay walay itnay hee bayrukh-o-rah hai jitna ik moorty mein Khuda talash kernay wala

Yeh is leeay k haath say tarasha butt ho ya deewar bilashuba wajood ka naimul badal nahee hua kerta.

Ub rahee baat yeh k phir kaha uss ko talash kero joe wajood mein moujood magar wajood ki soorat moujood nahee goya zaat ki soorat mojood magar wajood ki soorat naa-payd

تلاشِ یار میں کِس طرح رُخ تلاش کروں

ہر ایک راہ پہ منزل کا اختتام ہی عبد

ھے سجدہ گاہ میری آدم تو آسمان سے ھے

میں کس طرح سے خدا کو بتا تلاش کروں

ڈاکٹررضا

Bus yahee falsafa tha Quran ka asman per k

“adam ko sajda kero”

Aur yahee falsafa deen – e- ibrahimi ki irtiqa ka jis ki ibtida chand sooraj sitary say hoti hua min janib wahdaho markooz rahee aisay k ibrahim k sawalo mein chuphe haqeeqat jisay quran nay ayato k anmol heero mein badal dea k

“Akhir tum boltay kio nahee, kuch khatay kio nahee, ”

Bus yahee falsafa- e- ziarat- o- hajj o umra hai k tum per wajib hai k uss ghar ki ziarat kero jis ko Khuda nay upna ghar tehraya aur woh Ghar derasl Muhammed -o -aley muhammed SAW ka ghar tha jis mein un k aba-o- ajdad ibadat kia kertay thay

Bus ferz to uss gharanay ki itaut thee ibadat ki soorat magar seerat bani faqat ghair e bashr ki manind un k ghar ki deewar -o- zeenat.

Yeh bilkul aisay k,

Loagon ko bhula dea gaya aur raasta uthalea gaya yoon

Ahdinus siratul mustaqeem ka werd kia gaya aur

Siratul lazeena unamta aleyhim say kinara kushi kerli

Bus raasto ko hidayat ka naam dea aur loagon say hadi ka laqab cheen lea gaya yoon ayat k mizdaaq huaey
k
Ghairill maghzoobe elayhim waluzuaaalin

Khuda ko chuna, Rasool ko suna, aal e rasool ko dekha magar undeh behray goongay honay per terjeeh dee.

عجیب ھو،کہ ھو ڈھونڈے ھو کیا، دیواروں میں

خدا ملا ھے کبھی کیاکہیں، دیواروں میں

کیا ڈ ھونڈتے ھو بتاؤ یہ اِن مزاروں میں

کبھی ملے گا نہ واحد یوں اِن ہزاروں میں

وجودِ حق تو جڑا ھے اُس ھی وجود کے ساتھ

جسے پکارا گیا اِتنے شہسواروں میں
ڈاکٹررضا

Asbaab -e- hashr

نمازیں کتنی پڑھ لی کتنے روزے ساتھ لایا ھے

یہ محشر ھے یہاں چلنے کو کچھ اسباب لایا ھے

نھی ھےوقت گنتا میں پڑھوں تیرے عمل کو کیوں

کوئی ھے ساتھ تیرے تو کسی کو ساتھ لایا ھے

یہاں ہر ساعت کوئی نہ کوئی منزل بدلتی ھے

بدلتے ان لمحوں کے تو عوض احساس لایا ھے

بتا مجھ کو نہ کتنے فرض تو انجام کر گزرا

وکیل اپنا کوئی تو اس جہاں میں ساتھ لایا ھے

فقط سجدے وضو صومُ و رکوع وزنی نہ مالُ زر

بتا حبِ علی مدھے محمد ساتھ لایا ھے
ڈاکٹررضا

Hospital Protocol & SOP’s for receiving routine patient while in COVID-19 pandemic, by Capt (R) Dr Raza Haider

04 June 2020
20:26AIM:Essentiality is; how to juggle with the patients who require ordinary urgent care along with treatment of those who are sick and carrying Covid -19 silently and asymptomatically.PURPOSE:

  • In the midst of the pandemic outbreak;
  • People will still have heart attacks and strokes.
  • Babies will still be born.
  • Appendixes will still burst.

Premises of current Understanding:The Theory is;

  • Virtually everyone is Covid possible
  • All patient are Covid-+ive unless and otherwise proven.

Issues:

  • “It’s very hard to cohort or gang up in a situation like this.”
  • Although patients attending hospital comes with a different complaint, they are now, compulsively treated as though may be infected.
  • Due to the silent spread of virus virtually everyone attending hospital is treated as “COVID-possible.”
  • Precisely “A woman came in with vaginal bleeding, but she was COVID-positive,” Her complaint wasn’t the disease; it was the bleeding.

HERE IS THE REASON WHY ALL HOSPITALS ARE AT THE MOMENT WHETHER A DETAILED COVID UNIT OR NOT ARE BEING TREATED AS A COVID WING.”Mandatories:

  • Strictly no visitors
  • Compulsory mask wearing (All staff /patient attendant )
  • Hand sanitizers (Alcohol based)
  • All attendant /patient scheduled for surgery will be tested regardless of symptoms.
  • Common areas like lobbies waiting room rest room to be clean often.
  • Social Distancing
  • Frequent hand wash
  • Gloves
  • PP E’s as per recommendation and first liners CHWs
  • Shield mask or transparent plastic shield for OPD all exposed staff /doctors
  • Disposable long sleeves gown
  • Shoe cover

WORKING STRATEGY:The Manchester Triage System is a clinical risk management tool used by clinicians worldwide to enable them to safely manage patient flow when clinical need far exceeds capacity.Triage:

  • The sorting out of patient or casualties to determine priority of need and proper place of treatment.
  • During infectious disease Pandemic outbreaks, triage is particularly important to separate patients likely to be infected with the non- infected for the pathogen of concern.

Protocol & Procedure:

  • Early case detection is a key to risk assessment
  • Early isolation and case identification is a pivotal way to stop transmission thus keeping reproduction rate less than.

Precautions before Reception Desk:

  • Implementing early triage and holding safety station shall keep threshold of transmissibility to lower level.
  • Every arrival shall pass through Safety station Triage preliminaries.
  • Only 1 person is allowed, less driver, with the patient to access hospital facility to avoid unwanted gathers.
  • Car or driver should not gain access beyond dropping point as such a single attendant shall be allowed with the patient.
  • Dropping points shall have wheel chairs and stretchers for prompt patient facilitation

Level (1) Safety station:

  • Arrival (Health Care Facility HCF)
  • Disinfectant spray (For cars)
  • Laser Gun screening for Fever (Fever >38°C)(For patient and attendant)
  • Initial inquiry /Complain (Fever /respiratory or others)

Level (2) safety station:

  • Dropping point
  • Surgical Mask / hand sanitizer alcohol-based hand rub
  • Surgical Gloves (Compulsory)
  • Soap and water counter only in rare cases if sanitizer unavailable

Level (3) Safety Station:

  • Walk through Disinfection Gates( Compulsory )
  • Triage Reception Desk is a respiratory virus carrier/ disease evaluation Desk

(Inquire, Identify & Sort signs and symptoms of respiratory infection)

  • History taking (At least 1 sign or symptom of respiratory disease) (e.g., cough or shortness of breath)
  • Compulsive Medical mask on patient and attendant/Driver
  • Compulsive PPE to be wear and worn by attending CHW at reception desk or N-95 with face shield and Gloves with shielding of counter/reception desk
  • Counter /desk shall have glass shield preferably so to avoid close direct contact with the patient
  • Necessary details regarding Covert disease shall be obtained as follows
  • Identify Travel and Direct Exposure History
  • Has the patient traveled or resided in another Country / City where COVID-19 is spreading during the 14 days prior to symptom onset?
  • Has the patient had contact with an individual with suspected or confirmed COVID-19 during the 14 days prior to symptom onset?
  • If yes, continue with triage and referral to:

Fever Clinic @ level 4 Safety Station ERE as suspected Covid -19Level 4 Safety Station:

  • Triage for suspected Covid -19
  • Fever evaluation
    Check for fever >38 Degree
  • Respiratory evaluation clinic

Cough shortness of breath (etc)

  • GIT, CNS or others Symptoms
  • Vomiting, Loose motions, cerebral issues
  1. If symptoms suggest provisional Covid -19 diagnosis as positive (suspect)
  • Hold patient at Isolation Bay at ERE for evaluation or further disposal to dedicated tertiary care Covid Facility

Protocol at Bay:

  • Separate from the rest of the patient
  • Detain /hold patient temp at Holding Bay
  • If test available at HC Facility Perform Covid testing/ Lab
  • If not refer to HC(Health Care ) facility for Covid -19 testing

Bay Environs Requirements:

  • Single room with negative pressure.

(Negative pressure prevents airborne diseases like TB and Flu from escaping from room and infecting others. This is performed by a Machine that pulls air in to the room and filters it before moving out.A positive air pressure is used when patient has a weakened immunity in which a clean filtered air is constantly pumped in to keep contagious disease out of room.)

  • Ensure healthcare personnel (HCP) caring for the patient adhere to Standard, Contact, and Droplet Precautions
  • Only essential HCP with designated roles should enter the room and wear appropriate personal protective equipment.
  1. If symptoms suggest provisional Covid -19 diagnosis as negative (asymptomatic)
  • Issue provisional clearance slip for OPD for further referral to OPD / ERE (non traumatic emergency cases only)

Protocol for CHW at Reception Desk:

  • Wear a face mask preferably N-95 or Medical grade surgical mask with or without PPE
  • Alcohol-based hand rub/sanitizer
  • Tissue papers
  • Social distancing one meter at least
  • Face shield
  • Clear signs at the entrance of the facility directing patients with Fever or respiratory symptoms for further report to the registration desk in the emergency department and thereof for next destination.
  • Installation of Physical Barriers (Glass or Plastic Screen to limit close and direct contact with potentially infectious
  • Trash Bin with Lid
  • Walk through disinfectant gates shall be installed well before entry corridors of OPD/ indoor building with one point of entry and exit.
  • Dedicated clinical staff (e.g. physicians or nurses) for physical evaluation of patients presenting with respiratory symptoms at level 4 safety triage point.
  • The staff should be trained on triage procedures, COVID-19 case definition.
  • Compulsory Complete appropriate personal protective equipment kit (PPE) be worn if available easily (i.e. Mask, eye protection, gown and gloves).
  • Standardized triage questionnaire for use and should include questions that will determine if the patient meets the COVID-19 case definite
  • Questionnaire should include history of;
  1. Travel within last 15 days
  2. Covid-19 positive contact history
  3. Fever
  4. Shortness of breath
  5. Any associated disease ranging from respiratory to medical like diabetes, hypertension or autoimmune
  6. Drug history
  • A notification system to hold patients to wait in personal vehicle so that social distance can be maintained and preliminary evaluation as to history or suspected Covid -19 evaluation can be made
  • Limiting the number of accompanying family members in the waiting area or hospital
  • No one under 18 years old unless a patient or a parent.
  • Anyone and everyone within hospital premises waiting area” should wear a facemask and Gloves.
  • Triage area, including waiting areas should be cleaned at least twice a day with a focus on frequently touched surfaces. (Disinfection can be done with 0.1% (1000ppm) chlorine or 70% alcohol for surfaces that do not tolerate chlorine. For large blood and body fluid spills, 0.5% (5000ppm) chlorine is recommended.)
  • All HCWs (Health Care Worker) should adhere to Standard Precautions, which includes hand hygiene, selection of PPE based risk assessment, respiratory hygiene, clean and disinfection and injection safety practices.
  • All HCWs should be trained on and adhere to precautions (e.g. contact and droplet precautions, appropriate hand hygiene, donning and doffing of PPE) related to COVID-19.
  • If wearing a PPE all must follow appropriate PPE donning and doffing steps.
  • Perform hand hygiene frequently with an alcohol-based hand rub
  • HCWs who are likely to come in contact with suspected or confirmed COVID-19 patients should wear appropriate PPE
  • HCWs in triage area who are conducting preliminary screening do not require PPE if they DO NOT have direct contact with the patient and MAINTAIN distance of at least one meter.
  • HCW does not need PPE as long as spatial distance can be safely maintained.
  • When physical distance is NOT feasible and yet NO direct contact with patients, use mask and eye protection (face shield or goggles).
  • HCWs conducing physical examination of patients with respiratory symptoms should wear gowns, gloves, medical mask and eye protection (goggles or face shield).
  • Cleaners in triage, waiting and examination areas should wear gown, heavy duty gloves, medical mask, eye protection (if risk of splash from organic material or chemical), boots or closed work shoes.
  • Ensure that environmental cleaning and disinfection procedures are followed consistently and correctly
  • Expand hours of operation, if possible, to limit crowding at triage during peak hours and maintenance of social distancing must be observed.
  • All other departments shall observed similar safety precautionary measure while handling patients for any purpose as laboratory or investigations.
  • Admission discharge desk shall also follow recommended and defined SOP safeguarding desk and people in similar fashion.
  • All Patients tentatively cleared from Covid -19 shall pass through walk through disinfection gate with compulsory mask and gloves.
  • All clinician shall wear Gloves (disposable) for each patient with mask and face Shield so that safe distance and droplets affairs can be safely managed.

Lab Protocol:

  • Sampling and collection of sample shall be under strict defined SOP’s with preferred PPE or mask /shield and gloved protocol.
  • All patients regardless should be treated as Covid-(+ive) hence shall be under compliance of SOP’.
  • There will be one patient with attendant in a lab while and during sampling and registration with proper distancing protocol.
  • Disposal of used kits /syringes etc shall be under guided criterion with proper color codes as infectious.
  • Attendant at Reception counter must wear recommended available overalls.

Radiology Protocol:

  • All patients regardless should be treated as Covid-(+ive) hence shall be under compliance of SOP’.
  • Radiographer shall wear PPE or Disposable apron with mask/gloves /facial shield.
  • No patient with recommended SOPS shall be treated without.
  • Proper distant shall be maintained preferably and hand sanitizers be used in between patients along with disposable gloves.

Pharmacy Protocol:

  • Dispenser shall wear disposable gown, mask gloves and face shield maintaining recommended distance.
  • No patient or attendant shall gain access in pharmacy or dispensing Room.

Protocols at Reception Desk & counter

  • All Admission- Discharge counter /OPD counter and similar labs dispensing and radiology counter and reception desk shall be shielded with transparent glass or through and through plastic shields to avoid direct contact and exposure to the staff.
  • CHW/ Attendants at all reception shall be in complete compliance of SOP’s.

Protocols at OPD:

  • Specialist shall have selective days and hours of their OPD.
  • All walk –in patient shall abide hospital SOPS & protocols
  • Clinician shall take necessary precautions at their own in examination and handling of patient for their own safety.
  • Under no means clinician will be allowed to examine patient without mask, face shield and gloves.
  • Hospital shall make available requisite necessities at charges for patients attending hospital and clinicians.
  • There will be restricted number of patient in OPD hence as such a preferred mode of appointment shall be an E- appointment by Telephone.
  • However walk in customer will be to the maximum facilitated.
  • Different specialty will have different days as such specialties shall have different days.

Protocol for OT:

  • All patient undergoing elective surgery regardless of specialty and procedure shall be tested for Covid -19
  • Emergency surgery shall have defined Protocol of Covid-19 taking care as if operated upon Covid (+) positive case.
  • All procedures from anesthesia to recovery shall be governed and watched in full SOPs and disposal shall have structured criterion.
  • Gynecological procedures, caesarian sections and deliveries all shall have covid -19 testing prior to Hospital Visit.

Protocol of admission /Wards:

  • All Admission regardless of specialty and diagnosis shall be treated as suspect unless testing is done.
  • All Cases pertaining to fever or Respiratory symptoms should be dealt cautiously and consciously.
  • Wards must have less number of beds keeping distance between.
  • Rest of the SOPs as recommendation should be followed both by the patient, attendant and CHW.
  • Attendants will be treated in the same way as is protocols are being followed for a Covid (+) suspect.
  • Rest room and toiletries should be washed at frequent intervals.
  • Waiting areas and public place shall be cleaned at least twice.
  • Workers involved in cleanliness and disposal shall ideally be in PPE.
  • All donning and doffing procedure need to be followed in true letter and spirit as per WHO recommended Procedure (Dr Raza)

Dushman -e- ahl-e- bait teri bait pey laanat

*تمام مسلمان بشمول فقہ، محمد و آلِ محمد (صلی اللہ علیہ و آلہ وسلم )کے دشمنوں سے اظہارِ برات و بے تعلقی کرتے ھیں*

*ھم با حیثیتِ شیانِ علی دراصل محمد و آلِ محمد( صلی اللہ علیہ و آلہ وسلم) کے دشمنوں سےبرات و بے تعلقی کا اعلان برملا کرتے ھیں*

*ھمارے عقیدے کے مطابق محمد ( صلی اللہ علیہ و آلہ وسلم) اور اُن کے خانوادہ اور آباؤ اجداد سب کا یھی نقطہِ نظر اور عقیدہ تھا کہ وہ محمدو آلِ محمد ( صلی اللہ علیہ وآلہ وسلم) کے دشمنوں سے برات اور بے تعلقی کا اظہار کیا کرتےتھے*

*یہ براتِ آئمہ طاہرین ( علیہ سلام) کے رواج اور رسم میں اک عملِ واجب ک ی صورت امر بل معروف تھی*

*اور یہی رواج امام محمد باقر ( علیہ سلام) سنتِ اہلِ بیت( علیہ سلام)پر دشمنانِ اہلِ بیت کے بارے میں اپنے شیان کو کچھ اس طرح دیا کرتے تھے*

*تم مجھ سے کیا پوچھتے ھو اُن کافر پیشواؤں کے بارے میں؟*

*ہم اہلِ بیتِ محمد میں جو بھی اس دنیا سے واپس گیا، وہ نا پسندیدگی کی انتہا پر اِن لوگوں سے برات کرتا رھا*

*ھمارے بڑوں نے ھماری آئندہ کی نسلوں کو اس بات اور برات کی تعلیم دیتے رھے اور دے کر گئے*

*بلاشبہ ان لوگوں نے ھمارے حقوق بغیرِ حق غضب کئے*

*خدا کی قسم یہ لوگ سب سے پہلے ھماری گردنوں کا سودا کرنے والے تھے*

*لعنت ھے ان پر اللہ کی، ملائکہ کی اور انسانیت کی*

*بلاشبہ یہ پیشوا اس دنیا سے توبہ کئے بغیر گزرے، اُس جرم پر جو اُنہو ںنے علی (علیہ)کے ساتھ کیا، بلکہ وہ ھمارے خلاف برائیوں کو برائی نھی سمجھتے تھے*

*لعنت ھو اُن پر خدا کی، ملائکہ کی اور انسانیت کی*
*(ڈاکٹررضا)*

نجاست سے دور مہرِ نبوت

دین کی بنیاد خدا کی وحدانیت اور اس کے لا شریک ھونے سے جڑی ھے

یوں خدا کی وحدانیت نبوت کے صادق اور امین ھونے سے مشروط ھے

اب سوال یہ ھے کہ جسے دیکھا نھی وہ کاملِ یقین کی منزل پر کیسے !

کسی ذات کا ھونا تقاضہ وجود میں موجودگی کی دلیل مانگا کرتا ھے

یوں کسی شہ کا موجود نہ ھونا بھی اُس کے نہ ھونے پر فیصل نھی ھوا کرتی

جہاں کسی کا ھونا کسی کے دلائل سے جڑا ھو، وہاں دلیل محتاج ھوتی ھے دلائل دینے والے کی

یوں دلائل صداقت کی بیڑی میں امانت کی ہتھکڑی میں گرفتار ھوا کرتا ھے دعوہ کرنے والے کے کردار میں

اعلانِ نبوت اور رسالت میں ایمان موجود پر ھوا کرتا ھے اور یقین موجود کی بات پر ایسے کہ کامل یقین اُس نہ دکھنے والی ذات پر جو فقط موجود کے وجود سے جڑی ھوا کرتی ھے، گویا اُس کے موجود ھونے سے

اب سوال یہ ھے کہ، موجود کی سچائی کی گواہی کون اور کیوں کر قبولِ عقل و شعور پر دے، جب کہ موجود خود اک وجود لئے خلق ھوئ بشر کی صورت خلقت ھو، ایسے کہ امانت لئے نبوت و رسالت کا دعویدار ھو اور وحدہُ لا شریک کی وحدانیت کا علم بردار ھو

یہ بلخصوص ایسے معاشرے میں جہاں وحدانیت شرک سے آلودہ ھو اور نبوت کہیں قتل اور کہیں تکزیب کے سانچوں میں دربدر بے مسندو و مال و زر ھو

ضروری ھے ! کہ دعویدار اعلانِ اقتدار سے پہلے اعتبار کی اُس منزل پر ھو جہاں دعوہ اُس کی پچھلی زندگی کا پوشاک رھا ھو، ایسے کہ شرک کی بستی میں بھی وحدانیت کا قائل اور علمبردار ھو

بس دعوہِ نبوت کی پہلی سیڑھی خاندانِ نبوت کے طور طریقے اطوار کو لئے نسلوں سے اطاعت اور پیروکار کا وہ مظہر ھوا کرتی ھے، جہاں دعوہ ہر نسل کی ترویج اور تصویر ھوا کرتا ھے گویا وحدہُ لا شریکَ کا اعلان ہر نسل کی داستان اور نبوت ہر باپ دادا کی پہچان

یہ اس لئے کہ کردار اک دن کا نھی برسوں کے دستور اور اطوار ھوا کرتا ھے

یوں صداقت کردار کا پیشہ اور امانت خلقت میں ڈھلی خصلت
ھوا کرتی ھے
یھی صداقت اور امانت خود پر دلیل بن کر وحدانیت کی مہر اور واحد سبیل ھوا کرتی ھے

اگلی نسل کا کردار پچھلی روایت کا عَلم بردار ھوا کرتا ھے

پچھلوں کی صداقت اگلی کو امانتدار بناتی ھے

وحدانیت کا دعوے میں شرک سے براعت اگر نسلوں کا کردار نہ ھو تو دعوہ مشکوک بن جاتا ھے، یوں دعوتِ دین ہر قدم
پچھلوں کے سائےمیں اگلوں کی سرزرش ھوا کرتی ھے

بس ثابت ھے کہ باپ دادا کی ریت روایت قصے اور حکایت اگلی نسل کی امارت ھوا کرتی ھے

آدم سے آخر تک کے سفر میں ابتدا انتہا سے جڑی ھے اور یوں انتہا ابتدا کا آغاز ھوا کرتی ھے، جو ازل سے ھی آبد کا راستہ ہموار کرتی ھے

جہاں آدم ہاتھوں سے خلق ھو، وہاں کن فیَکن

پہلے ھی آخر تخلیق کردیا کرتا ھے، یوں پہلے سے

آخر تک کا سفر اک ھی کُن میں ترتیب دے دیا

جاتا ھے، ایسے کہ پہلے سے پہلے آخر کا وجود

یہ اس لئے کہ ہر ابتدا انتہا کو سمیٹے ھوئے ھے، یوں بشر سے محشر اور اس کے درمیاں ہر اک کتاب دفتر میں درج ھے

آدم کی ابتدا ارتقا سے وحدہ لا شریک کے مظہر سے جڑی ھے، یوں نبوت دعوہ نھی، اس کا استر ھے، جو سجدے گاہِ مالک وعالیان و بشر تھی، یوں ہر آنے والا اک فطرت لئے فقط اک سنت پر وحدہ لا شریک کی تسبیح پر اپنی مہر و نبوت لئے اُترا
گویا جو اترا وہ معصوم اور ہر نجاست سے دور کہ مہرِ نبوت روحِ پروردگار سے جڑی اور روح ایسے کہ ہر نجاست سےدُور اک پُرنور وجود لئے بھیجنے والی ذات پر آمین کی نکیل لیے ایسے کہ پہلا اگلے کی نوید لئے اُتارا ، یوں صبر اور شکر کے ریت و رواج میں منزلِ شہادت اور استقامت پر

کیسے ممکن ھے کہ جہاں خلقت وحدہ لا شریک کا کُن لئے فَیکن کا اثر ھو، وہاں فیَکن حالتِ شرک میں شرک کے باوجود نبوت کی منزل پر زیبِ تن ھو

کیسے ممکن ھے کہ جہاں منزلِ امامت پر بعداز خدا منصبِ محراب و ممبر دعوہِ نبوت و رسالت کے استر میں لا شریک کی سبیل ھو، وہ خود مشرک کی صورت شرک کرتا رھا ھو

نہ جانے یہ کس دین کے پیروکار ھیں جہاں کبھی کے مشرک کو نبوت کے سانچے میں پِروکر تقاضہ قدرو منزلت میں سمویا کرتے ھیں ، یوں مہرِ خاتم انّبین کے بعد بھی کبھی مشرک کو نبوت کے عَلمِ بردار کی صورت گمراہ کُن اعلان کیا کرتے ھیں “ کہ میرے بعد اگر نبی ھوتا تو پتا نھی کون ھوتا”

ڈاکٹررضا

نبوت و رسالت

عجب نھی کہ مسندِ نبوت کو ختمِ نبوت کے بعد منصوب کرنا بلاشبہ ختمِ نبوت و رسالت کو مشکوک کرنا ھے

یہ اس لئے کہ نبی جیسا کوئی بشر نھی اور نبوت جیسا کوئی منسب نھی

کیسے ممکن ھے جہاں خلقتِ آدم کی ابتداء سے بھی پہلے نورِ محمد ھو اور بعدِ ظہورِ محمد کسی کے کردار کو محمد کی نبوت کے ہمسر ٹھہرایا جائے، ایسے کہ صفات، ادراک،علم،منسب فطرت،عصمت،عطرت اور مجسم نور کے طلسم پر عرشِ اولہ پر موجود محمد جیسے واحد نورِ بشر جیسا دکھایا جائے، جب کہ وہ شخص اک عمر لئے بے دین و گمراہ اک نجس نطفے کے اثر میں وجودِ شر ھو، کہ قرآن کہ اٹھے کہ کیا کبھی بنی نوع انسان نے اپنی نجس خلقت نھی دیکھی، کہ کس نجس نطفے سے ھم نے اس کو خلق کیا، یوں سورۂ یاسین کی اس آیت کا مزداق ھو کہ “تاکہ تم ان لوگوں کو گمراہی سے نکالو، جن کے باپ دادا گمراہ تھے”

بس کیسے ممکن کہ شرک میں ڈوبا، نفس, اولہ کی مانند نبوت کے منصب پر نگاہِ بشر ڈال بھی سکے

عجب شرک ھے کہ جہاں کائنات کی خلقت خاتمُُ نبیٍ کی صورت محمد کے وجود کو لئے حجّتِ کائنات ھو وہاں مزاجِ مسلماں اک نجس نطفہِ بشر کو نبوت کے آنسر پر ذات، صفات اور اوصاف کے کردار پر دیکھنا شروع کردے، یوں کبھی کہ مشرک کو باوجود شرک کے نبوت کے سانچوں میں تولنا شروع کر دے

عجب نھی یہ روایت کہ جہاں دین ایمان کو لئے خاتمُُ نبیٍ سے جڑا ھو یوں آخر مانانِ ایمانِ کل ھو وہاں ایمان کو بے یقین کرنے اک نفس کو مسندِ نبوت کے ہمسر لا کھرا کیا جائے ، ایسے کہ جیسے کے وہ بھی انھی کرامات اور صفات پر جیسے وہ بھی نبوت کے ھم پلّہ ھو

جہاں مزاجِ پیروی میں مسلمان اپنے جیسے انسان کو نبوت کے سانچوں میں دیکھنے لگے وہاں دین فطرت سے ہٹ کر خواہش بن جاتا ھے ، یوں خلیفہ بلا فصل سقیفہ بل شر کہلاتا ھے

نبوت کی پہلی شرط نجاست سے پاک خلقت ھے، جہاں امر آسمانوں پر سجدہ لئے وجودِ بشر میں روح کے تعلق سے جڑا ھے”کہ جب میں اس میں اپنی روح پھونک دوں تو اس کے آگے سجدہ کرنا”

گویا کہ،
“ابھی وجود نھی پر بشر نبی ٹہرا”

اور یھی نھی،

“ ھے سجدے گاہ تیری، منزلِ عطاعت میں

میری ھی روح لیے یہ میرا ازن ٹہرا”

جہاں خلقتِ نبوت ازنِ الہی سے جڑی امر لئے روحِ پروردگار کی صورت سانچِہ نبوت ھو، وہاں کوئی مشرک اور نجس نطفے سے پیدا ھوئی مخلوق مسند نبوت و امامت پر فائزنھی ھوا کرتا، یوں یہ ضعیف روایت بلاشبہ زمانے کی گرد میں غرور و تکبر کے ارض میں کسی بے دین روی کی غفلت سے جڑی رسم بغضِ عظمتِ آلِ محمد میں ڈوبا مقروضہ ھے جس میں کفر واضح اور ایمان ناپید ھے
(ڈاکٹررضا)

عبادت

دراصل عبادت نماز یا اُس جیسی کوئی فرض واجبات نھی، بلکہ عبادت عبدیت کی وہ پابندِ سلاسل طوق ، ھتکڑی اور بیڑیاں پہنے قید ھے، جس کی آزادی خود قیدی کا اپنا اختیار ہو اور جو اپنی رضا کو لئے کسی کی رضا سے بے پرواہ وقت اور حسار سے باہر جزا اور سزا سے عاجز کسی بھی تسکین اورتلقین سے عاری، وقت، حالات اور پہر سے آزاد، دیکھ لئے جانے کے ڈر اور ریاکاری سے دُور قیام، رکوع اور سجدے میں ڈھلی ایسی کیفیت لئے جس میں نہ کوئی رسم اور رواج ،نہ ھی سلسلہِ طریق و تکبیر،کہ نہ کوئی طور رائج، نہ طریقہ غالب،یوں عمل کے پابند نھی اور نہ اجرِ خیر کاطالب،بس خلوص اور نیت منزلِ کمال پرنامِ محبوب سے جڑی سانسوں کی وہ تسبیح لئے جو ہوش و حواس میں محبوب کا وِرد دل کی دھڑکنوں سے بجا لائے

بس عبادت معیارِ عطا اور جزا سے بے پرواہ ہوا کرتی ھے، یوں نہ خوف معبود کا اور نہ لرزہ بندگی کا ، کہ پھر خود معبود اپنے کلام میں قبولیت اور پیار کا اعلان کچھ ایسے کرے، کہ چاند کی قسم، سورج کی قسم ،نہ تو ھم تم سے ناراض ھوے اور نہ ھی ھم نے چھوڑا

ڈاکٹررضا

Rab -e- kaaba ki qasam

بس جب وجود ذات کے پیکر میں ڈھلتاھے تو ذات وجود کے استر میں آ موجود ھوا کرتی ھے

یھی ذات اور وجود کی اپنی ساخت اور شناخت سے جڑا ھونا گویا مانندِ وجود بشر کی صورت آ موجود ھونا دراصل مزاجِ جنوں انس و بشر میں امتزاجِ شر پیدا کیا کرتا ھے

بس ذات سے وجود اور وجود سے ذات تک کے صفر میں بصارت سے بے پرواہ انبوہ بصیرت پر ہی تقاضہِ عبادت کی تکمیل کردیا کرتا ھے

یوں بشر سے شر تک کا صفر ذات سے بے پرواہ وجود کے محور میں ھی ادا کرتا ھے

بات یہ ھے کہ جہاں بصیرت دید سے جڑی ھو وہاں بصارت گمان ھوا کرتی ھے اور کامل یقین فقط کیفیتِ بصیرت

شائد یھی وجہ ھے جو سجدے میں عبادتن جان دینا اور پھر خود کو کامیاب قرار دینا غالباًاس بات کی نوید تھی کہ بشر سے شر کو جدا کردیا

یوں وحدانیت کو سجدہ کر کے بیاں کردیا اور وحدہ لا شریک کو عیاں کردیا، ایسے کہ علی اسمِ الہی کا مظہر ھے یعنی وہ جس کا کعبہ گھر ھے
ڈاکٹررضا

Ventilators, A killing Machine, ByCapt (R) Dr Raza Haider, “It is also been observed that patients put on ventilators do extremely bad as such the modality of treatment to put all Covid -19 patients on ventilator is a mere criminal treatment that ensures unwanted deaths on score board moreover it is again negligently criminal to put patients on intubation/ endotracheal tube that again increases the number of run in death board.”

May 2020At present, there has been a lot of debate within the professionals as to what cascade of event actually takes around the course of disease to the end as fatality in terms of pathophysiology.

Autopsies of the affected Lung tissues with regard to cases that succumb during the pandemic were systematically analyzed and were found to have features of the exudative (release from pores) and proliferative (Rapid growth) phases with changes brought about in substance of lung during the course of disease known as Diffuse Alveolar Disease (DAD)Therefore the predominant pattern of lung lesions in COVID-19 patients was DAD (Diffuse alveolar Disease), as has been described for previous two corona viruses that infected humans; SARS-Cov and MERS-Cov.Analysis suggested,

  • Capillary congestion
  • Hyaline membrane formation
  • Interstitial edema
  • Pneumocytes hyperplasia
  • Reactive a-typia
  • Platelet-fibrin thrombi
  • Necrosis of pneumocytes
  • The inflammatory infiltrate with macrophages in alveolar lumens and lymphocyte within the interstitium.
  • Viral particles within cytoplasmic vacuoles of pneumocytes.

As such the overall presentation fits in to the clinical context of coagulopathy that dominates in these patients.This “coagulopathy is one of the main targets of therapy in Covid -19 disease”It is said that lungs of most COVID -19 patients retain their mechanical capacity to function despite severe hypoxia.It is also been observed that patients put on ventilators do extremely badAs such the modality of treatment to put all Covid -19 patients on ventilator is a mere criminal treatment that puts unwanted deaths on score board.It is again negligently criminal to put patients on intubation/ endotracheal tube which again increase the number of run in death board.One of the bloom blessing in disguise or a bad omen whatever, in Covid -19 clinical presentation is a, “Happy hypoxia” the name being given to the condition for these patients do not have sudden air hunger to collapse them rather a late presentation of collapse in spite of low oxygen saturation.As such the initial paradigm of intubating patients as soon as oxygen saturation begins to drop is drawing skeptics and to my recommendation it must be cautiously consider before institution hence to me the same is a last irreversible slot of treatment which shall ever be tried.It is now believed that suspected patients with COVID-19 have a unique lung disease, and not the classical ARDS.Clinicians have realized that modalities that courses treatment to intubation and further to ventilators take patient farther towards mortality ranging from 30% to almost 100% this is in case they are put on ventilators. One enhanced mortality explanation is physiological reason being discussed among critical care doctors that air pushed in at high pressure by ventilators may be causing more harm to lungs thereof further damaging than providing relief vice versa.It is again a parted and impartial observation that patient with severe hypoxia that are conscious do better with oxygen provided by a tube in the nostril as compared to sedated with intubation or on ventilators.Since the main bunch of required treatment has a scoop of oxygen requirement with reference to anoxic episode many ‘layman techs and tricks have been in run to enhance oxygen delivery one being tilting patient to turn to the left or right or even prone (on the tummy)’.The same has dramatically improved oxygen saturation within minutes of applying this simple technique.It is said that the prime minister of England was treated with similar simple oxygen delivery.At the most and at if necessitate patient may be given oxygen by continuous positive airway pressure.A form of (PAPV) positive airway pressure ventilation applies mild air pressure on a continuous basis.The COVID-19 lungs have revealed that they are more like as if they’re suffering from high-altitude sickness that causes pulmonary edema.This is like dropping someone on to the peak of Mount Everest without any time to acclimatize which is a key to any one climbing the mountain above the sea level.The other qualitative characteristic of SARS-CoV-2 virus, unlike conventional pneumonia is; it attacks both lungs. The patients come to the hospital though with low oxygen levels yet not in distress.It is a clinical customary that the usual patient who attend clinics in acute distress become anxious with air hunger once oxygen drops below 80%, but not the COVID-19 patient therefore masking acute necessity.In my opinion this masking of symptom in spite of derangement can be manage easily by Pulse oximeter if at all such positive cases with symptomatic mild or moderate presentation are to be monitored for concealed derangements.In addition autopsies have revealed a strange slime in air sac (alveolar sac) that surely plays a role preventing oxygen exchange in the lungs.Due to this slimy gel and the use of ventilator support; it is a possibility that ventilator might Increase the force with which the air enters the block alveoli.The first (Covid-19 + ive)(RT-PCR) patient who died from the virus in New York was an obese 77-year-old hypertensive man, whose autopsy showed that the lung sacs were smeared with a substance that resembled thick paint.Since mechanical ventilation can pump in air with a force that may rupture the already compromised alveolar sac, it is presumed and recommended that ventilators shall work at lower pressures in selective cases but this will need a randomized controlled trial to ascertain.It is now being recommended by many critical care specialists that simple oxygen administration to the patient in a prone position is a better alternative to allow nature to takes its course.There has been a substantial reduction in the recommendation and use of ventilators in COVID-19 patients in recent choice of treatment.The current mantra is to use ventilators in selected cases and to push in oxygen less aggressively. It should be noted here that the new corona virus SARS-CoV-2 is called so because of its similarity to the SARS virus, which caused an outbreak of severe acute respiratory syndrome (SARS) in 2002-2003. Genes and Genetic:Specifically, the new virus’s genome is a 70% match to that of the SARS virus.It is being prelude that using the SARS virus’s genome as a reference, scientists could use genetic sequencing to determine if the virus causing the current outbreak is the earlier SARS virus or a new strain.Initially, scientists in China were able to sequence the full genome of the virus only four days after the first case of infection was reported, thus paving the way for scientists around the world to design rapid molecular genetic tests for COVID-19.Using a technology and sequencing, scientists are today able to sequence multiple DNA fragments in random, which are then aligned on a reference genome from a related organism to build a full genome sequence.The genomes of most organisms are made of DNA, but some viruses – like the new corona virus – have genomes of RNA. The SARS-CoV-2’s RNA genome has 32,000 nucleobases.Tracts of nucleobases make up genes.The combinations of genes make up a genome. Genes carry the instructions for the virus to synthesize different proteins, including those that make the virus infectious.DNA is usually double-stranded while RNA is usually single-stranded. Both DNA and RNA are made of four nucleobases; three of them – adenine, cytosine and guanine – are common. In DNA, the fourth is thymine and in RNA, uracil. Virus mode of attachment, action and replication:After locking on human cells, the virus first releases it’s RNA inside the cell and uses the cell’s resources to transcribe an enzyme called RNA-dependent RNA polymerase (RdRP).RNA-dependent RNA polymerase (RdRP) replicates the virus’s genetic material inside the cell which is subsequently used to produce a bunch of proteins.The newly reproduced genetic material and protein combine with new viral particles that ooze out from the host cell hence ready to infect neighboring cells.This way, the virus perpetuates itself within our cells at the expense of the human cellular machinery.Diagnostic testing:The fulcrums of modern medicine are suspended on the molecular diagnosis of infectious diseases.And one test that makes this possible is the reverse transcriptase real-time polymerase chain reaction (rRT-PCR) test.The reverse transcriptase real-time polymerase chain reaction (rRT-PCR) test is currently used to diagnose the presence of SARS-CoV-2 in a sample.If the organism SARS-CoV-2 is present in a sample, it means the person from whom the sample was obtained likely has COVID-19 which is the name of the disease caused by the new corona virus.Procedural Sampling Covid-19:

  • First, a technician isolates the genetic material of the virus from a nasopharyngeal sample (obtained from a person by a swab of the upper respiratory tract).
  • This RNA is then converted to complementary DNA or (cDNA), using an enzyme called reverse transcriptase.
  • The diagnostic panel for COVID-19 comprises four target genes.
  • Three genes are specific to the new corona virus and one is a human gene, used as an internal control.

Many of the health care workers are of the testament that they are not sure how many decomposed because of COVID-19 and how many with it. The US Centre’s for Disease Control are also flexible regarding the cause of death in connection with the COVID-19 pandemic. Confirmation of presence of SARS-CoV-2 is not mandatory when the death certificate is filed. It has been concluded that patient may die with COVID-19 and not from COVID-19Many autopsy report highlights that a person can die from a condition other than SARS-CoV-2 whereas the virus can be a bystander or vice versa yet the tag remains the wearing of Covid -19. Thus this distinction cannot easily be made by clinical judgment alone as the symptoms have pretending double standard display that fits along season disease as well.It is reported that once a person with Covid -19 remained symptomatic for six days with fever and chills and died before he could be put on a ventilator.His lung sacs were inflamed and damaged with full of lymphocytes.On the contrary there was a 42 years old man who was infected by SARS-CoV-2 but did not die from it but bacterial pneumoniaHe was admitted in critical condition for fever, cough and chills.CT scan revealed ground glass opacities in both lungs.Nasopharyngeal swabs tested positive for SARS-CoV-2 but lung swabs were negative.There were food particles in the lung and the bacteria could be grown on culture. The final autopsy listed COVID-19 as a condition but not the cause. The patient had died of bacterial pneumonia because of aspiration.Besides, the CT findings noted (ground-glass opacity, consolidation) are not specific for COVID-19 and can be observed with numerous pathogens (for example during an epidemic influenza) and in many noninfectious etiologies.The almost constant presence of ground-glass opacity and the high incidence of the crazy-paving pattern meant that the chest CT features of COVID-19 patient have “ground-glass opacities may be due to mild edema of the alveolar septi, hyperplasia of the interstitium, partial filling of air spaces, or a combination of these features.Besides, the crazy-paving pattern may correlate with hyperplasia of interlobular and intralobular interstitia”.All these features are very similar to those seen in SARS and MERS-corona virus infections and such patients were labeled as having “interstitial pneumonia” at least in the early stages.Autopsies on COVID-19-positive patients in Italy have highlighted the presence of thrombotic formations and also of a thrombofilic vasculitis in the lung, brain, and other organs culminating in to multi organ failure.Receiving influenza vaccination may increase the risk of other respiratory viruses, a phenomenon known as virus interference.

What we need to learn about Vaccine and n-Corona, by Capt (R) Dr Raza Haider

Virus is not as seasonal as influenza but like almost all respiratory viruses the group along with Covid-19 are seasonal.Summer shall give a feeling of lull and self complacency yet still we have different degree of findings in Australia and southern hemisphere so watch out.

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There is a second phase of epidemic in mid or late June or early July particularly in developed countries.

 

This next phase would be less abnormal than the first phase.

 

The next upcoming will be;

 

You may go out but little not often and no crowded place.

 

Restaurant would be there but every one apart and at every other table .

 

Aeroplanes at your door but with empty middle seats.

 

School shall regain their opening but not like as it was earlier classes and will have similar social distances.Remember you can not fill stadiums with 70,00 people any more.

 

You will work little earn little and spend little, its no good time anymore as it used to be.

 

Sporting & Entertainment event will not qualify for long since live audience would continue to carry risk of spread and shed.

 

Religious activities will continue to be in grey shades with unclear pen picture.

 

There will be applications to download that shall define your immediate past mates and dates therefore contact tracing can easily be worked out.

 

Variable numbers of digital approaches have been introduced.

 

It will be through the blue tooth or beep that is inaudible to human verifying that two phone were reasonably closer to each other.

 

In short there are and will be application which you will install to testify your where about in previous days if you ever test positive.

 

Current swab test requires person to change clothing at every new sample.

 

Sooner within months there will be a self swab approach test like in- home pregnancy test called R-D-T Rapid diagnostic test.

 

This test will be like pregnancy test in which you will swab your nose and mix the same in liquid container and the same is than drop over in to a strip which will change color if you are positive.

 

This report will than be shared to your government to act further as per law.

 

Though it takes time to develop vaccine say 10 or 20 years yet the minimum and fastest ever recorded tenure would be tagged with Covid -19 vaccine development.

 

Not less than 18 month is the minimum period though speculated shortest period is 09 month since 3rd phase of trial has human efficacy and safety.

 

A single dose vaccine would have 7.5 billion target where as 02 dose vaccine would have 15 billion doses.Point has its own worth in display explaining future strategy to gun and guide money as per desire.

 

Best ever marketing strategy is to divide and multiply and the 7 will give 15 with two dose and the 3rd dose will put you up at 21.

 

Again manufacturing will be unprecedented and multiple companies would be involved in manufacturing.

 

However the task has a assigned dictation and the blue eyed remains the choice of interest.

 

It is said that health care workers would be the first to receive the vaccine followed by low income countries.

 

This is because of the exposure risk they have numerically.

 

It is expected that the virus shall expand exponentially more in poor countries for their lack of compliance and poor health system making them vulnerable.

 

However this is not a valid justification and if I see stats in relation to current spread for I see a low rate in snug and smug in these areas compared to developed countries.

 

So the plan to put and push low income countries as foremost is to pay for the cost of developing vaccine as if human guinea pig or in terms of safe human trial and in all perspective an unjustified criminal strategy.

 

Other imperative necessity to be kept in consideration is not every one would get the vaccine at same time so time remains the enemy and condition remains the problem.

 

World need to decide who are the forerunners as winners to get first as must.

 

Remember plan is world can only return to normal when everyone on the planet is vaccinated or have a modest treatment in hand.

 

Its still years to come before world is vaccinated and before its again good old days.At the end of May hydrxychloroquine shall get a modest stature in the proposed treatment of Covid-19 .

 

Drawing blood from patient recovered from Covid -19 and giving plasma as antibodies it contains against virus is under run as promising candidate in treatment modality.

 

It is postulated that every falling month without a vaccine shall have more powerful backlash on economy that would put countries on hang.

 

There are more lock downs to come and soon to be a next seasonal approach of honeymoon in winter.

 

We must know some one is too fond of vaccine and its manufacturing.

 

Very soon an RNA Vaccine is undertaking its flight to launching.

 

It will not be like influenza virus vaccine that has fragments of influenza virus in shot so to boost up antibodies against influenza antigen.

 

An RNA vaccine turns your body in to own vaccine manufacturing unit.

 

Its a new approach where RNA will give a genetic code to the immune system in place of virus and the resultant antibodies will be produced without introducing Virus.

 

Being new in innovative approach, I personally could not agree with the concept of genetic code and its further antigenic response to create viral immunity as antibodies.

 

In my opinion its a genetic mutation that will sooner or later create autoimmune adversaries since antibodies are directed against the mutated code imitating as virus though was never a virus but artificially tailored changes being brought about in immune system through genetic coding and sequence.

 

Immune system has a complex behavior and such manipulations in any genetic sequence without an actual viral analogue yet deranged genetic coding in its own RNA polymer shall be a precursor or basis of gene mutation leading to subsequent tumor in future.

 

The other very important aspect of this altered genetic coding ,the RNA vaccine unit , also supports the 5-G theory of conspiracy that puts fear among people of similar mutations and endless cancer.

 

Why not belief that changes in sequence in genetic code could also be brought about by 5-G internet.

 

This is because human body is itself an electrical system and is sensitive to environment.

 

This 5-G is a battlefield gauge of electromagnetic field and its frequency sequence definitely expose human to mutation on particular sequence altering and creating a cytokine storm without a virus antigenic response or its prior exposure but by mimicking a viral antigenic response similar to virus but not virus hence a cascade of autoimmune hyperactivity.

 

It is said that RF and MW radiation exposure causes disturbances in immune system with physical alteration along with degradation of immunological response.

 

Cancer cells are vulnerable to frequencies between 100,000 hertz and 300,000 hertz.

 

Humans are electrical chemical beings tuned to earth natural pulse frequency of 7.83 hertz known as Schumann Resonance.

 

When humans are in sync with 7.83 the body is able to heal and increase its vitality.

 

If we are out of sync with Earth’s Frequency (Schumann Resonance) we begin to exhibit signs of discomfort that can range from anxiety, insomnia, illness, suppressed immune etc.

 

Magneto-reception (also magnetoception) is a sense which allows an organism to detect a magnetic field to perceive direction, altitude or location.

 

This sensory modality is used by a range of animals for orientation.

 

Magneto-reception deals with the detection of the Earth’s magnetic field.

 

Bats may also use magnetic fields to orient themselves.

 

They use echolocation to navigate over short distances, it is unclear how they navigate over longer distances.Our health depends upon this natural coherence of frequency and environment.

 

However on the other perspective how could 5-G with billions of hertz against natural Schumann resonance could not effect our health being with such a massive hidden 5-G bombardment.

 

Though conspiracy theorist are running parallel with the pattern and spread of the disease on fiction and real realm; the created suspicion there off has a reserved seat in thinking mechanics of researcher who can not go without endorsing facts as per figure.

 

A very important scoop of attention lies in the fact that a Covid disease should be looked in a separate slot from its transmissibility during its contagious phase.

 

Recent studies suggest that R-O of COV -2 is 5.7 and not 2.5.

 

Lets understand one thing high R-O (R Naught) does not means a dangerous disease where as R-O is the infectivity of the disease.

 

R-O less than 1 means disease will die down where as R-O above 1 means the disease will continue to spread.

 

SARS have R-O of 2 to 5 but could infect only 8000 where as flu has R-O of 1.3 yet it infects millions.

 

These numbers tell us only potential transmissibility of virus and not disease and screening and quarantine are ways to gauge and cadre transmissibilty of the virus.

 

It must be emphasized here that vaccine take time to create immunity (at least 02 weeks) and the means span shall have en-route drugs effective to combat disease in mean time.

 

Essentiallity for a vaccine has basic criteria of safety and efficacy as a little failure will get the harmonic trump out of band.

 

We have a general belief that someone out there would always be ready to accommodate the worse we have.

 

However pandemics have little cushion and as such demoralizes this faith and belief for in reality even the best of health care system could not succumb and sooner or later unveiled or show its incapacity to hold fort for long.

 

Germs do not cause disease and are not cause of the disease but are the result of the disease.(Dr Raza)

The Ghost of Corona By Capt (R) Dr Raza Haider, “Under no means few among the globe as caretaker can be allowed to witness truth where as all within the globe are to follow such so called prophetic soul being put up in the name of WHO”

What is concerning the most is, why should vaccination be the prime treatment of choice in an anti viral treatment modality?

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And same goes to anti viral treatment in a disease which has an 80 percent carrier state that is likely to vanish after incubation period of 14 days without symptom in 80 percent population and whereas few slots of different percentage and severity may turn with fatality not more than 04 percent at the most.

Is in it strange that we have acknowledge presence of carrier state of virus(Infective stage) as disease where as in reality a full blown disease from virus has very low propensity with again a crude fatality that is a mere subject of havoc or hue rather a management.

A zoonotic virus with a masked vector infecting human to human again and again as contact transmission with a further life cycle without an initial transporting vector or original specie;

That is too strange that transmission cycle has a cease recessive allele from which a virus originated say as bat or pangolin or whatever where as further progression of the virus has a human contact transmission without any input from its previous cycle rather out of cycle meaning the virus does not need anymore what is termed a necessity as vector for spreading in to human neither specie that it belongs to as commensals.

It means next breed of virus expansion and spread has human as host and no one behind as ghost vector any more.

Let’s be simple and ask our self what is the fate and life cycle of virus while in its frame of human to human spread.

A man as person zero will infect 1 or 2 where as the ground zero and human zero will become the first on earth in girth.

Fate of the one as Patient zero will either be resolution or late resolution and revival after a disease course or death as unrecovered fatality.

The point is not every one is carrying a disease yet everyone can be a potential spreader or carrier whom may help in progression of spread of virus but not disease for virus remains as carrier in 80 percent without being symptomatic.

So if in case population at large becomes the carrier, 80 percent shall not exhibit viral disease and yes shedding that shall infect many along with or without symptoms.

This shows that what does not raise symptoms in 80 percent population has limited petition to be considered on ground of pandemic or epidemic or endemic disease for which necessity shall demands urgent vaccination.

And yes considering the importance on ground of potential patient that shall get disease and turn in to fatal though may be low outcome of course; demands keen logical input for safety and treatment considering part as parcel of ailing humanity.

Let’s not take whole world as slip up and peddler who may not understand the graph and its movement around the sphere.

I am sorry but the virus could not play what is being displayed in countries that are developed.

Though the objection that no of cases are being misreported due to unavailability of test kit may be a logical ask but even with unavailable kits, lack of compliance for lockdown and similar non compliance on social distancing and etc; the calculation of disease spread and its aftermath should be on ground of infectivity of spread as disease and not on spread of virus that just makes 80 percent population as mere carrier.

This is because a non- virulent virus with no infecting capacity and a better immune response of the people that shatters infectivity of virus which is called the immunity of that population or herd immunity clearly defines that virus virulence is less as compared to people resistance as immunity especially in poor countries.

The same goes to other countries and a dangerous outcome of any disease or spread is its infective deter or spread causing fatalities and not its non-virulent spread that does nothing except making people a carrier hence tagging virus as perhaps sooner to become commensals.

Let’s be frank and logical testing people is neither a necessity nor can be tagged as necessity.

That is so immature that you go for testing 7. 5 billion people in globe therefore to see whether one is Covid positive or not.

So being logical is to create criteria that shall accommodate population at large that is less likely to be infected with population most likely at risk.

Influence of virus is different in variant countries and studies as per epidemiological criteria shall have different results.

This is insane that virus being tagged as a universal influencer who shall now disrupt this universe with its virulence and the only modality in treatment shall and would be to vaccinate globe before they start exhibiting interactive interaction again like they used to previously.

Come on come out of idiocy and define terms in a manner hood with utilizing phrases at their best.

Carrying a virus and carrying a disease are two methodologies.

Not necessarily a virus shall provident disease and may likely go unnoticed where as when it exhibit and turn in to infective episode the same is called disease.

Under no means few among the globe as caretaker can be allowed to witness truth where as all within the globe are to follow such so called prophetic soul being put up in the name of WHO .

Recent studies in relation to Covid -19 and day to day minute changes being brought about by concerned game changers suggest that there are 115 agencies looking after vaccine preparation and the run to become the first pioneer is in progress but frankly the first to come has a reserved seat which has a reserved approval of all authorities may it be Licencing, patency or WHO recommended regulatory FDA approval.

It takes lot of years to get a vaccine out of dungeon say 10 or 20 years but look at the artistic work of backbenchers that within period of few month launching shall put many poor nations on human guinea pig.

It is being thought upon that initially out of billion vaccines being manufactured; first to be vaccinated would be those countries that have a poor medical system since they are endangered species or perhaps the investigational human trial.

Next to follow would be workers in medical field perhaps or racial color or nation based samples.

In addition therapeutic accelerator and plasma substitute from those infected and recovered are also in Toto.

One must understand it’s not a game of months or years.

It is a forecast marketing strategy for a decade and so till its new arrival as new threat for the world as new pandemic.

Some people are claiming to protect globe from an unseen enemy and as such the avengers as last knight is the vaccine that is being looked after Mr. Bill Gates and Inc.

So the plan is billions of vaccine with billions of target customer in a dose of profitable concept of multi dose regimen may be like hepatitis (Engerix –B) in 012 schedule or 016 with booster at 01 yr or 5 yr.

Is in it amazing that we are waiting for a vaccine; that vanish virus after just a 20 second hand wash.

Strangely a well known soft ware expert briefs the world as scientists with his prophetic speeches as what to come next in universe thus lecturing the globe on preparedness and response.(Dr Raza)

Shifa -e- kamila

خدا کا شکر ھے جس نے کائنات کی بہترین خلقت کو پنجتن کے سانچے میں اپنے نور سے پُر نور کر دیا

شکر ھے اس ذات کا جس نے منزلِ سعادت پر خالق کی چاھت کو ہدایت کے اصولوں پر علم کےنزول سے اپنی طرف دیکھنے والوں کو بصیرت سے روشناس کیا اور یوں دین کو دنیا اور دنیا کو دین سے منسلک کر کے اپنے پسندیدہ لوگوں میں لوگ چُنے اور اُن کو منزلِ امامت لئے نبوت پر فائز کر کے علم کو اپنی میراث بنایا،اور میراث کو علماء فقہ اور علم رکھنے والوں کو محافظ بنا کر حفاظت پر مامور کر دیا.

بس یہی علماء آج زینتِ الہِی میں دھلے علمِ رہبری میں سجے غیبتِ امام میں لوگوں کو راہ
دکھانے والے اور راہ کو محمدُ آلِ محمد کی درس گاہ بنانے والے ٹہرے.

یہ علم اور فقہ بلا شبہ عین اللہ کی مانند درسگاہ محمدُ آلِ محمد ھیں ،اور ان کی زندگی کا ھر لمحہ دین کی ترویج اور لوگوں کی اصلاح پر مرکوز ھے.

بلاشبہ آپ بھی ایک ایسی ھی ذات کے وجود سے جڑے شعور میں دھلے زینتِ محمد و آلِ محمد کے علمبردار ھیں، جن کی موجودگی ھی فقط نورِالہِی کا بشر انسر ھے.

مولا آپ کے علم کو تقویت دے اور شفاِ کاملہ عطا فرمائے، تاکہ یہ خطہ عرض آپ کی علمی تربیت سے اپنے علوم میں اضافہ کرتا رھے(آمین)
( ڈاکٹررضا)

Kamil yaqeen

انسانی شعور میں سمجھ سوجھ بوجھ کی انتہا طلبِ دیدار سے جڑی بصیرتِ نگاہ سے منسلک ھے
یوں یقین شک لئے کامل یقین کی طرف دیکھ لینے پر ھی ایمان لانے سے جڑا ھے
(ڈاکٹررضا )

Ghaibat

مجھے دکھا کے تو کس طرح زندگی دے گا

کہ اس یقین کو کامل یقین کر گزروں

دکھا مجھے بھی تو چہرہ تجلیوں میں چھپا

کہ اس شعور کو اپنی نظر سے پڑھ گزرو

تقاضہِ گو کہ ھے یکساعطامیں فرق لئے

معیارِ سوچ میں فرعون کچھ غلط تو نھی

نہ دیکھ پائیں گے آنکھیں تیری بصیرت پر

یقین گر نہ ھو دیکھے بنا یوں غَیبت پر

( ڈاکٹررضا)

Kayfiat

ہے کیفیت میں چھپے کس طرح خدا جانے
یہ تم سے پھر ھو ملاقات کب خدا جانے
کٹھن سفر تھا یہ اگلا سفر خدا جانے
ھے کتنی دیر، تیری آمد لئے خدا جانے
تھا انتظار رھا، اب بھی انتظار ہے سچ
تو کر یقین، کہ یہ اعتبار خدا جانے
( ڈاکٹررضا)

Is it Corona (n Cov-19) or your immune system killing you!  By Dr Raza Haider

Is it Coro\nna (n Cov-19) or your immune system killing you!

Perhaps it’s not the virus but our own immunological system killing and destroying your lungs through ‘Cytokine storm’.

And if it’s true, a controlled epidemic of number of people would definitely be the right option to create herd immunity till its time of vaccination.

Here the principle of herd immunity lies in the assumptive fact that in case of general exposure most people will have no or mild disease where as rest populace will be effectively controlled through innate immunity hitherto the few uncontrolled would be manage as the nature takes its course in terms of disease severity.

Is in it strange; that some people with Covid takes a long route map to final fate and destiny where as many checkout un-noticing.

How come a virus with same virulence endangers many whereas most wean away unchecked without after effects.

Stats define lethal fatality ratio in limited percentage with variant mean involving ages in almost every facet of milestone.

And again in spite of ruthless turnout of the disease as engraving course from no symptom to critical yet similar toppling and symptom free retaliation by most individuals remains the fate of virus as well.

This twin behavior of the virus or body clearly explains the different reaction of the body or virus and thereafter action and reaction of the body to virus and disease.

Till now and with backup information of previous viral epidemics it has been under observation that body immunological response is creating a pivotal role in disease progression and recovery.

Studies suggest that cytokine storm might explain why disease has different modes of course in different individuals

Same lies with the fact that virus has different strain in different situation hence variant virility and different body response to variant discrete exposure.

As such stats and strategy works needs to quantify cases in terms of all such aspect that predisposes disease and exposes individual with its factors that are calibrated and counted within the contextual support of virus affectivity.

The Pars may be supported by the fact that younger’s are less affected compared to older people and female are less affected than male thus sliding the score to well above when it’s a matter of senior citizen though being a real time study all such findings have minute changes and will remain as such till the graph of disease and epidemic becomes static for studies.

The same goes to body innate response to virus and disease hence body’s immune reaction to the antigen thereby rating a list within questionnaire with the primary melt as why there is a different immunological response of the body to virus or disease exposure?

This Attention to immunological response took flight of interest due to the fact that the virus has close resemblance to the previous counter part responsible in previous epidemic that had similar fatalities of disease process.

Scooping the grave fatality of the course and pattern of Covid- 19 disease process in real time and the previous encountered observation and inference of its epidemic counter parts in 2005; cytokines took the plight of interest hence its role that was being overshadowed by pre-clinical to sub-clinical threat and fear of virus.

Regardless of suggested theories and hypothetical misnomers we must understand that it’s a new virus and is in real time so what we see and hear today can out rightly be disown or rejected tomorrow.

Yet theses minute changes that are brought about actually are the proclamation of remedy as a step up no matter what is added or subtracted during the course and run of pandemic in terms of management modalities.

So far and till now it is said that the fatality and seriousness of the disease and illness is due to the layman fact that immune system goes wild and uncontrolled that makes virus a threat to known destination by an unknown path.

Here my request would be not to take most of this upcoming discussion as a compulsive medical theology and theory where words and manners have ethics of formulary and abbreviations rather explanatory phrases.

Lets not take this extra-curriculum of defining and redefining medical terms in a professional manner but a little in a manner where unprofessional masses at large can assimilate the myth behind disease as beneficiary.

Immune system:

A defense mechanism to fight foreign invader in a body with many physiological and biological component;

Immunity:

Immunity is simply resistance of the body against an invading organism commonly known as antigen.

It’s a balance state of biological defense of an organism or cell to fight against invasion of unrecognized enemy.

Immunity can be

  • Innate and adaptive system
  • Acquired system

Innate system is programmed to recognize and react where as adaptive system is programmed to recognize own substances and not to react.

Inflammation:

The reaction to foreign substance is called inflammation.

Immuno-tolerance:

The non-reaction to own substance is termed immun-otolerance.

Immuno-suppression:

Immuno-Suppression is a reduction in the activation or efficacy of the immune system.

Immuno-Suppressant:

Immuno-suppressant is the method of deliberately induced Immuno-suppression in optimal circumstances.

Immunodeficiency:

Immunodeficiency is a state in which the immunity to fight against infection, disease and invader is compromised to subnormal level of immune system or entirely absent.

Most cases of immunodeficiency are acquired secondary due to extrinsic factors that affect the patient’s immune system.

Opportunistic infection

Opportunistic infection is an infection caused by pathogens (bacteria, viruses, fungi, or protozoa) resident or non-resident that take advantage of an opportunity not normally available.

Many of these pathogens do not cause disease in a healthy indivisual that has a normal immune system.

However, a compromised diseased immune system, in a debilitated individual with lowered resistance to infection becomes disease by it s own commensals.

Commensals:

Commensals are Organism that resides normally on individual with symbiotic or mutualism based biological interaction with or without benefit.

Auto Immune disease:

When immune system reacts against it own substance or cell. This self inflicted injury is due to the abnormal behavior of the own immune system.

Health:

Health is a state of well being, with no infirmity or disease.

Technically when self substance is immunologically spared and foreign invader is immunologically eliminated state of equilibrium is called the health.

Disease:

A disrupted state of well being

Technically as per context a disease is when foreign invader cannot be eliminated or when what is self is not spared.

  • Innate immunity:

Innate immunity is a natural immunity acquired through genetic make-up without an external stimulation or exposure to previous infection.

It is divided into two types:

  • Non-Specific innate immunity

It offers a degree of resistance to all infections in general.

  • Specific innate immunity

It offers resistance to a particular kind of microorganism only.

  • Adaptive (Acquired) immunity:

It is divided in to two;

(a)Naturally acquired

It is acquired through chance contact with the organism.

(b)Artificially acquired

It is through deliberate action such as Vaccination

Immunity (Organogram of divisions)

  • Innate immunity

(Natural vide genetic material)

  • Adaptive (acquired )Immunity
  • Natural
  • Passive vide (Maternal)
  • Active vide (Infection)
  • Artificial
  • Passive vide (Antibody Transfer)
  • Active vide (Immunization)

It is still debatable whether a person is completely immune for life after exposure and recovery for immunity after any infection can range from life-long and complete to nearly non-existent.

Corona viruses, a large group of viruses that jump from animal hosts to humans

Much of our understanding of corona virus immunity is not from SARS or MERS but from the seasonal corona viruses that spread every year causing respiratory infections ranging from a common cold to pneumonia.

In two separate studies, researchers infected human volunteers with a seasonal corona virus and about a year later inoculated them with the same or a similar virus to observe whether they had acquired immunity.

Multiple assumptions with predicted theories are in run for this family of virus where a slight change in viral strain or number of years results in loss of immunity from partial to no immunity.

Same goes to the SARS and MERS virus where number of passing years reduces immunity to the virus replication on re exposure.

Corona Virus:

Corona viruses in general are family of viruses that targets and affects mammal’s respiratory system.

There are four main genera of corona virus which are called

  • Alpha
  • Beta
  • Gamma
  • Delta

Most of these viruses affect animals but few can also cross the barrier to human thus transmit disease to human.

The genera that crosses barrier are alpha and beta genera and the common carrier are bats, civet cats, pangolin, and dromedaries or camel through intermediary animal.

The sequence genomic DNA structure of corona SARS-COV- 2 has resemblance to two bat viruses with 88 % resemblance in genomic sequence.

  • SL-CoVZC45
  • SL-CoVZX21

It is also suggested that new virus DNA is about 79 % similar to SARS Corona Virus and 50% similar to MERS Virus

Recently it is suggested that pangolin is the initial propagator as its genomic DNA sequence is 99% of corona virus specific to these animal

Its incubation is 5-6 (any where up to 14 days new WHO advisory) days that is the virus takes 5-6 days to give rise to symptom.

It has been observed that symptoms of Covid -19 with other respiratory ailment are very difficult to distinguish until it is done by a specific specialist test that discloses and matches the viral DNA SARS- Cov-2.

As such we shall keep this in mind that not all symptoms are viral and not all diseases are viral.

Recent studies suggest that variant strains of corona viruses have spread in different parts of the globe and theses are;

  • Type A

Type A is closest to virus found in bats and pangolin

It was the root cause of the outbreak.

Two sub Cluster of the viruses have been found with one linking to Wuhan while other to America and Australia Spain, Chile

  • Type B

Derived from type “A” mutation that mutates slowly in china and rapidly outside china such as UK, Belgium, France, Japan, Brazil, Canada, Germany, Finland, Denmark

  • Type C

Its daughter to Type “B” and mutation spread to Europe, Singapore, and Hongkong, Italy

Patho-Physiology of Covid -19:

Cytokine Storm:

Practically specking cytokines are the signaling molecule that alert immune system and an immune system that go wild create a cytokine storm or precisely the immune system starts harming rather helping.

Normal structured and signature stand of the immune system is to encounter any germ entering the body in an orderly and controlled environment and cascade.

However sometimes reaction to the invader takes the plight of hit and hammer without the torch test or testament thus like an uncontrolled mob with heavy weaponry as if coup against its own orderly fashion creating a messy war of sludge without flush.

As such plea to recognize own is sacrificed rather butchered and none among shall it be an invader or its own are ruined and run thus destroying own self and own tissue taking them as enemy, as well.

This is a devastating immune response with auto immune activation under the umbrella of dozens of small protein herd broadly known as cytokine storm.

Cytokines are protein made by certain immune and non immune cells which has an effect on immune system.

They can be made in lab as well and are used in grave and lethal diseases as immune modulators.

Examples of cytokines are interleukin, interferon and colony stimulating factors and are immune modulator that can cause flue like symptom matchable and almost similar to what can be predicted and isolated in this pandemic Covid -19 infections.

Increase activity of cytokine increases immune response sluddging and crossing the limit of affected area thereby destroying the unaffected vessel as well by a vicious cycle of torn and tear without fear.

Resultant is clotting cascade and sluddging, choking, decrease blood flow organ failure.

Containment and curtailing cytokine storm is the current chapter of biblical verses of the doctors at the moment.

All efforts are being prayed and exhumed to isolate alert sign of undergoing cascade before a irreversible chain of event takes its start.

Many factors have been isolated that alerts such ruthless process as has been signature and signed since they are found in high quantity as indicator. Among them are;

  • Ferritin
  • CRP
  • IL- 6
  • IL-2R

Cytokine storm has been linked to pandemics since early and is said that there may a genetic mutation variant that had made immune system to overreact.

One must bear it’s hard to fight when immune system is compromise.

Person carrying mutated gene have mutated protein that react differently from normal and perhaps the same explains different percentage of severity in different individuals inflicted with Covid-19.

Such mutations serve the function of destruction from distracted recognition to impediment of flow or trafficking.

It is said that women’s have inherent genetic superiority on corona pandemic with her dual X-chromosome this is by a TLR -7, a specific gene that helps to recognize single stranded viruses and as such women bearing 2-X has advantage over man in early recognizing.

One of the genetic superiority of female over male is because testosterone inhibits immune system where as estrogen enhances immune system.

A Covid -19 uses its spike protein to enter in to the cell by unlocking protein on the surface of the cell known as ACE 2 protein that is found on the surface of X chromosomes.

.

As such if a man encounter Covid -19 with a spike protein it unlock the ACE2 thus entering cell there by more susceptible to female which has better advantage of recognition with 2X.

Thus an immune system is typically body’s personal army that works from cellular to macro level playing a pivotal role in warding off invading organism hence guarding against internal or external threat.

It is to be elaborated here that being a RNA virus it has high mutation rate which when combine with natural selection quickly adapt to changes in host.

Such enhanced level of mutation and transfer of genes in offspring also makes development of vaccination as unwanted problem with often resistance in drug prescription.

Presently there is a proposed story that stray dogs intestine might have contributed to the origin of pandemic where as animals like snakes and pangolin have all been put forth as intermediate host in spreading of disease.

It is said that Ancestor of SARS Cov-@ infected the intestine of the Canid(A closely resemble mammal in dog family) resulting in evolution of the virus and jump in to human(Dr Raza)

A Novel

A Novel:In literatureNovel is a fictitious narrative in a story with sequence chain of events that include cast, character settings and an ending.It is an idea of evolving identity that has never been thought before with an image of something new and different.A Novel focuses on character development more than a plot.It is a kind of fiction and fiction is an art of crafting and engineering characters with written script.A novel is a fictitious prose typically representing character and action with some degree of realism.A manuscript of more than 40,000 or above words is considered to be a novel.A novel is a long fictional narrative that defines intimate human experiences.Summing up a novel tells about specific human experiences over a considerable length of time.One must remember not all fictions are novel but all novels are fiction.The following traits must be present in a novel.It must be written in prose rather verseStorytellers must have different degree of knowledge and different point of view.
(First person versus third person and so on)It should have a demonstrated word length, individualism and fictional content.It may have semi fictional narrative of history or a fiction that exists in real world.Its plot must have at least three act structureThis is how a “Novel” is launch, Publish, distribute in the name of the story, therefore as a real time fictional story with little bit of realism.Here we present the name that itself defines the organism and its birth.Let’s decode the code and code it for decoding remedy.Here is your “ Novel” for any one regardless of age can get it.“The Novel Corona Virus”There is always a conspiracy theory behind every presentation
(Dr Raza)

Ya AbuTalib A.S

رسالتِ محمدُ (صلی اللہ علیہ وآلہ وسلم) پر ایمان کے بغیر عقیدہِ توحید بے منطق و بے معنی ھےتوحید جذبہ ایمان و یقینِ رسالت سے جڑا ھےیوں توحید منسب رسالت پرحقِ وحدانیت کی واحد سبیل ھےگویا نام وحدہ لا شریک ، بلا وجودِ شرکتِ محمد، منسبِ لاشریک پر فائض نھی ھو سکتا، گویا واحدانیت کے نور پر احد نھی کہلا سکتا ، جب تکزبانِ محمد( صلی اللہ علیہ وآلہ وسلم) وحدہ لاشریک کا اقرار نہ کر دےارے کس خدا کی بات کرتے ھو تم لوگ!دعا دو اس خاندانِ نبوت اور خادمِ رسالت کو جس نے پال کر وحدہ لا شریک کی وحدانیت کو محمد کی رسالت سے جوڑ دیا ، یوں کلام حق کوزینتِ وجود دیابس دین تم کو ملا خاندان اس کا کٹاافلاس اس کو ملی اور پھل تم نے کھایاعجب نھی کہ تم مسلمان کہلائے اور اسے کافر ٹھہرا دیاارے جاؤ! تم جس خدا کی عبادت کرتے ھو ، ابو طالب اس خدا کی عبادت نھی کرتا، بلکہ اس کا جواب تو سورہ کافرون کی آیت کا مصداق ھے کہسن لے اے کافروںنھی میں عبادت کرتا جن کی تم عبادت کرتے ھواور نھی تم عبادت کرتےجس کی میں عبادت کرتا ھوںاور نھی تم عبادت کرنے والے جس کی میں عبادت کرتا ھوںاور نھی میں عبادت کرنے والا جن کی تم عبادت کرتے ھواور نھی تم عبادت کرنے والے جس کی میں عبادت کرتا ھوںتمہارا دین تمہارے لئے میرا دین میرے لئے
(ڈاکٹررضا)